Journal of evaluation in clinical practice最新文献

{"title":"Defining Core Evidence-Based Practice Knowledge for Health Professionals: A Delphi Consensus Study","authors":"Clara Carbonell-Crespí,&nbsp;Albert Sesé-Abad,&nbsp;Esther Díaz-Mohedo,&nbsp;Juan Carlos Fernández-Domínguez","doi":"10.1111/jep.70668","DOIUrl":"10.1111/jep.70668","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale, Aims and Objectives</h3>\u0000 \u0000 <p>A clearly defined content domain is needed to assess whether health professionals possess the conceptual knowledge required for Evidence-Based Practice (EBP). Existing competency frameworks and assessment instruments often combine knowledge with skills, attitudes and behaviours, limiting the identification of specific knowledge deficits. This study aimed to define the core EBP knowledge domain and obtain content validity evidence for a taxonomy applicable across health professions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The study comprised three phases. First, two structured literature reviews identified relevant EBP competency frameworks and knowledge assessment instruments. These findings informed the operational definition of the EBP knowledge construct and the development of a preliminary seven-dimension taxonomy. Content validity was then examined through a two-round Delphi study. Eighteen experts participated in the first round and 17 in the second. Panellists rated the adequacy and relevance of each dimension and content area using a six-point Likert scale and provided qualitative feedback. Agreement was defined as the proportion of experts assigning a score of 5 or 6, with a retention threshold of at least 80% for both criteria.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>After the first Delphi round, several areas were reformulated, redistributed or removed to reduce conceptual overlap, and two dimensions were eliminated. In the second round, all retained dimensions and areas reached the agreement threshold except one newly introduced area, which was removed. The final taxonomy comprised 15 content areas organised into five dimensions: clinical question formulation, scientific literature search, critical appraisal, evidence implementation and knowledge translation, and evaluation of the EBP process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The taxonomy provides a consensus-informed representation of core EBP knowledge and distinguishes conceptual knowledge from broader professional competence. It offers a basis for future objective assessment development and for identifying knowledge gaps in EBP training and implementation initiatives.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"32 7","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70668","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149194778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exercise Discontinuation in Chronic Low Back Pain: Why Protocol Reporting Matters","authors":"G. Shankar Ganesh","doi":"10.1111/jep.70677","DOIUrl":"10.1111/jep.70677","url":null,"abstract":"","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"32 7","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149182473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shared Decision-Making in Diabetes Mellitus: Turkish Adaptation and Initial Psychometric Evaluation of the CollaboRATE-5 Scale","authors":"Merve Toçoğlu,&nbsp;Ayşe Gülsen Ceyhun Peker,&nbsp;Derya Gökmen,&nbsp;Rıfat Emral","doi":"10.1111/jep.70671","DOIUrl":"10.1111/jep.70671","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>Shared decision-making is a core component of diabetes care and is recommended in current guidelines, yet no brief validated Turkish instrument is available for assessing it in routine practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims and Objectives</h3>\u0000 \u0000 <p>To adapt the CollaboRATE-5 scale into Turkish and to evaluate its psychometric properties for assessing patients' perceived involvement in shared decision-making.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This methodological and cross-sectional study was conducted among 200 patients with diabetes mellitus attending the outpatient clinics of the Department of Endocrinology and Metabolism at Ankara University School of Medicine İbn-i Sina Hospital. Adaptation followed standard translation, back-translation, and cultural adaptation procedures. Factor loadings were examined by confirmatory factor analysis, internal consistency by Cronbach's alpha and corrected item-total correlations, and test-retest reliability by intraclass correlation coefficient. Construct validity was assessed by hypothesis testing against the Decisional Conflict Scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The Turkish CollaboRATE-5 demonstrated high internal consistency (Cronbach's alpha = 0.918). Test-retest reliability was assessed in 65 of the 200 participants (ICC = 0.892); those retested had higher baseline scores. Corrected item-total correlation coefficients ranged from 0.776 to 0.866. Standardized factor loadings were high (0.872–0.986), but structural validity could not be independently confirmed in a just-identified three-item model. The mean CollaboRATE total score was 9.51 ± 2.22 (possible range 0−12), and 31.5% of participants achieved the maximum score. CollaboRATE scores showed a moderate-to-high, significant inverse correlation with total Decisional Conflict Scale scores (<i>r_s</i> = −0.641, <i>p</i> &lt; 0.001). In exploratory analyses, higher scores were associated with higher educational level, better perceived health status, and male sex (all <i>p</i> &lt; 0.01).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The Turkish CollaboRATE-5 provides preliminary evidence for reliability and construct validity as a brief measure of perceived shared decision-making in individuals with diabetes mellitus.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"32 7","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metapersonal Care as Philosophical Health","authors":"Luis de Miranda","doi":"10.1111/jep.70666","DOIUrl":"10.1111/jep.70666","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>This paper addresses the aims of the present journal concerning health philosophy and person-centred healthcare. Person-centred care corrected the reduction of patients to bodies and pathologies, yet its interpretation and application remain somewhat inconsistent. This article locates the inconsistency in an unresolved philosophical question: which self is the person on whom care is centred. Under pressure, a person tends to default to an inherited self rather than explore their own philosophy of life, so that an expressed preference may record the default self rather than the thinking person.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims and Objectives</h3>\u0000 \u0000 <p>To diagnose the root of the inconsistency and to articulate metapersonal care as a necessary criterion distinguishing philosophical from naive person-centred care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Conceptual and philosophical analysis, in dialogue with the person-centred care and capabilities literatures, relational conceptions of autonomy, and psychological accounts of decentring, drawing on Spinoza, Murdoch, and Foucault for the theory of self-relation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>What care records when it asks what the patient wants is often not the person but the epochal default self: the inherited configuration that presents itself as authentic precisely because it is immediate. Hence the paradox: the more immediately personal an expression, the more generic it may be. Between identifying with that configuration and bracketing it in the name of detachment, I develop a third position, <i>metapersonality</i>, the capacity to inhabit one's historically constituted personality without granting it sovereignty. Applied to care, this yields <i>metapersonal care</i>, helping the person to become capable of exploring the lived philosophy from which their preferences arise, and of reaffirming or revising them.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Metapersonal care names a necessary criterion of adequate person-centred care, one that philosophical health practices are designed to serve. Its horizon is <i>eudynamia</i>, in which cultivation of the self and composition of a shared world are no longer separable ends.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"32 7","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13657399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149165945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Decision Support for Adult Enteral Nutrition: Literature Overview and Preliminary Hospital-Based Evaluation","authors":"Panos Papandreou,&nbsp;Alexandra Foscolou,&nbsp;Aristea Gioxari,&nbsp;Paraskevi Detopoulou","doi":"10.1111/jep.70612","DOIUrl":"10.1111/jep.70612","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>Clinical Decision Support Systems (CDSS) are increasingly used to enhance medical decision-making, including nutrition support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to narratively review CDSS tools for enteral nutrition (EN) and to preliminarily evaluate a locally developed internal-use CDSS designed to calculate patients' nutritional requirements and assist in the selection of EN and oral nutritional supplements (ONS) in adult hospitalized patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Literature search was conducted in PubMed to identify existing CDSS tools used for assisting EN. Additionally, the internal-use CDSS was pilot-tested in 27 adult inpatients admitted to a private hospital in Athens, Greece. Differences in the time required to prepare the manually derived EN/ONS plan and the CDSS-derived plan were recorded. Discrepancies between the two approaches were assessed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fourteen studies were identified. Although the results were inconsistent, the application of a CDSS seems to reduce calculation time, increase dietitian referrals, initiate faster enteral feeding, improve nutrient delivery, decrease nutritional risk and was associated with fewer feeding-related medical errors. In the pilot-test of the internal-use CDSS, the time required for nutrition planning decreased from 9.01 ± 0.21 min to 4.01 ± 0.35 min per patient. The CDSS and manual approach selected the same EN/ONS products in 66.7% of the cases.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Implementing CDSSs in hospitals may streamline workflow, reduce calculation errors and shorten the time needed per patient. The specific CDSS may reduce the time required for EN/ONS planning and may help standardize formula selection in adult hospitalized patients. These findings require confirmation in larger, multicenter studies with predefined clinical and workflow outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"32 7","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13657400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149169148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Community Pharmacists Use Their Know-Who When Dispensing Medicines: A Qualitative Study","authors":"Céline Slekovec,&nbsp;Louise Joly,&nbsp;Thierry Pelaccia","doi":"10.1111/jep.70664","DOIUrl":"10.1111/jep.70664","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rational</h3>\u0000 \u0000 <p>Recent studies indicate that physicians' and nurses' clinical reasoning partly relies on relational and contextual knowledge, known as ‘Know-Who.’</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study investigated whether community pharmacists also use ‘Know-Who’ in pharmaceutical interventions concerning antimicrobial prescriptions and how it shapes their decision-making.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This qualitative study involved face-to-face interviews with fifteen French community pharmacists. Two independent researchers analysed the data thematically using an integrative approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Pharmacists reported that their decisions relied not only on theoretical and practical knowledge but also on ‘Know-Who’—their understanding of prescribers, patients, and peers. They form implicit mental maps of prescribers based on experience, observation, and, at times, stereotypes. These maps influence confidence in prescriptions, the tailoring of counselling strategies, and the anticipation of prescribers' reactions. Patients' behaviour, understanding, and financial constraints also shape the content, duration, and tone of counselling. While initial prescription analysis was similar across staff, final decision-making was often guided by the pharmacy owner. Overall, ‘Know-Who’ complements theoretical and procedural knowledge, enabling pharmacists to evaluate information credibility, adapt communication and decisions, and anticipate reactions in contextually complex situations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Community pharmacists integrate ‘Know-Who’ with theoretical and practical knowledge to make contextually informed, patient-centered decisions. This relational dimension enables them to manage uncertainty, optimise communication, and foster effective interprofessional collaboration. These findings underscore the importance of incorporating relational and contextual knowledge into pharmacy education and training, and suggest that acknowledging the role of ‘Know-Who’ could enhance both the safety and quality of pharmaceutical care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"32 7","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supportive Outpatient-Provider Communication—A Scoping Review About Expectations, Experiences, and Actual Behaviours Regarding Healthcare Visits","authors":"Sari Knaapi-Junnila,&nbsp;Tuula-Riitta Välikoski,&nbsp;Pekka Isotalus","doi":"10.1111/jep.70626","DOIUrl":"10.1111/jep.70626","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>Twenty-first century healthcare has struggled with chronic illnesses while policies have emphasised patient centeredness and support. The importance of ambulatory visits and self-management necessitate understanding about supportive outpatient-provider communication.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives and Methods</h3>\u0000 \u0000 <p>This systematic scoping review focused on supportive communication as actual behaviours, and outpatients' expectations and experiences concerning visits. CINAHL, CIOS ComAbstracts, CMMC, and MEDLINE were searched for answering questions about (1) the extent, range, and nature of studies and (2) existing knowledge in 21st century. The framework presented by Arksey and O'Malley and the PRISMA Extension for Scoping Reviews were utilised.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>After screening 310 hits, twelve studies were included. Studies were usually quantitative surveys about experiences, cancer, and specialised physicians in US. Existing data suggest that patients share common ground regarding supportive communication preferences while also differences exist. Access to care and it's continuity include in support desires. Provider's and patient's qualities affect provided support. Education and health status, inter alia, affect experiences. Mismatch between expected and experienced support, and experience of non-constructive support include in findings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusion</h3>\u0000 \u0000 <p>This review contributed by summarising the existing studies and findings, and by identifying research gaps. Actual evidence about supporting outpatient-provider communication is still thin and unilateral. Thus, gaps are manifold and we must be cautious with interpretations. Interdisciplinary collaboration is required to enhance our understanding. The lack of studies concerns especially (a) qualitative studies about diverse cultures, patients, and providers in primary care; (b) video materials about actual behaviours; (c) expectations (as values) together with experiences; (d) studies about expectations as probabilities. Importantly, organisations/systems should be perceived as integral (f)actors of supportive outpatient-provider communication. Existing knowledge about supportive, person-centred, and patient-provider communication is valuable until we know more about supportive outpatient-provider communication.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"32 7","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13654483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Clinical Decision Support System for AF Thromboprophylaxis: Its Impact on Residents' Learning and Confidence in Clinical Decision-Making","authors":"Ramin Ansari,&nbsp;Reza Mollazadeh,&nbsp;Mahboobeh Khabaz Mafinejad,&nbsp;Ali Asghar Safaei,&nbsp;Eisa Rezaei,&nbsp;Soha Namazi,&nbsp;Keyhan Mohammadi","doi":"10.1111/jep.70660","DOIUrl":"10.1111/jep.70660","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>Mobile health (mHealth) offers a modern educational approach for delivering behavioural interventions and enhancing healthcare professionals' knowledge, particularly through technology-enhanced tools like clinical decision support systems (CDSS). Given the complexity of AF thromboprophylaxis—balancing thromboembolic/bleeding risk, comorbidities, considering lab data, and drug interactions such tools are critical, as evidence-based thromboprophylaxis reduces both stroke risk and mortality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims and Objectives</h3>\u0000 \u0000 <p>This study aimed to examine changes in clinical pharmacy and cardiology residents' performance on case-based multiple-choice questions (MCQs) related to AF thromboprophylaxis and their self-reported confidence in their responses following exposure to the ACAFiB CDSS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using a quasi‑experimental pre‑test/post‑test design, the ACAFiB web‑based CDSS was assessed for its potential to assist in improving learning and confidence. Fifteen complex clinical scenarios in multiple‑choice format were used for the pre‑test, and another 15 thematically similar scenarios were used for the post‑test. Thirty‑one residents participated in two exams, 1 week apart. During the pre‑test, participants could search freely, whereas in the post‑test, they were restricted to using only ACAFiB. They also reported their confidence level for each response.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Test scores increased from 7.06 ± 2.08 to 10.74 ± 2.11 (<i>p</i> &lt; 0.001; effect size: 1.71), and confidence-weighted scores increased from 0.71 ± 10.05 to 17.90 ± 10.52 (<i>p</i> &lt; 0.001; effect size: 1.43) following ACAFiB exposure. These findings indicate improved performance on the case-based assessment and higher confidence-weighted scores after use of the CDSS. No significant differences were observed between residents based on specialty, residency entry year, or gender.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>In conclusion, this study suggests that the use of the ACAFiB CDSS is associated with improvements in residents' clinical decision-making performance and confidence in managing thromboprophylaxis for AF patients. Future studies should evaluate the tool's effectiveness using patient‑centred outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"32 7","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-Medication in South and Southeast Asia: A Gap-Mapping Review of Patient-Reported and System-Level Evidence","authors":"Ye Pye Sone,&nbsp;Hassan Awan,&nbsp;Mohammed Mustafa","doi":"10.1111/jep.70662","DOIUrl":"10.1111/jep.70662","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>Self-medication is widely documented in South and Southeast Asia and is frequently discussed in relation to antimicrobial resistance, pharmacy practice, regulatory enforcement, and primary care stewardship. However, it remains unclear whether these system- and practice-level domains are empirically examined within the indexed peer-reviewed biomedical self-medication literature from which such claims are drawn.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To map how the PubMed- and Google Scholar–indexed peer-reviewed self-medication literature in South and Southeast Asia is structured, and to examine alignment between the level at which evidence is generated and the level at which interventions are proposed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A gap-mapping review of PubMed- and Google Scholar-indexed studies (January 2000–July 2026) classified empirical evidence across six predefined analytic domains: patient-reported behaviours, patient-reported barriers, pharmacy dispensing practices, regulatory or enforcement processes, primary care consultation processes, and intervention evaluation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirteen empirical studies met inclusion criteria. All (13/13) examined patient-reported behaviours and barriers. Pharmacy dispensing practices were mentioned in 12/13 studies but were not directly examined (0/13). Regulatory processes (0/13), primary care consultation processes (0/13), and intervention evaluation (0/13) were not empirically examined. Nine studies proposed system-level interventions without implementation or outcome evaluation. Only one study included Myanmar participants, limited to Thai-Myanmar border migrant populations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Within the indexed biomedical corpus examined, empirical attention is concentrated at the level of patient-reported behaviour, while system- and practice-level processes remain unexamined. This concentration limits the extent to which claims about pharmacy practice, regulation, and clinical care can be said to derive directly from the mapped evidence base.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"32 7","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From the First Five Days to the First 100 Days: Generalisability and Reporting Gaps in AI-Based Neonatal Pain Assessment","authors":"Didem Tatar,&nbsp;Ercan Yılmaz,&nbsp;Nezihe Köker Özer","doi":"10.1111/jep.70658","DOIUrl":"10.1111/jep.70658","url":null,"abstract":"","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"32 7","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}