PEC innovation最新文献

{"title":"A qualitative exploration of service users' experiences of weight management conversations in a mental health setting","authors":"Emma Kemp ,&nbsp;Catherine Haighton ,&nbsp;Sally Faulkner ,&nbsp;Kate McBride ,&nbsp;Maria Raisa Jessica Aquino ,&nbsp;Rob Wilson ,&nbsp;Milica Vasiljevic ,&nbsp;Craig Robson ,&nbsp;Mish Loraine ,&nbsp;Jill Harland ,&nbsp;Angela M. Rodrigues","doi":"10.1016/j.pecinn.2025.100389","DOIUrl":"10.1016/j.pecinn.2025.100389","url":null,"abstract":"<div><h3>Objective</h3><div>Healthcare professionals often use opportunistic weight management conversations, aligned with the Making Every Contact Count (MECC) approach, to provide motivational support to service users. While research supports this practice from the professionals' perspective, the views of service users on these interactions remain understudied. The aim of this study was to explore the experiences of service users with serious mental illness regarding weight management conversations with healthcare professionals.</div></div><div><h3>Methods</h3><div>Thirteen service users with serious mental illness (Nine inpatient, four community-based) participated in semi-structured 1–1 interviews exploring weight management support experiences. Transcript data was analysed using thematic analysis.</div></div><div><h3>Results</h3><div>Five key themes were developed: service users' experience of weight management conversations, developing therapeutic relationships, support for physical activity and weight management, deliverer characteristic preferences, and user descriptions of MECC.</div></div><div><h3>Conclusions</h3><div>Service users reported a lack of information about medication-related weight gain and suggested further staff training to improve therapeutic relationships and weight management support for service users with serious mental illness.</div></div><div><h3>Innovation</h3><div>This study uniquely explores service users' perspectives on weight management conversations within mental health care, applying MECC in a novel context. It highlights the perspective of individuals with serious mental illness on weight-related issues, challenging existing practices, and proposing strategies for integrating physical health support in mental health settings.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100389"},"PeriodicalIF":0.0,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing a digital video to support lung cancer screening in diverse populations","authors":"Meghan Lindsay ,&nbsp;Iyanuoluwa P. Odole ,&nbsp;Olivia Belliveau ,&nbsp;Fuad Abujarad ,&nbsp;Cary P. Gross ,&nbsp;Ilana B. Richman","doi":"10.1016/j.pecinn.2025.100388","DOIUrl":"10.1016/j.pecinn.2025.100388","url":null,"abstract":"<div><h3>Objective</h3><div>Lung cancer screening (LCS) with low dose computed tomography can reduce lung cancer mortality. However, awareness and knowledge of LCS are low. We developed and tested a video to support informed decision-making about LCS for use in diverse populations, including adults with low educational attainment.</div></div><div><h3>Methods</h3><div>We conducted a prospective pre-post pilot study of adults eligible for LCS at three primary care clinics in the USA from 08/2022–07/2023. We developed a brief digital video, incorporating iterative modifications using participant feedback. We assessed knowledge of LCS before and after viewing the video and solicited open-ended feedback on video format and content.</div></div><div><h3>Results</h3><div>The study included 29 adults (median [range] age, 62 [50–77] years; 52 % male). In interviews, participants commented on informational content, effect of the video on screening behaviors and intent, video style and appearance, and video features. After viewing the video, participant knowledge scores increased from baseline of 43 % correct to 59 %, <em>p</em> &lt; 0.001. Knowledge scores increased across all levels of educational attainment.</div></div><div><h3>Conclusions</h3><div>A brief digital video about LCS, developed with feedback from end users, was motivating, clear, and effective in increasing knowledge across levels of educational attainment.</div></div><div><h3>Innovation</h3><div>Using a patient-engaged, theoretically grounded development process, we developed a digital tool specifically to support lung cancer screening in diverse populations, including those with varied educational attainment.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100388"},"PeriodicalIF":0.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143684433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial – Advancing family integrated care through health promotion, education, and communication","authors":"Anne van Kempen,&nbsp;Nicole van Veenendaal,&nbsp;Nanon Labrie","doi":"10.1016/j.pecinn.2025.100384","DOIUrl":"10.1016/j.pecinn.2025.100384","url":null,"abstract":"","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100384"},"PeriodicalIF":0.0,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143580133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Learning from brilliant failures","authors":"Annemiek J Linn,&nbsp;Nanon Labrie","doi":"10.1016/j.pecinn.2025.100383","DOIUrl":"10.1016/j.pecinn.2025.100383","url":null,"abstract":"","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100383"},"PeriodicalIF":0.0,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143609569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dissemination, adaptation, and uptake of patient-facing materials to improve care coordination in primary care","authors":"Claire E. O'Hanlon ,&nbsp;Jenny M. Barnard ,&nbsp;Danielle E. Rose ,&nbsp;Susan E. Stockdale ,&nbsp;Evelyn T. Chang ,&nbsp;Elizabeth M. Yano ,&nbsp;David A. Ganz","doi":"10.1016/j.pecinn.2025.100386","DOIUrl":"10.1016/j.pecinn.2025.100386","url":null,"abstract":"<div><h3>Objective</h3><div>We sought to improve patients' experience of care coordination by promoting the uptake of patient-facing tools with evidence of sustained use in Veterans Affairs (VA) primary care clinics. We disseminated tools, adapted and improved tools in response to feedback, and tracked real-world uptake.</div></div><div><h3>Methods</h3><div>We conducted outreach to leadership and frontline providers at local, regional, and national levels. We collaborated with frontline providers and veteran patients using human-centered design approaches to guide tool adaptation. We assessed dissemination and real-world uptake through website analytics and QR code tracking.</div></div><div><h3>Results</h3><div>Tools included paper pamphlets that explained care processes, provided contact information, and answered frequently asked questions. Feedback resulted in use of larger fonts; pictures and colors; less dense text; and QR codes. Discussions led to development of new tools addressing current challenges coordinating care with VA-paid community providers. We observed substantial uptake (&gt;2000 tool page views, &gt;3000 QR code accesses).</div></div><div><h3>Conclusion</h3><div>Simple patient-facing tools are valuable to patients and frontline providers as evidenced by voluntary uptake despite competing demands.</div></div><div><h3>Innovation</h3><div>Tools with evidence of sustained uptake were adapted to address current challenges with navigating care and care coordination among VA and non-VA providers. QR codes enabled tracking of real-world uptake.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100386"},"PeriodicalIF":0.0,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143609568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient counselling on opioids by pharmacy technicians: A mixed-method study to explore facilitators and barriers","authors":"Elsemiek A.W. Jansen-Groot Koerkamp ,&nbsp;Irem Simsek ,&nbsp;Eman Badawy ,&nbsp;Mette Heringa ,&nbsp;Marcel L. Bouvy","doi":"10.1016/j.pecinn.2025.100382","DOIUrl":"10.1016/j.pecinn.2025.100382","url":null,"abstract":"<div><h3>Objectives</h3><div>This study investigates community pharmacy technicians' (PTs) counselling practices for patients prescribed opioids and identifies facilitators and barriers influencing their counselling behaviour.</div></div><div><h3>Methods</h3><div>A sequential exploratory mixed-method study involving interviews and a questionnaire was conducted among PTs, working in Dutch community pharmacies. PTs were recruited via professional networks, panels and social media. Inductive thematic analysis was performed for interviews. Descriptive statistics of questionnaires was performed and associations between behaviour of discussing dependency and background characteristics (1), barriers (2) and beliefs (3) were tested.</div></div><div><h3>Results</h3><div>Nineteen topics emerged from 18 interviews. Out of 252 questionnaire-respondents, most PTs consistently discussed dosage and common side effects during the first opioid dispense. Although 92 % considered discussing opioid dependency important, only 62 % frequently performed it. Barriers included a lack of information about the indication (<em>p</em> = 0.012), lack of work agreements (<em>p</em> = 0.017), time (<em>p</em> = 0.022), feeling insecure (<em>p</em> = 0.041), less work experience (<em>p</em> = 0.025) and the belief that prescribers are responsible for discussing opioid dependency with patients (<em>p</em> = 0.018).</div></div><div><h3>Conclusion</h3><div>The high importance that PTs place on counselling patients on opioid dependency does not match their behaviour. To close this gap and optimize the role of PTs in promoting safe opioid use, organizational and competency-related barriers must be addressed. This includes clear work protocols, communication training and including the indication on opioid prescriptions.</div></div><div><h3>Innovation</h3><div>This research focuses on an underexplored group involved in patients' opioid management, crucial for designing effective interventions, as PTs frequently have direct patient contact.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100382"},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143464978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing perinatal health patient information through ChatGPT – An accuracy study","authors":"P.L.M. de Vries ,&nbsp;D. Baud ,&nbsp;S. Baggio ,&nbsp;M. Ceulemans ,&nbsp;G. Favre ,&nbsp;E. Gerbier ,&nbsp;H. Legardeur ,&nbsp;E. Maisonneuve ,&nbsp;C. Pena-Reyes ,&nbsp;L. Pomar ,&nbsp;U. Winterfeld ,&nbsp;A. Panchaud","doi":"10.1016/j.pecinn.2025.100381","DOIUrl":"10.1016/j.pecinn.2025.100381","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate ChatGPT's accuracy as information source for women and maternity-care workers on “nutrition” and “red flags” in pregnancy.</div></div><div><h3>Methods</h3><div>Accuracy of ChatGPT-generated recommendations was assessed by a 5-point Likert scale by eight raters for ten indicators per topic in four languages (French, English, German and Dutch). Accuracy and interrater agreement were calculated per topic and language.</div></div><div><h3>Results</h3><div>For both topics, median accuracy scores of ChatGPT-generated recommendations were excellent (5.0; IQR 4–5) independently of language. Median accuracy scores varied with a maximum of 1 on a 5-point Likert-scare according to question's framing. Overall accuracy scores were 83–89 % for ‘nutrition in pregnancy’ versus 96–98 % for ‘red flags in pregnancy’. Inter-rater agreement was good to excellent for both topics.</div></div><div><h3>Conclusion</h3><div>Although ChatGPT generated accurate recommendations regarding the tested indicators for nutrition and red flags during pregnancy, women should be aware of ChatGPT's limitations such as inconsistencies according to formulation, language and the woman's personal context.</div></div><div><h3>Innovation</h3><div>Despite a growing interest in the potential use of artificial intelligence in healthcare, this is, to the best of our knowledge, the first study assessing potential limitations that may impact accuracy of ChatGPT-generated recommendations such as language and question-framing in key domains of perinatal health.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100381"},"PeriodicalIF":0.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in community pharmacy communication – Towards emotional awareness at the pharmacy counter","authors":"Nanna Broch Mottelson ,&nbsp;Gitte Reventlov Husted ,&nbsp;Susanne Kaae ,&nbsp;Charlotte Verner Rossing ,&nbsp;Christina Fogtmann Fosgerau","doi":"10.1016/j.pecinn.2025.100380","DOIUrl":"10.1016/j.pecinn.2025.100380","url":null,"abstract":"<div><h3>Objective</h3><div>To explore whether and how community pharmacy staff display an alteration in emotional awareness through interactional behavior during desk meetings after participating in a mentalizing education programme, and thereby to investigate if theoretical learnings, or offline social cognition, can be translated into actual communicative practice, or online social cognition.</div></div><div><h3>Methods</h3><div>As part of a larger feasibility study, we developed a methodological framework to categorize interactional contributions in relation to mentalizing communication and emotional awareness. The framework was applied to a total of 50 video recordings of community pharmacy desk interactions from 11 Danish community pharmacies who all participated in the mentalizing education programme. Through this, pharmacy staffs' interactional contributions from 25 video recordings before and 25 video recordings after participation were categorized and descriptively compared.</div></div><div><h3>Results</h3><div>Pharmacy staff appear to display an altered orientation towards patients post-education; they produce more questions when initiating interactions (first position talk-turns) and more responses to patients' utterances (third position talk-turns). Furthermore, the realizations of third position contributions in post-participation measures display heightened emotional awareness, rendering a greater orientation to patients' perspectives.</div></div><div><h3>Conclusion</h3><div>In post-participation measures pharmacy staff displayed an altered interactional approach to patients. This contributes to research concerning competency training of healthcare professionals and adds weight to the notion that online social cognitive skills can be affected through training of offline social cognitive skills.</div></div><div><h3>Innovation</h3><div>The methodological framework provides a novel and innovative approach to investigating changes in communicative practices. The framework is appropriate for all dialogical healthcare communication research.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100380"},"PeriodicalIF":0.0,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143394942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “Factors contributing to implementation of a father-friendly neonatal intensive care unit in Denmark” [PEC Innovation 5 (2024) 100353]","authors":"Betty Noergaard ,&nbsp;Karin Yde Waidtløw ,&nbsp;Poul-Erik Kofoed ,&nbsp;Signe Vahlkvist","doi":"10.1016/j.pecinn.2025.100379","DOIUrl":"10.1016/j.pecinn.2025.100379","url":null,"abstract":"","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100379"},"PeriodicalIF":0.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143285731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“It's hard to talk to a computer, I get it”: An exploratory analysis of clinician connection-building communication practices in rural telepalliative care encounters","authors":"Elise C. Tarbi ,&nbsp;Natalie Ambrose ,&nbsp;Eric C. Anderson ,&nbsp;Rebecca N. Hutchinson ,&nbsp;Paul K.J. Han ,&nbsp;Maija Reblin ,&nbsp;Robert Gramling","doi":"10.1016/j.pecinn.2025.100377","DOIUrl":"10.1016/j.pecinn.2025.100377","url":null,"abstract":"<div><h3>Context/Objectives</h3><div>Establishing human connection is critical during serious illness conversations, however the sensory and relational environment of telehealth may require innovative communication practices for clinicians, patients, and families to do so effectively. We sought to explore if and how recommended in-person best practices for establishing human connection are adapted to the telehealth palliative care (telePC) setting, to enable discovery and description of practice innovations in this new care environment.</div></div><div><h3>Methods</h3><div>We analyzed data from the Northern New England Palliative Care TeleConsult Research Study – a formative mixed-methods pilot study at two academic medical centers in rural US states with patients with serious illness (2019–2020). We used a qualitative descriptive approach paired with directed content analysis to analyze video-recorded telePC consultations.</div></div><div><h3>Results</h3><div>Nine video-recorded telePC consultations were analyzed including 9 patients and 6 palliative care clinicians. Patient-participants had a mean age of 68 years, 56 % were women, and 38 % did not complete high school. Mean consultation duration was 52 min (standard deviation 10, range 40–70 min). Our qualitative analysis of visits resulted in three key themes describing clinician communication: 1) Practices for fostering human connection; 2) Practices for overcoming technical problems/difficulties; and 3) Practices for engaging in multi-participant tele-conversations.</div></div><div><h3>Conclusion</h3><div>Our study findings help to provide proof-of-concept evidence that clinicians can use recommended in-person connection-building communication practices in telePC. As palliative care clinicians naturally adapt to telehealth environments, more empirical research is needed to understand which innovative approaches most effectively foster human connection.</div></div><div><h3>Innovation</h3><div>TelePC represents an expanding, yet understudied, mode of palliative care delivery. This study is among the first to describe how the telePC context is catalyzing naturally-occurring communication innovations.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100377"},"PeriodicalIF":0.0,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143168204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}