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1.
Behav Sci (Basel) ; 14(5)2024 Apr 23.
Artigo em Inglês | MEDLINE | ID: mdl-38785844

RESUMO

Automated text generation (ATG) technology has evolved rapidly in the last several years, enabling the spread of content produced by artificial intelligence (AI). In addition, with the release of ChatGPT, virtually everyone can now create naturally sounding text on any topic. To optimize future use and understand how humans interact with these technologies, it is essential to capture people's attitudes and beliefs. However, research on ATG perception is lacking. Based on two representative surveys (March 2022: n1 = 1028; July 2023: n2 = 1013), we aimed to examine the German population's concepts of and attitudes toward AI authorship. The results revealed a preference for human authorship across a wide range of topics and a lack of knowledge concerning the function, data sources, and responsibilities of ATG. Using multiple regression analysis with k-fold cross-validation, we identified people's attitude toward using ATG, performance expectancy, general attitudes toward AI, and lay attitude toward ChatGPT and ATG as significant predictors of the intention to read AI-written texts in the future. Despite the release of ChatGPT, we observed stability across most variables and minor differences between the two survey points regarding concepts about ATG. We discuss the findings against the backdrop of the ever-increasing availability of automated content and the need for an intensive societal debate about its chances and limitations.

2.
Front Public Health ; 12: 1343225, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38645444

RESUMO

Background: Empathic concern and perspective-taking may contribute to avoiding stigmatization of adverse health behavior. Narrative writing has been shown to be effective in promoting perspective-taking and empathy. But since narrative writing is time consuming, we tested in the present study narrative reading as an alternative, more parsimonious approach. Methods: In a randomized controlled experiment, we compared writing a narrative text about a fictitious person who displays disapproved of health behavior to reading such a text and to a control condition in which participants wrote about an unrelated topic. With a sample of n = 194 participants, we investigated the impact of writing and reading a narrative text on promoting empathic concern and perspective-taking as well as on attitude change. Results: We found that both writing and reading a narrative text about the fictitious character increased empathic concern, F(1, 191) = 32.85, p < 0.001, part. η2 = 0.15, and perspective-taking, F(1, 191) = 24.76, p < 0.001, part. η2 = 0.12, more strongly than writing about an unrelated topic. Writing and reading a narrative text also resulted in a more positive attitude toward this person, F(1, 191) = 17.63, p < 0.001, part. η2 = 0.08. Simply reading a narrative text was equally efficient as narrative writing with respect to empathic concern, p = 0.581, perspective-taking, p = 0.629, and attitude, p = 0.197. Conclusion: The finding that narrative reading is as effective as narrative writing suggests that the readers appear to be able to comprehend and engage with the story being told. When narrative reading is as effective as narrative writing, it can succeed with reduced effort in increasing empathic concern, perspective-taking, and attitude. We discuss the benefits of this approach for reducing stigmatization of adverse health behavior.


Assuntos
Empatia , Narração , Leitura , Redação , Humanos , Feminino , Masculino , Adulto , Adulto Jovem , Comportamentos Relacionados com a Saúde , Atitude , Adolescente
3.
J Eat Disord ; 12(1): 1, 2024 Jan 02.
Artigo em Inglês | MEDLINE | ID: mdl-38167233

RESUMO

BACKGROUND: Patients with eating disorders (ED) typically report delays between the onset of symptoms and engagement with treatment services. Personal barriers including stigma, shame, and guilt, as well as the availability of social support may influence patients' decisions to engage with treatment services. Patient narratives are personalized stories discussing the illness and recovery of previously affected persons. Such narratives can reduce self-stigma and provide current patients with hope for their own recovery. METHOD: This pilot study will examine the effects of patient narrative videos on the treatment motivation and uptake of treatment services for patients with ED. Three narrative videos were developed from the perspectives of (a) a former patient with an ED, (b) an ED specialist, and (c) the same former patient discussing a somatic condition unrelated to ED. Patients will be randomized into three video viewing and one treatment-as-usual group. Effects on treatment motivation will be assessed using the University of Rhode Island Change Assessment Scale (URICA-S) immediately after viewing the videos, as well as one-week and three-month follow-ups. Treatment uptake will be assessed during follow-up using a questionnaire listing possible treatment interactions. A post-intervention questionnaire and semi-structured interviews will be used to assess the feasibility and acceptability of patient narrative videos for this population. DISCUSSION: There is an urgent need to encourage patients with ED to engage with specialized treatments as soon as possible. Patient narratives may be a pivotal approach to implementing cost effective and easy to disseminate early intervention programs to future patients with ED.

4.
J Med Educ Curric Dev ; 10: 23821205231219346, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38075443

RESUMO

Objectives: Artificial intelligence (AI) is used in a variety of contexts in medicine. This involves the use of algorithms and software that analyze digital information to make diagnoses and suggest adapted therapies. It is unclear, however, what medical students know about AI in medicine, how they evaluate its application, and what they expect from their medical training accordingly. In the study presented here, we aimed at providing answers to these questions. Methods: In this survey study, we asked medical students about their assessment of AI in medicine and recorded their ideas and suggestions for considering this topic in medical education. Fifty-eight medical students completed the survey. Results: Almost all participants were aware of the use of AI in medicine and had an adequate understanding of it. They perceived AI in medicine to be reliable, trustworthy, and technically competent, but did not have much faith in it. They considered AI in medicine to be rather intelligent but not anthropomorphic. Participants were interested in the opportunities of AI in the medical context and wanted to learn more about it. They indicated that basic AI knowledge should be taught in medical studies, in particular, knowledge about modes of operation, ethics, areas of application, reliability, and possible risks. Conclusions: We discuss the implications of these findings for the curricular development in medical education. Medical students need to be equipped with the knowledge and skills to use AI effectively and ethically in their future practice. This includes understanding the limitations and potential biases of AI algorithms by teaching the sensible use of human oversight and continuous monitoring to catch errors in AI algorithms and ensure that final decisions are made by human clinicians.

5.
Bioscience ; 73(3): 206-219, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-36936382

RESUMO

Citizen science projects are crucial for engaging citizens in conservation efforts. Although attitudes toward engagement in citizen science were mostly considered an outcome of citizen science participation, citizens may also have a certain attitude toward engagement in citizen science when starting with a citizen science project. Moreover, there is a lack of citizen science studies that consider changes over longer periods of time. Therefore, in this research, we present two-wave data from four field studies of a citizen science project about urban wildlife ecology using cross-lagged panel analyses. We investigated the influence of attitudes toward engagement in citizen science on self-related, ecology-related, and motivation-related outcomes. We found that positive attitudes toward engagement in citizen science at the beginning of the project had positive influences on the participants' psychological ownership and pride in their participation, their attitudes toward and enthusiasm about wildlife, and their internal and external motivation 2 months later. We discuss the implications for citizen science research and practice.

6.
BMC Med Educ ; 22(1): 765, 2022 Nov 08.
Artigo em Inglês | MEDLINE | ID: mdl-36348330

RESUMO

BACKGROUND: Efficient metacognitive monitoring, that is the monitoring of one's own thought processes and specifically one's state of knowledge, is essential for effective clinical reasoning. Knowing what one does and does not know is a competency that students of health professions need to develop. Students often tend to develop false certainty in their own knowledge in the longer course of their education, but the time frame that is required for this effect to occur has remained unclear. We investigated whether students developed false certainty already after one course unit. METHODS: This study analysed data from one sample of medical students and four samples of physiotherapy students in two formal educational settings (total N = 255) who took knowledge tests before and after a course unit. We examined changes in students' confidence separately for correctly and incorrectly answered questions and analysed their ability to assign higher levels of confidence to correct answers than to incorrect answers (discrimination ability). RESULTS: Students' knowledge as well as confidence in their correct answers in knowledge tests increased after learning. However, consistently for all samples, confidence in incorrect answers increased as well. Students' discrimination ability improved only in two out of the five samples. CONCLUSIONS: Our results are in line with recent research on confidence increase of health professions students during education. Extending those findings, our study demonstrated that learning in two different formal educational settings increased confidence not only in correct but also in incorrect answers to knowledge questions already after just one learning session. Our findings highlight the importance of improving metacognition in the education of health professionals-especially their ability to know what they do not know.


Assuntos
Metacognição , Estudantes de Medicina , Humanos , Estudantes de Medicina/psicologia , Aprendizagem , Ocupações em Saúde , Pessoal de Saúde
7.
Artigo em Inglês | MEDLINE | ID: mdl-35627776

RESUMO

Background: Summaries of systematic reviews are a reference method for the dissemination of research evidence on the effectiveness of public health interventions beyond the scientific community. Motivated reasoning and cognitive dissonance may interfere with readers' ability to process the information included in such summaries. Methods: We conducted a web experiment on a panel of university-educated North Americans (N = 259) using a systematic review of the effectiveness of bicycle helmet legislation as a test case. The outcome variables were the perceived tentativeness of review findings and attitude toward bicycle helmet legislation. We manipulated two types of uncertainty: (i) deficient uncertainty (inclusion vs. non-inclusion of information on limitations of the studies included in the review) and (ii) consensus uncertainty (consensual findings showing legislation effectiveness vs. no evidence of effectiveness). We also examined whether reported expertise in helmet legislation and the frequency of wearing a helmet while cycling interact with the experimental factors. Results: None of the experimental manipulations had a main effect on the perceived tentativeness. The presentation of consensual efficacy findings had a positive main effect on the attitude toward the legislation. Self-reported expertise had a significant main effect on the perceived tentativeness, and exposing participants with reported expertise to results showing a lack of evidence of efficacy increased their favorable attitude toward the legislation. Participants' helmet use was positively associated with their attitude toward the legislation (but not with perceived tentativeness). Helmet use did not interact with the experimental manipulations. Conclusions: Motivated reasoning and cognitive dissonance influence a reader's ability to process information contained in a systematic review summary.


Assuntos
Ciclismo , Dispositivos de Proteção da Cabeça , Dissonância Cognitiva , Humanos , Autorrelato , Revisões Sistemáticas como Assunto
8.
Front Psychol ; 12: 695365, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34393925

RESUMO

Student initiatives for climate justice are driving forces in the climate change debate, but the psychological determinants of students' engagement for climate justice have hardly been investigated so far. For this study, we posited student engagement for climate justice to be a form of collective action and analyzed psychological determinants of collective action as well as subjective processes of change in these determinants. For this purpose, semi-structured interviews were conducted with four individuals who were engaged in different student initiatives. The results of a qualitative content analysis showed that student collective action for climate justice as reported by the respondents reinforced some of the psychological conditions of collective action established in the literature, such as collective and participatory self-efficacy expectations and feelings of fear and anger. We also found, however, that (first-time) participation in collective action cannot be fully explained by those known predictors. A sense of responsibility, awareness of problems, and extrinsic motives, such as social contact, were also conducive to participation, whereas politicized collective identities did not play a significant role. Finally, we discuss the results against the background of existing theoretical considerations and outline implications for further psychological study of collective action.

9.
PLoS One ; 16(7): e0254501, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34252122

RESUMO

OBJECTIVE: Two randomized controlled experiments investigated if writing a narrative text about a fictional person who shows disapproved of behavior in the Covid-19 pandemic influenced empathy, perspective-taking, attitude, and attribution of causes regarding that person's behavior. METHODS: In both studies, a fictional scenario was described, and participants answered questions regarding empathy, perspective-taking, attitude, and attribution regarding a fictional person's disapproved of behavior (pre-post-measurement). Participants were randomly assigned to one of two conditions. In the experimental condition, they wrote a narrative text about the fictional person. In the control condition, they wrote about an unrelated topic. RESULTS: We found that writing a narrative text increased empathy more strongly than writing about an unrelated topic; Study 1: p = 0.004, part.η2 = 0.06, Study 2: p < .001, part.η2 = 0.19. This did not apply to perspective-taking; Study 1: p = 0.415; Study 2: p = 0.074. We also found that writing a narrative text about a fictional person resulted in a more positive attitude toward this person; Study 1: p = 0.005, part.η2 = 0.06; Study 2: p<0.001, part.η2 = 0.10. Finally, in Study 2 we found that participants who wrote a narrative text attributed the person's behavior to internal causes to a lesser degree; p = 0.007, part.η2 = 0.05. CONCLUSION: Our findings indicate that empathy and attitude are positively modifiable through narrative writing tasks. Empathy training could potentially prevent discrimination related to Covid-19. TRIAL REGISTRATION: The studies presented in this article were pre-registered on the pre-registration platform AsPredicted (aspredicted.org) before we began data collection; registration numbers and URL: #44754 https://aspredicted.org/vx37t.pdf (Study 1), and #44753 https://aspredicted.org/ig7kq.pdf (Study 2).


Assuntos
COVID-19/epidemiologia , COVID-19/prevenção & controle , Empatia , Conhecimentos, Atitudes e Prática em Saúde , Narração , Redação , Humanos
10.
JMIR Mhealth Uhealth ; 9(4): e25717, 2021 04 21.
Artigo em Inglês | MEDLINE | ID: mdl-33881402

RESUMO

BACKGROUND: Many people constantly use their smartphones in all kinds of situations. Often smartphones are used in a meaningful and targeted way, but frequently they are used as a pastime without any purpose. This also applies to patients and therapists in treatment situations. OBJECTIVE: The aim of this study was to investigate how purposeful smartphone use compared with recreational smartphone use (by a physiotherapist or by a patient) influenced the perception of a physiotherapeutic treatment situation. We examined the impact of smartphone use during a physiotherapy session on the perception of the physiotherapist, evaluation of attentiveness, and evaluation of smartphone use in physiotherapy in general. METHODS: Members of various music and sports clubs were invited to participate in an online randomized controlled trial. Participants were randomly assigned to one of four conditions. They watched a video in which a physiotherapeutic treatment was shown and in which a smartphone was used or not used in the following four different ways: (1) therapeutically purposeful use, (2) recreational use by the physiotherapist (looking at the phone from time to time with no therapeutic purpose), (3) recreational use by the patient, and (4) no smartphone use (control condition). After watching the video, the participants indicated their perception of the physiotherapist's professional competence, social competence, and empathetic behavior. They also rated the physiotherapist's and patient's attentiveness and evaluated the usage of smartphones generally in physiotherapy. RESULTS: The analysis included 118 participants (63 women and 55 men). When the physiotherapist used the smartphone in a purposeful way, the physiotherapist was perceived as more professionally competent (P=.007), socially competent (P=.03), and empathetic (P=.04) than if the physiotherapist used it with no therapeutic purpose. These effects occurred because recreational smartphone use by the physiotherapist was evaluated more negatively than the behavior in the control condition (professional competence: P=.001; social competence: P=.03; empathy: P=.04). Moreover, when the physiotherapist used the smartphone in a recreational way, the physiotherapist was perceived as being less attentive (P<.001). Likewise, when the patient used the smartphone in a recreational way, the patient was perceived as being less attentive (P<.001). Finally, smartphone use in physiotherapy was rated as more positive in general when the smartphone was used in a purposeful way compared with the conditions in which the physiotherapist or patient looked at the smartphone with no therapeutic purpose (P<.001). This positive evaluation occurred because purposeful use led to a more positive rating than no smartphone use (P<.001, R=0.42). CONCLUSIONS: Smartphones are only appropriate for therapists and patients if they are used directly for a therapeutic purpose. Otherwise, it is better not to use smartphones during treatment. TRIAL REGISTRATION: AsPredicted (aspredicted.org) #24740; https://aspredicted.org/blind.php?x=vv532i.


Assuntos
Fisioterapeutas , Smartphone , Feminino , Humanos , Masculino , Percepção , Modalidades de Fisioterapia , Competência Profissional
12.
Med Educ Online ; 26(1): 1886642, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33588696

RESUMO

Successful shared decision making (SDM) in clinical practice requires that future clinicians learn to appreciate the value of patient participation as early as they can in their medical training. Narratives, such as patient testimonials, have been successfully used to support patients' decision-making process. Previous research suggests that narratives may also be used for increasing clinicians' empathy and responsiveness in medical consultations. However, so far, no studies have investigated the benefits of narratives for conveying the relevance of SDM to medical students. In this randomized controlled experiment, N = 167 medical students were put into a scenario where they prepared for medical consultation with a patient having Parkinson disease. After receiving general information, participants read either a narrative testimonial of a Parkinson patient or a fact-based information text. We measured their perceptions of SDM, their control preferences (i.e., their priorities as to who should make the decision), and the time they intended to spend for the consultation. Participants in the narrative patient testimonial condition referred more strongly to the patient as the one who should make decisions than participants who read the information text. Participants who read the patient narrative also considered SDM in situations with several equivalent treatment options to be more important than participants in the information text condition. There were no group differences regarding their control preferences. Participants who read the patient testimonial indicated that they would schedule more time for the consultation. These findings show that narratives can potentially be useful for imparting the relevance of SDM and patient-centered values to medical students. We discuss possible causes of this effect and implications for training and future research. Trial registration: The study was pre-registered on the pre-registration platform AsPredicted (aspredicted.org) before data collection began (registration number: #29,342). Date of registration: 17 October 2019.


Assuntos
Tomada de Decisão Compartilhada , Narração , Doença de Parkinson/terapia , Participação do Paciente/psicologia , Estudantes de Medicina/psicologia , Adulto , Tomada de Decisões , Feminino , Humanos , Masculino , Percepção , Adulto Jovem
13.
Health Expect ; 24(2): 257-268, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33517579

RESUMO

OBJECTIVE: To participate in shared decision making (SDM), patients need to understand their options and develop trust in their own decision-making abilities. Two experiments investigated the potential of decision aids (DAs) in preparing patients for SDM by raising awareness of preference-sensitivity (Study 1) and showing possible personal motives for decision making (Study 2) in addition to providing information about the treatment options. METHODS: Participants (Study 1: N = 117; Study 2: N = 217) were put into two scenarios (Study 1: cruciate ligament rupture; Study 2: contraception), watched a consultation video and were randomized into one of three groups where they received additional information in the form of (a) narrative patient testimonials; (b) non-narrative decision strategies; and (c) an unrelated text (control group). RESULTS: Participants who viewed the patient testimonials or decision strategies felt better prepared for a decision (Study 1: P < .001, ηP2  = 0.43; Study 2: P < .001, ηP2  = 0.57) and evaluated the decision-making process more positively (Study 2: P < .001, ηP2  = 0.13) than participants in the control condition. Decision certainty (Study 1: P < .001, ηP2  = 0.05) and satisfaction (Study 1: P < .001, ηP2  = 0.11; Study 2: P = .003, d = 0.29) were higher across all conditions after watching the consultation video, and certainty and satisfaction were lower in the control condition (Study 2: P < .001, ηP2  = 0.05). DISCUSSION: Decision aids that explain preference-sensitivity and personal motives can be beneficial for improving people's feelings of being prepared and their perception of the decision-making process. To reach decision certainty and satisfaction, being well informed of one's options is particularly relevant. We discuss the implications of our findings for future research and the design of DAs.


Assuntos
Tomada de Decisão Compartilhada , Participação do Paciente , Tomada de Decisões , Técnicas de Apoio para a Decisão , Humanos , Motivação
14.
Anat Sci Educ ; 14(4): 452-459, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32735751

RESUMO

Interprofessional collaboration (IPC) in the medical field is an important factor for good clinical outcomes and should be taught as early as in undergraduate medical education. Since implementing IPC training is an organizational challenge, students are often limited in their opportunities to experience real-life IPC. Therefore, an approach where students observe successful IPC activities of role models in an applied anatomical format was proposed. It was studied whether observing IPC activities in undergraduate anatomical education has an impact on both students' attitude toward IPC and on knowledge acquisition. Further, it was examined whether the attitudes and knowledge of students from different medical disciplines were influenced in different ways. Therefore, 75 medical students and thirty-eight physiotherapy students participated in a study with the task of observing a live broadcast of an interprofessional teaching session. Participants were asked about their attitudes toward interprofessional learning, their evaluation of professional responsibilities, and their profession-specific knowledge before and after observing the IPC session. The participants' attitude toward interprofessional learning improved for both groups of students. Moreover, students of physiotherapy adjusted their evaluation of their own and others' professional responsibilities after observing IPC. In both student groups, knowledge increased, in particular, with respect to the field of knowledge in other professions. So, observing IPC can modify students' attitudes and support knowledge acquisition. The implementation of IPC observations provides students from various healthcare disciplines with a clearer impression of professionals' responsibilities and gives learners the opportunity to acquire knowledge from healthcare fields unfamiliar to them.


Assuntos
Anatomia , Estudantes de Ciências da Saúde , Estudantes de Medicina , Anatomia/educação , Atitude , Atitude do Pessoal de Saúde , Comportamento Cooperativo , Humanos , Relações Interprofissionais
15.
Health Expect ; 24(2): 269-281, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33274816

RESUMO

OBJECTIVE: This study examined the influence of physicians' recommendations and gender on the decision-making process in a preference-sensitive situation. METHODS: N = 201 participants were put in a hypothetical scenario in which they suffered from a rupture of the anterior cruciate ligament (ACL). They received general information on two equally successful treatment options for this injury (surgery vs physiotherapy) and answered questions regarding their treatment preference, certainty and satisfaction regarding their decision and attitude towards the treatment options. Then, participants watched a video that differed regarding physician's recommendation (surgery vs physiotherapy) and physician's gender (female vs male voice and picture). Afterwards, they indicated again their treatment preference, certainty, satisfaction and attitude, as well as the physician's professional and social competence. RESULTS: Participants changed their treatment preferences in the direction of the physician's recommendation (P < .001). Decision certainty (P < .001) and satisfaction (P < .001) increased more strongly if the physician's recommendation was congruent with the participant's prior attitude than if the recommendation was contrary to the participant's prior attitude. Finally, participants' attitudes towards the recommended treatment became more positive (surgery recommendation: P < .001; physiotherapy recommendation: P < .001). We found no influence of the physician's gender on participants' decisions, attitudes, or competence assessments. CONCLUSION: This research indicates that physicians should be careful with recommendations when aiming for shared decisions, as they might influence patients even if the patients have been made aware that they should take their personal preferences into account. This could be particularly problematic if the recommendation is not in line with the patient's preferences.


Assuntos
Médicos , Atitude , Tomada de Decisões , Feminino , Humanos , Masculino , Relações Médico-Paciente , Projetos de Pesquisa
16.
J Med Educ Curric Dev ; 7: 2382120520957648, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33062896

RESUMO

BACKGROUND: Inter-professional collaboration (IPC) is an important prerequisite for successful patient care. Even though inter-professional education (IPE) is increasingly common in undergraduate medical education, few IPE approaches explicitly address the IPC among medical students and students of psychology. IPE videos can be used to give learners the opportunity to gather relevant knowledge from different professional perspectives. So far it has been unclear whether it is enough when the topic of the video itself is inter-professional or if it is necessary for experts from different professions explicitly to appear in the video. METHODS: In an online experiment, medical students watched 1 of 2 videos about Parkinson's disease (PD) and the care of PD patients. The information was either provided by protagonists from only 1 profession (ie, physicians; mono-professional condition) or provided by protagonists from 2 different professions (ie, physicians and a psychologist; inter-professional condition). Attitude toward inter-professional interaction and learning, evaluation of the entertaining and illustrative character of the video, attitude toward physicians and psychologists, importance of IPC, evaluation of psychological treatment support, and knowledge acquisition served as dependent variables. RESULTS: The analysis was based on 140 participants (74 in the mono-, 66 in the inter-professional condition). We found that the inter-professional video was perceived to be more entertaining than the mono-professional video (t (138) = -2.227; P = .028; d = 0.38). The inter-professional video was also considered to be more illustrative (t (138) = -6.269; P < .001; d = 1.06). Moreover, participants improved their attitude toward physicians by watching the video (F (1,138) = 4.860, P < .001, η 2 p = 0.11), but they did not change their attitude toward psychologists (P = .146). Participants who watched the inter-professional video considered IPC to be more important than participants who watched the mono-professional video (t (138) = -7.954; P < .001; d = 1.354). Finally, the inter-professional video led to better performance in the knowledge test (t (138) = -2.285; P = .024; d = 0.04). CONCLUSION: Inter-professional videos showing explicitly the appearance of experts from different professions come along with several advantages. We discuss the implications of their application in educational practice. TRIAL REGISTRATION: The study was pre-registered on the pre-registration platform AsPredicted (aspredicted.org) before we began data collection (registration number: #33143). The pre-registration document can be accessed via the following link: https://aspredicted.org/blind.php?x=gd5hd8.

17.
JMIR Res Protoc ; 9(7): e17482, 2020 Jul 14.
Artigo em Inglês | MEDLINE | ID: mdl-32673261

RESUMO

BACKGROUND: Shared decision making is particularly important in situations with different treatment alternatives. For the treatment of idiopathic Parkinson disease, both pharmacological and surgical approaches can be applied. OBJECTIVE: In this research project, a series of studies will be conducted to investigate how decision aids for patients with idiopathic Parkinson disease should be designed in order to support the decision-making process. METHODS: In Study 1a, qualitative interviews will be conducted to determine which needs frequently occur for patients with idiopathic Parkinson disease. In Study 1b, the identified needs will then be rated for personal relevance by an independent group of patients in an online survey. In Study 2, a randomized controlled trial will be used to pretest different decision aids in a sample group of people who do not have a medical background and who do not have Parkinson disease. In Study 3, a randomized controlled trial will be used to investigate the effect of the decision aids that had been evaluated as positive in Study 2 with patients who have idiopathic Parkinson disease. RESULTS: This series of studies received ethical approval in January 2020. As of June 2020, data collection for Study 1a has started, and it is estimated that Studies 1a, 1b, 2, and 3 will take approximately 4, 4, 6, and 6 months to complete, respectively. It is planned to present the results and analyses at international conferences and to submit the results to peer-reviewed journals for publication, once the studies have been completed. The findings will also be shared with clinicians and patients through presentations at information events. CONCLUSIONS: This series of studies is intended to result in an evidence-based decision aid for patients with idiopathic Parkinson disease in order to support the informed and reflected shared decision-making process. We further intend to contribute to a deeper understanding of the individual preferences of patients with idiopathic Parkinson disease and the impact of those preferences on treatment decisions.

18.
PLoS One ; 15(6): e0233770, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32479510

RESUMO

The online encyclopedia Wikipedia strives for objectivity and neutrality. However, Wikipedia also provides articles about negative events (e.g., earthquakes, terrorist attacks) that likely elicit strong, negative emotions. These emotions might slip into Wikipedia articles. Previous research has demonstrated that Wikipedia articles on terrorist attacks contained more anger-related content than Wikipedia articles on earthquakes. This previous research focused on the expression of emotional reactions in existing Wikipedia articles and used an automatic linguistic analysis tool that counted the number of emotion-related words. In order to extend this approach, the first aim of the present research was to replicate these findings by focusing on the emotional reactions during and after reading the articles. Second, previous research did not look at the geographical location of the negative events, which may be a relevant, influential factor. Emotional reactions may be stronger for geographically closer events (i.e., Europe for Europeans) than for geographically more distant events (i.e., Asia). Two studies, one with few raters rating their emotional reactions to many Wikipedia articles (S1 Study) and another with many raters rating their emotional reactions to few Wikipedia articles (S1 Study), demonstrated that Wikipedia articles on terrorist attacks elicited more threat, anger, sadness, and anxiety than Wikipedia articles on earthquakes. These effects occurred for negative events in Europe but were absent for events in Asia, with one exception. The anger effect was the same across Europe and Asia. Thus, event type and geographical proximity are relevant factors for explaining threat and emotional reactions to Wikipedia articles.


Assuntos
Atitude , Emoções , Desastres Naturais , Mídias Sociais , Terrorismo/psicologia , Ásia , Características Culturais , Europa (Continente) , Humanos
19.
Artigo em Inglês | MEDLINE | ID: mdl-32422876

RESUMO

The health care system is increasingly complex and specialized, but it presents the actors involved with the challenge of working together in interprofessional teams. One way to meet this challenge is through interprofessional training approaches, where representatives of different professions learn together with learners of other professions. This article contributes to the question of how interprofessional teaching in health care education can be designed with a low threshold by using digital media. We focus on learning with digital learning platforms and learning with videos. Based on existing empirical findings, these approaches are discussed in terms of their potential and limitations for interprofessional teaching. In particular, we examine how these approaches influence the core competence domains of interprofessional collaborative practice. Digital collaborative learning platforms are suitable for teaching interprofessional competences, since they enable social and professional exchange among learners of different professions. Videos are suitable for imparting medical declarative and procedural knowledge. Based on these considerations, the use of videos in combination with interaction possibilities is presented as a didactic approach that can combine the aspect of knowledge transfer with the possibility of interprofessional computer-based collaboration.


Assuntos
Educação em Saúde , Internet , Relações Interprofissionais , Comportamento Cooperativo , Atenção à Saúde , Aprendizagem , Equipe de Assistência ao Paciente
20.
Front Public Health ; 8: 35, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32158738

RESUMO

How patients assess the suitability of a certain therapy for treating a disease depends on a variety of influencing factors. Three key factors are people's subjective perceptions of a disease, the type of treatment, and the kind of communication used to convey information. The study presented here was a randomized controlled experiment in which we examined these three factors. We used a mixed design where we manipulated perceived etiology of gastritis (biopsychosocial vs. biomedical) as a between-group factor, and treatment type (behavioral vs. pharmacological) and wording of treatment information (holistic vs. scientific) as within-group factors. We found that gastritis treatments that matched the perceived etiology of the illness were assessed to be more effective. Moreover, treatments that matched the perceived etiology enhanced participants' intention to undergo the treatment themselves and their willingness to recommend it to a person close to them. Finally, participants' intention to undergo the treatment was also enhanced when the wording of the treatment information matched the perceived etiology. We discuss the implications of our findings in terms of health communication and patient education.


Assuntos
Comunicação , Gastrite , Gastrite/diagnóstico , Humanos , Intenção
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