The Use of Online Physician Training Can Improve Patient Experience and Physician Burnout

2019 ◽  
Vol 35 (3) ◽  
pp. 258-264
Author(s):  
Susan Congiusta ◽  
Eric M. Ascher ◽  
Seungjun Ahn ◽  
Ira S. Nash
Keyword(s):  
Patient Experience ◽  
Intervention Group ◽  
Integrated Approach ◽  
Control Group ◽  
Physician Burnout ◽  
Post Intervention ◽  
Physician Engagement ◽  
And Control ◽  
Improve Patient ◽  
Provider Surveys

The authors tested the efficacy of an integrated approach to improving patient experience and physician burnout using a 24-week online training program coupled with a physician engagement strategy. Physicians from different disciplines were randomized to intervention (n = 30) and control (n = 33) groups. Patient experience, physician burnout, and satisfaction data were assessed using patient and provider surveys. Comparisons were made pre and post intervention, and between the groups. Intervention group mean scores increased (+1.40 points) while control group scores dropped (−0.11 points; P = .039). Scores on physician burnout surveys for the intervention group improved in all areas and changes in 2 domains were statistically significant. In all, 73.5% of physicians felt the program was effective. This integrated intervention enhanced patient experience scores and positively affected physicians’ level of burnout, and physicians believed this exercise was useful.

scholarly journals Tempe Nuggets Provision Improves Energy Adequacy and Protein Intake in Underweight Underfive Children

2018 ◽  
Vol 6 (1) ◽  
pp. 89-96 ◽  
Author(s):  
Oktavina Permatasari ◽  
Retno Murwani ◽  
M. Zen Rahfiludin
Keyword(s):  
Body Weight ◽  
Energy Intake ◽  
Protein Intake ◽  
Local Community ◽  
Intervention Group ◽  
Control Group ◽  
Post Intervention ◽  
Control Group Design ◽  
Soybean Food ◽  
And Control

Tempe is a well known fermented soybean food, inexpensive, and a good source of dietary protein and energy. To improve fresh Tempe as an attractive food to children, Tempe is processed into nugget. A study using pre and post control group design was conducted to determine the effect of the Tempe nugget provision on energy and protein intake, and body weight/age (W/A) of 24-59 months old children. Forty six subjects were selected according to inclusion criteria from local Community Health Center (Puskesmas) and grouped into intervention (provision of Tempe nugget) and control group (no provision). Data of energy and protein intake of subjects before intervention were obtained by 2x24 food recall to determine deficiency in intake for the respective age. The amount of the nugget given to each underweight child in intervention group was calculated on the basis of deficiency in energy and protein intake of each child (W/A) per day. Body weight was recorded pre and post intervention. The deep-fried nuggets contained 276.53 calories per 100 g, 8.60% protein, 28.41% carbohydrate, 13.28% lipid, and 44.28% fiber. The mean age of the subjects in intervention and control group were homogeneous i.e. 40.52±10.88 months and 42.39±12.35 months respectively. Tempe nugget provision for 30 days improved significantly energy intake (p 0.001) in intervention compared to control group. Protein intake and W/A in intervention group were higher compared to control although not significant and further study with higher amount of Tempe nugget provision is needed. This study provides evidence that deep fried Tempe nugget can be used as inexpensive and nutritious food to improve protein and energy intake for underweight underfive children.

scholarly journals The Efficacy of Transdiagnostic Cognitive Behavioral Therapy on Migraine Headache: A Randomized Clinical Trial

2022 ◽  
Author(s):  
Forouzandeh Soleimanian-Boroujeni ◽  
Negin Badihian ◽  
Shervin Badihian ◽  
Vahid Shaygannejad ◽  
Yousef Gorji
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Intervention Group ◽  
Cognitive Behavioral ◽  
Control Group ◽  
Post Intervention ◽  
Therapy Termination ◽  
Protocol Registration ◽  
And Control

Abstract Introduction: Psychological interventions are shown to be effective in migraine, but not utilized routinely yet. We aimed to evaluate the efficacy of transdiagnostic cognitive behavioral therapy (TCBT) on people with migraine (PwM). Method: This study was conducted on 40 PwM aged 20-50 years. We randomly assigned participants to two groups of intervention, receiving 10 sessions of TCBT, and control. Days with headache, headache severity, migraine-related disability and effects on daily life, number of pain-relivers taken for headache, depression, and anxiety were assessed pre-intervention, post-intervention (three-month follow-up), and one-month after TCBT termination (four-month follow-up).Results: Thirty-five participants suffering moderate to severe migraine completed the study (16 and 19 in TCBT and control groups, respectively). TCBT improved all measured items between study time-points (p<0.05) in the intervention group, while such an improvement was not observed in the control group. Between group comparisons revealed superiority of TCBT group compared to the control group in most measured items at three- and four-month follow-ups (p<0.05).Conclusion: Ten sessions of TCBT improved migraine severity, associated disability, anxiety, and depression in PwM, with persistent effects after one month of therapy termination. TCBT is an affordable, practical, and feasible intervention to be utilized for PwM.Protocol registration: The study protocol was registered in clinicaltrial.gov (NCT03701477) prior to enrollment.

scholarly journals Perceptions of caregivers on immunization in Ntungamo district, Uganda

2021 ◽  
Vol 8 (12) ◽  
pp. 5729
Author(s):  
Byamukama Topher ◽  
Keraka M. Margaret ◽  
Gitonga Eliphas
Keyword(s):  
Risk Factor ◽  
Intervention Group ◽  
Cost Effective ◽  
Systematic Sampling ◽  
Control Group ◽  
Post Intervention ◽  
Mortality And Morbidity ◽  
Significant Difference ◽  
Quasi Experimental ◽  
And Control

Background: Immunization is one of the most cost-effective public health interventions to reduce child mortality and morbidity associated with infectious diseases. The objective of this study was to determine the perceptions of caregivers on immunization in Ntungamo district.Methods: Quasi-experimental study was used with health centres assigned to intervention and control groups. Purposive sampling was used to select the two counties where the study was done. Proportional sampling was done to get study samples from each health facility, while systematic sampling was done to get study participants. A total of 787 children from twelve health facilities provided the study sample. A post intervention evaluation was conducted to determine the effect of these interventions. Association of variables was tested using Mann Whitney U-test and Chi-square.Results: On benefits, most caregivers in the intervention group (85.3%) and in the control group (54.3%) regarded immunization as very highly and moderately beneficial to their children respectively. On risks, most caregivers in the intervention group (85.5%) and control group (43.1%) regarded the risk factor associated with immunization as very low and moderate respectively. From hypothesis testing, there was a significant difference on the perceived benefits and risks of immunization between the intervention and control group.Conclusions: Most caregivers in the intervention and control group regarded immunization as very highly beneficial and moderately to their children respectively. Most of the caregivers in the intervention and control group regarded the risk factor associated with immunization as very low and moderate respectively. 

scholarly journals Correlation of Provider Burnout With Patient Experience

2020 ◽  
Vol 7 (6) ◽  
pp. 931-936
Author(s):  
Kathleen E McKee ◽  
Andrea Tull ◽  
Marcela G del Carmen ◽  
Susan Edgman-Levitan
Keyword(s):  
Patient Experience ◽  
Healthcare Providers ◽  
Maslach Burnout Inventory ◽  
Integrated Approach ◽  
Routine Care ◽  
Urgent Care ◽  
Physician Burnout ◽  
Care Appointment ◽  
Consumer Assessment ◽  
Improve Patient

Initiatives to mitigate physician burnout and improve patient experience occur largely in isolation. At the level of the department/division, we found lower physician burnout was associated with a more positive patient experience. Physician Maslach Burnout Inventory data and patient Consumer Assessment of Healthcare Providers and Systems Clinician and Group experience scores were significantly correlated with 5 of 12 patient experience questions: “Got Routine Care Appointment” (−0.632, P = .001), “Recommend Provider” (−0.561, P = .005), “Provider Knew Medical History” (−0.532, P = .009), “Got Urgent Care Appointment” (−0.518, P = .014), and “Overall Rating” (−0.419, P = .047). These correlations suggest burnout and experience might be better addressed in tandem. Principles to guide an integrated approach are suggested.

scholarly journals Effects of vibration on chronic leg edema in chair-bound older adults: A randomized pilot trial

2020 ◽  
Author(s):  
Sayumi Tsuchiya ◽  
Aya Sato ◽  
Terumi Ueda ◽  
Misako Dai ◽  
Mayumi Okuwa ◽  
...  
Keyword(s):  
Pilot Trial ◽  
Intervention Group ◽  
Nursing Home Residents ◽  
Interquartile Range ◽  
Control Group ◽  
Control Groups ◽  
Post Intervention ◽  
Leg Edema ◽  
Clinical Trials Registry ◽  
And Control

Abstract BackgroundElderly individuals can easily develop leg edema that can become chronic, which may result in various problems. Therefore, appropriate care for the edema should be provided. In some cases, chronic leg edema among elderly individuals cannot be controlled by the standard care such as leg elevation or compression. A previous study reported that vibration benefited upper limb lymphedema; however, its effects on chronic leg edema are not yet clarified. Therefore, this study aimed to clarify the effects of vibration for reducing chronic leg edema among chair-bound elderly individuals.MethodsFor participant allocation, a computer-generated list of random numbers was used. Nursing home residents aged ≥65 years with chronic leg edema who spent more time sitting than standing or lying during the day were randomly assigned to the intervention (n = 7) or control group (n = 7). The intervention group underwent vibration therapy three times a day for 2 weeks at 47 Hz and 1.78 m/s2 frequency and horizontal vibration acceleration, respectively. The pitting test was performed at 22 sites, and participants’ pitting scores were calculated based on the pitting depth. Pitting score changes at pre- and post-intervention were compared between the intervention and control groups. Both participants and investigators were not blinded to group assignment.ResultsThe median age of the intervention and control groups was 86 and 84 years, respectively. Participants’ characteristics and edema severity at baseline were not significantly different. The median total pitting score change in the intervention group was −0.4 (interquartile range: −5.3–1.8), which was significantly lower than that of the control group (2.0 [interquartile range: 1.0－5.3], P = 0.01). The intervention group was more likely to have controlled edema (64.3%) than the control group (21.4%) (χ2 (1) = 5.25, P = 0.02).ConclusionsThe intervention group was more likely to have controlled edema than the control group, suggesting that vibration could prevent the worsening of chronic leg edema in chair-bound elderly individuals.Trial registration: UMIN Clinical Trials Registry, UMIN000017716. Registered 1 July 2015, https://upload.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000020522

scholarly journals Efeito do FIFA11+ e do treinamento convencional de handebol sobre força isocinética e equilíbrio

2017 ◽  
Vol 19 (4) ◽  
pp. 406 ◽  
Author(s):  
Vinícius Jardim Oliano ◽  
Lilian Pinto Teixeira ◽  
Simone Lara ◽  
Rodrigo De Souza Balk ◽  
Stefany Guimarães Fagundes
Keyword(s):  
Postural Balance ◽  
Intervention Group ◽  
Cumulative Effect ◽  
Physical Contact ◽  
Control Group ◽  
Muscular Power ◽  
Post Intervention ◽  
Dynamic Posturography ◽  
Sensory Organization ◽  
And Control

DOI: http://dx.doi.org/10.5007/1980-0037.2017v19n4p406 Considering that handball is a sport that requires physical contact, jumps, and fast movements, it is relevant to create prevention strategies to avoid injuries. It is known that better proprioceptive conditions and muscular balance are associated with reductions in sport injuries. The aim of this study was to analyse the cumulative effect of a twelve-week FIFA11+ training program in addition to conventional handball training on postural balance and isokinetic strength of the knee joint in female handball athletes. Twenty-one athletes (aged 11-14 years) were assessed and divided into two groups: intervention group (IG), composed of girls who practiced FIFA11+ associated with regular handball training, and control group (CG) composed of girls who participated only in team training. Both groups were assessed at pre- and post-intervention including knee muscular power using isokinetic dynamometer. Postural balance was assessed through computerized dynamic posturography, with sensory organization test (SOT), analysis of sensorial systems, and unilateral test. IG performed the FIFA11+ program exercises, twice a week, with sessions lasting 40 minutes on average, during 12 weeks. The results demonstrate an improvement in postural balance in IG group at condition 5 of SOT, and in the use of vestibular system at post-intervention, which did not occur in CG. As far as knee isokinetic muscular power is concerned, both groups showed improvements. In conclusion, the practice of FIFA11+ in addition to conventional handball training demonstrated important contributions on the postural balance of young players. 

A Preliminary Evaluation of Mindfields: A Self-Regulatory Cognitive Behavioural Program for School-Aged Adolescent Offenders

2012 ◽  
Vol 29 (2) ◽  
pp. 81-94 ◽  
Author(s):  
Annemaree Carroll ◽  
Adrian Ashman ◽  
Francene Hemingway ◽  
Julie Bower ◽  
Stephen Houghton
Keyword(s):  
Intervention Group ◽  
Correctional Facility ◽  
Control Group ◽  
Preliminary Evaluation ◽  
Adolescent Offenders ◽  
Youth Justice ◽  
Post Intervention ◽  
Cognitive Behavioural ◽  
And Control ◽  
Regulatory Intervention

The present research describes the preliminary evaluation of Mindfields, a self-regulatory intervention designed to enhance the development of life skills and self-set goals among school-aged adolescent offenders. Differences between intervention and control participants pre- and post-treatment were assessed using the Mindfields Assessment Battery (MAB). Twenty-four adolescents from a youth correctional facility, youth justice service centres, and alternative education schools (Mage = 14.79, SD = 1.47) were assigned to either an intervention group (n = 18) or a wait-list control group (n = 6). At pre-intervention, there were no significant differences between intervention and control participants. Post-intervention analysis between the two groups revealed that intervention participants reported significant reductions in self-reported delinquency and impulsivity compared to the control group. Moreover, while the pre- to post- intervention scores for the control participants remained relatively stable, the pre- to post-scores for intervention participants indicated significant reductions for pro-delinquency and improvements in self-satisfaction. Preliminary findings are promising and provide evidence for the effectiveness of this new self-regulatory intervention for school-aged adolescents.

scholarly journals The Potential Effect of Coconut Water as Natural Healer in Adult Patient with Chronic Periodontitis: A Preliminary Clinical Study

2020 ◽  
Vol 18 (2) ◽  
Author(s):  
Zurainie Abllah ◽  
Syarifah Nurul Afifah Syed Ibrahim ◽  
Hamiza A Rahaman ◽  
Munirah Yaacob ◽  
Yunita Dewi Ardini
Keyword(s):  
Chronic Periodontitis ◽  
Intervention Group ◽  
Potential Effect ◽  
Coconut Water ◽  
Control Group ◽  
Post Intervention ◽  
Plaque Score ◽  
Significant Difference ◽  
Ethical Approval ◽  
And Control

Introduction: Mechanical and chemical debridement had been practiced as one of the management for chronic periodontitis. Recent interest and advances in the field of alternative medicine has promoted the use of various herbal and natural products for multiple uses in the field of medicine. As for it, coconut water is one of the potential natural sources that have various health benefits.  Materials and method:  Randomized control study was chosen as study design in this research project. 12 patients who have moderate to severe chronic periodontitis were selected from patients whom attended Polyclinic Kulliyyah of Dentistry, IIUM Kuantan Campus from November 2016 to January 2018. After stratified random sampling done, the subjects divided into 2 groups; Intervention Group and Control Group. All patients will go for ultrasonic scaling and root planning by using hand instruments. 6 patients in Intervention Group were given fresh coconut water to drink during daytime. The first re-assessment was done after 6 weeks. The control group of another 6 patients didn’t receive any medicament. Paired sample t-test was used to analyse the pre and post intervention data. The study had obtained ethical approval from IREC (IREC 849).  Results:  Probing depth (PD) at mid-buccal site and bleeding on probing (BoP) shown significant result (p<0.05 ) in intervention group. There is no significant difference noted in the control groups, which are for PD, BoP and Plaque Score (PS) variables. Conclusion: Coconut water has potential benefit in reducing the periodontal pockets with chronic periodontitis as an adjunct after mechanical debridement.

scholarly journals The Effect Of Biofeedback On The Motor– Muscular Situation In Rehabilitation Of Stroke Patients

2017 ◽  
pp. 35 ◽  
Author(s):  
Zohre Najafi ◽  
Zahra sadat Manzari ◽  
Fariborz Rezaeitalab ◽  
Amin Azhari
Keyword(s):  
Muscle Strength ◽  
Intervention Group ◽  
Group Versus ◽  
Muscle Stiffness ◽  
The Body ◽  
Control Group ◽  
Check List ◽  
Post Intervention ◽  
Significant Difference ◽  
And Control

Background:Stroke is the most common debilitating neurological disease in adults. Therefore, rehabilitation is a major consideration to reduce costs and relief disabilities. Biofeedback, a newly recommended method is claimed to be able to improve the consequences following stroke by enhancement the understanding of the psychological functions of the body.  Objectives: The purpose of this study was to investigate the effect of biofeedback on the motor– muscular situation in rehabilitation of stroke patientsMethods:The present study was a randomized clinical trial that was started in May 2016 and completed in September 2016. The sample of this study included all the patients with stroke attending the physiotherapy center of Imam Raza hospital in Mashhad, Iran. The participants were randomly divided into 2 groups (case and control group) after considering the inclusion and exclusion criteria. In the intervention group, biofeedback (2 times a week for 15 sessions, each session lasting 20 minutes) was performed.Before the intervention demographic information questionnaire was complete by all participants. Then a check list of main variables such as hands muscle strength, muscle stiffness (spasticity), balance and ability to walk was complete by a physician. In the 7th session of the exercise and in the end of intervention (14th session), again, the main variables of the check list were reassessed by the researcher. The statistical analysis was done by Statistical Package for the Social Sciences (SPSS) software version 16.Results:the mean score of balance evaluation in pre-intervention had not any significant differences (p=0.503), but in post intervention evaluation, this score in intervention group versus control group showed significant differences (p=0.014).the mean score of muscle strength,Results showed that by eliminating the effects of muscular strength before the intervention, this variable in both intervention and control groups after the intervention, had improvement and significant difference (p=0.005).Comparison the average spasticity, showed that spasticity evaluation score before and after intervention had no significant difference between the two groups (p=1.00)Conclusion: Considering the findings of this study, the biofeedback therapy is a promising treatment modality in improvement the motor– muscular condition following stroke.  

scholarly journals Effects of a simple educational intervention in well-baby clinics on women’s knowledge about and intake of folic acid supplements in the periconceptional period: a controlled trial

2014 ◽  
Vol 18 (6) ◽  
pp. 1119-1126 ◽  
Author(s):  
Denhard J de Smit ◽  
Stephanie S Weinreich ◽  
Martina C Cornel
Keyword(s):  
Folic Acid ◽  
Controlled Trial ◽  
Effective Means ◽  
Intervention Group ◽  
Control Group ◽  
Post Intervention ◽  
Actual Use ◽  
Baby Clinic ◽  
Periconceptional Period ◽  
And Control

AbstractObjectiveTo test the hypothesis that a concise intervention to promote the preconception use of folic acid (FA) supplements among mothers who visit a well-baby clinic (WBC) for the 6-month check-up of their youngest child is effective. Effectiveness was measured as intention to use or actual use of FA supplements before a next pregnancy among women who expected to be pregnant within 0–12 months.DesignControlled intervention study with independent samples of intervention and control mothers. The intervention took place at the 6-month visit. A post-intervention measurement was done in the intervention group and a comparable measurement in the control group at the 11-month check-up visit.SettingThe intervention, verbal and in writing, was implemented in four Dutch WBC and given by the WBC physician to the mothers who visited the WBC.SubjectsAll mothers visiting the WBC were eligible for inclusion, unless they were unable to complete a questionnaire. The intervention group consisted of 198 (68 %) mothers recruited from 291 6-month intervention visits and the control group of 215 (84 %) mothers recruited from 255 11-month normal visits.ResultsIn mothers who expected to be pregnant within 0–12 months, the proportion using or intending to use FA was 65 % in the intervention group (n 49) v. 42 % in the control group (n 43; difference 23 %, 95 % CI 4, 43 %, P<0·05).ConclusionsHealth education intervention at the 6-month WBC visit is an effective means to promote the use of FA supplements or the intention to do so.

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