A Mobile Health Intervention for Prostate Biopsy Patients Reduces Appointment Cancellations (Preprint)

2019 ◽  
Author(s):  
Ashwin Sriram Balakrishnan ◽  
Hao G. Nguyen ◽  
Katsuto Shinohara ◽  
Reuben Au Yeung ◽  
Peter R. Carroll ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Mobile Health ◽  
Prostate Biopsy ◽  
Education Program ◽  
Text Message ◽  
Outreach Program ◽  
Post Intervention ◽  
High Patient Satisfaction ◽  
Telephone Calls ◽  
The Impact

BACKGROUND Inadequate patient education and preparation for office-based procedures often leads to delayed care, poor patient satisfaction, and increased costs to the healthcare system. We developed and deployed a mobile health (mHealth) reminder and education program for patients scheduled for transrectal prostate biopsy. OBJECTIVE We aimed to evaluate the impact of an mHealth reminder and education program on appointment cancellation rates, communication frequency, and patient satisfaction. METHODS We developed a text message-based (SMS) program with seven reminders containing links to web-based content and surveys sent over an 18-day period (14 days before through 3 days after prostate biopsy). Messages contained educational content, reminders, and readiness questionnaires. Demographic information, appointment cancellations or change data, and patient/provider communication events were collected for 6 months before and after launching the intervention. Patient satisfaction was evaluated in the post-intervention cohort. RESULTS The pre-intervention (n=473) and post-intervention (n=359) cohorts were composed of men of similar median age, racial/ethnic distribution, and living a similar distance from clinic. The post-intervention cohort had significantly fewer cancelled or rescheduled appointments (33.8% vs 21.2%, p<0.01) and fewer same day cancellations (3.8% vs 0.5%, p<0.01). There was a significant increase in pre-procedural telephone calls (0.6 vs. 0.8 calls/patient, p=0.02) in the post-intervention cohort, but not a detectable change in post-procedural calls. The mean satisfaction with the program was 4.5 out of 5 (SD 0.9). CONCLUSIONS An mHealth peri-procedural outreach program significantly lowered appointment cancellations and was associated with high patient satisfaction scores with a slight increase in pre-procedural telephone calls. This led to fewer under-utilized procedure appointments and high patient satisfaction.

Care of children with type 1 diabetes mellitus in school – An interventional study

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Umamaheswari Gurunathan ◽  
Hemchand Krishna Prasad ◽  
Sherline White ◽  
Bala Prasanna ◽  
Thangavelu Sangaralingam
Keyword(s):  
Type 1 Diabetes ◽  
Education Program ◽  
School Teachers ◽  
Post Intervention ◽  
Community Based ◽  
Structured Education ◽  
Type 1 Dm ◽  
The Impact ◽  
Determining Factor

AbstractObjectivesPaucity of data from India on care of children with Type 1 diabetes in schools. Aims: To study assess the knowledge, attitude, practices and fear of Type 1 diabetes in school teachers and to assess the impact of an educational model on the fear of teachers and care of children in Type 1 DM at school hours.MethodsA community based study, involving school teachers and the intervention being educating them about diabetes conducted. Data pertaining to basic demography, attitude of teachers towards diabetic children, Hypoglycemia fear factor survey- parent version with worries domain and preparedness of school was collected. An education program was conducted on diabetes care in children. Immediately and after three months, the proforma details and HFSP-W scores reassessed.ResultsForty two teachers (mean age: 38.7±5.4; M:F ratio 2:40) participated in the study. Post intervention, a higher willingness to have the diabetic child in class (100 vs. 57.1%; p>0.05), better support in daily care (100 vs. 92%; p>0.05), participation in sports activities (100 vs. 7.1%; p<0.05) observed. HFSP-W scores were 38.8±4.5 (pre-intervention), 22.5±4.3 (immediate post intervention) and 29.5±3.2 (at 3months) (p<0.05). To study the determinants of improvement in HFSP-W a regression analysis was performed: presence of glucometer the most likely determining factor (T=1.999, p=0.05).ConclusionThere is a significant element of fear in the minds of teachers towards hypoglycemia which improves with a structured education program.

scholarly journals 141. Implementation of Veterans Affairs Outpatient Antimicrobial Stewardship Interventions for Asymptomatic Bacteriuria and Acute Respiratory Infections, a Stepped Wedge Randomized Study

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S81-S82
Author(s):  
Grace Mortrude ◽  
Mary Rehs ◽  
Katherine Sherman ◽  
Nathan Gundacker ◽  
Claire Dysart
Keyword(s):  
Patient Satisfaction ◽  
Primary Outcome ◽  
Respiratory Infections ◽  
Asymptomatic Bacteriuria ◽  
Educational Interventions ◽  
Antibiotic Prescribing ◽  
Acute Respiratory Infections ◽  
Stepped Wedge ◽  
Post Intervention ◽  
The Impact

Abstract Background Outpatient antimicrobial prescribing is an important target for antimicrobial stewardship (AMS) interventions to decrease antimicrobial resistance in the United States. The objective of this study was to design, implement and evaluate the impact of AMS interventions focused on asymptomatic bacteriuria (ASB) and acute respiratory infections (ARIs) in the outpatient setting. Methods This randomized, stepped-wedge trial evaluated the impact of educational interventions to providers on adult patients presenting to primary care (PC) clinics for ARIs and ASB from 10/1/19 to 1/31/20. Data was collected by retrospective chart review. An antibiotic prescribing report card was provided to PC providers, then an educational session was delivered at each PC clinic. Patient education materials were distributed to PC clinics. Interventions were made in a step-wise (figure 1) fashion. The primary outcome was percentage of overall antibiotic prescriptions as a composite of prescriptions for ASB, acute bronchitis, upper-respiratory infection otherwise unspecified, uncomplicated sinusitis, and uncomplicated pharyngitis. Secondary outcomes included individual components of the primary outcome, a composite safety endpoint of related hospital, emergency department or primary care visit within 4 weeks, antibiotic appropriateness, and patient satisfaction surveys. Figure 1 Results There were 887 patients included for analysis (405 pre-intervention, 482 post-intervention). Baseline characteristics are summarized in table 1. After controlling for type 1 error using a Bonferroni correction the primary outcome was not significantly different between groups (56% vs 49%). There was a statistically significant decrease in prescriptions for bronchitis (20.99% vs 12.66%; p=0.0003). Appropriateness of prescriptions for sinusitis (OR 4.96; CI 1.79–13.75; p=0.0021) and pharyngitis (OR 5.36; CI 1.93 – 14.90; p=0.0013) was improved in the post-intervention group. The composite safety outcome and patient satisfaction survey ratings did not differ between groups. Table 1 Conclusion Multifaceted educational interventions targeting providers can improve antibiotic prescribing for indications rarely requiring antimicrobials without increasing re-visit or patient satisfaction surveys. Disclosures All Authors: No reported disclosures

The use of propofol sedation for transrectal ultrasonography-guided prostate biopsy is associated with high patient satisfaction and acceptability

2007 ◽  
Vol 63 (1) ◽  
pp. 94-95 ◽  
Author(s):  
Ninaad S. Awsare ◽  
James A. Green ◽  
Beverley Aldwinckle ◽  
Damian C. Hanbury ◽  
Greg B. Boustead ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Prostate Biopsy ◽  
Transrectal Ultrasonography ◽  
High Patient Satisfaction ◽  
Propofol Sedation

scholarly journals Evaluation of "College CHEF," a Campus-based, Culinary Nutrition Education Program

2017 ◽  
Vol 1 (1) ◽  
pp. 29 ◽  
Author(s):  
Jennifer McMullen ◽  
Melinda Ickes ◽  
Melody Noland ◽  
Don Helme
Keyword(s):  
College Students ◽  
Nutrition Education ◽  
Education Program ◽  
Vegetable Consumption ◽  
Overweight And Obesity ◽  
Fruit And Vegetable Consumption ◽  
Fruit And Vegetable ◽  
Post Intervention ◽  
Nutrition Education Program ◽  
The Impact

Aim: Evaluate the impact of a campus-based culinary nutrition education program, the College CHEF: Cooking Healthfully Education for Life-long Change, to determine if there were significant differences preto post- intervention with participants' attitudes, behaviors, and knowledge with healthy eating/cooking.Background: College students have high rates of overweight and obesity and tend to have unhealthy dietary practices. Culinary nutrition programs may provide students a means to improve related attitudes, behaviors, and knowledge.Methods: College students residing on campus were recruited. Participants completing both pre- and post-measures were included in analysis: Control (n= 17) and intervention groups (n = 15). Quasi-experimental pre-, post- design: Surveys were administered to both groups at baseline and post-intervention in October-November 2015.Results:  There was a statistically significant improvement in fruit and vegetable consumption (p = .03) and with knowledge of cooking terms and techniques (p < .001).Conclusions:  Campus-based culinary nutrition education programming has potential to positively impact college students’ fruit and vegetable consumption and cooking knowledge. Future programs should incorporate strategies such as additional opportunities to engage in hands-on practice and building cross-campus collaborations to promote sustainability.

scholarly journals The Impact of a Diabetes Self-Management Education Program Provided through a Telemedicine Link to Rural California Health Care Clinics

2013 ◽  
Vol 6 ◽  
pp. HSI.S10924
Author(s):  
Jim Nuovo
Keyword(s):  
Rural Health ◽  
Education Program ◽  
Management Education ◽  
Self Care ◽  
Self Management ◽  
Post Intervention ◽  
Health Clinics ◽  
Number Of Patients ◽  
Rural Health Clinics ◽  
The Impact

Background This project investigated the impact of a DM self-management education program provided through a telemedicine link at nine rural health clinics in Northern California. Methods Two hundred thirty nine patients were provided with a single 2-hour class on DM delivered through a live televideo connection. Patients provided pre-intervention information on: demographics and overall health, self-care behaviors, and knowledge about DM. All participants completed a post-education survey on knowledge and self-care behaviors. Results There was a significant decrease in the number of patients who felt overwhelmed with their DM; pre-intervention 18.8%; post-intervention 5.4% ( P < 0.0001). Patients increased the number of days they exercised; pre-intervention 3.4 days; post-intervention 3.9 days ( P = 0.02). Patients increased the number of days they checked their feet; pre-intervention 4.2 days; post-intervention 5.6 days ( P < 0.01). Knowledge about DM improved over the study period ( P < 0.01). Conclusions A single 2-hour class on DM administered through a telemedicine link to patients in rural health clinics resulted in feeling less overwhelmed, more knowledgeable about DM, and demonstrated an increase in self-care behavior; ie, exercise and foot care.

scholarly journals Mobile health intervention for promotion of eye health literacy

2021 ◽  
Vol 1 (10) ◽  
pp. e0000025
Author(s):  
Indra Prasad Sharma ◽  
Monica Chaudhry ◽  
Dhanapati Sharma ◽  
Raju Kaiti
Keyword(s):  
Health Literacy ◽  
Mobile Health ◽  
Intervention Group ◽  
Text Message ◽  
Health Intervention ◽  
Control Group ◽  
Post Intervention ◽  
Eye Health ◽  
Post Test ◽  
And Control

Purpose Improving eye health awareness in the underserved population is a universal eye health priority. The ubiquity of cell phones and internet usage provides new and innovative opportunities for health promotion. This study evaluated the effect of mobile health intervention (text message link) to promote eye health literacy (EHL) of priority ocular morbidities. Methods This study was an intervention evaluation and employed a two-armed pre-test post-test approach. Baseline assessment on EHL was performed on 424 university students. Participants were categorised into intervention and control groups, using the 1:1 allocation ratio. The intervention and control group received a text message alone and text message with a link, respectively. EHL was assessed via a self-administered questionnaire. The primary outcome measures were changes in EHL scores between baseline and one month post-intervention. Descriptive analysis was performed to assess the cost-effectiveness of the intervention. Results With low attrition and a response rate of 95.6%, 409 responses were eligible for analysis. The mean age of the participants (49.4% males and 50.6% of females) was 19.9±1.68 years. Baseline EHL scores were low, and there was no correlation with a demographic profile (all p<0.05, CI 95%). The demographic characteristics were similar between the two groups (for all, P <0.05, CI 95%) at baseline. The EHL scores improved in both groups between the pre-and post-test assessment; however, improvements were statistically significant only in the control group. The one-month post-intervention EHL scores were also higher in the intervention group compared to the control (p≤0.001, CI 95% for all). The total cost incurred for the intervention used was 11.5 USD. Conclusion Text message link demonstrated effectiveness for improving the EHL scores; the low baseline EHL scores substantially improved with intervention. The text message link intervention is a cost-effective method and could be considered in advocating for eye health in developing countries, particularly during global emergencies.

scholarly journals The Impact of Performance Enhancement on Value of Care in Hospitals

2021 ◽  
Vol 9 ◽  
Author(s):  
Peter Bertke ◽  
Martin Nufer
Keyword(s):  
Patient Satisfaction ◽  
Quality Of Care ◽  
Economies Of Scale ◽  
Performance Enhancement ◽  
Positive Impact ◽  
High Patient Satisfaction ◽  
Delivery Of Care ◽  
Scientific World ◽  
The Impact

Hospitals are facing big challenges: decreasing reimbursements are going alongside increasing costs and the necessity of investments. At the same time occurring, excellent quality of care, and high-patient satisfaction have to be assured. The dilemma of providing both with decreasing rather than increasing resources cannot be solved only by striving for economies of scale, but by optimizing supply chain management, or reduction of overhead. Possible effects of these measures most often are already exhausted and seldom have a positive impact on the quality of care or patient satisfaction. Management is tempted to use its best-known instruments to reduce costs, while medical staff's focus is on quality of care and often battle against management as a perceived enemy. The solution to this dilemma lies in focusing on medical core processes that are directly linked to patients' treatments and, thereby improving all the parameters of Michael Porter's value equation: costs, outcome, and patient satisfaction. This approach of performance enhancement presumes understanding, acceptance, and constructive collaboration of two usually separated worlds: The medical-scientific world involved in patient care and the financial world of management. In this article, the authors explain performance enhancement for optimized delivery of care and how the dilemma mentioned above can be solved. The authors explain how performance enhancement can be achieved in daily clinical practice, which kind of obstacles have to be overcome, which changes are necessary within a hospital, how medical staff can be motivated, and how the value of care equation can be influenced.

scholarly journals Improvement of Patient Satisfaction Through Enhancement of RN Communication Skills: A Quality Improvement Project

2016 ◽  
Author(s):  
Pamela Kusiak
Keyword(s):  
Patient Satisfaction ◽  
Health Literacy ◽  
Online Education ◽  
Healthcare Professionals ◽  
Online Communication ◽  
Communication Education ◽  
Post Intervention ◽  
Improvement Project ◽  
Patient Comprehension ◽  
The Impact

<p>Studies have shown that people with low health literacy understand health information less well, obtain preventative healthcare such as screenings for cancer less frequently and use expensive resources such as emergency rooms more often. The Agency for Healthcare Research and Quality (AHRQ), with guidance from Institute of Medicine (IOM) reports, developed quality indicators for individual institutions to demonstrate improvement. The Health Resources and Services Administration (HRSA, 2012) constructed online communication education modules for healthcare professionals including health literacy tools developed by the AHRQ. The purpose of this project was to examine the impact of RN communication education on patient satisfaction. A pre-post intervention design was used. Nurses were provided a brief overview and instruction about the HRSA website, use of the online education modules and an explanation of target patient satisfaction scores. The domains studied included five target patient satisfaction questions regarding communication with nurses and communication about medications. Post intervention results (July-December 2015) demonstrate a marked increase in scores when compared to the six months prior to the introduction of the content (January-June 2015). All twenty-two respondents responded agreed or strongly agreed that they would recommend the Effective Communication for Healthcare Professionals 100 course. APRNs have an unprecedented opportunity to support research and education surrounding ethnic differences in communication and aspects of communication that may contribute to patient comprehension, adherence to follow-up care and patient satisfaction.</p>

scholarly journals Mobile health applications for managing atrial fibrillation for healthcare professionals and patients: a systematic review

EP Europace ◽  
2020 ◽  
Vol 22 (10) ◽  
pp. 1567-1578
Author(s):  
Deirdre A Lane ◽  
Naoimh McMahon ◽  
Josephine Gibson ◽  
Jo C Weldon ◽  
Michal M Farkowski ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mobile Health ◽  
User Engagement ◽  
Post Intervention ◽  
Health Apps ◽  
Mobile Health Applications ◽  
Mobile Health Apps ◽  
The Impact ◽  
Health Applications

Abstract Aims A plethora of mobile health applications (m-health apps) to support healthcare are available for both patients and healthcare professionals (HCPs) but content and quality vary considerably and few have undergone formal assessment. The aim is to systematically review the literature on m-health apps for managing atrial fibrillation (AF) that examine the impact on knowledge of AF, patient and HCP behaviour, patients’ quality-of-life, and user engagement. Methods and results MEDLINE, EMBASE, CINAHL, and PsychInfo were searched from 1 January 2005 to 5 September 2019, with hand-searching of clinical trial registers and grey literature. Studies were eligible for inclusion if they reported changes in any of the following: (i) knowledge of AF; (ii) provider behaviour (e.g. guideline adherence); (iii) patient behaviour (e.g. medication adherence); (iv) patient quality-of-life; and (v) user engagement. Two reviewers independently assessed articles for eligibility. A narrative review was undertaken as included studies varied widely in their design, interventions, comparators, and outcomes. Seven studies were included; six m-health apps aimed at patients and one at HCPs. Mobile health apps ranged widely in design, features, and method of delivery. Four studies reported patient knowledge of AF; three demonstrated significant knowledge improvement post-intervention or compared to usual care. One study reported greater HCP adherence to oral anticoagulation guidelines after m-health app implementation. Two studies reported on patient medication adherence and quality-of-life; both showed improved quality-of-life post-intervention but only one observed increased adherence. Regarding user engagement, five studies reported patient perspectives on usability, three on acceptability, and one on feasibility; overall all m-health apps were rated positively. Conclusion Mobile health apps demonstrate improvements in patient knowledge, behaviour, and quality of life. Studies formally evaluating the impact of m-health on HCP behaviour are scarce and larger-scale studies with representative patient cohorts, appropriate comparators, and longer-term assessment of the impact of m-health apps are warranted.

scholarly journals An Automated Text Message Navigation Program Improves the Show Rate for Outpatient Colonoscopy

2019 ◽  
Vol 46 (6) ◽  
pp. 942-946 ◽  
Author(s):  
Nadim Mahmud ◽  
Sahil D. Doshi ◽  
Mary S. Coniglio ◽  
Michelle Clermont ◽  
Donna Bernard ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Usual Care ◽  
Bowel Preparation ◽  
Text Message ◽  
Text Messages ◽  
Perceived Usefulness ◽  
High Patient Satisfaction ◽  
Appointment Adherence ◽  
Navigation Program ◽  
A Prospective Study

Background. Numerous barriers to outpatient colonoscopy completion exist, causing undue procedure cancellations and poor bowel preparation. We piloted a text message navigation program to improve colonoscopy adherence. Method. We conducted a prospective study of patients aged 18 to 75 years scheduled for outpatient colonoscopy at an urban endoscopy center in April 2018. An intervention arm consisting of bidirectional, automated text messages prior to the procedure was compared with a usual care arm. We enrolled 21 intervention patients by phone and randomly selected 50 controls. Outcomes included colonoscopy appointment adherence, bowel preparation quality, and colonoscopy completion. Results. The arms had similar demographics and comorbidities. Intervention patients had higher colonoscopy appointment adherence (90% vs. 62%, p = 0.049). There were no significant differences in preparation quality or procedure completeness. Poststudy surveys indicated high patient satisfaction and perceived usefulness of the program. Conclusion. A bidirectional, automated texting navigation program improved colonoscopy adherence rates as compared with usual care.

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