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Tuuned in: use of an online contraceptive decision aid for women increases reproductive self-efficacy and knowledge; results of an experimental clinical trial 调整:使用在线避孕决策帮助妇女提高生殖自我效能和知识;实验性临床试验的结果
Pub Date : 2023-09-18 DOI: 10.1186/s44247-023-00034-z
Summer Mengelkoch, Matthew Espinosa, Stephen A. Butler, Laura Joigneau Prieto, Emma Russell, Chris Ramshaw, Shardi Nahavandi, Sarah E. Hill
Abstract Background Digital decision aids are becoming increasingly common in many areas of healthcare. These aids are designed to involve patients in medical decision making, with the aim of improving patient outcomes while decreasing healthcare burden. Previously developed contraceptive-based decision aids have been found to be effective at increasing women’s knowledge about reproductive health and contraception. Here, we sought to evaluate the effectiveness of a novel contraceptive-based decision aid at increasing women’s self-efficacy and knowledge about their reproductive health and contraceptive options, as well as their perceptions of their learning. This study was registered as a clinic trial at ClinicalTrials.gov (Contraception Decision Aid Use and Patient Outcomes, ID# NCT05177783) on 05/01/2022. Methods The Tuune® contraceptive decision aid’s effectiveness was evaluated by conducting an experiment in which 324 women were assigned to use the Tuune® decision aid or a control decision aid. Primary outcomes included reproductive health self-efficacy, reproductive health and contraceptive knowledge, and perceptions of learning. Secondary analyses examined whether prior experience using hormonal contraceptives moderated the relationship between decision aid and each outcome measure. Results Women assigned to use the Tuune® decision aid exhibited greater reproductive health self-efficacy, greater knowledge about reproductive health and contraception, and perceived having learned more than women assigned to use the control decision aid ( p s ≤ .029). This pattern was also observed in women with previous contraceptive use experience, where women using Tuune® reported better outcomes than women using the control aid, regardless of their history of hormonal contraceptive use experience, although this interaction was not significant ( p = .089). Conclusions Use of the Tuune® contraceptive-based decision aid improved each of the predicted outcomes relative to a control decision aid. This suggests that use of the Tuune® contraceptive-based decision aid is well poised to increase women’s confidence and knowledge about contraceptive use and may also reduce burden on healthcare systems.
数字辅助决策在医疗保健的许多领域正变得越来越普遍。这些辅助工具旨在让患者参与医疗决策,目的是改善患者的治疗效果,同时减轻医疗负担。人们发现,以前开发的以避孕药具为基础的决策辅助工具在提高妇女对生殖健康和避孕的知识方面很有效。在这里,我们试图评估一种新型的基于避孕药的决策辅助在提高妇女的自我效能感和对其生殖健康和避孕选择的认识以及她们对自己学习的看法方面的有效性。该研究已于2022年5月1日在ClinicalTrials.gov注册为临床试验(避孕决策辅助使用和患者结局,ID# NCT05177783)。方法通过对324名妇女进行tunune®避孕辅助决策器和对照组决策器的试验,评价tunune®避孕辅助决策器的有效性。主要结果包括生殖健康自我效能、生殖健康和避孕知识以及学习感知。二次分析检验了先前使用激素避孕药的经验是否调节了决策辅助和每个结果测量之间的关系。结果使用Tuune®决策辅助工具的妇女表现出更高的生殖健康自我效能感,对生殖健康和避孕有更多的了解,并认为比使用对照组决策辅助工具的妇女学到了更多(p s≤0.029)。在既往使用过避孕药具的妇女中也观察到这种模式,使用Tuune®的妇女报告的结果优于使用对照药物的妇女,无论她们的激素避孕药使用史如何,尽管这种相互作用并不显著(p = 0.089)。结论:使用tune®基于避孕药的辅助决策改善了每一个预测结果相对于控制决策援助。这表明,使用Tuune®基于避孕药的决策辅助工具可以很好地提高妇女对避孕药具使用的信心和知识,也可以减轻卫生保健系统的负担。
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引用次数: 0
Correction: Machine learning-based prediction of COVID-19 mortality using immunological and metabolic biomarkers 更正:使用免疫和代谢生物标志物基于机器学习的COVID-19死亡率预测
Pub Date : 2023-09-12 DOI: 10.1186/s44247-023-00045-w
Thomas Wetere Tulu, Tsz Kin Wan, Ching Long Chan, Chun Hei Wu, Peter Yat Ming Woo, Cee Zhung Steven Tseng, Asmir Vodencarevic, Cristina Menni, Kei Hang Katie Chan
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引用次数: 0
Discovering social determinants of health from case reports using natural language processing: algorithmic development and validation 使用自然语言处理从病例报告中发现健康的社会决定因素:算法开发和验证
Pub Date : 2023-09-11 DOI: 10.1186/s44247-023-00035-y
Shaina Raza, Elham Dolatabadi, Nancy Ondrusek, Laura Rosella, Brian Schwartz
Abstract Background Social determinants of health are non-medical factors that influence health outcomes (SDOH). There is a wealth of SDOH information available in electronic health records, clinical reports, and social media data, usually in free text format. Extracting key information from free text poses a significant challenge and necessitates the use of natural language processing (NLP) techniques to extract key information. Objective The objective of this research is to advance the automatic extraction of SDOH from clinical texts. Setting and data The case reports of COVID-19 patients from the published literature are curated to create a corpus. A portion of the data is annotated by experts to create ground truth labels, and semi-supervised learning method is used for corpus re-annotation. Methods An NLP framework is developed and tested to extract SDOH from the free texts. A two-way evaluation method is used to assess the quantity and quality of the methods. Results The proposed NER implementation achieves an accuracy (F1-score) of 92.98% on our test set and generalizes well on benchmark data. A careful analysis of case examples demonstrates the superiority of the proposed approach in correctly classifying the named entities. Conclusions NLP can be used to extract key information, such as SDOH factors from free texts. A more accurate understanding of SDOH is needed to further improve healthcare outcomes.
健康的社会决定因素是影响健康结果(SDOH)的非医学因素。电子健康记录、临床报告和社交媒体数据中提供了丰富的SDOH信息,通常采用自由文本格式。从自由文本中提取关键信息是一个重大挑战,需要使用自然语言处理(NLP)技术来提取关键信息。目的推进临床文献中SDOH的自动提取。从已发表的文献中整理COVID-19患者的病例报告,创建一个语料库。由专家对部分数据进行标注,生成基础真值标签,采用半监督学习方法对语料库进行重新标注。方法开发了一个自然语言处理框架,并对其进行了测试。采用双向评价方法对方法的数量和质量进行评价。结果提出的NER实现在我们的测试集上达到了92.98%的准确率(f1分数),并且在基准数据上有很好的泛化。对实例的仔细分析证明了所提出的方法在正确分类命名实体方面的优越性。结论NLP可以从自由文本中提取关键信息,如SDOH因子。为了进一步改善医疗保健结果,需要更准确地了解SDOH。
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引用次数: 0
A protocol for the development and validation of a virtual reality-based clinical test of social cognition 基于虚拟现实的社会认知临床测试的开发和验证协议
Pub Date : 2023-09-07 DOI: 10.1186/s44247-023-00036-x
M. Matre, T. Johansen, A. Olsen, S. Tornås, AC Martinsen, A. Lund, F. Becker, C. Brunborg, J. Spikman, J. Ponsford, D. Neumann, S. McDonald, M. Løvstad
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引用次数: 0
The qualities of patients interested in using a game-based digital mental health intervention for depression: a sequential mixed methods study 对使用基于游戏的数字心理健康干预治疗抑郁症感兴趣的患者的素质:一项连续混合方法研究
Pub Date : 2023-09-07 DOI: 10.1186/s44247-023-00037-w
Lauri Lukka, Antti Salonen, M. Vesterinen, Veli-Matti Karhulahti, S. Palva, J. Palva
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引用次数: 0
Barriers and facilitators to patient-to-provider messaging using the COM-B model and theoretical domains framework: a rapid umbrella review 使用COM-B模型和理论领域框架进行患者与提供者信息传递的障碍和促进因素:快速总括审查
Pub Date : 2023-09-05 DOI: 10.1186/s44247-023-00033-0
Megan M. MacPherson, Shabana Kapadia
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引用次数: 0
Digitalization of home-based records for maternal, newborn, and child health: a scoping review 基于家庭的孕产妇、新生儿和儿童健康记录数字化:范围综述
Pub Date : 2023-09-04 DOI: 10.1186/s44247-023-00032-1
M. Geldof, Nina Gerlach, A. Portela
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引用次数: 0
The Essential Network (TEN): engagement and mental health insights from a digital mental health assessment tool for Australian health professionals during COVID-19 基本网络(TEN): 2019冠状病毒病期间澳大利亚卫生专业人员的数字心理健康评估工具的参与和心理健康见解
Pub Date : 2023-08-21 DOI: 10.1186/s44247-023-00031-2
M. Coleshill, D. Alagirisamy, S. Patki, M. Ronksley, M. Black, S. Yu, M. Phillips, J. Newby, N. Cockayne, J. Tennant, S. Harvey, H. Christensen, P. Baldwin
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引用次数: 0
The barriers and facilitators to young people’s engagement with bidirectional digital sexual health interventions: a mixed methods systematic review 青年人参与双向数字性健康干预的障碍和促进因素:混合方法系统综述
Pub Date : 2023-08-10 DOI: 10.1186/s44247-023-00030-3
C. Bennett, Massirfufulay Kpehe Musa, Judith Carrier, D. Edwards, Elizabeth Gillen, A. Sydor, Catherine Dunn, Kaye Jones-Mahoney, Alex Nute, D. Kelly
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引用次数: 0
Liquidity and uncertainty: digital adaptation of a complex intervention for people with severe mental illness during the COVID-19 lockdown 流动性和不确定性:新冠肺炎封锁期间对严重精神疾病患者进行复杂干预的数字适应
Pub Date : 2023-08-03 DOI: 10.1186/s44247-023-00028-x
J. Frost, Charley Hobson-Merrett, L. Gask, Mike Clark, V. Pinfold, H. Plappert, S. Reilly, J. Gibson, Debra Richards, Rebecca Denyer, R. Byng
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引用次数: 0
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