scholarly journals Quality evaluation of patient educational resources for catheter ablation of atrial fibrillation

2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
A Cano Valls ◽  
C Gallagher ◽  
LL Mont ◽  
E Carro ◽  
P Sanders ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Catheter Ablation ◽  
Patient Education ◽  
Patient Information ◽  
Assessment Tool ◽  
Educational Resources ◽  
Visual Aids ◽  
University Hospitals ◽  
Cross Sectional ◽  
Web Based

Abstract Funding Acknowledgements Type of funding sources: None. Background The prevalence of atrial fibrillation (AF) is increasing rapidly with growing utilisation of catheter ablation (CA) as a treatment strategy. Education of individuals undertaking this procedure is diverse, with varying degrees of information provided and little standardisation. Many individuals utilise the internet as an educational resource. However, there is limited regulation of online patient information. Aims The purpose of this study was to evaluate the quality of web based  patient education resources for patients undergoing CA in the management of AF. Methods A cross-sectional observational study was performed to obtain all freely accessible online educational resources designed to inform AF patients about CA. from inception until 1st October 2019. Three search engines were used: Google, Yahoo! and Bing, using the search terms "atrial fibrillation" and "catheter ablation" combined with "patient information and patient education" in English and Spanish. The Patient Education Materials Assessment Tool (PEMAT) is a validated tool used to evaluate web-based patient education materials as well as  printable tools. The PEMAT score objectively measures the understandability and actionability of printable tools for audio-visual material. Results A total of 17 websites and 15 printable tools were included in the analysis. Non-government organizations developed 19% of materials and 75% were created by private or university hospitals. Nineteen materials (59.3%) were rated as highly understandable and 25 materials (21%) were rated as highly actionable, whilst ten materials had an actionability of 0% (6 websites and 4 printable tools).  Less than a half of the materials evaluated were highly rated by the PEMAT score, with a total of 7 websites (41%) and 7 printable tools (46,6%) scoring >70%. Conclusion The overall understandability of educational CA material was high, whilst improvement of actionability is warranted. The addition of summaries, visual aids and tools such as checklists may improve quality. These findings have significant implications for developing new patient educational material for CA in AF.

Quality, understandability and actionability of online patient education material about hypertension

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mohd Ramadan Ab Hamid ◽  
Mastura Mohd Isamudin ◽  
Siti Sabariah Buhari ◽  
Emmy Hainida Khairul Ikram
Keyword(s):  
Patient Education ◽  
English Language ◽  
Assessment Tool ◽  
Online Information ◽  
Point Scale ◽  
Cross Sectional ◽  
Web Based ◽  
Content Type ◽  
Education Material

Purpose The purpose of this paper is to assess the value of websites accessible to patients looking for Web-based information regarding hypertension management. Design/methodology/approach A cross-sectional research was carried out by finding out Malay and English language websites about hypertension. For this purpose, the keywords “hypertension and treatment” were entered on the Yahoo, Google, Ask.com, Bing and DuckDuckGo search engines, and the first five pages of the results obtained were inspected. The DISCERN tool was deployed for evaluating the quality of information. The actionability and understandability were assessed through the Patient Education Materials Assessment Tool (PEMAT). Eight assessors were asked to assess and grade the involved websites. Findings Of the 216 websites, eight (4.0%) conformed to the inclusion norms. All websites were classified into private, 4 (50%); government, 2 (25%) and personal, 2 (25%). The general rating of the eight websites was good (mean 51.6 ± 8.2 on a 75-point scale); however, half of the websites were rated as fair (mean 45.3 ± 3.1 on a 75-point scale). All websites conformed to the standard score of ≥70% for understandability (mean 76.1 ± 11.4), but none for actionability (mean 52.8 ± 13.9). Analysis of variance indicated there was no statistical difference with regards to quality (p = 0.525), understandability (p = 0.484) and actionability (p = 0.188) among the three website sets. Originality/value Considering the surplus of websites dedicated to information on hypertension, an independent assessment of the quality of these websites will be advantageous. Patients should be rendered high understandability, quality and actionability to evade deceptive online information.

scholarly journals Patient-Centered Development of a Digital Care Pathway for Arrhythmia Patients

2020 ◽  
Author(s):  
Pia Liljamo ◽  
Hanna Säilynoja ◽  
Kirsi Tuomikoski ◽  
Anja Henner ◽  
Kirsi Koivunen
Keyword(s):  
Atrial Fibrillation ◽  
Catheter Ablation ◽  
Nursing Staff ◽  
Care Pathway ◽  
Test Group ◽  
Service Development ◽  
Patient Centered ◽  
Web Based ◽  
Digital Service ◽  
Care Path

Citizens are ready and willing to use various kinds of e-health services and Web-based portals. The purpose of this study was to describe the experiences of patients who underwent an arrhythmia procedure of the guidance they received as well as their needs and expectations for a future digital care path. The goal for the future is to utilize the results in other patient-centered digital service development activities. The research material was collected in a two-part thematic interview with patients who underwent an electrophysiology examination and supraventricular tachycardia catheter ablation procedure (n=7) or ablation treatment for atrial fibrillation (n=4). The preliminary digital care path was modified based on the results. The arrhythmia patient’s digital care path was tested in a workshop using a test group consisting of patients (n=3) and nursing staff (n=6). As a result, a digital care pathway for arrhythmia patients was completed.

scholarly journals Health literacy and optimizing education materials in a surgical population

2020 ◽  
Vol 10 (9) ◽  
pp. 72
Author(s):  
Eline Mariose Dijkman ◽  
Jobbe Pierre Lucien Leenen ◽  
Remco Matthijs Koorn ◽  
Diana Wilmink
Keyword(s):  
Health Literacy ◽  
Patient Education ◽  
Assessment Tool ◽  
Charlson Comorbidity Index Score ◽  
Dutch Version ◽  
Cross Sectional ◽  
High Prevalence ◽  
Comorbidity Index ◽  
Cross Sectional Design ◽  
Clear Information

Objective: The aim is to examine and compare the level of health literacy (HL) amongst surgical vascular and abdominal patients and measuring the understandability and actionability of current and optimized education materials.Methods: A cross-sectional design was utilized. Patients undergoing abdominal or vascular surgery, were included for measuring HL with the Newest Vital Sign Dutch (NVS-d) tool. The Dutch version of the Patient Education Materials Assessment Tool (PEMAT) was used to measure the understandability and actionability of current and optimized patient education materials.Results: A total of 101 patients were included, of those 54 (53.5%) have limited HL. Patients with limited HL were significantly older (p < .001), lower educated (p < .001), and had a higher ASA status (p = .005) and Charlson Comorbidity Index score (p < .001). The occurrence of limited HL differed significantly (p = .046) between abdominal versus vascular patients. The understandability varied between 24%-59% and the actionability between 40%-67% of the current education materials. The optimized education materials had a understandability score of 86% and a actionability score of 100%.Conclusions: The high prevalence of inadequate HL emphasizes the importance of nursing and medical staff providing clear information to enable shared decision-making. Besides, it is necessary to evaluate current education materials and optimize these materials according to the level of health literacy to provide health information that is understandable.

Oral piercings and orthodontic treatment: A questionnaire-based national survey

2022 ◽  
pp. 146531252110700
Author(s):  
Sangeeta Misra ◽  
David Morris ◽  
Harmeet Dhaliwal ◽  
Amr Taha ◽  
Georgia Townend
Keyword(s):  
Patient Information ◽  
Orthodontic Treatment ◽  
Patient Information Leaflet ◽  
Surrounding Tissue ◽  
Free Text ◽  
Information Leaflet ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Web Based ◽  
Orthodontic Patients

Objective: To obtain opinions from orthodontic colleagues nationally on how they currently manage orthodontic patients with oral piercings. The secondary objectives were to assimilate the national opinions from the survey and attempt to generate educational material as an advice sheet and a patient information leaflet for the professionals and the patients respectively for the British Orthodontic Society (BOS). Design: Cross-sectional survey. Setting: Primary and secondary care orthodontic providers. Participants: Members of the BOS. Methods: An electronic questionnaire was developed and circulated to members of the BOS to obtain their opinions on the effects of oral piercings on their patients’ orthodontic treatment ‘journey’. In addition, the need for the development of informative material around the management of orthodontic treatment and appliances in patients with oral piercings was explored. Results: A total of 110 responses were received. However, only 88 respondents out of 110 attempted all the questions within the survey. There were 22 respondents who attempted it partially. We did include these partial responses well while analysing the results, since many of these offered personalised comments in the free-text boxes within the survey. Conclusion: The most common general complications associated with oral piercings were inflammation of the surrounding tissue and enamel/dentine wear. Moreover, orthodontic complications, reported commonly, were inadequate oral hygiene maintenance, entanglement with the orthodontic appliance causing damage and interference with retainers. Most respondents expressed the need for the development of a web-based patient information leaflet and an advice sheet as educational tool, both of which have been proposed to and agreed by the BOS before submission of this publication.

scholarly journals Quality of web-based information at the beginning of a global pandemic: a cross-sectional infodemiology study investigating preventive measures and self care methods of the coronavirus disease 2019

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jenny Stern ◽  
Susanne Georgsson ◽  
Tommy Carlsson
Keyword(s):  
Preventive Measures ◽  
Population Change ◽  
Assessment Tool ◽  
Self Care ◽  
Symptom Assessment ◽  
Total Quality ◽  
High Quality ◽  
Cross Sectional ◽  
Web Based

Abstract Background reducing the spread and impact epidemics and pandemics requires that members of the general population change their behaviors according to the recommendations, restrictions and laws provided by leading authorities. When a new epidemic or pandemic emerges, people are faced with the challenge of sorting through a great volume of varied information. Therefore, the dissemination of high-quality web-based information is essential during this time period. The overarching aim was to investigate the quality of web-based information about preventive measures and self care methods at the beginning of the COVID-19 pandemic. Methods in May 2020, consumer-oriented websites written in Swedish were identified via systematic searches in Google (n = 76). Websites were assessed with inductive content analysis, the JAMA benchmarks, the QUEST tool and the DISCERN instrument. Results seven categories and 33 subcategories were identified concerning preventive measures (md = 6.0 subcategories), with few specifying a method for washing hands (n = 4), when to sanitize the hands (n = 4), and a method for sanitizing the hands (n = 1). Eight categories and 30 subcategories were identified concerning self care methods (md = 3.0 subcategories), with few referring to the national number for telephone-based counseling (n = 20) and an online symptom assessment tool (n = 16). Overall, the median total quality scores were low (JAMA = 0/4, QUEST =13/28, DISCERN = 29/80). Conclusions at the beginning of the pandemic, substantial quality deficits of websites about COVID-19 may have counteracted the public recommendations for preventive measures. This illustrates a critical need for standardized and systematic routines on how to achieve dissemination of high-quality web-based information when new epidemics and pandemics emerge.

scholarly journals Hearing Loss Health Literacy Discrepancy Between Younger and Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 214-214
Author(s):  
Erika Squires ◽  
Hua Ou
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Health Literacy ◽  
Patient Education ◽  
Assessment Tool ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Health Concern ◽  
Cross Sectional ◽  
Hearing Health

Abstract Increasing the accessibility and affordability of hearing healthcare is a public health concern. Because low health literacy is a significant barrier to the use of existing effective healthcare services, it is critical to assess and understand health literacy deficits specific to hearing loss before implementing interventions. The purpose of this cross-sectional study was to identify differences in hearing loss health literacy among older and young adults, which is warranted because older adults are at-risk for lower levels of health literacy compared to their younger counterparts. Adults across the lifespan (n = 170) completed the Hearing Loss Health Literacy Assessment Tool, which includes self-rated ability to access/obtain, understand, and appraise hearing health information, as well as apply information to manage life with hearing loss. Results from an independent samples t-test indicated that older adults (M = 6.3, SD = 1.45, n = 54) self-reported significantly higher overall hearing health literacy than younger adults (M = 5.37, SD = 1.27, n = 116), t(168) = 4.22, p &lt; 0.0001. Participants rated their ability to access/obtain information significantly lower than the other subscales. Age-differences in self-rated hearing health literacy exist. Findings from this study receive support from evidence indicating that the readability and suitability of the majority of patient education materials on hearing loss are not appropriate for the average U.S. adult. This investigation provides further evidence that the availability and accessibility of patient education materials on hearing loss is an important barrier that contributes to the limited use of hearing health care.

Patient Information about Gout: An International Review of Existing Educational Resources

2015 ◽  
Vol 42 (6) ◽  
pp. 975-978 ◽  
Author(s):  
Megan E. Johnston ◽  
Gareth J. Treharne ◽  
Peter T. Chapman ◽  
Lisa K. Stamp
Keyword(s):  
Uric Acid ◽  
Patient Information ◽  
Educational Resources ◽  
Self Management ◽  
International Review ◽  
Dietary Recommendations ◽  
Web Based ◽  
Content Areas ◽  
Disease Outcomes ◽  
Acute Attacks

Objective.Inadequate patient information about gout may contribute to poor disease outcomes. We reviewed existing educational resources for gout to identify strengths and weaknesses and compare resources cross-nationally.Methods.Content, readability, and dietary recommendations were reviewed using a sample of 30 resources (print and Web-based) from 6 countries.Results.More than half of the resources were written at a highly complex level. Some content areas were lacking coverage, including comorbidity risks, uric acid target levels, and continuing allopurinol during acute attacks.Conclusion.Our findings suggest significant room for improvement in gout patient educational resources, particularly regarding self-management.

scholarly journals Factors associated with the efficacy of atrial fibrillation radiofrequency catheter ablation: opinion of the specialists who use the “Ablation Index” module

2021 ◽  
Vol 28 ◽  
pp. 3-16
Author(s):  
E. N. Mikhaylov ◽  
N. Z. Gasimova ◽  
S. A. Ayvazyan ◽  
E. A. Artyukhina ◽  
G. A. Gromyko ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Radiofrequency Ablation ◽  
Catheter Ablation ◽  
Radiofrequency Catheter Ablation ◽  
Efficacy And Safety ◽  
Web Based ◽  
Electronic Survey ◽  
Factors Associated ◽  
Ablation Index

This document provides an overview of current problems and trends in the catheter ablation of atrial fibrillation, summarizes the opinions of specialists, obtained during a web-based electronic  survey, on aspects and parameters of radiofrequency ablation. The  approaches on improving the efficacy and safety of radiofrequency  catheter ablation of atrial fibrillation are provided. 

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