PEC innovation最新文献_第7页

“It's hard to talk to a computer, I get it”: An exploratory analysis of clinician connection-building communication practices in rural telepalliative care encounters “和电脑交谈很困难，我明白了”：对农村远程护理接触中临床医生建立联系的沟通实践的探索性分析

PEC innovation

Pub Date : 2025-06-01 Epub Date: 2025-01-25 DOI: 10.1016/j.pecinn.2025.100377

Elise C. Tarbi , Natalie Ambrose , Eric C. Anderson , Rebecca N. Hutchinson , Paul K.J. Han , Maija Reblin , Robert Gramling

Context/Objectives

Establishing human connection is critical during serious illness conversations, however the sensory and relational environment of telehealth may require innovative communication practices for clinicians, patients, and families to do so effectively. We sought to explore if and how recommended in-person best practices for establishing human connection are adapted to the telehealth palliative care (telePC) setting, to enable discovery and description of practice innovations in this new care environment.

Methods

We analyzed data from the Northern New England Palliative Care TeleConsult Research Study – a formative mixed-methods pilot study at two academic medical centers in rural US states with patients with serious illness (2019–2020). We used a qualitative descriptive approach paired with directed content analysis to analyze video-recorded telePC consultations.

Results

Nine video-recorded telePC consultations were analyzed including 9 patients and 6 palliative care clinicians. Patient-participants had a mean age of 68 years, 56 % were women, and 38 % did not complete high school. Mean consultation duration was 52 min (standard deviation 10, range 40–70 min). Our qualitative analysis of visits resulted in three key themes describing clinician communication: 1) Practices for fostering human connection; 2) Practices for overcoming technical problems/difficulties; and 3) Practices for engaging in multi-participant tele-conversations.

Conclusion

Our study findings help to provide proof-of-concept evidence that clinicians can use recommended in-person connection-building communication practices in telePC. As palliative care clinicians naturally adapt to telehealth environments, more empirical research is needed to understand which innovative approaches most effectively foster human connection.

Innovation

TelePC represents an expanding, yet understudied, mode of palliative care delivery. This study is among the first to describe how the telePC context is catalyzing naturally-occurring communication innovations.

背景/目的在重症对话中建立人际关系是至关重要的，然而远程医疗的感官和关系环境可能需要临床医生、患者和家属创新的沟通实践来有效地做到这一点。我们试图探索建立人际关系的推荐的面对面最佳实践是否以及如何适应远程医疗姑息治疗（telePC）环境，以便在这种新的护理环境中发现和描述实践创新。方法：我们分析了新英格兰北部姑息治疗远程咨询研究的数据，这是一项形成性的混合方法试点研究，在美国农村州的两个学术医疗中心进行，患者患有严重疾病（2019-2020）。我们使用定性描述方法与直接内容分析相结合来分析视频记录的电话咨询。结果分析了9例姑息治疗患者和6名姑息治疗临床医生的视频会诊。患者参与者的平均年龄为68岁，56%为女性，38%未完成高中学业。平均会诊时间为52分钟（标准差10，范围40-70分钟）。我们对就诊的定性分析得出了描述临床医生沟通的三个关键主题：1)培养人际关系的实践；2)克服技术问题/困难的实践；3)进行多参与者远程对话的练习。结论我们的研究结果有助于为临床医生在远程诊疗中使用推荐的面对面建立联系的沟通实践提供概念验证证据。由于姑息治疗临床医生自然适应远程医疗环境，需要更多的实证研究来了解哪些创新方法最有效地促进人际关系。InnovationTelePC代表了一种正在扩大但尚未得到充分研究的姑息治疗提供模式。这项研究是第一批描述电信环境如何催化自然发生的通信创新的研究之一。

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引用次数: 0

Developing a digital video to support lung cancer screening in diverse populations 开发数字视频以支持不同人群的肺癌筛查

PEC innovation

Pub Date : 2025-06-01 Epub Date: 2025-03-17 DOI: 10.1016/j.pecinn.2025.100388

Meghan Lindsay , Iyanuoluwa P. Odole , Olivia Belliveau , Fuad Abujarad , Cary P. Gross , Ilana B. Richman

Objective

Lung cancer screening (LCS) with low dose computed tomography can reduce lung cancer mortality. However, awareness and knowledge of LCS are low. We developed and tested a video to support informed decision-making about LCS for use in diverse populations, including adults with low educational attainment.

Methods

We conducted a prospective pre-post pilot study of adults eligible for LCS at three primary care clinics in the USA from 08/2022–07/2023. We developed a brief digital video, incorporating iterative modifications using participant feedback. We assessed knowledge of LCS before and after viewing the video and solicited open-ended feedback on video format and content.

Results

The study included 29 adults (median [range] age, 62 [50–77] years; 52 % male). In interviews, participants commented on informational content, effect of the video on screening behaviors and intent, video style and appearance, and video features. After viewing the video, participant knowledge scores increased from baseline of 43 % correct to 59 %, p < 0.001. Knowledge scores increased across all levels of educational attainment.

Conclusions

A brief digital video about LCS, developed with feedback from end users, was motivating, clear, and effective in increasing knowledge across levels of educational attainment.

Innovation

Using a patient-engaged, theoretically grounded development process, we developed a digital tool specifically to support lung cancer screening in diverse populations, including those with varied educational attainment.

目的低剂量ct肺癌筛查可降低肺癌死亡率。然而，人们对LCS的认识和认识很低。我们开发并测试了一个视频，以支持在不同人群中使用LCS的知情决策，包括受教育程度较低的成年人。方法：我们于2022年8月至2023年7月在美国三家初级保健诊所对符合LCS条件的成年人进行了一项前瞻性前期-后期试点研究。我们制作了一个简短的数字视频，结合了参与者反馈的迭代修改。我们在观看视频之前和之后评估了LCS知识，并就视频格式和内容征求开放式反馈。结果该研究纳入29名成人(年龄中位数[范围]为62岁[50-77]岁；52%男性)。在访谈中，参与者对信息内容、视频对筛选行为和意图的影响、视频风格和外观以及视频特征进行了评论。观看视频后，参与者的知识得分从43%的基线正确率提高到59%。0.001. 所有受教育程度的学生的知识得分都有所提高。结论根据最终用户的反馈制作的关于LCS的简短数字视频，在提高不同教育程度的知识方面具有激励、清晰和有效的作用。创新采用以患者为中心的理论开发过程，我们开发了一个数字工具，专门用于支持不同人群的肺癌筛查，包括那些受教育程度不同的人群。

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引用次数: 0

Getting back on track: Development of a blended-care intervention for weight recurrence after metabolic bariatric surgery using intervention mapping 回归正轨：利用干预制图技术对代谢减肥手术后体重复发的混合护理干预的发展

PEC innovation

Pub Date : 2025-06-01 Epub Date: 2025-05-18 DOI: 10.1016/j.pecinn.2025.100404

Vera Voorwinde , Ingrid H.M. Steenhuis , Ignace M.C. Janssen , Valerie M. Monpellier , Maartje M. van Stralen

Objective

To systematically re-develop a blended-care intervention addressing weight recurrence after metabolic bariatric surgery (MBS). Weight recurrence poses a significant longterm challenge for around 20–30 % of MBS patients. The intervention aims to improve weight outcomes and enhance patient well-being. This study describes the novel application of the Intervention Mapping (IM) protocol, integrating scientific evidence and stakeholder input.

Methods

The six-step IM protocol guided the development process, ensuring the active involvement of patients and healthcare professionals. A comprehensive needs assessment using quantitative, qualitative, and literature-based approaches informed the creation of a logic model of the problem (Step 1) and a logic model of change (Step 2). Program outcomes and objectives were formulated through collaborative brainstorming and design-thinking sessions, leading to intervention design (Step 3). The intervention was co-produced with patients, implementers, and an app developer (Step 4). Detailed implementation (Step 5) and evaluation (Step 6) plans were subsequently developed.

Results

The IM process yielded a blended-care intervention grounded in theoretical frameworks and evidence-based methods. The intervention actively involved the target population and implementers, addressing key determinants of weight recurrence.

Conclusion

The IM protocol demonstrated utility in designing a tailored, theory-based intervention post-MBS. The process emphasized the value of integrating stakeholder perspectives and highlighted the feasibility of co-creating an evidence-informed intervention.

Innovation

This intervention incorporates newly developed elements in a novel blended-care structure. Future evaluation is necessary to determine its effectiveness in achieving the desired outcomes.

目的系统地重新制定针对代谢减肥手术（MBS）后体重复发的混合护理干预措施。体重复发对约20 - 30%的MBS患者构成了重大的长期挑战。干预的目的是改善体重结果和提高病人的幸福感。本研究描述了干预映射（IM）协议的新应用，整合了科学证据和利益相关者的输入。方法采用六步IM方案指导开发过程，确保患者和医护人员的积极参与。使用定量、定性和基于文献的方法进行全面的需求评估，为问题的逻辑模型（步骤1）和变化的逻辑模型（步骤2）的创建提供信息。通过协同头脑风暴和设计思考会议制定项目结果和目标，从而进行干预设计（步骤3）。干预是由患者、实施者和应用程序开发人员共同制作的（步骤4）。随后制定了详细的实施（步骤5）和评估（步骤6）计划。结果IM过程产生了基于理论框架和循证方法的混合护理干预。干预积极涉及目标人群和实施者，解决体重复发的关键决定因素。结论：IM协议在mbs后设计量身定制的、基于理论的干预方面具有实用性。该进程强调了整合利益攸关方观点的价值，并强调了共同创建循证干预措施的可行性。创新：该干预措施将新开发的元素融入到一种新型混合护理结构中。未来的评价是必要的，以确定其在实现预期结果方面的有效性。

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引用次数: 0

Let's talk about death, dying, and what matters most to you in life: Pretest and piloting of a translated and adapted conversation game 让我们来谈谈死亡，临终，以及你生命中最重要的事情：一款翻译和改编的对话游戏的预测试和驾驶

PEC innovation

Pub Date : 2025-06-01 Epub Date: 2025-05-06 DOI: 10.1016/j.pecinn.2025.100400

Julia Jaschke, Sara Söling, Juliane Köberlein-Neu

Objective

This study aimed to pretest and pilot the German version of the Hello conversation game (German: Hey du) to assess its comprehensibility and acceptability. Like the original, Hey du is designed as a low-threshold method to empower people of almost all ages and health conditions to engage in advance care planning (ACP), particularly targeting young/healthy people for whom there are currently few or no ACP programmes.

Methods

The conversation game was systematically translated into German using the TRAPD process and cognitively pretested in 12 interviews. Subsequently, two observational studies were conducted: Hey du was used in 1) a nursing school (n = 16) and 2) with groups of family and friends (n = 50). After completing the game, participants were surveyed regarding the game's acceptability and comprehensibility.

Results

The results of the cognitive pretest and the observational studies show that the conversation game was acceptable and comprehensible in both settings. Most of the participants (>92 %) reported that Hey du helped them come to terms with their own wishes and preferences for medical and nursing care and that they felt comfortable playing the game.

Conclusion

Hey du has the potential to motivate and empower people to deal with ACP.

Innovation

Hey du is the first scientifically supported gamification approach in Germany to introduce ACP to people for whom no systematic ACP programs exist. The game provides a safe forum for people of almost all ages and health conditions to discuss their values regarding life, death, dying and what matters most.

目的本研究旨在对德语版Hello会话游戏（德语：Hey du）进行预测试和试点，以评估其可理解性和可接受性。与最初的方案一样，Hey du被设计为一种低门槛方法，使几乎所有年龄和健康状况的人都能参与预先护理计划，特别是针对目前很少或没有预先护理计划的年轻人/健康人。方法采用TRAPD程序将会话游戏系统地翻译成德语，并在12个访谈中进行认知预测。随后，进行了两项观察性研究：Hey du被用于1)护理学校（n = 16）和2)家庭和朋友群体（n = 50）。在完成游戏后，参与者接受了关于游戏可接受性和可理解性的调查。结果认知预测和观察性研究结果表明，会话游戏在两种情境下都是可接受和可理解的。大多数参与者（92%）报告说，Hey du帮助他们达成了自己对医疗和护理的愿望和偏好，他们觉得玩这个游戏很舒服。结论hey du具有激励和授权人们应对ACP的潜力。InnovationHey du是德国第一个有科学支持的游戏化方法，向没有系统ACP计划的人介绍ACP。这个游戏为几乎所有年龄和健康状况的人提供了一个安全的论坛，讨论他们对生命、死亡、死亡和最重要的事情的价值观。

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引用次数: 0

Taking a step back: Parents' experiences of the decision-making process for elective orthognathic surgery in cleft lip and palate (IPA) 退一步：父母对唇腭裂择期正颌手术决策过程的经验。

PEC innovation

Pub Date : 2025-06-01 Epub Date: 2024-12-06 DOI: 10.1016/j.pecinn.2024.100362

Jana Safarikova , Eliane Young , Kiki Mastroyannopoulou , Paul Fisher

Objective

This study explored parents' experiences of the transition of responsibility to their child for healthcare decisions relating to their cleft lip and/or palate (CL/P).

Methods

Online semi-structured interviews were conducted with 11 participants (six females and five males, aged 41 to 60 years). They were parents of young people who had decided whether to undergo orthognathic surgery. The data were transcribed and analysed using interpretative phenomenological analysis (IPA).

Results

A responsibility shift from participants to their children was identified in 2 main themes ‘A natural process (or not)’ and ‘It has to be their decision’.

Conclusion

The process of shifting responsibility for decision-making to the child comprised a spectrum of experiences from a relief to a shock and upset. Participants went through sometimes difficult negotiating of their ongoing involvement while supporting their child.

Innovation

The importance of addressing psychological aspects of the family system as well as the young person is highlighted here. Addressing the familial complexities of the transition may contribute to the success of the whole process. Clinicians need careful consideration of the potential emotional impact on parents which is not always shared.

目的：本研究探讨父母在唇裂和/或腭裂（CL/P）的医疗保健决策中向孩子承担责任的经验。方法：对11名参与者（6名女性，5名男性，年龄41 ~ 60岁）进行在线半结构化访谈。他们是年轻人的父母，他们决定是否接受正颌手术。对数据进行转录并使用解释现象学分析（IPA）进行分析。结果：从参与者到他们的孩子的责任转移被确定为两个主题：“一个自然的过程（或不是）”和“这必须是他们的决定”。结论：把做决定的责任转移给孩子的过程包含了一系列的经历，从解脱到震惊和沮丧。参与者有时会经历艰难的谈判，在支持孩子的同时继续参与。创新：这里强调了处理家庭制度和青年人的心理问题的重要性。处理过渡的家庭复杂性可能有助于整个进程的成功。临床医生需要仔细考虑对父母的潜在情感影响，这并不总是共享的。

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引用次数: 0

Psychometric characteristics of Roter interaction analysis system (RIAS) in the context of health education in a Moroccan school 摩洛哥某学校健康教育背景下Roter交互作用分析系统（RIAS）的心理测量特征

PEC innovation

Pub Date : 2025-06-01 Epub Date: 2025-05-15 DOI: 10.1016/j.pecinn.2025.100403

Khadija Daoudi, Khaoula Jounaidi, Abdellah Gantare

Objective

The Roter Interaction Analysis System (RIAS) is widely used to assess communication in clinical settings but has not yet been applied in educational contexts. This study explores the psychometric properties of RIAS in Moroccan school health education, assessing its feasibility, reliability, and validity while examining its potential to improve communication strategies between health educators and students.

Methods

A cross-sectional study was conducted with 36 Moroccan primary school students. Health education session were recorded and analyzed using RIAS to evaluate communication patterns. Two trained raters independently coded the interactions into eight communication behavior categories. Psychometric analyses, including assessments of feasibility (coding versus session duration), inter-rater reliability (using correlation coefficients), and content validity (based on category usage), were conducted to evaluate RIAS's reliability and validity.

Results

RIAS demonstrated feasibility with extended coding times reflecting its comprehensive nature. High inter-rater reliability (ρ = 0.96–1.00, p < 0.01) validated its consistent application. Content validity confirmed adaptability, though challenges with social-emotional utterances and low-frequency categories suggest refinement to align with health education's unique dynamics.

Conclusion: This pilot study demonstrates the feasibility, reliability, and validity of RIAS in Moroccan school health education, highlighting its potential to enhance educator-student communication and improve health education outcomes in diverse cultural settings.

Innovation

This study pioneers the application of RIAS in Moroccan school health education, extending its use beyond clinical contexts. It highlights RIAS's adaptability to diverse, non-Western settings, bridging a gap in communication analysis. Findings provide a foundation for refining RIAS to align with health education and global health promotion strategies.

目的Roter互动分析系统（RIAS）被广泛用于临床环境中的沟通评估，但尚未在教育环境中应用。本研究探讨RIAS在摩洛哥学校健康教育中的心理测量特性，评估其可行性、信度和效度，同时研究其改善健康教育者与学生之间沟通策略的潜力。方法对36名摩洛哥小学生进行横断面调查。使用RIAS对健康教育会话进行记录和分析，评价交流模式。两名训练有素的评分员独立地将互动分为八种沟通行为类别。心理测量分析，包括可行性评估（编码与会话持续时间），评分者间信度（使用相关系数）和内容效度（基于类别使用），进行评估RIAS的信度和效度。结果rias具有可行性，编码时间延长，反映了其全面性。高信度(ρ = 0.96-1.00, p <；0.01)验证了其一致性应用。内容效度证实了适应性，尽管社交情感话语和低频类别的挑战建议改进，以配合健康教育的独特动态。结论：本初步研究证明了RIAS在摩洛哥学校健康教育中的可行性、可靠性和有效性，突出了其在不同文化背景下加强教育者与学生交流和改善健康教育成果的潜力。创新本研究开创了RIAS在摩洛哥学校健康教育中的应用，将其应用范围扩大到临床以外。它突出了RIAS对各种非西方环境的适应性，弥合了沟通分析的差距。研究结果为完善RIAS以配合健康教育和全球健康促进战略提供了基础。

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引用次数: 0

Direct, non-medical out-of-pocket expenditures for mothers of moderate or late preterm infants in a level II NICU: Comparison of Alberta Family Integrated Care versus standard care II级新生儿重症监护室中中度或晚期早产儿母亲的直接非医疗自费支出：艾伯塔省家庭综合护理与标准护理的比较

PEC innovation

Pub Date : 2025-06-01 Epub Date: 2024-12-20 DOI: 10.1016/j.pecinn.2024.100365

Jacqueline M. Wilson , Oyinda Obigbesan , Elena Lopatina , Karen M. Benzies

Objective

To compare direct, non-medical out-of-pocket expenditures (OOPE) between mothers receiving Alberta Family Integrated Care (FICare™) versus standard care (SC) during their infant's neonatal intensive care unit (NICU) admission and explore factors influencing spending extremes.

Methods

In this exploratory, concurrent mixed-methods sub-study, we compared mother-reported OOPE from Alberta FICare™ and SC parent journals. We thematically analyzed hand-written notes from 30 journals with the highest and lowest 5 % of OOPE.

Results

There was no difference in total direct, non-medical OOPE between Alberta FICare™ (n = 194) and SC (n = 132) groups (U = 12,679.50, p = 0.882). Compared to mothers receiving SC, mothers receiving Alberta FICare™ reported spending less for parking (U = 970.00, p < 0.001) and more for food (U = 14,857.50, p = 0.014) and lodging (U = 15,160.00, p < 0.001). Spending extremes related to travel and proximity of the NICU to their home.

Conclusion

Total family financial burden was similar between groups; there were differences in spending categories. Supports to offset OOPE, particularly for families living distant to the NICU or facing transportation challenges, would reduce financial burden and could enhance family-integrated care.

Innovation

This novel analysis describes mother-reported OOPEs and strategies to mitigate financial barriers to family integrated care.

目的：比较接受艾伯塔省家庭综合护理（FICare™）与标准护理（SC）的母亲在婴儿入住新生儿重症监护病房（NICU）期间的直接非医疗自付费用（OOPE），并探讨影响极端支出的因素。方法：在这个探索性的、并行的混合方法子研究中，我们比较了Alberta FICare™和SC家长期刊中母亲报告的OOPE。我们对30种期刊的手写笔记进行了主题分析，这些期刊的OOPE最高和最低的5%。结果：Alberta FICare™（n = 194）组与SC （n = 132）组直接非医疗OOPE总发生率无差异（U = 12,679.50, p = 0.882）。与接受SC的母亲相比，接受Alberta FICare™的母亲在停车（U = 970.00, p U = 14,857.50, p = 0.014）和住宿（U = 15,160.00, p）方面的支出更少；在消费类别上存在差异。支持抵消OOPE，特别是对居住在离新生儿重症监护室很远或面临交通挑战的家庭，将减轻经济负担，并可以加强家庭综合护理。创新：这一新颖的分析描述了母亲报告的oops和策略，以减轻家庭综合护理的经济障碍。

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引用次数: 0

“Having providers who are trained and have empathy is life-saving”: Improving primary care communication through thematic analysis with ChatGPT and human expertise “拥有受过培训、有同理心的服务提供者可以挽救生命”：通过ChatGPT和人类专业知识的主题分析改善初级保健沟通。

PEC innovation

Pub Date : 2025-06-01 Epub Date: 2024-12-28 DOI: 10.1016/j.pecinn.2024.100371

Michelle A. Stage , Mackenzie M. Creamer , Mollie A. Ruben

In the rapidly evolving field of healthcare research, Artificial Intelligence (AI) and conversational models like ChatGPT (Conversational Generative Pre-trained Transformer) offer promising tools for data analysis. The aim of this study was to: 1) apply ChatGPT methodology alongside human coding to analyze qualitative health services feedback, and 2) examine healthcare experiences among lesbian, gay, bisexual, transgender, and queer (LGBTQ+) patients (N = 41) to inform future intervention. The hybrid approach facilitated the identification of themes related to affirming care practices, provider education, communicative challenges and successes, and environmental cues. While ChatGPT accelerated the coding process, human oversight remained crucial for ensuring data integrity and context accuracy. This hybrid method promises significant improvements in analyzing patient feedback, providing actionable insights that could enhance patient-provider interactions and care for diverse populations.

Innovation: This study is the first to combine ChatGPT with human coding for rapid thematic analysis of LGBTQ+ patient primary care experiences.

在快速发展的医疗保健研究领域，人工智能（AI）和会话模型（如ChatGPT（会话生成预训练转换器））为数据分析提供了有前途的工具。本研究的目的是：1)应用ChatGPT方法和人类编码来分析定性的健康服务反馈，2)调查女同性恋、男同性恋、双性恋、变性人和酷儿（LGBTQ+）患者（N = 41）的医疗保健经历，为未来的干预提供信息。混合方法有助于确定与确认护理实践、提供者教育、沟通挑战和成功以及环境线索相关的主题。虽然ChatGPT加速了编码过程，但人为监督对于确保数据完整性和上下文准确性仍然至关重要。这种混合方法有望在分析患者反馈方面取得重大进展，提供可操作的见解，可以增强患者与提供者的互动和对不同人群的护理。创新：该研究首次将ChatGPT与人类编码结合起来，对LGBTQ+患者的初级保健体验进行快速主题分析。

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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 : 2025-06-01 Epub 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

Perceptions of frailty and falls in older adults using an English regional ambulance service: A descriptive phenomenological study 使用英国地区救护车服务的老年人对虚弱和跌倒的感知：一项描述性现象学研究

PEC innovation

Pub Date : 2025-06-01 Epub Date: 2025-05-24 DOI: 10.1016/j.pecinn.2025.100406

Karl Charlton , Tripta Rathour , Emma Burrow

Objective

Frailty is of increasing importance for healthcare systems as well as the personalised care agenda. Despite the evolving body of research exploring frailty and falls in the ambulance setting, the voices of frail older adults who use ambulance services, are seldom heard. Through first-hand accounts, this study set out to describe the experiences and perceptions of frailty for a cohort of older adults.

Methods

A descriptive phenomenological study involving eight participants with frailty who used a regional English National Health Service (NHS) ambulance service following a fall, conducted between July 2022–February 2023.

Results

Accounts from older adults highlight different perceptions of frailty and attitudes towards ageing. Frailty and falls were experienced through varying perceptions of identity and self, underpinned by acceptance, or otherwise, of an altered sense of embodiment and a life with limits.

Conclusion

Older adults generally hold negative perceptions of frailty, falls and ageing, but also challenged the negative terms frequently used to describe frailty, suggesting some frail older adults remain positive and still value life. Paramedics are likely to require further training and support to manage patients with frailty effectively and improve patient experience.

Innovation

This study uniquely explores frailty and falls through the stories of older adults using an NHS ambulance service. It highlights that older adults in this setting often differ from the older population in general, have a higher frailty prevalence than patients in other settings and appear to view the future with greater pessimism.

目的：对于医疗保健系统以及个性化护理议程而言，虚弱越来越重要。尽管不断发展的研究机构探索脆弱和跌倒在救护车设置，虚弱的老年人谁使用救护车服务的声音，很少听到。通过第一手资料，本研究旨在描述一群老年人的经历和对脆弱的看法。方法在2022年7月至2023年2月期间进行了一项描述性现象学研究，涉及8名身体虚弱的参与者，他们在跌倒后使用了英国国家卫生服务（NHS）地区救护车服务。结果来自老年人的说法强调了对虚弱的不同看法和对老龄化的不同态度。脆弱和跌倒是通过对身份和自我的不同认知而经历的，以接受为基础，或者以其他方式，一种改变的体现感和有限制的生活。结论老年人普遍对虚弱、跌倒和衰老持负面看法，但也对经常用来描述虚弱的负面术语提出了质疑，这表明一些虚弱的老年人仍然保持积极的态度，仍然重视生命。护理人员可能需要进一步的培训和支持，以有效地管理虚弱的患者并改善患者的体验。创新：这项研究独特地探讨了老年人使用NHS救护车服务的脆弱性。它强调，在这种情况下的老年人通常不同于一般的老年人口，比其他情况下的患者有更高的虚弱患病率，并且对未来的看法似乎更悲观。

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引用次数: 0