The Positive Impact of Pharmacist Interventions Using Educational Video Technology on Patient Knowledge of and Satisfaction with Warfarin Therapy

To assess the positive impact of pharmacist interventions via an educational video on patients’ knowledge of and satisfaction with warfarin therapy . This study used a prospective pre-test/post-test design that enrolled 91 patients from an anticoagulant clinic at King Khaled University Hospital in Riyadh, Saudi Arabia. All patients completed the Anticoagulation Knowledge Assessment (AKA) and Anti-Clot Treatment Satisfaction (ACTS) scales. Afterwards, the patients watched a 10-minute educational video containing basic information about warfarin and were given relevant informative booklets. The patients were reassessed after a mean follow-up period of approximately 52 days. In total, 85 patients completed the study. The impact of the intervention on patient knowledge was highly significant (mean difference=17.7%, 95% CI = 21.75-13.58, P.

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Veggies4myHeart—a digital game to promote vegetable consumption in preschool children

European Journal of Public Health ◽

10.1093/eurpub/ckab120.024 ◽

2021 ◽

Vol 31 (Supplement_2) ◽

Author(s):

Cátia Braga-Pontes ◽

Sara Simões-Dias ◽

Marlene Lages ◽

Maria Pedro Guarino ◽

Pedro Graça

Keyword(s):

Preschool Children ◽

Nutrition Education ◽

Cardiovascular Health ◽

Vegetable Intake ◽

Vegetable Consumption ◽

Positive Impact ◽

Digital Game ◽

Post Test ◽

The Impact

Abstract Background Vegetable consumption is particularly low in childhood and is one of the main concerns about diet in this age range. Vegetable consumption is associated with better cardiovascular health and the prevention of other chronic non-communicable diseases. Therefore, it is important to find strategies to promote vegetable consumption at early ages, since eating habits established in childhood tend to persist into adulthood. The purpose of this study is to evaluate the impact of using a digital game on knowledge about vegetables and his consumption, in preschool children. Methods This is an experimental study conducted in a Portuguese preschool, with children from 3 to 6 years (n = 39). A pre- and post-test were conducted to determine vegetable intake (carrot, lettuce, cucumber, tomato and purple cabbage) and knowledge about vegetables. The intervention consisted of 20-minutes educational sessions with the digital game Veggies4myHeart, once a week for five weeks. A 6-month follow-up was realized. Results There was a statistically significant increase in the consumption of all vegetables from the pre- test to the post-test. Intake at follow-up was higher than pre-test for the five vegetables and the intake of cucumber and tomato was higher in the follow-up than in post-test. In the knowledge assessment, a higher number of correct answers were obtained in the post-test. Conclusions The use of the digital game ‘Veggies4myHeart’ had a positive impact on the consumption and knowledge about vegetables in preschool children. The use of digital games could be a useful tool for conducting nutrition education with preschool children.

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Developing a Professionalism Manual for Nurse Managers to Improve Their Perception Regarding Professionalism and Professional Identity

SAGE Open Nursing ◽

10.1177/23779608211026174 ◽

2021 ◽

Vol 7 ◽

pp. 237796082110261

Author(s):

Marwa H. Ageiz ◽

Hayam A. Elshrief ◽

Huda M. Bakeer

Keyword(s):

Professional Identity ◽

Nurse Managers ◽

Test Phase ◽

University Hospital ◽

Performance Review ◽

Post Test ◽

Quasi Experimental ◽

Different Levels ◽

Assessment Questionnaire

Background Developing a professional identity is rooted in the dimensions of professionalism and professional development. Moreover, the need for teaching professionalism has a mutual relationship with the formation of a desirable professional identity. Aim The current study aimed at developing a professionalism manual for the nurse managers to improve their perception regarding professionalism and professional identity. Design Quasi-experimental research design with pre-test, post-test, and follow-up was used. Setting The study was conducted at two different hospitals; Menoufia University hospital and Al-helal Insurance hospital, Menoufia Governorate, Egypt. Subjects The participants included all nurse managers at different levels from the two different hospitals ( n =100). Tools: tool 1: Professionalism Questionnaire and tool 2: Professional Identity Assessment Questionnaire were used to collect data. Results there was a statistically significant improvement in professionalism perception and professional identity level immediately after administering the professionalism manual and after three months in the follow-up phase than the pre-test phase. Additionally, there was a statistically significant positive correlation between two variables of the study at the post and follow-up phases, but not significant at the pre-test phase. Conclusion the professionalism manual was effective in improving nurse managers’ perceptions regarding professionalism and professional identity. Recommendations: Incorporate the attributes of professionalism that were included in the professionalism manual as a guide for the performance review processes of nurses.

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Evaluation of Targeted Pharmacist Interventions to Reduce Length of Stay in an Acute Care Practice Model

Annals of Pharmacotherapy ◽

10.1177/1060028018815064 ◽

2018 ◽

Vol 53 (5) ◽

pp. 471-477 ◽

Cited By ~ 2

Author(s):

Mary-Haston Leary ◽

Kathryn Morbitzer ◽

Bobbi Jo Walston ◽

Stephen Clark ◽

Jenna Kaplan ◽

...

Keyword(s):

Length Of Stay ◽

Acute Care ◽

Positive Impact ◽

Pharmacy Practice ◽

Care Practice ◽

Readmission Rates ◽

A Value ◽

Pharmacist Interventions ◽

Semistructured Interviews ◽

The Impact

Background: Despite widespread recognition of the need for innovative pharmacy practice approaches, the development and implementation of value-based outcomes remains difficult to achieve. Furthermore, gaps in the literature persist because the majority of available literature is retrospective in nature and describes only the clinical impact of pharmacists’ interventions. Objective: Length of stay (LOS) is a clinical outcome metric used to represent efficiency in health care. The objective of this study was to evaluate the impact of pharmacist-driven interventions on LOS in the acute care setting. Methods: A separate samples pretest-posttest design was utilized to compare the effect of pharmacist interventions across 3 practice areas (medicine, hematology/oncology, and pediatrics). Two time periods were evaluated: preimplementation (PRE) and a pilot period, postimplementation of interventions (POST). Interventions included targeted discharge services, such as discharge prescription writing (with provider cosignature). Participating pharmacists completed semistructured interviews following the pilot. Results: A total of 924 patients (466 PRE and 458 POST) were included in the analysis. The median LOS decreased from 4.95 (interquartile range = 3.24-8.5) to 4.12 (2.21-7.96) days from the PRE versus POST groups, respectively ( P < 0.011). There was no difference in readmission rates between groups (21% vs 19.1%, P = 0.7). Interviews revealed several themes, including positive impact on professional development. Conclusion and Relevance: This pilot study demonstrated the ability of pharmacist interventions to reduce LOS. Pharmacists identified time as the primary barrier and acknowledged the importance of leaders prioritizing pharmacists’ responsibilities. This study is novel in targeting LOS, providing a value-based outcome for clinical pharmacy services.

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Is it Worth Flipping? The Impact of Flipped Classroom on EFL Students’ Grammar

English Language Teaching ◽

10.5539/elt.v13n6p144 ◽

2020 ◽

Vol 13 (6) ◽

pp. 144 ◽

Cited By ~ 1

Author(s):

Ishaq Salim Al-Naabi

Keyword(s):

Flipped Classroom ◽

Positive Impact ◽

Future Research ◽

Flipped Learning ◽

Structured Interviews ◽

Intact Group ◽

English Grammar ◽

Post Test ◽

Quasi Experimental ◽

The Impact

In light of contemporary pedagogical methods, the flipped classroom has been recognised as an effective pedagogy in English as a Foreign Language (EFL). This study employed a quasi-experimental one-group research design to investigate the impact of flipped learning on Omani EFL learners’ grammar and to examine students’ perceptions on the flipped classroom. An intact group of students (n=28) enrolled at the foundation programme in Arab Open University-Oman was randomly selected. Seven videos on English grammar were developed and shared with the students prior to the class. A varaiety of activities were conducted in the class following task-based language teaching. Students met for 8 lessons over the period of 8 weeks. Pre-test, post-test and semi-structured interviews were used in the study. The findings indicated that flipped learning had a positive impact on students’ understanding and usage of English grammar. Students’ perceptions on the flipped approach were positive. The study also provided pedagogical insights for the flipped classroom and recommendations for future research. 

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Intervention Mediators in a Randomized Controlled Trial to Increase Physical Activity and Fatigue Self-management Behaviors Among Adults With Multiple Sclerosis

Annals of Behavioral Medicine ◽

10.1093/abm/kaz033 ◽

2019 ◽

Author(s):

Matthew Plow ◽

Robert W Motl ◽

Marcia Finlayson ◽

Francois Bethoux

Keyword(s):

Physical Activity ◽

Multiple Sclerosis ◽

Goal Setting ◽

Self Efficacy ◽

Outcome Expectations ◽

Step Count ◽

Self Management ◽

Post Test ◽

The Impact

Abstract Background People with multiple sclerosis (MS) often experience fatigue, which is aggravated by inactivity. Identifying mediators of changes in physical activity (PA) and fatigue self-management (FSM) behaviors could optimize future interventions that reduce the impact of MS fatigue. Purpose To examine the effects of telephone-delivered interventions on Social Cognitive Theory constructs and test whether these constructs mediated secondary outcomes of PA and FSM behaviors. Methods Participants with MS (n = 208; Mean age = 52.1; Female = 84.6%) were randomized into contact–control intervention (CC), PA-only intervention, and PA+FSM intervention. Step count (Actigraphy) and FSM behaviors as well as self-efficacy, outcome expectations, and goal setting for PA and FSM were measured at baseline, post-test (12 weeks), and follow-up (24 weeks). Path analyses using bias-corrected bootstrapped 95% confidence intervals (CI) determined whether constructs at post-test mediated behaviors at follow-up when adjusting for baseline measures. Results Path analysis indicated that PA-only (β = 0.50, p < .001) and PA+FSM interventions (β = 0.42, p < .010) had an effect on goal setting for PA, and that PA + FSM intervention had an effect on self-efficacy for FSM (β = 0.48, p = .011) and outcome expectations for FSM (β = 0.42, p = .029). Goal setting for PA at post-test mediated the effects of PA-only (β = 159.45, CI = 5.399, 371.996) and PA + FSM interventions (β = 133.17, CI = 3.104, 355.349) on step count at follow-up. Outcome expectations for FSM at post-test mediated the effects of PA + FSM intervention on FSM behaviors at follow-up (β = 0.02, CI = 0.001, 0.058). Conclusions Goal setting for PA and outcome expectations for FSM may be important constructs to target in telephone-delivered interventions designed to reduce the impact of MS fatigue. Trial registration Clinicaltrials.gov (NCT01572714)

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Predictive value of suvmax changes between two sequential post-therapeutic FDG-pet in head and neck squamous cell carcinomas

Scientific Reports ◽

10.1038/s41598-020-73914-3 ◽

2020 ◽

Vol 10 (1) ◽

Author(s):

Thomas M. Stadler ◽

Martin W. Hüllner ◽

Martina A. Broglie ◽

Grégoire B. Morand

Keyword(s):

Head And Neck ◽

Squamous Cell ◽

Metabolic Activity ◽

Fdg Pet ◽

Tumor Recurrence ◽

Standardized Uptake Value ◽

University Hospital ◽

Position Emission Tomography ◽

The Impact

Abstract 18-flurodesoxyglucose position emission tomography (FDG-PET) with computed tomography (CT) or magnetic resonance imaging (MRI) is a broadly accepted tool for pretherapeutic staging and post-therapeutic assessment of response. The prognostic value of sequential post-therapeutic FDG-PETs and the impact of change in metabolic activity has been scarcely reported so far. We hypothesized that an increase in metabolic activity (as measured by maximum standardized uptake value, SUVmax) would be predictive for recurrence. We retrospectively assessed all oral, oropharyngeal, laryngeal, and hypopharyngeal squamous cell carcinoma patients treated at the Department of Otorhinolaryngology—Head and Neck Surgery, University Hospital Zurich between April 1st, 2010 and September 30th, 2018 (N = 337). After a negative post-treatment FDG-PET at 3 months, we measured the SUVmax of the local tumor area and the regional lymph nodes on follow-up FDG-PET at 9 months. We then correlated SUVmax difference between 9 and 3 months with tumor recurrence using Kaplan Meier analysis. During follow-up, 68 patients (20.2%) had local recurrence and 53 had regional recurrence (15.7%) at a median time of 9.0 (IQR 4.25–14) and 7.0 (IQR 5.25–23) months, respectively. An increase in local and/or regional SUVmax from the 3 months to the 9 months post-therapeutic FDG-PET resulted in a poorer recurrence-free survival (Log rank, P = 0.001, for both). An increase in local SUVmax between 3 and 9 months was associated with a hazard ratio of 4.17 for recurrence (95%CI 1.89–9.2, P = 0.0003). In conclusion, an increase in metabolic activity/SUVmax between two post-therapeutic FDG-PETs requires a histological examination as it is associated with tumor recurrence.

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The impact on adolescents of a Transtheoretical Model-based programme on fruit and vegetable consumption

Public Health Nutrition ◽

10.1017/s136898001900137x ◽

2019 ◽

Vol 22 (13) ◽

pp. 2500-2508 ◽

Cited By ~ 1

Author(s):

Kamer Gur ◽

Saime Erol ◽

Hasibe Kadioglu ◽

Ayse Ergun ◽

Rukiye Boluktas

Keyword(s):

Stages Of Change ◽

Transtheoretical Model ◽

Vegetable Consumption ◽

Daily Basis ◽

Decisional Balance ◽

Fruit And Vegetable ◽

Model Based ◽

Post Test ◽

The Impact

AbstractObjective:The present study aimed to evaluate the impact of a Transtheoretical Model-based programme titled ‘Fruit & Vegetable-Friendly’ on the fruit and vegetable (F&V) consumption of adolescents.Design:A quasi-experimental study. The ‘Fruit & Vegetable-Friendly’, a multicomponent intervention based on the Transtheoretical Model, was completed in eight weeks. The data were collected one week before the intervention, one week after the completion of the intervention and six months after the post-test with an F&V intake questionnaire and the stages of change, processes of change (α = 0·91), situational self-efficacy (α = 0·91) and decisional balance (α = 0·90 for pros, α = 0·87 for cons) scales. Data were analysed with the Friedman, Wilcoxon and marginal homogeneity tests.Setting:A public secondary school in Istanbul, Turkey.Participants:Seven hundred and two adolescents.Results:The mean (sd) F&V intake of adolescents in the passive stages rose from the daily average at the time of the pre-test of 3·40 (1·79) portions to 5·45 (2·54) portions on the post-test and to 5·75 (2·70) portions on the follow-up test (P < 0·01). While the students in the passive stages represented 41·6 % of the participants prior to the programme, this rate fell to 23·7 % at the post-test and to 22·7 % at the follow-up. Students in the active stages first represented 58·5 % of the participants; this rate rose to 76·4 % at the post-test and to 77·2 % at the follow-up test.Conclusions:The programme was effective in increasing the amount of F&V the adolescents consumed on a daily basis.

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Impact of Pharmacist Counselling on Clozapine Knowledge

Schizophrenia Research and Treatment ◽

10.1155/2017/6120970 ◽

2017 ◽

Vol 2017 ◽

pp. 1-8 ◽

Cited By ~ 5

Author(s):

Ciara Ní Dhubhlaing ◽

Ailish Young ◽

Laura J. Sahm

Keyword(s):

Side Effects ◽

Patient Information ◽

Side Effect ◽

Information Sources ◽

Knowledge Score ◽

University Hospital ◽

Patient Knowledge ◽

Specific Knowledge ◽

The Impact ◽

Improve Patient

Clozapine is the only antipsychotic with evidence for efficacy in treatment of resistant schizophrenia but it carries a high side effect burden. Patient information is provided but may be poorly retained. This study aims to examine the impact of pharmacist counselling upon patient knowledge of clozapine. Outpatients, aged 18 years and over, attending St. Patrick’s University Hospital, Dublin, participated in this study between June and August 2015. The intervention consisted of pharmacist counselling on two occasions one month apart. Knowledge was assessed using a 28-point checklist devised from the currently available clozapine patient information sources, at baseline and after each counselling session. Ethics approval was obtained. Twenty-five participants (40% female; mean age 45.1 years, SD 9.82; 64% unemployed, 28% smokers) showed an improvement in knowledge scores of clozapine from baseline to postcounselling on each occasion with an overall improvement in knowledge score, from baseline to postcounselling at one month, of 39.43%; p<0.001. This study adds to the evidence that interventions involving pharmacist counselling can improve patient knowledge, whilst the specific knowledge gained relating to recognition of side effects may help patients towards more empowerment regarding their treatment.

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Post-Discharge Needs of Victims of Gun Violence in Chicago: A Qualitative Study

Journal of Interpersonal Violence ◽

10.1177/0886260516669545 ◽

2016 ◽

Vol 34 (1) ◽

pp. 135-155 ◽

Cited By ~ 11

Author(s):

Desmond Patton ◽

Aparna Sodhi ◽

Steven Affinati ◽

Jooyoung Lee ◽

Marie Crandall

Keyword(s):

Trauma Center ◽

Police Department ◽

Gun Violence ◽

University Hospital ◽

Post Discharge ◽

Chicago Police Department ◽

Rehabilitation Professionals ◽

Chicago Police ◽

The Impact

The purpose of this study was to understand the post-discharge needs of violently injured patients and their families to improve health outcomes and reduce the impact of gun violence. We recruited 10 patients from the trauma registry of a Midwestern university hospital with a Level 1 Trauma Center (L1TC). After obtaining the informed consent, semi-structured, face-to-face, in-depth interviews were conducted. Discussions focused on post-discharge needs and resources to facilitate the recovery and rehabilitation process, and aid in community reintegration. Interviews were audiotaped and transcribed verbatim. Transcripts were analyzed thematically in stages of open, axial, and selective coding methods. Seven main themes were identified at the hospital and community level. These included the following: (a) feeling stigmatized by hospital personnel, (b) patient–provider communication, (c) feeling discharged too soon, (d) issues in obtaining medicines, (e) challenges with Chicago Police Department, (f) transportation to trauma center for follow-up care, and (g) concerns with returning back to the community. Patients reported the need for mental health counseling for themselves and their family, more follow-up, and help with financial paperwork among others. For the victims of gun violence, there exists a chasm between injury and care, and an even wider one between care and rehabilitation. The findings can inform health care, social workers, and rehabilitation professionals in their efforts to better address the myriad of unmet needs pre- and post-discharge. For trauma centers, the identified needs provide a template for developing an individualized- and community-centered resource pathway to improve outcomes and reduce suffering for this particularly vulnerable subset of patients.

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An intervention of physical activity promotion in an university hospital. A prospective cohort study

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.373 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

J Ladner ◽

S D Mihailescu ◽

D Cerasuolo

Keyword(s):

Physical Activity ◽

Health Workers ◽

Public Health Intervention ◽

Physical Activity Promotion ◽

University Hospital ◽

Activity Promotion ◽

The Mean ◽

High Level ◽

The Impact

Abstract Background Rouen University Hospital implements a policy of health promotion hospital since 2016. The objective of this study was to evaluate prospectively the impact of physical activity promotion in hospital health workers (HW), using pedometers over a period of six months. Methods Physical activity was measured by electronic pedometers distributed to HW, with the aim to improve their physical activity and to measure it during six months. Online questionnaires collected at different points of follow-up, from inclusion to sixth month (a total of seven points of follow-up). Socio-demographic and characteristics on type of health work were collected as well as the number of steps and the behavior regarding their routine physical activity. Results A total of 680 HW were included in the cohort. The sex ratio M:W was 0.16. The mean age was 41.6 years (SD = 10.7). 44.0% were non-medical caregivers, 32.1% were in administrative section, 14.3% were technical workers and 9.7% were physicians or pharmacists; 53.7% of HW reported doing sport regularly. At inclusion the mean number of daily steps was 8662. The mean progression for all professional profiles between first week and sixth month was of 1082 steps daily, with difference according to position: 1319 in physicians, 1234 in non-medical caregivers, 1106 in administrative workers and 314 in technical workers. In linear regression model, the mean number of progression of daily steps was 964 in physicians, 752 in non-medical caregivers. Conclusions The study shows a significant increase in the number of daily steps measured objectively using an incentive tool, as pedometer during six months of intervention. Further researches are needed to determine if these changes are sustainable over a long period of time Key messages Despite high level of daily steps at baseline, the longitudinal study shows an increase of daily steps over a 6-month period. Such public health intervention is a relevant method to engage people in self-monitoring their physical activity.

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