scholarly journals Increasing nutritional support for patients undergoing radiation therapy: the radiation therapist perspective

2010 ◽  
Vol 10 (3) ◽  
pp. 181-189 ◽  
Author(s):  
Shane E. Dempsey ◽  
Naomi Findlay ◽  
Lesley MacDonald-Wicks

AbstractPurpose: The aim of this study was to determine radiation therapists’ knowledge on the nutritional management of side effects for patients receiving treatment to the gastrointestinal tract and genitourinary system and to determine the willingness of radiation therapists’ to participate in nutritional training.Method: A cross-sectional survey at a Radiation Oncology Treatment Centre was performed coupled with a semi-structured interview to explore radiation therapists’ knowledge and experiences related to patient nutritional care.Results: Eighty-one percent of participants agreed that they were often asked by patients for advice on eating. The majority of participants recognised that providing adequate nutrition support would be beneficial in terms of patient outcomes (91%) and ongoing patient compliance with nutrition advice (81%). However, participants demonstrated low confidence in providing nutrition support. Eighty-six percent of radiation therapists had not received any training on nutritional interventions and 100% of radiation therapists were interested in receiving more training.Conclusion: This research indicates that radiations therapists are often asked for nutritional advice by patients and recognise the associated benefits but are not confident in providing advice. Our findings reveal an opportunity for radiation therapists to provide scripted nutrition advice to patients to reinforce recommendations made by dietitian.

2021 ◽  
Author(s):  
Lily Payvandi ◽  
Chase Parsons ◽  
Fabienne C. Bourgeois ◽  
Jonathan Hron

BACKGROUND Limited English proficient (LEP) patients are at higher risk of poor health outcomes and are less likely to utilize telehealth compared to English speaking patients. There is no formal evaluation of inpatient telehealth user experience by language preference to date. OBJECTIVE To compare the experience of Spanish and English-speaking patients and families using our inpatient telehealth program (ITP). To evaluate the experience of Spanish interpreters using ITP. METHODS We prospectively administered a survey to English and Spanish speaking patients and families who used our ITP from October 1, 2020 to March 31, 2021. We performed semi-structured interviews of hospital based Spanish interpreters by phone who participated in ITP. RESULTS High satisfaction was reported by both English and Spanish speakers (SD 0.47-1.7, IQR 0-2). Both English and Spanish speaking patients participated in ITP with their primary inpatient care team, subspecialty consultants and other clinicians. Hospital tablets were used more often than personal devices, and only English speaking patients utilized a personal laptop. Patients and families encountered challenges with log-in, team coordination with multiple users and equipment availability. Interpreters encountered challenges with audio and visual quality, communication, safety, and Wi-fi access. CONCLUSIONS There is high satisfaction amongst both English and Spanish speaking patients using our ITP. Use cases are multi-disciplinary and suggest lasting applicability post-pandemic, however significant investment is needed to provide robust infrastructure to support utilization by all patients, but especially integration of interpreter services for LEP patients. CLINICALTRIAL N/A


2020 ◽  
pp. 1-3
Author(s):  
B. M. Vashisht ◽  
Dhriti Bapna ◽  
Srishti Singh ◽  
Arup Saha ◽  
Manjeet Rathee ◽  
...  

Isolation is recommended for corona positive patients and their contacts are advised home quarantine. This study was planned to assess the practices followed during home quarantine/ isolation for COVID-19 pandemic among urban population in Rohtak, Haryana. A cross-sectional survey was conducted among 101 persons on home isolation or quarantine in urban field practice areas attached to the Department of Community Medicine of a tertiary care centre of Rohtak. A semi-structured interview schedule was used to obtain information from the participants through house to house visit. Data were analysed using Microsoft Excel version 2010 and Statistical Package for Social Sciences ver.24. 79.2% subjects on home quarantine/ isolation restricted their movement inside house. Face cover was used by 98% and correct hand washing technique was practised by 70.3% participants. Behaviour change communication activities need to be further strengthened to improve practices followed during home quarantine/ isolation.


Author(s):  
Nelly Chebet Sang ◽  
Joseph Kipkorir Cheruiyot

The horticulture sub-sector contributes substantially to the Kenyan economy, but smallholder productivity is low. This study investigated the role of information literacy on smallholder horticultural productivity performance in a lower highland zone of Belgut Sub-county, Kericho County, Kenya. The study used descriptive cross-sectional survey design. Data were collected between January and April 2019. Smallholder horticulture farmers who previously participated in a program; NALEP, in Belgut Sub-county were purposely selected and interviewed. Data was collected from 31 respondents through face-to-face household interviews using pre-tested semi-structured interview schedules and analyzed using Statistical Package for Social Sciences (SPSS) version 20. Descriptive statistics were utilized to document the farmers’ information sources. Associations between attributes were analyzed by running Goodman and Kruskals’ gamma and Somers’ d. Findings indicated that the smallholder horticulture farmers obtained horticultural information mostly from the public extension, but also from private companies, NGOs/FBOs, mass media, and other farmers. Farmers’ level of formal education, organizational skills, accounting, and farming skills; as indicators of information literacy, showed moderate strength of relationship with productivity and profitability (Gamma = 0.200 to 0.563) but showed mixed strength with horticultural produce quality (Gamma = 0.138 to 0.948).Somers delta showed similar patterns (Somers d = 0.089 to 0.684). When the four indicators of information literacy were amalgamated into an information literacy score, there was evidence of a moderate strength monotonic relationship between information literacy and performance as measured by the Spearman rank correlation; rs (29) = .571, P = .001.The study concludes that farmers obtain horticultural information from diverse sources. Information literacy contributes to the productivity and profitability of smallholder horticulture. Capacity building of the farmers on information literacy is recommended.


2020 ◽  
Author(s):  
Twinamasiko Nelson ◽  
JULIUS NUWAGABA ◽  
Wasswa Enock ◽  
Nakityo Innocent ◽  
SSerunjogi Emmanuel ◽  
...  

<b>This paper aimed at determining the factors affecting acceptance and use of electronic learning among Ugandan University students. The study relied on two data collection tools: Questionnaire and semi-structured interview.</b>


Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Shani SD ◽  
Vr Kutty ◽  
Rp Varma ◽  
Jissa VT ◽  
Sylaja PN

Background: Medication nonadherence is a major problem and is an important mediator between the treatment and the outcome. Strict compliance with medication and life style modification are integral to secondary stroke prevention. Methods: Cross sectional survey among 240 stroke survivors within a post-stroke period of three months to one year was conducted. Interview based self-reported medication adherence was defined as consumption at least more than 80% of their medication, based on their last prescription. Medication adherence was calculated for five categories of medication; antiplatelets, antihypertensives, antidiabetics, statin and anticoagulants. Overall adherence was defined as adherence to all the categories of medications prescribed. Structured interview using pretested interview schedule was done to collect sociodemographic data, health care seeking behaviour, life style, facilitators and barriers to medication adherence. Results: Stroke survivors [n=240; mean age 58.64 ±10.96 years); 25.4% females; post-stroke period of 6.65±3.36 months] were interviewed. Patients with diabetes, hypertension and dyslipidaemia constituted 64.2%, 88.8% and 96.7% and optimal control was achieved in 26%, 36.2% and 72.9% respectively. Overall medication adherence was 43.8% (n=240). Adherence to antiplatelet was 62.24% (n=196). Medication adherence was 34.4% (n=134), 52.6% (n=190) and 56.7% (n=224) for antidiabetics, antihypertensives and statins respectively and was associated with risk factor control (Diabetes: Odds Ratio(OR)=4.85;95% Confidence Interval(CI) 2.12-11.08, Hypertension: OR=3.42; 95% CI 1.83-6.4, Dyslipidaemia: OR=3.88;95% CI 1.96-7.69). Having daily routines (OR=2.82;95% CI 1.52-5.25), perceived need of medication (OR= 2.33;95% CI 1.04-5.2) and perceived poor state of health (OR= 3.09; 95% CI 1.44-6.62) as facilitators. Memory problem (OR 0.32; 95% CI 0.51-0.66), experiencing side effects (OR 0.24; 95% CI 0.11-0.53) and belonging to below poverty line (OR 0.46; 95% CI 0.24-0.91) were barriers to medication adherence. Conclusion: Establishing daily routines, periodic reminders, and financial supports to buy medicines and patient education can enhance medication adherence to prevent future strokes.


2016 ◽  
Vol 32 (18) ◽  
pp. 2862-2881 ◽  
Author(s):  
Saeed Ahmad ◽  
Sayyeda Maida Ishtiaq ◽  
Mudasir Mustafa

In the current study, researchers explored different types of coping strategies such as problem-focused coping, emotion-focused coping, and non-constructive coping of adolescents witnessing and experiencing domestic violence. Furthermore, they tried to find out the association of socio-economic status with coping strategies against domestic violence in family sphere. A cross-sectional survey was conducted with 210 adolescents of both sexes, aged 13 to 18 years in Hafizabad city using multistage sampling technique. Multivariate analysis was used to find out the association between adolescents’ resistance and resilience strategies against domestic violence. The information was collected through a structured interview schedule. This study revealed that age, gender, parents’ education, and family income were major factors that influenced the adoption of coping strategy among adolescents. Overall, the study suggested that adolescents were being victimized of various forms of domestic violence frequently in Pakistan, which needs to be addressed on immediate basis through policies and programs by integrating the social institutions of family and education. Findings of the study can enable parents to nurture and support the developmental needs of children in their care. It can help youth in defending themselves from extreme violent behavior adopters and preventing them from becoming the perpetrators of the domestic violence.


2004 ◽  
Vol 28 (10) ◽  
pp. 360-363 ◽  
Author(s):  
Mike J. Crawford ◽  
Rebecca Gibbon ◽  
Elizabeth Ellis ◽  
Hannah Waters

Aims and MethodIn view of plans to reform Mental Health Act legislation to allow compulsory treatment in the community, we examined the views of service users about this form of care, and the most acceptable setting for its delivery. A cross-sectional survey of patients discharged from two in-patient units in West London over a 5-month period was carried out.ResultsHalf of the 109 respondents stated that compulsory treatment was justified under some circumstances; 103 people told us where they would prefer to receive compulsory treatment – 49 in their home, 41 in hospital and 13 in a community treatment centre. The most commonly stated reason for favouring home treatment was dislike of in-patient care.Clinical ImplicationsCompulsory treatment in the community may provide a means of improving patient experiences of non-consensual care. However, a significant minority of service users would rather this form of treatment was restricted to in-patient units. Continuing efforts are required to improve patient experiences of in-patient care.


2020 ◽  
Author(s):  
Twinamasiko Nelson ◽  
JULIUS NUWAGABA ◽  
Wasswa Enock ◽  
Nakityo Innocent ◽  
SSerunjogi Emmanuel ◽  
...  

<b>This paper aimed at determining the factors affecting acceptance and use of electronic learning among Ugandan University students. The study relied on two data collection tools: Questionnaire and semi-structured interview.</b>


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