scholarly journals Effects of the Digital Game “Fit, Food, Fun” on Nutritional Knowledge: A Pilot Study among German Children and Adolescents

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Sophie Laura Holzmann ◽  
Hanna Schaefer ◽  
Georg Groh ◽  
David Alexander Plecher ◽  
Gudrun Klinker ◽  
...  
Keyword(s):  
Pilot Study ◽  
Children And Adolescents ◽  
Digital Health ◽  
Potential Effect ◽  
P Value ◽  
Nutritional Knowledge ◽  
Short Term ◽  
Post Intervention ◽  
Lifestyle Behaviour ◽  
The Mean

AbstractIntroduction:Serious games are a novel and entertaining approach for digital health education in the younger population. Aim of this pilot study was to evaluate the short-term effectiveness of the serious game “Fit, Food, Fun” (FFF) among a subset of children and adolescents in Germany with regard to nutritional knowledge.Materials and Methods:Two Bavarian secondary schools were each allocated to one intervention arm. The gameplay intervention (gameplay group; GG) consisted of a 15-minute gameplay session for each of three days (Tuesday to Thursday), while the teaching intervention (teaching group; TG) was performed as a 15-minute classic lecture for the same number of days. Given nutritional information was based on the recommendations of the “German Nutrition Society e.V.” and was identical for both intervention groups. Nutritional knowledge was evaluated through a standardised questionnaire at baseline (Monday) and post-intervention (Friday). Lifestyle behaviour (diet; physical activity) and anthropometrics (height; weight) were assessed once at baseline. Inclusion criteria were sufficient German language skills and parental consent form. Statistical analyses were performed using the statistical software R (R Core Team, 2018).Results:In total, 47 students (62% male) were assigned to the GG and 47 students (72% male) to the TG. The mean age was 13.5 years in the GG and 12.8 years in the TG. The mean body mass index was in the normal range (GG: 24.4 kg/m2; TG: 22.0 kg/m2). Data at baseline and post-intervention are analysed for 36 participants in the GG and for 40 participants in the TG. Compared to baseline, results revealed significant improvements (p-value < 0.001) in nutritional knowledge in both intervention groups. There was a between-group difference with significantly (p-value = 0.0139) higher increase of nutritional knowledge in the TG.Discussion:This pilot study provides evidence for the short-term efficacy of both game-based and traditional education approaches on the improvement of nutritional knowledge; however, further research in warranted to assess the potential effect of a digital gameplay intervention on nutritional behaviour. Finally, the FFF game might be considered as an appropriate educational tool for imparting nutritional knowledge in an entertaining and effective format among children and adolescents.

scholarly journals Short-Term Effects of the Serious Game “Fit, Food, Fun” on Nutritional Knowledge: A Pilot Study among Children and Adolescents

Nutrients ◽  
2019 ◽  
Vol 11 (9) ◽  
pp. 2031 ◽  
Author(s):  
Sophie Laura Holzmann ◽  
Hanna Schäfer ◽  
Georg Groh ◽  
David Alexander Plecher ◽  
Gudrun Klinker ◽  
...  
Keyword(s):  
Pilot Study ◽  
Children And Adolescents ◽  
Serious Games ◽  
Educational Interventions ◽  
Serious Game ◽  
P Value ◽  
Nutritional Knowledge ◽  
Short Term ◽  
Post Intervention ◽  
The Mean

“Serious games” are a novel and entertaining approach for nutritional education. The aim of this pilot study was to evaluate the short-term effectiveness of “Fit, Food, Fun” (FFF), a serious game to impart nutritional knowledge among children and adolescents. Data collection was conducted at two secondary schools in Bavaria, Germany. The gameplay intervention (gameplay group; GG) consisted of a 15-minute FFF gameplay session during each of three consecutive days. The teaching intervention (teaching group; TG) was performed in a classic lecture format. Nutritional knowledge was evaluated via questionnaires at baseline and post-intervention. Statistical analyses were performed using R (R Core Team, 2018). In total, baseline data were available for 39 participants in the GG and 44 participants in the TG. The mean age was 13.5 ± 0.7 years in the GG and 12.8 ± 0.9 years in the TG. There was a significant (p-value < 0.001) improvement in nutritional knowledge in both intervention groups. Moreover, a between-group difference with a significantly (p-value = 0.01) higher increase in nutritional knowledge was detected for the TG. This pilot study provides evidence for the short-term effectiveness of both educational interventions on the improvement in nutritional knowledge. Finally, the FFF game might be an adequate educational tool for the transfer of nutritional knowledge among children and adolescents.

scholarly journals Early and long-term complications following transanal pull through Soave technique in infants with Hirschsprung's diseaseric infants with Hirschsprung's disease

2019 ◽  
Author(s):  
Manoochehr Ghorbanpour ◽  
Mohammad Ali Seyfrabie ◽  
Babak Yousefi
Keyword(s):  
Intestinal Obstruction ◽  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Statistical Tests ◽  
Case Series ◽  
P Value ◽  
Short Term ◽  
Case Series Study ◽  
The Mean

Objective. Patients undergoing Soave surgery for Hirschsprung's disease are at risk for some complications. The aim of this study was to investigate such short-term and long-term complications and evaluate the outcome of the operation in these patients. Methods. A case series study was carried out during the last 12 years, during 2007 to 2018 in Besat hospital of Hamadan. Data collection conducted using a checklist includes questions about demographic information, clinical features, and short-term and long-term complications, and consequences of post-operative surgery. The findings of the study were analyzed using SPSS software version 20 and appropriate statistical tests. P-value less than 0.05 was considered statistically significant. Results. A total of 55 children underwent Soave surgery during the last 12 years in Besat Hospital Hamadan, Iran. The mean age of the patients was 38±10 days during surgery, of which 56.4% were female. The mean hospital stay was 7.3 days. Also, the mean weight of children at birth was 2970±447 gr. Most of the patients were born as NVD (52.7%) and term (74.5%). The most common comorbidity was congenital heart disease. The most common short-term complication was intestinal obstruction in 14 patients (25.5%) and the most frequent long-term complication was intestinal obstruction and constipation (27.3% each cases). The mortality rate of patients in this study was 14.5% in total. Conclusions. One stage surgical procedure in Hirschsprung's disease is a safe and effective method, but care should be taken in choosing patients and patients should be monitored for possible complications, so that they can be considered and implemented for proper treatment.

scholarly journals The individual empowerment program improves glycemic and lipid controls in admitted type 2 DM patients

2018 ◽  
Vol 21 (2) ◽  
pp. 113-117
Author(s):  
Ampornpan Theeranut ◽  
Nonglak Methakanjanasak ◽  
Pattama Surit ◽  
Wasana Ruaisungnoen ◽  
Kittisak Sawanyawisuth ◽  
...  
Keyword(s):  
Intervention Group ◽  
Control Group ◽  
P Value ◽  
Inpatient Setting ◽  
Short Term ◽  
The Mean ◽  
The Individual ◽  
Diabetes Patients ◽  
Empowerment Program

Aim. To evaluate the short-term effects of the empowerment program on glycemic and lipid profiles in an inpatient setting for DM type 2 patients. Materials and methods. This was a quasi-experimental study conducted between October 2013 and June 2015. We enrolled diabetes patients admitted to the hospital, age over 35 years, and HbA1c 7%. During the admission, the intervention group received the empowerment course three times prior to discharge, the control group received standard diabetes and nursing care. All patients body weight, HbA1c, HDL-c, and LDL levels were evaluated at three and six months after discharge. All outcomes were compared between the control and intervention group. Results. A total of 57 diabetes patients participated in the study, with 27 in the intervention group and 30 in the control group. The intervention group had significantly higher HbA1c levels than the control group (10.3% vs 8.0%; p value 0.001). After discharge, the mean HbA1c and LDL-c levels of the intervention group were significantly lower than those of the control group at three and six months, while the mean HDL-c level of the intervention group was significantly higher than that of the control group at six months (1.54 vs 1.29 mmol/L; p value 0.001). The average body mass index of the intervention group was also significantly lower than that of the control group at six months (22.74 vs 25.54 kg/m2; p value = 0.016). Conclusion. The individual empowerment program improved short-term glycemic and lipid outcomes in admitted diabetes mellitus patients.

Abstract 257: Cutting Down the Lag- an Assessment of the Delay in the House Staff’s Evaluation of an Admission

2020 ◽  
Vol 13 (Suppl_1) ◽  
Author(s):  
Jason G Kaplan ◽  
Arjun Kanwal ◽  
John Berquist ◽  
Samuel Eis ◽  
Rabia Zahid ◽  
...  
Keyword(s):  
Emergency Department ◽  
Response Time ◽  
Current System ◽  
Lag Time ◽  
P Value ◽  
Post Intervention ◽  
Emergency Department Admission ◽  
Admission Time ◽  
Evaluation Time ◽  
The Mean

Background: At this institution, a delay occurs between the time the emergency department admits a patient and the admitting service’s evaluation of the patient. Since the emergency department is run on paper charting, the current system, at night, involves the emergency department writing a name and a diagnosis in the emergency department’s admission book. The night residents’ job is to admit teaching patients to the teaching service. The current system requires the night resident to physically go to the emergency department and look in the admissions book to find out about a new admission. This lack of communication can cause a great delay in evaluation of a new admission, which can be problematic. The catalyst for this study was an adverse event where a stroke was missed in the emergency department and the patient was not evaluated by the admitting service for 15 hours falling well outside the tPA window. Decreasing the delay in thorough evaluation is crucial in proper treatment of many cardiovascular conditions, which are time sensitive and can potentially prevent a catastrophic outcome. Intervention: Residents on the admitting service will be first asked to document their evaluation time without intervention, which will be documented with the emergency department admission time to establish a baseline. In addition to the current system of manually checking the admissions book in the emergency department, the ward clerk will page the night staff when new admissions are written in the book. Residents on the admitting service will then document their evaluation time with this new intervention, along with the emergency department admission time. The goal of this new system is to decrease the time the patient is waiting to be evaluated by the admitting service. Results: The mean lag time pre-intervention (N=20) was 73 minutes with a range of 0-279 minutes. Post-intervention (N=25) the mean lag time was 82 minutes with a range of 5- 337 minutes. The P-value of this study was 0.707. Residents on the admitting service were very compliant with documenting their evaluation times. Admitting residents did note the pages were inconsistent and were often missed. The rate of pages successfully sent out was not documented. Conclusion: The lag time before and after intervention was not found to be statistically significant. Pages were inconsistently sent out but did not impact the internal validity of the study. Since the study tested if paging the on-call residents improved the delay in evaluation, the ability to reliably send the page is as important as the response time. The paging system in this study was used as an augmentation to the current system out of some trepidation that pages could be missed and thus negatively impacting the response time. Due to the statistically insignificant data, it can be concluded that the paging system made no impact on the response time patients were seen by the admitting residents.

scholarly journals Blood biomarkers to predict short-term pulmonary exacerbation risk in children and adolescents with CF: A pilot study

2020 ◽  
Vol 19 (1) ◽  
pp. 49-51 ◽  
Author(s):  
Amrit Singh ◽  
Mary He ◽  
Virginia Chen ◽  
Zsuzsanna Hollander ◽  
Scott J. Tebbutt ◽  
...  
Keyword(s):  
Pilot Study ◽  
Children And Adolescents ◽  
Pulmonary Exacerbation ◽  
Blood Biomarkers ◽  
Short Term ◽  
Exacerbation Risk

scholarly journals Efficacy of hand washing beeswax food wrap in household use

2019 ◽  
Author(s):  
Celine Hsin ◽  
BCIT School of Health Sciences, Environmental Health ◽  
Dale Chen
Keyword(s):  
Cold Water ◽  
Intervention Group ◽  
P Value ◽  
Cross Contamination ◽  
Post Intervention ◽  
Food Residue ◽  
Specific Category ◽  
Single Use ◽  
The Mean ◽  
Post Intervention Group

  Background: Over the years, many reusable products have been invented to replace single-use disposable items to reduce waste. One of such products is the reusable beeswax food wrap, which aims to replace plastic film wraps to store food. According to manufacturer instructions, the beeswax wrap can only be washed with cold water and detergent. This presents the question whether the beeswax wrap can be effectively cleaned, as continuous reuse may present cross contamination issues. This study examines if manufacturer instructions is effective in cleaning the beeswax wrap. Methods: ATP analysis was used to determine the level of cleanliness on the beeswax wrap between the pre-intervention and post-intervention treatments. Pre-intervention samples are the new beeswax wraps. Post- intervention samples are wraps that have been contaminated with avocado, washed, and dried. ATP counts (RLU) were measured with Hygiena SystemSURE Plus ATP monitoring system. Paired T-Test was done on NCSS to analyze the results. Results: The mean of the pre-intervention group was measured at 8 RLU, which is considered clean under the Hygiena standard. The mean for the post-intervention group was measured at 67 RLU, which is considered a fail on cleanliness under the Hygiena standard. This shows that the manufacturer instructions on washing the beeswax wrap does not effectively clean the beeswax wrap. Statistical analysis show p-value is 0.000, therefore one can conclude there is a statistically significance difference in the mean ATP count between pre-intervention and post-intervention beeswax wrap samples. Conclusion: Results show that some food residue remained on the wrap after washing. This means manufacturer instructions cannot effectively clean beeswax wrap. Therefore, it is recommended that manufactures should put a label on their packaging to let their customers know that the wrap can’t be thoroughly cleaned, and certain foods should be avoided for its use. During its use, the wraps should be labeled for the specific category of food it is used for. BCCDC can also use this result to add into the reusable container guideline.  

CBT-based App for Women Experiencing Chronic Pelvic Pain: A Pilot Study (Preprint)

2020 ◽  
Author(s):  
Arthur Stabolidis ◽  
Christina Bryant ◽  
Greg Wadley ◽  
Lisa Phillips
Keyword(s):  
Pilot Study ◽  
Pelvic Pain ◽  
Participatory Design ◽  
Chronic Pelvic Pain ◽  
Randomised Control Trial ◽  
Behaviour Therapy ◽  
Post Intervention ◽  
Cognitive Behaviour ◽  
The Mean ◽  
Clinically Significant

BACKGROUND Chronic Pelvic Pain (CPP) is a costly and distressing condition and while psychological interventions are effective, they are often not utilised or available. Cost, stigma and lack of time are often presented as reasons for why some women with CPP do not engage with these therapies. Increasingly, technology-mediated therapies have been adopted in the management of long-term health conditions to help overcome barriers commonly associated with face-to-face interventions. OBJECTIVE The objective of the study was to design and pilot a technology-based intervention for women experiencing CPP. We employed a user-centered approach involving women with CPP and clinicians in the co-design process. METHODS To co-design the intervention we conducted five participatory design workshops at a public hospital for women. The data gathered informed the design of an app-based intervention called appEase. We pilot tested appEase with women (N = 16) who were asked to use the app daily over 28 days. Data collected during the pilot included a series of baseline, mid- and post-intervention measures, and usage data collected from within the app. RESULTS Workshop findings suggested that a smartphone application, appEase, that delivers a course in mindfulness, pain education and Cognitive Behaviour Therapy (CBT) was consistent with the goals and needs of this patient group. Pilot testing indicated that although appEase was designed to be used for a period of 28 days, the mean completion time for the intervention was 64 days. Ten participants (63%) experienced clinically significant reductions in Pain Catastrophising (PC), and nine (56%) experienced clinically significant increases in Pain Self-Efficacy (PSE). When asked how confident they would be in recommending the program to a person with chronic pain, the mean rating was 8.44 (out of 10). CONCLUSIONS Psychological therapy embodied in a smartphone app shows promise for women experiencing CPP. This study highlights the importance of co-design and provides a useful exemplar for designers of technology-mediated health programs for women experiencing CPP. Furthermore, it has produced a sound empirical basis for testing the efficacy of appEase in a randomised control trial. CLINICALTRIAL Not registered as it is a pilot study with no funding from national agencies

Effect of Distributed Versus Massed Practice on Reaction Time in Collegiate Volleyball Players: A Pilot Study

2021 ◽  
Author(s):  
Kiran Negi ◽  
SD Shahanawaz ◽  
Priya Chauhan ◽  
Basudeo Rajbhor
Keyword(s):  
Reaction Time ◽  
Pilot Study ◽  
Distributed Practice ◽  
P Value ◽  
Massed Practice ◽  
Significant Difference ◽  
Volleyball Players ◽  
Group A ◽  
The Mean ◽  
Group B

Introduction: Reaction Time (RT) is the time taken by an individual to respond to external stimuli. It is one of the most important determinant ability in sports like Volleyball. Shorter RT leads to higher performance and success in Volleyball. Two types of training methods, massed and distributed practice have been used in researches to improve RT and other sports related skills in sports. In massed practice, there is persistent workout with hardly any rest periods even of minimal time period relative to the work interval while in distributed practice; it is interspersed with rest or other skill learning. There are mixed evidences on effectiveness of these practice methods which has led to the present study. Aim: To find the effect of distributed practice and massed practice in terms of RT among collegiate volleyball players. Materials and Methods: The study design was quasi-experimental pilot study that was conducted at the volleyball academy Gurugram, Haryana, India from September 2019 to December 2019. A total of 30 players, aged 18-22 years, from college volleyball team were invited to participate in the study. Subjects were randomly divided into two groups. Group A received massed practice (n=15), and group B received distributed practice (n=15) for 40 minutes, four days a week for four weeks. Players who were practicing daily for one hour were included in this study and they were excluded if they had any condition that limited their participation in the study or if they are suffering from any type of orthopaedic or neurological illness. RT was measured using Ruler Drop Test (RDT) and Red Light Green Light Test (RLGL). Data was analysed using Statistical Package for the Social Sciences (SPSS) version 20.0 for statistical analysis. Results: The mean pre and post data of Group A, for RDT was 0.16 and 0.12 seconds, respectively; of Group B, it was 0.16 and 0.13. The mean pre and post data of Group A for RLGL was 0.42 and 0.38 seconds, respectively; Group B data for RLGL pre and post was 0.39 and 0.37 seconds, respectively. Both the groups showed significant improvement in scores of RDT (p-value for Group A=0.01, Group B=0.05) and RLGL (p-value for Group A=0.01, Group B=0.01) measured by the paired sample t-test (p<0.05). But there was no significant difference in between group analysis measured by independent sample t-test (p>0.05). Conclusion: This study showed that both massed and distributed practice was helpful in improving RT of collegiate volleyball players. As there was no significant difference between the two groups, consequently which practice method is superior in improving RT in collegiate volleyball players could not be stated.

scholarly journals P042: Pilot study for the inter-arm blood pressure systematic measurement during the diagnosis of transient ischemic attack in the emergency department

CJEM ◽  
2019 ◽  
Vol 21 (S1) ◽  
pp. S78
Author(s):  
P. La Rochelle ◽  
S. Lavoie ◽  
V. Boucher ◽  
M. Émond ◽  
J. Perry
Keyword(s):  
Blood Pressure ◽  
Emergency Department ◽  
Pilot Study ◽  
Transient Ischemic Attack ◽  
Systematic Measurement ◽  
P Value ◽  
Systemic Thrombolysis ◽  
The Mean ◽  
Mild Stroke ◽  
Ischemic Attack

Introduction: Our principal aim was to document the feasibility of the systematic measurement of the inter-arm blood pressure difference (IABPD) during an episode of transient ischemic attack (TIA) or mild stroke diagnosed in the Emergency Department (ED). As secondary goal was to compare the systolic blood pressure (BP) at triage with the systolic BPs measured during the IABPD. Methods: This is a single center pilot study. Patients presenting in the ED for a diagnosis of TIA were recruited. Once patient has been triaged and diagnosed of TIA, a research assistant made sure that the patient lay on a stretcher for at least 5 minutes. Two automated sphygmomanometers were applied, on each arm. No specific device or device calibration were required. Three consecutive simultaneous BP readings were performed, inverting cuffs arm to arm between each reading. Only the last two set of readings were used to calculate the mean IABPD. This method enables to minimize the error coming from the potential sphygmomanometers’ inaccuracies. Results: 32 patients were recruited from June to September 2017 and all had a successful IABPD measurement. Four patients had an IABPD &gt;10 mmHg, varying from 1.5 to 13 mmHg when the left arm was higher and from 1 to 61 mmHg when the right arm was higher. Of the 22 patients where the triage BP arm side selection was recorded, only 11 were congruent with the arm presenting the highest BP during the IABPD measurement. Selecting of the arm with the highest BP value may better reflect cerebrovascular risk exposition. The mean systolic BP at triage was 159.3 mmHg (95%CI: 144.9-173.7) compared to144.8 mmHg (95%CI: 132.9-156.7) if the arm with the highest value during the IABPD measurement is selected and 142.4 mmHg (95%CI: 130.8-154.0) if the same arm as triage is selected. The p-value for these differences were 0.003 and 0.001 respectively. The patient which presented the IABPD of 61 mmHg, had a stroke 3 days after its ED visit which subsequently led to her death 10 days later. Conclusion: Our results show that the systematic IABPD measurement using a pragmatic approach in the ED is feasible and is ready to investigate its use in the context of a new TIA or mild stroke. This information may contribute to a better discrimination of the short-term risk of stroke and may help to diagnose acute aortic dissection, monitor more accurately BP during hyperacute stroke or estimate intracerebral hemorrhage risk if systemic thrombolysis is considered.

scholarly journals Teaching Cardiac Arrhythmias Using Educational Videos and Simulator Software in Nurses: An Educational Interventional Study

2020 ◽  
Vol 21 (9) ◽  
Author(s):  
Hamed Tavan ◽  
Siros Norouzi ◽  
Masoumeh Shohani
Keyword(s):  
Cardiac Arrhythmias ◽  
Heart Diseases ◽  
Educational Interventions ◽  
P Value ◽  
Post Intervention ◽  
Significant Difference ◽  
Before And After ◽  
Quasi Experimental ◽  
The Mean ◽  
Educational Videos

Background: Cardiac arrhythmias are among the most prominent causes of mortality in patients with heart diseases. By timely diagnosis of arrhythmias, nurses can provide necessary therapeutic measures to these patients. Objectives: The purpose of this study was to determine the effects of teaching cardiac arrhythmias using educational videos and simulator software in nurses. Methods: In this quasi-experimental study, 22 novice nurses were selected based on the census method. Evaluations were performed before and after educational interventions for cardiac arrhythmia. The interventions included using simulator software and face-to-face education. A questionnaire with 20 questions regarding cardiac arrhythmias organized in 4 parts of sinus arrhythmias, atrial arrhythmias, ventricular arrhythmias, and blocks and junctional rhythm, and each with 5 questions was used to collect data. Each question was scored 1 point, and the final score ranged from 0 to 20. The scores were categorized into poor (< 10), moderate (11 - 15), and good (16 - 20) levels. Data were analyzed using SPSS V.20 software. Results: There was a significant difference in the mean of total score regarding the diagnosis of arrhythmias before (9.9) and after (15.68) the education (P value = 0.022). This indicated an increase of about 6 scores at post-intervention. The classification of the scores showed that 9 (40.9%) and 13 (59.1%) nurses had poor and moderate diagnostic abilities before training. However, following education, 10 nurses (50%) acquired moderate and 10 (50%) nurses obtained good scores. Conclusions: Arrhythmia scores varied before and after training, with the mean scores after training increased, and arrhythmia detection rate was increased after the intervention. It is advisable to use modern educational methods as good alternatives for reviewing educational content and concepts.

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