scholarly journals ‘We don’t want to pull away from the initial purpose’: Program stakeholder concerns about expanding their childhood obesity program to focus on multiple behaviors

2020 ◽  
Vol 34 (3) ◽  
Author(s):  
Mary Odum ◽  
Jeff M. Housman ◽  
Leanne M. Raborn
Keyword(s):  
Childhood Obesity ◽  
Parental Involvement ◽  
Nutrition Education ◽  
Qualitative Data ◽  
Low Cost ◽  
Health Educators ◽  
Face To Face ◽  
Stakeholder Perspectives ◽  
Innovative Methods ◽  
Multiple Behaviors

The main objective of this qualitative study was to understand stakeholder perspectives about expanding their childhood obesity program from a single-behavior (physical activity) to a multi-behavior (addition of nutrition) program. Qualitative data from semi-structured, face-to-face interviews with nine program stakeholders were analyzed with the framework method. Findings revealed stakeholder concerns about program expansion. Specifically, results indicated SES and lack of parental involvement remain significant barriers to nutrition education and reinforcement of healthy dietary behaviors at home. Innovative methods using existing, low-cost approaches such as behavioral texts or other low-cost technologiescan assist health educators overcome many of these obstacles.

Uncertainty about cellulitis and unmet patient information needs: a mixed methods study

2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X697349
Author(s):  
Anna Lalonde ◽  
Emma Teasdale ◽  
Ingrid Muller ◽  
Joanne Chalmers ◽  
Peter Smart ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Information Needs ◽  
Qualitative Data ◽  
Information Provision ◽  
Mixed Methods Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Face To Face ◽  
Patient Information Needs ◽  
History Of

BackgroundCellulitis is a common painful infection of the skin and underlying tissues that recurs in approximately a third of cases. Patients’ ability to recover from cellulitis or prevent recurrence is likely to be influenced by their understanding of the condition.AimTo explore patients’ perceptions of cellulitis and their information needs.MethodMixed methods study comprising semi-structured, face-to-face interviews and cross-sectional survey, recruiting through primary care, secondary care and advertising. Adults aged 18 or over with a history of cellulitis (first or recurrent) were invited to complete a survey, take part in an interview or both. Qualitative data was analysed thematically.ResultsThirty interviews were conducted between August 2016 and July 2017. Qualitative data revealed low prior awareness of cellulitis, uncertainty around diagnosis, concern/surprise at the severity of cellulitis, and perceived insufficient information provision. People were surprised they had never heard of the condition and that they had not received advice or leaflets giving self-care information. Some sought information from the internet and found this bewildering. Two hundred and forty surveys were completed (response rate 17%). These showed that, while most people received information on the treatment of cellulitis (60.0%, n = 144), they reported receiving no information about causes (60.8%, n = 146) or prevention of recurrence (73.3%, n = 176).ConclusionThere is a need for provision of basic information for people with cellulitis, particularly being informed of the name of their condition, how to manage acute episodes, and how to reduce risk of recurrence.

Efficacy of Guided Imagery With Theta Music for Advanced Cancer Patients With Dyspnea: A Pilot Study

2010 ◽  
Vol 12 (2) ◽  
pp. 188-197 ◽  
Author(s):  
Wei-Shu Lai ◽  
Co-Shi Chantal Chao ◽  
Wan-Ping Yang ◽  
Ching-Huey Chen
Keyword(s):  
Palliative Care ◽  
Cancer Patients ◽  
Advanced Cancer ◽  
Repeated Measures ◽  
Qualitative Data ◽  
Guided Imagery ◽  
Low Cost ◽  
Borg Scale ◽  
Advanced Cancer Patients ◽  
End Tidal

Background: Dyspnea is a frequent and devastating symptom among advanced cancer patients for which improved and low-cost palliative techniques are needed.Methods: A one-group repeated measures research design investigated the efficacy of guided imagery (GI) with theta music (θM) on dyspnea in advanced cancer patients. The intervention consisted of four periods: (a) pretest; (b) intervention with peaceful non-θM; (c) intervention with 10 min of GI with θM (GI/θM), with the first and last 3 min being θM only (i.e., the middle 4 min was GI/θM); and (d) posttest. Dyspnea outcome was measured with the Modified Borg Scale (MBS) for self-reported evaluation of dyspneic symptoms. Physiological parameters measured were pulse oxygen saturation (SpO2), end-tidal CO2(EtCO2), heart rate (HR), and respiratory rate (RR). Posttest qualitative data were obtained via interview for subjective patient experience.Results: Participants included 53 patients, 33% with lung cancer. GI/θM produced a significant decrease in MBS scores; 90% of the subjects gave positive qualitative reviews of GI/θM. SpO2did not change significantly over time. GI/θM significantly increased EtCO2, decreased RR, and decreased HR.Discussion: This study demonstrates that GI/θM is a useful intervention for palliative care of patients with dyspnea. θM alone was demonstrated to be effective, while soothing non-θM was not effective. GI/θM was more effective than θM alone. GI/θM should be considered low-cost end-of-life palliative care for dyspnea.

Diagnostic accuracy and clinical management by realtime teledermatology. Results from the Northern Ireland arms of the UK Multicentre Teledermatology Trial

1998 ◽  
Vol 4 (2) ◽  
pp. 95-100 ◽  
Author(s):  
M A Loane ◽  
R Corbett ◽  
S E Bloomer ◽  
D J Eedy ◽  
H E Gore ◽  
...  
Keyword(s):  
Diagnostic Accuracy ◽  
Clinical Management ◽  
Low Cost ◽  
Treatment Plan ◽  
Management Plan ◽  
Face To Face ◽  
Management Plans ◽  
Video Link ◽  
The Uk ◽  
Management Recommendations

Diagnostic accuracy and management recommendations of realtime teledermatology consultations using low-cost telemedicine equipment were evaluated. Patients were seen by a dermatologist over a video-link and a diagnosis and treatment plan were recorded. This was followed by a face-to-face consultation on the same day to confirm the earlier diagnosis and management plan. A total of 351 patients with 427 diagnoses participated. Sixty-seven per cent of the diagnoses made over the video-link agreed with the face-to-face diagnosis. Clinical management plans were recorded for 214 patients with 252 diagnoses. For this cohort, 44 of the patients were seen by the same dermatologist at both consultations, while 56 were seen by a different dermatologist. In 64 of cases the same management plan was recommended at both consultations; a sub-optimum treatment plan was recommended in 8 of cases; and in 9 of cases the video-link management plans were judged to be inappropriate. In 20 of cases the dermatologist was unable to recommend a suitable management plan by video-link. There were significant differences in the ability to recommend an optimum management plan by video-link when a different dermatologist made the reference management plan. The results indicate that a high proportion of dermatological conditions can be successfully managed by realtime teledermatology.

Could a low-cost audio-visual link be useful in rheumatology?

2000 ◽  
Vol 6 (1_suppl) ◽  
pp. 35-37 ◽  
Author(s):  
L E Graham ◽  
S Mcgimpsey ◽  
S Wright ◽  
G Mcclean ◽  
J Carser ◽  
...  
Keyword(s):  
Diagnostic Accuracy ◽  
Gold Standard ◽  
Junior Doctor ◽  
Low Cost ◽  
Clinical Signs ◽  
Final Diagnosis ◽  
Provisional Diagnosis ◽  
Face To Face ◽  
Significant Difference ◽  
Small Joint

We have investigated prospectively the diagnostic accuracy, specialist satisfaction and patient–specialist rapport of a low-cost audio-visual link between a junior doctor with a patient and a consultant rheumatologist. Using a telephone link and subsequently a video-phone link, 20 patients, with various rheumatological problems, were presented by a junior doctor to the consultant rheumatologist for provisional diagnosis. All patients were then seen face to face by the consultant, when a final diagnosis was made. An independent consultant rheumatologist made a ‘gold standard’ diagnosis. Thirty-five per cent of diagnoses were made correctly over the telephone and 40% over the video-phone – there was no significant difference in the diagnostic accuracy between these two methods of communication. Rapport over the video-phone was universally poor. Where it was important, clinical signs could not be visualized over the video-phone and in more than 85% of cases small joint swellings could not be seen clearly.

scholarly journals The effectiveness of nutrition education for care takers at Al-Sabah children hospital in patient therapeutic feeding center, Juba South Sudan.

2020 ◽  
Vol 5 (3) ◽  
Author(s):  
John Bosco Alumai
Keyword(s):  
Nutrition Education ◽  
Mixed Method ◽  
Qualitative Data ◽  
Group Discussion ◽  
South Sudan ◽  
Transfer Of Knowledge ◽  
Cross Sectional ◽  
Cross Sectional Design ◽  
Feeding Center ◽  
Successful Transfer

 AbstractBackgroundA key part of treating and preventing malnutrition is the provision of effective nutrition education to the clients and caretakers so that they can self-manage their nutrition needs even after discharge from the hospital. For effective nutrition education, three factors are paramount; The successful transfer of knowledge and skills, client motivation to act on the acquired skills and knowledge and ensuring that the patient is able to understand and put to practice the educational messages given.MethodsThe study used cross sectional design with mixed method of data collection that involved 83 caretakers of admitted SAM children at Al-Sabah children hospital ITC, Sample size was determined using Cochran 1975, interviewer administered questionnaires and focus group discussion guide were the tools used in collecting data.Data set was generated using EPI info and analyzed using SPSS version 21, the analyzed descriptive data was triangulated with the qualitative data collected using FGD.Results The majority of the caretakers were female 78 (94%) of which 68 (81.9%) were mothers to the children that were admitted. Only 8 (9.6%) of the respondents were found to have attained effective nutrition education and majority of the respondents were found not to be recalling the information they were given during the education session.ConclusionAs per the guidelines adapted by the ministry of health republic of South Sudan, the nutrition education sessions conducted was found not be effective as most of the clients could not even recall the information given. 

scholarly journals Adapting a Classroom Simulation Experience to an Online Escape Room in Nutrition Education

2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Jenifer Ross ◽  
Lauri Wright ◽  
Andrea Arikawa
Keyword(s):  
Nutrition Education ◽  
Small Groups ◽  
Video Conferencing ◽  
Care Process ◽  
Face To Face ◽  
Nutrition Care ◽  
Nutrition Care Process ◽  
Nutrition And Dietetics ◽  
Classroom Simulation ◽  
Undergraduate Class

Due to the COVID-19 emergency transition to remote learning, an undergraduate class in nutrition and dietetics modified a face-to-face experiential “escape room” assignment into a comparable online experience. The online assignment was structured so that students had to use knowledge and clues to move through each step of the Nutrition Care Process; students proceeded through the escape room individually until each successfully “escaped.” An important component of this assignment was the postactivity debriefing process, which took place via video conferencing in small groups. Students indicated that they were pleasantly surprised at the effectiveness of the online assignment. However, analytics showed that students progressed through most of the steps fairly quickly; thus, instructors plan to improve future deployments by using a variety of interactive assessments and adding more layered criteria and clues within each of the escape room steps.

scholarly journals Analysing information literacy practices at selected academic libraries in Zimbabwe

2018 ◽  
Vol 20 (1) ◽  
Author(s):  
Thakazile Tshuma ◽  
Joel Chigada
Keyword(s):  
Information Literacy ◽  
Academic Libraries ◽  
Qualitative Data ◽  
Literacy Practices ◽  
Background Information ◽  
Face To Face ◽  
University Communities ◽  
Group Interviews ◽  
Qualitative Data Analysis Software ◽  
Information Landscape

Background: Information literacy (IL) skills are significant in the knowledge and information economy because the IL skills allow information users to cope with the challenges of an evolving and complex information landscape. IL is one of the most important aspects in academic libraries because it equips university communities with the skills of finding, locating and using information effectively and efficiently.Objectives: The study focused on evaluating the IL programmes and practices, as well as the challenges of implementing IL at selected academic libraries in Zimbabwe. The objective was to establish the existing policies and skills required by institutions of higher learning to implement and teach IL.Method: Qualitative data collected using face-to-face interviews and focus group interviews were analysed with the assistance of Qualitative Data Analysis Software (Atlas. ti version 8). Participants of the study included the library directors and assistant librarians with regard to IL modules and the Zimbabwe Universities Library Consortium policy documents.Results: The results revealed that all librarians understood the importance of IL in academic libraries; however, there were no IL policies and skills in existence, either at national, consortium or institutional levels. The study revealed that Zimbabwean academic libraries used different and incoherent methods in implementing and teaching IL and that IL initiatives were confronted with a myriad of challenges.Conclusion: The study concluded that academic libraries should have IL policies in place which aid in the implementation and teaching of IL in Zimbabwean academic libraries, as well as guide all the consortium members especially on collaboration issues, teaching aspects, as well as the recognition of IL by university stakeholders other than the librarians.

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