scholarly journals Hemophilia Patient Experience in a Physical Therapy-Guided Health Education Intervention: A Mixed-Method Design

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1728
Author(s):  
Alicia López-Casaus ◽  
Carolina Jiménez-Sánchez ◽  
Paula Cordova-Alegre ◽  
Fani Alfaro-Gervon ◽  
Laura Esteban-Repiso ◽  
...  

People with hemophilia usually have negative joint consequences due to their illness. Evidence suggests that exercise and therapeutic education bring some benefits. An important factor that affects health interventions was the experience and degree of satisfaction. Thus, it is relevant to analyze qualitative and quantitative data to obtain a complete view of the patient’s experience. As a result, a concurrent nested mixed method with quantitative predominance study design was carried out. Nine people with hemophilia of Hemoaralar with a homogeneous environment participated in this study. The items evaluated were the level of satisfaction through the GCPC-UN-ESU survey and the experience with healthcare interventions through a focus group. A high level of satisfaction was obtained, but some divergences between quantitative and qualitative data were found. Further research about physical therapy and this type of intervention in people with hemophilia should be considered to better address the impact of living with the disease.

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
T Russell ◽  
J Cooper ◽  
M McIntyre ◽  
S Ramzi

Abstract Aim Currently, patients must consult with a primary care practitioner (PCP) prior to being referred to secondary care breast services. A change to patient self-referral would arguably reduce primary care workload, improve access for patients, and allow breast units to allocate resources more appropriately; no data currently supports this. This study aims to explore PCP's views on breast referral, evaluate the community breast workload, and to investigate the impact of COVID-19 on referral rates. Method An electronic survey was designed on SurveyMonkey.com which aimed to collect both quantitative and qualitative data. The weblink to the survey was sent out via two electronic newsletters. Participants were asked: their role and gender, their level of confidence surrounding breast care, details surrounding their breast workload, how they felt COVID-19 had affected their referral rates, their level of satisfaction with the current pathway, and their opinions on a potential change to patient self-referral. Results 79 responses were received. PCPs estimated that 7.0% (median) of their total consultations were regarding a breast-related issue and that COVID-19 had not had a significant impact on the rate of referral to breast units (P = 0.75). 84.8% of PCPs were satisfied with the current referral pathway. Whilst 74.5% felt a change to patient self-referral would benefit patients and primary care services, their free text comments highlighted some of their reservations. Conclusions PCPs have a high level of satisfaction with the current breast referral pathway, but the majority would be open to a change to patient self-referral to specialist breast units.


GYMNASIUM ◽  
2017 ◽  
Vol XVII (1) ◽  
Author(s):  
Paulo Silva Pereira ◽  
Francesco Carreiro da Costa ◽  
José Alves Diniz

This study examines students thought processes in Physical Education (attention during classes, orientation of target achievement, causal attributions of results, attitudes towards discipline, competence perception, perception of  the discipline’s goal’s, degree of satisfaction towards classes). This study involved 198 students from the 9th grade. Data were collected by use of questionnaires. The results show that students have: i) high levels of attention during classes, ii) a stronger orientation to the ego than to the task; iii) a favorable attitude towards PE iv) a good perception of competence in PE v) a high level of satisfaction regarding PE classes vi) the variables examined did not vary according to students socio-economic background; vii) there are significant differences in ego orientation, competence perception in PE among female students and male students viii) the variables of thought processes are, in general, positively and significantly correlated.


2021 ◽  
Vol 6 (4) ◽  
pp. 142-148
Author(s):  
V. V. Vitomskyi ◽  
◽  

The purpose of the study was to investigate the effect of additional respiratory physical therapy on the level of satisfaction with physical therapy among patients after cardiac surgery. Materials and methods. The study involved 150 patients. The patients were randomly divided into three groups: control (respiratory physical therapy was limited to cough), group of incentive spirometry (in classes with a physical therapist patients performed additional 3 approaches of 10 breaths through the simulator; they received recommendations for hourly performance of a similar number of cycles of exercise), a group of patients who received additional respiratory physical therapy with positive expiratory pressure in the form of exhalation into a bottle of water through a tube (number of repetitions and recommendations are similar to those received by the previous group). All groups underwent the same protocol of mobilization and use of therapeutic physical exercises in the procedure of therapeutic gymnastics. Performing exercises with breathing simulators began on the first postoperative day. Results and discussion. A questionnaire (17 questions) was used to assess the satisfaction with physical therapy. The survey was conducted on the seventh postoperative day. The answers were distributed on a 5-point Likert scale from 1 point to 5 points. The key preoperative indicators and time indicators of surgical interventions of the examined groups did not differ significantly. Analysis of satisfaction with physical therapy revealed a high level in all items of the questionnaire. Statistical differences between the groups were found in only three items of the questionnaire, but they were not related to either the use of equipment or diligence in treatment or the content of physical therapy. The overall score of the questionnaire did not differ in groups according to the Kraskel-Wallis criterion, and Me indicators (25%; 75%) were in the control group – 81 (77; 85) points, in the group of stimulating spirometry – 81 (72; 85) points in the group with positive expiratory pressure – 79 (73; 84) points (χ2 = 4.560; p = 0.102). Conclusion. Additional respiratory physical therapy did not affect the overall satisfaction rate and results of most items of the questionnaire. The differences found in the three items did not indicate any effect of the use of respiratory physical therapy on the level of satisfaction, as higher scores in these items were in the control group. All items in the questionnaire received high scores


2021 ◽  
Author(s):  
Abdallah. Guerraoui ◽  
Roula. Galland ◽  
Flora Belkahla-Delabruyere ◽  
Odile Didier ◽  
Veronique. Berger ◽  
...  

Abstract Rationale & Objective: A quarter of the patients did not receive any information on any modality before the start of Renal Remplacement Therapy (RRT). We have therapeutic education workshops for all RRT except for home heamodialysis (HHD). We aimed to identify and describe the needs of patients and caregivers for RRT with HHD. Lastly, to conceive and carry out a Therapeutic Education Workshop. Setting & Participants: Two sequential methods of qualitative data collection were undertaken: (1) interviews with a patient who had been on HHD and a doctor specialized in HHD (2) semi-structured interviews with HHD patients in our center. Analytic Approach: Thematic analysis. Results: We identified six themes related to the barriers, facilitators, and potential solutions to home dialysis therapy: (1) HHD allows autonomy and freedom with constraints, (2) safety of the care environment, (3) the caregiver and family environment, (4) patient’s experience and experiential knowledge, (5) self-treatment experience - Impact on life, and (6) factors that impact the choice of treatment with HHD.We designed a model for a therapeutic education workshop in a group of patients and caregivers. . Conclusions: Our study confirmed previous results obtained about the major barriers, facilitators, and potential solutions to HHD. There are three important points regarding HHD: (1) the impact of the HHD on the caregiver, (2) the experience of patients already treated with HHD, and (3) the role of nurses and nephrologists in informing and educating. A program to develop patient-to-patient peer mentorship, allowing patients to discuss their dialysis experience, would be invaluable.


2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Thomas Russell ◽  
Jemma Cooper ◽  
Mairead McIntyre ◽  
Sa'ed Ramzi

Abstract Aims Currently, patients must consult with a primary care practitioner (PCP) prior to being referred to specialist breast services. A change to patient self-referral would arguably reduce primary care workload, improve access for patients, and allow breast units to allocate resources more appropriately; no data currently supports this. This study aims to explore PCP’s views on breast referral, evaluate the community breast workload, and to investigate the impact of COVID-19 on referral rates. Methods An electronic survey was sent out to PCPs in South West England via two electronic newsletters. Participants were asked: their role and gender, their level of confidence surrounding breast care, details surrounding their breast workload, how they felt COVID-19 had affected their referral rates, their level of satisfaction with the current pathway, and their opinions on a potential change to patient self-referral. Results 79 responses were received. PCPs estimated that 7.0% (median) of their total consultations were regarding a breast-related issue and that COVID-19 had not had a significant impact on the rate of referral to breast units (P = 0.75). 84.8% of PCPs had a high level of satisfaction with the current referral pathway. Whilst 74.5% felt a change to patient self-referral would benefit patients and primary care services, their free text comments highlighted some of their reservations. Conclusions PCPs have a high level of satisfaction with the current breast referral pathway, but the majority would be open to a change to patient self-referral to specialist breast units.


Author(s):  
Rhona Sharpe ◽  
Frances Deepwell ◽  
Patsy Clarke

This paper evaluates the role of the faculty based student support coordinator (SSC) over the first two years of their roll out across all faculties in a UK university. The intention was that SSCs would provide a one-stop shop for students, handling enquiries on a broad range of issues, answering them where they can, offering support, and acting as a referral service. The benefits to students should be an accessible and responsive source of faculty based advice and information. One of the challenges of implementing this new system was expected to be ensuring that all those involved understand their roles and help students to make use of them appropriately. Data were collected as part of a wide-ranging evaluation, both from the SSCs themselves and staff they worked alongside via interview and attendance at meetings. Data were also collected from students via interviews and surveys. This paper uses these data to ask how the SSC role is working in practice, what are the realities and tensions of the role and what has been the impact to students? The evaluation was commissioned by the main university teaching and learning committee and its results have had a tangible impact. It clarified and protected the role of the SSCs and uncovered aspects of their role that had not been foreseen. The feedback from students showed an increasing awareness of the service offered by SSCs over time and a high level of satisfaction.


2022 ◽  
Author(s):  
Yan Yunxian ◽  
Munawar Hassan ◽  
Shafqat Iqbal ◽  
Shahbaz Gul Hassan

Abstract Boundless researchers have made efforts to assess the impact of Microfinance on poverty reduction both positively and negatively, but the perception of borrowers about the effectiveness of Microfinance has not been yet found. This study adopts the Fuzzy Comprehensive Evaluation Method (FCEM) in conjunction with the Analytical Hierarchy Process (AHP) to evaluate the level of satisfaction of borrowers with the products and services of microfinance institutions at different criterion levels. The goal is to assess the level of satisfaction for each criterion level under the degree of satisfaction of the borrower about the product and services provided by Microfinance Institution (MFI). Findings show that the claim of MFI was false because study evidence makes it clear that borrowers are not satisfied with the product and services of MFI. In addition to the literature, this study also highlighted the weakness of the MFI product and services. Thus, both the government and the MFIs can improve their performance and change their policies for the welfare of the borrowers.


2021 ◽  
Vol 38 (9) ◽  
pp. A13.1-A13
Author(s):  
Stella Wright ◽  
Duncan Robertson ◽  
Gemma Nosworthy ◽  
Bob Baines ◽  
Wyn Thomas ◽  
...  

BackgroundWelsh Ambulance Service NHS Trust (WAST) and Betsi Cadwaladr University Health Board (BCUHB) were jointly awarded Welsh Government Pacesetter funding to assess the viability of a rotational approach to the delivery of care. The three part rotation incorporates the WAST Clinical Contact Centre, solo responding and shifts in BCUHB primary care settings. Nine WAST Advanced Paramedic Practitioners (APPs) started their rotation in north Wales in June 2019, a further eight joined in September 2020. The Minnesota Satisfaction Questionnaire (MSQ) was one of a number of data collection items undertaken as part of a service evaluation to evaluate the impact of this Pacesetter project.MethodsAPP Satisfaction was measured using the Minnesota Satisfaction Questionnaire (MSQ), a standardised tool designed to measure an employee’s satisfaction with work and aspects of the workplace environment. It comprises a 100-item questionnaire, with each question aligned to one of 20 scales. The MSQ was completed by the first cohort of APPs nine months into their rotation, and by the second Cohort in their third month. APPs were asked to consider all aspects of the rotation.ResultsOverall, both cohorts demonstrated a high level of satisfaction, in particular questions associated with intrinsic satisfaction scored better than ones linked to extrinsic satisfaction. For both Cohorts, Social Service, Working Conditions and Activity were all in the top five scoring scales. Whereas, Authority and Supervision (Human Relations) were lower scoring scales for both Cohorts.The individual raw scores were slightly higher for Cohort II than I. Cohort II also demonstrated a wider range in standard deviation scores across the scales.ConclusionThe MSQ is a simple yet effective measure of assessing workplace satisfaction. For the current Cohorts of Pacesetter APPs, scores indicated a high level of satisfaction across all aspects of the rotation.


2020 ◽  
Vol 12 (13) ◽  
pp. 5282
Author(s):  
Alba Ibáñez García ◽  
Teresa Gallego Álvarez ◽  
Mª Dolores García Román ◽  
Verónica M. Guillén Martín ◽  
Diego Tomé Merchán ◽  
...  

This paper analyses the degree of participant (mentees, mentors, and technical-research team) satisfaction with two university mentoring programmes for pre-university students with high intellectual capacities in Spain. Three versions of a Likert-type scale questionnaire were applied (mentees, mentors, and technical-research team), resulting in a total sample of 43 questionnaires from mentors, 314 from mentees, and 43 from the technical-research team in 43 workshops offered by the GuíaMe-AC-UMA Programme; and 27 questionnaires from mentors, 203 from mentees, and 27 from the technical-research team in the 27 workshops offered by the Amentúrate Programme. The results indicate a high level of satisfaction with the development of the workshops offered by both programmes, on the part of all participants. No significant differences were found in terms of thematic area or gender, although there were differences in age. The participation of the three agents involved in this training offer was very successful, and our results supported the findings of previous investigations. More work is required on the transfer and maintenance of the impact that this type of programme can have on young pre-university students with high abilities.


2021 ◽  
Vol 24 (4) ◽  
Author(s):  
Ibrahim Dewir

Introduction: Lateral epicondylitis, commonly referred to as tennis elbow, is one of the most common lesions of the arm. There are many treatment options available for tennis elbow; taping techniques and splints are commonly used. Purpose: The objective of this research is to compare the impact of the diamond taping technique and counterforce elbow bands on pain and handgrip strength in patients with lateral epicondylitis. Materials and methods: Forty male patients with lateral epicondylitis (tennis elbow), aged between 30 and 40 years, took part in this study. They were randomly assigned to one of two equivalent groups. Group A received the diamond taping intervention in addition to physical therapy, while group B was treated using an elbow band orthosis along with physical therapy. The JAMAR dynamometer and Visual Analog Scale (VAS) were used to assess handgrip strength and pain intensity respectively, before and following 4 weeks (12 sessions) of treatment. Results: Group A demonstrated significant improvement of both handgrip strength and pain intensity, while group B showed significant improvement of pain only. Conclusion: Diamond taping demonstrated a strong impact upon pain and handgrip strength in individuals with lateral epicondylitis. It is suggested that the diamond taping technique can be valuable in the treatment of lateral epicondylitis.


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