Journal of evaluation in clinical practice最新文献

{"title":"The Relationship Between Organizational Agility and Individual Work Performance in Nurse Managers: The Mediator Role of Person-Organization Fit","authors":"Seda Değirmenci Öz,&nbsp;Ayşe Karadaş,&nbsp;Mehmet Gülşen,&nbsp;Serpil Subaşi Çağlar","doi":"10.1111/jep.70418","DOIUrl":"10.1111/jep.70418","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study was planned with a multi-centre design to investigate the mediator role of person-organization fit in the relationship between organizational agility and individual work performance in nurse managers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This multi-centre, descriptive cross-sectional study was carried out with 169 nurse managers working at four public hospitals and two university hospitals operating in two provincial centres. Data were collected face-to-face between January 2025 and March 2025 using a ‘Personal Information Form,’ the ‘Person-Organization Fit Scale,’ the ‘Individual Work Performance Questionnaire,’ and the ‘Organizational Agility Scale.’ Data were analysed using the SPSS Statistics 30.0 programme and the PROCESS Macro v4.2 extension with frequency, percentage, mean and standard deviation values, <i>t</i>-tests, Kruskal–Wallis tests and Pearson's correlation analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Organizational agility had a significant and positive effect on person-organization fit (<i>B</i> = 0.811, SE = 0.068, <i>p</i> &lt; 0.05). Person-organization fit significantly predicted individual work performance (<i>B</i> = 0.190, SE = 0.062, <i>p</i> &lt; 0.05). The indirect effect of organizational agility on individual work performance was also significant (<i>B</i> = 0.154, SE = 0.049, 95% CI: 0.053–0.246). Therefore, person-organization fit mediated the relationship between organizational agility and individual work performance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study demonstrated the mediator role of person-organization fit in the relationship between organizational agility and individual work performance in nurse managers. The results of the study showed that an increase in organizational agility indirectly and positively affected individual work performance via the mediation of person-organization fit.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"32 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13035254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147581440","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":"Implementing an Acute Frailty Service in the Emergency Department: A Mixed-Methods Service Evaluation of Feasibility, Patient Outcomes and Experience","authors":"Yuhan Zhang,&nbsp;Victoria Green,&nbsp;Alex Montagu","doi":"10.1111/jep.70432","DOIUrl":"10.1111/jep.70432","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Older adults living with frailty present frequently to emergency departments (EDs), yet standard care is poorly adapted to their complex needs. National policy in England recommends Comprehensive Geriatric Assessment (CGA) and frailty-targeted pathways, but evidence on their impact in EDs is limited.&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;We conducted a single-centre mixed-methods service evaluation using an observational comparative design to evaluate a new frailty service in a large urban ED (September 2023–March 2024), based on routinely collected data (Commissioning for Quality and Innovation (CQUIN) dataset) and a patient experience survey.&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;Among 5,717 eligible ED presentations (clinical frailty scale (CFS) ≥ 6), 464 (8.1%) received the acute frailty service (AFS) review and 5,253 (91.9%) usual care. AFS patients were older (mean 85.9 (SD 7.7) vs 81.0 (SD 12.3) years) and more often female (64.2% vs. 55.3%). Overall LOS was shorter for AFS patients (49.1 ± 48.5 h ≈ 2.0 days vs 106.4 ± 95.5 h ≈ 4.4 days; &lt;i&gt;p&lt;/i&gt; &lt; 0.001), driven primarily by admitted patients. Admission avoidance was achieved in 23% of AFS cases. Odds of hospital admission were lower (OR 0.14, 95% CI 0.087–0.231), while 30-day reattendance did not differ significantly (OR 0.84, 95% CI 0.51–1.36). No in-hospital deaths occurred among AFS-reviewed patients. Patient feedback (&lt;i&gt;n&lt;/i&gt; = 24) showed high satisfaction with dignity, communication, and overall care. A simple cost-offset estimate suggested two admissions avoided per clinician shift, approximating local bed-day cost savings of £1,000 per day.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Implementing a dedicated frailty service in the ED is feasible and may improve clinical outcomes and patient experience. Embedding specialist geriatric input early in the emergency pathway supports safe, efficient, and person-centred care for older adults. These findings offer transferable insights for acute and emergency care systems seeking to strengthen frailty management at the front door.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Statement of Significance&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study provides real-world evidence on implementing an acute frailty service within the emergency department and describes its reach, integration, and associated early outcomes for older adults living with frailty. The findings contribute to international efforts to optimise frailty","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"32 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13035255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147581504","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":"The Mediating Role of Artificial Intelligence Anxiety in The Effect of Nurses' Attitudes Toward Health Technologies on Their Readiness for Medical Artificial Intelligence","authors":"Barış Alperen Özden,&nbsp;Pınar Duru","doi":"10.1111/jep.70421","DOIUrl":"10.1111/jep.70421","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aims to evaluate the mediating role of artificial intelligence (AI) anxiety in the effect of nurses' attitudes toward health technologies on their readiness for medical artificial intelligence (MAI).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional design was used. The study was conducted between May and September 2023, involving 844 nurses at a university hospital in Türkiye. Working units were used as strata, and a proportionally stratified sample of 265 nurses was selected; convenience sampling was then applied within each stratum. Data were collected using the Health Personnel Health Technologies Assessment Attitude Scale, the Artificial Intelligence Anxiety Scale, and the Medical Artificial Intelligence Readiness Scale. Pearson correlation analysis and mediation analyses were performed. The mediation effect was tested using Model 4 in PROCESS Macro (version 4.2) in SPSS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants were predominantly female (78.9%), with a mean age of 31.30 ± 7.32 years. Nurses exhibited positive attitudes toward health technologies, moderate AI anxiety, and high readiness for MAI. Attitudes toward health technologies were significantly associated with readiness for MAI (<i>B</i> = 0.3315, 95% CI [0.1677, 0.4989], <i>p</i> &lt; 0.001) and AI anxiety (<i>B</i> = −0.2205, 95% CI [−0.3635, −0.0815], <i>p</i> &lt; 0.05). However, AI anxiety was not significantly associated with readiness for MAI (<i>B</i> = 0.0966, 95% CI [−0.0585, 0.2604], <i>p</i> &gt; 0.05). Mediation analysis indicated that AI anxiety did not significantly mediate the relationship between attitudes and readiness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Positive attitudes toward health technologies are associated with higher readiness for MAI; however, AI anxiety did not function as a mediator in this relationship. These findings underscore the importance of integrating structured AI education, ethical awareness, and digital literacy training into nursing curricula and continuing professional development programs to support preparedness for AI-supported healthcare environments.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"32 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147581449","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":"Classroom Lectures in the AI Era: Reflections on Their Lifelong Influence on Physicians","authors":"Shigeki Matsubara","doi":"10.1111/jep.70429","DOIUrl":"10.1111/jep.70429","url":null,"abstract":"&lt;p&gt;Lifelong learning is essential for physicians seeking to improve their clinical practice and research. Over decades of teaching and learning, I have come to hold a simple belief. Even amidst the rapid rise of artificial intelligence (AI), I continue to see lasting value in the traditional classroom lecture—not merely in the short term, but, importantly, across a lifetime.&lt;/p&gt;&lt;p&gt;In recent years, numerous educational technologies—including AI and digital platforms—have been introduced to enhance the efficiency and accessibility of medical learning [&lt;span&gt;1&lt;/span&gt;]. However, how these innovations influence the lifelong intellectual development of individual physicians remains difficult to evaluate [&lt;span&gt;1&lt;/span&gt;]. The effects of education often unfold across decades and within the personal trajectories of individual doctors, making conventional short-term evaluation inadequate. I reflect on two formative classroom lectures that profoundly shaped my own professional life. Although such experiences cannot be evaluated in a conventional evidence-based manner, they illustrate how traditional educational encounters may exert enduring influence on physicians' lifelong development.&lt;/p&gt;&lt;p&gt;Certain lectures, delivered by extraordinary teachers, still hold an irreplaceable place in my lifelong self-education and my later career as a clinical practitioner and a researcher. Two moments in my life shaped this conviction.&lt;/p&gt;&lt;p&gt;As a medical student, I attended a psychiatry professor's lecture on schizophrenia. He stepped forward and acted as if he were a patient, sharing what appeared in his own mind. He was teaching with a kind of raw humanity. His extensive clinical experience and deep knowledge of schizophrenia made this possible. Students in the front row leaned forward, completely absorbed. The atmosphere felt electrifying.&lt;/p&gt;&lt;p&gt;About a decade later, in my early thirties, I struggled to write medical papers. I attended another professor's lecture on writing. He spoke not only of methods and structure, but of the philosophy behind writing: why one writes and what sincerity means in scientific prose. I remember wishing the lecture could have continued longer. In both cases, more than the content, it was his presence, his voice, and his willingness to expose a fragment of lived experience that moved us.&lt;/p&gt;&lt;p&gt;These professors did not create such moments intentionally to impress the audience. Rather, their clinical mastery and enthusiasm for writing, respectively, naturally produced these unforgettable experiences. Wishing to emulate the former professor, I slowly refined my own teaching and clinical skills as an educator and a clinical practitioner. Years later, I developed several obstetric surgical procedures, including the Matsubara–Yano suture [&lt;span&gt;2&lt;/span&gt;]. I was honored to receive my university's Best Teacher of the Year award five times. Inspired by the latter, I pursued writing, published two books, and have written more than 600 PubMed-indexed p","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"32 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70429","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147581426","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":"Impact of Person–Environment–Occupation–Performance Model-Based Home-Visit Rehabilitation on Executive Function, Daily Living, and Quality of Life, in Community-Dwelling Individuals With Disabilities","authors":"Seung Hwi Moon,&nbsp;Kyung Rim Mog,&nbsp;Yun Seong Oh,&nbsp;Kyeong Woo Lee,&nbsp;Hee Kim","doi":"10.1111/jep.70426","DOIUrl":"10.1111/jep.70426","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;Community-dwelling individuals with disabilities often face challenges in executive function, instrumental activities of daily living (IADLs), occupational performance, and quality of life. Home-visit rehabilitation based on the Person–Environment–Occupation–Performance (PEOP) model may address these 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 study aimed to investigate the impact of a PEOP model-based home-visit rehabilitation program on executive function, IADLs, occupational performance, and quality of life among community-dwelling individuals with disabilities, and to examine whether these effects were sustained over time.&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;A single-group pre-, post-, and follow-up design was used with 13 community-dwelling individuals enrolled in a public health center rehabilitation program. Each participant was supported by three to four undergraduate occupational therapy students, who conducted assessments and interventions under the supervision of a licensed occupational therapist and an occupational therapy professor. The 10-week program included one pre-assessment, eight intervention sessions, and one post-assessment. Additionally, one follow-up assessment was conducted after 3 months of program completion, and 11 participants completed this follow-up. Outcomes were measured using the Executive Function Performance Test-Korean version for executive function and IADLs, the Canadian Occupational Performance Measure (COPM) for occupational performance, and the Korean Version of the World Health Organization Quality of Life (brief version) for quality of life.&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;Executive function and IADLs improved in organization, sequencing, completion, simple cooking and total scores from pre- to post-intervention, and in sequencing, simple cooking, telephone, paying bills and total scores from pre-intervention to follow-up. Occupational performance significantly enhanced pre-post and the significant effect on performance was still observed at follow-up. Quality of life significantly improved in the psychological domain from pre- to post-intervention, and in total scores from both pre-intervention to follow-up and post-intervention to follow-up.&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;PEOP-based home-visit rehabilitation improved executive function, IADL performance, occupational performance and quality of life in community-dwelling individuals with disabilities. Improvements in executive function and IADLs w","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"32 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147581444","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":"Interdisciplinary Examination of the Communication Effect of Herbal Product Advertisements Targeting Health Problems in Older Adults: The Role of Advertising and Health Literacy","authors":"Elçin Sebahat Kasapoğlu,&nbsp;Cihangir Kasapoğlu,&nbsp;Hanifi Dülger","doi":"10.1111/jep.70428","DOIUrl":"10.1111/jep.70428","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study examines how health literacy and advertising literacy influence older adults' responses to herbal product advertisements that claim to solve health problems. Older adults (OAs) are increasingly exposed to misleading health-related messages through mass media, which may lead them to use unregulated and scientifically unproven products.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A mixed-methods explanatory sequential design was used with 237 older adults aged 65 years and over. In the quantitative phase, demographic data along with health literacy and advertising literacy scores were collected. Participants then viewed advertisements containing health claims. In the qualitative phase, their recall of ad content, attitudes toward the claims, and purchase intentions were assessed. Descriptive, comparative, and correlational analyses were performed; open-ended responses were evaluated with thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>OAs' health literacy was at a problematic–limited level (25.22 ± 8.77), whereas advertising literacy was moderate (91.07 ± 10.72). Higher health literacy was associated with more negative attitudes toward health claims (<i>p</i> = 0.004). Higher advertising literacy was positively associated with purchase intention (<i>p</i> &lt; 0.001). Qualitatively, the most frequently recalled element was the health claim, and the most frequently mentioned word was pain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>As health literacy improves, older adults become more skeptical of health-claim advertisements; however, persuasive ad elements may still evoke purchase intentions. These findings underscore the need for interventions to enhance advertising and health literacy to protect elderly health.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"32 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13035253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147581437","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":"On Scientific Integrity in Science","authors":"Andi Olluri,&nbsp;George Perry","doi":"10.1111/jep.70427","DOIUrl":"10.1111/jep.70427","url":null,"abstract":"","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"32 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147581462","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 Local Interventions to Systemic Modulation in Expressive and Neuromuscular Medicine: A Conceptual Reframing of Clinical Action","authors":"Andrea Felice Armenti","doi":"10.1111/jep.70415","DOIUrl":"10.1111/jep.70415","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>Clinical interventions in expressive and neuromuscular medicine have become increasingly precise at the local level, targeting specific muscles, doses, or anatomical sites. At the same time, the outcomes used to judge clinical success are frequently global, encompassing expression, pain, function, or behaviour. This mismatch between localised inputs and system-level outcomes reflects a common clinical reality that remains insufficiently addressed by conceptual models grounded primarily in local corrective logic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims and objectives</h3>\u0000 \u0000 <p>The aim of this article is to clarify the conceptual level at which many existing clinical practices are already operating by examining whether routine interventions are more accurately interpreted as forms of systemic modulation rather than isolated local correction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Conceptual analysis is conducted using the literature on clinical reasoning, systems-oriented health research, motor control, and evaluation science. The convergence of independently developed clinical frameworks is examined to identify shared organisational principles underlying adaptive clinical practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The analysis shows that clinicians routinely titrate interventions, monitor patterns over time, and adjust decisions based on evolving system states. These practices implicitly acknowledge non-linearity, context dependence, delayed effects, and interindividual variability, even when described using locally focused terminology. Interpreting such actions as modulatory inputs acting on distributed expressive–neuromuscular systems provides a coherent account of observed clinical phenomena without invoking methodological failure or inconsistency.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Reframing clinical interventions as systemic modulation offers a descriptive framework that aligns more closely with observed clinical reasoning and outcomes, while remaining compatible with established standards of precision and evidence-based practice. This perspective supports testable system-level evaluation through longitudinal designs and pattern-based outcome assessment, facilitating clearer interpretation and comparison across expressive and neuromuscular domains.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"32 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147486219","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":"Evaluation of the Quality and Reliability of YouTube Videos as a Source of Information on Portable HBOT in Home Health Care Services Quality and Reliability Analysis of YouTube Videos on Portable HBOT","authors":"Betül Akalin,&nbsp;Mehmet Beşir Demirbaş","doi":"10.1111/jep.70386","DOIUrl":"10.1111/jep.70386","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objectives&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Hyperbaric Oxygen Therapy (HBOT), which provides treatment of chronic wounds and damaged tissues by inhaling pure oxygen under high pressure, serves both in centres and as portable oxygen chambers. During HBOT treatment, it is possible for the patient to experience an accident caused by oxygen and pressure. In this context, especially the use of portable oxygen chambers is quite risky and requires a high level of technical knowledge. Today, YouTube is a platform that contains a lot of useful or useless information and is used by millions of people at the same time. The information contained in these contents uploaded on YouTube without any control or filtering can reach anyone with internet access. In this context, the aim of this study is to evaluate the characteristics, quality and reliability of the content uploaded on YouTube for portable oxygen chambers.&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;The study was cross-sectional and searches were performed on the YouTube platform with five keywords. The analysed videos were evaluated by two experienced researchers in terms of the accuracy of the information contained, the parameters of the video, upload date, duration, number of views, likes and comments. Video quality was assessed using the Global Quality Scale (GQS), reliability was assessed using the modified DISCERN (Mdıscern), information accuracy, information flow, quality and precision of the videos were assessed using the Video Information and Quality Index (VIQI) Scale, and transparency was assessed using the Journal of American Medical Association Benchmark criteria (JAMA).&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;In this study, 45 portable Hyperbaric Oxygen Therapy (HBOT) videos on the YouTube platform were evaluated for quality and reliability. Only 31% of the videos were classified as high quality, while the majority of the remaining videos were of medium (40%) and low (29%) quality. The mean scores of M-Discern and VIQI were 3.1 and 3.3, respectively, and 58% of the content had low reliability according to JAMA criteria. The quality and credibility levels of physician- and academic-generated videos were statistically significantly higher (&lt;i&gt;p&lt;/i&gt; &lt; 0.05) compared to content produced by independent users and marketers. A weak but significant relationship was found between GQS and number of views (r = 0.29, &lt;i&gt;p&lt;/i&gt; = 0.04).&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;This study revealed that portable HBOT content on YouTube is largely inadequate in terms of information quality and reliability. It is of great importance that content on digital platforms on heal","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"32 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147486240","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":"Quantifying the Age of Evidence: Lessons From Cardiovascular Drugs","authors":"Mariana B. Caiado Ferreira,&nbsp;Vinay Prasad","doi":"10.1111/jep.70412","DOIUrl":"10.1111/jep.70412","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>All evidence-based medical decisions rely on the assumption that the evidence being used is applicable to current populations. To date, the age of evidence is not typically measured nor reported in systematic reviews.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We sought to develop a method to quantify the age of evidence for medical interventions, using statins and sodium-glucose co-transporter protein 2 (SGLT-2) inhibitors as exemplars, which may facilitate evaluating its potential outdatedness. We conducted a retrospective cross-sectional study of all Cochrane reviews evaluating the effects of these drugs on cardiovascular disease (CVD) management up to August 2024, summarising the evidence and calculating the lag in time between patient enrolment in trials and current decision-making (August 2024).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We identified 57 Cochrane reviews on statins, with 9 (15.8%) meeting our criteria, and 6 reviews on SGLT-2 inhibitors, with 2 (33.3%) being eligible. The 9 statin reviews include 153 different trials, enrolling participants from 1988 to 2017, spanning 28 years. The 2 SGLT-2 inhibitor reviews involve 67 trials from 2008 to 2021, spanning 13 years. The median age of evidence for statins is 24.1 years, compared to 8.6 years for SGLT-2 inhibitors. Among the statin review topics, evidence was most robust for statins in the context of primary prevention of CVD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our findings highlight the potential outdatedness of long-established treatments like statins and suggest that reporting the age of evidence in systematic reviews may facilitate outdatedness assessments. We propose that future Cochrane reviews report the age of evidence, as this could significantly enhance the decision-making process in evidence-based medicine.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"32 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13002139/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147486235","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}