scholarly journals Educational video intervention improves knowledge and self-efficacy in identifying malnutrition among healthcare providers in a cancer center: a pilot study

2019 ◽  
Vol 28 (2) ◽  
pp. 683-689
Author(s):  
Patricia G. Wolf ◽  
Joanna Manero ◽  
Kirsten Berding Harold ◽  
Morgan Chojnacki ◽  
Jennifer Kaczmarek ◽  
...  
2021 ◽  
pp. 152692482110648
Author(s):  
Thomas A. Morinelli ◽  
David J. Taber ◽  
Zemin Su ◽  
James R. Rodrigue ◽  
Zachary Sutton ◽  
...  

Introduction: The optimal treatment for end-stage kidney disease is renal transplant. However, only 1 in 5 (21.5%) patients nationwide receiving dialysis are on a transplant waitlist. Factors associated with patients not initiating a transplant evaluation are complex and include patient specific factors such as transplant knowledge and self-efficacy. Research Question: Can a dialysis center-based educational video intervention increase dialysis patients’ transplant knowledge, self-efficacy, and transplant evaluations initiated? Design: Dialysis patients who had not yet completed a transplant evaluation were provided a transplant educational video while receiving hemodialysis. Patients’ transplant knowledge, self-efficacy to initiate an evaluation, and dialysis center rates of transplant referral and evaluation were assessed before and after this intervention. Results: Of 340 patients approached at 14 centers, 252 (74%) completed the intervention. The intervention increased transplant knowledge (Likert scale 1 to 5: 2.53 [0.10] vs 4.62 [0.05], P < .001) and transplant self-efficacy (2.55 [0.10] to 4.33 [0.07], P < .001. The incidence rate per 100 patient years of transplant evaluations increased 85% (IRR 1.85 [95% CI: 1.02, 3.35], P = .0422) following the intervention. The incidence rates of referrals also increased 56% (IRR 1.56 [95% CI: 1.03, 2.37], P = .0352), while there was a nonsignificant 47% increase in incidence rates of waitlist entries (IRR 1.47 [95% CI: 0.45, 4.74], P = .5210). Conclusion: This dialysis center-based video intervention provides promising preliminary evidence to conduct a large-scale randomized controlled trial to test its effectiveness in increasing self-efficacy of dialysis patients to initiate a transplant evaluation.


JMIR Diabetes ◽  
10.2196/23708 ◽  
2020 ◽  
Author(s):  
Elizabeth Ann Beverly ◽  
Carrie Love ◽  
Matthew Love ◽  
Eric Williams ◽  
John Bowditch

Author(s):  
Cayetana Ruiz-Zaldibar ◽  
Inmaculada Serrano-Monzó ◽  
Olga Lopez-Dicastillo ◽  
María Jesús Pumar-Méndez ◽  
Andrea Iriarte ◽  
...  

Positive parenting programs are a key strategy to promote the development of parental competence. We designed a pilot study based on parental self-efficacy to promote healthy lifestyles in their children aged between 2 to 5 years old. In this pilot study, we aimed to assess the effects of a parenting program on parental self-efficacy and parenting styles. Twenty-five parents were allocated into intervention (N = 15) and control group (N = 10). Parents from the intervention group received four group sessions (120 mi per session) to develop a positive parenting, parenting styles and parenting skills regarding to children’s diet, exercise, and screen time, and two additional sessions about child development and family games. Parents from the control group received these two latter sessions. Parental self-efficacy, parenting styles, and meal-related parenting practices were measured before and after the intervention and at 3-month follow-up. Acceptability and feasibility of the program was also measured. Quantitative data were analyzed using the repeat measures ANOVA and ANCOVA tests and the effect size calculation. Content analysis was used to analyse open questions. Positive trends were found regarding parental self-efficacy and the use of authoritative parenting style. Parents also reported a great acceptability of the program getting high satisfaction. According to the feasibility barriers and facilitators aspects were identified. The positive trends founded in this study support the development of parenting programs to promote healthy lifestyle in children.


2017 ◽  
Vol 2017 ◽  
pp. 1-11
Author(s):  
Aaron Blocher-Rubin ◽  
Paige Krabill

Early Intensive Behavioral Intervention (EIBI) is an effective treatment for children with autism. However, it is known that some parents struggle to fully implement the program, and providers are not always able to identify the specifics of each family’s individualized challenges. The purpose of this pilot study was to begin the process of developing a new instrument, the EIBI Parental Self-Efficacy (EPSE) Scale, to help providers better assess and assist parents in regard to EIBI implementation. The methodology included four phases: scale construction, expert review, pretest administration, and a large sample pilot study (N = 192). The final 29-item EPSE Scale contained strong reliability properties (Cronbach’s alpha = .900). Factor analysis established five subscales: Family Well-Being, Preparing for Successful Sessions, Team Participation, Not Giving Up, and Working with your Child. Following this pilot study, future research is recommended to refine and validate the EPSE Scale as a useful clinical tool for EIBI providers.


Author(s):  
Kalonji Cole ◽  
Danielle Wenger ◽  
Anika Guha ◽  
Carlyn Yarosh ◽  
Nii Koney ◽  
...  

Purpose: The purpose of this study is to determine if computer-based videos can successfully educate patients about the health benefits of a whole-food, plant-based diet (WFPBD) during the clinic wait time. As physicians, we recognize the importance of nutrition in disease prevention and treatment. Therefore, we investigated the effectiveness of a video-based educational model in increasing patient knowledge and confidence regarding diet. Methods: Subjects (n = 77) were recruited from an outpatient clinic. An electronic survey was developed and administered to patients before and after watching a 5-minute educational computer-based video about the beneficial health effects of WFPBD. Responses to the survey’s 10 knowledge-based (KB) questions were scoredon a dichotomous incorrect/correct scale, and the survey’s 9 confidence-based (CB) questions were scored on a likert scale from 1 (strongly disagree) to 5 (strongly agree). Paired pre- to post-video intervention difference scores (knowledge and confidence) were calculated for each patient and independently analyzed using a related-samples Wilcoxon signed rank test. one-way ANoVA tests were used to investigate survey questions demonstrating the greatest improvement post-video intervention. Results: Statistically significant improvements in patient knowledge and confidence in their knowledge of nutrition after watching the brief educational video on nutrition were found. Patients scored significantly higher post-video intervention than pre-video intervention on KB survey questions (z = 5.748; P< .001) and CB survey questions (z= 6.605; P< .001). Statistical significance remained across all self-reported chronic condition groups, except for obesity (oB) and atherosclerosis (AS) groups for total knowledge and AS group for total confidence. one-way ANoVA tests confirmed that self-reported chronic conditions did not significantly predict baseline (pre-intervention) total KB or CB scores. The exploratory question-specific analysis demonstrated that the survey questions regarding average daily fiber consumption (P< 0.001) and the association of saturated fats with chronic disease (P= 0.001) were the most significant predictors of the increase in patient knowledge post-intervention. Conclusion: our findings indicate that providing patients with a short computerbased educational video during clinic wait time can significantly increase patient knowledge on the health benefits of a WFPBD. Future studies can test the model on a larger, more varied sample of patients and gauge the longevity of the knowledge gained from this educational model.


2015 ◽  
Vol 52 (6) ◽  
pp. 653-662 ◽  
Author(s):  
Karen L. Frost ◽  
Gina Bertocci ◽  
Michael D. Stillman ◽  
Craig Smalley ◽  
Steve Williams ◽  
...  

JMIR Cancer ◽  
10.2196/30265 ◽  
2021 ◽  
Author(s):  
Cassandra A Hathaway ◽  
Melody N Chavez ◽  
Mika Kadono ◽  
Dana Ketcher ◽  
Dana E Rollison ◽  
...  

2013 ◽  
Vol 38 (3) ◽  
pp. 177-184 ◽  
Author(s):  
Martin Teufel ◽  
Kerstin Stephan ◽  
Axel Kowalski ◽  
Saskia Käsberger ◽  
Paul Enck ◽  
...  

2000 ◽  
Vol 18 (15) ◽  
pp. 2805-2810 ◽  
Author(s):  
Charles L. Bennett ◽  
Tammy J. Stinson ◽  
Victor Vogel ◽  
Lyn Robertson ◽  
Donald Leedy ◽  
...  

PURPOSE: Medical care for clinical trials is often not reimbursed by insurers, primarily because of concern that medical care as part of clinical trials is expensive and not part of standard medical practice. In June 2000, President Clinton ordered Medicare to reimburse for medical care expenses incurred as part of cancer clinical trials, although many private insurers are concerned about the expense of this effort. To inform this policy debate, the costs and charges of care for patients on clinical trials are being evaluated. In this Association of American Cancer Institutes (AACI) Clinical Trials Costs and Charges pilot study, we describe the results and operational considerations of one of the first completed multisite economic analyses of clinical trials. METHODS: Our pilot effort included assessment of total direct medical charges for 6 months of care for 35 case patients who received care on phase II clinical trials and for 35 matched controls (based on age, sex, disease, stage, and treatment period) at five AACI member cancer centers. Charge data were obtained for hospital and ancillary services from automated claims files at individual study institutions. The analyses were based on the perspective of a third-party payer. RESULTS: The mean age of the phase II clinical trial patients was 58.3 years versus 57.3 years for control patients. The study population included persons with cancer of the breast (n = 24), lung (n = 18), colon (n = 16), prostate (n = 4), and lymphoma (n = 8). The ratio of male-to-female patients was 3:4, with greater than 75% of patients having stage III to IV disease. Total mean charges for treatment from the time of study enrollment through 6 months were similar: $57,542 for clinical trial patients and $63,721 for control patients (1998 US$; P = .4) CONCLUSION: Multisite economic analyses of oncology clinical trials are in progress. Strategies that are not likely to overburden data managers and clinicians are possible to devise. However, these studies require careful planning and coordination among cancer center directors, finance department personnel, economists, and health services researchers.


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