An implementation pilot of the MindBalance web-based intervention for depression in three IAPT services

2014 ◽  
Vol 7 ◽  
Author(s):  
Cecily Morrison ◽  
Graham Walker ◽  
Kai Ruggeri ◽  
Jamie Hacker Hughes
Keyword(s):  
Health Professionals ◽  
Clinical Evidence ◽  
Clinical Effectiveness ◽  
Policy Support ◽  
Surprising Result ◽  
Patient Acceptability ◽  
Web Based ◽  
Face To Face ◽  
The Past ◽  
Adherence Data

AbstractWeb-based interventions for depression have burgeoned over the past 10 years as researchers and health professionals aim to harness the reach and cost-effectiveness that the internet promises. Despite strong clinical evidence of their effectiveness and policy support, web-based interventions have not become widely used in practice. We explored this translation gap by conducting an implementation pilot of MindBalance, a web-based intervention for depression built on the SilverCloud platform, in three IAPT services. We posed three questions: (1) Who chooses to use MindBalance? (2) Is MindBalance effective for these clients? (3) How do clients use MindBalance? Our results for questions (1) and (2) are commensurate with the positive findings in the literature on patient acceptability and clinical effectiveness for such interventions. Client usage, captured in adherence data as well as usage case-studies, was diverse and differed markedly from face-to-face sessions. The most surprising result, however, concerned the small number of people who were offered the intervention. We reflect upon why this was and discuss implementation issues that primary mental health services should consider when adding a web-based intervention to their services.

Herramientas digitales para recolección, procesamiento y presentación de datos de campo como instrumento para afrontar la contingencia COVID-19

2021 ◽  
Vol 5 ◽  
pp. 96-104
Author(s):  
Didier Haid Alvarado Acosta
Keyword(s):  
Learning Curve ◽  
Training Programs ◽  
Communication Technologies ◽  
Field Work ◽  
Web Based ◽  
Face To Face ◽  
The Past ◽  
Online Platforms ◽  
Virtual Libraries ◽  
Different Types

In March of 2020, the COVID-19 outbreak forced people to lock themselves inside their homes and begin the process of transitioning from face-to-face activities at work, schools and universities to a 100 % virtual method. Even when Communication Technologies (ICT) and online platforms have seen growth over the past two decades, including various virtual libraries developed by database publishers or web-based training programs that appear to shorten the learning curve (Lee, Hong y Nian, 2002), many people were unprepared for this transition and all of them are now dedicated to entering the new reality. In this order of ideas, the activities that have traditionally required the assistance of the staff have had to adapt with the use of new tools, which meet daily needs. A clear example is the field work collection tasks. In this group, there are different types such as surveys, photographs, reviews or on-site inspections. The current work presents the use of tools for collecting, validating, analysing and presenting data remotely and in real time. All of them based on the ArcGIS Online platform.

scholarly journals Effectiveness of Web-Based Versus Face-To-Face Delivery of Education in Prescription of Falls-Prevention Exercise to Health Professionals: Randomized Trial

2011 ◽  
Vol 13 (4) ◽  
pp. e116 ◽  
Author(s):  
Stephen Maloney ◽  
Romi Haas ◽  
Jennifer L Keating ◽  
Elizabeth Molloy ◽  
Brian Jolly ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Health Professionals ◽  
Falls Prevention ◽  
Web Based ◽  
Face To Face

Health Professional ‘Web Based Conversational Learning’ on Unusual Forms of Lupus

2011 ◽  
Vol 1 (3) ◽  
pp. 1-6
Author(s):  
David Elpern ◽  
Henry Foong
Keyword(s):  
Health Professional ◽  
Professional Learning ◽  
Health Professionals ◽  
The United States ◽  
Learning System ◽  
Web Based ◽  
Diagnostic Uncertainty ◽  
The Past ◽  
Conversational Learning ◽  
Grand Rounds

This article illustrates a web-based conversational learning system termed, “Virtual Grand Rounds in Dermatology” (VGRD), that was developed by two dermatologist colleagues from the United States and Malaysia, respectively, over the past decade. Two blog posts discussing the diagnostic uncertainty around possible dermatological manifestations of lupus are highlighted along with a few conversational comments from other health professionals. The posts, as they appear on VGRD are presented verbatim and illustrate a health professional narrated website that relies heavily on images and pattern recognition. We show that health professional learning may thrive on feedback from colleagues, even if minimal.

Online Learning and Instruction in Health

2010 ◽  
pp. 942-957 ◽  
Author(s):  
Michelle Lee D’Abundo ◽  
Cara Lynn Sidman
Keyword(s):  
Online Learning ◽  
Continuing Education ◽  
Health Professionals ◽  
Educational Opportunities ◽  
Traditional Classrooms ◽  
Web Based ◽  
Face To Face ◽  
Computer Based ◽  
Web Based Education ◽  
Learning And Instruction

Online learning and instruction are important components of adult education in the field of health. This chapter describes how computer-based technologies are being applied in the training and continuing education of health professionals and in health promotion. Curriculums previously thought to be inappropriate for web-based delivery are now being offered online. Innovations in online learning and instruction have improved delivery of web-based education and have provided educational opportunities for many that were “unreachable” by traditional classrooms. An example of how a solely face-to-face course was revised and delivered in three formats including face-to-face, blended and completely online is provided, as well as examples of best practices and future trends for online learning and instruction.

Clinical effectiveness

2002 ◽  
Vol 181 (02) ◽  
pp. 170-174 ◽  
Author(s):  
Anna Higgitt ◽  
Peter Fonagy
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Expert Knowledge ◽  
Clinical Effectiveness ◽  
Point Of View ◽  
Evidence Based ◽  
Policy Initiatives ◽  
The Past

A number of themes have run through health policy initiatives of the two Labour Governments of the past 5 years: modernisation; stigma; inequalities and social exclusion; partnerships; involvement of users and carers. But perhaps the most important from the point of view of mental health professionals is the initiative to alter the culture within which health care is offered from one based on expert knowledge and authority to one founded on the principle of evidence-based practice.

scholarly journals No pain no gain: a survey of use of healthcare and reasons not to seek healthcare by Norwegian climbers with chronic injuries

2019 ◽  
Vol 5 (1) ◽  
pp. e000513 ◽  
Author(s):  
Gudmund Grønhaug ◽  
Atle Saeterbakken
Keyword(s):  
Health Professionals ◽  
Outcome Measure ◽  
Strong Predictor ◽  
Chronic Injury ◽  
Web Based ◽  
The Past ◽  
Sport Climbing ◽  
Finger Injury ◽  
Chronic Injuries ◽  
And Gender

ObjectivesTo assess the use of healthcare, and reasons not to seek healthcare, by climbers with a chronic injury.MethodRetrospective survey.SettingWeb-based questionnaire.Participants667 active climbers (385 with chronic injuries).Outcome measureUse of healthcare (including reasons not to seek healthcare if the patient was not attended by health professionals), performance level in sport climbing, onset of a climbing-related injury, site of injury, preferred style of climbing and gender differences.ResultOf the 667 respondents, 385 had experienced a chronic injury in the past 6 months. Climbers with a chronic injury are reluctant to seek healthcare, and male climbers are less likely to seek healthcare than female climbers. The two most frequent reasons not to seek healthcare were: (1) an assumption that the injury was not serious enough (70%) and (2) a belief that a health professional could not help (60%). Only one in five of the climbers with a finger injury sought healthcare. The more experienced climbers were less likely to seek healthcare than recreational climbers.ConclusionUse of healthcare among climbers with a chronic injury is limited and injured climbers self-assess the injury before seeking medical aid. Experience is a strong predictor for not seeking healthcare after an injury. These findings open up the possibility that some of those who do not seek healthcare after self-assessing the injury are underestimating the seriousness of the injury due to lack of confidence in the health professionals’ abilities to help treating chronic climbing related injuries.

scholarly journals Designing Emails Aimed at Increasing Family Physicians� Use of a Web-Based Audit and Feedback Tool to Improve Cancer Screening Rates: Cocreation Process (Preprint)

2018 ◽  
Author(s):  
Caroline A. Bravo ◽  
Diego Llovet ◽  
Holly O Witteman ◽  
Laura Desveaux ◽  
Justin Presseau ◽  
...  
Keyword(s):  
Behavior Change ◽  
Focus Groups ◽  
Health Professionals ◽  
Scientific Evidence ◽  
Primary Care Providers ◽  
Performance Data ◽  
Audit And Feedback ◽  
Web Based ◽  
User Input ◽  
The Past

BACKGROUND Providing clinical performance data to health professionals, a process known as audit and feedback, can play an important role in health system improvement. However, audit and feedback tools can only be effective if the targeted health professionals access and actively review their data. Email is used by Cancer Care Ontario, a provincial cancer agency, to promote access to a Web-based audit and feedback tool called the Screening Activity Report (SAR); however, current emails that lack behavior change content have been ineffective at encouraging log-in to the SAR. OBJECTIVE The objective of our study was to describe the process and experience of developing email content that incorporates user input and behavior change techniques (BCTs) to promote the use of the SAR among Ontario primary care providers. METHODS Our interdisciplinary research team first identified BCTs shown to be effective in other settings that could be adapted to promote use of the SAR. We then developed draft BCT-informed email content. Next, we conducted cocreation workshops with physicians who had logged in to the SAR more than once over the past year. Participants provided reactions to researcher-developed BCT-informed content and helped to develop an email that they believed would prompt their colleagues to use the SAR. Content from cocreation workshops was brought to focus groups with physicians who had not used the SAR in the past year. We analyzed notes from the cocreation workshops and focus groups to inform decisions about content. Finally, 8 emails were created to test BCT-informed content in a 2×2×2 factorial randomized experiment. RESULTS We identified 3 key tensions during the development of the email that required us to balance user input with scientific evidence, organizational policies, and our scientific objectives, which are as follows: conflict between user preference and scientific evidence, privacy constraints around personalizing unencrypted emails with performance data, and using cocreation methods in a study with the objective of developing an email that featured BCT-informed content. CONCLUSIONS Teams tasked with developing content to promote health professional engagement with audit and feedback or other quality improvement tools might consider cocreation processes for developing communications that are informed by both users and BCTs. Teams should be cautious about making decisions solely based on user reactions because what users seem to prefer is not always the same as what works. Furthermore, implementing user recommendations may not always be feasible. Teams may face challenges when using cocreation methods to develop a product with the simultaneous goal of having clearly defined variables to test in later studies. The expected role of users, evidence, and the implementation context all warrant consideration to determine whether and how cocreation methods could help to achieve design and scientific objectives.

Māori Research(er) in Three Poems

2018 ◽  
Vol 2 (1) ◽  
pp. 35
Author(s):  
Jacquie Kidd
Keyword(s):  
Palliative Care ◽  
Health Literacy ◽  
Cultural Identity ◽  
Focus Groups ◽  
Health Professionals ◽  
Bell Hooks ◽  
Face To Face ◽  
The Third ◽  
Ruth Behar ◽  
Seeking Help

These three poems re-present the findings from a research project that took place in 2013 (Kidd et al. 2018, Kidd et al. 2014). The research explored what health literacy meant for Māori patients and whānau when they accessed palliative care. Through face-to-face interviews and focus groups we engaged with 81 people including patients, whānau, bereaved loved ones, support workers and health professionals. The poems are composite, written to bring some of our themes to life. The first poem is titled Aue. This is a Māori lament that aligns to English words such as ‘oh no’, or ‘arrgh’, or ‘awww’. Each stanza of the poem re-presents some of the stories we heard throughout the research. The second poem is called Tikanga. This is a Māori concept that encompasses customs, traditions and protocols. There are tikanga rituals and processes that guide all aspects of life, death, and relationships. This poem was inspired by an elderly man who explained that he would avoid seeking help from a hospice because ‘they leave tikanga at the door at those places’. His choice was to bear his pain bravely, with pride, within his cultural identity. The third poem is called ‘People Like Me’. This is an autoethnographical reflection of what I experienced as a researcher which draws on the work of scholars such as bell hooks (1984), Laurel Richardson (1997) and Ruth Behar (1996). These and many other authors encourage researchers to use frustration and anger to inform our writing; to use our tears to fuel our need to publish our research.

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