PEC innovation最新文献

{"title":"Palliative, hospice, and end-of-life care special issue introductory editorial","authors":"Emily L. Mroz , Jordan M. Alpert","doi":"10.1016/j.pecinn.2024.100314","DOIUrl":"https://doi.org/10.1016/j.pecinn.2024.100314","url":null,"abstract":"","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100314"},"PeriodicalIF":0.0,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772628224000621/pdfft?md5=1ce1c93815457d45ee589a607be08ad8&pid=1-s2.0-S2772628224000621-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141541566","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 and acceptability of a videoconference-based cognitive-behavioral intervention for caregivers of individuals living with mild cognitive impairment or early Alzheimer's disease","authors":"Phylicia Verreault ,&nbsp;Marie-Christine Ouellet ,&nbsp;Céline Mavounza ,&nbsp;Robert Jr Laforce ,&nbsp;Jean Vézina ,&nbsp;Carol Hudon","doi":"10.1016/j.pecinn.2024.100317","DOIUrl":"10.1016/j.pecinn.2024.100317","url":null,"abstract":"<div><h3>Objective</h3><p>The objective of the current pilot study was to investigate the feasibility and acceptability of a videoconference-based cognitive behavioral (CBT) intervention for caregivers of individuals living with mild cognitive impairment or early Alzheimer's disease. The intervention included psychoeducation on emotions, strategies for management of unhelpful emotions and thoughts, behavioral activation, breathing and relaxation, strategies for communication and information on external resources.</p></div><div><h3>Methods</h3><p>This study used a cross-sectional design with two groups of four caregivers who received an 8-week CBT-based intervention via videoconference. Measures of feasibility and acceptability were collected post-intervention as well as suggestions for improvements.</p></div><div><h3>Results</h3><p>Eight female caregivers were enrolled in the intervention, one participant opted out at the seventh session. Of those who completed the program, all participants reported that it was very easy to participate using the online modality. All participants felt that the intervention was at least partly adapted to their experience and needs as a caregiver. Five out of seven participants (71%) indicated that they felt better and would recommend the intervention to another caregiver.</p></div><div><h3>Conclusion</h3><p>The current study demonstrated that it is feasible and acceptable to use a videoconference CBT-based group intervention with MCI or mild AD female caregivers.</p></div><div><h3>Innovation</h3><p>This is the first videoconference-based cognitive behavioral intervention for caregivers of individuals living with MCI or mild AD.</p></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100317"},"PeriodicalIF":0.0,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772628224000657/pdfft?md5=931149df9cff8adc042338a3f7a96119&pid=1-s2.0-S2772628224000657-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141704643","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":"Does empathy decline in the clinical phase of medical education? A study of students at Leicester medical school","authors":"Leila Keshtkar ,&nbsp;Andy Ward ,&nbsp;Rachel Winter ,&nbsp;Char Leung ,&nbsp;Jeremy Howick","doi":"10.1016/j.pecinn.2024.100316","DOIUrl":"https://doi.org/10.1016/j.pecinn.2024.100316","url":null,"abstract":"<div><h3>Objective</h3><p>To examine whether medical student empathy changes throughout the five years of a UK medical school.</p></div><div><h3>Methods</h3><p>Students completed an online version of the Jefferson Scale of Empathy (JSE-S) during the 2022–2023 academic year. Comparisons of empathy scores were made using analysis of variance (ANOVA), and independent <em>t</em>-tests.</p></div><div><h3>Results</h3><p>Empathy scores varied across different years of medical school (<em>P</em> ≤ 0.001), with a small drop in empathy between the pre-clinical and clinical phases of medical school (Mean difference = 1.82, <em>P</em> = 0.025). Male students scored lower than female students and there was no statistically significant difference between the mean empathy score and speciality interest.</p></div><div><h3>Conclusions</h3><p>Students' empathy appeared declined slightly as they progressed through medical school. As a crucial component of good clinical care, interventions in medical education to enhance empathy should be prioritised.</p></div><div><h3>Innovation</h3><p>This is the first time following the COVID-19 pandemic that medical student empathy was measured across all five years of a medical school. Unlike many previous related studies, we identified the point at which empathy appears to decline, providing guidance for educators who can target empathy enhancing interventions where they are most needed.</p></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100316"},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772628224000645/pdfft?md5=816af771b0520b2cb297a4a716cbc7d5&pid=1-s2.0-S2772628224000645-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141541567","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":"Exploring perceptions of online calculators for identifying community-dwelling older people at risk of dying: A qualitative study","authors":"Carol Bennett ,&nbsp;Sarah Beach ,&nbsp;Karen Pacheco ,&nbsp;Amy T. Hsu ,&nbsp;Peter Tanuseputro ,&nbsp;Douglas G. Manuel","doi":"10.1016/j.pecinn.2024.100313","DOIUrl":"https://doi.org/10.1016/j.pecinn.2024.100313","url":null,"abstract":"<div><h3>Objectives</h3><p>This study aimed to assess the acceptability, value, and perceived barriers of using electronic risk calculators for predicting and communicating the risk of death in community-dwelling older adults.</p></div><div><h3>Methods</h3><p>One focus group and eight interviews were conducted with 16 participants with experience caring for patients or family members at end of life. A prototype mortality risk tool was used to anchor discussions. Data were analysed using a qualitative content analysis approach.</p></div><div><h3>Results</h3><p>Five themes emerged: acceptability, communication, barriers to use, broadening the circle of care, and tool limitations. Participants found the tool helpful for preparation, planning, and providing care, but disagreed on its community availability. Personalized risk estimates were valued for facilitating early goals of care conversations and normalizing discussions about death. However, concerns were raised about the tool's interpretation for individuals with different language, cultural, or educational backgrounds.</p></div><div><h3>Conclusions</h3><p>While electronic risk calculators were found to be acceptable, balancing autonomy with varying preferences for receiving the information and potential need for support is crucial.</p></div><div><h3>Innovation</h3><p>Providing patient-oriented life-expectancy estimates can enhance decisional capacity and facilitate shared decision-making between patients, their families, and healthcare professionals. Further research is needed to explore effective communication of personalized risk tools and additional benefits, harms, and barriers to implementation.</p></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100313"},"PeriodicalIF":0.0,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S277262822400061X/pdfft?md5=be6fc8123aa8bb4685d253bcc3528204&pid=1-s2.0-S277262822400061X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141480151","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":"Development of an online tool to support financial and legal planning in dementia","authors":"Irene Tessaro ,&nbsp;Sarah M. Hooper ,&nbsp;Denise Watt ,&nbsp;David Menestres ,&nbsp;David Farrell","doi":"10.1016/j.pecinn.2024.100312","DOIUrl":"https://doi.org/10.1016/j.pecinn.2024.100312","url":null,"abstract":"<div><h3>Objective</h3><p>To develop, assess, and refine an online educational tool, Plan for Clarity, to support financial and legal planning in dementia.</p></div><div><h3>Methods</h3><p>A Delphi mixed-method study with three rounds of anonymous review by lay and professional stakeholders was designed to reach consensus about the content of the online tool and explore the socio-cultural and behavioral factors that could affect access and use.</p></div><div><h3>Results</h3><p>Consensus showed that the online tool covered key information, knowledge, and communication skills for financial and legal planning. Study themes: 1) the online tool had to be easy to navigate with relevant, easily understood information; 2) people with early signs of memory difficulties would be able to use the tool; 3) a referral from a trusted source is a primary way to facilitate access and use of the tool; and 4) discussions about financial and legal issues should be held early, ahead of barriers that can block discussion.</p></div><div><h3>Conclusion</h3><p>These data suggest this online tool is relevant and feasible for dementia care and support as well as aging more generally.</p></div><div><h3>Innovation</h3><p>Plan for Clarity is innovative as an evidence and theory-driven online education tool to address financial and legal planning for dementia care, particularly among underserved older adults.</p></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100312"},"PeriodicalIF":0.0,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772628224000608/pdfft?md5=9c91d13d9e28d7765e054249e23f844d&pid=1-s2.0-S2772628224000608-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141480152","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":"Prioritising Key Concepts for informed health choices in cancer: An evidence-based online educational programme","authors":"Mengqi Li ,&nbsp;Declan Devane ,&nbsp;Claire Beecher ,&nbsp;Maura Dowling ,&nbsp;Austin G. Duffy ,&nbsp;Caitriona Duggan ,&nbsp;David Robert Grimes ,&nbsp;Avril Kennan ,&nbsp;Claire Kilty ,&nbsp;Allen Nsangi ,&nbsp;Andrew D. Oxman ,&nbsp;Derek C. Stewart ,&nbsp;Elaine Toomey ,&nbsp;Marie Tierney","doi":"10.1016/j.pecinn.2024.100311","DOIUrl":"https://doi.org/10.1016/j.pecinn.2024.100311","url":null,"abstract":"<div><h3>Objective</h3><p>The overabundance of health misinformation has undermined people's capacity to make evidence-based, informed choices about their health. Using the Informed Health Choices (IHC) Key Concepts (KCs), we are developing a two-stage education programme, Informed Health Choices-Cancer (IHC-C), to provide those impacted by cancer with the knowledge and skills necessary to think critically about the reliability of health information and claims and make well-informed choices. Stage 1 seeks to prioritise the most relevant Key Concepts.</p></div><div><h3>Methods</h3><p>A project group and a patient and carer participation group completed a two-round prioritisation process. The process involved disseminating pre-reading materials, training sessions, and a structured judgement form to evaluate concepts for inclusion. Data from each round were analysed to reach a consensus on the concepts to include.</p></div><div><h3>Results</h3><p>Fourteen participants were recruited and completed the first-round prioritisation. Fifteen participants undertook the second-round prioritisation. Nine Key Concepts were selected for the programme across five training sessions and two consensus meetings.</p></div><div><h3>Conclusion</h3><p>The prioritised concepts identified represent the most pertinent aspects of cancer-related information for those impacted by the disease. By incorporating these concepts into educational materials and communication strategies, healthcare providers and organisations can potentially help cancer patients, survivors, and their loved ones to recognise and combat cancer-related misinformation more effectively.</p></div><div><h3>Innovation</h3><p>This study introduces a participatory prioritisation process, which integrates the expertise of healthcare professionals with the insights of patients and carers, thereby enhancing the programme's relevance and applicability.</p></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100311"},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772628224000591/pdfft?md5=c9cd21084db53ce5ca779486e74ffefd&pid=1-s2.0-S2772628224000591-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141444401","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":"Associations between physicians' SDM behaviour and participation of older patients and family members in triadic decision-making: An observational study","authors":"Bea L. Dijkman ,&nbsp;Marie Louise Luttik ,&nbsp;Wolter Paans ,&nbsp;Ellen M. Driever ,&nbsp;Hanneke van der Wal-Huisman ,&nbsp;Paul L.P. Brand ,&nbsp;Barbara.L. van Leeuwen","doi":"10.1016/j.pecinn.2024.100306","DOIUrl":"https://doi.org/10.1016/j.pecinn.2024.100306","url":null,"abstract":"<div><h3>Background</h3><p>Medical consultations with older patients often include triadic conversations and decision-making processes involving physicians, patients, and family members. The presence of family members may change the communication dynamics and therefore increase the complexity of the consultation and decision-making process.</p></div><div><h3>Objective</h3><p>This study explored associations between physicians' shared decision-making (SDM) behaviour and patients' and family members' participation in the decision-making process.</p></div><div><h3>Methods</h3><p>Using an observational design, we analysed 95 recorded consultations between medical specialists, patients aged ≥65 years, and accompanying family members at a Dutch hospital. The OPTION^MCC was used to assess the physicians' SDM behaviour and patients' and family members' levels of involvement in SDM.</p></div><div><h3>Results</h3><p>We found a strong positive correlation between physicians' behaviour and patients' and family members' participation in SDM (0.68 and 0.64, respectively, <em>p</em> &lt; .01). Family members were more involved in SDM for patients aged 80 and older.</p></div><div><h3>Conclusion</h3><p>While not asserting causation, our study suggests physicians potentially play a facilitating role in shaping the SDM process together with proactive contributions from patients and family members.</p></div><div><h3>Innovation</h3><p>The results offer new insights into triadic SDM and provide suggestions for refining the OPTION^MCC. Further research is recommended into participants' mutual directional influences in triadic SDM.</p></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100306"},"PeriodicalIF":0.0,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772628224000542/pdfft?md5=2cea59bc59861470b3686e93a1ccec42&pid=1-s2.0-S2772628224000542-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141444512","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":"2024-06-18","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}

{"title":"Steps to construct educational interventions on sexual dysfunction for healthcare professionals and patients. Experiences from the SECRET research study-group","authors":"Rikke Meyer ,&nbsp;Sita R. Kotnis ,&nbsp;Cecilie M.Ø. Fog-Petersen ,&nbsp;Lise Tarnow ,&nbsp;Annamaria Giraldi ,&nbsp;Gesche Jürgens ,&nbsp;Charlotte B. Jacobsen","doi":"10.1016/j.pecinn.2024.100310","DOIUrl":"https://doi.org/10.1016/j.pecinn.2024.100310","url":null,"abstract":"<div><h3>Objectives</h3><p>To design an educational intervention on sexual dysfunction for patients suffering from schizophrenia and diabetes based on patients' and other relevant stakeholders' preferences, and to offer transparency into the basic decision-making process behind a final design.</p></div><div><h3>Methods</h3><p>We conducted a three-part investigation to explore theory, preferences, and feasibility based on literature searches and interviews with patients, healthcare professionals, heads of Assertive Community Treatment Centres and experts. Based on a content analysis of this material, a draft of the intervention was developed. The draft was quality-checked by involvement of stakeholder representatives and refined to its final design.</p></div><div><h3>Results</h3><p>The intervention evolved into having two components: One intervention for patients and one for healthcare professionals. In patient education, meeting peers and predictability were important factors. For healthcare professionals, daily clinical activities were prioritised.</p></div><div><h3>Conclusions</h3><p>We present a framework for an educational intervention about sexual dysfunction, schizophrenia and diabetes targeting both patients and healthcare professionals.</p></div><div><h3>Innovation</h3><p>The transparency of the design process underlying the interventions allows for reproduction and eases further refinement, extension, and adjustment if implemented in other contexts.</p></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100310"},"PeriodicalIF":0.0,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S277262822400058X/pdfft?md5=f730d5fad119580fc9cf35b1bebafc9d&pid=1-s2.0-S277262822400058X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141480153","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":"The feasibility of a social media-based foot self-management education and support program for adults with diabetes: A partially randomized preference trial","authors":"Helen Ngozichukwuka Obilor ,&nbsp;Olena Veryha ,&nbsp;Tom Weisz ,&nbsp;Mariam Botros ,&nbsp;Rosemary Wilson ,&nbsp;Joan Tranmer ,&nbsp;Kevin Woo","doi":"10.1016/j.pecinn.2024.100307","DOIUrl":"https://doi.org/10.1016/j.pecinn.2024.100307","url":null,"abstract":"<div><h3>Aim</h3><p>To assess the feasibility of Diabetic Foot Care Group (DFCG), a social media-based self-management education and support intervention, for people with diabetes (PWD) empowerment in diabetes-related foot ulceration prevention.</p></div><div><h3>Methods</h3><p>A partially randomized preference trial was conducted among 32 PWD. DFCG was implemented through Facebook. Participants in the intervention group joined the DFCG in addition to their usual care, while the control group received usual care. Data were collected online using questionnaires on participants' DFCG acceptance, engagement and preliminary efficacy on nine diabetes foot care-related outcomes at baseline, one, and three months post-intervention.</p></div><div><h3>Results</h3><p>The participants' study intervention acceptability and engagement rates were 84.2% and 55.2%, respectively. DFCG efficacy rate compared to usual care was 88.9% to 22.2%. Three diabetes foot care-related outcomes increased significantly in the intervention group three-month post-intervention: foot self-care adherence (<em>p</em> = 0.001, η_p² = 0.35), preventive foot self-care practice (<em>p</em> = 0.002, η_p² = 0.33), and physical health status (<em>p</em> &lt; 0.02, η_p² = 0.23).</p></div><div><h3>Conclusion</h3><p>DFCG is feasible and could effectively improve diabetes foot care-related outcomes.</p></div><div><h3>Innovation</h3><p>Social media is an innovative approach healthcare professionals could utilize to virtually support PWD in ongoing learning and engagement in optimal foot self-care activities.</p></div><div><h3>Trial registration</h3><p><span>ClinicalTrials.gov</span><svg><path></path></svg>, Identifier: <span>NCT04395521</span><svg><path></path></svg></p></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100307"},"PeriodicalIF":0.0,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772628224000554/pdfft?md5=27e98188586029606364a84fdc40e941&pid=1-s2.0-S2772628224000554-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141444402","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}