scholarly journals Factors Influencing Sustained Engagement with ECG Self-Monitoring: Perspectives from Patients and Health Care Providers

2018 ◽  
Vol 09 (04) ◽  
pp. 772-781 ◽  
Author(s):  
Meghan Reading ◽  
Dawon Baik ◽  
Melissa Beauchemin ◽  
Kathleen Hickey ◽  
Jacqueline Merrill
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Care Providers ◽  
Self Monitoring ◽  
Major Barrier ◽  
Utaut Model ◽  
History Of ◽  
Mhealth Technology

Background Patient-generated health data (PGHD) collected digitally with mobile health (mHealth) technology has garnered recent excitement for its potential to improve precision management of chronic conditions such as atrial fibrillation (AF), a common cardiac arrhythmia. However, sustained engagement is a major barrier to collection of PGHD. Little is known about barriers to sustained engagement or strategies to intervene upon engagement through application design. Objective This article investigates individual patient differences in sustained engagement among individuals with a history of AF who are self-monitoring using mHealth technology. Methods This qualitative study involved patients, health care providers, and research coordinators previously involved in a randomized, controlled trial involving electrocardiogram (ECG) self-monitoring of AF. Patients were adults with a history of AF randomized to the intervention arm of this trial who self-monitored using ECG mHealth technology for 6 months. Semistructured interviews and focus groups were conducted separately with health care providers and research coordinators, engaged patients, and unengaged patients. A validated model of sustained engagement, an adapted unified theory of acceptance and use of technology (UTAUT), guided data collection, and analysis through directed content analysis. Results We interviewed 13 patients (7 engaged, 6 unengaged), 6 providers, and 2 research coordinators. In addition to finding differences between engaged and unengaged patients within each predictor in the adapted UTAUT model (perceived ease of use, perceived usefulness, facilitating conditions), four additional factors were identified as being related to sustained engagement in this population. These are: (1) internal motivation to manage health, (2) relationship with health care provider, (3) supportive environments, and (4) feedback and guidance. Conclusion Although it required some modification, the adapted UTAUT model was useful in understanding of the parameters of sustained engagement. The findings of this study provide initial requirement specifications for the design of applications that engage patients in this unique population of adults with AF.

scholarly journals Awareness of Oral Cancer Among Dental Patients in Mecca, Saudi Arabia

2020 ◽  
Vol 14 (1) ◽  
pp. 369-374
Author(s):  
Mashael Alqahtani ◽  
Alla Nahhas ◽  
Lujain Malibari ◽  
Maryam Alghamdi ◽  
Sara Bazuhier ◽  
...  
Keyword(s):  
Health Care ◽  
Oral Cancer ◽  
Health Care Providers ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Cross Sectional ◽  
Dental Patients ◽  
Adequate Knowledge ◽  
History Of ◽  
Demographical Data

Background: Oral Cancer (OC) is a serious health problem affecting the oral cavity, which may lead to death. Alcohol, tobacco, and chewing betel are the main risk factors. Early diagnosis and adequate knowledge of OC may improve the survival rate. Objective: This study aimed to assess the knowledge about oral cancer among dental patients in Mecca. Methods: A cross-sectional study was conducted in the dental clinics of Mecca. Interviewer-administered questionnaires were distributed to 416 respondents aged 18 or older, who spoke Arabic or English, had no history of OC, and participated voluntarily. The questionnaire consisted of three sections. The first regarded demographical data, the second measured knowledge about OC, and the third was concerned with education regarding OC provided by health-care providers. The interviewers also educated the participants by handing brochures with information about OC. Results: Knowledge about OC among dental patients in Mecca was found to be significantly low. Only 102 of the 416 participants (24.5%) had any knowledge. Only 3.4% of all participants had been educated about OC by their health-care providers. Conclusion: The results of this study show a considerable lack of general knowledge about OC among dental patients in Mecca. Health programs should be developed to raise the community’s awareness.

scholarly journals Plain Language Summary: Nosebleed (Epistaxis)

2020 ◽  
Vol 162 (1) ◽  
pp. 26-32
Author(s):  
David E. Tunkel ◽  
Sarah M. Holdsworth ◽  
Jacqueline D. Alikhaani ◽  
Taskin M. Monjur ◽  
Lisa Satterfield
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Health Care Providers ◽  
Clinical Practice Guideline ◽  
Medical Advice ◽  
Care Providers ◽  
Plain Language ◽  
Treatment And Prevention ◽  
History Of ◽  
Or History

This plain language summary explains nosebleeds, also known as epistaxis (pronounced ep-ih-stak-sis), to patients. The summary applies to any individual aged 3 years and older with a nosebleed or history of nosebleed who needs medical treatment or wants medical advice. It is based on the 2020 “Clinical Practice Guideline: Nosebleed (Epistaxis).” This guideline uses research to advise doctors and other health care providers on the diagnosis, treatment, and prevention of nosebleeds. The guideline includes recommendations that are explained in this summary. Recommendations may not apply to every patient but can be used to help patients ask questions and make decisions in their own care.

Trauma-Informed Care With Childhood Maltreatment Survivors: What Do Maternity Professionals Want to Learn?

2014 ◽  
Vol 4 (3) ◽  
pp. 191-201 ◽  
Author(s):  
Kristen Choi ◽  
Julia S. Seng
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Nurse Practitioners ◽  
Health Care Professionals ◽  
Childhood Maltreatment ◽  
Perinatal Care ◽  
Care Providers ◽  
History Of ◽  
Maternity Health ◽  
Maternity Health Care

BACKGROUND: Posttraumatic stress disorder (PTSD) affects 8% of pregnant women, and the biggest risk factor for pregnancy PTSD is childhood maltreatment. The care they receive can lead to positive outcomes or to retraumatization and increased morbidity. The purpose of this study is to gather information from a range of clinicians about their continuing education needs to provide perinatal care to women with a maltreatment history and PTSD.METHOD: Maternity health care professionals were interviewed by telephone. Network sampling and purposive sampling were used to include physicians, nurse practitioners, midwives, nurses, and doulas (n = 20), and results were derived from content analysis.RESULTS: Most providers received little or no training on the issue of caring for women with a history of childhood maltreatment or PTSD during their original education but find working with this type of patient rewarding and wish to learn how to provide better care. Providers identified a range of educational needs and recommend offering a range of formats and time options for learning.CONCLUSIONS: Maternity health care providers desire to work effectively with survivor moms and want to learn best practices for doing so. Thus, educational programming addressing provider needs and preferences should be developed and tested to improve care experiences and pregnancy outcomes for women with a history of trauma or PTSD.

scholarly journals Postpartum Depression Among Women With Previous Infertility in Health Care Centers of Hamadan in 2018

2020 ◽  
Vol 7 (2) ◽  
pp. 103-108
Author(s):  
Nasrin Matinnia ◽  
Saeid Yazdi-Ravandi
Keyword(s):  
Health Care ◽  
Marital Satisfaction ◽  
Postpartum Depression ◽  
Health Care Providers ◽  
Significant Relationship ◽  
Care Providers ◽  
The Family ◽  
History Of ◽  
Health Care Centers

Background: Childbirth is one of the essential goals of the family, so that infertility can cause many problems for the family. Therefore, the aims of the current study were the frequency of postpartum depression and evaluate the relationship between postpartum depression, socio-demographic factors, and quality of marital satisfaction in postpartum women with a history of infertility referring to health centers in Hamadan. Methods: This study was a cross-sectional study. The study population consisted of all primiparous women with a history of infertility referring to Hamadan health care centers in 2018, of which 240 randomly selected according to the inclusion criteria for one year. Subjects assessed by demographic and clinical information checklist, Edinburgh Postnatal Depression Scale (EPDS), and marital relationship quality scale (Revised Dyadic Adjustment Scale; RDAS). All statistical calculations performed by busing chi-square with SPSS-17. Results: 152 out of 240 participants (63.3%) had a degree of depression, of which 57 (23.7%) had mild depression, 63 (26.3%) had moderate depression, and 32 (13.3%) had severe depression. According to the result of the study, marital satisfaction in 23.3% (56), 37.1% (89), and 39.6% (95) were excellent, moderate, and low, respectively — the quality of marital relationships associated significantly with and postpartum depression (χ2=19.3, P<0.001). The results of the study showed that there was a significant relationship between age, occupation, educational level, duration of infertility, and depression (P<0.05), but there was no significant relationship between ethnicity, insurance, and depression (P<0.05). Conclusion: Regarding the results obtained in this study and comparison with existing studies, the infertility problem can cause mental and psychological disorders in women. It seems that marital satisfaction and its relationship with different factors and the proper interventions by health care providers are necessary to prevent postpartum depression in these women.

scholarly journals Provision of Virtual Outpatient Care during the COVID-19 Pandemic and Beyond: Enabling Factors and Experiences from the UBC Pharmacists Clinic

2020 ◽  
Vol 11 (4) ◽  
pp. 7
Author(s):  
Jillian Reardon ◽  
Jamie Yuen ◽  
Timothy Lim ◽  
Richard Ng ◽  
Barbara Gobis
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Health Care Providers ◽  
Care Delivery ◽  
Lessons Learned ◽  
Ease Of Use ◽  
Care Providers ◽  
Enabling Factors ◽  
High Satisfaction ◽  
Technological Barriers

The COVID-19 pandemic has generated an unprecedented level of interest in, and uptake of, technology-enabled virtual health care delivery as clinicians seek ways to safely care for patients with physical distancing. This paper describes the UBC Pharmacists Clinic’s technical systems and lessons learned using enabling technology and the provision of virtual patient care by pharmacists.    Of 2036 scheduled appointments at the clinic in 2019, only 1.5% of initial appointments were conducted virtually which increased to 64% for follow-up appointments. Survey respondents (n = 18) indicated an overall high satisfaction with the format, quality of care delivery, ease of use and benefits to their overall health. Other reports indicate that the majority of patients would like the option to book appointments electronically, email their healthcare provider, and have telehealth visits, although a small minority (8%) have access to virtual modes of care. The Clinic team is bridging the technology gap to better align virtual service provision with patient preferences. Practical advice and information gained through experience are shared here.  As the general population and health care providers become increasingly comfortable with video conferencing as a result of COVID-19, it is anticipated that requests for video appointments will increase, technological barriers will decrease and conditions will enable providers to increase their virtual care capabilities. Lessons learned at the Clinic have application to pharmacists in both out-patient and in-patient care settings.   Article Type: Clinical Experience

Patient use of online medical records: an application of technology acceptance framework

2019 ◽  
Vol 28 (1) ◽  
pp. 97-115
Author(s):  
Surma Mukhopadhyay ◽  
Ramsankar Basak ◽  
Darrell Carpenter ◽  
Brian J. Reithel
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Medical Records ◽  
Perceived Usefulness ◽  
Security And Privacy ◽  
Care Providers ◽  
Content Type ◽  
The Us ◽  
Continued Use ◽  
Patient Use

Purpose Little is known about factors that affect patient use of online medical records (OMR). Specifically, with rising vulnerability concerns associated with security and privacy breaches, patient use of OMR requires further attention. This paper aims to investigate patient use of OMR. Using the Unified Theory of Acceptance and Use of Technology (UTAUT), factors affecting continued use of OMR were examined. Design/methodology/approach The Health Information National Trends Survey 5 (HINTS 5), Cycle 1 data were used. This is an ongoing nation-wide survey sponsored by the National Cancer Institute (NCI) of the USA. The subjects were 31-74 years old with access to the Internet. Descriptive information was projected to the US population. Findings In total, 765 respondents representing 48.7 million members of the US population were analyzed. Weighted regression results showed significant effects of perceived usefulness, visit frequency and provider encouragement on continued use of OMR while vulnerability perception was not significant. Moderating effects of these variables were also noted. Perceived usefulness and provider encouragement emerged as important predictors. Practical implications Insights may help design interventions by health-care providers and policymakers. Social implications Insights should help patient empowerment and developers with designing systems. Originality/value This is the first study to examine health-care consumers’ continued use of OMR using nationally representative data and real-world patients, many of who have one or more chronic diseases (e.g. diabetes, hypertension, asthma) or are cancer survivors. Results highlight factors helping or hindering continuing OMR use. As such, insights should help identify opportunities to increase the extent of use, project future OMR usage patterns and spread the benefits of OMR, including bringing forth positive health outcomes.

scholarly journals Experiences of Uncertainty in Men With an Elevated PSA

2016 ◽  
Vol 11 (1) ◽  
pp. 24-34 ◽  
Author(s):  
Caitlin Biddle ◽  
Alicia Brasel ◽  
Willie Underwood ◽  
Heather Orom
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Information Exchange ◽  
Specific Antigen ◽  
Significant Proportion ◽  
Management Plan ◽  
Care Seeking ◽  
Care Providers ◽  
Self Monitoring ◽  
Semistructured Interviews

A significant proportion of men, ages 50 to 70 years, have, and continue to receive prostate specific antigen (PSA) tests to screen for prostate cancer (PCa). Approximately 70% of men with an elevated PSA level will not subsequently be diagnosed with PCa. Semistructured interviews were conducted with 13 men with an elevated PSA level who had not been diagnosed with PCa. Uncertainty was prominent in men’s reactions to the PSA results, stemming from unanswered questions about the PSA test, PCa risk, and confusion about their management plan. Uncertainty was exacerbated or reduced depending on whether health care providers communicated in lay and empathetic ways, and provided opportunities for question asking. To manage uncertainty, men engaged in information and health care seeking, self-monitoring, and defensive cognition. Results inform strategies for meeting informational needs of men with an elevated PSA and confirm the primary importance of physician communication behavior for open information exchange and uncertainty reduction.

scholarly journals Health Care Practitioners’ Determinants of Telerehabilitation Acceptance

2020 ◽  
Vol 12 (1) ◽  
pp. 43-50
Author(s):  
Abdullah A. Almojaibel ◽  
Niki Munk ◽  
Lynda T. Goodfellow ◽  
Thomas F. Fisher ◽  
Kristine K. Miller ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Pulmonary Rehabilitation ◽  
Perceived Usefulness ◽  
Care Providers ◽  
Chronic Respiratory Diseases ◽  
Rehabilitation Programs ◽  
Health Care Practitioners ◽  
Intent To Use ◽  
Survey Results

Background: Pulmonary rehabilitation is a multidisciplinary patient-tailored intervention that aims to improve the physical and psychological condition of people with chronic respiratory diseases. Providing pulmonary rehabilitation (PR) services to the growing population of patients is challenging due to shortages in health care practitioners and pulmonary rehabilitation programs. Telerehabilitation has the potential to address this shortage in practitioners and PR programs as well as improve patients’ participation and adherence. This study’s purpose was to identify and evaluate the influences of intention of health care practitioners to use telerehabilitation. Methods: Data were collected through a self-administered Internet-based survey. Results: Surveys were completed by 222 health care practitioners working in pulmonary rehabilitation with 79% having a positive intention to use telerehabilitation. Specifically, perceived usefulness was a significant individual predictor of positive intentions to use telerehabilitation. Conclusion: Perceived usefulness may be an important factor associated with health care providers’ intent to use telerehabilitation for pulmonary rehabilitation.

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