Concordance of the cardiovascular patient education with the principles of Andragogy model

Abstract Background Patient education is a critical aspect of patient care and is considered a vital part of self-care (especially in patients with cardiovascular disease (CVD)) and health promotion. The literature supports incorporating the principles of the andragogy model (adult learning) into patient education. This study aimed to determine the concordance of the CVD patient education with the principles of the andragogy model. Methods This cross-sectional survey was conducted on 384 adult CVD patients from 2 selected hospitals of Tehran. The sampling method was convenient, and the data collection tool was a researcher-made questionnaire based on the principles of the andragogy model. Data were analyzed using SPSS16 statistical software. Results The mean age of the patients was 55.69 ± 13.01 years old. Frequency of distribution of the patients who, in total, selected the items of 4 or 5 for respecting the principles of andragogy model was as follows: 68.16% for the motivation, 66.29% for the need, 66.03% for the orientation, 54.16% for the experiences, 51.55% for the self-concept, and 44.65% for the readiness principle. Also, three principles of motivation (77.37) need (74.97), and orientation (74.78) had the highest mean, respectively, in terms of adhering to this model. But the most common problems in patient education were related to the principles of readiness (64.35), self-concept (68.19), and experiences (77.71) with the lowest mean. Conclusions The findings of this study provided valuable information on the flaws in patient education, including ignoring and disrespecting the principles of adult education. Correcting these detected defects and providing feedback to health professionals can improve the quality of patient education programs and patient satisfaction. Also, it empowers healthcare providers, patients, and families through effective education strategies.

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Program Quality and Developmental Outcomes Related to Youth Volleyball in Ethiopia: Assessing Relationships and Variations

European Journal of Investigation in Health, Psychology and Education ◽

10.3390/ejihpe11040100 ◽

2021 ◽

Vol 11 (4) ◽

pp. 1388-1405

Author(s):

Abdulaziz Mussema ◽

Tefera Tadesse ◽

Zelalem Melkamu

Keyword(s):

Developmental Outcomes ◽

Central Zone ◽

Youth Sport ◽

Program Quality ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Practical Applications ◽

The Mean ◽

Project Site

This study aims to assess program quality and developmental outcomes of a youth volleyball project in one of the regional states in Ethiopia, and further examine variations between groups across gender and project site zones. We applied a cross-sectional survey design, collecting quantitative data from youth volleyball players (n = 215) with a mean age of 16.18 years (SD = 0.69) through a self-reported questionnaire. The results indicated that young players’ perceptions did not vary significantly across gender, except for the mean score of the perceived experience variable for girls (M = 2.68, SD = 0.318) was significantly higher than the mean score of boys (M = 2.58, SD = 0.258). One-way (project site zone) analyses of variance (ANOVAs) identified that youth volleyball projects in the central zone were consistently rated higher than those in the western zone, except for the current practice rating. Moreover, correlation analysis results indicated the presence of a significant relationship, both within and between program quality and developmental outcome variables. Furthermore, the results of regression analysis indicated that the program quality variables together predicted each of the developmental outcomes, accounting for 18.9% to 31.7% of the variances. It is concluded that the quality of the youth volleyball program in Ethiopia varies considerably across the project site zones and the program quality variables significantly relate to the developmental outcomes measured with differential effects. The data from this study reveals several practical applications for Ethiopia and beyond in terms of guiding youth volleyball projects. Moreover, the findings of the study showed that youth sport and the manner in which it is structured and delivered to youth players influences the attainment of positive developmental outcomes. These results suggest that contextual differences really do have an effect on the quality of youth sport program processes and developmental outcomes.

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Abstract 204: Cross-sectional Survey of Quality of Life and Workload Among Japanese Physicians Working in Stroke Care: The Nationwide Survey of Acute Stroke Care Capacity for Proper Designation of Comprehensive Stroke Center in Japan (J-ASPECT) Study

Circulation Cardiovascular Quality and Outcomes ◽

10.1161/circoutcomes.8.suppl_2.204 ◽

2015 ◽

Vol 8 (suppl_2) ◽

Author(s):

Fumiaki Nakamura ◽

Kunihiro Nishimura ◽

Misa Takegami ◽

Yoshihiro Miyamoto ◽

Koji Iihara

Keyword(s):

Quality Of Life ◽

General Population ◽

Short Form ◽

Stroke Care ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Neurosurgical Society ◽

The Mean ◽

Population Norm

Objective: Approximately 40% of stroke physicians in Japan are in a state of burnout. The quality of life (QOL) of physicians working in stroke care is unclear. We aimed to compare health-related QOL (HRQOL) between physicians working in stroke care and the general population, and to evaluate personal and professional characteristics associated with HRQOL of physicians working in stroke care. Design: Cross-sectional survey. Setting and Participants: All board-certified members of the Japanese Neurosurgical Society and the Societas Neurologica Japonica working in Japan. Main outcome measure: Scores of HRQOL (physical and mental) as assessed by the Short-Form 8 (SF-8). Statistical analysis: We compared scores of physician’s HRQOL with standard values of the general population. Factors associated with HRQOL were identified by multivariable regression analysis with stepwise variable selection. Results: Of 11,211 stroke physicians who received the survey, 2279 (20.3%) completed the surveys. The mean physical QOL score was 49.4 points (95% CI: 49.1 to 49.7), which was similar to the population norm. However, the mean mental QOL score was below the population norm (46.1 points [95% CI: 45.7 to 46.4]), and 20.8% (475/2279) of stroke physicians had a score lower than one standard deviation below the population norm. The physical QOL score was lower in women than in men (coefficient = –1.66 [95% CI: –2.82 to –0.50]). An increase in nights on call per week was associated with a lower physical QOL (each additional 1 time per week = –0.39 [–0.53 to –0.25]), and an increase in mean sleep time was associated with a higher physical QOL score (each additional 1 hour = 0.87 [0.55 to 1.20]). Physicians who worked more than 40 hours per week had a lower mean mental QOL score than those who worked less than 40 hours per week (each additional 10 hour = –0.40 [–0.57 to –0.24]). A higher salary was associated with a higher mental QOL score (lower than $100 000 = reference; $100 000-149 000 = 0.08 [–1.10 to 1.27]; $150 000-199 000 = 0.68 [–0.61 to 1.97]; $200 000 or more = 1.90 [0.46 to 3.34]), and an increase of 1 day off per week was associated with an increase in mental QOL score (each additional 1 day = 0.88 [0.24 to 1.52]). Limitation: This study was based on a cross-sectional design and was thus unable to determine the causal effects of factors. Conclusion: Mental QOL scores of stroke physicians are significantly lower than those of the population norm. Work hours, salary, and numbers of days off are associated with the mental QOL score.

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Quality of life in adolescents with primary headaches

Paediatrica Indonesiana ◽

10.14238/pi53.6.2013.350-4 ◽

2013 ◽

Vol 53 (6) ◽

pp. 350

Author(s):

Naomi Riahta ◽

Muhammad Ali ◽

Bistok Saing ◽

Yazid Dimyati ◽

Johannes Saing

Keyword(s):

Quality Of Life ◽

Cross Sectional Study ◽

Primary Headaches ◽

Sectional Study ◽

Quality Oflife ◽

Cross Sectional ◽

The Mean ◽

Common Problems

Background Headaches are common problems in adults,adolescents, and children. Headaches impact a child's life, theirfamily life, and even society. An assessment of quality of life inadolescents with primary headaches may help to determine actionsnecessary to improve the quality of life of these patients.Objective To assess the quality oflife of adolescents with primaryheadach es compared to healthy adolescents.Methods We conducted a cross-sectional study in December2009 on adolescents aged 13 to 18 years. The headache groupconsisted of children with primary headaches according to theInternational Classification of Headache Disarders and the controlgroup consisted of healthy adolescents. Subjects were selected byconsecutive sampling, with 75 subjects in each group. Subjectsfilled the Pediatric Quality of Life Inventary version 4.0 (PedsQL4.0) questionnaire.Results The mean PedsQL total score was significantly lowerin the headache group than in the contra 1 group [ l 7 5. 7 vs.392.2, respectively, (95%CI of differences -28.l to -219.3, P =0.001)]. However, out of23 items in the questionnaire, 9 werenot significantly different between the headache and controlgroups.Conclusions Primary headaches in adolescents is associatedwith lower quality of life. Most quality of life domains scoresare significantly lower in adolescents with primary headachescompared to those without primary headaches.

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Evaluating equity in healthcare: pilot implementation of a self-assessment tool

European Journal of Public Health ◽

10.1093/eurpub/ckz186.659 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

A Chiarenza ◽

D Domenig ◽

S Cattacin

Keyword(s):

Quality Of Care ◽

Assessment Tool ◽

Healthcare Providers ◽

The Self ◽

Vulnerable Groups ◽

Service Users ◽

Cross Sectional Survey ◽

Self Assessment ◽

Cross Sectional

Abstract Background Several sets of standards aiming at improving access and quality of care for service users have been published in recent years. Certain standards focused on improving healthcare providers’ responsiveness to specific target groups. The general goal of this research was to improve organisations’ awareness of equity standards that are not focused on specific groups, but on all contributing factors that put vulnerable groups at risk of exclusion. The specific objective was to evaluate the degree of compliance with a set of equity standards in 52 health care organisations from 16 countries. Methods A self-assessment tool (SAT) was developed to allow healthcare organisations to measure their capacity to provide equitable care for service users. The SAT indicates the main areas that should be addressed: equity in policy; equitable access and utilisation; equitable quality of care; equity in participation; promoting equity. A cross-sectional survey addressing participants from pilot-organisations was used for data collection, concerning both the self-reported compliance score with the standards, as well as the additional information provided to support the score assigned. Data were analysed quantitatively as well as qualitatively. Results The findings confirm that healthcare providers do invest in improving equity in the access and delivery of services to vulnerable groups. However, many health organisations have inadequate strategies to address inequities and are insufficiently engaged in improving equity in participation and promoting equity outside the organisation. Conclusions The participating organisations reported a significant impact from use of the self-assessment tool: some received the support from regional/national authorities to continue working on improving equity in healthcare; others linked the equity standards to existing performance-measurement strategies; others invested in new frameworks to improve service users engagement. Key messages The implementation of the SAT contributes to a self-reflective process, involving health professionals and managers, in which gaps and potential improvements are identified. Pilot organisations utilised the SAT as part of a process of increasing their awareness of equity issues and changing their organisational culture.

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Survey of knowledge, attitude and behavior of homosexual seminar's audiences

European Psychiatry ◽

10.1016/s0924-9338(11)72217-9 ◽

2011 ◽

Vol 26 (S2) ◽

pp. 510-510

Author(s):

A. Andri

Keyword(s):

College Students ◽

Mental Disorder ◽

Sampling Method ◽

Homosexual Behavior ◽

Biological Factor ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Never Married ◽

The Mean ◽

And Behavior

ObjectiveTo know about knowledge, act and behavior of homosexual seminar audience about homosexual behavior.MethodThis was a cross sectional survey. Participants were chosen by purposive sampling method. Survey was conducted using list of questionnaires which was made according to references used in the seminar presentation.ResultOne hundred and sixty five participants conducted the survey. There were 77 males (46.7%) and 88 females (53.3%). The mean of age of the participants was 21.22 (SD 3.7). Most of the participants were college students (147 students, 89.1%) and never married before (96.4%). Sixty six participants (40%) said that homosexual behavior was induced by environmental situation, fifty eight participants (35.2%) said that it was a biological factor and rest of them did not answer the question. One hundred and four (63%) participants said that homosexual behavior could be cured, twenty four of participants (16.4%) said it could not be cured and the rest of them said did not have any idea. More than half of participants (87 participants, 52.7%) said that homosexual behavior was a mental disorder and most of the participants (87 participants, 79.4%) said that homosexual behavior need to be cured. Most of the participants said that they felt fine if they meet and talked with homosexual man or woman, nineteen participants felt afraid, ten participants felt disgust and twenty five participants felt pity on them.ConclusionMost of the participants considered homosexual behavior as mental disorder and need to be cured.

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Assessment of Sleep Quality among Medical Doctors in a Tertiary Hospital in a Semi-Rural Setting

Journal of Neurosciences in Rural Practice ◽

10.4103/jnrp.jnrp_91_18 ◽

2018 ◽

Vol 09 (04) ◽

pp. 535-540

Author(s):

Ibrahim Aliyu ◽

Ismail Inuwa Mohammed ◽

Taslim O. Lawal ◽

Mustapha Gudaji ◽

Nuhu Garba ◽

...

Keyword(s):

Sleep Quality ◽

Daytime Sleepiness ◽

Sampling Method ◽

Tertiary Hospital ◽

Rural Setting ◽

Cross Sectional ◽

Exact Test ◽

Work Hour ◽

The Mean

ABSTRACT Introduction: Sleep is an integral part of human physiology; therefore, disorders of sleep may result in significant derangement in human functionality. Sleep medicine has received little attention in Nigeria. Against this backdrop, this survey seeks to evaluate the quality of sleep among doctors. Methodology: This was a cross-sectional descriptive study involving 59 doctors working with Federal Medical Centre Birnin Kebbi, Kebbi State, Nigeria; it was done between August 2017 and December 2017. Purposive sampling method was adopted. The Pittsburgh Sleep Quality Index (PSQI) and the Epworth Sleepiness Scale (ESS) were adopted. The questionnaire was self-administered. Results: There were 34 (57.6%) males and 25 (42.4%) females. Their age ranged from 20 to 66 years, with a mean of 34.39 ± 8.00. The Epworth score ranged from 8 to 29, with a mean of 16.1 ± 4.4, while the PSQI score ranged from 5 to 19, with a mean of 9.5 ± 2.7. The mean work hour per week was 90.3 ± 36.2 h, and majority of the respondents worked for >80 h and or >24 h consecutively in the preceding week, and most had high ESS scores; however, this observation was not statistically significant (Fisher's exact test = 4.0904, P = 0.213). All respondents were poor sleepers and majority sleep for <7 h in the night. Respondents had worked for 5 years and less; house officers and medical offers had more tendencies for daytime sleepiness. Conclusion: All respondents were poor sleepers and also had prolonged work hours per week; there was also heightened daytime sleepiness.

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Health status and quality of life in patients with severe hemophilia A: A cross-sectional survey

Hematology Reports ◽

10.4081/hr.2019.7894 ◽

2019 ◽

Vol 11 (2) ◽

Cited By ~ 1

Author(s):

Majid Davari ◽

Zahra Gharibnaseri ◽

Roya Ravanbod ◽

Abolfazl Sadeghi

Keyword(s):

Quality Of Life ◽

Hemophilia A ◽

Clinical Information ◽

Cross Sectional Study ◽

Adult Patients ◽

Severe Hemophilia ◽

Cross Sectional Survey ◽

Cross Sectional ◽

The Mean

Among different groups of hemophiliacs, those suffering from Severe Hemophilia A (SHA) are most vulnerable to the complications of the disease. This study investigated the Health-Related Quality of Life (HR-QoL) among adult patients with SHA. A cross-sectional study was designed to gather demographic and clinical information from adult patients with SHA. Patients with inhibitors were excluded. The remaining were asked to complete the HR-QoL questionnaire after being examined for joint health using the Hemophilia Joint HealthScore (HJHS). The HR-QoL and joint conditions were measured in 38 patients. The mean EQ-5D value scores were 0.46 (SD=0.23) while the mean Visual Analogous Scale score was 50 (SD=18.7). The clinical examination of patients indicated that the HJHS were as follows: eight patients had a score of 55-75, 12 patients had a score of 40-55, 7 of them (25-40) and 11 patients had a score of 10-25. The results obtained from this study showed that HR-QoL in hemophilia patients was considerably low. Pain, anxiety/depression, and motion limitations were the main causes of the disutility for these patients respectively.

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Pharmacy students' perceived professionalism and application of bioethical principles: Implications for teaching pharmacy ethics for patient-centred pharmacy practice

Pharmacy Education ◽

10.46542/pe.2020.201.158167 ◽

2020 ◽

pp. 158-167

Author(s):

Roland Okoro ◽

Aminu Biamb

Keyword(s):

Ethical Dilemmas ◽

Statistical Significance ◽

Healthcare Providers ◽

Pharmacy Practice ◽

Study Data ◽

Cross Sectional Survey ◽

Chi Square ◽

Cross Sectional ◽

Moral Problems

Context: Pharmacists providing pharmaceutical care are often confronted with a variety of professional issues, ethical dilemmas and moral problems that require professionalism to appropriately address. Aims: To investigate undergraduate fifth- year (final-year) Bachelor of Pharmacy (B. Pharm.) students’ views on professionalism, ethical dilemmas, and their application of bioethical principles, and to compare responses of various groups (pharmacy schools, age, gender, and religion). Methods: This was a cross-sectional survey of the final-year B.Pharm. students in two pharmacy schools in northern Nigeria. The descriptive and inferential statistics (Chi-square or Fisher’s exact tests and Independent-sample t-test) were utilised to analyse the study data. Statistical significance was considered at p<0.05. Results: Ninety-five students, corresponding to 49.5% response rate, participated in the study. More than 79% of the students strongly agreed that their actions as future pharmacists could affect how the profession is viewed by patients and other healthcare providers. Patients’ right to autonomy and non-maleficence were the most utilised bioethical principles by the participants. Conclusions: The study shows that the participants had good overall perceived professionalism and fair bioethical reasoning. Different bioethical principles were used by various groups considered to support how they would deal with each ethical dilemma. New strategies in teaching pharmacy practice courses by pharmacy educators in these schools are necessary to improve students’ bioethical reasoning which will maximise the quality of their future practice.

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Attitudes on vaccination among Portuguese travelers and Brazilian migrans: A pilot study in Portugal

Acta Medica Saliniana ◽

10.5457/ams.v49i2.515 ◽

2019 ◽

Vol 49 ◽

Author(s):

Ricardo Igreja ◽

Katy Barros ◽

Rosa Teodosio

Keyword(s):

Pilot Study ◽

Protective Effect ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Web Based ◽

The Mean ◽

Self Administered Questionnaire ◽

Travel Clinic ◽

Better Than

Introduction: Anti-vaccination movements exist in Europe and it may reduce adherence to international vaccination.Objectives:To evaluate attitudes on vaccination among Portuguese travelers and Brazilian migrants in Portugal.Material and Methods:Between May and June 2019 a cross-sectional survey was carried out in the Travel Clinic of the Institute of Hygiene and Tropical Medicine of Lisbon. A self-administered questionnaire was applied after medical consultation. Travelers were asked about their attitudes to vaccines. An anonymous web-based survey was sent to Brazilian migrants living in Portugal for at least 6 months.Results: 55 Portuguese (P) travelers and 22 Brazilian (B) migrants answered the questionnaire. 47.3% of Portuguese travelers were male; the mean age was 33 years; reason for travel: tourism (43.6%) or business (30.9%). 31.8% of Brazilian migrants were male and the mean age was 44 years; 71.4% were living in Portugal for ≤ 2 years. Attitudes towards vaccines: 64.8% P and 68.2% B prefer to vaccine even when the risk of acquire a disease is low; 64.1% P and 95.5% B consider that the resistance acquired by disease is better than resistance acquired by vaccine; 75.5% P and 77.3% B prefer to vaccine even when diseases are not severe; 5.6% P and 13.6% B don’t take vaccines because they are afraid of side effects.About the reasons to accept a vaccine, travelers/migrants consider very important to trust in the doctor (100% P, 95.4% B), and the excellent protective effect of a vaccine (98.1% P, 90.9% B).Conclusions: Portuguese travelers and Brazilian migrants in Portugal seem to have a favorable attitude towards vaccination, despite the anti-vaccination movements in Europe. They believe that trust in the doctor and excellent protection of the vaccines are reasons to accept it. The quality of traveler's advice may maintain/increase adherence to vaccination.

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Quality of life in Montenegrin pupils with acne

PLoS ONE ◽

10.1371/journal.pone.0250155 ◽

2021 ◽

Vol 16 (4) ◽

pp. e0250155

Author(s):

Milena Ražnatović Đurović ◽

Milica Đurović ◽

Janko Janković ◽

Slavenka Janković

Keyword(s):

Quality Of Life ◽

Skin Disease ◽

Skin Diseases ◽

Life Quality ◽

Total Sample ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Common Skin ◽

The Mean

Background Acne is a common skin disease that can affect a person’s quality of life (QoL), self-esteem, and mood in an adverse manner. The aim of the current study was to assess QoL among Montenegrin pupils with acne. Methods This cross-sectional survey was conducted over October and November 2020 in four randomly selected secondary schools in Podgorica, Montenegro. All 500 pupils were asked to fill in a short questionnaire which included questions on age, sex, presence of acne, and for those with acne their duration and location, visits to doctors, presence of any other coexisting skin disease, and family history of acne. Only pupils who self-reported acne were asked to complete the Children’s Dermatology Life Quality Index (CDLQI) and the Cardiff Acne Disability Index (CADI). Results Self reported acne were presented in 49.8% (249/500) of all pupils. The mean CDLQI score of the total sample was 4.27 ± 5.13. Overall, the CDLQI domains that were most affected by acne were symptoms and feelings (mean score 1.49 ± 1.43), leisure (mean score 0.94 ± 1.72), and treatment (0.66 ± 0.79). The mean total CADI score was 3.53 ± 3.11 which was higher in girls (4.07 ± 3.11) than in boys (2.90 ± 3.00). There was good correlation between the two questionnaires (Rho = 0.76; P < 0.01). According to multiple linear regressions, higher overall CDLQI score was found in pupils with acne who reported other skin diseases, while girls, pupils who reported both acne on face and back, and who had any concomitant skin disease had higher CADI total score. Conclusions Acne affects QoL of young adolescents in Montenegro with greater impact in girls. Our findings should point out the importance of timely diagnosis, treatment, and education of adolescents with acne.

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