scholarly journals Development and Evaluation of Evidence Based Patient Education Booklet in Hindi Language for Prevention of Shoulder Pain in Paraplegia

2021 ◽  
Vol 6 (4) ◽  
pp. 166-169
Author(s):  
Taniya Verma ◽  
Chitra Kataria
Keyword(s):  
Patient Education ◽  
Shoulder Pain ◽  
Weight Bearing ◽  
Treatment Options ◽  
Evidence Based ◽  
Suitability Assessment ◽  
Education Material ◽  
Informal Interview ◽  
Hindi Language ◽  
Evaluation Of Evidence

Background: Shoulder pain is one of the most frequent complaints of Paraplegia with a prevalence reported to range from 50% to 60%.It has been attributed to the increase in upper extremity (UE) weight bearing following lower extremity paralysis. Purpose of the study: To develop and Evaluate an Evidence Based Patient Education Booklet in Hindi Language for Prevention of Shoulder Pain in Paraplegia along with pictorial presentation. Design: A methodological study Method: It consist of 4 steps. 1) Literature review and informal interview of 2 doctors, 7 physiotherapists, 5 occupational therapists and 10 patients were used to determine the domains of the education booklet. 2) Development of content of the evidence based patient education booklet according to domains found in step 1 and develop a rough draft of booklet in Hindi Language. 3) Evaluation of the evidence based booklet by expert panel using SAM and to modify the booklet to produce the final booklet draft. 4) Pilot study on patients to take their views regarding the booklet developed. Results: The domains found in step 1 were: Education about pain, Education about the treatment options, Ergonomics modifications, Positioning, Wheel chair selection and transfer techniques, Exercises, General precautions. The content was developed in step 2. In step 3 the SAM score is- 88.13% and final booklet was produced after modification. In step 4 the patient rated the booklet easy to read and understand with an overall rating of 9/10 Conclusion: The developed patient education booklet came out to be easy to read and understand and of superior quality according to Suitability assessment of material questionnaire and hence should be made a part of patient education. Keywords: Patient education booklet, Shoulder pain in paraplegia, Suitability assessment of material questionnaire, booklet in Hindi language, Pain prevention and management, Health education material

scholarly journals Personality Traits and Annual Income Determine the Willingness to Pay for a Single Tooth Implant

Healthcare ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 952
Author(s):  
Shirlene Foo Yih Ting ◽  
Kimberley Chew Wen Chien ◽  
Nurul Hanis Ramzi ◽  
Allan Pau ◽  
Rohit Kunnath Menon
Keyword(s):  
Patient Education ◽  
Willingness To Pay ◽  
Personality Traits ◽  
Treatment Options ◽  
Health Centre ◽  
Evidence Based ◽  
Annual Income ◽  
Single Tooth ◽  
Significant Difference ◽  
Single Tooth Implant

The objective of this study was to evaluate the factors influencing the willingness to pay for a single tooth implant in Malaysia and to assess if an additional evidence-based patient education video increases the willingness to pay. A total of 100 subjects seeking single tooth replacement at the Oral Health Centre, International Medical University (IMU), Kuala Lumpur, Malaysia, were asked to complete questionnaires about personal demographics and personality traits. Subsequently, they were randomly allocated into two groups. Group C received a conventional patient–dentist interaction on treatment options for missing teeth, while Group EV received the same content with an additional evidence-based video on the survival rate and complications for each option from recent meta-analyses. Willingness to pay the median price and the highest price that the subjects were willing to pay were assessed by a structured bidding process. A higher annual income was significantly associated with willingness to pay the median price for a single tooth implant (χ2 = 6.91, p = 0.03). Dominant personality traits of openness (r = −0.25), conscientiousness (r = −0.30) and agreeableness (r = −0.20) were negatively correlated with the highest price that the patients were willing to pay for a single tooth implant (Pearson’s correlation test, p < 0.05). No significant difference in willingness to pay was found between Group C and Group EV (χ2 = 0.05, p > 0.05). In conclusion, patient education strategies for single tooth replacements with dental implants should be customized based on a patient’s personality and income to maximize effectiveness.

scholarly journals Readability Assessment of Oculoplastic Surgery Patient Education Materials

2021 ◽  
Vol 8 (1) ◽  
pp. 1-5
Author(s):  
Haaris M Khan ◽  
Keyword(s):  
Patient Education ◽  
Medical Information ◽  
Treatment Options ◽  
Reading Level ◽  
Difficult Patient ◽  
Multifaceted Approach ◽  
Patient Education Material ◽  
Education Material ◽  
Surgery Patient ◽  
Readability Assessment

Our study found that the majority of websites analyzed contained patient education material that was at a reading level much higher than recommended for the general public. Difficult patient education material can lead to misinterpretation of health information which can negatively affect patient care. We suggest a multifaceted approach in order to ensure patients are able to comprehend complex medical information and feel comfortable making decisions about treatment options

THU0578 ONLINE CME IMPROVES CLINICAL DECISION-MAKING IN THE MANAGEMENT OF PATIENTS WITH PSORIATIC DISEASE

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 530-530
Author(s):  
E. Bell ◽  
A. B. Gottlieb ◽  
P. J. Mease ◽  
G. Littman ◽  
M. Via
Keyword(s):  
Folic Acid ◽  
Patient Education ◽  
Treatment Options ◽  
Patient Characteristics ◽  
Skin Lesions ◽  
Evidence Based ◽  
Clinical Decisions ◽  
Research Support ◽  
Research Grants ◽  
Evidence Based Therapy

Background:Psoriatic arthritis can be a challenging condition for rheumatologists to manage.Objectives:We assessed whether an online, virtual patient simulation (VPS) activity could improve the performance of rheumatologists in ordering appropriate tests, tailoring treatment options and selecting an evidence-based treatment for patients with PsA.Methods:This CME-certified VPS consisted of 2 patient cases presented in a platform that allowed physicians to assess the patients and complete open-field entries, choosing from an extensive database of diagnostic and treatment options reflecting the scope and depth of actual practice. After each decision, learners received clinical guidance (CG) based on current evidence and faculty recommendations. Clinical decisions were compared pre- and post-CG using a 2-tailed paired t-test to determinePvalues (P<.05 is significant). Rationales for clinical decisions were collected in real time. Data were collected between 28 February 2019 and 16 May 2019 and reported here as % relative improvement,Pvalue.Results:Case 1 (n=48 rheumatologists):45 yr old female patient diagnosed with PSO 5 years ago. Current treatment with MTX 15mg & folic acid once weekly plus ibuprofen. Experiencing nausea and increasing skin lesions. Recently showing signs and symptoms of PsA.Statistically significant changes were observed for:•Ordering appropriate tests to evaluate the patient (chemistry panel, 11%,P=.04; full blood count [FBC], 10%,P=.04; IFNƴ release assay for TB, 22%,P=.01; liver function tests [LFTs],13%,P=.02; rheumatology consult, 19%,P=.01 and viral hepatitis panel, 52%,P<.001)•Tailoring treatment options based on individual patient characteristics and available evidence (discontinue MTX [46%]and folic acid [140%], bothP<.001; order patient education, 24%,P=.006; guidance on lifestyle changes, 20%,P=.01; preventative vaccines prior to ant-TNF therapy, 38%,P=.002 and a followup appointment at an appropriate timescale, 26%,P=.006)•Selecting an evidence-based therapy for a patient newly diagnosed with PsA while on MTX therapy (adalimumab, 138%,P<.001)Case 2 (n=116 rheumatologists):55 yr old male who has had PSO for 9 years. Developed joint symptoms 1 year ago. Diagnosed with PsA & treated with MTX/folic acid. Elevated liver enzymes noted after 9 months; treatment switched to adalimumab. Skin lesions much improved but ongoing issues with pain and stiffness in hands. Current medications are citalopram, adalimumab, simvastatin and triamcinolone for skin flares.Statistically significant changes were observed for:•Ordering appropriate tests to evaluate the patient (C-reactive protein [9%], erythrocyte sedimentation rate [9%] and FBC [17%], all P<.01; Beck depression inventory [51%], BSAxPGA [21%], chemistry panel [15%], Global QoL 13%], Leeds enthesitis index [25%], LFTs [32%], PGA [21%], RAPID3 [63%], total BSA [137%]and X-ray of hands and feet [27%], allP<.001)•Tailoring treatment options based on individual patient characteristics and available evidence (discontinue biologic DMARD [67%], order patient education [22%], physical therapy [31%] and occupational therapy 27%], preventative vaccines [35%], psychosocial counselling [31%] and a follow-up appointment at an appropriate timescale [32%], allP<.001)•Selecting an evidence-based therapy for a patient with inadequate control of PsA on adalimumab (secukinumab, 152%,P<.001; ixekizumab, 167%,P=.01)Conclusion:These results demonstrate the success of immersive, online VPS education that engages physicians in a practical learning experience in improving their performance in managing patients with PsA.References:[1]https://www.medscape.org/viewarticle/902369Disclosure of Interests:Elaine Bell: None declared, Alice B Gottlieb Grant/research support from:: Research grants, consultation fees, or speaker honoraria for lectures from: Pfizer, AbbVie, BMS, Lilly, MSD, Novartis, Roche, Sanofi, Sandoz, Nordic, Celltrion and UCB., Consultant of:: Research grants, consultation fees, or speaker honoraria for lectures from: Pfizer, AbbVie, BMS, Lilly, MSD, Novartis, Roche, Sanofi, Sandoz, Nordic, Celltrion and UCB., Speakers bureau:: Research grants, consultation fees, or speaker honoraria for lectures from: Pfizer, AbbVie, BMS, Lilly, MSD, Novartis, Roche, Sanofi, Sandoz, Nordic, Celltrion and UCB., Philip J Mease Grant/research support from: Abbott, Amgen, Biogen Idec, BMS, Celgene Corporation, Eli Lilly, Novartis, Pfizer, Sun Pharmaceutical, UCB – grant/research support, Consultant of: Abbott, Amgen, Biogen Idec, BMS, Celgene Corporation, Eli Lilly, Novartis, Pfizer, Sun Pharmaceutical, UCB – consultant, Speakers bureau: Abbott, Amgen, Biogen Idec, BMS, Eli Lilly, Genentech, Janssen, Pfizer, UCB – speakers bureau, Gwen Littman: None declared, Mark Via: None declared

An evaluation of a shoulder rehabilitation class in a UK hospital following evidence-based modifications

2021 ◽  
pp. 1-8
Author(s):  
Emily Kell ◽  
John A. Hammond ◽  
Sophie Andrews ◽  
Christina Germeni ◽  
Helen Hingston ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Shoulder Pain ◽  
Management Strategies ◽  
Cost Effective ◽  
Rehabilitation Programme ◽  
Patient Specific ◽  
Satisfaction Survey ◽  
Evidence Based ◽  
Patient Satisfaction Survey ◽  
Significant Difference

OBJECTIVES: Shoulder pain is a common musculoskeletal disorder, which carries a high cost to healthcare systems. Exercise is a common conservative management strategy for a range of shoulder conditions and can reduce shoulder pain and improve function. Exercise classes that integrate education and self-management strategies have been shown to be cost-effective, offer psycho-social benefits and promote self-efficacy. This study aimed to examine the effectiveness of an 8-week educational and exercise-based shoulder rehabilitation programme following the introduction of evidence-based modifications. METHODS: A retrospective evaluation of a shoulder rehabilitation programme at X Trust was conducted, comparing existing anonymised Shoulder Pain and Disability Index (SPADI) and Patient-Specific Functional Scale (PSFS) scores from two cohorts of class participants from 2017-18 and 2018-19 that were previously collected by the physiotherapy team. Data from the two cohorts were analysed separately, and in comparison, to assess class efficacy. Descriptive data were also analysed from a patient satisfaction survey from the 2018-19 cohort. RESULTS: A total of 47 patients completed the 8-week shoulder rehabilitation programme during the period of data collection (2018-2019). The 2018-19 cohort showed significant improvements in SPADI (p 0.001) and PSFS scores (p 0.001). No significant difference was found between the improvements seen in the 2017-18 cohort and the 2018-19 cohort. 96% of the 31 respondents who completed the patient satisfaction survey felt the class helped to achieve their goals. CONCLUSION: A group-based shoulder rehabilitation class, which included loaded exercises and patient education, led to improvements in pain, disability and function for patients with rotator cuff related shoulder pain (RCRSP) in this outpatient setting, but anticipated additional benefits based on evidence were not observed.

Explaining the causal links between illness management and symptom reduction: Development of an evidence-based patient education strategy

2017 ◽  
Vol 100 (6) ◽  
pp. 1169-1176 ◽  
Author(s):  
Karen M. Zhang ◽  
Leora C. Swartzman ◽  
Robert J. Petrella ◽  
Dawn P. Gill ◽  
John Paul Minda
Keyword(s):  
Patient Education ◽  
Symptom Reduction ◽  
Evidence Based ◽  
Illness Management ◽  
Education Strategy

scholarly journals COVID-19: Before the Fall, An Evidence-Based Narrative Review of Treatment Options

2021 ◽  
Author(s):  
Nicholas Rebold ◽  
Dana Holger ◽  
Sara Alosaimy ◽  
Taylor Morrisette ◽  
Michael Rybak
Keyword(s):  
Treatment Options ◽  
Narrative Review ◽  
Evidence Based

Understandability, actionability and suitability of educational videos on dietary management for hypertension

2022 ◽  
pp. 001789692110722
Author(s):  
Mohd Ramadan Ab Hamid ◽  
Nur Dalia Binti Mohd Yusof ◽  
Siti Sabariah Buhari
Keyword(s):  
Patient Education ◽  
Healthcare Professionals ◽  
Assessment Tool ◽  
Dietary Management ◽  
Educational Video ◽  
Lifestyle Modifications ◽  
Educational Tools ◽  
Suitability Assessment ◽  
Educational Videos ◽  
Convenience Sampling

Background: Educational video is a productive means to advocate lifestyle modifications such as changes in the dietary routine. This study assesses the understandability, actionability and suitability of newly developed educational videos aimed at encouraging dietary adjustments among hypertension patients. Method: In all, 183 participants were recruited via convenience sampling and rated the understandability, actionability and suitability of the videos using the Patient Education Materials Assessment Tool for Audio-Visual material (PEMAT-A/V) and the Suitability Assessment of Materials (SAM) scale. Results: Eleven videos were developed from five main topics related to the dietary management of hypertension. Participants agreed that all videos were highly understandable, actionable and suitable for use as educational tools, with scores of more than 85%, 89% and 80%, respectively. Conclusion/Implications: Overall, the newly developed videos gained high scores for understandability, actionability and suitability. This finding reflects positive acceptance of the videos among various healthcare professionals and patients with hypertension.

Behavioural Foundations of DBT

2017 ◽  
pp. 68-90
Author(s):  
Alexander L. Chapman
Keyword(s):  
Evidence Based ◽  
Case Formulation ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy ◽  
Behavioural Theory ◽  
Evaluation Of Evidence ◽  
Ongoing Assessment

This chapter discusses and illustrates how behavioural theory and science guide many aspects of Dialectical Behaviour Therapy (DBT). Behavioural theory informs the DBT approach to case formulation, the ongoing assessment of behaviour throughout therapy, and the selection, implementation, and evaluation of evidence-based interventions. As described later in this chapter, behavioural theory also influences the style and “flavour” of DBT sessions. As the focus of the first stage of DBT often focuses on the treatment of suicidal and self-injurious behaviour, the chapter emphasizes these behaviours via several examples, and also touches upon some other common behaviours targeted in DBT.

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