Pub 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":"2024-06-18","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}
Pub Date : 2024-06-18DOI: 10.1016/j.pecinn.2024.100310
Rikke Meyer , Sita R. Kotnis , Cecilie M.Ø. Fog-Petersen , Lise Tarnow , Annamaria Giraldi , Gesche Jürgens , Charlotte B. Jacobsen
Objectives
To design an educational intervention on sexual dysfunction for patients suffering from schizophrenia and diabetes based on patients' and other relevant stakeholders' preferences, and to offer transparency into the basic decision-making process behind a final design.
Methods
We conducted a three-part investigation to explore theory, preferences, and feasibility based on literature searches and interviews with patients, healthcare professionals, heads of Assertive Community Treatment Centres and experts. Based on a content analysis of this material, a draft of the intervention was developed. The draft was quality-checked by involvement of stakeholder representatives and refined to its final design.
Results
The intervention evolved into having two components: One intervention for patients and one for healthcare professionals. In patient education, meeting peers and predictability were important factors. For healthcare professionals, daily clinical activities were prioritised.
Conclusions
We present a framework for an educational intervention about sexual dysfunction, schizophrenia and diabetes targeting both patients and healthcare professionals.
Innovation
The transparency of the design process underlying the interventions allows for reproduction and eases further refinement, extension, and adjustment if implemented in other contexts.
{"title":"Steps to construct educational interventions on sexual dysfunction for healthcare professionals and patients. Experiences from the SECRET research study-group","authors":"Rikke Meyer , Sita R. Kotnis , Cecilie M.Ø. Fog-Petersen , Lise Tarnow , Annamaria Giraldi , Gesche Jürgens , Charlotte B. Jacobsen","doi":"10.1016/j.pecinn.2024.100310","DOIUrl":"https://doi.org/10.1016/j.pecinn.2024.100310","url":null,"abstract":"<div><h3>Objectives</h3><p>To design an educational intervention on sexual dysfunction for patients suffering from schizophrenia and diabetes based on patients' and other relevant stakeholders' preferences, and to offer transparency into the basic decision-making process behind a final design.</p></div><div><h3>Methods</h3><p>We conducted a three-part investigation to explore theory, preferences, and feasibility based on literature searches and interviews with patients, healthcare professionals, heads of Assertive Community Treatment Centres and experts. Based on a content analysis of this material, a draft of the intervention was developed. The draft was quality-checked by involvement of stakeholder representatives and refined to its final design.</p></div><div><h3>Results</h3><p>The intervention evolved into having two components: One intervention for patients and one for healthcare professionals. In patient education, meeting peers and predictability were important factors. For healthcare professionals, daily clinical activities were prioritised.</p></div><div><h3>Conclusions</h3><p>We present a framework for an educational intervention about sexual dysfunction, schizophrenia and diabetes targeting both patients and healthcare professionals.</p></div><div><h3>Innovation</h3><p>The transparency of the design process underlying the interventions allows for reproduction and eases further refinement, extension, and adjustment if implemented in other contexts.</p></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100310"},"PeriodicalIF":0.0,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S277262822400058X/pdfft?md5=f730d5fad119580fc9cf35b1bebafc9d&pid=1-s2.0-S277262822400058X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141480153","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 : 2024-06-18DOI: 10.1016/j.pecinn.2024.100307
Helen Ngozichukwuka Obilor , Olena Veryha , Tom Weisz , Mariam Botros , Rosemary Wilson , Joan Tranmer , Kevin Woo
Aim
To assess the feasibility of Diabetic Foot Care Group (DFCG), a social media-based self-management education and support intervention, for people with diabetes (PWD) empowerment in diabetes-related foot ulceration prevention.
Methods
A partially randomized preference trial was conducted among 32 PWD. DFCG was implemented through Facebook. Participants in the intervention group joined the DFCG in addition to their usual care, while the control group received usual care. Data were collected online using questionnaires on participants' DFCG acceptance, engagement and preliminary efficacy on nine diabetes foot care-related outcomes at baseline, one, and three months post-intervention.
Results
The participants' study intervention acceptability and engagement rates were 84.2% and 55.2%, respectively. DFCG efficacy rate compared to usual care was 88.9% to 22.2%. Three diabetes foot care-related outcomes increased significantly in the intervention group three-month post-intervention: foot self-care adherence (p = 0.001, ηp2 = 0.35), preventive foot self-care practice (p = 0.002, ηp2 = 0.33), and physical health status (p < 0.02, ηp2 = 0.23).
Conclusion
DFCG is feasible and could effectively improve diabetes foot care-related outcomes.
Innovation
Social media is an innovative approach healthcare professionals could utilize to virtually support PWD in ongoing learning and engagement in optimal foot self-care activities.
{"title":"The feasibility of a social media-based foot self-management education and support program for adults with diabetes: A partially randomized preference trial","authors":"Helen Ngozichukwuka Obilor , Olena Veryha , Tom Weisz , Mariam Botros , Rosemary Wilson , Joan Tranmer , Kevin Woo","doi":"10.1016/j.pecinn.2024.100307","DOIUrl":"https://doi.org/10.1016/j.pecinn.2024.100307","url":null,"abstract":"<div><h3>Aim</h3><p>To assess the feasibility of Diabetic Foot Care Group (DFCG), a social media-based self-management education and support intervention, for people with diabetes (PWD) empowerment in diabetes-related foot ulceration prevention.</p></div><div><h3>Methods</h3><p>A partially randomized preference trial was conducted among 32 PWD. DFCG was implemented through Facebook. Participants in the intervention group joined the DFCG in addition to their usual care, while the control group received usual care. Data were collected online using questionnaires on participants' DFCG acceptance, engagement and preliminary efficacy on nine diabetes foot care-related outcomes at baseline, one, and three months post-intervention.</p></div><div><h3>Results</h3><p>The participants' study intervention acceptability and engagement rates were 84.2% and 55.2%, respectively. DFCG efficacy rate compared to usual care was 88.9% to 22.2%. Three diabetes foot care-related outcomes increased significantly in the intervention group three-month post-intervention: foot self-care adherence (<em>p</em> = 0.001, η<sub>p</sub><sup>2</sup> = 0.35), preventive foot self-care practice (<em>p</em> = 0.002, η<sub>p</sub><sup>2</sup> = 0.33), and physical health status (<em>p</em> < 0.02, η<sub>p</sub><sup>2</sup> = 0.23).</p></div><div><h3>Conclusion</h3><p>DFCG is feasible and could effectively improve diabetes foot care-related outcomes.</p></div><div><h3>Innovation</h3><p>Social media is an innovative approach healthcare professionals could utilize to virtually support PWD in ongoing learning and engagement in optimal foot self-care activities.</p></div><div><h3>Trial registration</h3><p><span>ClinicalTrials.gov</span><svg><path></path></svg>, Identifier: <span>NCT04395521</span><svg><path></path></svg></p></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100307"},"PeriodicalIF":0.0,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772628224000554/pdfft?md5=27e98188586029606364a84fdc40e941&pid=1-s2.0-S2772628224000554-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141444402","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 : 2024-06-18DOI: 10.1016/j.pecinn.2024.100309
Sibylle J. Felber , Sofia C. Zambrano , Tommaso Guffi , Felix M. Schmitz , Beate G. Brem , Kai P. Schnabel , Sissel Guttormsen , Steffen Eychmüller
Objective
To help healthcare professionals (HCP) act with more confidence when communicating about approaching death, we sought to develop a communication model for HCP to facilitate conversations with dying patients and family caregivers (FC) in nonemergency situations.
Methods
We used a four-phase integrative approach: (1) creation of a preliminary model based on a systematic literature review and expert knowledge, (2) review of the model draft by international palliative care experts, (3) review by key stakeholders, and (4) final appraisal by communication experts.
Results
After the clinical recognition of dying, the communication model provides a structure and practical communication aids for navigating the conversation based on three phases. It describes the content and relational level as core dimensions of effective conversations about approaching death and highlights the importance of HCP self-awareness and self-care when caring for the dying.
Conclusion
Based on systematic involvement of key stakeholders, the model supports clinicians navigating challenging conversations about approaching death with dying patients and their FC successfully and with more confidence.
Innovation
This study expands the theoretical basis for communication about approaching death and offers a pragmatic model for educational interventions and clinical use.
{"title":"How to talk about dying? The development of an evidence-based model for communication with patients in their last days of life and their family caregivers","authors":"Sibylle J. Felber , Sofia C. Zambrano , Tommaso Guffi , Felix M. Schmitz , Beate G. Brem , Kai P. Schnabel , Sissel Guttormsen , Steffen Eychmüller","doi":"10.1016/j.pecinn.2024.100309","DOIUrl":"https://doi.org/10.1016/j.pecinn.2024.100309","url":null,"abstract":"<div><h3>Objective</h3><p>To help healthcare professionals (HCP) act with more confidence when communicating about approaching death, we sought to develop a communication model for HCP to facilitate conversations with dying patients and family caregivers (FC) in nonemergency situations.</p></div><div><h3>Methods</h3><p>We used a four-phase integrative approach: (1) creation of a preliminary model based on a systematic literature review and expert knowledge, (2) review of the model draft by international palliative care experts, (3) review by key stakeholders, and (4) final appraisal by communication experts.</p></div><div><h3>Results</h3><p>After the clinical recognition of dying, the communication model provides a structure and practical communication aids for navigating the conversation based on three phases. It describes the content and relational level as core dimensions of effective conversations about approaching death and highlights the importance of HCP self-awareness and self-care when caring for the dying.</p></div><div><h3>Conclusion</h3><p>Based on systematic involvement of key stakeholders, the model supports clinicians navigating challenging conversations about approaching death with dying patients and their FC successfully and with more confidence.</p></div><div><h3>Innovation</h3><p>This study expands the theoretical basis for communication about approaching death and offers a pragmatic model for educational interventions and clinical use.</p></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100309"},"PeriodicalIF":0.0,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772628224000578/pdfft?md5=872cc8805db625b2794187a1dda4c3fa&pid=1-s2.0-S2772628224000578-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141444513","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 : 2024-06-08DOI: 10.1016/j.pecinn.2024.100305
Sojib Bin Zaman , Rajkumari Singh , Roger G. Evans , Akash Singh , Rajesh Singh , Parul Singh , Hem Prakash , Manoj Kumar , Amanda G. Thrift
Objective
We developed and evaluated a training program for Accredited Social Health Activists (ASHAs), female community health workers (CHWs) in India, on non-communicable diseases (NCDs).
Methods
A 5-day training program, developed using government-approved manuals, was tested in a randomised controlled trial in the Tehri-Garhwal district. Quantitative comparisons were undertaken using Student's t-test and two-way ANOVA. ASHAs in the intervention group were asked questions about new skills learnt.
Results
Thirty-six ASHAs (20 intervention, 16 controls) participated (response rate 75.0%). Mean pre-test knowledge score was 43.3/100 points (95% CI 36.7–49.9) for the intervention group and 44.4 (38.9–49.9) for controls. The mean post-test knowledge score increased more in the intervention group (48.5-point increase; P < 0.0001), than in controls (9.8-point increase, P = 0.016; ANOVA interaction term (time*allocation) P < 0.0001). ASHAs in the intervention group reported learning new skills for detecting NCDs.
Conclusion
The training program increased knowledge of ASHAs on NCDs and improved their skills to detect NCDs. Our development and testing process for this training program, coupled with open-source resources, fosters innovation and collaboration in managing NCDs in LMICs.
Innovation
Our novel and adaptable training program incorporates interactive elements, case studies, and real-world scenarios to augment routine communication between ASHAs and community members for preventing NCDs.
{"title":"Development and evaluation of a training program on non-communicable diseases to empower community health workers in rural India","authors":"Sojib Bin Zaman , Rajkumari Singh , Roger G. Evans , Akash Singh , Rajesh Singh , Parul Singh , Hem Prakash , Manoj Kumar , Amanda G. Thrift","doi":"10.1016/j.pecinn.2024.100305","DOIUrl":"https://doi.org/10.1016/j.pecinn.2024.100305","url":null,"abstract":"<div><h3>Objective</h3><p>We developed and evaluated a training program for Accredited Social Health Activists (ASHAs), female community health workers (CHWs) in India, on non-communicable diseases (NCDs).</p></div><div><h3>Methods</h3><p>A 5-day training program, developed using government-approved manuals, was tested in a randomised controlled trial in the Tehri-Garhwal district. Quantitative comparisons were undertaken using Student's <em>t</em>-test and two-way ANOVA. ASHAs in the intervention group were asked questions about new skills learnt.</p></div><div><h3>Results</h3><p>Thirty-six ASHAs (20 intervention, 16 controls) participated (response rate 75.0%). Mean pre-test knowledge score was 43.3/100 points (95% CI 36.7–49.9) for the intervention group and 44.4 (38.9–49.9) for controls. The mean post-test knowledge score increased more in the intervention group (48.5-point increase; <em>P</em> < 0.0001), than in controls (9.8-point increase, <em>P</em> = 0.016; ANOVA interaction term (time*allocation) <em>P</em> < 0.0001). ASHAs in the intervention group reported learning new skills for detecting NCDs.</p></div><div><h3>Conclusion</h3><p>The training program increased knowledge of ASHAs on NCDs and improved their skills to detect NCDs. Our development and testing process for this training program, coupled with open-source resources, fosters innovation and collaboration in managing NCDs in LMICs.</p></div><div><h3>Innovation</h3><p>Our novel and adaptable training program incorporates interactive elements, case studies, and real-world scenarios to augment routine communication between ASHAs and community members for preventing NCDs.</p></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"4 ","pages":"Article 100305"},"PeriodicalIF":0.0,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772628224000530/pdfft?md5=47cfc8fdfaec12dd39826d444fd61c25&pid=1-s2.0-S2772628224000530-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141313066","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 : 2024-06-07DOI: 10.1016/j.pecinn.2024.100300
Sietske C.M.W. van Nassau , Helene R. Voogdt-Pruis , Vincent M.W. de Jong , Hans-Martin Otten , Liselot B. Valkenburg-van Iersel , Bas J. Swarte , Tineke E. Buffart , Hans J. Pruijt , Leonie J. Mekenkamp , Miriam Koopman , Anne M. May
Objective
To improve sustainability of a patient decision aid for systemic treatment of metastatic colorectal cancer, we evaluated real-world experiences and identified ways to optimize decision aid content and future implementation.
Methods
Semi-structured interviews with patients and medical oncologists addressed two main subjects: user experience and decision aid content. Content analysis was applied. Fifteen experts discussed the results and devised improvements based on experience and literature review.
Results
Thirteen users were interviewed. They confirmed the relevance of the decision aid for shared decision making. Areas for improvement of content concerned; 1) outdated and missing information, 2) an imbalance in presentation of treatment benefits and harms, and 3) medical oncologists' expressed preference for a more center-specific or patient individualized decision aid, presenting a selection of the guideline recommended treatment options. Key points for improvement of implementation were better alignment within the care pathway, and clear instruction to users.
Conclusion
We identified relevant opportunities for improvement of an existing decision aid and developed an updated version and accompanying implementation strategy accordingly.
Innovation
This paper outlines an approach for continued decision aid and implementation strategy development which will add to sustainability. Implementation success of the improved decision aid is currently being studied in a multi-center mixed-methods implementation study.
{"title":"Improving sustainability of a patient decision aid for systemic treatment of metastatic colorectal cancer: A qualitative study","authors":"Sietske C.M.W. van Nassau , Helene R. Voogdt-Pruis , Vincent M.W. de Jong , Hans-Martin Otten , Liselot B. Valkenburg-van Iersel , Bas J. Swarte , Tineke E. Buffart , Hans J. Pruijt , Leonie J. Mekenkamp , Miriam Koopman , Anne M. May","doi":"10.1016/j.pecinn.2024.100300","DOIUrl":"https://doi.org/10.1016/j.pecinn.2024.100300","url":null,"abstract":"<div><h3>Objective</h3><p>To improve sustainability of a patient decision aid for systemic treatment of metastatic colorectal cancer, we evaluated real-world experiences and identified ways to optimize decision aid content and future implementation.</p></div><div><h3>Methods</h3><p>Semi-structured interviews with patients and medical oncologists addressed two main subjects: user experience and decision aid content. Content analysis was applied. Fifteen experts discussed the results and devised improvements based on experience and literature review.</p></div><div><h3>Results</h3><p>Thirteen users were interviewed. They confirmed the relevance of the decision aid for shared decision making. Areas for improvement of content concerned; 1) outdated and missing information, 2) an imbalance in presentation of treatment benefits and harms, and 3) medical oncologists' expressed preference for a more center-specific or patient individualized decision aid, presenting a selection of the guideline recommended treatment options. Key points for improvement of implementation were better alignment within the care pathway, and clear instruction to users.</p></div><div><h3>Conclusion</h3><p>We identified relevant opportunities for improvement of an existing decision aid and developed an updated version and accompanying implementation strategy accordingly.</p></div><div><h3>Innovation</h3><p>This paper outlines an approach for continued decision aid and implementation strategy development which will add to sustainability. Implementation success of the improved decision aid is currently being studied in a multi-center mixed-methods implementation study.</p></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"4 ","pages":"Article 100300"},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772628224000487/pdfft?md5=42cef5b699414602ae870dc811fe52bf&pid=1-s2.0-S2772628224000487-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141313065","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 : 2024-06-07DOI: 10.1016/j.pecinn.2024.100304
Tatjana R. Felberg , Gry Sagli , Camilla Hansen , Anne Langaas , Hanne Skaaden
Objective
In Norway, cardiac rehabilitation with patient education is usually accessible only to patients who understand Norwegian. The Cardiac Care Class (CCC) in focus in this article is a unique healthcare service in that, via interpreting services, it provides patient education to patients with limited Norwegian proficiency (LNP). This article examines the adaptations carried out to make cardiac rehabilitation accessible to LNP patients.
Methods
The data stem from a qualitative study with participant observation during interpreter-mediated CCCs and from interviews with healthcare professionals, patients, and interpreters conducted by an interdisciplinary team. The collaborative data analysis focused on identifying various forms of adaptations.
Results
Providing interpreting in CCCs required organizational, logistical, and pedagogical adaptations, including having fewer class participants, engaging qualified interpreters, conducting pre-class meetings with the interpreters, and adjusting the course content and language. Communication was found to be satisfactory, although some critical issues (e.g., interpreters' working conditions) were raised.
Conclusion
This study showed that interpreter-mediated CCCs can reach multilingual groups provided that the necessary adaptations are made.
Innovation
This research is the first to show how a cardiac rehabilitation class in Norway is made accessible to multilingual patient groups by providing interpreting.
{"title":"Patient education in multilingual groups of cardiac patients: Mission (im)possible?","authors":"Tatjana R. Felberg , Gry Sagli , Camilla Hansen , Anne Langaas , Hanne Skaaden","doi":"10.1016/j.pecinn.2024.100304","DOIUrl":"https://doi.org/10.1016/j.pecinn.2024.100304","url":null,"abstract":"<div><h3>Objective</h3><p>In Norway, cardiac rehabilitation with patient education is usually accessible only to patients who understand Norwegian. The Cardiac Care Class (CCC) in focus in this article is a unique healthcare service in that, via interpreting services, it provides patient education to patients with limited Norwegian proficiency (LNP). This article examines the adaptations carried out to make cardiac rehabilitation accessible to LNP patients.</p></div><div><h3>Methods</h3><p>The data stem from a qualitative study with participant observation during interpreter-mediated CCCs and from interviews with healthcare professionals, patients, and interpreters conducted by an interdisciplinary team. The collaborative data analysis focused on identifying various forms of adaptations.</p></div><div><h3>Results</h3><p>Providing interpreting in CCCs required organizational, logistical, and pedagogical adaptations, including having fewer class participants, engaging qualified interpreters, conducting pre-class meetings with the interpreters, and adjusting the course content and language. Communication was found to be satisfactory, although some critical issues (e.g., interpreters' working conditions) were raised.</p></div><div><h3>Conclusion</h3><p>This study showed that interpreter-mediated CCCs can reach multilingual groups provided that the necessary adaptations are made.</p></div><div><h3>Innovation</h3><p>This research is the first to show how a cardiac rehabilitation class in Norway is made accessible to multilingual patient groups by providing interpreting.</p></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"4 ","pages":"Article 100304"},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772628224000529/pdfft?md5=2d85e1228e20bfa4ef0cf1531c72aa88&pid=1-s2.0-S2772628224000529-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141303239","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}
Machine learning models were employed to discern patients' impressions from the therapists' facial expressions during a virtual online video counselling session.
Methods
Eight therapists simulated an online video counselling session for the same patient. The facial emotions of the therapists were extracted from the session videos; we then utilized a random forest model to determine the therapist's impression as perceived by the patients.
Results
The therapists' neutral facial expressions were important controlling factors for patients' impressions. A predictive model with three neutral facial features achieved an accuracy of 83% in identifying patients' impressions.
Conclusions
Neutral facial expressions may contribute to patient impressions in an online video counselling environment with spatiotemporal disconnection.
Innovation
Expression recognition techniques were applied innovatively to an online counselling setting where therapists' expressions are limited. Our findings have the potential to enhance psychiatric clinical practice using Information and Communication Technology.
{"title":"Machine learning judged neutral facial expressions as key factors for a “good therapist” within the first five minutes: An experiment to simulate online video counselling","authors":"Satoshi Yokoyama , Asuna Shikano , Hiroki Chiba , Takeshi Murakami , Takushi Kawamorita , Takayuki Murayama , Daisuke Ito , Kanako Ichikura","doi":"10.1016/j.pecinn.2024.100302","DOIUrl":"https://doi.org/10.1016/j.pecinn.2024.100302","url":null,"abstract":"<div><h3>Objective</h3><p>Machine learning models were employed to discern patients' impressions from the therapists' facial expressions during a virtual online video counselling session.</p></div><div><h3>Methods</h3><p>Eight therapists simulated an online video counselling session for the same patient. The facial emotions of the therapists were extracted from the session videos; we then utilized a random forest model to determine the therapist's impression as perceived by the patients.</p></div><div><h3>Results</h3><p>The therapists' neutral facial expressions were important controlling factors for patients' impressions. A predictive model with three neutral facial features achieved an accuracy of 83% in identifying patients' impressions.</p></div><div><h3>Conclusions</h3><p>Neutral facial expressions may contribute to patient impressions in an online video counselling environment with spatiotemporal disconnection.</p></div><div><h3>Innovation</h3><p>Expression recognition techniques were applied innovatively to an online counselling setting where therapists' expressions are limited. Our findings have the potential to enhance psychiatric clinical practice using Information and Communication Technology.</p></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"4 ","pages":"Article 100302"},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772628224000505/pdfft?md5=bb8bd72e2b5ce1d4564d3bd5d63364d3&pid=1-s2.0-S2772628224000505-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141303238","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 : 2024-06-06DOI: 10.1016/j.pecinn.2024.100303
Laura D. Scherer , Grace A. Lin , Vinay Kini
Objective
Health misinformation is common and can lead to harmful behaviors such as medication non-adherence. We assessed the impact of a novel patient educational tool focused on overcoming misconceptions among patients with coronary artery disease (CAD).
Methods
We developed the CAD Roadmap, an educational tool aimed at explaining the disease trajectory and overcoming common disease misconceptions (such as that statin medications are not beneficial). We designed a pilot survey to assess patients' 1) CAD-related knowledge, 2) medication-taking behavior, and 3) acceptability of the Roadmap. Survey participants were recruited online. CAD knowledge scores were compared with repeated measures t-tests.
Results
Among 114 patients with CAD (mean age 67 years, 63% male), average CAD-related knowledge was 79.0% pre-test and 89.7% after review of the CAD Roadmap (p < .001). After review of the Roadmap, 24% indicated they planned to take their medications more regularly, 93% agreed it was helpful in understanding medication benefits, and 77% felt more empowered to participate in medical decisions.
Conclusion
The CAD Roadmap was evaluated positively, improved disease-related knowledge, and has the potential to improve adherence to treatments.
Innovation
Unlike many other interventions, the CAD Roadmap is specifically designed to overcome common misconceptions to improve health behaviors.
{"title":"Impact of a patient-centered tool to reduce misconceptions about coronary artery disease and its treatment: The CAD roadmap","authors":"Laura D. Scherer , Grace A. Lin , Vinay Kini","doi":"10.1016/j.pecinn.2024.100303","DOIUrl":"https://doi.org/10.1016/j.pecinn.2024.100303","url":null,"abstract":"<div><h3>Objective</h3><p>Health misinformation is common and can lead to harmful behaviors such as medication non-adherence. We assessed the impact of a novel patient educational tool focused on overcoming misconceptions among patients with coronary artery disease (CAD).</p></div><div><h3>Methods</h3><p>We developed the CAD Roadmap, an educational tool aimed at explaining the disease trajectory and overcoming common disease misconceptions (such as that statin medications are not beneficial). We designed a pilot survey to assess patients' 1) CAD-related knowledge, 2) medication-taking behavior, and 3) acceptability of the Roadmap. Survey participants were recruited online. CAD knowledge scores were compared with repeated measures <em>t</em>-tests.</p></div><div><h3>Results</h3><p>Among 114 patients with CAD (mean age 67 years, 63% male), average CAD-related knowledge was 79.0% pre-test and 89.7% after review of the CAD Roadmap (<em>p</em> < .001). After review of the Roadmap, 24% indicated they planned to take their medications more regularly, 93% agreed it was helpful in understanding medication benefits, and 77% felt more empowered to participate in medical decisions.</p></div><div><h3>Conclusion</h3><p>The CAD Roadmap was evaluated positively, improved disease-related knowledge, and has the potential to improve adherence to treatments.</p></div><div><h3>Innovation</h3><p>Unlike many other interventions, the CAD Roadmap is specifically designed to overcome common misconceptions to improve health behaviors.</p></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"4 ","pages":"Article 100303"},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772628224000517/pdfft?md5=c68b528fcf2a7658d890d3963ef4efc8&pid=1-s2.0-S2772628224000517-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141294844","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 : 2024-06-04DOI: 10.1016/j.pecinn.2024.100301
L. Aubree Shay , Ashley McKenzie , Elaine Avshman , Lara S. Savas , Ross Shegog
Objective
HPV vaccination is recommended for children beginning at age 9 to prevent several types of cancer. Many parents turn to Facebook for health information. This study describes changes in HPV vaccine-related articles shared on Facebook amidst the COVID-19 pandemic.
Methods
HPV-related articles shared on Facebook (2019–2021) were collected using Buzzsumo, a social media analytics tool and analyzed using content analysis. Articles were categorized by valence, misinformation, evidence types, persuasive tactics, and framing. We quantified these data and tested for difference by article year.
Results
Of the 138 included articles, 51% had positive valence towards the vaccine and 36% had negative valence. In 2021, there was a significant increase in positive messaging (72% vs. 44% in 2019/2020; p < 0.01) and misinformation decreased from 50% in 2019 to 24% in 2021 (p = 0.04). Persuasive strategies were more common in 2019 than in later years.
Conclusion
Despite decreased engagement in 2021, more positive HPV vaccine messaging was observed, although a quarter of articles still contained misinformation. Our results can inform strategies for communicating with parents about the HPV vaccine.
Innovation
Our study is the first to analyze HPV-related articles linked on Facebook and to assess for differences during the pandemic.
{"title":"HPV vaccine-related articles shared on Facebook from 2019 to 2021: Did COVID make a difference?","authors":"L. Aubree Shay , Ashley McKenzie , Elaine Avshman , Lara S. Savas , Ross Shegog","doi":"10.1016/j.pecinn.2024.100301","DOIUrl":"https://doi.org/10.1016/j.pecinn.2024.100301","url":null,"abstract":"<div><h3>Objective</h3><p>HPV vaccination is recommended for children beginning at age 9 to prevent several types of cancer. Many parents turn to Facebook for health information. This study describes changes in HPV vaccine-related articles shared on Facebook amidst the COVID-19 pandemic.</p></div><div><h3>Methods</h3><p>HPV-related articles shared on Facebook (2019–2021) were collected using Buzzsumo, a social media analytics tool and analyzed using content analysis. Articles were categorized by valence, misinformation, evidence types, persuasive tactics, and framing. We quantified these data and tested for difference by article year.</p></div><div><h3>Results</h3><p>Of the 138 included articles, 51% had positive valence towards the vaccine and 36% had negative valence. In 2021, there was a significant increase in positive messaging (72% vs. 44% in 2019/2020; <em>p</em> < 0.01) and misinformation decreased from 50% in 2019 to 24% in 2021 (<em>p</em> = 0.04). Persuasive strategies were more common in 2019 than in later years.</p></div><div><h3>Conclusion</h3><p>Despite decreased engagement in 2021, more positive HPV vaccine messaging was observed, although a quarter of articles still contained misinformation. Our results can inform strategies for communicating with parents about the HPV vaccine.</p></div><div><h3>Innovation</h3><p>Our study is the first to analyze HPV-related articles linked on Facebook and to assess for differences during the pandemic.</p></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"4 ","pages":"Article 100301"},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772628224000499/pdfft?md5=640be3088b3de80b3f592a2936bbb177&pid=1-s2.0-S2772628224000499-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141290104","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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