Evaluation & the Health Professions最新文献_第3页

Evaluating the Diagnostic Validity of the Ankle-Brachial Index in Diabetic Populations: A Methodological Deconstruction of Pseudo-normality and Its Impact on Health Professional Decision-Making Using a Target Trial Emulation Framework. 评估糖尿病人群踝肱指数的诊断有效性：伪正态性的方法学解构及其对健康专业决策的影响

IF 1.9 3区医学

Evaluation & the Health Professions Pub Date : 2026-07-10 DOI: 10.1177/01632787261468439

Aiden Yi-Fei Wang, Xiu-Wen Ling, Amber Haseeb, Atiqah Aziz, Han-Ling Tan, Terry Hao-Yu Qin

{"title":"Evaluating the Diagnostic Validity of the Ankle-Brachial Index in Diabetic Populations: A Methodological Deconstruction of Pseudo-normality and Its Impact on Health Professional Decision-Making Using a Target Trial Emulation Framework.","authors":"Aiden Yi-Fei Wang, Xiu-Wen Ling, Amber Haseeb, Atiqah Aziz, Han-Ling Tan, Terry Hao-Yu Qin","doi":"10.1177/01632787261468439","DOIUrl":"https://doi.org/10.1177/01632787261468439","url":null,"abstract":"The Ankle-Brachial Index (ABI) is universally mandated for diabetic foot ulcer (DFU) risk stratification, yet its prognostic validity for tissue repair remains structurally inconsistent. To evaluate this diagnostic paradox, we implemented a target trial emulation framework in a dual-campus prospective cohort of 528 patients, utilizing doubly robust estimation and restricted cubic splines to characterize the non-linear relationship between continuous ABI and 20-week healing outcomes. The analysis revealed a profound hemodynamic divergence. The ABI maintained log-linear validity as a predictor against major amputation (OR 0.77 per 0.1-unit increase). In contrast, wound healing followed an inverted U-shaped trajectory. Healing efficacy reached a structural peak at an ABI of approximately 0.90, yielding a 27.9% predicted area reduction. Beyond this threshold, the incremental prognostic benefit of the metric plateaued and eventually collapsed. Sensitivity analyses confirmed that this loss of fidelity is a diagnostic artifact driven by extreme medial arterial calcification (≥1.30) rather than physiological perfusion loss. These findings demonstrate that reliance on categorical ABI thresholds induces a systemic misclassification of microvascular risk. Consequently, clinical guidelines should transition toward continuous hemodynamic profiling and multi-modal assessments to identify occult ischemia in pseudonormalized populations, effectively decoupling diagnostic strategies for limb salvage from tissue repair.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787261468439"},"PeriodicalIF":1.9,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148419772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Learning Beyond Simulation: The Impact of Debriefing Strategies on Health Students' Training. 超越模拟的学习：汇报策略对健康学生训练的影响。

IF 1.9 3区医学

Evaluation & the Health Professions Pub Date : 2026-07-09 DOI: 10.1177/01632787261468355

Sandra Maria Santos Figueiredo, Robson José Souza Domingues, Clemente Neves Sousa

{"title":"Learning Beyond Simulation: The Impact of Debriefing Strategies on Health Students' Training.","authors":"Sandra Maria Santos Figueiredo, Robson José Souza Domingues, Clemente Neves Sousa","doi":"10.1177/01632787261468355","DOIUrl":"https://doi.org/10.1177/01632787261468355","url":null,"abstract":"This article aims to identify the debriefing strategies used in realistic simulation (RS) in health education and their impact on students training.Methods: This is an integrative literature review, developed based on six methodological steps. The research was carried out in the BVS, Scopus, PubMed, Web of Science, SciELO and LILACS databases, using DeCS/MeSH descriptors and Boolean operators. After screening, 10 articles met the inclusion criteria.Results: The results showed that the most used methods were the structured model, debriefing with reflective feedback and video-based debriefing. These strategies have demonstrated effectiveness in promoting active learning, strengthening clinical reasoning, developing technical and non-technical skills, and increasing self-confidence. Improvements were also observed in psychosocial aspects such as emotional safety and empathy.Conclusion: The analysis revealed that debriefing acts as a fundamental pedagogical tool, promoting significant learning experiences that contribute to the student's development. It is concluded that this last stage of RS is essential and should be conducted in a structured manner, by trained facilitators, with methodologies adapted to the context and needs of students. Investment in teacher training and future studies to evaluate the effectiveness of strategies in the long term are recommended.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787261468355"},"PeriodicalIF":1.9,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148410996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Signal versus Diagnosis: From Burnout Risk Screening to Care. 信号与诊断：从倦怠风险筛查到护理。

IF 1.9 3区医学

Evaluation & the Health Professions Pub Date : 2026-07-07 DOI: 10.1177/01632787261467922

Leon T De Beer

引用次数: 0

The "Twilight Zone" Is a Danger Zone: Why the Occupational-Clinical Divide in Burnout Assessment Is a False Dichotomy. “模糊地带”是危险地带：为什么职业-临床职业倦怠评估是一个错误的二分法。

IF 1.9 3区医学

Evaluation & the Health Professions Pub Date : 2026-06-05 DOI: 10.1177/01632787261459524

Llewellyn Ellardus van Zyl

{"title":"The \"Twilight Zone\" Is a Danger Zone: Why the Occupational-Clinical Divide in Burnout Assessment Is a False Dichotomy.","authors":"Llewellyn Ellardus van Zyl","doi":"10.1177/01632787261459524","DOIUrl":"10.1177/01632787261459524","url":null,"abstract":"De Beer (2026) argues that burnout's ICD-11 classification as an \"occupational phenomenon\" necessitates a stricter separation between organizational screening and clinical diagnosis. This commentary challenges that \"dual approach\" as a false dichotomy that underestimates the biological reality of chronic stress. Drawing on biomarker research from 2024 and 2025 and the validation logic of the Burnout Assessment Tool that De Beer published on extensively in the past, I argue that the occupational-clinical split risks functioning as a liability shield rather than a care pathway. When we deny the diagnostic validity of workplace screening, we create a \"Twilight Zone\" where employees with severe symptoms can be given organizational \"risk\" labels without corresponding clinical recognition or care. I propose an Integrated Continuum Model where workplace screening functions as valid Stage 1 assessment within a coordinated care pathway, ensuring that high-risk scores trigger immediate clinical triage rather than administrative limbo. The failure to integrate these approaches does not protect employees. It leaves them without a clear path to appropriate care.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787261459524"},"PeriodicalIF":1.9,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13683903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148175737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Measurement Invariance of the Basic Psychological Need Satisfaction Subscale Between Individuals With Psychiatric and Non-psychiatric Disabilities. 精神障碍与非精神障碍个体基本心理需求满足子量表的测量不变性。

IF 1.6 3区医学

Evaluation & the Health Professions Pub Date : 2026-06-01 Epub Date: 2025-03-17 DOI: 10.1177/01632787251327681

Heerak Choi, Aaron J Kaat

引用次数: 0

Evaluation of Interventions to Improve Vaccination Coverage Among Children Aged 12-23 Months in Urban Slum Areas of Bangladesh Using the WHO Interactive Evidence to Decision (iEtD) Framework: A Stakeholder Perspective. 利用世卫组织交互式证据决策（iEtD）框架评估改善孟加拉国城市贫民窟地区12-23个月儿童疫苗接种覆盖率的干预措施：利益相关者视角

IF 1.6 3区医学

Evaluation & the Health Professions Pub Date : 2026-06-01 Epub Date: 2025-06-19 DOI: 10.1177/01632787251353747

Kazi Fayzus Salahin, Wit Wichaidit, Quazi Monirul Islam, Tippawan Liabsuetrakul

{"title":"Evaluation of Interventions to Improve Vaccination Coverage Among Children Aged 12-23 Months in Urban Slum Areas of Bangladesh Using the WHO Interactive Evidence to Decision (iEtD) Framework: A Stakeholder Perspective.","authors":"Kazi Fayzus Salahin, Wit Wichaidit, Quazi Monirul Islam, Tippawan Liabsuetrakul","doi":"10.1177/01632787251353747","DOIUrl":"10.1177/01632787251353747","url":null,"abstract":"Childhood vaccination is the most cost-effective public health intervention; however, coverage in slum-like areas remains a significant challenge because of unique socio-economic disparities and logistical barriers. We aimed to evaluate the interventions from the literature on improving vaccination coverage among children aged 12-23 months in slum areas using the WHO iEtD framework and the TOPSIS-Entropy method for decision-making in Bangladesh and identify stakeholders ranks and felt needs of interventions across study slums. This cross-sectional study was conducted in six slums in two city corporation areas in Dhaka, Bangladesh involving 67 demand-side and 35 supply-side stakeholders. Rating scores ranged from 0 to 1, indicating priority interventions. Our study highlights that demand-side stakeholders favour incentive interventions, whereas supply-side stakeholders support multicomponent strategies. For all stakeholders, educational interventions were ranked highest with a score of 0.745, followed by multicomponent interventions (score 0.666), incentive (score 0.651), and reminder/recall scoring (score 0.305). Educational interventions were identified as a shared priority (common ground), addressing the felt needs of both demand- and supply-side stakeholders. These findings support tailored context-specific approaches to enhance vaccination coverage and child health in vulnerable communities.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"154-163"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144483747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring Stakeholder Involvement in Intervention Implementation Studies: Systematic Evidence Synthesis With an Evidence Gap Map Approach. 探索利益相关者在干预实施研究中的参与：基于证据缺口图方法的系统证据合成。

IF 1.9 3区医学

Evaluation & the Health Professions Pub Date : 2026-06-01 Epub Date: 2025-06-26 DOI: 10.1177/01632787251352837

Kristina Arnahoutova, Sabina De Geest, Juliane Mielke, Annette Boaz, Helene Schoemans, Sabine Valenta

{"title":"Exploring Stakeholder Involvement in Intervention Implementation Studies: Systematic Evidence Synthesis With an Evidence Gap Map Approach.","authors":"Kristina Arnahoutova, Sabina De Geest, Juliane Mielke, Annette Boaz, Helene Schoemans, Sabine Valenta","doi":"10.1177/01632787251352837","DOIUrl":"10.1177/01632787251352837","url":null,"abstract":"Stakeholder involvement (SI) is essential for effective and sustainable intervention implementation, yet practical guidance is lacking. This study mapped SI use in implementation science studies, identified gaps, and proposed a practical framework for improved SI planning. Using an evidence gap map approach, this study built on Mielke et al.'s (2022) methodology, which identified implementation studies from 2015-2020. The search was updated to include studies from 2021-2023 from PubMed, using the same search strategy and inclusion criteria. Data extraction followed the Guidance for Reporting on Involvement of Patients and the Public reporting checklist. From 10,184 studies, a random sample of 2,005 was screened, adding 162 implementation science studies to Mielke et al.'s 110, totaling 272 studies for SI analysis. SI was reported in 89% of studies, but often lacked depth and strategic planning. Stakeholders were mainly engaged during the preparatory phase. Most studies involved micro- and meso-level stakeholders, rarely including macro-level stakeholders. Few described stakeholder selection or preparation. SI was mostly consultative, via interviews, surveys, and focus groups, with limited active collaboration. SI processes and costs were rarely evaluated. Our findings underscore the need for structured, comprehensive SI planning and offer practical recommendations to strengthen SI efforts in implementation research.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"123-139"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13069137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144505308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mapping Longitudinal Dynamics of Learning Communities Dealing With Dutch Healthy Weight Approaches: An Updated Causal Loop Diagram. 绘制纵向动态的学习社区处理荷兰健康体重方法：一个更新的因果循环图。

IF 1.9 3区医学

Evaluation & the Health Professions Pub Date : 2026-06-01 Epub Date: 2025-08-14 DOI: 10.1177/01632787251368438

Maud J J Ter Bogt, Kirsten E Bevelander, Iris E Scholte, Tessa Huttenhuis, Allia C de Rooij, Gerard R M Molleman, Maria E T C van den Muijsenbergh, Gerdine A J Fransen

{"title":"Mapping Longitudinal Dynamics of Learning Communities Dealing With Dutch Healthy Weight Approaches: An Updated Causal Loop Diagram.","authors":"Maud J J Ter Bogt, Kirsten E Bevelander, Iris E Scholte, Tessa Huttenhuis, Allia C de Rooij, Gerard R M Molleman, Maria E T C van den Muijsenbergh, Gerdine A J Fransen","doi":"10.1177/01632787251368438","DOIUrl":"10.1177/01632787251368438","url":null,"abstract":"Learning communities (LCs) stimulate the learning and cross-sectoral collaboration that are essential in multidisciplinary challenges, such as healthy weight approaches (HWAs). Previous research on two multidisciplinary LCs about HWAs devised a causal loop diagram (CLD) identifying dynamics (i.e., mechanisms) that describe the functioning of LCs during their starting phase (first 6 months after LC start). As LCs are likely to develop over project phases, this study aimed to ascertain whether and how the LC system dynamics were perceived to develop over time. Qualitative interviews conducted with the LC members at a second juncture were processed to be able to update the initial CLD. The updated diagram indeed illustrated how the multidisciplinary LCs were perceived to develop. The CLD became more extensive and consequently further explained three aspects: the complexity and interrelatedness of group dynamics, gaining insights through exchange, and conditions to execute actions. To ensure adequate group dynamics, learning, and action execution, LC stakeholders can regularly use the CLD as a blueprint to identify solutions for LC bottlenecks, such as members limitedly arranging the LC jointly. Future research is needed to investigate whether such developments are caused by different LC project phases and/or by the number of LC meetings and reflections.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"140-153"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13069132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144845073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Comprehensive Simulation Study to Evaluate the Effect Size and Study Length Relationship in Single-Group Interrupted Time Series Analysis. 评价单组中断时间序列分析中效应大小和研究时间关系的综合模拟研究。

IF 1.9 3区医学

Evaluation & the Health Professions Pub Date : 2026-06-01 Epub Date: 2025-07-15 DOI: 10.1177/01632787251361514

Ariel Linden

{"title":"A Comprehensive Simulation Study to Evaluate the Effect Size and Study Length Relationship in Single-Group Interrupted Time Series Analysis.","authors":"Ariel Linden","doi":"10.1177/01632787251361514","DOIUrl":"10.1177/01632787251361514","url":null,"abstract":"Single-group interrupted time-series analysis (ITSA) is a popular non-experimental study design in healthcare research. However, little guidance is available to inform the power requirements of ITSA studies under most common usages. We performed simulations to estimate the number of time periods (ranging from 10 to 100) required for percentage increases in level and trend (from baseline), to achieve statistical significance (p < 0.05, p < 0.01) with >80% and >90% power, when autocorrelation ranges from -0.90 to 0.90, and the intervention is introduced at 33%, 50% and 67% of the time series. Larger effect sizes were required for shorter studies, as well as with increasing autocorrelation, and when the intervention was introduced earlier or later than halfway in the time series. The required effect sizes were generally lower for estimating a change in the level of the time series as compared with the change in the trend, but the opposite was true when the number of time periods was larger. Simulations of studies with 10 time periods consistently produced unreliable estimates. The tables created from these analyses as well as a new community-contributed Stata package called POWER_ITSA will guide healthcare researchers in determining the most efficient way to achieve anticipated treatment effects in single-group ITSA studies.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"181-190"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13069133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144636645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Received Social Support Scale for Persons With Mental Illness: Psychometric Properties, Validity and Reliability of the Turkish Version. 心理疾病患者接受社会支持量表：土耳其语版的心理测量特性、效度和信度。

IF 1.6 3区医学

Evaluation & the Health Professions Pub Date : 2026-06-01 Epub Date: 2025-07-18 DOI: 10.1177/01632787251361540

Emine Nur Celik, Dilek Avci

引用次数: 0