Changes in Televisit Modalities Due to the Covid-Pandemic in Chile: A Comparison of Patient Satisfaction.

Abstract BACKROUND: The corona virus 2019 (COVID-19) pandemic has impacted healthcare guidelines and modalities of patient consultation worldwide. The frequent cycles of quarantine confinement in Chile has caused mobility restrictions for both patients and physicians, which forced the Hospital Las Higueras de Talcahuano (HHT) to replace the assisted televisit modality with a more classic televisit program. This change may have impacted the satisfaction of patients.METHODS: Patient’s perception of satisfaction was evaluated through self-administered survey questionnaires, previously validated in the Spanish language. Cohorts were grouped according to two relational models:i) Assisted televisit, 503 neurology patients during the years 2018-2019; and ii) Televisit, 831 patients from different specialtiestreated during 2020. Perception of satisfaction was compared by gender, age, and type of televisit, and internal consistency (Cronbach alpha) and reliability (factorial analysis of main components) were assessed. RESULTS: Assisted televisit and televisit cohortswere composed by 64.2% and 67.6% women, respectively; patients under 65 years of age were 62.2% and 75%, respectively. Assisted televisit patients showed very high 94.4% (n=475) and high 5.2% (n=26) satisfaction levels, while televisit patients showed very high 22.3% (n=185), high 63.9% (n=531), and moderate 13.1% (n=109) satisfaction levels; this difference is statistically significant at p<0.001. Questionnaires showed excellent internal consistency, and all items showed point biserial correlations greater than 0.30. CONCLUSION: Lower perception of satisfaction due to the change in televisit relational modality underscores the importance of primary care professionals, who support the specialist inthe assisted televisit model. The results of this study suggest that assisted televisit contributes to delivering an integrative solution that helps to alleviate the fragmentation of the system.

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One Step Closer towards a Reliable Tinnitus Pitch-Match Frequency Determination Using Repetitive Recursive Matching

Audiology and Neurotology ◽

10.1159/000505308 ◽

2020 ◽

Vol 25 (4) ◽

pp. 190-199 ◽

Cited By ~ 1

Author(s):

Daniela Korth ◽

Andreas Wollbrink ◽

Robert Wunderlich ◽

Daniela Ivansic ◽

Orlando Guntinas-Lichius ◽

...

Keyword(s):

Internal Consistency ◽

Choice Test ◽

Test Results ◽

Outlier Identification ◽

Excellent Internal Consistency ◽

One Step ◽

Matching Procedure ◽

The Mean ◽

Very High

Introduction: The determination of the tinnitus pitch-match (PM) frequency is not straightforward but an important audiological assessment recommended for clinical and research purposes. We evaluated repetitive recursive matching using an iPod-based matching procedure as a method to estimate a patient’s PM frequency without audiometric equipment. Methods: One hundred and seventeen patients with chronic tonal tinnitus (uni- and bilateral tinnitus) measured their tinnitus in 10 sessions using a self-administered automated iPod-based procedure comprising a recursive 2 interval forced-choice test. Results: Mean SD of the PM frequency of all participants across sessions was 0.41 octaves. The internal consistency measured by Cronbach’s α was very high (0.8–>0.95). As an example, 7 PMs obtained excellent internal consistency (α = 0.93). The exclusion of the first and/or second session led to more definite PMs with a decreased SD. Outliers were identified by PMs departing 2 SDs (i.e., 0.94 octaves) from the mean variability (n = 5). Conclusion: Repetitive recursive matching together with recommendations for the exclusion of initial and redundant sessions as well as outlier identification and treatment can enable a reliable estimation of the PM frequency.

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Depression in Women but not Men is Associated with a Very High Risk of Cardiovascular Mortality in Primary Care Population in Latvia

10.26226/morressier.5a7070e6d462b80290b56615 ◽

2018 ◽

Author(s):

Rolands Ivanovs

Keyword(s):

Primary Care ◽

High Risk ◽

Cardiovascular Mortality ◽

Primary Care Population ◽

Very High

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Portable DC Supply Based on SiC Power Devices for High-Voltage Marx Generator

Electronics ◽

10.3390/electronics10030313 ◽

2021 ◽

Vol 10 (3) ◽

pp. 313

Author(s):

Jacek Rąbkowski ◽

Andrzej Łasica ◽

Mariusz Zdanowski ◽

Grzegorz Wrona ◽

Jacek Starzyński

Keyword(s):

High Voltage ◽

Specific Area ◽

Input Voltage ◽

Marx Generator ◽

Power Devices ◽

Laboratory Setup ◽

High Voltage Gain ◽

Main Components ◽

Two Stages ◽

Very High

The paper describes major issues related to the design of a portable SiC-based DC supply developed for evaluation of a high-voltage Marx generator. This generator is developed to be a part of an electromagnetic cannon providing very high voltage and current pulses aiming at the destruction of electronics equipment in a specific area. The portable DC supply offers a very high voltage gain: input voltage is 24 V, while the generator requires supply voltages up to 50 kV. Thus, the system contains two stages designed on the basis of SiC power devices operating with frequencies up to 100 kHz. At first, the input voltage is boosted up to 400 V by a non-isolated double-boost converter, and then a resonant DC-DC converter with a special transformer elevates the voltage to the required level. In the paper, the main components of the laboratory setup are presented, and experimental results of the DC supply and whole system are also shown.

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Louisiana Geriatric Workforce Enhancement Program: Analysis of Learning Outcomes From Dementia Training

Innovation in Aging ◽

10.1093/geroni/igaa057.189 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 58-58

Author(s):

Katherine Kirsch ◽

Catherine Lemieux ◽

Laura Ainsworth ◽

Sarah Choate ◽

Ashleigh Borgmeyer ◽

...

Keyword(s):

Primary Care ◽

Program Analysis ◽

Training Session ◽

Cohen’S D ◽

Response Formats ◽

Cohen's D ◽

Item Knowledge ◽

South Louisiana ◽

Severe Shortage ◽

Primary Care Professionals

Abstract A recent Alzheimer’s Association report noted that by year 2050, the number of Americans diagnosed with Alzheimer’s disease and related dementias (ADRD) will triple to over 15 million. The report referred to primary care as the front line for meeting this demand, yet the nation faces a severe shortage of ADRD trained, primary care professionals (PCPs). Louisiana Geriatric Workforce Enhancement Program (LA-GWEP) addresses this demand. The purpose of this study was to examine preliminary data respective to LA-GWEP effectiveness with interdisciplinary education and training seminars, primarily aimed at medical, nursing, and social work PCPs. Three seminars were conducted in south Louisiana: Seminars 1 and 2 addressed effective communication, verbal and nonverbal, among persons with ADRD and caregivers; Seminar 3 offered basic overview of dementia symptomology, stages, and behaviors. Pre- and post-training session data were collected on-site. Participants completed questionnaires that included a 10-item knowledge assessment and 20-item Dementia Attitudes Scale (DAS). These measures contained Likert response formats; higher scores indicating greater levels of ADRD knowledge, in patient and caregiver contexts. Paired sample t-tests were conducted to observe any significant pre-to-post improvement, Cohen’s d for effect size. Seminar 1 revealed no significant pre-to-post difference: t = -1.019, p = 0.320. Adjusting content from audience feedback, Seminar 2 revealed significant pre-to-post difference: t = -7.516, p < .001, Cohen’s d = 1.2. Seminar 3 yielded significant improvement on DAS scores: t = -2.96, p < .01, Cohen’s d = 0.34. Implications for seminars in future years of LA-GWEP are discussed.

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Development and Validation of an Instrument to Assess Horseback Mobility in Hippotherapy

Perceptual and Motor Skills ◽

10.1177/00315125211036578 ◽

2021 ◽

pp. 003151252110365

Author(s):

Alessandra V. Prieto ◽

Kênnea Martins Almeida Ayupe ◽

Ana C. A. Abreu ◽

Paulo J. B. Gutierres Filho

Keyword(s):

Correlation Coefficient ◽

Factor Structure ◽

Internal Consistency ◽

Rater Reliability ◽

Intra Class Correlation ◽

Exploratory Factor Analyses ◽

Excellent Internal Consistency ◽

Development And Validation ◽

Functional Gain ◽

Intra Class Correlation Coefficient

Improvement in rider mobility represents an important functional gain for people with disabilities undergoing hippotherapy. However, there is no validated measuring instrument to track and document the rider's progress in riding activities. In this study, we aimed to develop and establish validity evidence for an instrument to assess hippotherapy participants’ mobility on horseback. We report on this development through the stages of: (a) content validation, (b) construct validation, (c) inter- and intra-rater reliability and (d) internal consistency analysis. We evaluated its factor structure with exploratory factor analyses, calculated values for inter- and intra-rater reliability using the intra-class correlation coefficient, and calculated its internal consistency using Cronbach's alpha. We followed recommendations by the Guidelines for Reporting Reliability and Agreement Studies. We found good inter-rater reliability (intra-class correlation coefficient – ICC = 0.991–0.999) and good intra-rater reliability (ICC = 0.997–1.0), and there was excellent internal consistency (Cronbach's α = 0.937–0.999). The instrument’s factor structure grouped its three domains into one factor. As this instrument is theoretically consistent and has been found to be appropriate and reliable for its intended use, it is now available for the measurement of horseback mobility among hippotherapy riders.

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Realist evaluation of interprofessional education in primary care through transprofessional role play: what primary care professionals learn together

Education for Primary Care ◽

10.1080/14739879.2020.1858349 ◽

2020 ◽

pp. 1-9

Author(s):

Ryuichi Ohta ◽

Yoshinori Ryu ◽

Manabu Yoshimura

Keyword(s):

Primary Care ◽

Interprofessional Education ◽

Role Play ◽

Realist Evaluation ◽

Primary Care Professionals

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Cross-cultural linguistic adaptation of Arabic version of four dimensional symptom questionnaire (4DSQ) for assessing distress, anxiety, depression and somatization in Egyptian primary care attendees

QJM ◽

10.1093/qjmed/hcab095.004 ◽

2021 ◽

Vol 114 (Supplement_1) ◽

Author(s):

Nour Muhammad Raouf Elmessiri ◽

Hussien Ahmed Elkholy ◽

Mohamed Farouk Allam ◽

Diaa Marzouk Abd el-Hamid

Keyword(s):

Primary Care ◽

Pilot Study ◽

Internal Consistency ◽

English Language ◽

Expert Committee ◽

Arabic Version ◽

English Version ◽

Final Version ◽

Symptom Questionnaire ◽

Back Translation

Abstract Background The four-dimensional symptom questionnaire (4DSQ) is a Dutch self-administered screening tool that has been developed in primary care to differentiate non pathologic general distress from depression, anxiety and somatization. It has been validated in the English language as well as other languages yet it has not been validated in Arabic. For the sake of developing the appropriate Arabic version, linguistic validation has been sought with the guidance of crosscultural adaptation guidelines. Objective To design the appropriate Arabic version of the 4DSQ that has linguistic and conceptual equivalence to its validated English version and that is appropriate for administration to Egyptian primary care attendees. Methods The validated English version of the 4DSQ was translated by 5 translators (including specialist psychiatrist, internists and English language specialist) into Arabic (Egyptian spoken dialect) without mutual consultation. An expert committee that consisted of 2 professors of public health and family medicine and an associate professor of neuropsychiatry was formed. The consensus version was created after expert committee modification and approval of each questionnaire item using DELPHI method. After that the back translation to English was carried out by two independent bilingual physicians whose English is their mother tongue. A pilot study was carried out on 17 bilingual participants after answering the questionnaire in both languages to test its equivalence. The consensus Arabic version was updated based on the pilot study and the final version was developed. The final version was then tested on 278 Egyptian primary care attendees. Results After the course of forward and back translation, expert committee’s review and developer’s comments, the final version of Arabic 4DSQ was developed for assessment of distress, depression, anxiety and somatization. There was no significant difference between results of Arabic and English questionnaire using paired T test. Final testing showed very good internal consistency of each of the 4 scales of the questionnaire. Conclusion The Arabic 4DSQ linguistically and conceptually corresponds to the validated English 4DSQ. It has good structural validity and internal consistency reliability and thus could be used in primary care after further psychometric validation.

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Cross-cultural adaptation of the primary health care satisfaction questionnaire

Acta Paulista de Enfermagem ◽

10.1590/1982-0194201400070 ◽

2014 ◽

Vol 27 (5) ◽

pp. 419-426 ◽

Cited By ~ 1

Author(s):

Elisabete Pimenta Araujo Paz ◽

Pedro Miguel Santos Dinis Parreira ◽

Alexandrina de Jesus Serra Lobo ◽

Rosilene Rocha Palasson ◽

Sheila Nascimento Pereira de Farias

Keyword(s):

Primary Care ◽

Health Care ◽

Primary Health Care ◽

Psychometric Properties ◽

Internal Consistency ◽

Cultural Adaptation ◽

Care Service ◽

Cross Cultural ◽

Care Services ◽

Primary Health

Objective To develop the cross-cultural validation and assessment of the psychometric properties of the Questionnaire about the quality and satisfaction dimensions of patients with primary health care. Methods Methodological cultural adaptation and assessment study of the psychometric properties, involving 398 users from a primary care service. The construct validity was verified through principal components factor analysis and internal consistency assessment as determined by Cronbach’s alpha, using SPSS. Results A factorial structure was identified that is equivalent to the original instrument, showing six factors that explain 70.81% of the total variance. All internal consistency coefficients were higher than 0.84, indicating appropriate psychometric properties. Conclusion The results show that the Brazilian Portuguese version of the instrument is culturally and linguistically appropriate to assess the satisfaction of users attended in primary care services.

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