A snapshot of general practitioner attitudes, levels of confidence and self-reported paediatric asthma management practice

2011 ◽  
Vol 17 (3) ◽  
pp. 288 ◽  
Author(s):  
Jessica A. Roydhouse ◽  
Smita Shah ◽  
Brett G. Toelle ◽  
Susan M. Sawyer ◽  
Craig M. Mellis ◽  
...  
Keyword(s):  
General Practitioners ◽  
Management Practices ◽  
Inhaled Corticosteroids ◽  
Management Practice ◽  
Controlled Trial ◽  
Asthma Management ◽  
Convenience Sample ◽  
Paediatric Asthma ◽  
Baseline Questionnaire ◽  
Practitioner Attitudes

The prevalence of asthma in Australia is high. Previous findings have suggested that asthma management, particularly in primary care, remains suboptimal and recent government initiatives to improve asthma management and encourage the use of written asthma action plans (WAAPs) in general practice have been implemented. We aimed to assess the attitudes, confidence and self-reported paediatric asthma management practices of a convenience sample of Australian general practitioners (GPs). A baseline questionnaire was administered to GPs as part of a randomised controlled trial. General practitioners (GPs) were recruited from two areas of greater metropolitan Sydney, NSW between 2006 and 2008. Invitations were sent to an estimated 1200 potentially eligible GPs. Of 150 (12.5%) GPs that enrolled, 122 (10.2%) completed the baseline questionnaire. Though 89% were aware of the Australian National Asthma Guidelines, less than 40% were familiar with guideline recommendations. While 85.2% had positive attitudes towards WAAPs, only 45.1% reported providing them frequently. For children with frequent symptoms, 90% agreed they should prescribe daily, inhaled corticosteroids (ICS), and 83% reported currently prescribing ICS to such patients. These findings indicate gaps between GP attitudes and behaviours and highlights opportunities for interventions to improve paediatric asthma management.

Feasibility study of a communication and education asthma intervention for general practitioners in Australia

2010 ◽  
Vol 16 (1) ◽  
pp. 75 ◽  
Author(s):  
Smita Shah ◽  
Brett G. Toelle ◽  
Susan M. Sawyer ◽  
Jessica K. Roydhouse ◽  
Peter Edwards ◽  
...  
Keyword(s):  
General Practitioners ◽  
Controlled Trial ◽  
Communication Strategies ◽  
Asthma Management ◽  
Doctor Patient Communication ◽  
Children With Asthma ◽  
The Usa ◽  
Randomised Controlled ◽  
Communication Behaviours ◽  
The Impact

The Physician Asthma Care Education (PACE) program significantly improved asthma prescribing and communication behaviours of primary care paediatricians in the USA. We tested the feasibility and acceptability of a modified PACE program with Australian general practitioners (GP) and measured its impact on self-reported consulting behaviours in a pilot study. Recruitment took place through a local GP division. Twenty-five GP completed two PACE Australia workshops, which incorporated paediatric asthma management consistent with Australian asthma guidelines and focussed on effective communication strategies. Program feasibility, usefulness and perceived benefit were measured by questionnaires before the workshop and 1 month later, and an evaluation questionnaire after each workshop. GP were universally enthusiastic and supportive of the workshops. The most useful elements they reported were communication skills, case studies, device demonstrations and the toolkit provided. GP self reports of the perceived helpfulness of the key communication strategies and their confidence in their application and reported frequency of use increased significantly after the workshops. The PACE program shows promise in improving the way in which Australian GP manage asthma consultations, particularly with regard to doctor–patient communication. The impact of the modified PACE Australia program on the processes and outcomes of GP care of children with asthma is now being measured in a randomised controlled trial.

scholarly journals Perceptions of Responsible Cat Ownership Behaviors among a Convenience Sample of Australians

Animals ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. 703 ◽  
Author(s):  
Elliott ◽  
Howell ◽  
McLeod ◽  
Bennett
Keyword(s):  
Social Media ◽  
Interest Groups ◽  
Online Survey ◽  
Management Practices ◽  
Management Practice ◽  
Companion Animal ◽  
Frequency Data ◽  
Convenience Sample

Responsible cat ownership is important for keeping pet cats and wildlife safe. Much research investigating levels of compliance with and attitudes towards responsible cat ownership practices has focused on cat owners. Non-owner attitudes are relevant because their opinions may encourage cat-owning friends and family to engage (or not) in a cat management practice. The aim of this study was to determine levels of compliance with responsible cat ownership practices among cat owners, as well as attitudes towards those behaviors by owners and non-owners alike. An online survey was completed by 6808 people living in Australia who were recruited via companion animal or wildlife interest groups on social media. Frequency data were used to measure owner compliance with responsible cat ownership behaviors and t-tests were used to determine whether owners and non-owners differed in their attitudes towards these behaviors. Owner compliance with responsible practices ranged from 46.5% (complete cat containment all day and night) to 76.9% (cat is de-sexed). Owner attitudes towards these practices were generally more positive than the reported levels of management practices implemented for their own cat. For example, 47.3% of owners agreed or strongly agreed that cats should always be contained and 88.6% agreed that cats should be contained at night. Non-owners were more likely than owners to agree that cats should be contained during the day, but there was no difference for containment at night. Owners were more likely to report that cats should be de-sexed. These results can be used to inform campaigns aimed at increasing compliance with responsible cat ownership behaviors.

scholarly journals Cost-effectiveness of FENO-based and web-based monitoring in paediatric asthma management: a randomised controlled trial

Thorax ◽  
2016 ◽  
Vol 71 (7) ◽  
pp. 607-613 ◽  
Author(s):  
Thijs Beerthuizen ◽  
Sandra Voorend-van Bergen ◽  
Wilbert B van den Hout ◽  
Anja A Vaessen-Verberne ◽  
Hein J Brackel ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Randomised Controlled Trial ◽  
Controlled Trial ◽  
Asthma Management ◽  
Web Based ◽  
Paediatric Asthma ◽  
Randomised Controlled

Improving Paediatric Asthma Management Through Provider Education: : A Randomized Controlled Trial

2010 ◽  
Author(s):  
Smita Shah ◽  
Susan M. Sawyer ◽  
Brett G. Toelle ◽  
Jenny K. Peat ◽  
Jessica K. Roydhouse ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Asthma Management ◽  
Provider Education ◽  
Paediatric Asthma ◽  
Randomized Controlled

Talented Employees in Russian and Foreign Companies

2013 ◽  
pp. 147-156 ◽  
Author(s):  
M. Latukha ◽  
T. Tsukanova
Keyword(s):  
Management Practices ◽  
Management Practice ◽  
Talent Management ◽  
Foreign Companies ◽  
Study Results ◽  
Practice Development

The study investigates talent management practices in Russian and foreign companies. The inquiry of Russian and foreign companies (working in Russia) showed that perceived and dedicated talent management practices contribute to better companies performance. The study results can be used in talent management practice development.

Family asthma management in urban children and its association with sleep outcomes

2021 ◽  
pp. 136749352110147
Author(s):  
Maria T Coutinho ◽  
Clara G Sears ◽  
Rebecca Noga ◽  
Elizabeth L McQuaid ◽  
Sheryl J Kopel ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Sleep Duration ◽  
Management Practices ◽  
Environmental Control ◽  
Asthma Management ◽  
Persistent Asthma ◽  
Structured Interview ◽  
Urban Children ◽  
Quality Data ◽  
Management Interventions

Asthma symptoms impact children’s sleep quality. However, it is unclear how families’ daily management of their child’s asthma is associated with sleep quality. We examine associations between family asthma management components and sleep duration and quality for urban children (ages 7–9 years). Additionally, we examine these associations by racial/ethnic group. Data were collected as part of a longitudinal study that examined the co-occurrence of asthma, allergic rhinitis, sleep quality, and academic functioning for urban children diagnosed with persistent asthma ( N = 196). A semi-structured interview assessed family asthma management practices. Sleep quality data were collected via actigraphy. Our visual depiction of sleep outcomes show that those with higher family asthma management ratings present with longer sleep duration and better sleep quality. Among specific family asthma management components, we found a significant association between children’s adherence to asthma medications and number of nighttime awakenings. For non-Latino Black (NLB) children, we found a significant association between environmental control and sleep duration. For urban children with asthma, clinical strategies to enhance overall family asthma management have the potential to support improved sleep quality. Additionally, for NLB children, asthma management interventions that provide environmental control practices may increase sleep duration.

Effects of Teaching Resourcefulness in Patients with Coronary Heart Disease

2021 ◽  
pp. 019394592110207
Author(s):  
Min Wen ◽  
Yaqin Liang ◽  
Qianqian Shen ◽  
Juping Yu ◽  
Pingping He ◽  
...  
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Health Education ◽  
Controlled Trial ◽  
Coping Styles ◽  
Intervention Group ◽  
Control Group ◽  
Convenience Sample ◽  
Cluster Randomized ◽  
And Coping

This cluster randomized controlled trial aimed to investigate the effects of an intervention to teach resourcefulness on depression and coping style of patients with coronary heart disease (CHD). A convenience sample of 72 patients in community settings took part. Participants in the intervention group (n = 36) received an 8-week intervention based on the concept of resourcefulness, plus routine health education. Participants in the control group (n = 36) received routine health education only. After the intervention, participants in the intervention group had significantly higher scores on resourcefulness and coping styles, and lower scores on depression than those in the control group (both ps < .001). The findings suggest that a well-developed intervention to teach resourcefulness could help patients with CHD to be more resourceful, improve their level of depression, and choose more effective strategies to cope with stress.

scholarly journals Effects of a group mindfulness-based cognitive programme on smartphone addictive symptoms and resilience among adolescents: study protocol of a cluster-randomized controlled trial

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Anson Chui Yan Tang ◽  
Regina Lai Tong Lee
Keyword(s):  
Randomized Controlled Trial ◽  
Primary Schools ◽  
Controlled Trial ◽  
Cluster Randomized Controlled Trial ◽  
Chinese Version ◽  
Smartphone Addiction ◽  
Convenience Sample ◽  
Randomized Controlled ◽  
Smartphone Use ◽  
Cluster Randomized

Abstract Background Smartphone addiction in adolescent is a significant global health issue since the last decade. Evidence has shown that the uncontrolled use of smartphone would lead to undesirable impact on their growth and development. However, evidence-based interventions to manage adolescents’ smartphone addictive behaviors is lacking. The proposed study aims to examine the effect of a group mindfulness-based cognitive programme(MBCP) on resilience, smartphone behavior and addictive symptoms in young adolescents. Methods It is an open-label, parallel-group, cluster-randomized controlled trial with repeated measurement analysis. Four primary schools in Hong Kong will be recruited and randomly allocated in a ratio of 1:1 to the intervention/control group. A convenience sample of 240 class level 5 primary school students, 60 from each school, will be recruited. Participants in the intervention group will receive a 12-week MBCP which comprises 90-minute supervised practice at school and daily home practice. Resilience will be measured by Connor-Davidson Resilience Scale – 25 (Chinese version); smartphone behavior will be represented by time spent/day using the smartphone and types of functions used; addictive symptoms will be measured by Smartphone Addiction Scale-Short Version (Chinese Version). Baseline assessment(T0) will be conducted before the intervention starts. Post-tests will be conducted in weeks 4, 8, 12 of the intervention, and 3 months follow-up. Intention-to-Treat analysis will be applied to the variables. Generalized Estimating Equation model will be used to compare differences in resilience scores, smartphone behavior and addiction scores between and within groups, adjusted for socio-demographic factors. P < 0.05 with two-tailed test will be regarded as significance. Discussion It is expected that adolescents will demonstrate better resilience and lesser smartphone addictive symptoms after joining the MBCP. The study will be the first provided empirical evidence to support the promising application of MBCP to manage smartphone use among adolescents. It introduces community stakeholders including community nurses a non-invasive and simple-to-administer intervention to tackle problematic smartphone use among adolescent clients. Trial registration Chinese Clinical Trial Registry, ChiCTR2000033273, Registered on 26 May 2020.

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