Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 6.570
Filtrar
2.
PLoS Negl Trop Dis ; 14(6): e0008305, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32520930

RESUMO

BACKGROUND: The dengue virus is endemic in many low- and middle-income countries. In Burkina Faso, the proportion of fevers that could be due to dengue is growing. In 2013, a dengue epidemic spread there, followed by other seasonal outbreaks. Dengue is often confused with malaria, and health workers are not trained to distinguish between them. Three training videos using different narrative genres were tested with nursing students from two institutions in Ouagadougou: journalistic, dramatic and animated video. The study aimed to determine if video is an effective knowledge transfer tool, if narrative genre plays a role in knowledge acquisition, and which narrative elements are the most appreciated. METHODOLOGY: A mixed method research design was used. The relative effectiveness of the videos was verified through a quasi-experimental quantitative component with a comparison group and post-test measurements. A qualitative component identified participants' perceptions regarding the three videos. Data were drawn from a knowledge test (n = 482), three focus groups with health professionals' students (n = 46), and individual interviews with health professionals (n = 10). Descriptive statistics and single-factor variance analysis were produced. A thematic analysis was used to analyse qualitative data. PRINCIPAL FINDINGS: Results showed that all three videos led to significant rates of knowledge improvement when compared with the comparison group (p <0.05): 12.31% for the journalistic video, 20.58% for the dramatic video, and 18.91% for the animated video. The dramatic and animated videos produced a significantly higher increase in knowledge than did the journalistic video (with respectively 8.27% (p = 0.003) and 6.59% (p = 0.029) and can be considered equivalent with a difference of 1.68% (p = 0.895). Thematic analysis also revealed that these two videos were considered to be better knowledge transfer tools. Four key aspects are important to consider for a video to be effective: 1) transmitting information in a narrative form, 2) choosing good communicators, 3) creating a visual instrument that reinforces the message and 4) adapting the message to the local context. CONCLUSIONS: Video has proven to be an effective and appreciated knowledge transfer and training tool for health professionals, but the narrative genre of the videos can influence knowledge acquisition. The production of other videos should be considered for training or updating health professionals and their narrative genre taken into consideration. The actual context of constant circulation of new diseases, such as COVID-19, reaffirms the need to train health professionals.


Assuntos
Recursos Audiovisuais , Pessoal de Saúde/educação , Narração , Burkina Faso , Dengue/diagnóstico , Erros de Diagnóstico/prevenção & controle , Grupos Focais , Humanos , Disseminação de Informação/métodos , Capacitação em Serviço , Conhecimento
4.
Artigo em Alemão | MEDLINE | ID: mdl-32430510

RESUMO

Digitalization has revolutionized the conditions and framework of media communication, including health education and promotion. The production and consumption of audio-visual formats is constantly increasing. In this contribution, the importance of digital audio-visual elements within public health interventions via the Internet is emphasized. With recent examples from the audio-visual practice of the Federal Centre for Health Education (BZgA, Cologne) a spectrum of health education video formats on the Internet is presented, together with related objectives and message strategies. In future, further research on reception processes and outcomes should be performed as well as on whether moving image formats on the Internet can contribute to better contact with socially disadvantaged target groups.


Assuntos
Recursos Audiovisuais , Educação em Saúde/métodos , Saúde Pública , Telemedicina , Previsões , Alemanha , Educação em Saúde/tendências , Internet
5.
Am J Med Genet A ; 182(6): 1302-1308, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32323908

RESUMO

In the midst of the COVID-19 pandemic, it is appropriate that our focus is on patient care and preparation. However, the genetics community is well poised to fill in the educational gap created by medical students transitioning to limiting patient contact, creation of telemedicine patient care, and online learning modules. Our history of agility in learning and teaching is now only inhibited by the time constraints of current clinical demands on the genetics community. This publication is designed to offer ideas and resources for quickly transitioning our education to meet the current demands in the time of a pandemic. Not only will this allow us to continue our strong history of education, it will enhance our strong commitment to using modern educational techniques and tools to address the genetics workforce issues that have defined the recent past. We have the opportunity to aggressively educate for trainees that now have the capacity to learn, and to lead the way in showing how the genetics community rallies together no matter the challenge.


Assuntos
Betacoronavirus/patogenicidade , Infecções por Coronavirus/epidemiologia , Educação a Distância/organização & administração , Educação de Pós-Graduação em Medicina/organização & administração , Genética Médica/educação , Pandemias , Pneumonia Viral/epidemiologia , Recursos Audiovisuais/provisão & distribução , Contenção de Riscos Biológicos/métodos , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/psicologia , Infecções por Coronavirus/transmissão , Doenças Genéticas Inatas/diagnóstico , Doenças Genéticas Inatas/epidemiologia , Humanos , Pneumonia Viral/diagnóstico , Pneumonia Viral/psicologia , Pneumonia Viral/transmissão , Saúde Pública/métodos , Estudantes de Medicina/psicologia , Telemedicina/métodos
7.
Am J Med ; 133(2): e70, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31954483
8.
PLoS One ; 15(1): e0220214, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31923185

RESUMO

BACKGROUND: Robotic surgery presents a challenge to effective teamwork and communication in the operating theatre (OR). Our objective was to evaluate the effect of using a wireless audio headset device on communication, efficiency and patient outcome in robotic surgery. METHODS AND FINDINGS: A prospective controlled trial of team members participating in gynecologic and urologic robotic procedures between January and March 2015. In the first phase, all surgeries were performed without headsets (control), followed by the intervention phase where all team members used the wireless headsets. Noise levels were measured during both phases. After each case, all team members evaluated the quality of communication, performance, teamwork and mental load using a validated 14-point questionnaire graded on a 1-10 scale. Higher overall scores indicated better communication and efficiency. Clinical and surgical data of all patients in the study were retrieved, analyzed and correlated with the survey results. The study included 137 procedures, yielding 843 questionnaires with an overall response rate of 89% (843/943). Self-reported communication quality was better in cases where headsets were used (113.0 ± 1.6 vs. 101.4 ± 1.6; p < .001). Use of headsets reduced the percentage of time with a noise level above 70 dB at the console (8.2% ± 0.6 vs. 5.3% ± 0.6, p < .001), but had no significant effect on length of surgery nor postoperative complications. CONCLUSIONS: The use of wireless headset devices improved quality of communication between team members and reduced the peak noise level in the robotic OR.


Assuntos
Recursos Audiovisuais , Procedimentos Cirúrgicos em Ginecologia/instrumentação , Laparoscopia/instrumentação , Procedimentos Cirúrgicos Robóticos/instrumentação , Procedimentos Cirúrgicos Urológicos/instrumentação , Tecnologia sem Fio/instrumentação , Idoso , Comunicação , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Inquéritos e Questionários
9.
Forensic Sci Int ; 306: 110062, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31786514

RESUMO

The renowned work of Clyde Snow and the development of the Equipo Argentino de Anthropología Forense (EAAF) team has inspired the use of forensic anthropological and archaeological skills in human rights interventions around the world. Whether for medico-legal intervention and acquisition of evidence or humanitarian repatriation and identification of human remains, forensic expertise has garnered attention in the global arena. Arguably fulfilling evidentiary and psychosocial needs, there has been growing interest in this post-conflict redress. However, as part of the critique of these interventions, scholars and practitioners have pointed out - primarily in medico-legal investigations - a lack of sensitization of local communities regarding forensic work, increasing the potential for re-traumatization, unrealistic expectations, or an unintentional increase in political tensions. Research regarding forensic intervention and human remains have permeated social sciences, peace and conflict studies, and science and technology studies, revealing both intentional and unintentional impacts of forensic sciences after mass violence. In an effort to mitigate negative impacts of medico-legal or humanitarian interventions, the research described here sought to sensitize communities in Uganda about forensic methods. Findings from this study suggest that sensitization is necessary and desired, and that a multi-step approach can assist in managing expectations.


Assuntos
Conflitos Armados , Antropologia Forense/organização & administração , Sobreviventes/psicologia , Altruísmo , Arqueologia , Recursos Audiovisuais , Sepultamento , Relações Comunidade-Instituição , Grupos Focais , Antropologia Forense/educação , Direitos Humanos , Humanos , População Rural , Uganda
10.
Am J Emerg Med ; 38(1): 73-78, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31005392

RESUMO

OBJECTIVES: This study was designed to investigate whether an audiovisual feedback (AVF) device is beneficial for quality retention of chest compression (CC) after repetitive practices (RP). METHODS: After completion of a 45-min CC-only cardiopulmonary resuscitation (CPR) training, participants performed 3 sessions of practices on days 1, 3, and 7 under the guidance of an instructor with (RP + AVF) or without (RP) the AVF device. CC quality was determined after each session and was retested at 3 and 12 months. RESULTS: In total, ninety-seven third year university students participated in this study. CC quality was improved after 3 sessions in both the RP and RP + AVF groups. Retests at 3 months showed that the proportions of appropriate CC rate and correct hand position were significantly decreased in the RP group as compared with the last practice (p < 0.05). However, no significant changes in CC quality were observed in the RP + AVF group. However, the proportions of appropriate CC rate, depth, and complete recoil were significantly decreased after 12 months in both RP and RP + AVF groups (p < 0.05). There were no significant differences in these parameters between the RP and the RP + AVF groups at 12 months after RP. CONCLUSION: With RP, the use of an AVF device further improves initial CC skill acquisition and short-term quality retention. However, long-term quality retention is not statistically different between rescuers who receive verbal human feedback only and those who receive additional AVF device feedback after RP.


Assuntos
Recursos Audiovisuais , Reanimação Cardiopulmonar/educação , Competência Clínica , Retroalimentação , Parada Cardíaca Extra-Hospitalar/terapia , Prática Psicológica , Adulto , Feminino , Humanos , Masculino , Manequins , Retenção Psicológica , Fatores de Tempo
11.
Am Heart J ; 220: 59-67, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31785550

RESUMO

BACKGROUND: Despite a higher prevalence of sudden cardiac death (SCD), black individuals are less likely than whites to have an implantable cardioverter defibrillator (ICD) implanted. Racial differences in ICD utilization is in part explained by higher refusal rates in black individuals. Decision support can assist with treatment-related uncertainty and prepare patients to make well-informed decisions. METHODS: The Videos to reduce racial disparities in ICD therapy Via Innovative Designs (VIVID) study will randomize 350 black individuals with a primary prevention indication for an ICD to a racially concordant/discordant video-based decision support tool or usual care. The composite primary outcome is (1) the decision for ICD placement in the combined video groups compared with usual care and (2) the decision for ICD placement in the racially concordant relative to discordant video group. Additional outcomes include knowledge of ICD therapy and SCD risk; decisional conflict; ICD receipt at 90 days; and a qualitative assessment of ICD decision making in acceptors, decliners, and those undecided. CONCLUSIONS: In addition to assessing the efficacy of decision support on ICD acceptance among black individuals, VIVID will provide insight into the role of racial concordance in medical decision making. Given the similarities in the root causes of racial/ethnic disparities in care across health disciplines, our approach and findings may be generalizable to decision making in other health care settings.


Assuntos
Grupo com Ancestrais do Continente Africano , Morte Súbita Cardíaca/prevenção & controle , Técnicas de Apoio para a Decisão , Desfibriladores Implantáveis/estatística & dados numéricos , Disparidades em Assistência à Saúde/etnologia , Educação de Pacientes como Assunto/métodos , Adulto , Afro-Americanos , Recursos Audiovisuais , Morte Súbita Cardíaca/etnologia , Humanos , Cooperação do Paciente/etnologia , Estudos Prospectivos , Recusa do Paciente ao Tratamento/etnologia , Recusa do Paciente ao Tratamento/estatística & dados numéricos , Incerteza
12.
Einstein (Sao Paulo) ; 18: eAE4729, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31778465

RESUMO

Randomized controlled trials are known to be the best tool to determine the effects of an intervention; however, most healthcare professionals are not able to adequately understand the results. In this report, concepts, applications, examples, and advantages of using visual data as a complementary tool in the results section of original articles are presented. Visual simplification of data presentation will improve general understanding of clinical research.


Assuntos
Recursos Audiovisuais , Ensaios Clínicos como Assunto , Ensaios Clínicos Controlados não Aleatórios como Assunto , Pessoal de Saúde , Humanos
14.
Clin Implant Dent Relat Res ; 21(6): 1189-1198, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31639265

RESUMO

BACKGROUND: Few studies have reported the impact of audiovisual implant surgery information on anxiety and fear. PURPOSE: To investigate the impact of audiovisual information on anxiety and fear in patients undergoing dental implant treatment. MATERIALS AND METHODS: This study included 300 patients due to undergo surgery to place a single implant. An interview topic guide and the Krantz Health Opinion Survey (KHOS) survey were used to assess the information patients already had about treatment and how much information they were seeking. Afterwards were randomized into two groups (n = 150): group 1 (verbal information) and group 2 (audiovisual information). Before surgery, anxiety and fear were assessed using State-Trait Anxiety Inventory (STAI), Modified Corah Dental Anxiety Scale (MDAS), and Dental Fear Scale (DFS) scales. After treatment, all patients described their satisfaction with the information received with a VAS. RESULTS: Before receiving information, both groups were homogenous in their knowledge of the implant procedure (P = .825) and the quantity of information sought (KHOS; P = .080). After receiving information, group 2 patients presented more anxiety and fear than group 1 (STAI-State, STAI-Treat, MDAS, DFS; P < .001). After surgery, both groups were equally satisfied with the information received and the need for additional information (P = .689; P = .199, respectively). CONCLUSIONS: Audiovisual information generated greater anxiety and fear than conventional verbal information in patients undergoing implant surgery.


Assuntos
Recursos Audiovisuais , Ansiedade ao Tratamento Odontológico , Implantes Dentários , Medo , Educação de Pacientes como Assunto , Assistência Odontológica , Humanos , Extração Dentária
15.
Rev Lat Am Enfermagem ; 27: e3186, 2019 Oct 14.
Artigo em Português, Inglês, Espanhol | MEDLINE | ID: mdl-31618386

RESUMO

OBJECTIVE: to identify in the scientific literature the technologies developed to promote health education for the community elderly. METHOD: integrative review that included original articles indexed by Latin American and Caribbean Literature in Health Sciences, Medical Literature Analysis and Retrieval System Online, Cumulative Index to Nursing and Allied Health Literature, Scopus, Web of Science, Science Direct, and Cochrane databases, without restriction of time and language. Results were analyzed descriptively, in five analytical categories. RESULTS: Fifteen articles published on national and international journals were selected, with predominance of experimental studies that tested the effects of such technologies. The types of educational technology developed were printed materials, software and video, as well as mock-up and telephone support. Falls in the elderly were the most discussed theme. The studies have shown that the types of technology found are feasible to promote health education for the community elderly. CONCLUSION: The technologies developed to promote health education for the elderly were multiple and proved effective for use in community interventions.


Assuntos
Tecnologia Educacional/métodos , Educação em Saúde/métodos , Promoção da Saúde/métodos , Acidentes por Quedas/prevenção & controle , Idoso , Idoso de 80 Anos ou mais , Recursos Audiovisuais , Humanos , Educação de Pacientes como Assunto/métodos , Software
16.
Rev Med Suisse ; 15(664): 1711-1713, 2019 Sep 25.
Artigo em Francês | MEDLINE | ID: mdl-31553536

RESUMO

Oral presentations are an important means of transmitting knowledge. Good preparation is essential to succeed in this exercise. Some steps are necessary, such as defining the main objective, focusing on the audience, managing the time, choosing the first and last words, or anticipating the audience's questions, while using the visual aids appropriately. The purpose of this article is to lead young doctors in the process of creating an oral presentation.


Assuntos
Educação Médica/normas , Fala , Recursos Audiovisuais , Objetivos , Humanos , Conhecimento
17.
Afr J Prim Health Care Fam Med ; 11(1): e1-e9, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31478744

RESUMO

BACKGROUND: Research globally has shown that metered dose inhaler (MDI) technique is poor, with patient education and regular demonstration critical in maintaining correct use of inhalers. Patient information containing pictorial aids improves understanding of medicine usage; however, manufacturer leaflets illustrating MDI use may not be easily understood by low-literacy asthma patients. AIM: To develop and evaluate the outcome of a tailored, simplified leaflet on correct MDI technique in asthma patients with limited literacy skills. SETTING: A rural primary health care clinic in the Eastern Cape, South Africa. METHODS: Pictograms illustrating MDI steps were designed to ensure cultural relevance. The design process of the leaflet was iterative and consultative involving a range of health care professionals as well as patients. Fifty-five rural asthma patients were recruited for the pre-post design educational intervention study. Metered dose inhaler technique was assessed using a checklist, and patients were then educated using the study leaflet. The principal researcher then demonstrated correct MDI technique. This process was repeated at follow-up 4 weeks later. RESULTS: The number of correct steps increased significantly post intervention from 4.6 ± 2.2 at baseline to 7.9 ± 2.7 at follow-up (p 0.05). Statistically significant improvement of correct technique was established for 10 of the 12 steps. Patients liked the pictograms and preferred the study leaflet over the manufacturer leaflet. CONCLUSION: The tailored, simple, illustrated study leaflet accompanied by a demonstration of MDI technique significantly increased correct MDI technique in low-literacy patients. Patients approved of the illustrated, simple text leaflet, and noted its usefulness in helping them improve their MDI technique.


Assuntos
Asma/tratamento farmacológico , Inaladores Dosimetrados , Folhetos , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Educação de Pacientes como Assunto/métodos , Idoso , Asma/psicologia , Recursos Audiovisuais , Lista de Checagem , Feminino , Humanos , Competência em Informação , Masculino , Ilustração Médica , Pessoa de Meia-Idade , População Rural , África do Sul
18.
Dev Psychol ; 55(10): 2048-2059, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31393138

RESUMO

The current study investigates whether informative, mutually redundant audiovisual cues support better performance in a category learning paradigm. Research suggests that, under some conditions, redundant multisensory cues supports better learning, when compared with unisensory cues. This was examined systematically across two experiments. In Experiment 1, children aged 5, 7, and 10 years were allocated to 1 of the 3 "modality" conditions (audio informative only, visual informative only, and audiovisual informative) and explicitly instructed to learn the category membership of individual exemplars, as determined by a threshold of correct responses. Unisensory or redundant multisensory cues determined category membership, depending on the learning condition. In addition to significant main effects of age group and condition, a significant interaction between age and sensory condition was found, with 5-year-olds performing better when presented with redundant multisensory cues compared to unisensory cues. Ten-year-olds performed better with auditory informative only cues, compared to visual informative only cues, or informative but redundant multisensory cues, with no significant difference between the latter two. In Experiment 2, the multisensory condition was presented to separate groups of 5-, 7-, and 10-year-olds, examining explicit learning outcomes in the audiovisual informative condition. Results showed that children who reached threshold during training were faster, made fewer errors, and performed better during test trials. Learning appeared to be based on the visual informative cues. Findings are discussed in the context of age-related selective attention, suggesting that the value of providing multisensory informative cues to support real-world learning depends on age and instructional context. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Percepção Auditiva/fisiologia , Sinais (Psicologia) , Aprendizagem/fisiologia , Percepção Visual/fisiologia , Fatores Etários , Atenção , Recursos Audiovisuais , Criança , Pré-Escolar , Feminino , Humanos , Masculino
19.
Oncol Nurs Forum ; 46(5): 572-584, 2019 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-31424456

RESUMO

OBJECTIVES: To evaluate an interactive electronic Cancer Survivorship Patient Engagement Toolkit (CaS-PET) using a single-group pre-/post-test design. SAMPLE & SETTING: 30 cancer survivors with a mean age of 56.5 years (SD = 13.6) were recruited from the University of Maryland Medical Center in Baltimore. METHODS & VARIABLES: CaS-PET was designed to deliver survivorship care plans (SCPs) with multifactorial support and comprised of SCPs, biweekly follow-up using patient portal e-messages, and online resources. Outcomes included health-related quality of life, symptom burden, impact of cancer, fear of recurrence, physical activities, dietary behavior, patient-provider communication, adherence to treatment, and e-health literacy. RESULTS: At three months, there was a significant improvement in quality of life, physical symptom burden, and total symptom burden. IMPLICATIONS FOR NURSING: Findings suggest an excellent potential for using CaS-PET for survivors who are in transition from treatment to survivorship.


Assuntos
Sobreviventes de Câncer , Educação a Distância , Educação de Pacientes como Assunto , Participação do Paciente , Sobrevivência , Ansiedade , Atitude Frente a Saúde , Recursos Audiovisuais , Sobreviventes de Câncer/psicologia , Depressão , Gerenciamento Clínico , Medo , Letramento em Saúde , Humanos , Pessoa de Meia-Idade , Avaliação de Resultados em Cuidados de Saúde , Cooperação do Paciente , Portais do Paciente , Projetos Piloto , Relações Profissional-Paciente , Qualidade de Vida , Avaliação de Sintomas
20.
Commun Biol ; 2: 295, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31396575

RESUMO

Graphics are becoming increasingly important for scientists to effectively communicate their findings to broad audiences, but most researchers lack expertise in visual media. We suggest collaboration between scientists and graphic designers as a way forward and discuss the results of a pilot project to test this type of collaboration.


Assuntos
Recursos Audiovisuais , Pesquisa Biomédica , Comportamento Cooperativo , Apresentação de Dados , Disseminação de Informação , Comunicação Interdisciplinar , Pesquisadores , Atitude do Pessoal de Saúde , Gráficos por Computador , Humanos , Percepção Visual
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA