PEC innovation最新文献

{"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":"2025-06-01","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":"Empathy training via Kalamazoo Consensus in remote and in-person medical communication: A randomized controlled trial","authors":"Giovan Battista Previti ,&nbsp;Carlo Mazzatenta ,&nbsp;Tommaso Bellandi ,&nbsp;Francesco Niccolai ,&nbsp;Dario Nieri ,&nbsp;Valentina Ungaretti ,&nbsp;Irene Cavasini ,&nbsp;Alessandra Mazzoni ,&nbsp;Stefano Maiorano ,&nbsp;Luca Di Paolo ,&nbsp;Veronica D'Elia ,&nbsp;Monica Torre ,&nbsp;Licia Matteucci ,&nbsp;Guido Miccinesi ,&nbsp;Moreno Marcucci ,&nbsp;Michela Maielli ,&nbsp;Sergio Ardis","doi":"10.1016/j.pecinn.2025.100399","DOIUrl":"10.1016/j.pecinn.2025.100399","url":null,"abstract":"<div><h3>Background</h3><div>Empathy is crucial in healthcare, facilitating effective communication and improving patient outcomes.</div></div><div><h3>Objective</h3><div>This study aimed to evaluate the impact of tele-conference training based on the Kalamazoo Consensus Statement (KCS) on the empathy scores of newly hired physicians in a tele-visit simulation course.</div></div><div><h3>Methods</h3><div>From September 2021 to April 2022, we conducted a randomized controlled trial involving 129 medical doctors from 13 hospitals in north-western Tuscany, with an age range of 31 to 42 years. Partecipants were randomly assigned to a trained group (TG) or a control group (CG). Both groups completed the Toronto Empathy Questionnaire (TEQ) and the Balanced Emotional Empathy Scale (BEES) before (T0) and after (T1) the training. The TG underwent a 12-h online communication training course. The CG only completed the questionnaires without further intervention.</div></div><div><h3>Results</h3><div>Total sample <em>included 129 partecipants.</em> Results indicated a significant increase in TEQ scores for the TG (55,8 % of total sample; T0: 65.32; T1: 66.42, <em>p</em> = 0.032) and BEES scores (T0: 122.39; T1: 127.50, <em>p</em> = 0.000). The CG (44,2 %) experienced a decrease in TEQ scores (T0: 65.58; T1: 63.75, p = 0.000) but stable BEES scores (T0: 122.16; T1: 120.67, <em>p</em> = 0.317). Female participants consistently exhibited higher empathy scores than males, with training significantly enhancing scores for both genders.</div></div><div><h3>Conclusions</h3><div>The tele-conference training effectively improved empathy scores among newly hired physicians. We recommend the implementation of KCS-based training to enhance empathy and communication skills in medical practice.</div></div><div><h3>Innovation</h3><div>The pandemic has accelerated the use of tele-education and telemedicine, though opinions on their effectiveness remain divided. However, studies show that empathy can be enhanced through interactive online training, which offers significant innovations for both healthcare professionals' learning and patient care.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100399"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144084189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived acceptability of a prototype toolkit to support patients and informal caregivers to express their perspectives in palliative care conversations","authors":"Annet Olde Wolsink-van Harlingen (AS) ,&nbsp;Jan Jukema (JS) ,&nbsp;Kris Vissers (KCP) ,&nbsp;Madeleen Uitdehaag (MJ) ,&nbsp;Jeroen Hasselaar (J) ,&nbsp;Leontine Groen-van de Ven (L)","doi":"10.1016/j.pecinn.2025.100387","DOIUrl":"10.1016/j.pecinn.2025.100387","url":null,"abstract":"<div><h3>Background</h3><div>Patients and informal caregivers experience challenges to express their personal perspectives in conversations with healthcare professionals (HCPs). A prototype toolkit, which consists of a hardcopy version and a website, was developed to address their challenges. The aim of this study is to gain insight into the perceived acceptability of this prototype toolkit.</div></div><div><h3>Method</h3><div>Patients and informal caregivers end users and HCPs participated in semi-structured individual or group interviews. This resulted in two databases of qualitative data which were thematically analysed.</div></div><div><h3>Results</h3><div>Twenty-two end users and twelve HCPs participated in this study. There is appreciation for the content and use of the prototype toolkit, with the hardcopy version of the toolkit being valued more than the website. Moreover, the use of the toolkit may strengthen end users' power and control and may support HCPs in tailoring communication and care. End users and HCPs recommendations for implementation are to further develop the prototype toolkit, provide HCPs with information, instruction and support and create facilitating conditions in healthcare.</div></div><div><h3>Conclusion</h3><div>High appreciation of the hardcopy version and the practical value are positive indicators of end users'and HCPS perceived acceptability of the prototype toolkit. However, the content of the toolkit is experienced as being too extensive, with the hardcopy version experienced as being incomplete without the website and the website is experienced as being too complicated to use. Further development and testing of the prototype toolkit is required to increase its acceptability by end users and HCPs.</div></div><div><h3>Innovation</h3><div>In this study a Design Thinking approach was used to test study the acceptability of a prototype toolkit by endusers and HCPs. This approach can contribute to a succesfull implementation of the toolkit and its effectiveness.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100387"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143864698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bringing question notes to physicians: A nationwide cross-sectional study in Japan (INFORM study 2020)","authors":"Mariko Asai ,&nbsp;Masako Okamura ,&nbsp;Maiko Fujimori ,&nbsp;Aki Otsuki ,&nbsp;Junko Saito ,&nbsp;Akiko Yaguchi-Saito ,&nbsp;Aya Kuchiba ,&nbsp;Yosuke Uchitomi ,&nbsp;Taichi Shimazu ,&nbsp;for the INFORM Study Group","doi":"10.1016/j.pecinn.2025.100398","DOIUrl":"10.1016/j.pecinn.2025.100398","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the behavior of bringing question notes to physicians in Japan and explore the factors associated with this behavior.</div></div><div><h3>Methods</h3><div>We used data from a nationwide cross-sectional study conducted in Japan on access to health information (INFORM Study 2020). Data from 3605 respondents, 3572 of whom did not miss the primary endpoint of bringing question notes to physicians, were analyzed. The prevalence of weighted ratios of four-item responses (always, usually, sometimes, never) was described, and multivariable logistic regression was used to explore associated variables with “never bringing question notes.” We also explored the differences in these factors based on the cancer diagnosis experience.</div></div><div><h3>Results</h3><div>More than 60 % of all respondents and even among those who had a history of cancer diagnosis themselves, more than 50 % had never brought question notes to physicians. Being under 40 years of age, male, employed, and in good health were significantly associated with never bringing question notes.</div></div><div><h3>Conclusion</h3><div>Those who had never brought question notes to physicians were high both overall and among those who had a cancer diagnosis.</div></div><div><h3>Innovation</h3><div>Nationwide survey data revealed that Japanese people are less proactive in bringing the notes prepared beforehand to the consultation.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100398"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of community health workers in enhancing home and community-based services in American Indian communities","authors":"Zavera K. Basrai ,&nbsp;Caroline Y. Yoon ,&nbsp;Valerie Tsosie ,&nbsp;Ronny A. Bell ,&nbsp;Nathan A. Boucher","doi":"10.1016/j.pecinn.2025.100397","DOIUrl":"10.1016/j.pecinn.2025.100397","url":null,"abstract":"<div><h3>Objectives</h3><div>Describe the role and benefit of Community Health Workers in American Indian communities as a novel solution to meeting home and community-based service (HCBS) needs.</div></div><div><h3>Methods</h3><div>Short communication based on extant literature and current policy challenges.</div></div><div><h3>Results</h3><div>Community health workers (CHW) play an essential role in various healthcare settings particularly in American Indian (AI) communities working to close gaps in preventive and comprehensive healthcare accessibility. CHWs close these gaps through providing expertise in culturally oriented and familial support, educating communities on acute and chronic illnesses and wellness, and dispelling misinformation regarding health issues. However, integration and application of CHWs into home- and community-based services has limited recognition and utilization in healthcare systems and healthcare payment. Robust training/credentialing pathways and sustainable funding streams are essential for the integration of CHWs into the formalized healthcare provider team. Barriers that prevent this integration include inconsistencies in documentation, lack of stable funding, and a lack of formal professional recognition.</div></div><div><h3>Conclusions</h3><div>Previously successful models of CHW integration promote formalized training programs, professional development opportunities, earning certifications, and promoting collaboration between CHWs and providers.</div></div><div><h3>Innovation</h3><div>Applying CHW use in HCBS can increase community wellness while mitigating impacts of health disparities in HCBS for an often-under-resourced set of communities – our nation's American Indian communities.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100397"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family caregiving in research and practice: Editorial – PEC innovation","authors":"Gemme Campbell-Salome","doi":"10.1016/j.pecinn.2025.100396","DOIUrl":"10.1016/j.pecinn.2025.100396","url":null,"abstract":"","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100396"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measuring professionals' attitudes toward persistent somatic symptoms: Development, validation, and reliability of the professionals' Attitude to Persistent Somatic Symptoms Questionnaire (PAPSS)","authors":"Denise J.C. Hanssen ,&nbsp;Charlotte A. Spiertz ,&nbsp;Lineke M. Tak ,&nbsp;Judith G.M. Rosmalen","doi":"10.1016/j.pecinn.2024.100359","DOIUrl":"10.1016/j.pecinn.2024.100359","url":null,"abstract":"<div><h3>Objective</h3><div>The healthcare professional's attitude toward persistent somatic symptoms (PSS) seems to play an important role in access to and quality of care for patients with PSS. To encourage research on PSS attitude, we developed and validated the Professionals' Attitude to Persistent Somatic Symptoms Questionnaire (PAPSS).</div></div><div><h3>Methods</h3><div>A list of items was developed through theory and a focus group with PSS experts, with response categories on a 5-point Likert scale ranging from “strongly disagree” to “strongly agree”. These items were then validated through a sample (<em>N</em> = 411) consisting of medical specialists, general practitioners, and psychologists. Subscales of the PAPSS were constructed using repeated factor analyses and reliability analyses.</div></div><div><h3>Results</h3><div>Exploratory factor analyses resulted in a 15-item questionnaire with four subscales: “Perceived burden” and “Affinity” showed good reliability rates; “Perceived professional competence” and “Openness to patient-centered care” had questionable reliability rates. In general, psychologists had the most pronounced scores on subscales compared to medical specialists and general practitioners.</div></div><div><h3>Innovation</h3><div>The PAPSS is the first questionnaire for exploring the role of the professional's attitude toward PSS; it offers opportunities for further research on the influence of attitude on treatment of PSS.</div></div><div><h3>Conclusions</h3><div>The PAPPS is a relatively short questionnaire that can be used in both quantitative research and clinical care. However, it requires further research on psychometric qualities, including the validation of the translated versions of this questionnaire.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100359"},"PeriodicalIF":0.0,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142723263","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":"Awareness of antimicrobial resistance and appropriate handling of antibiotics by the public in Saudi Arabia: A cross-sectional study using a quiz game","authors":"Waad M. Alzahrani ,&nbsp;Lujain S. Alkliakh ,&nbsp;Esraa B. Alwafai ,&nbsp;Manal F. Madani ,&nbsp;Nima L. Hersi ,&nbsp;Eilaaf A. Shakir ,&nbsp;Abrar K. Thabit","doi":"10.1016/j.pecinn.2024.100318","DOIUrl":"https://doi.org/10.1016/j.pecinn.2024.100318","url":null,"abstract":"<div><h3>Objective</h3><p>Public awareness of antimicrobial resistance (AMR) is essential to tackling this issue. Studies in Saudi Arabia have demonstrated insufficient AMR knowledge among the public. We aimed to indirectly raise awareness while simultaneously assessing the public's knowledge. We also assessed the factors associated with optimal knowledge and antibiotic handling.</p></div><div><h3>Methods</h3><p>We developed an online quiz game comprising 10 questions on AMR knowledge and antibiotic handling, recording each participant's score. We collected the responses from the Saudi public using a cross-sectional study design.</p></div><div><h3>Results</h3><p>Of the 428 participants, 68.7% were females and 42.5% were aged between 41 and 65 years; 70.1% held undergraduate degrees. Only 17.8% had a health-related major. While 83.2% had heard of AMR, the median [interquartile range] AMR knowledge score was 6 [5–7] out of 10 points. Holding a health-related major and having prior knowledge of AMR were associated with higher scores (RR, 1.28 and 1.18; 95%CI, 1.13–1.44 and 1.03–1.35; <em>P</em> &lt; 0.001 and <em>P</em> = 0.020, respectively).</p></div><div><h3>Conclusion</h3><p>The Saudi public demonstrated average knowledge of AMR. We recommend awareness-raising campaigns about AMR targeting the public.</p></div><div><h3>Innovation</h3><p>We utilized an innovative approach by distributing an online questionnaire as a quiz game to fulfill two purposes: the assessment of knowledge and awareness-raising about AMR.</p></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100318"},"PeriodicalIF":0.0,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772628224000669/pdfft?md5=63b0c71886e7ebae797cfd35ff2f579c&pid=1-s2.0-S2772628224000669-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141583339","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":"Accurate and inaccurate beliefs about cancer risk factors among Spanish-preferring adults in the United States","authors":"Andy J. King ,&nbsp;Benjamin A. Lyons ,&nbsp;Yonaira M. Rivera ,&nbsp;Marina Kogan ,&nbsp;Leandra H. Hernandez ,&nbsp;Yi Liao ,&nbsp;Kimberly A. Kaphingst","doi":"10.1016/j.pecinn.2024.100333","DOIUrl":"10.1016/j.pecinn.2024.100333","url":null,"abstract":"<div><h3>Objective</h3><p>To characterize inaccurate and accurate beliefs about cancer risk factors held among Spanish-preferring adults in the United States.</p></div><div><h3>Methods</h3><p>From a national probability panel, we surveyed 196 Hispanic adults who prefer completing questionnaires in Spanish. We also used data from a representative sample of 1200 adults in the US to compare belief acceptance.</p></div><div><h3>Results</h3><p>Many less accepted accurate beliefs about cancer risk factors related to topics like fruit/vegetable consumption, weight loss, and alcohol use. Several inaccurate beliefs were widely held, with some being more accepted in the Spanish-preferring sample than the general US adult sample. Higher levels of self-reported media literacy and information scanning associated with more acceptance of both accurate <em>and</em> inaccurate beliefs. Access to the internet at home associated with discernment between accurate and inaccurate beliefs about cancer risk factors.</p></div><div><h3>Conclusion</h3><p>Acceptance of accurate beliefs and rejection of inaccurate beliefs varied across potential cancer risk factors. Future Spanish-language public health messaging should address these belief inconsistencies when providing up-to-date cancer-related recommendations or correcting inaccurate information in the public communication environment.</p></div><div><h3>Innovation</h3><p>Our study provides comprehensive information about cancer beliefs among Spanish-preferring adults in the United States, which was not previously available, and find that media literacy is a concept likely to be important to consider when putting together intervention tools to combat misinformation.</p></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100333"},"PeriodicalIF":0.0,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772628224000815/pdfft?md5=518f5388c919822d99f4364b116cc049&pid=1-s2.0-S2772628224000815-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142041130","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":"Feasibility of the flipped classroom approach for health education in a clinical weight loss program","authors":"Kameron Suire ,&nbsp;Mary Hastert ,&nbsp;Stephen D. Herrmann ,&nbsp;Joseph E. Donnelly","doi":"10.1016/j.pecinn.2024.100308","DOIUrl":"https://doi.org/10.1016/j.pecinn.2024.100308","url":null,"abstract":"<div><h3>Aim</h3><p>To assess the feasibility of the flipped classroom pedagogy in a clinical weight loss program and its impact on 6-month weight change.</p></div><div><h3>Methods</h3><p>Adults with overweight/obesity enrolled in a 6-month program with a structured diet (portion-controlled meals and fruits/vegetables) and exercise plan (≥150mins/week), plus weekly, 1-h group education sessions. Sessions used a flipped classroom approach: educational content was delivered beforehand via podcast/video and book readings and session time involved application-based activities (e.g., case studies, games). Satisfaction surveys were completed at 3 months. Weight change was assessed using paired <em>t</em>-tests (SAS 9.4, significance 0.05).</p></div><div><h3>Results</h3><p>Eighteen participants completed 6 months (retention 94%). Participants maintained diet adherence and exercise at 3 months (∼84% diet adherence, ∼153mins exercise/week) and 6 months (∼83% diet adherence, ∼158mins exercise/week), as well as attendance to behavioral sessions (3 months: 77%; 6mo: 71%). Satisfaction surveys showed high program enjoyment (∼8.1/10). Mean weight change at 3 and 6 months was −6.5 ± 4.2% and − 9.3 ± 5.0% (both <em>p</em> &lt; 0.01), respectively.</p></div><div><h3>Conclusion</h3><p>The flipped classroom pedagogy was feasible for delivery in a clinical weight loss program and supported significant 6-month weight loss.</p></div><div><h3>Innovation</h3><p>This is the first evaluation of the flipped classroom in a clinical setting and supports the investigation of this pedagogy in weight management.</p></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100308"},"PeriodicalIF":0.0,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772628224000566/pdfft?md5=d1ad6acc447a7e95ba835c341c875f18&pid=1-s2.0-S2772628224000566-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141434476","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}