Diabetes Self-Care Behaviors and Barriers to Clinical Care During COVID-19 Pandemic for Marshallese Adults

2022 ◽  
pp. 263501062110653
Author(s):  
Rachel S. Purvis ◽  
Ramey A. Moore ◽  
Britni L. Ayers ◽  
Holly C. Felix ◽  
Sheldon Riklon ◽  
...  
Keyword(s):  
Health Care ◽  
Social Media ◽  
Health Education ◽  
Health Care Provider ◽  
Care Provider ◽  
Clinical Care ◽  
A Priori ◽  
Self Care ◽  
Qualitative Descriptive ◽  
Insight Into

Purpose: The purpose of the study was to explore experiences of Marshallese adults related to diabetes self-care behaviors during the COVID-19 pandemic. Methods: A qualitative descriptive design was utilized to understand participants’ diabetes self-care behaviors during the pandemic. Nine focus groups with 53 participants were held via videoconference and conducted in English, Marshallese, or a mixture of both languages. A priori codes based on diabetes self-care behaviors provided a framework for analyzing and summarizing participant experiences. Results: Both increases and decreases in healthy eating and exercise were described, with improvements in health behaviors attributed to health education messaging via social media. Participants reported increased stress and difficulty monitoring and managing glucose. Difficulty obtaining medication and difficulty seeing their health care provider regularly was reported and attributed to health care provider availability and lack of insurance due to job loss. Conclusions: The study provides significant insight into the reach of health education campaigns via social media and provides important information about the reasons for delays in care, which extend beyond fear of contracting COVID-19 to structural issues.

Promising Interventions to Prevent Liver Cancer in Idaho

2021 ◽  
pp. 152483992110571
Author(s):  
Behnoosh Momin ◽  
Danielle Nielsen ◽  
Spencer Schaff ◽  
Jennifer L. Mezzo ◽  
Charlene Cariou
Keyword(s):  
Health Care ◽  
Social Media ◽  
Liver Cancer ◽  
Hepatitis B ◽  
Health Care Provider ◽  
Health Care Providers ◽  
Care Provider ◽  
Hepatitis B Vaccination ◽  
Care Providers ◽  
The Social

Introduction: The Idaho Comprehensive Cancer Control Program (ICCCP) collaborated with the Idaho Immunization Program (IIP) to plan and implement activities to increase knowledge and awareness of liver cancer prevention through tailored hepatitis B immunization messaging to the Idaho community and health care providers. Purpose and Objectives: In this article, we report findings from an evaluation of these activities. Interventions Approach: The two programs implemented liver cancer prevention activities between May 2017 and December 2017; strategies included a social media vaccination awareness campaign and health care provider education. Evaluation Methods: Facebook Insights was used to report, and descriptive statistics were used to analyze, data from the social media campaign. Descriptive statistics were used to analyze data collected from a retrospective pre–post survey for the health care provider presentations and paired t-tests were conducted to detect differences between pre- and postexposure. Results: For the social media campaign, ICCCP and IIP posted a total of 32 liver cancer and hepatitis B vaccination posts on their respective Facebook pages, which reached 42,804 unique users. For the health care provider presentations, there was a statistically significant increase in awareness, knowledge, ability, and intention among health care providers. Implications for Public Health: Our evaluation serves as an example of how public health social media can reach consumers and how educating providers can raise awareness on the importance of hepatitis B vaccination as a means of preventing liver cancer.

Cue the Doctor: An Online Experiment to Understand the Factors Affecting Physician Credibility on Twitter When Sharing Health Information (Preprint)

2021 ◽  
Author(s):  
DaJuan Ferrell ◽  
Celeste Campos-Castillo
Keyword(s):  
Health Care ◽  
Social Media ◽  
Social Context ◽  
Health Care Provider ◽  
Care Provider ◽  
Information Seeking ◽  
Factors Affecting ◽  
The Public ◽  
The Social ◽  
Health Advice

BACKGROUND Largely absent from research on how users appraise the credibility of professionals as sources for the information they find on social media is work investigating factors shaping credibility within a specific profession, such as physicians. OBJECTIVE We address debates about how physicians should use social media by comparing how a formal and casual appearance on a profile picture influences their credibility. Using prominence-interpretation theory, we posit an effect of a formal appearance on credibility conditional users’ social context, specifically whether they have a regular health care provider. METHODS For this experiment, we recruited 205 social media users using Amazon.com’s Mechanical Turk. We asked participants if they had a regular health care provider and then randomly assigned them to read one of three Twitter posts that varied only in the profile picture of the physician offering health advice. Next, we tasked participants with assessing the credibility of the physician and their likelihood of engaging with the tweet and the physician on Twitter. We used path analysis to assess whether participants having a regular health care provider impacted how the profile picture affected their ratings of physician’s credibility and their likelihood to engage with the tweet and physician on Twitter. RESULTS We found that the profile picture of a physician posting health advice in either formal or casual attire did not elicit significant differences in credibility, with ratings comparable to having no profile image. Among participants assigned the formal appearance condition, those with a regular provider rated the physician higher on a credibility than those without, which led to stronger intentions to engage with the tweet and physician. CONCLUSIONS The findings add to existing research by showing how the social context of information seeking on social media shapes the credibility of a specific professional. Practical implications for professionals engaging with the public on social media and combating false information include moving past debates about casual versus formal appearances and toward identifying ways to segment audiences.

scholarly journals Factors Impacting the Decision of an Individual With Lynch Syndrome to Terminate a Health Care Provider Relationship

2021 ◽  
Vol 8 ◽  
pp. 237437352110087
Author(s):  
Erin M Broughel ◽  
Kelsey Hennig ◽  
Rebecca Chu ◽  
Wendy M Parker ◽  
Lisa Campo-Engelstein ◽  
...  
Keyword(s):  
Health Care ◽  
Social Media ◽  
Lynch Syndrome ◽  
Health Care Provider ◽  
Care Provider ◽  
Cancer Syndrome ◽  
Online Surveys ◽  
Social Media Data ◽  
Specific Care ◽  
Media Data

Lynch syndrome (LS) is a genetic cancer syndrome that puts affected individuals at a significantly higher risk of developing multiple cancers. Participants (n = 57) were recruited through social media. Data were collected through online surveys and phone interviews; the interview data (n = 55) were analyzed to identify provider terminations and the factors that motivated these decisions. Results indicate that individuals with LS terminated their patient–provider relationships due to lack of provider LS knowledge, poor interactions, or a combination of both factors. Findings from this study suggest a need for better interactions between LS patients and providers and increased knowledge of LS-specific care.

scholarly journals Integrated Digital Patient Education at the Bedside for Patients with Chronic Conditions: Observational Study

10.2196/22947 ◽  
2020 ◽  
Vol 8 (12) ◽  
pp. e22947
Author(s):  
Benjamin Schooley ◽  
Akanksha Singh ◽  
Neşet Hikmet ◽  
Robert Brookshire ◽  
Nitin Patel
Keyword(s):  
Health Care ◽  
Patient Education ◽  
Health Education ◽  
Health Care Provider ◽  
Care Provider ◽  
Chronic Conditions ◽  
Nurse Educators ◽  
Digital Health ◽  
Qualitative Interviews ◽  
Educational Content

Background Patient education delivered by a health care provider increases patients’ understanding and adherence to medical instructions, which helps to improve patient health. Multiple challenges exist to delivering effective patient education to patients with multiple chronic conditions, including giving the necessary time, range, and types of learning materials, and assessing the level of understanding. To help overcome these challenges, it is important to study new electronic means to assist in patient education, such as the use of mobile devices, interactive media, 3-dimensional images, and multimedia educational content at the bedside. Objective The goal of this study was to address the need for blended learning strategies combining technical and workflow integration of digital patient education systems for patients with chronic conditions within and across the regular process of care. Studies are needed to evaluate the utility and benefits of these technologies for providers and patients alike. Methods A mixed-methods approach was employed including survey administration to 178 patients after they received digital patient education in person with a health care provider, and qualitative interviews with 16 nurse educators who used the mobile digital health education technology to deliver instruction to patients. Patient survey data were analyzed using chi-square statistical tests. Qualitative interviews were analyzed for user acceptance and perceived value themes. Results Patients who were counseled using a blended digital health education approach reported improved understanding of educational content (P=.034) and chronic health conditions (P<.001), were more motivated to care for themselves at home (P<.001), were more likely to say that they felt capable of making health care decisions with their doctors (P<.001) and on their own (P=.001), and were more likely to report their intention to follow their doctor’s instructions (P<.001) than were patients whose education was not computer-based. Nurse educators felt that the digital education system and content enhanced their education efforts and could be easily integrated into the outpatient clinical workflow. Conclusions Patient education for individuals with chronic conditions may be more effective than traditional formats when provided in blended digital formats supervised by a health care provider.

scholarly journals The state of multiple sclerosis: current insight into the patient/health care provider relationship, treatment challenges, and satisfaction

2016 ◽  
Vol Volume 11 ◽  
pp. 33-45 ◽  
Author(s):  
Mar Tintoré ◽  
Maggie Alexander ◽  
Kathleen Costello ◽  
Martin Duddy ◽  
David E Jones ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Health Care ◽  
Health Care Provider ◽  
Care Provider ◽  
The State ◽  
Patient Health ◽  
Insight Into

scholarly journals Integrated Digital Patient Education at the Bedside for Patients with Chronic Conditions: Observational Study (Preprint)

2020 ◽  
Author(s):  
Benjamin Schooley ◽  
Akanksha Singh ◽  
Neşet Hikmet ◽  
Robert Brookshire ◽  
Nitin Patel
Keyword(s):  
Health Care ◽  
Patient Education ◽  
Health Education ◽  
Health Care Provider ◽  
Care Provider ◽  
Chronic Conditions ◽  
Nurse Educators ◽  
Digital Health ◽  
Qualitative Interviews ◽  
Educational Content

BACKGROUND Patient education delivered by a health care provider increases patients’ understanding and adherence to medical instructions, which helps to improve patient health. Multiple challenges exist to delivering effective patient education to patients with multiple chronic conditions, including giving the necessary time, range, and types of learning materials, and assessing the level of understanding. To help overcome these challenges, it is important to study new electronic means to assist in patient education, such as the use of mobile devices, interactive media, 3-dimensional images, and multimedia educational content at the bedside. OBJECTIVE The goal of this study was to address the need for blended learning strategies combining technical and workflow integration of digital patient education systems for patients with chronic conditions within and across the regular process of care. Studies are needed to evaluate the utility and benefits of these technologies for providers and patients alike. METHODS A mixed-methods approach was employed including survey administration to 178 patients after they received digital patient education in person with a health care provider, and qualitative interviews with 16 nurse educators who used the mobile digital health education technology to deliver instruction to patients. Patient survey data were analyzed using chi-square statistical tests. Qualitative interviews were analyzed for user acceptance and perceived value themes. RESULTS Patients who were counseled using a blended digital health education approach reported improved understanding of educational content (<i>P</i>=.034) and chronic health conditions (<i>P</i>&lt;.001), were more motivated to care for themselves at home (<i>P</i>&lt;.001), were more likely to say that they felt capable of making health care decisions with their doctors (<i>P</i>&lt;.001) and on their own (<i>P</i>=.001), and were more likely to report their intention to follow their doctor’s instructions (<i>P</i>&lt;.001) than were patients whose education was not computer-based. Nurse educators felt that the digital education system and content enhanced their education efforts and could be easily integrated into the outpatient clinical workflow. CONCLUSIONS Patient education for individuals with chronic conditions may be more effective than traditional formats when provided in blended digital formats supervised by a health care provider.

1652: The Effect of Health Care Provider Characteristics on Nodal Yield at Radical Cystectomy

2007 ◽  
Vol 177 (4S) ◽  
pp. 548-548
Author(s):  
Girish S. Kulkarni ◽  
Gina A. Lockwood ◽  
Andrew Evans ◽  
Arthy Saravanan ◽  
Michael A.S. Jewett ◽  
...  
Keyword(s):  
Health Care ◽  
Radical Cystectomy ◽  
Health Care Provider ◽  
Care Provider ◽  
Provider Characteristics ◽  
Nodal Yield
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