Digitale Bereitstellung von Informationen für Ärzte zum Thema Rehabilitation und Rente – ein Praxistest

2018 ◽  
Vol 80 (11) ◽  
pp. 974-980 ◽  
Author(s):  
Ruth Deck ◽  
Alexander Waschkau ◽  
Katja Götz ◽  
Simon Schwill ◽  
Elisabeth Flum ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Think Aloud ◽  
Medizinische Rehabilitation ◽  
Niedergelassene Ärzte

Zusammenfassung Hintergrund Jährlich werden bei der Deutschen Rentenversicherung ca. 1,6 Mio. Rehabilitationsanträge eingereicht. Niedergelassene Ärzte spielen bei der Antragstellung eine entscheidende Rolle. Studien zeigen, dass bei diesen unterschiedlichen Fachgruppen Wissensdefizite zu den Themen medizinische Rehabilitation, Erkennung von Rehabilitationsbedarf und dem Prozess der Antragstellung existieren. Vor diesem Hintergrund wurde eine eigens an niedergelassene Ärzte adressierte Homepage Infos für Ärzte zu Reha & Rente entwickelt. Ziel der hier vorgestellten Studie war es, diese Homepage einem Praxistest zu unterziehen. Methodik Der Praxistest wurde mit einem Mixed-Methods-Ansatz durchgeführt: 1) Quantitative Erhebung zum Wissenszuwachs nach Nutzung der Homepage, 2) Beurteilung von Fällen hinsichtlich einer Reha-Indikation und 3) Beurteilung der Benutzerfreundlichkeit der Homepage durch die teilnehmenden Ärzte mittels Think-aloud-Technik. Ergebnisse Am Praxistest beteiligten sich 79 Ärzte in Weiterbildung zum Facharzt für Allgemeinmedizin. Es bestand ein hoher reha-spezifischer Informationsbedarf, der z. T. durch die Nutzung der Homepage gedeckt werden konnte. Die korrekte Beurteilung von Reha-Fällen verbesserte sich unter Zuhilfenahme der Homepage für Ärzte mit Antragserfahrung. Die Homepage wurde als übersichtlich und hilfreich, die Texte als zu umfangreich erlebt. Schlussfolgerungen Die Homepage ist gut geeignet, um niedergelassene Ärzte im Gebiet medizinische Rehabilitation zu unterstützen. Einige Impulse für die Optimierung der Inhalte wurden identifiziert und können helfen, die Effektivität der Nutzung noch zu steigern.

Using Think Aloud in Health Assessment: A Mixed-Methods Study

2018 ◽  
Vol 57 (11) ◽  
pp. 684-686 ◽  
Author(s):  
Margaret Verkuyl ◽  
Michelle Hughes ◽  
Mary Clare Fyfe
Keyword(s):  
Mixed Methods ◽  
Health Assessment ◽  
Mixed Methods Study ◽  
Think Aloud

Legal meta-comments in the think-aloud protocols of legal translators and lawyers

Target ◽  
2021 ◽  
Author(s):  
Cornelia Griebel
Keyword(s):  
Mixed Methods ◽  
Cognitive Processes ◽  
Mixed Methods Study ◽  
Think Aloud ◽  
Source Text ◽  
Comprehensive Understanding ◽  
Translation Process ◽  
Legal Translation ◽  
Think Aloud Protocols

Abstract In order to ensure successful subprocesses within the overall legal translation process, a correct and comprehensive understanding of the source text is crucial. Legal translators must be able to grasp all the legal, linguistic, communicative, and situational dimensions of the text. The focus of this study is on the cognitive processes involved in the first reading phase of the legal translation process and, in particular, on the question of whether legal translators and lawyers have different text reception processes. By analysing the think-aloud protocols recorded in a mixed-methods study, legal meta-comments (LMCs) from translators and lawyers are examined and compared. The results suggest that the two groups approach the text from different angles, which leads to some suggestions for further developing the training of legal translators.

“Sick or not sick?” A mixed methods study evaluating the rapid determination of illness severity in a pediatric emergency department

Diagnosis ◽  
2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Laura B. O’Neill ◽  
Priti Bhansali ◽  
James E. Bost ◽  
James M. Chamberlain ◽  
Mary C. Ottolini
Keyword(s):  
Emergency Department ◽  
Mixed Methods ◽  
Clinical Reasoning ◽  
Pediatric Patients ◽  
Rapid Determination ◽  
Area Under The Curve ◽  
Pediatric Emergency ◽  
Illness Severity ◽  
Respiratory Support ◽  
Think Aloud

Abstract Objectives Experienced physicians must rapidly identify ill pediatric patients. We evaluated the ability of an illness rating score (IRS) to predict admission to a pediatric hospital and explored the underlying clinical reasoning of the gestalt assessment of illness. Methods We used mixed-methods to study pediatric emergency medicine physicians at an academic children’s hospital emergency department (ED). Physicians rated patients’ illness severity with the IRS, anchored by 0 (totally well) and 10 (critically ill), and shared their rationale with concurrent think-aloud responses. The association between IRS and need for hospitalization, respiratory support, parenteral antibiotics, and resuscitative intravenous (IV) fluids were analyzed with mixed effects linear regression. Area under the curve (AUC) receiver operator characteristic (ROC) curve and test characteristics at different cut-points were calculated for IRS as a predictor of admission. Think-aloud responses were qualitatively analyzed via inductive process. Results A total of 141 IRS were analyzed (mean 3.56, SD 2.30, range 0–9). Mean IRS were significantly higher for patients requiring admission (4.32 vs. 3.13, p<0.001), respiratory support (6.15 vs. 3.98, p = 0.033), IV fluids (4.53 vs. 3.14, p < 0.001), and parenteral antibiotics (4.68 vs. 3.32, p = 0.009). AUC for IRS as a predictor of admission was 0.635 (95% CI: 0.534–0.737). Analysis of 95 think-aloud responses yielded eight categories that describe the underlying clinical reasoning. Conclusions Rapid assessments as captured by the IRS differentiated pediatric patients who required admission and medical interventions. Think-aloud responses for the rationale for rapid assessments may form the basis for teaching the skill of identifying ill pediatric patients.

Developing pre-service O&M specialists’ reflective practices to improve problem-solving opportunities during instruction

2020 ◽  
pp. 026461962094607
Author(s):  
Kim T Zebehazy ◽  
Silvia M Correa-Torres ◽  
Kathryn D Botsford
Keyword(s):  
Mixed Methods ◽  
Problem Solving ◽  
Mixed Methods Study ◽  
Think Aloud ◽  
Reflective Practices ◽  
Personnel Preparation ◽  
Question Asking ◽  
Preparation Programs ◽  
Orientation And Mobility

The ability of instructors to promote problem-solving abilities is an important pedagogical skill. Providing well-planned problem-solving opportunities is especially vital in orientation and mobility (O&M) lessons. During personnel preparation programs, pre-service O&M specialists would benefit from developing a keen awareness of how well they encourage problem-solving in their instruction. This mixed-methods study reports on a process in which nine pre-service O&M specialists engaged during their blindfold techniques course. Each participant taught two lessons to a peer in their course, engaging in a retroactive think-aloud after each lesson. The process focused participants on the types of questions they asked to promote thinking and engaged them in reflection on how well the lesson met their intended objectives. Results indicated qualitative benefits noted by the participants of engaging in the process and also highlighted a need for further work with pre-service O&M specialists on question asking and allowing problem-solving and thinking opportunities during basic lessons.

scholarly journals Development and evaluation of clinical reasoning using ‘think aloud’ approach in pharmacy undergraduates – A mixed-methods study

2021 ◽  
Author(s):  
Faisal Altalhi ◽  
Abdulrhman Altalhi ◽  
Ziad Magliah ◽  
Zaid Abushal ◽  
Anas Althaqafi ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Clinical Reasoning ◽  
Mixed Methods Study ◽  
Think Aloud

scholarly journals 93. Developing Urinary Tract Infection Clinical Vignettes for the Nursing Home Setting: A Mixed-Methods Approach

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S161-S162
Author(s):  
Lindsay N Taylor ◽  
Jessica Irvine ◽  
Sally Jolles ◽  
Taissa A Bej ◽  
Christopher J Crnich ◽  
...  
Keyword(s):  
Nursing Home ◽  
Mixed Methods ◽  
Urinary Tract ◽  
Free Text ◽  
Think Aloud ◽  
Structured Interviews ◽  
Free Response ◽  
Mixed Methods Approach ◽  
Clinical Vignettes ◽  
Tract Infections

Abstract Background Little is known about how providers choose antibiotics for nursing home residents when concerned about urinary tract infections. To better assess this in a simulated setting, we used a mixed-methods approach to develop robust clinical vignettes. Methods First, we developed 7 vignettes and distributed them to resident physicians as a survey, randomizing participants’ response type to rank-order or free-text entry. Second, we shared 5 vignettes with nursing home prescribers and conducted semi-structured interviews that asked providers to explain their thinking out loud (Think Aloud structure). Interviews were continued until content saturation was achieved. Two authors (LT & RJ) determined appropriateness of decisions about antibiotic initiation and antibiotic choice; two authors (LT & JI) coded feedback on the vignettes with adjudication by a third (RJ). Results Of 23 residents (11 rank-choice; 12 free-response) that participated in the pilot survey, only 6 (26%) completed 7 vignettes, with a mean completion of 69.4%. Completion of all vignettes was similar between groups, however, greater attrition at the first question was observed in respondents randomized to rank-choice (4/11) compared to free-response (6/12). Of the original 7 vignettes, 5 free-response cases were chosen for further development. We conducted semi-structured interviews with 7 nursing home prescribers, 4 of whom were physicians. The prescribers had a median age 39 (range 34 to 54) and a median of 10 years of post-graduation experience. Figure 1 summarizes appropriateness of respondents’ answers regarding antibiotic initiation and antibiotic choice. The most common inappropriate choice was a fluoroquinolone. Vignettes were edited iteratively based on participant feedback on each case’s realistic characteristics, missing necessary clinical data, formatting changes, and clarity (Figure 2). Figure 1. Appropriateness of antibiotic initiation and antibiotic choice per clinical vignette. Figure 2. Example of vignette editing process based on Think Aloud interview responses Conclusion This mixed-methods approach effectively captured prescribers’ feedback about length, response method, and case characteristics for our clinical vignettes. Responses assessed differences in prescribers’ decision to initiate antibiotic treatment and antibiotic choice. The refined vignettes will be used in a national survey. Disclosures Robin L. Jump, MD, PhD, Pfizer (Individual(s) Involved: Self): Consultant

scholarly journals Teleconsultation Using Mobile Phones for Diagnosis and Acute Care of Burn Injuries Among Emergency Physicians: Mixed-Methods Study (Preprint)

2018 ◽  
Author(s):  
Anders Klingberg ◽  
Lee Alan Wallis ◽  
Marie Hasselberg ◽  
Po-Yin Yen ◽  
Sara Caroline Fritzell
Keyword(s):  
Mixed Methods ◽  
Mobile Phone ◽  
Acute Care ◽  
Clinical Findings ◽  
Ease Of Use ◽  
Burn Injuries ◽  
Referral Process ◽  
Think Aloud ◽  
Burn Care ◽  
Medical Referrals

BACKGROUND The referral process in acute care remains challenging in many areas including burn care. Mobile phone apps designed explicitly for medical referrals and consultations could streamline the referral process by using structured templates and integrating features specific to different specialties. However, as these apps are competing with commercial chat services, usability becomes a crucial factor for successful uptake. OBJECTIVE The aim of this study was to assess the usability of a mobile phone app for remote consultations and referrals of burn injuries. METHODS A total of 24 emergency doctors and 4 burns consultants were recruited for the study. A mixed-methods approach was used including a usability questionnaire and a think-aloud interview. Think-aloud sessions were video-recorded, and content analysis was undertaken with predefined codes relating to the following 3 themes: ease of use, usefulness of content, and technology-induced errors. RESULTS The users perceived the app to be easy to use and useful, but some problems were identified. Issues relating to usability were associated with navigation, such as scrolling and zooming. Users also had problems in understanding the meaning of some icons and terminologies. Sometimes, some users felt limited by predefined options, and they wanted to be able to freely express their clinical findings. CONCLUSIONS We found that users faced problems mainly with navigation when the app did not work in the same way as the other apps that were frequently used. Our study also resonates with previous findings that when using standardized templates, the systems should also allow the user to express their clinical findings in their own words.

Determining Emotional Tone and Verbal Behavior in Patients With Tinnitus and Hyperacusis: An Exploratory Mixed-Methods Study

2019 ◽  
Vol 28 (3) ◽  
pp. 660-672
Author(s):  
Suzanne H. Kimball ◽  
Toby Hamilton ◽  
Erin Benear ◽  
Jonathan Baldwin
Keyword(s):  
Mixed Methods ◽  
Verbal Behavior ◽  
Coping Strategies ◽  
Mixed Methods Study ◽  
Self Report ◽  
Anxiety And Depression ◽  
Negative Consequences ◽  
Emotional Tone ◽  
Explanatory Mixed Methods ◽  
Quantitative Results

Purpose The purpose of this study was to evaluate the emotional tone and verbal behavior of social media users who self-identified as having tinnitus and/or hyperacusis that caused self-described negative consequences on daily life or health. Research Design and Method An explanatory mixed-methods design was utilized. Two hundred “initial” and 200 “reply” Facebook posts were collected from members of a tinnitus group and a hyperacusis group. Data were analyzed via the LIWC 2015 software program and compared to typical bloggers. As this was an explanatory mixed-methods study, we used qualitative thematic analyses to explain, interpret, and illustrate the quantitative results. Results Overall, quantitative results indicated lower overall emotional tone for all categories (tinnitus and hyperacusis, initial and reply), which was mostly influenced by higher negative emotion. Higher levels of authenticity or truth were found in the hyperacusis sample but not in the tinnitus sample. Lower levels of clout (social standing) were indicated in all groups, and a lower level of analytical thinking style (concepts and complex categories rather than narratives) was found in the hyperacusis sample. Additional analysis of the language indicated higher levels of sadness and anxiety in all groups and lower levels of anger, particularly for initial replies. These data support prior findings indicating higher levels of anxiety and depression in this patient population based on the actual words in blog posts and not from self-report questionnaires. Qualitative results identified 3 major themes from both the tinnitus and hyperacusis texts: suffering, negative emotional tone, and coping strategies. Conclusions Results from this study suggest support for the predominant clinical view that patients with tinnitus and hyperacusis have higher levels of anxiety and depression than the general population. The extent of the suffering described and patterns of coping strategies suggest clinical practice patterns and the need for research in implementing improved practice plans.

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