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1.
Pan Afr Med J ; 33: 260, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31692826

RESUMEN

Introduction: Dietary management is considered to be one of the cornerstones of diabetes care. Improvement of dietary practice alone can reduce glycosylated hemoglobin (HbA1c) by an absolute 1 to 2% with the greatest impact at the initial stages of diabetes. Methods: Data from Hospital based cross sectional study were used to assess the level of dietary adherence and its determinants among diabetic patients. The morisky 8 item medication adherence scale was used to develop 10 item tool for evaluation of dietary adherence. Multiple logistic regression was conducted to identify factors which affect dietary adherence and variables with P vale < 0.05 were considered statistically significant. Results: More than half of 303 participants (55.7%) were found to be non-adherent to the recommended dietary approach. Gathering with family and friends and eating out were the major reasons for not being compliant with the recommended regimen. Attending diabetic nutrition education (AOR=2.8 95% C 1.97, 5.61) and having the disease for more than 10 years (AOR 2.9 95% CI 1.32, 5.84) were statistically significant with adherence to dietary recommendation. Conclusion: Non-adherence to recommended dietary practice was observed in more than fifty percent of patients; it is therefore a major public health problem. Attending diabetic nutrition education and length of diabetes greater than 10 years were the factors associated with adherence to dietary recommendation. This findings indicate that it is important to design strategies to help patients understand their dietary regimens and improve their adherence.


Asunto(s)
Diabetes Mellitus/dietoterapia , Cooperación del Paciente/estadística & datos numéricos , Educación del Paciente como Asunto/métodos , Adulto , Estudios Transversales , Etiopía , Femenino , Hospitales de Enseñanza , Humanos , Masculino , Persona de Mediana Edad , Factores de Tiempo
2.
Rev Lat Am Enfermagem ; 27: e3186, 2019 Oct 14.
Artículo en Portugués, Inglés, Español | MEDLINE | ID: mdl-31618386

RESUMEN

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.


Asunto(s)
Tecnología Educacional/métodos , Educación en Salud/métodos , Promoción de la Salud/métodos , Accidentes por Caídas/prevención & control , Anciano , Anciano de 80 o más Años , Recursos Audiovisuales , Humanos , Educación del Paciente como Asunto/métodos , Programas Informáticos
3.
Medicine (Baltimore) ; 98(41): e17289, 2019 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31593081

RESUMEN

INTRODUCTION: Fibromyalgia (FM) is a chronic condition characterized by chronic pain, fatigue and loss of function which significantly impairs quality of life. Although treatment of FM remains disputed, some studies point at the efficacy of interdisciplinary therapy. This study aims to analyze the effectiveness, cost-utility and benefits of a multicomponent therapy on quality of life (main variable), functional impact, mood and pain in people suffering from FM that attend primary care centers (PCCs) of the Catalan Institute of Health (ICS). METHODS AND ANALYSIS: A 2-phase, mixed methods study has been designed following Medical Research Council guidance. Phase 1: Pragmatic randomized clinical trial with patients diagnosed with FM that attend one of the 11 PCCs of the ICS Gerència Territorial Terres de l'Ebre. We estimate a total sample of 336 patients. The control group will receive usual clinical care, while the multicomponent therapy group (MT group) will receive usual clinical care plus group therapy (consisting of health education, exercise and cognitive-behavioural therapy) during 12 weeks in 2-hourly weekly sessions. ANALYSIS: the standardized mean response and the standardized effect size will be assessed at 3, 9, and 15 months after the beginning of the study using multiple linear regression models. Utility measurements will be used for the economic analysis. Phase 2: Qualitative socio constructivist study to evaluate the intervention according to the results obtained and the opinions and experiences of participants (patients and professionals). We will use theoretical sampling, with 2 discussion groups of participants in the multicomponent therapy and 2 discussion groups of professionals of different PCCs. A thematic content analysis will be carried out. ETHICS AND DISSEMINATION: This study protocol has been approved by the Clinical Research Ethics Committee of the Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (code P18/068). Articles will be published in international, peer-reviewed scientific journals. TRIAL REGISTRATION: Clinical-Trials.gov: NCT04049006.


Asunto(s)
Terapia Cognitivo-Conductual/métodos , Terapia por Ejercicio/métodos , Fibromialgia/terapia , Educación del Paciente como Asunto/métodos , Atención Primaria de Salud/métodos , Calidad de Vida , Adulto , Terapia Cognitivo-Conductual/economía , Terapia Combinada , Análisis Costo-Beneficio , Terapia por Ejercicio/economía , Estudios de Factibilidad , Femenino , Fibromialgia/economía , Fibromialgia/psicología , Implementación de Plan de Salud , Humanos , Masculino , Aceptación de la Atención de Salud , Cooperación del Paciente , Educación del Paciente como Asunto/economía , Atención Primaria de Salud/economía , Ensayos Clínicos Controlados Aleatorios como Asunto , Proyectos de Investigación
5.
BMC Public Health ; 19(1): 1050, 2019 Aug 05.
Artículo en Inglés | MEDLINE | ID: mdl-31382942

RESUMEN

BACKGROUND: Warfarin is classified as a high-alert medication for ambulatory healthcare and safe guards for high-alert medications are necessary, including the practice of mandatory patient education. The high cost of hospitalizations related to adverse events combined with the average bleeding event rate of 7-8% in spite of routine patient education, suggests the importance of new approaches to standardized health education on warfarin. We sought to evaluate the impact of a warfarin educational video using an electronic tablet on patient knowledge and to determine patients' satisfaction with the use of an electronic tablet for educational purposes in outpatient clinics serving a low income, minority population. METHODS: A warfarin educational video delivered on an electronic tablet (iPad) was delivered at two pharmacist-managed anticoagulation clinics to uninsured patients whose annual income is equal or less than two hundred percent below the poverty level were offered. Patients (n = 18) completed a pre-video and post-video knowledge test on warfarin before and after viewing the warfarin educational video on an electronic tablet and a follow-up test to measure the retention of knowledge and a patient satisfaction survey at 60 days. The primary outcome was change in knowledge test scores. Other outcome measures included adherence rates, adverse events, time in therapeutic INR range, and patient-reported satisfaction scores. RESULTS: The majority of patients were uninsured men taking warfarin for atrial fibrillation (n = 5). The median scores at post-video knowledge test and follow-up knowledge test were significantly higher than that for the pre-knowledge test (12 (11-12) vs. 10(8-11), p < 0.001). The study group had a 'time in therapeutic INR' range of 56.3%, a rate of adverse events of 24.5%, and a self-reported adherence rate to warfarin of 94.1%. The majority of patients also had positive responses to the patient satisfaction survey. CONCLUSIONS: Patient education delivered via iPad to facilitate knowledge of medication can serve as a useful tool for educating patients about warfarin and warfarin therapy. Use of an electronic medium may be a unique way to provide standard medication education to patients. TRIAL REGISTRATION: The study was retrospectively registered with: NCT03650777 ; 9/18/18.


Asunto(s)
Computadores de Bolsillo , Grupos Minoritarios/educación , Pacientes Ambulatorios/educación , Educación del Paciente como Asunto/métodos , Pobreza/estadística & datos numéricos , Grabación de Cinta de Video , Warfarina/uso terapéutico , Anciano , Instituciones de Atención Ambulatoria , Anticoagulantes/uso terapéutico , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Masculino , Persona de Mediana Edad , Grupos Minoritarios/estadística & datos numéricos , Pacientes Ambulatorios/estadística & datos numéricos , Satisfacción del Paciente/estadística & datos numéricos , Farmacéuticos , Proyectos Piloto , Evaluación de Programas y Proyectos de Salud , Encuestas y Cuestionarios
6.
Am J Orthod Dentofacial Orthop ; 156(2): 169-177.e2, 2019 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-31375226

RESUMEN

INTRODUCTION: A randomized controlled trial was undertaken to compare the efficacy of 3 methods of delivering information on short- and long-term recall of information in orthodontic patients and parents. METHODS: Participants who received an audiovisual presentation on orthodontic treatment were randomly allocated to 1 of 3 written information groups (leaflets, generic mind map, or participant's customized mind map). A questionnaire was used to assess short- and long-term retention of information (maximum score 30). RESULTS: Eighty-eight patients (94.6%) and 77 parents (86.5%) completed the study. The average knowledge scores at baseline for the patient groups were 17.71 95 CI 16.28-19.14), 16.58 (14.67-18.49), and 17.37 (15.92-18.81), respectively. The parents' knowledge scores for the 3 groups were 19.06 (17.51-20.62), 19.39 (17.44-21.35), and 18.76 (17.19-20.33), respectively. The short- and long-term knowledge scores improved over baseline in all 3 groups (P <0.0001). The parents achieved higher scores than the patients (P = 0.002) and their rate of forgetting information was less. The knowledge scores of the mind map groups were higher than that of the leaflet group for all cohorts (P = 0.025). No statistical difference was found between the type of mind map. The correlation between patient and parent knowledge scores was significant (P <0.0001) at all 3 time points. CONCLUSIONS: Provision of an audiovisual presentation supplemented with 1 of 3 written information methods is an effective way of delivering information. There was a significant improvement in the retention of information with the use of mind maps compared with leaflets. The generic mind map is equally as effective, more consistent in information delivered, and less labor intensive than the individual customized mind map and therefore would be our recommendation. Participation of parents is important because they comprehend and retain information better. In this study, 100% of parents shared information with their children, perhaps improving the patients' recall.


Asunto(s)
Conocimientos, Actitudes y Práctica en Salud , Ortodoncia Correctiva/psicología , Ortodoncia/educación , Padres/educación , Educación del Paciente como Asunto , Adolescente , Adulto , Niño , Comunicación , Femenino , Humanos , Masculino , Persona de Mediana Edad , Educación del Paciente como Asunto/métodos , Encuestas y Cuestionarios , Reino Unido , Grabación en Video , Escritura
7.
BMC Public Health ; 19(1): 1146, 2019 Aug 20.
Artículo en Inglés | MEDLINE | ID: mdl-31429735

RESUMEN

BACKGROUND: UK African and Caribbean (AfC) communities are disproportionately burdened by type 2 diabetes (T2D). Promoting healthy eating and physical activity through structured education is the cornerstone of T2D care, however cultural barriers may limit engagement in these communities. In addition, changes in lifestyle behaviour are shaped by normative influences within social groups and contextual factors need to be understood to facilitate healthful behaviour change. The Behaviour Change Wheel (BCW) and associated COM-B framework offer intervention designers a systematic approach to developing interventions. The aim of this study was to apply the BCW in the design of a culturally sensitive self-management support programme for T2D in UK AfC communities. METHODS: An intervention development study was conducted. Focus groups were held with 41 AfC patients with T2D to understand healthful weight-management, diet and physical activity behaviours. The COM-B framework and BCW were used to evaluate the qualitative data, identify appropriate behaviour change techniques and specify the intervention components. RESULTS: Participants were motivated to avoid diabetes-related consequences although did not always understand the negative impact of their current health behaviours on long-term diabetes outcomes. Barriers to healthful behaviour included gaps in knowledge related to diet, physical activity and weight management guidance. In addition, motivation and social opportunity barriers included an acceptance of larger body sizes, rejection of body mass index for weight guidance and cultural identity being strongly linked to consumption of traditional starches. There was a lack of social opportunity to perform moderate to vigorous physical activity, although walking and dance were culturally acceptable. The resulting Healthy Eating & Active Lifestyles for Diabetes (HEAL-D) intervention uses social support, social comparison, credible sources and demonstration as key behaviour change techniques. CONCLUSION: Use of COM-B and the BCW highlighted the need for an intervention to address motivational and social opportunity barriers to engaging in healthful behaviours, as well as addressing key gaps in knowledge. This framework facilitated the linkage of theoretical behaviour constructs with evidence-based behaviour change techniques, which will enable us to evaluate operationalisation of our chosen BCTs and their impact on behaviour change in a future feasibility study.


Asunto(s)
Terapia Conductista/educación , Asistencia Sanitaria Culturalmente Competente/métodos , Diabetes Mellitus Tipo 2/etnología , Dieta para Diabéticos/métodos , Educación del Paciente como Asunto/métodos , Automanejo/educación , Adulto , Grupo de Ascendencia Continental Africana/educación , Terapia Conductista/métodos , Región del Caribe/etnología , Diabetes Mellitus Tipo 2/terapia , Dieta para Diabéticos/etnología , /métodos , Ejercicio , Femenino , Grupos Focales , Conductas Relacionadas con la Salud/etnología , Estilo de Vida Saludable , Humanos , Masculino , Persona de Mediana Edad , Motivación , Evaluación de Programas y Proyectos de Salud , Automanejo/métodos , Apoyo Social , Reino Unido
9.
Rev Lat Am Enfermagem ; 27: e3164, 2019 Aug 19.
Artículo en Portugués, Inglés, Español | MEDLINE | ID: mdl-31432918

RESUMEN

OBJECTIVE: to translate and cross-culturally adapt the Behavior Change Protocol for educational practices in Diabetes Mellitus. METHOD: methodological study aimed at cross-cultural adaptation, comprising the steps of translation, back-translation, assessment by an expert committee and pre-testing of the instrument on a sample of 30 healthcare service users with type 2 Diabetes Mellitus. RESULTS: the instrument was assessed based on criteria pertaining semantic, idiomatic, conceptual and cultural equivalence between the original instrument and the translated version, its mean Content Validity Index being 0.85. CONCLUSION: results showed content validity indicating the instrument's successful cross-cultural adaptation to the Brazilian culture for use in educational practices targeting self-care in type 2 DM.


Asunto(s)
Diabetes Mellitus Tipo 2/terapia , Educación del Paciente como Asunto/normas , Autocuidado/normas , Encuestas y Cuestionarios/normas , Traducción , Brasil , Comparación Transcultural , Características Culturales , Femenino , Servicios de Salud , Humanos , Masculino , Persona de Mediana Edad , Variaciones Dependientes del Observador , Educación del Paciente como Asunto/métodos , Valores de Referencia , Reproducibilidad de los Resultados , Autocuidado/métodos
10.
Artículo en Alemán | MEDLINE | ID: mdl-31410522

RESUMEN

BACKGROUND: Cancer information services (CISs) are a valuable source of evidence-based information. Previous studies in the field of CISs often investigate only short periods of time. However, there is a need for long-term analyses to identify changes in the use of CISs. OBJECTIVES: The purpose of this study was to analyze trends in the inquiries of patients and surrogate seekers to a CIS. METHOD: We conducted a secondary data analysis of the inquiry records of the German CIS (Krebsinformationsdienst, KID) hosted by the German Cancer Research Center from 1992 until 2016 (N = 545,070). Trends in the number of inquiries were described using the whole sample, while the description of further characteristics is based on a sample (n = 55,046) of patients, their family members, and friends. RESULTS: The inquiries increased in the period examined (1992: 11,344 inquiries; 2016: 34,869 inquiries). Since 2005, a greater share of patients (between 52 and 60%) than surrogate seekers have been contacting the CIS. The mean age of both self-seeking and supported patients increased from under 55 years between 1992 and 2000 up to over 60 years in the year 2016. Breast cancer is at all times the most frequently inquired cancer type (patients: n = 11,319, 39%; surrogate seekers: n = 4173, 17%). Even after the implementation of e­mail as an additional communication channel, the majority of inquirers still prefer contact by phone (between 80 and 98%). CONCLUSIONS: Changes in the utilization of a CIS over time are discussed against the background of structural changes, such as shifts in prevalence rates, family structures, or media environments.


Asunto(s)
Comportamiento del Consumidor , Servicios de Información/estadística & datos numéricos , Neoplasias/terapia , Educación del Paciente como Asunto/métodos , Investigación , Familia , Femenino , Alemania , Líneas Directas/estadística & datos numéricos , Humanos , Masculino , Persona de Mediana Edad , Neoplasias/etiología , Neoplasias/prevención & control
11.
J Rehabil Med ; 51(9): 698-704, 2019 10 03.
Artículo en Inglés | MEDLINE | ID: mdl-31411338

RESUMEN

OBJECTIVE: To evaluate the effect of adding a lay-tutor to the educational sessions of a back school programme for patients with subacute low back pain. METHODS: Patients with subacute low back pain were randomized to a 10-week programme comprising 10 h education and 20 h physical exercise led by a former patient as lay-tutor, or a programme led by a physiotherapist. In the intervention group, former patients served as lay-tutors in the educational sessions, teaching in conjunction with physiotherapists. In the control group, 2 physiotherapists led the entire educational programme. Disability, back pain, leg pain and health status were evaluated blindly at 3 and 24 months. RESULTS: Eighty-seven patients with subacute low back pain referred for treatment at 6 selected physiotherapy clinics were allocated to either an intervention group (n = 42) or a control group (n = 45). No statistically significant difference was found between the 2 groups. Both groups of patients showed a statistically significant improvement in health and pain measurements from the start of the study to the 3- and 24-month follow-up. CONCLUSION: No short- or long-term effect was found of adding a lay-tutor to the educational sessions of a back school programme for patients with subacute low back pain with regards to functional activity, back pain, leg pain or general health. The main limitations are that the potential effect of including lay-tutors in the educational part of a back school programme as an intervention in itself has to be tested, and the programme has to be tested as a complete protocol. Also, no specific testing has been performed to confirm the ideal number of sessions in the programme.


Asunto(s)
Dolor de la Región Lumbar/terapia , Educación del Paciente como Asunto/métodos , Terapia por Ejercicio , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Autocuidado , Factores de Tiempo
12.
Psiquiatr. biol. (Internet) ; 26(2): 73-79, mayo-ago. 2019. tab
Artículo en Español | IBECS | ID: ibc-185034

RESUMEN

Objetivos: Explorar las diferencias entre el efecto de un programa presencial u online de reducción del estrés basado en mindfulness (REBM) sobre el malestar psicológico general en población española. Además, se estudia si la adhesión y satisfacción con el programa difiere entre ambas modalidades. Metodología: Estudio cuasiexperimental en el que 373 participantes realizaron un programa REBM de 8 semanas. Se compararon 2modalidades: presencial (n = 109) y online (n = 264). Resultados: Los participantes de ambas modalidades presentaron reducciones significativas de malestar (p < 0,001). No hubo una diferencia significativa en la reducción de malestar entre ambas modalidades (p = 0,314). La adhesión (p < 0,001) y satisfacción (p = 0,024) fueron significativamente superiores en los participantes de la modalidad presencial (p < 0,001) que en los de la modalidad online. Conclusiones: Ambas modalidades de REBM (presencial y online) reducen el malestar psicológico general. Sin embargo, la modalidad presencial tiene mayores niveles de adhesión y satisfacción


Objectives: Explore the reduction in general psychological distress after a face-to-face versus an online mindfulness-based stress reduction (MBSR) program in a Spanish population. In addition, we study if program adherence and satisfaction differ between modalities. Methods: We performed an 8-week quasi-experimental study in which 373 participants took part in an MBSR program in which face-to-face (n=109) and online (n=264) modalities were compared. Results: Participants in both modalities showed a significant reduction in distress (P<0.001). However, there was no significant difference in this reduction between modalities (P=0.314). Adherence (P<0.001) and satisfaction (P=0.024) were significantly better in face-to-face sessions (P<0.001) compared to online ones. Conclusions: The MBSR program reduces general psychological distress in both modalities (face-to-face and online). However, the face-to-face modality has higher levels of adherence and program satisfaction


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Estrés Psicológico/terapia , Atención Plena/métodos , Meditación/métodos , Resultado del Tratamiento , Sistemas en Línea/estadística & datos numéricos , Telepsicología , Educación del Paciente como Asunto/métodos
13.
Hu Li Za Zhi ; 66(4): 29-39, 2019 Aug.
Artículo en Chino | MEDLINE | ID: mdl-31342499

RESUMEN

BACKGROUND: Taiwan has the highest incidence and prevalence of dialysis in the world. The literature suggests that severity of depression at the beginning of dialysis treatment is an independent predictor of survival. Depression significantly worsens the condition of chronic renal disease patients, with the adverse consequences of depression including increased mortality and hospitalization rates as well as poor compliance and quality of life. Given the importance of this problem, providing safe and effective information and good nursing care to dialysis patients is urgently needed. PURPOSE: The purpose of this study was to explore the effects of implementing health promotion education groups on self-perceived depression, hope, and quality of life in dialysis patients. METHODS: Dialysis patients who met the study criteria and had provided consent to participate in the health promotion education group were randomly assigned to either the treatment group (20 persons) or the control group (20 persons). In the control group, routine dialysis treatment and nursing care were maintained. In addition to receiving routine dialysis treatment and nursing care, the experimental group participated in health promotion education group activities for 90 minutes, twice a week for a total of 8 sessions. The quantitative data from both groups and the qualitative data analysis of the experimental group were used to assess the effects of the intervention. RESULTS: The results showed that the intervention had significantly improved self-perceived depression, hope, and quality of life in the experimental group. The participants indicated that the health promotion education group had helped them learn to adapt to their physical conditions, change their mindset, learn to regard happiness as the purpose of life, and maintain hope and increase mutual support in the face of difficulties. CONCLUSIONS / IMPLICATIONS FOR PRACTICE: This study demonstrated that the cross-disciplinary integrated care provided through health promotion education groups is able to significantly improve depression, hope, and quality of life in dialysis patients. Thus, health promotion education groups arranged by the case management nurses for dialysis patients have the potential to promote mental health and quality of life in these patients. Therefore, continuing education is recommended to strengthen the awareness and knowledge of dialysis case management nurses with regard to applying integrated cross-disciplinary care in health promotion education groups and to promoting the implementation of these groups in the holistic care of dialysis patients.


Asunto(s)
Depresión/prevención & control , Procesos de Grupo , Promoción de la Salud/métodos , Esperanza , Educación del Paciente como Asunto/métodos , Calidad de Vida , Diálisis Renal/psicología , Humanos , Diálisis Renal/enfermería , Taiwán
14.
Orthop Nurs ; 38(4): 273-277, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31343633

RESUMEN

The treatment of hepatitis C virus (HCV) has evolved significantly, marked by the approval of combination, direct-acting antiviral medications, which have improved the tolerability and efficacy of therapy. As the number of patients engaged in HCV treatment increases, it is important that all members of the healthcare team remain current on treatment options and equipped with the knowledge to educate patients. Nursing staff play a critical role in understanding the role of new medications in treatment, significant drug interactions, and patient counseling points on administration, potential adverse reactions, and the importance of adherence.


Asunto(s)
Antivirales/uso terapéutico , Hepatitis C/tratamiento farmacológico , Bencimidazoles/uso terapéutico , Carbamatos/uso terapéutico , Fluorenos/uso terapéutico , Hepacivirus/efectos de los fármacos , Hepacivirus/patogenicidad , Compuestos Heterocíclicos de 4 o más Anillos/uso terapéutico , Humanos , Educación del Paciente como Asunto/métodos , Quinoxalinas/uso terapéutico , Ribavirina/uso terapéutico , Sofosbuvir/uso terapéutico , Sulfonamidas/uso terapéutico , Resultado del Tratamiento
15.
Gynecol Oncol ; 154(3): 616-621, 2019 09.
Artículo en Inglés | MEDLINE | ID: mdl-31324452

RESUMEN

OBJECTIVE: Patients are increasingly using online materials to learn about gynecologic cancer. Providers can refer patients to online educational materials produced by a number of different major medical organizations and pharmacology companies. The National Institutes of Health (NIH) and the American Medical Association (AMA) recommend that patient educational materials (PEMs) are written between a sixth and eighth grade reading level. In this study, we assess the readability of online PEMs published by major medical organizations and industry partners. METHODS: Websites from twelve websites providing educational materials for gynecologic oncology patients were surveyed. Online PEMs were identified and analyzed using seven validated readability indices. One-way ANOVA and Tukey's Honestly Significant Difference (HSD) post-hoc analysis were performed to detect differences in readability between publishers. RESULTS: Two-hundred and sixty PEMs were included in this analysis. Overall, PEMs were written at a mean 11th±0.6 grade reading level. Only 6.5% of articles were written at the AMA/NIH recommended reading grade level of 6th to 8th grade or below. ANOVA demonstrated a significant difference in readability between publishing associations (p<0.01). PEMs from the Centers for Disease Control had a mean 9th±1.2 grade reading level and were significantly lower than all other organizations. PEMs from The Foundation for Women's Cancer had a mean 13th±1.8 grade reading level and were significantly higher than most other organizations. PEMs from pharmaceutical companies (mean readability=10.1±1.1, N=30) required the lowest reading grade level and were significantly more readable than those from governmental organizations (11.1±1.7, p<0.05) and nonprofit medical associations (12.4±1.7, p<0.01) in ANOVA and Tukey-Kramer post hoc analysis. CONCLUSIONS: Gynecologic oncology PEMs available from twelve major organization websites are written well above the recommended sixth to eighth grade reading difficulty level.


Asunto(s)
Neoplasias de los Genitales Femeninos , Internet/normas , Educación del Paciente como Asunto/normas , Lectura , Comprensión , Industria Farmacéutica , Femenino , Agencias Gubernamentales , Alfabetización en Salud , Humanos , Organizaciones sin Fines de Lucro , Educación del Paciente como Asunto/métodos
16.
Hautarzt ; 70(10): 804-810, 2019 Oct.
Artículo en Alemán | MEDLINE | ID: mdl-31267179

RESUMEN

BACKGROUND: Treatment of patients with malignant melanoma includes informing the patients about their rights regarding social/disability benefits. In particular, every patient has the right to rehabilitation treatment according to SGB V and IX (SGB: Sozialgesetzbuch; Social Security Code) and to an examination regarding the classification of the disability. OBJECTIVES: The present study examines the extent to which patients with invasive malignant melanoma are informed after initial diagnosis about their social rights to medical rehabilitation measures and the classification of disability. MATERIALS AND METHODS: In the course of a survey in 2014, n = 1800 German dermatological practices were contacted and provided a standardized questionnaire on several care-relevant questions, including the aforementioned ones. RESULTS: Evaluable questionnaires were submitted by n = 424 practices. In all, 52% of dermatologists stated that they regularly provided information on the right to rehabilitation, 15% sometimes, 41% rarely or never. Furthermore, 44% of dermatologists regularly, 17% sometimes and 38% rarely or never informed their patients about the classification of disability. Relevant differences were found in regional comparisons. CONCLUSIONS: Practicing dermatologists seem to transfer the information requirement to the clinics involved in the treatment. It would be beneficial if the information were also provided again by the dermatologists in private practice. In view of the known limited capacity to receive new information from patients with newly diagnosed melanoma, repeated counselling appears to be more patient-friendly.


Asunto(s)
Conocimientos, Actitudes y Práctica en Salud , Melanoma/terapia , Educación del Paciente como Asunto/métodos , Derechos del Paciente , Rehabilitación/legislación & jurisprudencia , Neoplasias Cutáneas/terapia , Cuidados Posteriores/normas , Evaluación de la Discapacidad , Humanos , Melanoma/patología , Neoplasias Cutáneas/patología , Encuestas y Cuestionarios
17.
Rev Bras Enferm ; 72(3): 780-787, 2019 Jun 27.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-31269146

RESUMEN

OBJECTIVE: to describe the validation of the booklet on self-care with the feet of people with diabetes. METHOD: methodological study, focusing on the validation of a printed booklet. The content and appearance of the booklet was validated by 23 judges divided into three groups: 11 content and appearance, seven technicians and five of the area of design and marketing. The appearance was validated by 30 people with type 2 Diabetes Mellitus. RESULTS: the judges in the nursing area allowed the validation of material with a Content Validity Index (CVI) of 0.99, judges in the area of design and marketing with Suitability Assessment of Materials (SAM) of 99.2% and the target audience with concordance index of 99.4%. CONCLUSION: the educational booklet proved to be valid and reliable educational material to be used in order to promote compliance with self-care with the feet of people with Diabetes Mellitus.


Asunto(s)
Pie Diabético/terapia , Folletos , Educación del Paciente como Asunto/normas , Autocuidado/instrumentación , Diabetes Mellitus Tipo 2/complicaciones , Diabetes Mellitus Tipo 2/psicología , Diabetes Mellitus Tipo 2/terapia , Pie Diabético/psicología , Humanos , Educación del Paciente como Asunto/métodos , Autocuidado/métodos , Autocuidado/normas , Encuestas y Cuestionarios , Estudios de Validación como Asunto
18.
BMC Public Health ; 19(1): 912, 2019 Jul 09.
Artículo en Inglés | MEDLINE | ID: mdl-31288792

RESUMEN

BACKGROUND: Childhood asthma is a significant health issue with 8.3% prevalence in the U.S. Its prevalence is particularly higher among low-income communities in the Texas-Mexico border region, as they often lack access to clinical care and health insurance. This study examines the impact of a home-based education led by Community Health Workers (CHWs) on health outcomes for asthmatic, predominantly Hispanic children in these communities. METHODS: The study was a quasi-experimental design to learn the effectiveness of the asthma home-based education by comparing changes of health outcomes between baseline and follow-up of intervention and control groups. This study enrolled 290 participants, consisting of 130 in the intervention group and 160 in the control group. The educational intervention led by the CHWs referenced the Asthma and Healthy Homes curriculum and contents of the Seven Principles of Healthy Homes. The multiple linear regression analysis was conducted to estimate the associations between the intervention and each health outcome. RESULTS: When comparing the intervention group with the control group, the intervention group showed a significantly greater decrease in asthma attacks than the control group (p = 0.049). Although all of the five Children's Health Survey for Asthma (CHSA) scores showed significant improvements between baseline and follow-up in both groups, we found that increases of CHSA scores in the intervention group were higher than the control group except for emotional health of children (EC) score. The multiple linear regression models demonstrated that the mean changes in asthma attacks (p = 0.036) and emotional health of families (EF) score (p = 0.038) were significantly better in the intervention group than the control group, adjusting for children's age of diagnosis, household income, use of steroids, family history of allergy, and type of insurance. CONCLUSIONS: This study concluded that the home-based education by CHWs effectively improve health outcomes among children in communities lacking access to medical resources. The findings suggest the importance of the home-based education program in promoting emotional and medical care for children and their families in low-income communities like those in the Texas-Mexico border region.


Asunto(s)
Asma/etnología , Hispanoamericanos/educación , Servicios de Atención de Salud a Domicilio/organización & administración , Educación del Paciente como Asunto/métodos , Adolescente , Niño , Preescolar , Agentes Comunitarios de Salud , Femenino , Hispanoamericanos/estadística & datos numéricos , Humanos , Lactante , Masculino , México , Áreas de Pobreza , Evaluación de Programas y Proyectos de Salud , Texas
19.
Rev Esp Salud Publica ; 932019 Jul 15.
Artículo en Español | MEDLINE | ID: mdl-31273187

RESUMEN

In Navarre, the Smoking Cessation Program (PAF) was launched in 1994, result of the collaboration between Public Health and Primary Care. In 2001 it was integrated into the Tobacco Regional Action Plan, together with the other two lines of action: prevention of smoking initiation and promotion of smoke-free spaces. PAF includes two levels of intervention, a basic and an intensive one, with programmed educational support, individual and group. Medications for smoking cessation have been intermittently subsidized by the Health Department of Navarre. In December 2017, funding of medications for smoking cessation was reintroduced, in the same conditions of any other medication. Treatments are limited to one per patient and year, always including educational support. In 2018, 6139 people benefited from this funding, 50% women and 60% with yearly income lower than 18000 euros. We carried out a preliminary evaluation through a telephone survey. Overall, 35% of participants reported to keep abstinent after one year, 40% among those who also received intensive educational support.


Asunto(s)
Promoción de la Salud/métodos , Programas Nacionales de Salud , Atención Primaria de Salud/métodos , Cese del Hábito de Fumar/métodos , Adulto , Femenino , Encuestas de Atención de la Salud , Promoción de la Salud/economía , Promoción de la Salud/estadística & datos numéricos , Humanos , Renta , Masculino , Persona de Mediana Edad , Programas Nacionales de Salud/economía , Programas Nacionales de Salud/estadística & datos numéricos , Educación del Paciente como Asunto/economía , Educación del Paciente como Asunto/métodos , Pobreza , Atención Primaria de Salud/economía , Atención Primaria de Salud/estadística & datos numéricos , Evaluación de Programas y Proyectos de Salud , Cese del Hábito de Fumar/economía , Cese del Hábito de Fumar/estadística & datos numéricos , España
20.
BMC Public Health ; 19(1): 962, 2019 Jul 18.
Artículo en Inglés | MEDLINE | ID: mdl-31319828

RESUMEN

BACKGROUND: India faces a high burden of child undernutrition. We evaluated the effects of two community strategies to reduce undernutrition among children under 3 years in rural Jharkhand and Odisha, eastern India: (1) monthly Participatory Learning and Action (PLA) meetings with women's groups followed by home visits; (2) crèches for children aged 6 months to 3 years combined with monthly PLA meetings and home visits. METHODS: We tested these strategies in a non-randomised, controlled study with baseline and endline cross-sectional surveys. We purposively selected five blocks of Jharkhand and Odisha, and divided each block into three areas. Area 1 served as control. In Area 2, trained local female workers facilitated PLA meetings and offered counselling to mothers of children under three at home. In Area 3, workers facilitated PLA meetings, did home visits, and crèches with food and growth monitoring were opened for children aged 6 months to 3 years. We did a census across all study areas and randomly sampled 4668 children under three and their mothers for interview and anthropometry at baseline and endline. The evaluation's primary outcome was wasting among children under three in areas 2 and 3 compared with area 1, adjusted for baseline differences between areas. Other outcomes included underweight, stunting, preventive and care-seeking practices for children. RESULTS: We interviewed 83% (3868/4668) of mothers of children under three sampled at baseline, and 76% (3563/4668) at endline. In area 2 (PLA and home visits), wasting among children under three was reduced by 34% (adjusted Odds Ratio [aOR]: 0.66, 95%: 0.51-0.88) and underweight by 25% (aOR: 0.75, 95% CI: 0.59-0.95), with no change in stunting (aOR: 1.23, 95% CI: 0.96-1.57). In area 3, (PLA, home visits, crèches), wasting was reduced by 27% (aOR: 0.73, 95% CI: 0.55-0.97), underweight by 40% (aOR: 0.60, 95% CI: 0.47-0.75), and stunting by 27% (aOR: 0.73, 95% CI: 0.57-0.93). CONCLUSIONS: Crèches, PLA meetings and home visits reduced undernutrition among children under three in rural eastern India. These interventions could be scaled up through government plans to strengthen home visits and community mobilisation with Accredited Social Health Activists, and through efforts to promote crèches. TRIAL REGISTRATION: The evaluation was registered retrospectively with Current Controlled Trials as ISCRTN89911047 on 30/01/2019.


Asunto(s)
Trastornos de la Nutrición del Niño/terapia , Consejo/métodos , Desnutrición/terapia , Educación del Paciente como Asunto/métodos , Mujeres/psicología , Adulto , Trastornos de la Nutrición del Niño/epidemiología , Trastornos de la Nutrición del Niño/psicología , Preescolar , Estudios Transversales , Femenino , Visita Domiciliaria , Humanos , India/epidemiología , Lactante , Masculino , Desnutrición/epidemiología , Desnutrición/psicología , Madres/psicología , Ensayos Clínicos Controlados no Aleatorios como Asunto , Aceptación de la Atención de Salud , Población Rural
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