scholarly journals INCREASING THE POWER OF INTERGENERATIONAL NETWORKS: ADVANCING A NEW EVALUATION TOOL

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S672-S672
Author(s):  
Shannon Jarrott ◽  
Lisa A Juckett ◽  
Jill Juris Naar
Keyword(s):  
Best Practices ◽  
Factor Structure ◽  
Small Groups ◽  
Physical Environment ◽  
Program Effectiveness ◽  
Care Providers ◽  
Evaluation Tool ◽  
Evaluation Tools ◽  
Participant Outcomes ◽  
Promax Rotation

Abstract According to a 2018 national survey of intergenerational (IG) care providers, practitioners identified as their number one concern a need for evidence-informed evaluation tools to demonstrate their impact on older and younger participants. The Best Practices Checklist is a 14-item (yes/no) measure grounded in evidence of effective intergenerational strategies. Trained evaluators complete the checklist based on their observations of facilitators’ behaviors during IG activities. Exploratory factor analysis (promax rotation) of the Checklist for 132 IG activities offers insight to factor structure and item construction. An adequate two-factor structure was achieved; seven Checklist items were retained with factor loadings greater than .39. Seven items were deleted due to non-variance, high missing data, or double loading across factors. Factors reflect dimensions of: (a) person-centered strategies (e.g. selecting activities based on participants’ interests) and (b) creating a positive physical environment (e.g., grouping participants into intergenerational pairs or small groups). Findings indicate that a Best Practices Checklist with fewer items may offer a suitable tool for assessing the utilization of Best Practices during IG activities. Given the demand for IG evaluation tools, the 7-item BP Checklist can be a brief, easy-to-use measure that documents IG facilitators’ implementation of evidence-informed practices. Its use could be especially helpful if connected to varied indicators of program effectiveness and participant outcomes.

scholarly journals Increasing the Power of Intergenerational Programs: Advancing an Evaluation Tool

2021 ◽  
pp. 073346482110154
Author(s):  
Shannon E. Jarrott ◽  
Shelbie G. Turner ◽  
Jill Juris Naar ◽  
Lisa M. Juckett ◽  
Rachel M. Scrivano
Keyword(s):  
Best Practices ◽  
Factor Structure ◽  
Empirical Validation ◽  
Evaluation Tool ◽  
Validation Process ◽  
Program Impact ◽  
Intergenerational Programs ◽  
Intergenerational Program ◽  
Programming Quality ◽  
Insight Into

Intergenerational practitioners responding to a 2018 national survey identified a need for evidence-informed evaluation tools to measure program impact. The Best Practices (BP) Checklist, a 14-item (yes/no) measure assessing the extent to which an intergenerational program session maintained effective intergenerational strategies, may help meet this need. Yet, researchers have not validated the measure. In this study, we begin the empirical validation process by completing an exploratory factor analysis (EFA) of the BP Checklist to offer insight into possible item reduction and an underlying latent factor structure. Using BP Checklist data from 132 intergenerational activities, we found a 13-item, 3-factor structure, reflecting dimensions of: (a) pairing intergenerational participants, (b) person-centered strategies (e.g., selecting activities reflecting participants’ interests), and (c) staff knowledge of participants. Our study represents a foundational step toward optimizing intergenerational program evaluation, thereby enhancing programming quality.

scholarly journals Community Integration After Traumatic Brain Injury and Related Factors: A Study in the Nepalese Context

2020 ◽  
Vol 6 ◽  
pp. 237796082098178
Author(s):  
Sumana Lama ◽  
Jintana Damkliang ◽  
Luppana Kitrungrote
Keyword(s):  
Social Support ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Health Care Providers ◽  
Physical Environment ◽  
Community Integration ◽  
Sampling Technique ◽  
Care Providers ◽  
Related Factors ◽  
High Level

Introduction Community integration is an essential component for rehabilitation among traumatic brain injury (TBI) survivors, which yields positive outcomes in terms of social activities, community participation, and productive work. A factor that usually facilitates community integration among TBI survivors is social support, whereas physical environment and fatigue are most often found as barriers. Objectives This study aimed to (1) describe the level of community integration, fatigue, physical environment, and social support of persons after TBI, and (2) examine the relationship between community integration and these three factors. Methods This is a descriptive correlational study. One hundred and twenty TBI survivors living in the communities of Province Number Three, Nepal were enrolled using the stratified sampling technique. The data were collected using the Community Integration Questionnaire, Modified Fatigue Impact Scale, Craig Hospital Inventory of Environmental Factors, and the Multidimensional Scale of Perceived Social Support. Descriptive statistics and Pearson’s correlation were used to analyze the data. Results Community integration, fatigue, and physical environment showed a moderate level, while social support revealed a high level. Fatigue was significantly correlated with overall community integration, whereas physical environment was found to correlate with two subscales of community integration, home integration and productive activities. Conclusion To enhance the level of community integration among TBI survivors, health care providers, in particular rehabilitation nurses and community nurses, should plan and implement strategies such as follow-up appointments or continued rehabilitation at home.

scholarly journals Evaluation of a multidisciplinary lipid clinic to improve the care of individuals with severe lipid conditions: a RE-AIM framework analysis

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Laney K. Jones ◽  
Megan McMinn ◽  
David Kann ◽  
Michael Lesko ◽  
Amy C. Sturm ◽  
...  
Keyword(s):  
Primary Care ◽  
Program Effectiveness ◽  
Primary Care Providers ◽  
Care Providers ◽  
Lipid Levels ◽  
Framework Analysis ◽  
Lipid Clinic ◽  
Adherence Counseling ◽  
Clinically Significant

Abstract Background Individuals with complex dyslipidemia, or those with medication intolerance, are often difficult to manage in primary care. They require the additional attention, expertise, and adherence counseling that occurs in multidisciplinary lipid clinics (MDLCs). We conducted a program evaluation of the first year of a newly implemented MDLC utilizing the RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) framework to provide empirical data not only on program effectiveness, but also on components important to local sustainability and future generalizability. Methods The purpose of the MDLC is to increase the uptake of guideline-based care for lipid conditions. Established in 2019, the MDLC provides care via a centralized clinic location within the healthcare system. Primary care providers and cardiologists were invited to refer individuals with lipid conditions. Using a pre/post-study design, we evaluated the implementation outcomes from the MDLC using the RE-AIM framework. Results In 2019, 420 referrals were made to the MDLC (reach). Referrals were made by 19% (148) of the 796 active cardiology and primary care providers, with an average of 35 patient referrals per month in 2019 (SD 12) (adoption). The MDLC saw 83 patients in 2019 (reach). Additionally, 50% (41/82) had at least one follow-up MDLC visit, and 12% (10/82) had two or more follow-up visits in 2019 (implementation). In patients seen by the MDLC, we found an improved diagnosis of specific lipid conditions (FH (familial hypercholesterolemia), hypertriglyceridemia, and dyslipidemia), increased prescribing of evidence-based therapies, high rates of medication prior authorization approvals, and significant reductions in lipid levels by lipid condition subgroup (effectiveness). Over time, the operations team decided to transition from in-person follow-up to telehealth appointments to increase capacity and sustain the clinic (maintenance). Conclusions Despite limited reach and adoption of the MDLC, we found a large intervention effect that included improved diagnosis, increased prescribing of guideline-recommended treatments, and clinically significant reduction of lipid levels. Attention to factors including solutions to decrease the large burden of unseen referrals, discussion of the appropriate number and duration of visits, and sustainability of the clinic model could aid in enhancing the success of the MDLC and improving outcomes for more patients throughout the system.

scholarly journals Ethical Considerations on Pediatric Genetic Testing Results in Electronic Health Records

2020 ◽  
Vol 11 (05) ◽  
pp. 755-763
Author(s):  
Shibani Kanungo ◽  
Jayne Barr ◽  
Parker Crutchfield ◽  
Casey Fealko ◽  
Neelkamal Soares
Keyword(s):  
Genetic Testing ◽  
Best Practices ◽  
Health Care Providers ◽  
Genetic Information ◽  
Ethical Issues ◽  
Interdisciplinary Approach ◽  
Care Providers ◽  
Ethical Considerations ◽  
Electronic Health ◽  
Genetic Results

Abstract Background Advances in technology and access to expanded genetic testing have resulted in more children and adolescents receiving genetic testing for diagnostic and prognostic purposes. With increased adoption of the electronic health record (EHR), genetic testing is increasingly resulted in the EHR. However, this leads to challenges in both storage and disclosure of genetic results, particularly when parental results are combined with child genetic results. Privacy and Ethical Considerations Accidental disclosure and erroneous documentation of genetic results can occur due to the nature of their presentation in the EHR and documentation processes by clinicians. Genetic information is both sensitive and identifying, and requires a considered approach to both timing and extent of disclosure to families and access to clinicians. Methods This article uses an interdisciplinary approach to explore ethical issues surrounding privacy, confidentiality of genetic data, and access to genetic results by health care providers and family members, and provides suggestions in a stakeholder format for best practices on this topic for clinicians and informaticians. Suggestions are made for clinicians on documenting and accessing genetic information in the EHR, and on collaborating with genetics specialists and disclosure of genetic results to families. Additional considerations for families including ethics around results of adolescents and special scenarios for blended families and foster minors are also provided. Finally, administrators and informaticians are provided best practices on both institutional processes and EHR architecture, including security and access control, with emphasis on the minimum necessary paradigm and parent/patient engagement and control of the use and disclosure of data. Conclusion The authors hope that these best practices energize specialty societies to craft practice guidelines on genetic information management in the EHR with interdisciplinary input that addresses all stakeholder needs.

Weight Bias and Psychosocial Implications for Acute Care of Patients With Obesity

2017 ◽  
Vol 28 (3) ◽  
pp. 254-262 ◽  
Author(s):  
Rachel Smigelski-Theiss ◽  
Malisa Gampong ◽  
Jill Kurasaki
Keyword(s):  
Health Care ◽  
Acute Care ◽  
Health Care Providers ◽  
Physical Environment ◽  
Medical Condition ◽  
Weight Bias ◽  
Care Providers ◽  
Optimal Care ◽  
Childhood Experiences ◽  
Appropriate Care

Obesity is a complex medical condition that has psychosocial and physiological implications for those suffering from the disease. Factors contributing to obesity such as depression, childhood experiences, and the physical environment should be recognized and addressed. Weight bias and stigmatization by health care providers and bedside clinicians negatively affect patients with obesity, hindering those patients from receiving appropriate care. To provide optimal care of patients with obesity or adiposity, health care providers must understand the physiological needs and requirements of this population while recognizing and addressing their own biases. The authors describe psychosocial and environmental factors that contribute to obesity, discuss health care providers’ weight biases, and highlight implications for acute care of patients suffering from obesity.

scholarly journals PENGINTEGRASIAN BUDAYA MELAYU DALAM PENGEMBANGAN PERANGKAT PEMBELAJARAN KOLOID UNTUK PENINGKATAN PENDIDIKAN KARAKTER PESERTA DIDIK

2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Sri Haryati ◽  
Erviyenni Erviyenni ◽  
Usman Rery ◽  
Elva Yasmi ◽  
Fauzia Rahmi
Keyword(s):  
Data Analysis ◽  
Character Education ◽  
Average Score ◽  
Evaluation Tool ◽  
Evaluation Tools ◽  
Chemistry Teaching ◽  
Feasibility Assessment ◽  
Model Research ◽  
Analysis Technique ◽  
Prototype Learning

The research aims to develop devices integrated learning Malay culture in the form of RPP, LKPD and evaluation tools to improve character education learners. This type of research is the development of research (research and the development) with the procedural model. Research has been conducted in the development of chemistry teaching lab FKIP Riau University from June to November 2016. The prototype learning device generated through research is Learning Implementation Plan (RPP) consisting of 4x meeting, Activity Sheet Students (LKPD) for 4x meetings and 1 set of tools evaluation. Product prototype learning device has been evaluated by 3 validator. Data collected through questionnaires and observation techniques. The data analysis technique is a descriptive quantitative by calculating the percentage of the value of the validation. The average score ratings seventh aspect of the RPP is 95.95% with a valid category. The average score of the four aspects of the feasibility assessment LKPD is 95.95% with a valid category. The average score of all fifth aspects of the feasibility assessment evaluation tool was 94.58% with a valid category. While the percentage of learners response to LKPD is 97.36% which is at the criteria very well.

Can online patient reviews be used to assess oncologist competency? RateMD as a cancer care evaluation tool.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e18656-e18656
Author(s):  
Nina Morena ◽  
Nicholas Zelt ◽  
Diana Nguyen ◽  
Carrie A. Rentschler ◽  
Devon Greyson ◽  
...  
Keyword(s):  
Cancer Care ◽  
Interpersonal Skills ◽  
Descriptive Analysis ◽  
Healthcare Delivery ◽  
Assessment Tools ◽  
Care Providers ◽  
Evaluation Tool ◽  
Care Experience ◽  
Standard Assessment ◽  
Written Examination

e18656 Background: Medical oncology (MEDONC) requires a combination of skills in collaboration, communication, and professionalism, ultimately delivering technical and clinical knowledge in practice. Standard assessment tools (e.g. written examination, OSCE) are not effective in evaluating competencies beyond technical skills and fail to define the cancer care experience holistically. This explorative, descriptive study aims to identify the potential of unstructured, unsolicited, open access online patient reviews (OPRs) as a tool to assess physician competency. Methods: University-affiliated MEDONCs in Ontario (Canada) were selected. All OPRs were identified on RateMD using every name permutation; physician names and institutional affiliations were removed from comments. A descriptive analysis of the cohort was completed. The CanMEDS Framework, defining physician standards, was used with its hierarchy of roles, concepts, and competencies. Two reviewers, a communication studies researcher and a healthcare professional, independently assessed comments and identified common themes. Competency-level assessments were evaluated using kappa with linear weights. Results: 473 OPRs were identified for 49 MEDONCs (71% male, 29% female). Of these, 23% were written by care providers. Competencies defining roles of Medical Expert, Communicator, and Professional were most prevalent (64%, 38%, and 27% respectively). Agreement levels were high in all roles (wK = 0.71 - 1.00). Themes identified were similar in positive and negative evaluations. Most commonly discussed positive themes were knowledge translation and compassionate interpersonal skills. Most common negative themes centered on lack of humility, compassion, and communication skills. 38% of comments were marked helpful, indicating engagement with other OPRs as a key characteristic of rating tools. In addition to the physician in question, 21% of OPRs reported on healthcare delivery by staff. Conclusions: OPRs emphasize experiential competencies related to interpersonal skills and suggest an alternative format to evaluating such aspects of MEDONC competencies.[Table: see text]

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