scholarly journals Crucial Factors for the Acceptance of a Computerized National Medication List

2014 ◽  
Vol 05 (02) ◽  
pp. 527-537 ◽  
Author(s):  
A. Hoerbst ◽  
G. Duftschmid ◽  
W. Gall ◽  
S. Janzek-Hawlat ◽  
M. Jung ◽  
...  
Keyword(s):  
Formative Evaluation ◽  
National Level ◽  
Data Use ◽  
Pilot Project ◽  
Evaluation Study ◽  
Medication List ◽  
Software Support ◽  
Tree Analysis ◽  
Functional Aspects ◽  
Acceptance Rates

SummaryObjective: The objective of this paper is to present crucial factors among registered doctors and pharmacists for acceptance of the Austrian ’e-Medikation’ system which is aimed at providing, on a national level, complete and recent information on all the medication that were prescribed or dispensed to a patient.Methods: As the accompanying formative evaluation study of the pilot project showed different overall acceptance rates among participating physicians and pharmacists, a decision tree analysis of 30 standardized survey items was performed to identify crucial acceptance factors.Results: For the physicians’ group, only two items (fear of improper data use and satisfaction with software support) were crucial for overall e-Medikation acceptance. The analysis of the pharmacists’ data resulted in five crucial factors primarily focusing on functional aspects and the perceived benefits of e-Medikation.Conclusion: The results indicate that the acceptance among physicians and pharmacists depends on quite different factors. This must be taken into account during the planned rollout of e-Medikation or of comparable products.

scholarly journals Modeling a Telemedicine Screening Program for Diabetic Retinopathy in Iran and Implementing a Pilot Project in Tehran Suburb

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Sare Safi ◽  
Hamid Ahmadieh ◽  
Marzieh Katibeh ◽  
Mehdi Yaseri ◽  
Homayoun Nikkhah ◽  
...  
Keyword(s):  
Diabetic Retinopathy ◽  
Gold Standard ◽  
Web Application ◽  
Mixed Model ◽  
Screening Program ◽  
National Level ◽  
Pilot Project ◽  
Fundus Photography ◽  
Care Services ◽  
Model Study

Purpose. To model a community-based telescreening program for diabetic retinopathy (DR) in Iran and to implement a pilot project at the Iranian Diabetes Society (IDS) branch in a Tehran suburb. Methods. In this mixed model study, a web application called the “Iranian Retinopathy Teleophthalmology Screening (IRTOS)” was launched. The educational course for DR screening was established for general practitioners (GPs). Registered patients in IDS branch were recalled for fundus photography; images were transferred to the reading center via IRTOS to be graded by GPs, and patients were informed about the results via mobile messaging. All images were independently reviewed by a retina specialist as the gold standard. Patients who required further assessment were referred to an eye hospital. Results. Overall, 604 subjects with diabetes were screened; of these, 50% required referral. The sensitivity and specificity for diagnosis of any stage of DR by trained GPs were 82.8% and 86.2%, respectively, in comparison to the gold standard. The corresponding values for detecting any stage of diabetic macular edema (DME) were 63.5% and 96.6%, respectively. Conclusions. Telescreening was an effective method for detecting DR in a Tehran suburb. This screening model demonstrated its capacity for promoting diabetic eye care services at the national level. However, the sensitivity for detecting DME needs to be improved by modifying the referral pathway and promoting the skill of GPs.

The ASCD Healthy School Communities project: formative evaluation results

2015 ◽  
Vol 115 (3/4) ◽  
pp. 269-284 ◽  
Author(s):  
Robert F. Valois ◽  
Theresa C. Lewallen ◽  
Sean Slade ◽  
Adriane N. Tasco
Keyword(s):  
School Improvement ◽  
School Health ◽  
Formative Evaluation ◽  
Team Leadership ◽  
Pilot Project ◽  
School Site ◽  
Content Type ◽  
School Communities ◽  
Evaluation Question ◽  
Continuous School Improvement

Purpose – The purpose of this paper is to report the formative evaluation results from the Association for Supervision and Curriculum Development Healthy School Communities (HSC) pilot project. Design/methodology/approach – This study utilized 11 HSC pilot sites in the USA (eight sites) and Canada (three sites). The evaluation question was “What are the levers of change in a school community that allow for the initiation and implementation of best practice and policy for improving school health?” Pre- and post-site visits along with in-depth interviews with school teams, teachers, students, administrators, community stakeholders and other involved individuals, school site report reviews, Healthy School Report Card results and school improvement plans were used for evaluation purposes. Findings – This study identified nine levers of change: principal as leader of the HSC efforts; active and engaged leadership; distributive team leadership; effective use of data for continuous school improvement; integration of the HSC process with the school improvement process; ongoing and embedded professional development; authentic and mutually beneficial community collaborations; stakeholder support of the local HSC effort; and creation or modification of school policy related to HSC that increased the likelihood that school improvement via health promotion would be pursued and sustained. Research limitations/implications – Owing to the qualitative methods used in this study and the number of schools in the pilot project, the research results may lack generalizability. Therefore, researchers are encouraged to test the proposed evaluation question further. Practical implications – This study has implications for schools seeking to create sustainable, systemic integration of health and education for effective health-promoting schools and continuous school improvement. Originality/value – This study provides evidence that integration of health and education can become a sustainable and integral part of a school’s culture.

scholarly journals Improving data use for decision making by neglected tropical disease program teams: eight use cases

2021 ◽  
Vol 5 ◽  
pp. 153
Author(s):  
Liz Grubin ◽  
Lakshmi Balachandran ◽  
Sarah Bartlett ◽  
Nana-Kwadwo Biritwum ◽  
Simon Brooker ◽  
...  
Keyword(s):  
Decision Making ◽  
Neglected Tropical Diseases ◽  
National Level ◽  
Data Use ◽  
Routine Data ◽  
Population Data ◽  
Use Cases ◽  
Use Case ◽  
Global Trends ◽  
National Programs

Background: The achievement of neglected tropical diseases (NTDs) program goals depends on numerous factors, including the ability of national programs to use high-quality, timely data to inform their decision-making and program delivery. This paper presents a use case analysis of the routine data used by national NTD programs targeting lymphatic filariasis, onchocerciasis, schistosomiasis, soil-transmitted helminthiasis, and trachoma. Methods: The use cases were developed through a combination of secondary and primary research focused on both global trends and deep dives into Burkina Faso, Ethiopia, and Tanzania. Results were refined through a stakeholder convening and the final eight use cases were determined through iteration and prioritization with stakeholders. Results: Eight use cases were developed: improve treatment register data quality, strengthen supervision of drug distributors during mass drug administration (MDA), generate accurate community-level population data for MDAs, create and manage an accurate inventory of drugs, meet district coverage targets during MDA campaigns, feedback and performance to sub-district teams, feedback on performance to sub-national teams, and national-level program use of data for evaluation and decision making. Each use case identifies key actors and their data-related needs and critical challenges, defines the current and desired state, and articulates the profile of a solution (digital and non-digital) needed to complete the use case. Conclusion: The systematic strengthening of data use for decision-making in NTD programs is key for reaching the 2030 Roadmap goals. Integrated together, the presented use cases, when translated into action using appropriate and innovative solutions, can help to ensure that accurate and timely data are present at every step of a program and empower countries to use these data to make program decisions.

scholarly journals Strategies to Promote Evidence-Based Practice in Pediatric Physical Therapy: A Formative Evaluation Pilot Project

2009 ◽  
Vol 89 (9) ◽  
pp. 918-933 ◽  
Author(s):  
Joe Schreiber ◽  
Perri Stern ◽  
Gregory Marchetti ◽  
Ingrid Provident
Keyword(s):  
Decision Making ◽  
Formative Evaluation ◽  
Research Evidence ◽  
Clinical Decision Making ◽  
Evidence Based Practice ◽  
Physical Therapists ◽  
Pilot Project ◽  
Clinical Decision ◽  
Evidence Based ◽  
Practice Behaviors

BackgroundThe physical therapy profession has been perceived as one that bases its practice largely on anecdotal evidence and that uses treatment techniques for which there is little scientific support. Physical therapists have been urged to increase evidence-based practice behaviors as a means to address this perception and to enhance the translation of knowledge from research evidence into clinical practice. However, little attention has been paid to the best ways in which to support clinicians’ efforts toward improving evidence-based practice.ObjectivesThe purpose of this study was to identify, implement, and evaluate the effectiveness of strategies aimed at enhancing the ability of 5 pediatric physical therapists to integrate scientific research evidence into clinical decision making.DesignThis study was a formative evaluation pilot project.MethodsThe participants in this study collaborated with the first author to identify and implement strategies and outcomes aimed at enhancing their ability to use research evidence during clinical decision making. Outcome data were analyzed with qualitative methods.ResultsThe participants were able to implement several, but not all, of the strategies and made modest self-reported improvements in evidence-based practice behaviors, such as reading journal articles and completing database searches. They identified several barriers, including a lack of time, other influences on clinical decision making, and a lack of incentives for evidence-based practice activities.ConclusionsThe pediatric physical therapists who took part in this project had positive attitudes toward evidence-based practice and made modest improvements in this area. It is critical for the profession to continue to investigate optimal strategies to aid practicing clinicians in applying research evidence to clinical decision making.

Legislation impact on sick leave in Slovakia

2017 ◽  
Vol 10 (3) ◽  
pp. 182-191 ◽  
Author(s):  
Lucia Blazinska ◽  
Martin Rusnak ◽  
Margareta Kacmarikova
Keyword(s):  
Sick Leave ◽  
Sickness Absence ◽  
Slovak Republic ◽  
National Level ◽  
Evaluation Study ◽  
Economic Problem ◽  
Wilcoxon Test ◽  
Content Type ◽  
Numeric Data ◽  
Join Point

Purpose Sickness absence is a major public health and economic problem. The purpose of this paper is to evaluate the effects of a legislative intervention that concerns reduction of compensation levels in sickness absence in the Slovak Republic. In addition, the study encompasses appraisal of effects reflected by related indicators. Design/methodology/approach The paper describes an evaluation study, based on national statistics from relevant sources. Numeric data were used for characterizing the dynamics of sickness absence in Slovakia in the years 1997-2013. Statistical programmes join-point and R-environment were used for analytical purposes in terms of Wilcoxon test and linear regression. Findings The results suggest that following the implementation of the Act No. 462/2003 Coll. the number of new cases as well as the proportion of sickness absence among insured persons decreased by 50 per cent (from 2003 – 60/100 to 2004 – 30,8/100). Average duration of inability to work increased to 6.5 days and there were more women compared to men on sick leave. The most frequent causes of sickness absence were respiratory diseases, muscular-skeletal diseases and injuries outside the workplace. Research limitations/implications The trend of sickness absence can be influenced by many others factors, but the research is mainly focussed on legislative impact. Originality/value The research indicates an effect of legislative intervention at national level.

scholarly journals Un Modello di Ricerca Evidence Based sull’Inclusione Scolastica In Italia

2016 ◽  
Vol 1 (1) ◽  
pp. 443
Author(s):  
MARIANGELA CATURANO
Keyword(s):  
Academic Success ◽  
Collaborative Learning ◽  
Special Needs ◽  
Inclusive Education ◽  
Digital Technology ◽  
School Environment ◽  
Formative Evaluation ◽  
Pilot Project ◽  
Evidence Based ◽  
Normal Measure

Abstract: Che cosa significa educazione inclusiva? In che modo è possibile sostenere lo sviluppo di un sistema che favorisca l’inclusione nella quotidiana realtà scolastica? Su un campione di 162 studenti, dagli 8 ai 16 anni, si vogliono misurare gli effetti di efficaci metodologie didattiche quali feedback, formative evaluation, collaborative learning, digital technology. Variabili stimate sono le competenze e le abilità trasversali alle discipline, i fattori cognitivo-emozionali del successo scolastico, l’autostima. Valutazione bio psico-sociale che si oppone alla valutazione bio-medica prevalente in Italia. Osservare tutti gli allievi, trasformare la risposta speciale in normalità, misurare le variabili del contesto scolastico favorevoli all’inclusione può contribuire a migliorare, in Italia, l’efficacia di investimenti pubblici stimati nel 2013 in € 4,7B. Qui si costruisce un modello, il cui disegno sperimentale impone metodologie riconosciute a livello internazionale ed europeo come l’evidence based education (EBE), necessarie per confrontare i risultati e replicare il modello in un contesto sovranazionale.  I risultati entreranno a far parte del progetto pilota dell’European Agency For Special Needs avviato in tre paesi, tra cui l’Italia, e che verrà concluso nell’ottobre 2016.Parole chiave: inclusione, organizzazione inclusiva, metodologie didattiche, evidence based education       Abstract: What is inclusive education? How you can support the development of a system that favors the inclusion in the daily school reality? On a sample of 162 students, aged 8 to 16 years, they want to measure the effects of effective teaching methods such as feedback, formative evaluation, collaborative learning, digital technology. Estimated variables are the skills and abilities to cross disciplines, cognitive-emotional factors of academic success, self-esteem. Rating bio psychosocial which opposes the prevailing bio-medical evaluation in Italy. Observe all students, to transform the special response in normal, measure the variables of the school environment favorable to the inclusion in Italy improves the effectiveness of a welfare amounted to € 4,7B. Here we build a model, whose experimental design requires methodologies recognized at international and European level as the evidence-based education (EBE), necessary to compare the results and replicate the model in a supranational context. The results will become part of the pilot project of the European Agency For Special Needs started in three countries, including Italy, and which will be concluded in October 2016.Keywords: inclusion, inclusive rules, educational methods, evidence based education, EBE

scholarly journals Involvement of people with dementia in raising awareness and changing attitudes in a dementia friendly community pilot project

Dementia ◽  
2018 ◽  
Vol 18 (7-8) ◽  
pp. 2679-2694 ◽  
Author(s):  
Lyn Phillipson ◽  
Danika Hall ◽  
Elizabeth Cridland ◽  
Richard Fleming ◽  
Chris Brennan-Horley ◽  
...  
Keyword(s):  
Social Inclusion ◽  
Community Intervention ◽  
National Level ◽  
Pilot Project ◽  
Public Understanding ◽  
Advisory Group ◽  
Cross Sectional ◽  
Negative Stereotypes ◽  
Positive Attitudes ◽  
People With Dementia

Low levels of public understanding can contribute to the fear, stigma and social exclusion associated with living with dementia. Dementia friendly communities aim to address this by empowering people with dementia and increasing their social inclusion. As a part of a Community Based Participatory Action Research (CBPAR) process, a multicomponent dementia friendly community intervention supported: research; the establishment of a Dementia Advisory Group and Alliance; an awareness campaign and education in community organisations. Educational events were co-designed and co-facilitated by people with dementia and their care partners. To assess project reach and changes in attitudes of community members, two cross sectional surveys were conducted with adults (aged over 18 years) using validated scales. Independent samples t-tests compared responses to the surveys prior to the commencement of the project (2014) and two years later (2016). In 2016, respondents showed increased agreement with the statements: ‘People with dementia participate in a wide variety of activities and interests,’ and, ‘It is easy to find out about dementia friendly services or organisations in Kiama’. Respondents who attended an educational event reported less negative views about how they themselves would feel if they were diagnosed with dementia compared with respondents who did not attend an event. CBPAR appears useful to support the involvement of people with dementia and the engagement of the community to improve awareness of dementia services. The direct involvement of people living with dementia as spokespeople and educators was an effective way to improve positive attitudes and reduce the negative stereotypes associated with living with dementia. Further research is needed to compare different approaches to the creation of dementia friendly communities in different locations, and to establish the extent to which local interventions are useful to complement efforts to raise awareness of dementia at a national level.

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