scholarly journals Telephone or integrated contraception counselling before abortion: impact on method choice and receipt

2018 ◽  
Vol 44 (2) ◽  
pp. 114-121 ◽  
Author(s):  
Patricia A Lohr ◽  
Abigail R A Aiken ◽  
Tracey Forsyth ◽  
James Trussell
Keyword(s):  
Demographic Characteristics ◽  
Telephone Counselling ◽  
Contraceptive Methods ◽  
Exact Test ◽  
Face To Face ◽  
Method Choice ◽  
Advisory Service ◽  
Intrauterine Contraception ◽  
Tier 1 ◽  
Better Than

BackgroundIncorporating thorough contraception counselling into an abortion consultation is challenging. We compared contraceptive choices and methods received between two counselling models: (1) telephone counselling separate from the abortion consultation and (2) face-to-face counselling integrated into the consultation.MethodsWe obtained de-identified data on demographic characteristics and contraceptive methods that had been chosen and received by women who had an abortion at British Pregnancy Advisory Service between 2011 and 2014 and had a choice of counselling models. We compared the characteristics of women who chose each model of counselling and the contraceptive methods they chose and received using Fisher’s exact test, and used logistic regression to explore associations between counselling model and choice and receipt of Tier 1 contraceptive methods (intrauterine contraception, implant, sterilisation), controlling for covariates.ResultsThe sample included 18 573 women. Women choosing telephone counselling were more likely to be non-White (34% vs 22%, P<0.001), to report prior difficulty obtaining contraception (40% vs 3%, P<0.001), and to have not used contraception at conception (37.1% vs 33.8%, P<0.001). Overall, 93% of women chose a contraceptive method after counselling. Telephone counselling was significantly associated with both choosing and receiving a Tier 1 method (OR 1.80, 95% CI 1.66 to 1.96 and OR 1.60, 95% CI 1.42 to 1.71, respectively). Fewer women who had telephone counselling received a less effective method (eg, condom, diaphragm) compared with those who chose integrated counselling (6.0% vs 19.2%, P<0.001).DiscussionTelephone-based contraception counselling separate from the abortion consultation may serve some women better than integrated counselling, particularly those reporting past difficulty obtaining contraception.

scholarly journals COVD-26. TELEPHONE CONSULTATIONS IN NEURO-ONCOLOGY DURING THE COVID-19 PANDEMIC: LEVELS OF PATIENT SATISFACTION AND COMPARISON WITH TRADITIONAL FACE-TO-FACE CONSULTATIONS

2020 ◽  
Vol 22 (Supplement_2) ◽  
pp. ii26-ii26
Author(s):  
Emma Toman ◽  
Claire Goddard ◽  
Frederick Berki ◽  
William Garratt ◽  
Teresa Scott ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
University Hospitals ◽  
Health Crisis ◽  
Patient Satisfaction Questionnaire ◽  
Telephone Consultation ◽  
Exact Test ◽  
Face To Face ◽  
Significant Difference ◽  
The Face ◽  
The University

Abstract INTRODUCTION Controversy exists as to whether telephone clinics are appropriate in neurosurgical-oncology. The COVID-19 pandemic forced neuro-oncology services worldwide to re-design and at the University Hospitals Birmingham UK, telephone clinics were quickly implemented in select patients to limit numbers of patients attending hospital. It was important to determine how these changes were perceived by patients. METHODS A 20-question patient satisfaction questionnaire was distributed to patients who attended neuro-oncology clinic in person (“face-to-face”), or via the telephone. Fisher’s exact test was used to determine significance, which was set at p&lt; 0.05. RESULTS Eighty questionnaires were distributed between June 2020 and August 2020. Overall, 50% (n=40) of patients returned the questionnaire, 50% (n=23) of face-to-face and 50% (n=17) telephone patients. Of those who received telephone consultations, 88% (n=15) felt the consultation was convenient, 88% (n=15) were satisfied with their consultation and 18% (n=3) felt they would have preferred to have a face-to-face appointment. Of those who attended clinic in person, 96% (n=22) felt their consultation was convenient, 100% (n=23) were satisfied with their consultation and 13% (n=3) would have preferred a telephone consultation. Within the face-to-face clinic attendees, only 13% (n=3) were concerned regarding the COVID risk associated with attending hospital. There was no significant difference in patient convenience or satisfaction (p=0.565 and p=0.174 respectively) between face-to-face and telephone clinics. There was no significant difference in whether patients would’ve preferred the alternative method of consultation (p &gt; 0.999). CONCLUSION Our study suggests that careful patient selection for neuro-oncology telephone clinic is not inferior to face-to-face clinic. Telephone clinic during COVID-19 pandemic proved to be convenient, safe and effective. This global health crisis has transformed telephone neuro-oncology consultations from an experimental innovation into established practice and should be continued beyond the pandemic in select cases.

Demographic Characteristics and Functional Levels of Patients With Fragility Fractures Who Accept Tele-rehabilitation as an Alternative to Face-to-face Home Rehabilitation

2021 ◽  
pp. 108482232098331
Author(s):  
Claire Morris ◽  
Maayken Van den Berg ◽  
Chris Barr ◽  
Stacey George ◽  
Maria Crotty
Keyword(s):  
Mode Of Delivery ◽  
Fragility Fractures ◽  
Demographic Characteristics ◽  
Rehabilitation Service ◽  
Cognitive Changes ◽  
Face To Face ◽  
Patient Reported ◽  
Cognitive Problems ◽  
Recent Falls ◽  
Functional Gains

There is a gap in the evidence on telerehabilitation (TR) for people with fragility fractures. It is unclear whether this group with recent falls who are often frail with cognitive changes will accept tele-rehabilitation and functional gains can be achieved using this approach. Prospective observational study of consecutive patients admitted with femoral or pelvic fracture to a hospital-based home rehabilitation service (HRS) between January and November 2017. Using tablets, multidisciplinary rehabilitation was provided via videoconferencing and use of exercise apps. Patients chose a face-to-face visit or TR. Information on demographic characteristics, functional levels, the total number of therapy sessions, TR episodes, reasons for non-acceptance of TR, and patient-reported experience using TR was collected. Fifty-two patients with hip and pelvic fractures were admitted to the HRS and 35 (67.3%) received TR. Patients who did not accept TR were older, frailer and more likely to be female than those who received TR. Of the 17 who did not receive TR, 6 were deemed unsuitable by staff due to hearing, vision or cognitive problems and 3 refused. The TR group achieved acceptable functional gains. In the TR group on average, participants had 13.63 (± 7.29) home visits however they only elected to have 3.43 (± 2.48) sessions delivered via TR. TR was acceptable to a subset of hip fracture patients but face-to-face was the preferred mode of delivery. More research is needed to understand patients’ preferences and beliefs, and the influence of clinician attitudes on uptake of TR.

Achieving structured knowledge management with a novel online group decision support system

2020 ◽  
pp. 026666692096984
Author(s):  
Wesley Shu ◽  
Songquan Pang ◽  
Minder Chen
Keyword(s):  
Knowledge Management ◽  
Knowledge Acquisition ◽  
Ad Hoc ◽  
Group Decision Support System ◽  
Face To Face ◽  
Knowledge Conversion ◽  
Group Problem Solving ◽  
The People ◽  
Mixed Factorial Design ◽  
Better Than

Knowledge management (KM) is a complicated process that involves socialization, externalization, combination, and internalization and requires close collaboration among the people involved. Although Nonaka proposed the SECI (Socialization, Externalization, Combination, Internalization) model and the concept of Ba, which provides a process-oriented view of knowledge creation and transfer, practicing it is rather ad hoc. COVID-19 has provided a chance for practitioners to find a new method for KM. In this study, we adapted a group problem-solving system called TeamSpirit and structured it as a Ba for the SECI model. We then compared TeamSpirit with two other implementations of Ba, email and face-to-face communication, to evaluate their effects on knowledge externalization, knowledge combination, and knowledge internalization. Then, we evaluated whether these knowledge-conversion processes could improve knowledge acquisition and intention to share knowledge. A 3 × 2 mixed factorial design experiment was conducted. The results show that (a) TeamSpirit was better than the others, and face-to-face was better than email for each of the three knowledge conversion processes (externalization, combination, and internalization) and (b) the better the team’s knowledge conversion process lead, the stronger its knowledge acquisition and knowledge-sharing intention.

The Impact of Between-Wave Engagement Strategies on Response to a Longitudinal Survey

2015 ◽  
Vol 57 (4) ◽  
pp. 533-554 ◽  
Author(s):  
Andrew Cleary ◽  
Nigel Balmer
Keyword(s):  
Longitudinal Survey ◽  
Longitudinal Surveys ◽  
Face To Face ◽  
Participant Engagement ◽  
Engagement Strategies ◽  
Design Attributes ◽  
New Research ◽  
The Impact ◽  
Better Than

Maintaining participant engagement in longitudinal surveys has been a key focus of survey research, and has implications for the quality of response and cost of administration. This paper presents new research measuring the impact of the design of between-wave keeping-in-touch mailings on response to the mailing and subsequent wave of a longitudinal survey. Three design attributes of the mailings were randomly implemented: the form of response request (whether respondents were asked to respond only if their address had changed, or in all cases to confirm or update their address); the newsletter included with the mailing (contrasting a newsletter with content tailored to respondent characteristics with a general newsletter and no newsletter); and the outgoing postage used (stamped or franked). The experiments were fielded on a new longitudinal study, the English and Welsh Civil and Social Justice Panel Survey (CSJPS), and took place between waves one and two. Fieldwork for both waves was conducted by Ipsos MORI face-to-face interviewers. Our main finding was that the tailored newsletter was associated with a significant increase in the wave-two response rate. However, in relation to response to the request, the tailored newsletter, or sending no newsletter at all, were equally effective at inducing response, and significantly better than the general newsletter. We also found that, in relation to the form of request, the ‘change of address’ request was as effective as the more costly ‘confirmation’ request. Findings are discussed with reference to the design of keeping-in-touch mailings for longitudinal surveys.

What does Brazil know about the origin and uses of tree species employed in the housing sector? Perspectives on available species, origin and current challenges

2021 ◽  
Vol 23 (3) ◽  
pp. 392-404
Author(s):  
V. De Araujo ◽  
J. Vasconcelos ◽  
M. Gava ◽  
A. Christoforo ◽  
F. Lahr ◽  
...  
Keyword(s):  
Native Species ◽  
Eucalyptus Species ◽  
Housing Sector ◽  
Construction Sector ◽  
Foreign Markets ◽  
Product Certification ◽  
Face To Face ◽  
Species Origin ◽  
Corporate Websites ◽  
Better Than

Timber consumption is a complex discussion for the industry, in part because the issue has been marked by doubts about lineage and origin. This paper aimed to identify challenges related to species, origins and wood use in the Brazilian construction sector. Searches on corporate websites and face-to-face interviews were used to identify involvement by species and origin in the domestic production of timber for housing. Relevant results were obtained for both methods since their margins of error were low. Forty exotic and nine native species were revealed to contribute significantly to the construction sector. 'Grapia' and 'Angelim pedra' native woods and eight eucalypt and pine species were shown to be the most popular through both methodologies. Pine timber was found to be in greater demand than that of Eucalyptus species. Despite some lack of clarity relating to the origin of certain species, the sector's status was better than expected. However, it still requires assertive actions to increase the use of legalized wood in order to favour product certification and integration into foreign markets.

scholarly journals Sosyal Yardımlaşma ve Dayanışma Vakıflarından Sosyal Yardım Alan Kadınların Bazı Sosyo-Demografik Özellikleri ile Yoksullukla Bağlantılı Deneyim ve Görüşleri

2021 ◽  
Vol 7 (13) ◽  
pp. 259-282
Author(s):  
Melike YALÇIN
Keyword(s):  
Research Method ◽  
Quantitative Research ◽  
Social Assistance ◽  
Demographic Characteristics ◽  
Adult Women ◽  
Young Adult Women ◽  
Level Of Education ◽  
Face To Face ◽  
The Poor ◽  
Poor Women

With this research, it is aimed to reveal some socio-demographic characteristics, experiences and opinions related to poverty, and power situations of coping with poverty of poor women who receive social assistance from social assistance and solidarity foundations. The quantitative research method was used in the study, and the data were obtained by making face-to-face interviews with women who received social assistance from Ankara province Altındağ, Mamak and Keçiören Social Assistance and Solidarity Foundations and accepted to participate in the study. The poor women participating in the research are young adult women with a low level of education, married, have at least one child, are unemployed and earn their living on social assistance. They define poverty as not being able to meet their needs and state the reason for poverty as unemployment. Participants see social assistance as a strategy to cope with poverty and think that the aid given is not enough to provide for their livelihood. They think that women are affected more by poverty than men, and they define their strengths mostly as being a good mother and wife.

scholarly journals Comparison between ultra-high-resolution computed tomographic angiography and conventional computed tomographic angiography in the visualization of the subcallosal artery

2021 ◽  
Vol 12 ◽  
pp. 528
Author(s):  
Yoshimichi Sato ◽  
Toshiki Endo ◽  
Shingo Kayano ◽  
Hitoshi Nemoto ◽  
Kazuki Shimada ◽  
...  
Keyword(s):  
High Resolution ◽  
Evaluation Method ◽  
Computed Tomographic Angiography ◽  
Anterior Communicating Artery ◽  
Exact Test ◽  
Computed Tomographic ◽  
Small X ◽  
Tomographic Angiography ◽  
Better Than

Background: The subcallosal artery (ScA) is a single dominant artery arising from the anterior communicating artery. Its injury causes amnesia and cognitive disturbance. The conventional computed tomographic angiography (C-CTA) is a common evaluation method of the intracranial artery. However, to image tinny perforating arteries such as the ScA is technically demanding for C-CTA. The purpose of this study is to investigate whether the ultra-high-resolution CTA (UHR-CTA) could image the ScA better than C-CTA. UHR-CTA became available in clinical practice in 2017. Its novel features are the improvement of the detector system and a small X-ray focus. Methods: Between April 2019 and May 2020, 77 and 49 patients who underwent intracranial UHR-CTA and C-CTA, respectively, were enrolled in this study. Two board-certified neurosurgeons participated as observers to identify the ScA based on UHR-CTA and C-CTA images. Results: UHR-CTA and C-CTA detected the ScA in 56–58% and 30–40% of the patients, respectively. In visualization of the ScA, UHR-CTA was better than C-CTA (P < 0.05, Fisher’s exact test). Between the two observers, the Cohen’s kappa coefficient was 0.77 for UHR-CTA and 0.78 for C-CTA. Conclusions: UHR-CTA is a simple and accessible method to evaluate intracranial vasculature. Visualization of the ScA with UHR-CTA was better than that with C-CTA. The high quality of UHR-CTA could provide useful information in the neurosurgery field.

Cross-Disciplinary Learning in Virtual Teams

2011 ◽  
pp. 78-81
Author(s):  
Scott P. Schaffer ◽  
Therese M. Schmidt
Keyword(s):  
Software Development ◽  
Virtual Teams ◽  
New Product Development ◽  
Virtual Team ◽  
Knowledge Bases ◽  
High Performing ◽  
Face To Face ◽  
Geographically Dispersed ◽  
New Product Development Teams ◽  
Better Than

The prevalence of global software development and new product development teams is on the increase, and such teams face unique challenges (McDonough, Kahnb, & Barczaka, 2001). First, these teams often are comprised of individuals from different disciplines (software engineering, graphic design, instructional design/educational technology). Second, these teams often are required to communicate and share information virtually, since they are geographically dispersed. These challenges make management of such teams difficult, and very little is known about the conditions and factors that impact virtual team performance. While the task of overcoming these challenges is daunting, the benefits that an effective virtual and cross-disciplinary software development team can have are large. Cohen and Gibson (2003) state, “when organizations compose virtual teams with people from different perspectives and knowledge bases, innovation is more likely to occur” (p.8). In addition, the possibility of creating teams that are virtual allows an organization the opportunity to have the best people for a project actually work on the project, regardless of geographic location. Major questions related to the study of such teams include: Do virtual teams perform better, worse or the same as face-to-face teams? What makes one virtual team better than another? Are group dynamics fundamentally different in a virtual group than in a face-to-face group? Warkenton, Sayeed and Hightower (1997) found that face-to-face teams outperformed virtual teams, and the latter were less satisfied with the experience. Advances in asynchronous communication tools since this study may have improved the situation for virtual teams, but the question of what makes one virtual team better than another is intriguing. Ocker and Fjermestad (2000) investigated factors that distinguish high- vs. low-performing virtual teams. High-performing teams communicated more and more widely related to design decisions than did low-performing teams. Such teams summarized and reflected more often on processes and deliverables, and essentially mirrored face-to-face teams. Similar findings were reported by Baker (2002) in a study of the effects of technology on decision-making in such teams. Another key driver of virtual team development and success is the level of cross-disciplinary learning that occurs during the completion of a project. Fruchter and Emery (1999) define cross-disciplinary learning as the individual’s progression from a state dominated by discipline-centric thought to a state in which the individual understands the terminology and processes of another discipline. It is important to investigate how this learning can be supported and assessed.

The Effects of Recombinant Human Granulocyte–Macrophage Colony-Stimulating Factor Gel on Third-Degree Frostbite Wounds in Northeastern China: A Randomized Controlled Trial

2020 ◽  
Author(s):  
Xiu-Hang Zhang ◽  
Chang-Lei Cui ◽  
Hao-Yue Zhu ◽  
Jian Wang ◽  
Yan Xue ◽  
...  
Keyword(s):  
Bacterial Culture ◽  
Controlled Trial ◽  
Healing Time ◽  
Control Group ◽  
Fisher Exact Test ◽  
Chi Square ◽  
Exact Test ◽  
Positive Effects ◽  
Positive Bacterial Culture ◽  
Better Than

Abstract The aim of the study was to investigate the effects of the rhGM-CSF gel on third-degree frostbite wounds. Sixty-two patients who had suffered third-degree frostbite on their hand or foot (91 wounds in total) were selected using a convenience sampling method and randomly allocated to two groups: the rhGM-CSF group(31patients,45 frostbite wounds) received the rhGM-CSF gel when wound dressing change daily; however, the control group (31patients, 46 frostbite wounds) received aloe glue. The wound healing time, the score of inflammation about the wound and the positive bacterial culture of wound secretions were used to measure outcomes, respectively. Data were analyzed using SPSS (25.0), Student’s t test or Mann–Whitney U test and chi-square test or Fisher exact test were selected, as appropriate. The healing time of the rhGM-CSF group was (12.2 ± 5.0) days, which was significantly shorter than that of the control group (15.5 ± 4.7) days (P &lt; .0001). The rhGM-CSF group’s wound inflammation scores on the 7th and 14th day of treatment were (0.96 ± 0.21) and (1.88 ± 0.29), respectively, which were better than those of the control group (1.12 ± 0.24) and (1.38 ± 0.15) (both P &lt; .0001). The positive bacterial culture of wound secretions in the rhGM-CSF group was also better than that in the control group on the 3rd, 7th, and 14th day after treatment (P = .027, .004, .030, respectively). According to the results, using rhGM-CSF gel considerably increases the speed of frostbite wounds healing, and have an effect on protecting third-degree frostbite wounds regarding the positive effects. Trial Registration: This trial was registered in the Chinese Clinical Trial Register, ChiCTR1900021299.

Sign in / Sign up

Export Citation Format

Share Document