The added value of autobiographical reflexivity with persuasive technology for professional identities of Social Work students: a randomized controlled trial

Abstract Background Computer Assisted Surgery (CAS) has proven to improve the accuracy in several orthopedic procedures. Therefore we used this technique to evaluate femoral component positioning in Hip Resurfacing Arthroplasty (HRA). The aim of this study was to evaluate imageless CAS compared to manually implanted femoral components and subsequently evaluates Patient Related Outcome Measures (PROMs). We hypothesized that the use of CAS optimizes the position of the femoral component and improves PROMs. Methods This is a multicenter, single-blinded, randomized, controlled trial of two groups. In the CAS group guiding of the femoral component was done with imageless navigation. In the Conventional (control) group the femoral component was placed manually according to the preplanned position. The primary outcome measure consists of a maximum of 3 degrees difference between the postoperative Stem Shaft Angle (SSA) and preplanned SSA. Secondary outcome measures consist of the Hip disability and Osteoarthritis Outcome Scale (HOOS), the Harris Hip Score (HHS) and Visual Analogue Scale (VAS) pain score. Results A total of 122 patients were randomized, 61 in the CAS group and 61 in the conventional group. There was no significant differences in accuracy of femoral implant position. The mean difference between the postoperative- and preplanned SSA was − 2.26 and − 1.75 degrees (more varus) respectively in the CAS and Conventional group. After surgery both groups show significant improvement in all PROMs compared to the baseline measurements, with no significant differences between the groups. Conclusion Our cohort indicates no benefit for the use of CAS in accuracy of placement of the femoral component in HRA compared to manual implantation. There are no clinical differences in PROMs after 1 year follow up. This study showed no added value and no justification for the use of CAS in femoral component positioning in HRA. Trial registration This trial is registered at ClinicalTrails.gov (https://clinicaltrials.gov/) on the 25th of October 2006: NCT00391937. Level of incidence Level IIb, multicenter randomized controlled trial.

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Impact of a Social Work Care Coordination Intervention on Hospital Readmission: A Randomized Controlled Trial

Social Work ◽

10.1093/sw/swv016 ◽

2015 ◽

Vol 60 (3) ◽

pp. 248-255 ◽

Cited By ~ 20

Author(s):

L. R. Bronstein ◽

P. Gould ◽

S. A. Berkowitz ◽

G. D. James ◽

K. Marks

Keyword(s):

Randomized Controlled Trial ◽

Social Work ◽

Care Coordination ◽

Hospital Readmission ◽

Controlled Trial ◽

Randomized Controlled

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The added value of cinnamon to metformin in controlling symptoms of polycystic ovary syndrome, a randomized controlled trial

Middle East Fertility Society Journal ◽

10.1016/j.mefs.2018.03.005 ◽

2018 ◽

Vol 23 (4) ◽

pp. 440-445 ◽

Cited By ~ 2

Author(s):

Bassem Talaat ◽

Islam Mohamed Magdi Ammar

Keyword(s):

Randomized Controlled Trial ◽

Polycystic Ovary Syndrome ◽

Polycystic Ovary ◽

Controlled Trial ◽

Added Value ◽

Ovary Syndrome ◽

Randomized Controlled

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A randomized controlled trial of an Internet-based intervention for eating disorders and the added value of expert-patient support: study protocol

Trials ◽

10.1186/s13063-019-3574-2 ◽

2019 ◽

Vol 20 (1) ◽

Cited By ~ 1

Author(s):

Pieter J. Rohrbach ◽

Alexandra E. Dingemans ◽

Philip Spinhoven ◽

Elske Van den Akker-Van Marle ◽

Joost R. Van Ginkel ◽

...

Keyword(s):

Eating Disorders ◽

Randomized Controlled Trial ◽

Study Protocol ◽

Controlled Trial ◽

Added Value ◽

Patient Support ◽

Expert Patient ◽

Randomized Controlled ◽

Internet Based Intervention

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POS1470-HPR BARRIERS AND FACILITATORS OF A NEW MODEL OF STRATIFIED EXERCISE THERAPY IN KNEE OSTEOARTHRITIS: A QUALITATIVE STUDY

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2021-eular.1508 ◽

2021 ◽

Vol 80 (Suppl 1) ◽

pp. 1020.1-1020

Author(s):

J. Knoop ◽

W. Van Berkel-de Joode ◽

H. Brandt ◽

J. Dekker ◽

R. Ostelo

Keyword(s):

Primary Care ◽

Randomized Controlled Trial ◽

Muscle Strength ◽

Qualitative Study ◽

Knee Osteoarthritis ◽

Exercise Therapy ◽

Controlled Trial ◽

Barriers And Facilitators ◽

Added Value ◽

Randomized Controlled

Background:We have developed a model of stratified exercise therapy, in which three knee osteoarthritis (OA) subgroups (i.e., ‘high muscle strength subgroup’, ‘low muscle strength subgroup’ and ‘obesity subgroup’) can be distinguished and provided a subgroup-specific intervention. Currently, the (cost-)effectiveness of this model compared to usual exercise therapy is tested in a large-scaled randomized controlled trial (OCTOPuS-study [1]). Alongside this trial, we performed a qualitative study to explore perceived barriers and facilitators of the application of this model in primary care.Objectives:To explore barriers and facilitators of the application of this model in primary care, as perceived by patients, physiotherapists and dieticians.Methods:Qualitative data were collected through semi-structured interviews in a random sample of 15 patients (5 from each subgroup), 11 physiotherapists and 5 dieticians, from the experimental arm of the OCTUPuS trial. A thematic analysis of the data was performed.Results:We identified 14 themes in 5 categories. In general, patients and therapists were positive about the added value and applicability of the model, although some physiotherapists would prefer more flexibility. Regarding the ‘high muscle strength subgroup’, both patients and physiotherapists reported mixed feelings on the low number of supervised sessions, with some perceiving this low number as advantageous for stimulating the patient’s own responsibility, whereas others as hindering an optimally guided treatment. Regarding the ‘obesity subgroup’, dieticians and physiotherapists acknowledged the added value of the combined intervention, but both were disappointed by the lack of interdisciplinary collaboration. Moreover, those patients in this subgroup already following a diet restriction, therefore not perceiving any added value of the diet intervention.Conclusion:This qualitative study revealed relevant barriers and facilitators of our new model of stratified exercise therapy, which will help us interpreting the upcoming results on its (cost-) effectiveness [1]. If proven to be (cost-)effective, implementation strategies should specifically focus on guidance of patients from the ‘high muscle strength subgroup’ within only a few sessions, collaboration between physiotherapist and dietician in the ‘obesity subgroup’, and adequate use of booster sessions after the supervised period to optimize treatment adherence.References:[1]Knoop J, Dekker J, van der Leeden M, de Rooij M, Peter WFH, van Bodegom-Vos L, van Dongen JM, Lopuhäa N, Bennell KL, Lems WF, van der Esch M, Vliet Vlieland TPM, Ostelo RWJG. Stratified exercise therapy compared with usual care by physical therapists in patients with knee osteoarthritis: A randomized controlled trial protocol (OCTOPuS study). Physiother Res Int. 2020 Apr;25(2):e1819. doi: 10.1002/pri.1819. Epub 2019 Nov 28.Disclosure of Interests:None declared

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A Web-Based Serious Game on Delirium as an Educational Intervention for Medical Students: Randomized Controlled Trial (Preprint)

10.2196/preprints.9886 ◽

2018 ◽

Author(s):

Kiki R Buijs-Spanjers ◽

Harianne HM Hegge ◽

Carolien J Jansen ◽

Evert Hoogendoorn ◽

Sophia E de Rooij

Keyword(s):

Randomized Controlled Trial ◽

Medical Students ◽

Educational Intervention ◽

Rating Scale ◽

Controlled Trial ◽

Serious Game ◽

Learning Motivation ◽

Added Value ◽

Randomized Controlled ◽

Motivation And Engagement

BACKGROUND Adequate delirium recognition and management are important to reduce the incidence and severity of delirium. To improve delirium recognition and management, training of medical staff and students is needed. OBJECTIVE In this study, we aimed to gain insight into whether the serious game, Delirium Experience, is suited as an educational intervention. METHODS We conducted a three-arm randomized controlled trial. We enrolled 156 students in the third year of their Bachelor of Medical Sciences degree at the University Medical Centre Groningen. The Game group of this study played Delirium Experience. The Control D group watched a video with explanations on delirium and a patient’s experience of delirious episodes. The Control A group watched a video on healthy aging. To investigate students’ skills, we used a video of a delirious patient for which students had to give care recommendations and complete the Delirium Observations Screening Scale and Delirium Rating Scale R-98. Furthermore, students completed the Delirium Attitude Scale, the Learning Motivation and Engagement Questionnaire, and self-reported knowledge on delirium. RESULTS In total, 156 students participated in this study (Game group, n=51; Control D group, n=51; Control A group, n=55). The Game group scored higher with a median (interquartile range) of 6 (4-8) for given recommendations and learning motivation and engagement compared with the Control D (1, 1-4) and A (0, 0-3) groups (P<.001). Furthermore, the Game group scored higher (7, 6-8) on self-reported knowledge compared with the Control A group (6, 5-6; P<.001). We did not find differences between the groups regarding delirium screening (P=.07) and rating (P=.45) skills or attitude toward delirious patients (P=.55). CONCLUSIONS The serious game, Delirium Experience, is suitable as an educational intervention to teach delirium care to medical students and has added value in addition to a lecture.

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