Journal of evaluation in clinical practice最新文献

{"title":"Clinical Support System for Healthcare Providers Using Big Data Analytics","authors":"K. Arunmozhi Arasan,&nbsp;E. Ramaraj,&nbsp;A. Padmapriya","doi":"10.1111/jep.70014","DOIUrl":"https://doi.org/10.1111/jep.70014","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The healthcare industry is rapidly evolving due to digital innovation and technological advancements. The increasing volume of healthcare data necessitates efficient analytical methods to extract meaningful insights. Traditional health data analysis platforms primarily focus on data collection, aggregation, processing, analysis, visualisation, and interpretation. However, challenges remain in optimising these processes for effective disease prediction and decision-making.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study proposes the k-means termite clustering model (KTCM) as a novel optimisation approach for healthcare data analysis. The model integrates graph reduction techniques for data preprocessing, followed by storage in a clinical database. A mining algorithm is employed to analyse the processed data, enhancing predictive accuracy. Healthcare professionals receive training on standardised prediction methodologies to refine disease forecasting based on historical benchmarks. The model's performance is evaluated using statistical metrics, including <i>R</i>², REMS, MSE, MAE and MAPE.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The proposed KTCM model demonstrates superior predictive performance, achieving an <i>R</i>² value of 99.7%, surpassing other existing methods. The advanced clustering and optimisation techniques improve the accuracy and efficiency of disease prediction, thereby aiding healthcare professionals in making informed decisions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The KTCM approach significantly enhances healthcare data analysis by optimising disease prediction through efficient clustering and mining techniques. The model's high accuracy and improved parameter optimisation validate its effectiveness in clinical decision support. Future work may explore further refinements in algorithmic performance and real-time implementation in healthcare systems.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143423812","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":"Capturing Real-World Rare Disease Patient Journeys: Are Current Methodologies Sufficient for Informed Healthcare Decisions?","authors":"Kristen A. Cribbs,&nbsp;Lucas T. A. Blackmore,&nbsp;Asia R. Banks,&nbsp;Da Sol Kim,&nbsp;Betsy J. Lahue","doi":"10.1111/jep.70010","DOIUrl":"https://doi.org/10.1111/jep.70010","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Rationale&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Despite growing emphasis among healthcare decision-makers on patient perspectives and real-world outcomes to inform care and access decisions, understanding of patient journey experiences in rare diseases remains limited due to data collection and evaluation challenges.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aims and Objectives&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This systematic literature review (SLR) assessed study designs, methodologies, and outcomes reported in real-world investigations of rare disease patient journeys.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Searches in PubMed and Google Scholar targeted English-language publications and congress proceedings from 1 January 2014, to 30 April 2024, including rare disease patients, caregivers, or healthcare providers. Keywords included ‘Journey’, ‘Path’, or ‘Odyssey’. Two reviewers independently assessed eligibility and abstracted data. Descriptive analyses and quality assessments were conducted.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Thirty-one studies met inclusion criteria, with 296,548 participants spanning over 600 rare diseases. Most studies used prospective observational (61%) and cross-sectional (26%) designs and were conducted in Europe (45%). Interviews (39%) and surveys (29%) were common methodologies. Patients (87%) were the primary research focus, compared to caregivers (32%) or providers (10%). The most studied journey stages were ‘Pre-diagnosis/Screening’ (97%) and ‘Diagnosis’ (84%), while ‘Disease Awareness’ (16%) and ‘Treatment Adherence’ (6%) were less common. Across 164 outcomes reported, frequent outcomes included ‘Healthcare Resource Utilization’ (94%), ‘Symptoms’ (74%), and ‘Time-to-Diagnosis’ (71%). Fewer studies reported ‘Costs’ (19%), ‘Caregiver/Family Burden’ (16%), and ‘Productivity’ (13%). Time-to-diagnosis averaged 11.8 years and a median of 6.1 years. All but one study (97%) was rated low or very low quality due to observational designs.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Most rare disease patient journey evidence focuses on ‘Pre-diagnosis/Screening’ and ‘Diagnosis’ stages using qualitative methods and surveys. While symptoms, time-to-diagnosis, and resource utilization were commonly reported, evidence gaps included treatment adherence, caregiver burden and productivity. Longitudinal assessments to collect real-world care and treatment burden outcomes, including caregiver perspectives, can enhance both clinician and policy decision-making","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143423813","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":"Usability and User's Satisfaction of an Electronic Case Report Form Implemented in the REDCap System in the HIV Clinical Research Context: The Use Case of DOLAM Clinical Trial","authors":"Elisa De Lazzari,&nbsp;Montserrat Laguno,&nbsp;Josep Mallolas,&nbsp;Esteban Martínez","doi":"10.1111/jep.70020","DOIUrl":"https://doi.org/10.1111/jep.70020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The clinical data management within biomedical research has gained importance over the last decade producing an increasing need of a web-based software application providing electronic data capture and clinical data management functionalities to ensure high quality data. We chose REDCap system over OpenClinica (free-distribution) to implement the electronic case report form (eCRF) at our HIV Unit. We then evaluated eCRF usability and stakeholder satisfaction in an upcoming Phase 4 clinical trial.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We assessed the perceived usability of the eCRF by different professional users, including nurses, researchers, study monitors and coordinators of the phase-4 clinical trial, and their satisfaction using the System Usability Scale (SUS) questionnaire and the Net Promoter Score (NPS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nineteen out of 21 persons involved agreed to participate. All were female, with mean age of 35 years (SD: 7), 11 were study coordinators or monitors, 5 nurses and 3 clinicians/researchers. The median SUS was 72.5 (IQR: 62.5; 80.0): monitors/study coordinators had median score of 77.5, researchers/clinicians, 72.5 and nurses, 57.5. Less Information Technology (IT) or computer-experienced scored higher 92.5 (57.5; 95.0) versus more experienced 71.3 (62.5; 78.8). The overall NPS (% promoters–% detractors) was 21.1, 7 (37%) users were promoters, 9 (47%) passives and 3 (16%) detractors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>When adopting a new system, measuring user's perceived usability and satisfaction in a quantitative manner and with validated measures may be useful to identify users' uncovered needs and to improve future interaction user-system that will positively affect the quality of data managed in clinical research.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143397109","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":"Remote Spirometry, Education, and Action for COPD Diagnosis and Management in Rural and Medically Underserved Settings in South Carolina: Protocol for an Observational Feasibility Study","authors":"Sarah N. Miller,&nbsp;Susan McCabe,&nbsp;Emily Morgan,&nbsp;Ramzy Al Hourany,&nbsp;Michelle Nichols,&nbsp;Terri Fowler,&nbsp;Whitney Smith,&nbsp;Cathy Durham,&nbsp;MaryChris Pittman,&nbsp;Mohan Madisetti,&nbsp;Ronald Teufel II,&nbsp;Andrea Swartz,&nbsp;Charlie Strange","doi":"10.1111/jep.70003","DOIUrl":"https://doi.org/10.1111/jep.70003","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 &lt;p&gt;Individuals living in rural or medically underserved areas (MUA) with chronic obstructive pulmonary disease (COPD) face significant barriers to specialised pulmonary care, including pulmonologists, diagnostic spirometry, and pulmonary rehabilitation. Remote spirometry for diagnostic screening and disease monitoring may mitigate access barriers and contribute to improved COPD management in this population. This study protocol describes the proposed implementation of a Mobile Health (mHealth) intervention using Bluetooth-enabled portable spirometry combined with a mobile disease management platform.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objective&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The purpose of this study is to evaluate the acceptability and feasibility of an mHealth intervention with Bluetooth-enabled remote spirometry for remote patient monitoring of patients with COPD who are living in rural and/or medically underserved areas of South Carolina. Our exploratory aim is to investigate the potential benefits of remote monitoring and telehealth education on disease symptoms, dyspnoea, and COPD management. Our long-term goal is to expand access, employ evidence-based data, and support shared decision-making in diagnosing and managing underserved patients with COPD.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This is a 2-stage prospective observational study. In stage 1, healthcare providers who care for this population will participate in a focus group to explore provider perspectives and preferences toward implementation of remote spirometry in a medically underserved setting. Potential barriers and facilitators will be identified, and if needed, study implementation procedures will be refined based on provider feedback. In stage 2, a target of 120 adults with COPD will be recruited using a combination of direct study referrals, cold contact methods, community partners' recruitment, flyers, and social media posts. Screened and consented subjects will receive training on using the mHealth application and remote spirometer. Survey measures will be collected at baseline and repeated at months 1, 3, and 6, followed by an exit survey at the study conclusion. Using end-of-study questionnaire and repeated measures, we will evaluate feasibility by obtaining variability estimates for secondary outcome measures. Semi-structured key informant interviews will be conducted to explore patient preferences, potential barriers, acceptability, and recommendations for future intervention refinement.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;An mHealth intervention using Bluetooth-enabled remote portable spirometry is a potential solution to expanding healthcare access and improving outcomes in un","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143397110","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":"The Current Status and Factors Influencing the Discharge Readiness of Parents of Children With Pneumonia: A Cross-Sectional Survey","authors":"Yue Wang,&nbsp;Chuan Ying Zhang,&nbsp;Gui Yue Ma,&nbsp;Wei Wei","doi":"10.1111/jep.70009","DOIUrl":"https://doi.org/10.1111/jep.70009","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Pneumonia is the primary cause of pediatric hospitalization and the most frequent cause of death among children under the age of five in China. The parental discharge teaching quality and discharge readiness have a significant impact on children's health outcomes and readmission.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Research Aim</h3>\u0000 \u0000 <p>The study was conducted to assess the discharge readiness and the quality of discharge teaching of parents of children with pneumonia, examine their relationship, and identify key influencing factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted from May to October 2023. Participants, a total of 202 parents, were given anonymous questionnaires on the day of discharge, including the Readiness for Hospital Discharge Scale—Parent Form and the Quality of Discharge Teaching Scale—Parent Form.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results showed a medium level of discharge readiness and a low level of discharge teaching quality. Additionally, there was a strong positive association between the aforementioned. The quality of discharge teaching, parents' perceived severity of the child's illness, the child's age and the child's disease status were the main factors determining discharge readiness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Pediatricians are encouraged to consider this outcome to develop targeted interventions that improve parental discharge teaching, discharge readiness and post-discharge outcomes for children with pneumonia.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143397108","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":"Psychometric Properties of Self-Reported Financial Toxicity Measures in Cancer Survivors: An Overview of Systematic Reviews","authors":"Leilei Li,&nbsp;Hui Qu,&nbsp;Chaohong Fu,&nbsp;Jianpei Niu,&nbsp;Changyong Yang","doi":"10.1111/jep.70013","DOIUrl":"https://doi.org/10.1111/jep.70013","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim(s)</h3>\u0000 \u0000 <p>To assess the methodological quality and psychometric properties of self-reported financial toxicity measures for cancer survivors, to offer evidence-based guidance for the selection of these measures in clinical practice, and to supply methodological references for the enhancement and development of related measures in the future.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>An overview of systematic reviews.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Four academic databases were searched to conduct an overview of systematic reviews published from inception to August 2024. The Overview Quality Assessment Questionnaire (OQAQ) was employed to evaluate the methodological quality of the research included. The consensus-based standards for the selection of health measurement instruments checklist (COSMIN) and the Grades of Recommendation Assessment, Development, and Evaluation (GRADE) system were employed to assess the methodological and psychometric quality of the financial toxicity measures included.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Six systematic reviews satisfied the inclusion criteria. The OQAQ results indicated that six studies exhibited significant methodological quality defects, each receiving a score of 3 points. COST-v1, COST-v2, HARDS, ENRICh, and FinTox were classified as level A. Ten measures were classified as level B, lacking evidence to support content validity and internal consistency as ‘+’. Seven measures were classified at level C, supported by high-quality evidence indicating certain domains as ‘−’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>COST is advised as the best appropriate measurement standard for research and clinical practice across many global contexts. HARDS and ENRICh were advised to select only after thoroughly evaluating the local socio-economic context. FinTox is particularly suggested for the assessment of severe FT. SFDQ and FIT are advised for selection following an evaluation of therapy alternatives and the cancer's location.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for the Patient Care</h3>\u0000 \u0000 <p>Healthcare professionals can implement evidence-based measures in clinical practice to effectively assess the financial toxicity experienced by cancer survivors, offer policy-oriented interventions, and enhance patient-reported outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143397107","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":"Convocation Address at McMaster: Evidence-Based Medicine, Predictability and Unpredictability","authors":"John P. A. Ioannidis","doi":"10.1111/jep.70026","DOIUrl":"https://doi.org/10.1111/jep.70026","url":null,"abstract":"&lt;p&gt;Madam Chancellor, President Farrar, Honored Guests, Graduands, Family, and Friends:&lt;/p&gt;&lt;p&gt;It is a great honor and unique pleasure to receive this doctorate from McMaster University and to give this Convocation Address. McMaster is a leading world-class institution. This is the place where evidence-based medicine was born, where its principles matured and where its impressive applications keep growing. The advent of evidence-based medicine represents a momentous turning point in the history of health sciences and health care. I come today as a pilgrim to your institution thankful for everything I have learned from you over the years. I hope to continue to learn from your brilliant achievements for years to come.&lt;/p&gt;&lt;p&gt;I congratulate all of you who graduated today. I am delighted to share your joy and applaud your accomplishments. You and your family and friends must be very proud. May your paths in the future provide abundant opportunities for more celebration and joy, for exciting stimulation and a sense of fulfilment.&lt;/p&gt;&lt;p&gt;While I wish you success in all your endeavors, this is not enough. My valediction needs to be coupled with a second wish: May you have wisdom, resilience, and ingenuity to benefit also from whatever disappointments, obstacles, and frustrations you may encounter. Setbacks and failures can be wonderful. I admire people who can become grand masters at the art of failing. Personally, I am grateful for my numerous failures and defeats, for all the calamities I have encountered. I consider myself fortunate whenever I realize even more deeply how little I know, how uninformed or misinformed I have been, how miserably I have failed. Then I have a reason to wake up the next day and do better. Well, perhaps one day I may wake up and think that everything is perfect. If that perfection ever happens, I suspect I will be hallucinating, lobotomized, or clinically dead.&lt;/p&gt;&lt;p&gt;None of us knows for sure what the next day will be like. I do like to plan, even meticulously so. I try to think in advance, using the best available evidence. I indulge in making far-reaching plans and outlines for research, for projects or for my life. As a meta-researcher focused on research methodology, I am sort of a maniac about fleshing out protocols and methods sections in painful detail. But I am always fascinated by my recurrent inability to predict and by how often these over-ambitious plans require revisions or simply fall apart. Science, medicine, health and life at large can be so stunningly surprising.&lt;/p&gt;&lt;p&gt;We live in an era of tremendous predictive power, or so we are told by experts, decision makers, artificial intelligence gurus, and many other pundits. Both experts and non-experts proclaim predictions all the time. While it is precarious to extrapolate any regression beyond the already observed values, we do this routinely, nonetheless. The voices that are heard the loudest are not necessarily the ones that use the best predictive methods. W.B.","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70026","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143380148","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":"Vaccine Hesitancy Among Family Doctors and Family Health Workers: Prevalence and Associated Factors","authors":"Mehtap Yucel,&nbsp;Merve Aydin Keser","doi":"10.1111/jep.70012","DOIUrl":"https://doi.org/10.1111/jep.70012","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The aim of the study was to determine the prevalence of vaccine hesitancy among family doctors and family health workers regarding vaccines included in the childhood vaccination calendar and to identify factors that may be associated with vaccine hesitancy among participants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 131 people, 76 family doctors and 55 family health workers in Bilecik province and its districts, representing 89.7% of the population, were included in the cross-sectional study. The study data collection period was 01−31 March 2024. Data were collected online. All participants were asked to complete a socio-demographic data form, their intention to vaccinate their children for each of the 14 vaccines included in the vaccination calendar in Turkey, and a data collection form asking about variables that may be associated with vaccine hesitancy. Participants were categorised according to their intention to vaccinate their children and grouped into vaccine hesitancy and vaccine acceptance, and statistical analyses were performed between the groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>It was found that 19.1% of participants had at least one vaccine hesitancy. The age and years of experience of family doctors and family health workers with vaccine hesitancy were higher than those with vaccine acceptance. In addition, the rate of vaccine ambivalence was significantly higher among these participants who had children (<i>p</i> &lt; 0.05).</p>\u0000 \u0000 <p>The belief that children should only be vaccinated against serious diseases is significantly higher among vaccine ambivalent than vaccine accepting respondents (<i>p</i> &lt; 0.05). The belief that vaccines are not one of the safest ways to protect against infectious agents, the belief that vaccines have not become better and more effective through scientific research, and the belief that vaccines do not strengthen the immune system were significantly higher among vaccine ambivalents than among vaccine acceptors (<i>p</i> &lt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In conclusion, the results of this study indicate that vaccine hesitancy is common among healthcare workers, that vaccine hesitancy is associated with factors such as age, working years, and having children, and that individuals with vaccine hesitancy hold various misconceptions about vaccines.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143380149","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":"Effect of a Contamination Prevention Activity Against Contamination of Blood Culture","authors":"Jun Ohnishi,&nbsp;Naoto Ishimaru,&nbsp;Toshio Shimokawa,&nbsp;Saori Kinami,&nbsp;Takahiro Nakajima,&nbsp;Yohei Kanzawa,&nbsp;Shimpei Mizuki","doi":"10.1111/jep.70024","DOIUrl":"https://doi.org/10.1111/jep.70024","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Blood culture is important in the diagnosis of blood infections and the identification of treatment strategies. Increased contamination in blood culture is a reduction in quality of care. This retrospective observational study, set in an emergency department in Japan, aims to elucidate the contamination rate before and after the introduction of contamination prevention activities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We compared the contamination rates before and one year after contamination prevention activities. Specifically, these activities included a novel and specific use of a blood culture cart and adherence to a checklist. The checklist included noting the actual site of collection, the method of disinfection, and whether gloves were worn.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There were 1184 and 1129 blood culture samples before and after the preventive activities, respectively. The rates of contamination were 2.03% (95% Cl = 1.30% to 3.00%) and 1.24% (95% Cl = 0.68% to 2.07%), respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Prevention activities including specific use of a blood culture cart and careful adherence to a checklist were not associated with a significant decrease in contamination rate in our hospital. Further studies based in hospitals with greater rates of contamination may see higher rates of reduction.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143380304","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":"Effect of a Volunteer-Staffed Outreach Call Initiative on Video Usage and Attendance for Telehealth Visits in an Urban Primary Care Safety-Net Setting","authors":"Kevin Chen,&nbsp;Khera Bailey,&nbsp;Simon Nemytov,&nbsp;Mackenzie Morrison,&nbsp;Christine Zhang,&nbsp;Kenan Katranji,&nbsp;Hannah B. Jackson","doi":"10.1111/jep.70019","DOIUrl":"https://doi.org/10.1111/jep.70019","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>Telehealth navigation programmes have shown potential to improve video visit usage and attendance. However, their effectiveness in safety-net healthcare settings remains uncertain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims and Objectives</h3>\u0000 \u0000 <p>This project assessed the impact of a volunteer-staffed telehealth navigation programme on video visit usage and attendance at an urban safety-net primary care clinic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Volunteers conducted outreach calls to patients with upcoming telehealth appointments to help them prepare for their visits. Outcomes, including video usage (video vs. audio-only visits) and no-show rates, were compared between patients who received outreach and those who did not.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Analysis revealed no significant differences in video usage (14.1% for outreach vs. 14.0% for non-outreach) or no-show rates (22.5% for outreach vs. 22.0% for non-outreach). The study included 881 patients who received outreach and 2728 patients who did not.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Patients unresponsive to outreach had lower portal activation rates and higher non-attendance, suggesting the presence of distinct engagement subgroups within the population. While volunteer-staffed programmes may provide a practical method to reach patients, telephone outreach alone was insufficient to improve video visit usage or attendance rates. Further research is needed to explore alternative or complementary strategies to enhance telehealth engagement in safety-net settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143379951","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}