PEC innovation最新文献_第2页

Understanding public response: Government communication during the COVID-19 crisis through the eyes of the Swiss public 了解公众反应：从瑞士公众的视角看 COVID-19 危机期间的政府沟通

PEC innovation

Pub Date : 2024-10-09 DOI: 10.1016/j.pecinn.2024.100349

Nicola Diviani , Maddalena Fiordelli , Sara Rubinelli

Objective

To analyze the Swiss public perception of COVID-19 communication by the government and its impact on behavior and trust.

Methods

A cross-sectional representative online survey was conducted in January 2022 in a sample of 2587 Swiss residents.

Results

Overall the survey showed moderate satisfaction with communication, with relevance rated highly. Perceptions of communication varied across demographics. Also, differences were noted in trust in institutions, risk perception, and attitudes towards public health measures based on perceived communication quality.

Conclusion

This study highlights the dynamic nature of public health communication and underscores the significance of continuous adaptation and evaluation of strategies to effectively reach and influence diverse audiences. As misinformation persists, the study underscores the need for informative, empathetic, and honest communication, as well as tailored approaches to build public trust—an essential asset for managing health crises successfully.

Innovation

This study provides innovative concrete insights into how governmental communication could be designed more strategically to effectively communicate with the public in contexts characterized by disinformation, emphasizing the role of quality, honest, and empathetic communication in public health messaging.

方法 2022 年 1 月，对 2587 名瑞士居民进行了一项横断面代表性在线调查。不同人群对沟通的看法各不相同。结论这项研究突出了公共卫生传播的动态性，强调了不断调整和评估策略以有效接触和影响不同受众的重要性。由于虚假信息持续存在，本研究强调了信息丰富、富有同情心和诚实的沟通以及量身定制的方法的必要性，以建立公众信任--这是成功管理健康危机的重要资产。创新本研究提供了创新性的具体见解，帮助我们了解如何更具战略性地设计政府沟通，以便在以虚假信息为特征的背景下有效地与公众沟通，同时强调了高质量、诚实和富有同情心的沟通在公共卫生信息传播中的作用。

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引用次数: 0

Comparing three methods to assess learning outcomes for a suicide prevention training program for pharmacy staff 比较三种评估药房员工自杀预防培训项目学习成果的方法

PEC innovation

Pub Date : 2024-10-04 DOI: 10.1016/j.pecinn.2024.100348

Grace Marley , Jill E. Lavigne , Wendi Cross , Abigail Gamble , Zhuying Zhang , Delesha M. Carpenter

Objective

To examine whether pharmacists and pharmacy staff who complete a suicide prevention gatekeeper training program (Pharm-SAVES) react similarly to a written patient case, a live simulated patient (SP), and a prerecorded SP case.

Methods

After completing the 30-min Pharm-SAVES training, participants completed a written patient case via survey and then, 1 month later, completed a prerecorded SP and live SP interaction via Zoom. For each assessment type, we documented whether the participant asked about suicide and referred the patient to the Suicide and Crisis Lifeline (988).

Results

Participants (n = 12) asked about suicide in 8 (67 %) written patient cases, 9 (75 %) prerecorded SP cases, and 8 (67 %) live SP cases. Participants referred patients to 988 in 8 (67 %) written patient cases, 5 (42 %) prerecorded SP cases, and 10 (83 %) live SP cases.

Conclusion

The number of participants who asked about suicide was similar regardless of assessment type; however, referrals to the Suicide & Crisis Lifeline happened less often with the prerecorded SP cases.

Innovation

This is the first study to compare key learning outcomes of pharmacy suicide prevention gatekeeper training across written, live, and prerecorded SP encounters.

目的研究完成自杀预防把关人培训项目（Pharm-SAVES）的药剂师和药房员工对书面患者案例、现场模拟患者（SP）和预先录制的 SP 案例的反应是否相似。方法在完成 30 分钟的 Pharm-SAVES 培训后，参与者通过调查完成书面患者案例，然后在 1 个月后通过 Zoom 完成预先录制的 SP 和现场 SP 互动。对于每种评估类型，我们都记录了参与者是否询问过自杀问题以及是否将患者转介至自杀与危机生命热线（988）。结果参与者（n = 12）在 8 个（67%）书面患者案例、9 个（75%）预录 SP 案例和 8 个（67%）现场 SP 案例中询问过自杀问题。在 8 个（67 %）书面患者案例、5 个（42 %）预先录制的 SP 案例和 10 个（83 %）现场 SP 案例中，参与者向 988 转介了患者。结论无论评估类型如何，询问自杀问题的参与者人数相似；但是，在预先录制的 SP 案例中，向自杀& 危机生命热线转介的情况较少。

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引用次数: 0

Development and pilot testing of the Population And ContExt adaption of decision aids (PACE) framework 开发和试点测试人口与扩展决策辅助工具（PACE）框架

PEC innovation

Pub Date : 2024-09-30 DOI: 10.1016/j.pecinn.2024.100347

Hankiz Dolan , Deborah Bateson , Mu Li , Rachel Thompson , Chun Wah Michael Tam , Carissa Bonner , Lyndal Trevena

Objective

This study aimed to develop and pilot test a new framework for the adaptation of patient decision aids (PtDAs) using a specific case example of contraceptive method PtDAs for Chinese-speaking migrant women.

Methods

We developed a novel approach for adaptation – the PACE (Population And ContExt adaption of decision aids) framework – that incorporated both existing models and frameworks and innovative elements. It involves six stages: selection and appraisal; review by content experts; content validity and usability pre-testing; translation; decisional needs assessment; and perceived acceptability, usability and feasibility testing. We then followed the framework to pilot and adapt a suite of PtDAs on contraceptive methods for Chinese-speaking migrant women in Australia. Twenty healthcare providers and 22 Chinese migrant women participated during the stages five and six.

Results

The pilot resulted in adapted PtDAs that were acceptable to end users. For future research, we proposed further recommendations and considerations based on lessons learnt, which include flexibility in applying the framework and considering an additional real-world evaluation step.

Conclusion

Adaptation of PtDAs required a multi-stage and multidisciplinary team-based and pragmatic approach as exemplified in the application of the PACE framework.

Innovation

The PACE framework developed and piloted in this study fills a crucial gap in knowledge about how to adapt PtDAs for new populations and contexts and provides an innovative and systemic approach to guide the adaptation process.

方法我们开发了一种新的改编方法--PACE（Population And ContExt adaption of decision aids）框架，其中既有现有的模型和框架，也有创新元素。该框架包括六个阶段：选择和评估；内容专家审查；内容有效性和可用性预先测试；翻译；决策需求评估；以及认知接受度、可用性和可行性测试。然后，我们按照该框架对一套针对澳大利亚讲中文的移民妇女的避孕方法 PtDA 进行了试点和改编。20 名医疗保健提供者和 22 名中国移民妇女参与了第五和第六阶段的工作。对于未来的研究，我们在吸取经验教训的基础上提出了进一步的建议和考虑，其中包括灵活应用该框架，并考虑额外的真实世界评估步骤。创新本研究中开发和试用的 PACE 框架填补了有关如何针对新人群和新环境调整 PtDA 的知识空白，并提供了一种创新的系统方法来指导调整过程。

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引用次数: 0

Black women and the preemie prep for parents (P3) program: Exploratory analysis of a clinical trial 黑人妇女与早产儿父母预备（P3）计划：临床试验的探索性分析

PEC innovation

Pub Date : 2024-09-28 DOI: 10.1016/j.pecinn.2024.100346

Siobhan M. McDonnell , Kathryn E. Flynn , Kris Barnekow , U. Olivia Kim , Ruta Brazauskas , S. Iqbal Ahamed , Jennifer J. McIntosh , Michael B. Pitt , Steven R. Leuthner , Abbey Kruper , Mir A. Basir

引用次数: 0

Human milk feeding for moderate and late preterm infants at age 2 months: Insights from a cluster randomized controlled trial 2-month follow-up 中度和晚期早产儿 2 个月时的母乳喂养：群组随机对照试验 2 个月随访的启示

PEC innovation

Pub Date : 2024-09-19 DOI: 10.1016/j.pecinn.2024.100345

Amanda M. Moe , Meredith L. Brockway , Deborah A. McNeil , Arfan R. Afzal , Karen M. Benzies

Objective

Human milk (HM) is the optimal nutrition for infants; preterm infants demonstrate shorter HM feeding duration. Care interventions may increase HM feeding among preterm infants after NICU discharge. We compared Alberta Family Integrated Care (FICare) versus Standard Care on HM feeding in preterm infants at age 2 months.

Methods

We conducted a follow-up of a cluster randomized controlled trial of 455 infants and their mothers with data linked to the infant's 2-month public health visit. We used partial proportional odds to model group differences and factors associated with feeding type: exclusive HM (EHM), Non-EHM, or no HM (NHM).

Results

Compared to Standard Care, mothers in Alberta FICare were less likely to provide EHM versus NHM. There was no group difference between EHM and Non-EHM. Mothers with higher education who were on maternity leave or employed were more likely to provide EHM. Infants who received EHM at discharge were more likely to continue at age 2 months. Higher maternal breastfeeding self-efficacy at discharge was associated with a greater likelihood of EHM.

Conclusion

Alberta FICare was not associated with EHM feeding at age 2 months.

Innovation

Different factors predicted the three HM feeding categories, suggesting the need to individualize feeding supports.

Trial Registration.

ClinicalTrials.gov Identifier NCT02879799, retrospectively registered August 26, 2016.

目的人乳（HM）是婴儿的最佳营养；早产儿的人乳喂养持续时间较短。护理干预措施可增加早产儿在新生儿重症监护室出院后的人奶喂养。我们比较了艾伯塔省家庭综合护理（FICare）与标准护理对 2 个月大早产儿 HM 喂养的影响。方法我们对 455 名婴儿及其母亲进行了分组随机对照试验的随访，数据与婴儿 2 个月的公共健康检查相关联。结果与标准护理相比，艾伯塔省家庭护理中心的母亲不太可能提供纯母乳喂养（EHM）或无母乳喂养（NHM）。EHM和Non-EHM之间没有群体差异。受过高等教育、正在休产假或有工作的母亲更有可能提供超急诊护理。出院时接受超母乳喂养的婴儿更有可能在 2 个月大时继续母乳喂养。出院时母亲母乳喂养自我效能较高，与EHM的可能性较大相关。结论阿尔伯塔省家庭医疗保健计划与2个月大时的EHM喂养无关。创新不同的因素预测了三种HM喂养类别，表明需要个性化的喂养支持。Trial Registration.ClinicalTrials.gov Identifier NCT02879799，2016年8月26日回顾性注册。

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引用次数: 0

Evaluating the feasibility and utility of telephonic motivational interviewing in older adults 评估对老年人进行电话动机访谈的可行性和实用性

PEC innovation

Pub Date : 2024-09-14 DOI: 10.1016/j.pecinn.2024.100344

Nicholas R. Lamoureux , L. Alison Phillips , Kathryn J. DeShaw , Trina Radske-Suchan , Gregory J. Welk

Older adults face unique barriers and challenges related to physical activity (PA) participation. Motivational interviewing (MI) is a commonly used health coaching strategy to support behavior change that holds potential for older adults. Previous research on MI strategies has focused primarily on face-to-face delivery, limiting insights regarding virtual programs.

Objectives

The purpose of this study was to determine if MI could be delivered telephonically with high fidelity and high acceptability in older adult participants. The study is designed to inform future trials evaluating its effectiveness in supporting virtual PA programs.

Methods

This study evaluated the feasibility and acceptability of telephonic MI among older adults that enrolled in an online version of the Walk with Ease program.

Results

Of 39 participants referred, 29 enrolled and 27 provided feedback. Participants were highly accepting and adherent, with 74 % of patients attending at least five of six sessions, and 96 % of participants indicating satisfaction with the MI provided. Coaches improved program enjoyment by helping set effective goals and providing ongoing accountability.

Conclusions

Evaluations documented adequate fidelity and high acceptability of telephonic delivery, and motivation results revealed large, significant increases in autonomous regulation (quality of motivation).

Innovation

Telephonic MI using non-healthcare professional coaches is feasibly delivered with high fidelity, and is acceptable to older adult participants. The innovative delivery format offers novel opportunities supporting virtual and telehealth interventions to reduce chronic disease risk among older adults.

老年人在参加体育活动（PA）方面面临着独特的障碍和挑战。动机访谈法（MI）是一种常用的健康指导策略，用于支持行为改变，对老年人具有潜力。本研究的目的是确定激励访谈是否可以通过电话以高保真和高可接受性的方式提供给老年人参与者。本研究旨在为未来评估其在支持虚拟 PA 项目中有效性的试验提供信息。方法本研究评估了在参加在线版 "轻松行走 "项目的老年人中进行电话 MI 的可行性和可接受性。参与者的接受度和依从性都很高，74% 的患者至少参加了六节课中的五节，96% 的参与者对所提供的多元智能疗法表示满意。教练通过帮助设定有效目标和提供持续的责任感，提高了参与者对项目的满意度。创新使用非医疗保健专业教练进行的电话多元智能疗法具有高保真的可行性，并为老年人参与者所接受。创新的授课形式为支持虚拟和远程医疗干预提供了新的机会，以降低老年人患慢性病的风险。

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引用次数: 0

Provider preparedness to care for sexual and gender minority adolescent and young adult cancer patients: A scoping review 医疗服务提供者为性取向和性别少数的青少年和年轻成人癌症患者提供护理的准备情况：范围界定审查

PEC innovation

Pub Date : 2024-09-13 DOI: 10.1016/j.pecinn.2024.100343

Christabel K. Cheung , Haelim Lee , Nina Francis-Levin , Eunju Choi , Yimin Geng , Bria N. Thomas , Valentina A. Roman , Michael E. Roth

Objective

The purpose of the current scoping review is to explore knowledge and gaps in the literature on the preparedness of health care providers (HCPs) to deliver cancer care that addresses the needs of sexual and gender minority (SGM) adolescent and young adult (AYA) patients diagnosed with cancer between ages 15–39 years.

Methods

We conducted two comprehensive searches on OVID MEDLINE, PsycINFO, and CINAHL in February 2022 and June 2024; examined the empirical literature on HCPs who treat SGM AYA cancer patients; characterized existing research; and evaluated each contribution.

Results

A total of thirteen articles were included in the final review. The reviewed studies varied widely in sample sizes (n = 6 to n = 1253), reflecting different methodological approaches: quantitative cross-sectional (n = 3), qualitative (n = 4), and mixed methods (n = 6).

Innovation

The current scoping review piloted an innovative Quality Assessment (QA) Tool of Foundational Progress for SGM AYA Research to assess the quality of evidence, providing a new framework for evaluating and guiding future research.

Conclusion

The existing literature on provider preparedness to care for SGM AYA cancer patients is limited. Future studies are critically needed to improve providers' ability to holistically respond to the unique health care needs and concerns of this population.

目的本次范围界定综述旨在探讨医疗保健提供者（HCPs）在提供癌症护理以满足 15-39 岁之间被诊断患有癌症的性与性别少数群体（SGM）青少年和年轻成人（AYA）患者的需求方面的知识和文献差距。方法我们分别于 2022 年 2 月和 2024 年 6 月在 OVID MEDLINE、PsycINFO 和 CINAHL 上进行了两次全面检索；研究了有关治疗 SGM AYA 癌症患者的 HCP 的实证文献；描述了现有研究的特点；并对每项贡献进行了评估。创新本次范围界定综述试用了创新性的 "SGM AYA 研究基础进展质量评估 (QA) 工具 "来评估证据的质量，为评估和指导未来研究提供了新的框架。今后亟需开展研究，以提高医疗服务提供者全面应对这一人群独特的医疗保健需求和关切的能力。

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引用次数: 0

Access to the internet and mobile applications in a mixed population emergency department: A repeated cross-sectional survey 混合人群急诊科使用互联网和移动应用程序的情况：重复横断面调查

PEC innovation

Pub Date : 2024-09-12 DOI: 10.1016/j.pecinn.2024.100340

Shannon Toohey , Michelle T. Nguyen , Soheil Saadat , Carrie E. Chandwani , Stephen F. Gassner , Alisa Wray , Ronald Rivera , Warren Wiechmann

Objective

This study aimed to assess patients' interest in education content delivered through electronic modalities and identify trends in internet access and use among emergency department patients of various socioeconomic statuses.

Methods

A prospective, cross-sectional survey with 50 questions was completed by 241 English and Spanish-speaking patients in 2014 and repeated with 253 participants in 2019 at the University of California, Irvine Medical Center's Emergency Department (UCIMCED).

Results

Internet access increased from 83.8 % in 2014 to 88.1 % in 2019. Most internet-using patients owned smartphones (80.1 % in 2014, 89.7 % in 2019). Patients used electronic devices, such as fit bits and activity trackers, to obtain health information. Email was the preferred method for receiving discharge instructions.

Conclusions

As of 2019, 88.1 % of UCIMCED patients have access to the internet or email, making electronic media a reasonable venue for patient education. Given that we have a predominantly low-income patient population—61 % and 32 % of respondents in 2014 and 2019, respectively, reporting an income of less than $25,000—these results are provide new avenues to reach patients of all socioeconomic statuses.

Innovation

The implications of this study can be used to develop electronic resources tailored to educate emergency department patients about their healthcare beyond the confines of a hospital.

本研究旨在评估患者对通过电子方式提供的教育内容的兴趣，并确定不同社会经济地位的急诊科患者访问和使用互联网的趋势。方法2014年，加州大学欧文分校医疗中心急诊科（UCIMCED）的241名讲英语和西班牙语的患者完成了一项包含50个问题的前瞻性横断面调查，并于2019年对253名参与者进行了重复调查。大多数使用互联网的患者拥有智能手机（2014 年为 80.1%，2019 年为 89.7%）。患者使用 fit bits 和活动追踪器等电子设备获取健康信息。结论截至 2019 年，88.1% 的 UCIMCED 患者可以访问互联网或电子邮件，这使得电子媒体成为患者教育的合理场所。鉴于我们的患者主要是低收入人群--2014 年和 2019 年分别有 61% 和 32% 的受访者表示收入低于 25,000 美元--这些结果为接触所有社会经济地位的患者提供了新的途径。创新本研究的意义可用于开发电子资源，为急诊科患者提供医院范围以外的医疗保健教育。

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引用次数: 0

Communication at work: A survey to explore the relationships between healthcare providers' communication competence and professional quality of life in neonatal care 工作中的沟通：新生儿护理中医护人员沟通能力与专业生活质量之间的关系调查

PEC innovation

Pub Date : 2024-09-10 DOI: 10.1016/j.pecinn.2024.100341

Nanon H.M. Labrie , Puck Straver , Anne A.M.W. van Kempen , Nicole R. van Veenendaal

Objective

Providing medical care to preterm infants can be rewarding yet also stressful for healthcare providers in the neonatal care unit (NICU). While the impact of provider-parent communication on parent-related stress and satisfaction is widely accepted, little is known about the provider perspective. Therefore, this study explores the relationships between neonatal care providers' communicative competence and their professional quality of life and job satisfaction.

Methods

Using the NICU Communication Framework, we conducted a cross-sectional survey among N = 300 Dutch pediatricians‑neonatologists, nurses, and ancillary staff.

Results

Communication performance and providers' job satisfaction were correlated, particularly in terms of perceived quality of care, professional relationships, and personal rewards. When providers deemed communication important and perceived themselves as skilled communicators, job satisfaction increased. Experiencing sufficient time for conversations with parents was inversely correlated with provider fatigue and burn-out. Yet, providers reported insufficient opportunity for communication.

Conclusion

These results warrant reflection on the importance of communication in neonatal care, for the wellbeing of parents and providers alike.

Innovation

Focusing on the provider perspective, this study provides novel insights into the relationships between communication and outcomes of care. Our findings uniquely emphasize the power of communication to foster staff satisfaction and reduce burn-out in the NICU.

目的为早产儿提供医疗护理对新生儿监护病房（NICU）的医护人员来说是一件有意义的事情，但同时也会给他们带来压力。虽然医疗服务提供者与家长之间的沟通对家长相关压力和满意度的影响已被广泛接受，但人们对医疗服务提供者的观点却知之甚少。因此，本研究探讨了新生儿护理人员的沟通能力与他们的专业生活质量和工作满意度之间的关系。方法利用新生儿重症监护室沟通框架，我们对 N = 300 名荷兰儿科医生、新生儿科医生、护士和辅助人员进行了横断面调查。结果沟通表现与医护人员的工作满意度相关，尤其是在感知到的护理质量、专业关系和个人回报方面。当医疗服务提供者认为沟通很重要并认为自己是熟练的沟通者时，工作满意度就会提高。服务提供者是否有足够的时间与家长交流与服务提供者的疲劳和倦怠感成反比。结论这些结果值得我们反思沟通在新生儿护理中的重要性，这对父母和医护人员的福祉都很重要。创新本研究从医护人员的角度出发，为沟通与护理结果之间的关系提供了新颖的见解。我们的研究结果独特地强调了沟通在提高新生儿重症监护室工作人员满意度和减少倦怠感方面的作用。

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引用次数: 0

Development of a decision aid with cost information for heart failure medication in Singapore 在新加坡开发包含心力衰竭用药成本信息的决策辅助工具

PEC innovation

Pub Date : 2024-09-03 DOI: 10.1016/j.pecinn.2024.100342

Qianyu Shen , Dennis Chin Wee Chua , Po Fun Chan , Hwee Lin Wee

Objective

This study presents the development process of a heart failure (HF) medication decision aid (DA) specific to Singapore context, with the objective of promoting cost conversations.

Methods

Phase 1 was to create a DA prototype, where two HF clinicians were consulted on their input and needs. Phase 2 was pilot testing where the prototype was tested on HF patients and revised based on their feedback.

Results

The DA is a one-page poster that compares only two classes of HF medications. It encompasses seven attributes for comparison, including route of administration, treatment duration, frequency of use, hospitalization rate, survival rate, low blood pressure probability with personalized subsidized cost being the key attribute. A total of 48 patients participated in the pilot testing with only 2 patients (4.2 %) finding the DA difficult to understand. Almost all patients agreed that the DA provided greater clarity in the medication options.

Conclusion

By integrating the needs of both clinicians and patients and conducting user testing, we developed a novel HF medication DA. Patients found the tool easy to understand and acceptable.

Innovation

This innovative DA aims to improve cost conversations by providing tailored, concise, and locally relevant information for efficient use.

本研究介绍了针对新加坡国情的心力衰竭（HF）用药决策辅助工具（DA）的开发过程，目的是促进成本对话。方法第一阶段是创建一个DA原型，咨询两位HF临床医生的意见和需求。第 2 阶段是试点测试，在高血压患者身上测试原型，并根据他们的反馈意见进行修改。结果DA 是一张单页海报，仅对两类高血压药物进行比较。它包含七个比较属性，包括给药途径、疗程、使用频率、住院率、存活率、低血压概率，其中个性化补贴费用是关键属性。共有 48 名患者参与了试点测试，仅有 2 名患者（4.2%）认为 DA 难以理解。通过综合考虑临床医生和患者的需求并进行用户测试，我们开发出了一种新型的高血压药物DA。患者认为该工具易于理解和接受。创新这一创新型 DA 旨在通过提供量身定制、简明扼要且与当地相关的信息，提高使用效率，从而改善成本对话。

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引用次数: 0