scholarly journals The motivation and capacity to go ‘above and beyond’: Qualitative analysis of free-text survey responses in the M@NGO randomised controlled trial of caseload midwifery

2017 ◽  
Vol 30 ◽  
pp. 19
Author(s):  
Jyai Allen ◽  
Sue Kildea ◽  
Donna L. Hartz ◽  
Sally Tracy
Keyword(s):  
Randomised Controlled Trial ◽  
Qualitative Analysis ◽  
Controlled Trial ◽  
Free Text ◽  
Caseload Midwifery ◽  
Randomised Controlled ◽  
Survey Responses

scholarly journals Using mHealth for the management of hypertension in UK primary care: an embedded qualitative study of the TASMINH4 randomised controlled trial

2019 ◽  
Vol 69 (686) ◽  
pp. e612-e620 ◽  
Author(s):  
Sabrina Grant ◽  
James Hodgkinson ◽  
Claire Schwartz ◽  
Peter Bradburn ◽  
Marloes Franssen ◽  
...  
Keyword(s):  
Primary Care ◽  
Randomised Controlled Trial ◽  
Healthcare Professionals ◽  
Controlled Trial ◽  
Home Monitoring ◽  
Data Communication ◽  
Free Text ◽  
Self Monitoring ◽  
Structured Care ◽  
Randomised Controlled

BackgroundSelf-monitoring of blood pressure is common but how telemonitoring with a mobile healthcare (mHealth) solution in the management of hypertension can be implemented by patients and healthcare professionals (HCPs) is currently unclear.AimEvaluation of facilitators and barriers to self- and telemonitoring interventions for hypertension within the Telemonitoring and Self-monitoring in Hypertension (TASMINH4) trial.Design and settingAn embedded process evaluation of the TASMINH4 randomised controlled trial (RCT), in the West Midlands, in UK primary care, conducted between March 2015 and September 2016.MethodA total of 40 participants comprising 23 patients were randomised to one of two arms: mHealth (self-monitoring by free text/short message service [SMS]) and self-monitoring without mHealth (self-monitoring using paper diaries). There were also15 healthcare professionals (HCPs) and two patient caregivers.ResultsFour key implementation priority areas concerned: acceptability of self- and telemonitoring to patients and HCPs; managing data; communication; and integrating self-monitoring into hypertension management (structured care). Structured home monitoring engaged and empowered patients to self-monitor regardless of the use of mHealth, whereas telemonitoring potentially facilitated more rapid communication between HCPs and patients. Paper-based recording integrated better into current workflows but required additional staff input.ConclusionAlthough telemonitoring by mHealth facilitates easier communication and convenience, the realities of current UK general practice meant that a paper-based approach to self-monitoring could be integrated into existing workflows with greater ease. Self-monitoring should be offered to all patients with hypertension. Telemonitoring appears to give additional benefits to practices over and above self-monitoring but both need to be offered to ensure generalisability.

Caseload midwifery care versus standard maternity care for women of any risk: M@NGO, a randomised controlled trial

The Lancet ◽  
2013 ◽  
Vol 382 (9906) ◽  
pp. 1723-1732 ◽  
Author(s):  
Sally K Tracy ◽  
Donna L Hartz ◽  
Mark B Tracy ◽  
Jyai Allen ◽  
Amanda Forti ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Maternity Care ◽  
Controlled Trial ◽  
Midwifery Care ◽  
Caseload Midwifery ◽  
Randomised Controlled

scholarly journals Evaluating the use of multimedia information when recruiting adolescents to orthodontics research: A randomised controlled trial

2021 ◽  
pp. 146531252110242
Author(s):  
Peter Knapp ◽  
Nicky Mandall ◽  
Wendy Hulse ◽  
Jenny Roche ◽  
Thirimon Moe-Byrne ◽  
...  
Keyword(s):  
Decision Making ◽  
Randomised Controlled Trial ◽  
Multimedia Information ◽  
Information Exchange ◽  
Controlled Trial ◽  
Trial Participation ◽  
Free Text ◽  
The Difference ◽  
Randomised Controlled ◽  
The Uk

Objective: To compare two methods of providing information about the Bone Anchored Maxillary Protraction (BAMP) trial: standard printed information and multimedia websites, for their quality and ease of understanding, and impact on decision-making. Design: Randomised controlled trial. Setting: Orthodontic outpatient clinic in the UK. Methods: Participants were 109 adolescents (aged 11–14 years) attending for orthodontic treatment. While awaiting treatment they were asked to imagine being recruited to the BAMP clinical trial. They were individually randomised to receive the printed or the multimedia website information (comprising text, animations and ‘talking head’ videos). After reading or viewing the information, they completed a 9-item Likert scale Decision-Making Questionnaire (DMQ) (score range 0–36) plus three free-text questions on their evaluation of the information. Results: A total of 104 participants completed the questionnaire. Mean total DMQ scores were higher (more positive) in the website group (28.1 vs. 27.0), although the difference was small and not statistically significant ( P = 0.20). Analysis of individual questionnaire items showed two statistically significant differences: the website information had higher ratings on ‘easy to understand’ (Z = 3.03; P = 0.003) and ‘confidence in decision-making’ (Z = 2.00; P = 0.044). On the three free-text questions, more positive and fewer negative comments were made about the websites than the printed information. Conclusion: In this hypothetical trial setting, adolescent patients found that trial information conveyed on a multimedia website was easier to understand and made them more confident in their decision about trial participation. Their subjective evaluations of the website were also more positive and less negative than about the printed information. Multimedia information has the potential to increase the quality of engagement and information exchange when seeking consent for research.

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