Pub Date : 2025-06-01Epub Date: 2025-05-06DOI: 10.1016/j.pecinn.2025.100401
Meghan A. Anderson , Rachel Price , Tori P. Miller , Rajan Lamichhane , Jennie L. Yoost
Objective
The purpose of this study is to determine whether “digital flashcard” graphics on a provider's smartphone are helpful in educating adolescents about reproductive health.
Methods
A randomized study compared the understanding of reproductive health topics among adolescents using digital flashcards during a clinical visit vs counseling as usual (control).
Results
There were 197 subjects (99 flashcards, 98 control) with mean age of 14.7 years. Among subjects in the flashcard group, new patients used more flashcards than return patients (3.48 vs 2.40, p = 0.001). The most frequently used flashcards were 7-day placebo birth control pills, the intrauterine device, internal anatomy and 84-day birth control pills. Among the flashcard group 96.9 % reported they “agreed” or “strongly agreed” that flashcards were helpful in understanding the topics discussed, and 98 % would recommend using them in the future. All subjects experienced an increase in understanding of the topics discussed during clinic, and there was no difference between the flashcard group and control.
Conclusion
Subjects using the digital flashcards during their clinical encounter reported high acceptability.
Innovation
Digital flashcards are accessible via smart phone use and can be easily distributed among providers to assist in reproductive health counseling in adolescents.
目的：本研究的目的是确定供应商智能手机上的“数字抽认卡”图形是否有助于对青少年进行生殖健康教育。方法一项随机研究比较了在临床访问期间使用数字抽认卡与常规咨询（对照组）的青少年对生殖健康主题的理解。结果共纳入197例受试者（抽认卡99张，对照组98张），平均年龄14.7岁。在抽认卡组的受试者中，新患者比复发患者使用更多的抽认卡（3.48 vs 2.40, p = 0.001）。使用最多的卡片是7天安慰剂避孕药、宫内节育器、内部解剖和84天避孕药。在抽认卡组中，96.9%的人表示他们“同意”或“强烈同意”抽认卡有助于理解所讨论的主题，98%的人建议将来使用抽认卡。所有受试者在临床期间对讨论主题的理解都有所增加，抽认卡组与对照组之间没有差异。结论受试者在临床接触中使用数字抽认卡的可接受性较高。创新数字抽认卡可以通过智能手机获得，并且可以很容易地分发给提供者，以协助向青少年提供生殖健康咨询。
{"title":"Use of digital flashcards for reproductive health counseling among adolescents","authors":"Meghan A. Anderson , Rachel Price , Tori P. Miller , Rajan Lamichhane , Jennie L. Yoost","doi":"10.1016/j.pecinn.2025.100401","DOIUrl":"10.1016/j.pecinn.2025.100401","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study is to determine whether “digital flashcard” graphics on a provider's smartphone are helpful in educating adolescents about reproductive health.</div></div><div><h3>Methods</h3><div>A randomized study compared the understanding of reproductive health topics among adolescents using digital flashcards during a clinical visit vs counseling as usual (control).</div></div><div><h3>Results</h3><div>There were 197 subjects (99 flashcards, 98 control) with mean age of 14.7 years. Among subjects in the flashcard group, new patients used more flashcards than return patients (3.48 vs 2.40, <em>p</em> = 0.001). The most frequently used flashcards were 7-day placebo birth control pills, the intrauterine device, internal anatomy and 84-day birth control pills. Among the flashcard group 96.9 % reported they “agreed” or “strongly agreed” that flashcards were helpful in understanding the topics discussed, and 98 % would recommend using them in the future. All subjects experienced an increase in understanding of the topics discussed during clinic, and there was no difference between the flashcard group and control.</div></div><div><h3>Conclusion</h3><div>Subjects using the digital flashcards during their clinical encounter reported high acceptability.</div></div><div><h3>Innovation</h3><div>Digital flashcards are accessible via smart phone use and can be easily distributed among providers to assist in reproductive health counseling in adolescents.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100401"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144069860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Empathy is crucial in healthcare, facilitating effective communication and improving patient outcomes.
Objective
This study aimed to evaluate the impact of tele-conference training based on the Kalamazoo Consensus Statement (KCS) on the empathy scores of newly hired physicians in a tele-visit simulation course.
Methods
From September 2021 to April 2022, we conducted a randomized controlled trial involving 129 medical doctors from 13 hospitals in north-western Tuscany, with an age range of 31 to 42 years. Partecipants were randomly assigned to a trained group (TG) or a control group (CG). Both groups completed the Toronto Empathy Questionnaire (TEQ) and the Balanced Emotional Empathy Scale (BEES) before (T0) and after (T1) the training. The TG underwent a 12-h online communication training course. The CG only completed the questionnaires without further intervention.
Results
Total sample included 129 partecipants. Results indicated a significant increase in TEQ scores for the TG (55,8 % of total sample; T0: 65.32; T1: 66.42, p = 0.032) and BEES scores (T0: 122.39; T1: 127.50, p = 0.000). The CG (44,2 %) experienced a decrease in TEQ scores (T0: 65.58; T1: 63.75, p = 0.000) but stable BEES scores (T0: 122.16; T1: 120.67, p = 0.317). Female participants consistently exhibited higher empathy scores than males, with training significantly enhancing scores for both genders.
Conclusions
The tele-conference training effectively improved empathy scores among newly hired physicians. We recommend the implementation of KCS-based training to enhance empathy and communication skills in medical practice.
Innovation
The pandemic has accelerated the use of tele-education and telemedicine, though opinions on their effectiveness remain divided. However, studies show that empathy can be enhanced through interactive online training, which offers significant innovations for both healthcare professionals' learning and patient care.
同情心在医疗保健中至关重要，它促进了有效的沟通并改善了患者的预后。目的探讨基于卡拉马祖共识声明（KCS）的远程会议培训对新入职医师远程访视模拟课程共情得分的影响。方法于2021年9月至2022年4月，对来自托斯卡纳西北部13家医院的129名医生进行随机对照试验，年龄31 ~ 42岁。参与者被随机分配到训练组（TG）或对照组（CG）。两组在训练前（T0）和训练后（T1）分别完成多伦多共情问卷（TEQ）和平衡情绪共情量表（BEES）。TG接受了一个12小时的在线交流培训课程。CG只完成问卷，没有进一步的干预。结果共纳入样本129人。结果表明，TG组的TEQ分数显著增加(占总样本的55.8%；T0: 65.32;T1: 66.42, p = 0.032)和BEES评分(T0: 122.39；T1: 127.50, p = 0.000)。对照组（44.2%）TEQ得分下降(T0: 65.58；T1: 63.75, p = 0.000)，但稳定的蜜蜂得分(T0: 122.16；T1: 120.67, p = 0.317)。女性参与者始终表现出比男性更高的同理心得分，训练显著提高了男女的得分。结论电话会议培训有效提高了新入职医师的共情能力。我们建议实施以kcs为基础的培训，以提高医疗实践中的同理心和沟通技巧。创新大流行加速了远程教育和远程医疗的使用，尽管对其有效性的意见仍存在分歧。然而，研究表明，移情可以通过交互式在线培训来增强，这为医疗保健专业人员的学习和患者护理提供了重大创新。
{"title":"Empathy training via Kalamazoo Consensus in remote and in-person medical communication: A randomized controlled trial","authors":"Giovan Battista Previti , Carlo Mazzatenta , Tommaso Bellandi , Francesco Niccolai , Dario Nieri , Valentina Ungaretti , Irene Cavasini , Alessandra Mazzoni , Stefano Maiorano , Luca Di Paolo , Veronica D'Elia , Monica Torre , Licia Matteucci , Guido Miccinesi , Moreno Marcucci , Michela Maielli , Sergio Ardis","doi":"10.1016/j.pecinn.2025.100399","DOIUrl":"10.1016/j.pecinn.2025.100399","url":null,"abstract":"<div><h3>Background</h3><div>Empathy is crucial in healthcare, facilitating effective communication and improving patient outcomes.</div></div><div><h3>Objective</h3><div>This study aimed to evaluate the impact of tele-conference training based on the Kalamazoo Consensus Statement (KCS) on the empathy scores of newly hired physicians in a tele-visit simulation course.</div></div><div><h3>Methods</h3><div>From September 2021 to April 2022, we conducted a randomized controlled trial involving 129 medical doctors from 13 hospitals in north-western Tuscany, with an age range of 31 to 42 years. Partecipants were randomly assigned to a trained group (TG) or a control group (CG). Both groups completed the Toronto Empathy Questionnaire (TEQ) and the Balanced Emotional Empathy Scale (BEES) before (T0) and after (T1) the training. The TG underwent a 12-h online communication training course. The CG only completed the questionnaires without further intervention.</div></div><div><h3>Results</h3><div>Total sample <em>included 129 partecipants.</em> Results indicated a significant increase in TEQ scores for the TG (55,8 % of total sample; T0: 65.32; T1: 66.42, <em>p</em> = 0.032) and BEES scores (T0: 122.39; T1: 127.50, <em>p</em> = 0.000). The CG (44,2 %) experienced a decrease in TEQ scores (T0: 65.58; T1: 63.75, p = 0.000) but stable BEES scores (T0: 122.16; T1: 120.67, <em>p</em> = 0.317). Female participants consistently exhibited higher empathy scores than males, with training significantly enhancing scores for both genders.</div></div><div><h3>Conclusions</h3><div>The tele-conference training effectively improved empathy scores among newly hired physicians. We recommend the implementation of KCS-based training to enhance empathy and communication skills in medical practice.</div></div><div><h3>Innovation</h3><div>The pandemic has accelerated the use of tele-education and telemedicine, though opinions on their effectiveness remain divided. However, studies show that empathy can be enhanced through interactive online training, which offers significant innovations for both healthcare professionals' learning and patient care.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100399"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144084189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01Epub Date: 2025-03-17DOI: 10.1016/j.pecinn.2025.100387
Annet Olde Wolsink-van Harlingen (AS) , Jan Jukema (JS) , Kris Vissers (KCP) , Madeleen Uitdehaag (MJ) , Jeroen Hasselaar (J) , Leontine Groen-van de Ven (L)
Background
Patients and informal caregivers experience challenges to express their personal perspectives in conversations with healthcare professionals (HCPs). A prototype toolkit, which consists of a hardcopy version and a website, was developed to address their challenges. The aim of this study is to gain insight into the perceived acceptability of this prototype toolkit.
Method
Patients and informal caregivers end users and HCPs participated in semi-structured individual or group interviews. This resulted in two databases of qualitative data which were thematically analysed.
Results
Twenty-two end users and twelve HCPs participated in this study. There is appreciation for the content and use of the prototype toolkit, with the hardcopy version of the toolkit being valued more than the website. Moreover, the use of the toolkit may strengthen end users' power and control and may support HCPs in tailoring communication and care. End users and HCPs recommendations for implementation are to further develop the prototype toolkit, provide HCPs with information, instruction and support and create facilitating conditions in healthcare.
Conclusion
High appreciation of the hardcopy version and the practical value are positive indicators of end users'and HCPS perceived acceptability of the prototype toolkit. However, the content of the toolkit is experienced as being too extensive, with the hardcopy version experienced as being incomplete without the website and the website is experienced as being too complicated to use. Further development and testing of the prototype toolkit is required to increase its acceptability by end users and HCPs.
Innovation
In this study a Design Thinking approach was used to test study the acceptability of a prototype toolkit by endusers and HCPs. This approach can contribute to a succesfull implementation of the toolkit and its effectiveness.
{"title":"Perceived acceptability of a prototype toolkit to support patients and informal caregivers to express their perspectives in palliative care conversations","authors":"Annet Olde Wolsink-van Harlingen (AS) , Jan Jukema (JS) , Kris Vissers (KCP) , Madeleen Uitdehaag (MJ) , Jeroen Hasselaar (J) , Leontine Groen-van de Ven (L)","doi":"10.1016/j.pecinn.2025.100387","DOIUrl":"10.1016/j.pecinn.2025.100387","url":null,"abstract":"<div><h3>Background</h3><div>Patients and informal caregivers experience challenges to express their personal perspectives in conversations with healthcare professionals (HCPs). A prototype toolkit, which consists of a hardcopy version and a website, was developed to address their challenges. The aim of this study is to gain insight into the perceived acceptability of this prototype toolkit.</div></div><div><h3>Method</h3><div>Patients and informal caregivers end users and HCPs participated in semi-structured individual or group interviews. This resulted in two databases of qualitative data which were thematically analysed.</div></div><div><h3>Results</h3><div>Twenty-two end users and twelve HCPs participated in this study. There is appreciation for the content and use of the prototype toolkit, with the hardcopy version of the toolkit being valued more than the website. Moreover, the use of the toolkit may strengthen end users' power and control and may support HCPs in tailoring communication and care. End users and HCPs recommendations for implementation are to further develop the prototype toolkit, provide HCPs with information, instruction and support and create facilitating conditions in healthcare.</div></div><div><h3>Conclusion</h3><div>High appreciation of the hardcopy version and the practical value are positive indicators of end users'and HCPS perceived acceptability of the prototype toolkit. However, the content of the toolkit is experienced as being too extensive, with the hardcopy version experienced as being incomplete without the website and the website is experienced as being too complicated to use. Further development and testing of the prototype toolkit is required to increase its acceptability by end users and HCPs.</div></div><div><h3>Innovation</h3><div>In this study a Design Thinking approach was used to test study the acceptability of a prototype toolkit by endusers and HCPs. This approach can contribute to a succesfull implementation of the toolkit and its effectiveness.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100387"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143864698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01Epub Date: 2025-04-30DOI: 10.1016/j.pecinn.2025.100398
Mariko Asai , Masako Okamura , Maiko Fujimori , Aki Otsuki , Junko Saito , Akiko Yaguchi-Saito , Aya Kuchiba , Yosuke Uchitomi , Taichi Shimazu , for the INFORM Study Group
Objective
To describe the behavior of bringing question notes to physicians in Japan and explore the factors associated with this behavior.
Methods
We used data from a nationwide cross-sectional study conducted in Japan on access to health information (INFORM Study 2020). Data from 3605 respondents, 3572 of whom did not miss the primary endpoint of bringing question notes to physicians, were analyzed. The prevalence of weighted ratios of four-item responses (always, usually, sometimes, never) was described, and multivariable logistic regression was used to explore associated variables with “never bringing question notes.” We also explored the differences in these factors based on the cancer diagnosis experience.
Results
More than 60 % of all respondents and even among those who had a history of cancer diagnosis themselves, more than 50 % had never brought question notes to physicians. Being under 40 years of age, male, employed, and in good health were significantly associated with never bringing question notes.
Conclusion
Those who had never brought question notes to physicians were high both overall and among those who had a cancer diagnosis.
Innovation
Nationwide survey data revealed that Japanese people are less proactive in bringing the notes prepared beforehand to the consultation.
目的了解日本医生带问题卡的行为，并探讨其影响因素。方法：我们使用了在日本进行的一项关于获取健康信息的全国性横断面研究（INFORM study 2020）的数据。分析了3605名受访者的数据，其中3572人没有错过向医生提供问题笔记的主要终点。描述了四项回答（总是，通常，有时，从不）的加权比率的普遍性，并使用多变量逻辑回归来探索与“从不带问题笔记”相关的变量。我们还根据癌症诊断经验探讨了这些因素的差异。结果超过60%的受访者，甚至在自己有癌症诊断史的受访者中，超过50%的人从未向医生带过问题卡。年龄在40岁以下、男性、有工作、身体健康的人与从不带答题卡的人显著相关。结论从未给医生带问题卡的患者总体上和被诊断为癌症的患者中患癌率都很高。InnovationNationwide的调查数据显示，日本人不太主动地把事先准备好的笔记带到咨询现场。
{"title":"Bringing question notes to physicians: A nationwide cross-sectional study in Japan (INFORM study 2020)","authors":"Mariko Asai , Masako Okamura , Maiko Fujimori , Aki Otsuki , Junko Saito , Akiko Yaguchi-Saito , Aya Kuchiba , Yosuke Uchitomi , Taichi Shimazu , for the INFORM Study Group","doi":"10.1016/j.pecinn.2025.100398","DOIUrl":"10.1016/j.pecinn.2025.100398","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the behavior of bringing question notes to physicians in Japan and explore the factors associated with this behavior.</div></div><div><h3>Methods</h3><div>We used data from a nationwide cross-sectional study conducted in Japan on access to health information (INFORM Study 2020). Data from 3605 respondents, 3572 of whom did not miss the primary endpoint of bringing question notes to physicians, were analyzed. The prevalence of weighted ratios of four-item responses (always, usually, sometimes, never) was described, and multivariable logistic regression was used to explore associated variables with “never bringing question notes.” We also explored the differences in these factors based on the cancer diagnosis experience.</div></div><div><h3>Results</h3><div>More than 60 % of all respondents and even among those who had a history of cancer diagnosis themselves, more than 50 % had never brought question notes to physicians. Being under 40 years of age, male, employed, and in good health were significantly associated with never bringing question notes.</div></div><div><h3>Conclusion</h3><div>Those who had never brought question notes to physicians were high both overall and among those who had a cancer diagnosis.</div></div><div><h3>Innovation</h3><div>Nationwide survey data revealed that Japanese people are less proactive in bringing the notes prepared beforehand to the consultation.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100398"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01Epub Date: 2025-04-30DOI: 10.1016/j.pecinn.2025.100397
Zavera K. Basrai , Caroline Y. Yoon , Valerie Tsosie , Ronny A. Bell , Nathan A. Boucher
Objectives
Describe the role and benefit of Community Health Workers in American Indian communities as a novel solution to meeting home and community-based service (HCBS) needs.
Methods
Short communication based on extant literature and current policy challenges.
Results
Community health workers (CHW) play an essential role in various healthcare settings particularly in American Indian (AI) communities working to close gaps in preventive and comprehensive healthcare accessibility. CHWs close these gaps through providing expertise in culturally oriented and familial support, educating communities on acute and chronic illnesses and wellness, and dispelling misinformation regarding health issues. However, integration and application of CHWs into home- and community-based services has limited recognition and utilization in healthcare systems and healthcare payment. Robust training/credentialing pathways and sustainable funding streams are essential for the integration of CHWs into the formalized healthcare provider team. Barriers that prevent this integration include inconsistencies in documentation, lack of stable funding, and a lack of formal professional recognition.
Conclusions
Previously successful models of CHW integration promote formalized training programs, professional development opportunities, earning certifications, and promoting collaboration between CHWs and providers.
Innovation
Applying CHW use in HCBS can increase community wellness while mitigating impacts of health disparities in HCBS for an often-under-resourced set of communities – our nation's American Indian communities.
{"title":"The role of community health workers in enhancing home and community-based services in American Indian communities","authors":"Zavera K. Basrai , Caroline Y. Yoon , Valerie Tsosie , Ronny A. Bell , Nathan A. Boucher","doi":"10.1016/j.pecinn.2025.100397","DOIUrl":"10.1016/j.pecinn.2025.100397","url":null,"abstract":"<div><h3>Objectives</h3><div>Describe the role and benefit of Community Health Workers in American Indian communities as a novel solution to meeting home and community-based service (HCBS) needs.</div></div><div><h3>Methods</h3><div>Short communication based on extant literature and current policy challenges.</div></div><div><h3>Results</h3><div>Community health workers (CHW) play an essential role in various healthcare settings particularly in American Indian (AI) communities working to close gaps in preventive and comprehensive healthcare accessibility. CHWs close these gaps through providing expertise in culturally oriented and familial support, educating communities on acute and chronic illnesses and wellness, and dispelling misinformation regarding health issues. However, integration and application of CHWs into home- and community-based services has limited recognition and utilization in healthcare systems and healthcare payment. Robust training/credentialing pathways and sustainable funding streams are essential for the integration of CHWs into the formalized healthcare provider team. Barriers that prevent this integration include inconsistencies in documentation, lack of stable funding, and a lack of formal professional recognition.</div></div><div><h3>Conclusions</h3><div>Previously successful models of CHW integration promote formalized training programs, professional development opportunities, earning certifications, and promoting collaboration between CHWs and providers.</div></div><div><h3>Innovation</h3><div>Applying CHW use in HCBS can increase community wellness while mitigating impacts of health disparities in HCBS for an often-under-resourced set of communities – our nation's American Indian communities.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100397"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01Epub Date: 2025-04-30DOI: 10.1016/j.pecinn.2025.100396
Gemme Campbell-Salome
{"title":"Family caregiving in research and practice: Editorial – PEC innovation","authors":"Gemme Campbell-Salome","doi":"10.1016/j.pecinn.2025.100396","DOIUrl":"10.1016/j.pecinn.2025.100396","url":null,"abstract":"","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100396"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-15Epub Date: 2024-11-22DOI: 10.1016/j.pecinn.2024.100359
Denise J.C. Hanssen , Charlotte A. Spiertz , Lineke M. Tak , Judith G.M. Rosmalen
Objective
The healthcare professional's attitude toward persistent somatic symptoms (PSS) seems to play an important role in access to and quality of care for patients with PSS. To encourage research on PSS attitude, we developed and validated the Professionals' Attitude to Persistent Somatic Symptoms Questionnaire (PAPSS).
Methods
A list of items was developed through theory and a focus group with PSS experts, with response categories on a 5-point Likert scale ranging from “strongly disagree” to “strongly agree”. These items were then validated through a sample (N = 411) consisting of medical specialists, general practitioners, and psychologists. Subscales of the PAPSS were constructed using repeated factor analyses and reliability analyses.
Results
Exploratory factor analyses resulted in a 15-item questionnaire with four subscales: “Perceived burden” and “Affinity” showed good reliability rates; “Perceived professional competence” and “Openness to patient-centered care” had questionable reliability rates. In general, psychologists had the most pronounced scores on subscales compared to medical specialists and general practitioners.
Innovation
The PAPSS is the first questionnaire for exploring the role of the professional's attitude toward PSS; it offers opportunities for further research on the influence of attitude on treatment of PSS.
Conclusions
The PAPPS is a relatively short questionnaire that can be used in both quantitative research and clinical care. However, it requires further research on psychometric qualities, including the validation of the translated versions of this questionnaire.
{"title":"Measuring professionals' attitudes toward persistent somatic symptoms: Development, validation, and reliability of the professionals' Attitude to Persistent Somatic Symptoms Questionnaire (PAPSS)","authors":"Denise J.C. Hanssen , Charlotte A. Spiertz , Lineke M. Tak , Judith G.M. Rosmalen","doi":"10.1016/j.pecinn.2024.100359","DOIUrl":"10.1016/j.pecinn.2024.100359","url":null,"abstract":"<div><h3>Objective</h3><div>The healthcare professional's attitude toward persistent somatic symptoms (PSS) seems to play an important role in access to and quality of care for patients with PSS. To encourage research on PSS attitude, we developed and validated the Professionals' Attitude to Persistent Somatic Symptoms Questionnaire (PAPSS).</div></div><div><h3>Methods</h3><div>A list of items was developed through theory and a focus group with PSS experts, with response categories on a 5-point Likert scale ranging from “strongly disagree” to “strongly agree”. These items were then validated through a sample (<em>N</em> = 411) consisting of medical specialists, general practitioners, and psychologists. Subscales of the PAPSS were constructed using repeated factor analyses and reliability analyses.</div></div><div><h3>Results</h3><div>Exploratory factor analyses resulted in a 15-item questionnaire with four subscales: “Perceived burden” and “Affinity” showed good reliability rates; “Perceived professional competence” and “Openness to patient-centered care” had questionable reliability rates. In general, psychologists had the most pronounced scores on subscales compared to medical specialists and general practitioners.</div></div><div><h3>Innovation</h3><div>The PAPSS is the first questionnaire for exploring the role of the professional's attitude toward PSS; it offers opportunities for further research on the influence of attitude on treatment of PSS.</div></div><div><h3>Conclusions</h3><div>The PAPPS is a relatively short questionnaire that can be used in both quantitative research and clinical care. However, it requires further research on psychometric qualities, including the validation of the translated versions of this questionnaire.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100359"},"PeriodicalIF":0.0,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142723263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-15Epub Date: 2024-07-04DOI: 10.1016/j.pecinn.2024.100318
Waad M. Alzahrani , Lujain S. Alkliakh , Esraa B. Alwafai , Manal F. Madani , Nima L. Hersi , Eilaaf A. Shakir , Abrar K. Thabit
Objective
Public awareness of antimicrobial resistance (AMR) is essential to tackling this issue. Studies in Saudi Arabia have demonstrated insufficient AMR knowledge among the public. We aimed to indirectly raise awareness while simultaneously assessing the public's knowledge. We also assessed the factors associated with optimal knowledge and antibiotic handling.
Methods
We developed an online quiz game comprising 10 questions on AMR knowledge and antibiotic handling, recording each participant's score. We collected the responses from the Saudi public using a cross-sectional study design.
Results
Of the 428 participants, 68.7% were females and 42.5% were aged between 41 and 65 years; 70.1% held undergraduate degrees. Only 17.8% had a health-related major. While 83.2% had heard of AMR, the median [interquartile range] AMR knowledge score was 6 [5–7] out of 10 points. Holding a health-related major and having prior knowledge of AMR were associated with higher scores (RR, 1.28 and 1.18; 95%CI, 1.13–1.44 and 1.03–1.35; P < 0.001 and P = 0.020, respectively).
Conclusion
The Saudi public demonstrated average knowledge of AMR. We recommend awareness-raising campaigns about AMR targeting the public.
Innovation
We utilized an innovative approach by distributing an online questionnaire as a quiz game to fulfill two purposes: the assessment of knowledge and awareness-raising about AMR.
目标公众对抗菌药耐药性（AMR）的认识对于解决这一问题至关重要。沙特阿拉伯的研究表明，公众对 AMR 的认识不足。我们的目的是在评估公众知识的同时间接提高公众的认识。我们开发了一个在线问答游戏，包含 10 个有关 AMR 知识和抗生素使用的问题，并记录了每位参与者的得分。结果在 428 名参与者中，68.7% 为女性，42.5% 年龄在 41 岁至 65 岁之间；70.1% 拥有本科学历。只有 17.8% 的人主修与健康相关的专业。虽然 83.2% 的人听说过 AMR，但 AMR 知识的中位数[四分位数间距]为 6 [5-7]分（满分 10 分）。拥有健康相关专业和事先了解 AMR 与较高的得分相关（RR，1.28 和 1.18；95%CI，1.13-1.44 和 1.03-1.35；P < 0.001 和 P = 0.020）。我们采用了一种创新方法，以问答游戏的形式分发在线问卷，以实现两个目的：知识评估和提高对 AMR 的认识。
{"title":"Awareness of antimicrobial resistance and appropriate handling of antibiotics by the public in Saudi Arabia: A cross-sectional study using a quiz game","authors":"Waad M. Alzahrani , Lujain S. Alkliakh , Esraa B. Alwafai , Manal F. Madani , Nima L. Hersi , Eilaaf A. Shakir , Abrar K. Thabit","doi":"10.1016/j.pecinn.2024.100318","DOIUrl":"https://doi.org/10.1016/j.pecinn.2024.100318","url":null,"abstract":"<div><h3>Objective</h3><p>Public awareness of antimicrobial resistance (AMR) is essential to tackling this issue. Studies in Saudi Arabia have demonstrated insufficient AMR knowledge among the public. We aimed to indirectly raise awareness while simultaneously assessing the public's knowledge. We also assessed the factors associated with optimal knowledge and antibiotic handling.</p></div><div><h3>Methods</h3><p>We developed an online quiz game comprising 10 questions on AMR knowledge and antibiotic handling, recording each participant's score. We collected the responses from the Saudi public using a cross-sectional study design.</p></div><div><h3>Results</h3><p>Of the 428 participants, 68.7% were females and 42.5% were aged between 41 and 65 years; 70.1% held undergraduate degrees. Only 17.8% had a health-related major. While 83.2% had heard of AMR, the median [interquartile range] AMR knowledge score was 6 [5–7] out of 10 points. Holding a health-related major and having prior knowledge of AMR were associated with higher scores (RR, 1.28 and 1.18; 95%CI, 1.13–1.44 and 1.03–1.35; <em>P</em> < 0.001 and <em>P</em> = 0.020, respectively).</p></div><div><h3>Conclusion</h3><p>The Saudi public demonstrated average knowledge of AMR. We recommend awareness-raising campaigns about AMR targeting the public.</p></div><div><h3>Innovation</h3><p>We utilized an innovative approach by distributing an online questionnaire as a quiz game to fulfill two purposes: the assessment of knowledge and awareness-raising about AMR.</p></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100318"},"PeriodicalIF":0.0,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772628224000669/pdfft?md5=63b0c71886e7ebae797cfd35ff2f579c&pid=1-s2.0-S2772628224000669-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141583339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-15Epub Date: 2024-08-19DOI: 10.1016/j.pecinn.2024.100333
Andy J. King , Benjamin A. Lyons , Yonaira M. Rivera , Marina Kogan , Leandra H. Hernandez , Yi Liao , Kimberly A. Kaphingst
Objective
To characterize inaccurate and accurate beliefs about cancer risk factors held among Spanish-preferring adults in the United States.
Methods
From a national probability panel, we surveyed 196 Hispanic adults who prefer completing questionnaires in Spanish. We also used data from a representative sample of 1200 adults in the US to compare belief acceptance.
Results
Many less accepted accurate beliefs about cancer risk factors related to topics like fruit/vegetable consumption, weight loss, and alcohol use. Several inaccurate beliefs were widely held, with some being more accepted in the Spanish-preferring sample than the general US adult sample. Higher levels of self-reported media literacy and information scanning associated with more acceptance of both accurate and inaccurate beliefs. Access to the internet at home associated with discernment between accurate and inaccurate beliefs about cancer risk factors.
Conclusion
Acceptance of accurate beliefs and rejection of inaccurate beliefs varied across potential cancer risk factors. Future Spanish-language public health messaging should address these belief inconsistencies when providing up-to-date cancer-related recommendations or correcting inaccurate information in the public communication environment.
Innovation
Our study provides comprehensive information about cancer beliefs among Spanish-preferring adults in the United States, which was not previously available, and find that media literacy is a concept likely to be important to consider when putting together intervention tools to combat misinformation.
{"title":"Accurate and inaccurate beliefs about cancer risk factors among Spanish-preferring adults in the United States","authors":"Andy J. King , Benjamin A. Lyons , Yonaira M. Rivera , Marina Kogan , Leandra H. Hernandez , Yi Liao , Kimberly A. Kaphingst","doi":"10.1016/j.pecinn.2024.100333","DOIUrl":"10.1016/j.pecinn.2024.100333","url":null,"abstract":"<div><h3>Objective</h3><p>To characterize inaccurate and accurate beliefs about cancer risk factors held among Spanish-preferring adults in the United States.</p></div><div><h3>Methods</h3><p>From a national probability panel, we surveyed 196 Hispanic adults who prefer completing questionnaires in Spanish. We also used data from a representative sample of 1200 adults in the US to compare belief acceptance.</p></div><div><h3>Results</h3><p>Many less accepted accurate beliefs about cancer risk factors related to topics like fruit/vegetable consumption, weight loss, and alcohol use. Several inaccurate beliefs were widely held, with some being more accepted in the Spanish-preferring sample than the general US adult sample. Higher levels of self-reported media literacy and information scanning associated with more acceptance of both accurate <em>and</em> inaccurate beliefs. Access to the internet at home associated with discernment between accurate and inaccurate beliefs about cancer risk factors.</p></div><div><h3>Conclusion</h3><p>Acceptance of accurate beliefs and rejection of inaccurate beliefs varied across potential cancer risk factors. Future Spanish-language public health messaging should address these belief inconsistencies when providing up-to-date cancer-related recommendations or correcting inaccurate information in the public communication environment.</p></div><div><h3>Innovation</h3><p>Our study provides comprehensive information about cancer beliefs among Spanish-preferring adults in the United States, which was not previously available, and find that media literacy is a concept likely to be important to consider when putting together intervention tools to combat misinformation.</p></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100333"},"PeriodicalIF":0.0,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772628224000815/pdfft?md5=518f5388c919822d99f4364b116cc049&pid=1-s2.0-S2772628224000815-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142041130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-15Epub Date: 2024-06-18DOI: 10.1016/j.pecinn.2024.100308
Kameron Suire , Mary Hastert , Stephen D. Herrmann , Joseph E. Donnelly
Aim
To assess the feasibility of the flipped classroom pedagogy in a clinical weight loss program and its impact on 6-month weight change.
Methods
Adults with overweight/obesity enrolled in a 6-month program with a structured diet (portion-controlled meals and fruits/vegetables) and exercise plan (≥150mins/week), plus weekly, 1-h group education sessions. Sessions used a flipped classroom approach: educational content was delivered beforehand via podcast/video and book readings and session time involved application-based activities (e.g., case studies, games). Satisfaction surveys were completed at 3 months. Weight change was assessed using paired t-tests (SAS 9.4, significance 0.05).
Results
Eighteen participants completed 6 months (retention 94%). Participants maintained diet adherence and exercise at 3 months (∼84% diet adherence, ∼153mins exercise/week) and 6 months (∼83% diet adherence, ∼158mins exercise/week), as well as attendance to behavioral sessions (3 months: 77%; 6mo: 71%). Satisfaction surveys showed high program enjoyment (∼8.1/10). Mean weight change at 3 and 6 months was −6.5 ± 4.2% and − 9.3 ± 5.0% (both p < 0.01), respectively.
Conclusion
The flipped classroom pedagogy was feasible for delivery in a clinical weight loss program and supported significant 6-month weight loss.
Innovation
This is the first evaluation of the flipped classroom in a clinical setting and supports the investigation of this pedagogy in weight management.
{"title":"Feasibility of the flipped classroom approach for health education in a clinical weight loss program","authors":"Kameron Suire , Mary Hastert , Stephen D. Herrmann , Joseph E. Donnelly","doi":"10.1016/j.pecinn.2024.100308","DOIUrl":"https://doi.org/10.1016/j.pecinn.2024.100308","url":null,"abstract":"<div><h3>Aim</h3><p>To assess the feasibility of the flipped classroom pedagogy in a clinical weight loss program and its impact on 6-month weight change.</p></div><div><h3>Methods</h3><p>Adults with overweight/obesity enrolled in a 6-month program with a structured diet (portion-controlled meals and fruits/vegetables) and exercise plan (≥150mins/week), plus weekly, 1-h group education sessions. Sessions used a flipped classroom approach: educational content was delivered beforehand via podcast/video and book readings and session time involved application-based activities (e.g., case studies, games). Satisfaction surveys were completed at 3 months. Weight change was assessed using paired <em>t</em>-tests (SAS 9.4, significance 0.05).</p></div><div><h3>Results</h3><p>Eighteen participants completed 6 months (retention 94%). Participants maintained diet adherence and exercise at 3 months (∼84% diet adherence, ∼153mins exercise/week) and 6 months (∼83% diet adherence, ∼158mins exercise/week), as well as attendance to behavioral sessions (3 months: 77%; 6mo: 71%). Satisfaction surveys showed high program enjoyment (∼8.1/10). Mean weight change at 3 and 6 months was −6.5 ± 4.2% and − 9.3 ± 5.0% (both <em>p</em> < 0.01), respectively.</p></div><div><h3>Conclusion</h3><p>The flipped classroom pedagogy was feasible for delivery in a clinical weight loss program and supported significant 6-month weight loss.</p></div><div><h3>Innovation</h3><p>This is the first evaluation of the flipped classroom in a clinical setting and supports the investigation of this pedagogy in weight management.</p></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100308"},"PeriodicalIF":0.0,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772628224000566/pdfft?md5=d1ad6acc447a7e95ba835c341c875f18&pid=1-s2.0-S2772628224000566-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141434476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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