PEC innovation最新文献_第7页

Communication across language barriers in Nordic paediatric oncology care – A cross-sectional multicentre survey with healthcare personnel 北欧儿科肿瘤护理中跨越语言障碍的沟通——一项针对医护人员的横断面多中心调查

PEC innovation

Pub Date : 2025-04-30 DOI: 10.1016/j.pecinn.2025.100395

Melissa Jakobsson , Helena Ventovaara , Johanna Granhagen Jungner , Eva Broström , Elisabet Tiselius , Pernilla Pergert

Objective

The study investigated how healthcare personnel communicate with families when experiencing language barriers, and the use of interpreters in Nordic paediatric oncology care.

Methods

A cross-sectional multicentre survey study with registered nurses (RNs) and medical doctors (MDs) at 20 Nordic paediatric oncology centres. The “Communication over Language Barriers questionnaire” (CoLB-q) was used in the respective Nordic languages. Descriptive analysis and non-parametric tests were used to summarize and compare data.

Results

A total of 489 RNs and MDs completed the survey (response rate of 55 %). Although most respondents reported often or sometimes caring for families with limited proficiency in the country's majority languages, only 20 % had received education in how to use an interpreter. When communicating without an interpreter both professions had used relatives and children as language brokers to some extent. Most respondents assessed that the use of interpreters increased families' participation and improved their care relationships with the families. MDs used interpreters more often than RNs, who in turn used children as language brokers more frequently than the MDs did.

Conclusion

Although most respondents believed that a professional interpreter increases patients' and families' participation and safety in care, children were used as language brokers by both professions. Few had received education or training on how to use an interpreter despite that most participants often met families with limited proficiency in the country's majority language.

Innovation

This study highlights a critical gap and underscores the necessity for healthcare personnel to receive education and training on utilizing professional interpreter resources.

目的研究北欧儿科肿瘤医护人员在遇到语言障碍时如何与家人沟通，以及口译员的使用情况。方法对北欧20个儿科肿瘤中心的注册护士（RNs）和医生（md）进行横断面多中心调查。“克服语言障碍的交流调查表”（CoLB-q）以各自的北欧语文使用。使用描述性分析和非参数检验来总结和比较数据。结果共489名注册护士和医学博士完成调查，有效率为55%。虽然大多数答复者报告经常或有时照顾的家庭对该国多数语言的熟练程度有限，但只有20%的人接受过如何使用口译员的教育。在没有翻译的情况下，这两种职业都在一定程度上使用亲戚和孩子作为语言中介。大多数答复者评估说，口译员的使用增加了家庭的参与，并改善了他们与家庭的照顾关系。医学博士比注册护士更频繁地使用口译员，而注册护士又比医学博士更频繁地使用儿童作为语言代理。结论虽然大多数受访者认为专业的口译员可以增加患者和家属的参与和护理的安全性，但儿童被两种职业用作语言经纪人。很少有人接受过如何使用口译员的教育或培训，尽管大多数参与者经常遇到对该国多数语言掌握程度有限的家庭。创新本研究突出了一个关键的差距，并强调了卫生保健人员接受利用专业口译资源的教育和培训的必要性。

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引用次数: 0

Bringing question notes to physicians: A nationwide cross-sectional study in Japan (INFORM study 2020) 向医生提供问题笔记：日本一项全国性横断面研究（INFORM研究2020）

PEC innovation

Pub Date : 2025-04-30 DOI: 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。

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引用次数: 0

The role of community health workers in enhancing home and community-based services in American Indian communities 社区保健工作者在加强美洲印第安人社区家庭和社区服务方面的作用

PEC innovation

Pub Date : 2025-04-30 DOI: 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.

目的描述社区卫生工作者作为满足家庭和社区服务（HCBS）需求的新解决方案在美洲印第安人社区中的作用和效益。方法基于现有文献和当前政策挑战的简短沟通。结果社区卫生工作者（CHW）在各种卫生保健机构中发挥着至关重要的作用，特别是在美国印第安人（AI）社区，他们致力于缩小预防和综合卫生保健可及性方面的差距。卫生保健员通过提供文化导向和家庭支持方面的专业知识、对社区进行急慢性疾病和健康教育以及消除有关健康问题的错误信息，缩小了这些差距。然而，在家庭和社区服务中整合和应用卫生保健服务在卫生保健系统和卫生保健支付中的认可和利用有限。健全的培训/资格认证途径和可持续的资金流对于将chw纳入正规的医疗保健提供者团队至关重要。阻碍这种整合的障碍包括文件的不一致、缺乏稳定的资金以及缺乏正式的专业认可。结论以往成功的卫生保健整合模式促进了正规的培训计划、专业发展机会、获得认证以及促进了卫生保健工作者与供应商之间的合作。在hcb中应用CHW可以增加社区健康，同时减轻hcb中通常资源不足的社区-我国的美洲印第安社区-的健康差异的影响。

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引用次数: 0

Family caregiving in research and practice: Editorial – PEC innovation 家庭护理的研究与实践：编辑- PEC创新

PEC innovation

Pub Date : 2025-04-30 DOI: 10.1016/j.pecinn.2025.100396

Gemme Campbell-Salome

引用次数: 0

Perceptions of positive and negative clinician communication in obstetrical visits from the perspectives of pregnant patients who use substances 从使用药物的怀孕患者的角度对产科就诊中积极和消极临床医生沟通的看法

PEC innovation

Pub Date : 2025-04-22 DOI: 10.1016/j.pecinn.2025.100394

Abisola Olaniyan , Mary Hawk , Dara D. Mendez , Steven M. Albert , Natalie Stern , Sneha Patnaik , Judy C. Chang

Objectives

To explore the perceptions of pregnant patients who use substances regarding positive or negative clinician communication during obstetrical care.

Methods

We analyzed qualitative data from 85 semi-structured interviews with pregnant patients who reported or tested positive for substance use, which explored their interaction with obstetric providers during their first prenatal visit. This analysis focuses on patients' perceptions of negative versus positive clinician communication behaviors.

Results

Eighty-five participants described clinician communication behaviors they felt affected their feelings about the clinician and their willingness to talk about prenatal substance use and other sensitive topics. Negative behaviors included clinicians (1) expressing judgment, (2) rushing through the consultation and providing limited information to patients, and (3) using statements or behaviors that made patients feel dehumanized. Positive behaviors included clinicians (1) explicitly expressing care for the patient, (2) creating rapport by soliciting patient stories and building relationships, and (3) demonstrating attentive listening.

Innovation

To our knowledge, our study is the first to explore clinician communication behavior with a focus on prenatal substance use from the perspective of pregnant people using substances.

Conclusion

Our findings highlight pregnant patients' perspectives on communication patterns that could improve patient-clinician interactions and, in turn, maternal health care and outcomes.

目的探讨妊娠用药患者在产科护理中对临床医师积极沟通或消极沟通的认知。方法我们分析了85例半结构化访谈的定性数据，这些访谈的孕妇报告或检测出药物使用呈阳性，探讨了她们在第一次产前就诊时与产科医生的互动。本分析侧重于患者对消极与积极临床医生沟通行为的看法。结果85名参与者描述了他们认为临床医生的沟通行为影响了他们对临床医生的感觉以及他们谈论产前药物使用和其他敏感话题的意愿。消极行为包括临床医生(1)表达判断，(2)匆忙完成咨询，向患者提供有限的信息，(3)使用使患者感到失去人性的言论或行为。积极的行为包括临床医生(1)明确表达对病人的关心，(2)通过询问病人的故事和建立关系来建立融洽的关系，以及(3)表现出专注的倾听。据我们所知，我们的研究首次从孕妇使用药物的角度探讨临床医生的沟通行为，重点关注产前药物使用。结论：我们的研究结果突出了孕妇对沟通模式的看法，这些模式可以改善医患互动，进而改善孕产妇保健和结局。

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引用次数: 0

Knowledge and confidence regarding pressure ulcer prevention among caregivers of high-risk individuals: A pre- and post-education assessment in a single-center 高危人群护理人员对压疮预防的知识和信心：单中心教育前后评估

PEC innovation

Pub Date : 2025-04-21 DOI: 10.1016/j.pecinn.2025.100393

Maram T. Alkhatieb , Rahaf W. Shigdar , Zainab A. Alkhalifah , Hussain A. Alkhalifah , Hanan F. Alsabri , Lama W. Attar , Hana Z. Fatani , Haifa M. Alnahdi

Objective

We aimed to measure the effect of implementing a pressure ulcer (PU) educational program on the knowledge and confidence of caregivers taking care of bedridden patients or patients with limited mobility.

Methods

This study included caregivers of immobile or bedridden patients in our center from 23 April 2023 to 13 May 2023. A pre-assessment questionnaire to assess knowledge about PUs was provided. After this, an educational session was implemented. Thereafter, a post-assessment questionnaire was provided to measure the education outcomes.

Results

A total of 98 caregivers were included in the study; the majority were females (n = 69, 70.4 %) and were family members of the patient (n = 89, 90.8 %). Most have never received education on PUs and their prevention (n = 63, 64.3 %). The education sessions significantly affected the level of knowledge, as the scores were significantly higher post-education compared to pre-education (16.96 ± 2.73 vs. 11.06 ± 3.71, p < 0.001).

Conclusion

Overall, we found that education sessions on PUs using different visual and audio aids could significantly increase caregivers' knowledge of PU prevention.

Innovation

We adopted a multi-faceted approach by developing original educational materials tailored to non-professional caregivers, including videos, booklets, and brochures in Arabic and English. This helped ensure accessibility and enhance the potential for widespread applicability in diverse home settings.

目的探讨实施压疮（PU）教育计划对护理卧床病人和行动不便病人的护理人员知识和信心的影响。方法研究对象为2023年4月23日至2023年5月13日在我中心住院治疗的卧床或行动不便患者的护理人员。提供了一份预评估问卷来评估对pu的了解。在此之后，实施了一次教育会议。随后，提供了一份评估后问卷来衡量教育成果。结果共纳入护理人员98人；以女性（n = 69, 70.4%）和患者家属（n = 89, 90.8%）居多。大多数患者从未接受过脓包及其预防教育（n = 63, 64.3%）。教育课程对知识水平有显著影响，教育后得分显著高于教育前得分(16.96±2.73比11.06±3.71,p <；0.001)。结论总体而言，我们发现使用不同视听辅助工具的脓肿教育课程可以显著提高护理人员预防脓肿的知识。创新我们采用多方面的方法，为非专业护理人员量身定制原创教育材料，包括阿拉伯语和英语的视频、小册子和小册子。这有助于确保可及性并增强在不同家庭环境中广泛适用的潜力。

{"title":"Knowledge and confidence regarding pressure ulcer prevention among caregivers of high-risk individuals: A pre- and post-education assessment in a single-center","authors":"Maram T. Alkhatieb , Rahaf W. Shigdar , Zainab A. Alkhalifah , Hussain A. Alkhalifah , Hanan F. Alsabri , Lama W. Attar , Hana Z. Fatani , Haifa M. Alnahdi","doi":"10.1016/j.pecinn.2025.100393","DOIUrl":"10.1016/j.pecinn.2025.100393","url":null,"abstract":"<div><h3>Objective</h3><div>We aimed to measure the effect of implementing a pressure ulcer (PU) educational program on the knowledge and confidence of caregivers taking care of bedridden patients or patients with limited mobility.</div></div><div><h3>Methods</h3><div>This study included caregivers of immobile or bedridden patients in our center from 23 April 2023 to 13 May 2023. A pre-assessment questionnaire to assess knowledge about PUs was provided. After this, an educational session was implemented. Thereafter, a post-assessment questionnaire was provided to measure the education outcomes.</div></div><div><h3>Results</h3><div>A total of 98 caregivers were included in the study; the majority were females (<em>n</em> = 69, 70.4 %) and were family members of the patient (<em>n</em> = 89, 90.8 %). Most have never received education on PUs and their prevention (<em>n</em> = 63, 64.3 %). The education sessions significantly affected the level of knowledge, as the scores were significantly higher post-education compared to pre-education (16.96 ± 2.73 vs. 11.06 ± 3.71, <em>p</em> < 0.001).</div></div><div><h3>Conclusion</h3><div>Overall, we found that education sessions on PUs using different visual and audio aids could significantly increase caregivers' knowledge of PU prevention.</div></div><div><h3>Innovation</h3><div>We adopted a multi-faceted approach by developing original educational materials tailored to non-professional caregivers, including videos, booklets, and brochures in Arabic and English. This helped ensure accessibility and enhance the potential for widespread applicability in diverse home settings.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100393"},"PeriodicalIF":0.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870166","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}

引用次数: 0

Development and evaluation of the patient engagement questionnaire (PEQ) 制定和评估患者参与问卷（PEQ）

PEC innovation

Pub Date : 2025-04-14 DOI: 10.1016/j.pecinn.2025.100392

Stephanie Batio, Laura M. Curtis, Julia Yoshino Benavente, Stacy C. Bailey, Michael S. Wolf

Objective

We sought to develop and evaluate the Patient Engagement Questionnaire (PEQ); a brief, remote assessment that captures both measures of health literacy and patient activation in the context of engagement in healthcare.

Methods

Participants in the COVID-19 & Chronic Conditions cohort study completed a survey that included PEQ items, demographics, Newest Vital Sign, Consumer Health Activation Index, and patient-reported outcomes. Exploratory and Confirmatory Factor Analysis were used to conduct an item reduction process and assess fit. Spearman correlations and generalized linear regression models were performed to assess convergent and predictive validity. Stratum-specific likelihood ratios were used to determine cutoffs.

Results

630 participants completed the survey. PEQ had 6 items loading onto one single factor, with good reliability (α = 0.76), and convergent validity with the NVS (r = 0.30, p < 0.001) and CHAI (r = 0.41, p < 0.001). Higher PEQ scores were significantly associated with lower depression (r = −0.30, p < 0.001) and better physical function (r = 0.31, p < 0.01). Two categories emerged: limited (6–26, SSLR: 3.15) and adequate (26–30, SSLR: 0.53).

Conclusion

The PEQ is a brief and easily administered tool designed to capture the intersect between health literacy and activation.

Practice implications

The PEQ will help identify patients struggling with care engagement, aiding resource allocation to those most in need.

方法 COVID-19 & 慢性病队列研究的参与者完成了一项调查，其中包括 PEQ 项目、人口统计学、最新生命体征、消费者健康激活指数和患者报告结果。采用探索性因子分析和确认性因子分析对项目进行缩减并评估拟合度。斯皮尔曼相关性和广义线性回归模型用于评估收敛性和预测有效性。结果 630 名参与者完成了调查。PEQ 有 6 个项目，负载在一个因子上，具有良好的可靠性 (α = 0.76)，与 NVS (r = 0.30, p < 0.001) 和 CHAI (r = 0.41, p < 0.001) 具有会聚有效性。PEQ 分数越高，抑郁程度越低（r = -0.30，p < 0.001），身体功能越好（r = 0.31，p < 0.01）。结论PEQ是一种简短且易于管理的工具，旨在捕捉健康素养与激活之间的交叉点。

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引用次数: 0

Content and quality of smartphone applications for bariatric surgery: A review and content analysis 减肥手术智能手机应用程序的内容和质量：回顾和内容分析

PEC innovation

Pub Date : 2025-04-08 DOI: 10.1016/j.pecinn.2025.100391

Irma Hellbrecht , Nadja Könsgen , Alina Weise , Fabian Schlumberger , Dawid Pieper , Jessica Breuing

Objective

Our aim was to provide a descriptive analysis of the content and quality of bariatric apps available in Germany.

Methods

From November 2022 to February 2023, apps available in German used in pre- or postoperative care were searched in the Google Play, the Apple App Store, and the Register for Digital Health Applications (DHA). One author reviewed titles and summary pages. Relevant apps were downloaded and two authors assessed their eligibility. Additionally, the authors independently screened records indexed in Medline/Embase. Besides a summary of the app content, a quality assessment was performed using two checklists (the Action Alliance for Patient Safety Checklist (APS); the Mobile App Rating Scale (MARS).

Results

38 potentially relevant apps were identified, n = 3 were included. Functionality was good (MARS score 13–18/20). Content quality was variable (MARS score 7–19/35). Moreover, the apps' content lacked references and varied in scope.

Conclusion

There are few apps in the field of BS available and the quality of their content is moderate to low. The evidence base remains unclear due to a lack of sources.

Innovation

This is the first structured assessment of bariatric apps in Germany using validated checklists. The results provide a foundation for evidence-based, patient-centered app development in bariatric care and thus represent an important digital innovation in this field.

我们的目的是对德国可用的减肥应用程序的内容和质量进行描述性分析。方法：从2022年11月至2023年2月，在b谷歌Play、苹果应用商店和数字健康应用程序注册（DHA）中搜索用于术前或术后护理的德语应用程序。一位作者审查了标题和摘要页。下载了相关的应用程序，两位作者评估了他们的资格。此外，作者独立筛选了Medline/Embase索引的记录。除了对应用程序内容进行总结外，还使用两个检查表(患者安全检查表行动联盟（APS）；移动应用评级量表（MARS）。结果共识别出38个可能相关的应用程序，其中n = 3个。功能良好（MARS评分13-18/20）。内容质量是可变的（MARS评分7-19/35）。此外，这些应用程序的内容缺乏参考，范围也各不相同。结论BS领域的应用程序较少，内容质量中低。由于缺乏来源，证据基础仍然不清楚。这是德国第一个使用有效清单对减肥应用程序进行结构化评估。研究结果为基于证据、以患者为中心的减肥护理应用程序开发奠定了基础，因此代表了该领域的重要数字创新。

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引用次数: 0

Leveraging artificial intelligence chatbots for anemia prevention: A comparative study of ChatGPT-3.5, copilot, and Gemini outputs against Google Search results 利用人工智能聊天机器人预防贫血：ChatGPT-3.5、copilot和Gemini输出与谷歌搜索结果的比较研究

PEC innovation

Pub Date : 2025-04-01 DOI: 10.1016/j.pecinn.2025.100390

Shinya Ito , Emi Furukawa , Tsuyoshi Okuhara , Hiroko Okada , Takahiro Kiuchi

Aim

This study evaluated the understandability, actionability, and readability of text on anemia generated by artificial intelligence (AI) chatbots.

Methods

This cross-sectional study compared texts generated by ChatGPT-3.5, Microsoft Copilot, and Google Gemini at three levels: “normal,” “6th grade,” and “PEMAT-P version.” Additionally, texts retrieved from the top eight Google Search results for relevant keywords were included for comparison. All texts were written in Japanese. The Japanese version of the PEMAT-P was used to assess understandability and actionability, while jReadability was used for readability. A systematic comparison was conducted to identify the strengths and weaknesses of each source.

Results

Texts generated by Gemini at the 6th-grade level (n = 26, 86.7 %) and PEMAT-P version (n = 27, 90.0 %), as well as ChatGPT-3.5 at the normal level (n = 21, 80.8 %), achieved significantly higher scores (≥70 %) for understandability and actionability compared to Google Search results (n = 17, 25.4 %, p < 0.001). For readability, Copilot and Gemini texts demonstrated significantly higher percentages of “very readable” to “somewhat difficult” levels than texts retrieved from Google Search (p = 0.000–0.007).

Innovation

This study is the first to objectively and quantitatively evaluate the understandability and actionability of educational materials on anemia prevention. By utilizing PEMAT-P and jReadability, the study demonstrated the superiority of Gemini in terms of understandability and readability through measurable data. This innovative approach highlights the potential of AI chatbots as a novel method for providing public health information and addressing health disparities.

Conclusion

AI-generated texts on anemia were found to be more readable and easier to understand than traditional web-based texts, with Gemini demonstrating the highest level of understandability. Moving forward, improvements in prompts will be necessary to enhance the integration of visual elements that encourage actionable responses in AI chatbots.

目的评价人工智能（AI）聊天机器人生成的贫血文本的可理解性、可操作性和可读性。方法：本横断面研究比较了ChatGPT-3.5、Microsoft Copilot和谷歌Gemini在“正常”、“六年级”和“PEMAT-P版本”三个级别上生成的文本。此外，从谷歌搜索结果的前8个相关关键词中检索到的文本也被包括进来进行比较。所有的课文都是用日文写的。PEMAT-P的日文版本用于评估可理解性和可操作性，而jReadability用于可读性。进行了系统的比较，以确定每个来源的优点和缺点。结果Gemini在六年级水平（n = 26, 86.7%）和PEMAT-P版本（n = 27, 90.0%）以及ChatGPT-3.5在正常水平（n = 21, 80.8%）生成的文本在可理解性和可操作性方面的得分（≥70%）明显高于谷歌搜索结果(n = 17, 25.4%, p <；0.001)。在可读性方面，与从谷歌搜索中检索到的文本相比，Copilot和Gemini文本显示出明显更高的“非常可读”到“有些困难”级别的百分比（p = 0.000-0.007）。本研究首次客观定量地评价了预防贫血教材的可理解性和可操作性。本研究利用PEMAT-P和jReadability，通过可测量的数据证明了Gemini在可理解性和可读性方面的优势。这一创新方法凸显了人工智能聊天机器人作为提供公共卫生信息和解决健康差距的新方法的潜力。结论人工智能生成的关于贫血的文本比传统的基于网络的文本更具可读性，更容易理解，其中Gemini的可理解性最高。展望未来，提示的改进将是必要的，以增强视觉元素的集成，从而鼓励人工智能聊天机器人做出可操作的响应。

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引用次数: 0

A qualitative exploration of service users' experiences of weight management conversations in a mental health setting 心理健康环境下服务用户体重管理对话体验的定性探索

PEC innovation

Pub Date : 2025-03-22 DOI: 10.1016/j.pecinn.2025.100389

Emma Kemp , Catherine Haighton , Sally Faulkner , Kate McBride , Maria Raisa Jessica Aquino , Rob Wilson , Milica Vasiljevic , Craig Robson , Mish Loraine , Jill Harland , Angela M. Rodrigues

Objective

Healthcare professionals often use opportunistic weight management conversations, aligned with the Making Every Contact Count (MECC) approach, to provide motivational support to service users. While research supports this practice from the professionals' perspective, the views of service users on these interactions remain understudied. The aim of this study was to explore the experiences of service users with serious mental illness regarding weight management conversations with healthcare professionals.

Methods

Thirteen service users with serious mental illness (Nine inpatient, four community-based) participated in semi-structured 1–1 interviews exploring weight management support experiences. Transcript data was analysed using thematic analysis.

Results

Five key themes were developed: service users' experience of weight management conversations, developing therapeutic relationships, support for physical activity and weight management, deliverer characteristic preferences, and user descriptions of MECC.

Conclusions

Service users reported a lack of information about medication-related weight gain and suggested further staff training to improve therapeutic relationships and weight management support for service users with serious mental illness.

Innovation

This study uniquely explores service users' perspectives on weight management conversations within mental health care, applying MECC in a novel context. It highlights the perspective of individuals with serious mental illness on weight-related issues, challenging existing practices, and proposing strategies for integrating physical health support in mental health settings.

目标医疗保健专业人员经常利用与 "让每次接触都有价值"（MECC）方法相一致的机会性体重管理谈话，为服务使用者提供动力支持。虽然从专业人员的角度来看，研究支持这种做法，但服务使用者对这些互动的看法仍未得到充分研究。本研究旨在探讨患有严重精神疾病的服务使用者与医护人员进行体重管理谈话的经验。方法13 名患有严重精神疾病的服务使用者（9 名住院病人，4 名社区病人）参加了半结构化的 1-1 访谈，探讨体重管理支持经验。结果提出了五个关键主题：服务使用者对体重管理谈话的体验、治疗关系的发展、对体育锻炼和体重管理的支持、提供者的特征偏好以及使用者对 MECC 的描述。创新点这项研究独特地探讨了服务使用者对精神健康护理中体重管理谈话的看法，将 MECC 应用到了一个新颖的环境中。它强调了患有严重精神疾病的个人对体重相关问题的看法，对现有的做法提出了质疑，并提出了在精神健康环境中整合身体健康支持的策略。

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