PEC innovation最新文献_第2页

Understanding public response: Government communication during the COVID-19 crisis through the eyes of the Swiss public 了解公众反应：从瑞士公众的视角看 COVID-19 危机期间的政府沟通

PEC innovation Pub Date : 2024-10-09 DOI: 10.1016/j.pecinn.2024.100349

Nicola Diviani , Maddalena Fiordelli , Sara Rubinelli

{"title":"Understanding public response: Government communication during the COVID-19 crisis through the eyes of the Swiss public","authors":"Nicola Diviani , Maddalena Fiordelli , Sara Rubinelli","doi":"10.1016/j.pecinn.2024.100349","DOIUrl":"10.1016/j.pecinn.2024.100349","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze the Swiss public perception of COVID-19 communication by the government and its impact on behavior and trust.</div></div><div><h3>Methods</h3><div>A cross-sectional representative online survey was conducted in January 2022 in a sample of 2587 Swiss residents.</div></div><div><h3>Results</h3><div>Overall the survey showed moderate satisfaction with communication, with relevance rated highly. Perceptions of communication varied across demographics. Also, differences were noted in trust in institutions, risk perception, and attitudes towards public health measures based on perceived communication quality.</div></div><div><h3>Conclusion</h3><div>This study highlights the dynamic nature of public health communication and underscores the significance of continuous adaptation and evaluation of strategies to effectively reach and influence diverse audiences. As misinformation persists, the study underscores the need for informative, empathetic, and honest communication, as well as tailored approaches to build public trust—an essential asset for managing health crises successfully.</div></div><div><h3>Innovation</h3><div>This study provides innovative concrete insights into how governmental communication could be designed more strategically to effectively communicate with the public in contexts characterized by disinformation, emphasizing the role of quality, honest, and empathetic communication in public health messaging.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100349"},"PeriodicalIF":0.0,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142420478","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}

引用次数: 0

Comparing three methods to assess learning outcomes for a suicide prevention training program for pharmacy staff 比较三种评估药房员工自杀预防培训项目学习成果的方法

PEC innovation Pub Date : 2024-10-04 DOI: 10.1016/j.pecinn.2024.100348

Grace Marley , Jill E. Lavigne , Wendi Cross , Abigail Gamble , Zhuying Zhang , Delesha M. Carpenter

{"title":"Comparing three methods to assess learning outcomes for a suicide prevention training program for pharmacy staff","authors":"Grace Marley , Jill E. Lavigne , Wendi Cross , Abigail Gamble , Zhuying Zhang , Delesha M. Carpenter","doi":"10.1016/j.pecinn.2024.100348","DOIUrl":"10.1016/j.pecinn.2024.100348","url":null,"abstract":"<div><h3>Objective</h3><div>To examine whether pharmacists and pharmacy staff who complete a suicide prevention gatekeeper training program (Pharm-SAVES) react similarly to a written patient case, a live simulated patient (SP), and a prerecorded SP case.</div></div><div><h3>Methods</h3><div>After completing the 30-min Pharm-SAVES training, participants completed a written patient case via survey and then, 1 month later, completed a prerecorded SP and live SP interaction via Zoom. For each assessment type, we documented whether the participant asked about suicide and referred the patient to the Suicide and Crisis Lifeline (988).</div></div><div><h3>Results</h3><div>Participants (<em>n</em> = 12) asked about suicide in 8 (67 %) written patient cases, 9 (75 %) prerecorded SP cases, and 8 (67 %) live SP cases. Participants referred patients to 988 in 8 (67 %) written patient cases, 5 (42 %) prerecorded SP cases, and 10 (83 %) live SP cases.</div></div><div><h3>Conclusion</h3><div>The number of participants who asked about suicide was similar regardless of assessment type; however, referrals to the Suicide & Crisis Lifeline happened less often with the prerecorded SP cases.</div></div><div><h3>Innovation</h3><div>This is the first study to compare key learning outcomes of pharmacy suicide prevention gatekeeper training across written, live, and prerecorded SP encounters.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100348"},"PeriodicalIF":0.0,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142420477","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}

引用次数: 0

Development and pilot testing of the Population And ContExt adaption of decision aids (PACE) framework 开发和试点测试人口与扩展决策辅助工具（PACE）框架

PEC innovation Pub Date : 2024-09-30 DOI: 10.1016/j.pecinn.2024.100347

Hankiz Dolan , Deborah Bateson , Mu Li , Rachel Thompson , Chun Wah Michael Tam , Carissa Bonner , Lyndal Trevena

{"title":"Development and pilot testing of the Population And ContExt adaption of decision aids (PACE) framework","authors":"Hankiz Dolan , Deborah Bateson , Mu Li , Rachel Thompson , Chun Wah Michael Tam , Carissa Bonner , Lyndal Trevena","doi":"10.1016/j.pecinn.2024.100347","DOIUrl":"10.1016/j.pecinn.2024.100347","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to develop and pilot test a new framework for the adaptation of patient decision aids (PtDAs) using a specific case example of contraceptive method PtDAs for Chinese-speaking migrant women.</div></div><div><h3>Methods</h3><div>We developed a novel approach for adaptation – the PACE (Population And ContExt adaption of decision aids) framework – that incorporated both existing models and frameworks and innovative elements. It involves six stages: selection and appraisal; review by content experts; content validity and usability pre-testing; translation; decisional needs assessment; and perceived acceptability, usability and feasibility testing. We then followed the framework to pilot and adapt a suite of PtDAs on contraceptive methods for Chinese-speaking migrant women in Australia. Twenty healthcare providers and 22 Chinese migrant women participated during the stages five and six.</div></div><div><h3>Results</h3><div>The pilot resulted in adapted PtDAs that were acceptable to end users. For future research, we proposed further recommendations and considerations based on lessons learnt, which include flexibility in applying the framework and considering an additional real-world evaluation step.</div></div><div><h3>Conclusion</h3><div>Adaptation of PtDAs required a multi-stage and multidisciplinary team-based and pragmatic approach as exemplified in the application of the PACE framework.</div></div><div><h3>Innovation</h3><div>The PACE framework developed and piloted in this study fills a crucial gap in knowledge about how to adapt PtDAs for new populations and contexts and provides an innovative and systemic approach to guide the adaptation process.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100347"},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142420476","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}

引用次数: 0

Black women and the preemie prep for parents (P3) program: Exploratory analysis of a clinical trial 黑人妇女与早产儿父母预备（P3）计划：临床试验的探索性分析

PEC innovation Pub Date : 2024-09-28 DOI: 10.1016/j.pecinn.2024.100346

Siobhan M. McDonnell , Kathryn E. Flynn , Kris Barnekow , U. Olivia Kim , Ruta Brazauskas , S. Iqbal Ahamed , Jennifer J. McIntosh , Michael B. Pitt , Steven R. Leuthner , Abbey Kruper , Mir A. Basir

引用次数: 0

Human milk feeding for moderate and late preterm infants at age 2 months: Insights from a cluster randomized controlled trial 2-month follow-up 中度和晚期早产儿 2 个月时的母乳喂养：群组随机对照试验 2 个月随访的启示

PEC innovation Pub Date : 2024-09-19 DOI: 10.1016/j.pecinn.2024.100345

Amanda M. Moe , Meredith L. Brockway , Deborah A. McNeil , Arfan R. Afzal , Karen M. Benzies

{"title":"Human milk feeding for moderate and late preterm infants at age 2 months: Insights from a cluster randomized controlled trial 2-month follow-up","authors":"Amanda M. Moe , Meredith L. Brockway , Deborah A. McNeil , Arfan R. Afzal , Karen M. Benzies","doi":"10.1016/j.pecinn.2024.100345","DOIUrl":"10.1016/j.pecinn.2024.100345","url":null,"abstract":"<div><h3>Objective</h3><div>Human milk (HM) is the optimal nutrition for infants; preterm infants demonstrate shorter HM feeding duration. Care interventions may increase HM feeding among preterm infants after NICU discharge. We compared Alberta Family Integrated Care (FICare) versus Standard Care on HM feeding in preterm infants at age 2 months.</div></div><div><h3>Methods</h3><div>We conducted a follow-up of a cluster randomized controlled trial of 455 infants and their mothers with data linked to the infant's 2-month public health visit. We used partial proportional odds to model group differences and factors associated with feeding type: exclusive HM (EHM), Non-EHM, or no HM (NHM).</div></div><div><h3>Results</h3><div>Compared to Standard Care, mothers in Alberta FICare were less likely to provide EHM versus NHM. There was no group difference between EHM and Non-EHM. Mothers with higher education who were on maternity leave or employed were more likely to provide EHM. Infants who received EHM at discharge were more likely to continue at age 2 months. Higher maternal breastfeeding self-efficacy at discharge was associated with a greater likelihood of EHM.</div></div><div><h3>Conclusion</h3><div>Alberta FICare was not associated with EHM feeding at age 2 months.</div></div><div><h3>Innovation</h3><div>Different factors predicted the three HM feeding categories, suggesting the need to individualize feeding supports.</div><div>Trial Registration.</div><div><span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> Identifier <span><span>NCT02879799</span><svg><path></path></svg></span>, retrospectively registered August 26, 2016.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100345"},"PeriodicalIF":0.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772628224000931/pdfft?md5=9856878c44c9b3a7194c4938287306a6&pid=1-s2.0-S2772628224000931-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142311804","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}

引用次数: 0

Evaluating the feasibility and utility of telephonic motivational interviewing in older adults 评估对老年人进行电话动机访谈的可行性和实用性

PEC innovation Pub Date : 2024-09-14 DOI: 10.1016/j.pecinn.2024.100344

Nicholas R. Lamoureux , L. Alison Phillips , Kathryn J. DeShaw , Trina Radske-Suchan , Gregory J. Welk

{"title":"Evaluating the feasibility and utility of telephonic motivational interviewing in older adults","authors":"Nicholas R. Lamoureux , L. Alison Phillips , Kathryn J. DeShaw , Trina Radske-Suchan , Gregory J. Welk","doi":"10.1016/j.pecinn.2024.100344","DOIUrl":"10.1016/j.pecinn.2024.100344","url":null,"abstract":"<div><p>Older adults face unique barriers and challenges related to physical activity (PA) participation. Motivational interviewing (MI) is a commonly used health coaching strategy to support behavior change that holds potential for older adults. Previous research on MI strategies has focused primarily on face-to-face delivery, limiting insights regarding virtual programs.</p></div><div><h3>Objectives</h3><p>The purpose of this study was to determine if MI could be delivered telephonically with high fidelity and high acceptability in older adult participants. The study is designed to inform future trials evaluating its effectiveness in supporting virtual PA programs.</p></div><div><h3>Methods</h3><p>This study evaluated the feasibility and acceptability of telephonic MI among older adults that enrolled in an online version of the Walk with Ease program.</p></div><div><h3>Results</h3><p>Of 39 participants referred, 29 enrolled and 27 provided feedback. Participants were highly accepting and adherent, with 74 % of patients attending at least five of six sessions, and 96 % of participants indicating satisfaction with the MI provided. Coaches improved program enjoyment by helping set effective goals and providing ongoing accountability.</p></div><div><h3>Conclusions</h3><p>Evaluations documented adequate fidelity and high acceptability of telephonic delivery, and motivation results revealed large, significant increases in autonomous regulation (quality of motivation).</p></div><div><h3>Innovation</h3><p>Telephonic MI using non-healthcare professional coaches is feasibly delivered with high fidelity, and is acceptable to older adult participants. The innovative delivery format offers novel opportunities supporting virtual and telehealth interventions to reduce chronic disease risk among older adults.</p></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100344"},"PeriodicalIF":0.0,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S277262822400092X/pdfft?md5=7751ee49e8244512dc5974cc16a460c5&pid=1-s2.0-S277262822400092X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142241033","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}

引用次数: 0

Provider preparedness to care for sexual and gender minority adolescent and young adult cancer patients: A scoping review 医疗服务提供者为性取向和性别少数的青少年和年轻成人癌症患者提供护理的准备情况：范围界定审查

PEC innovation Pub Date : 2024-09-13 DOI: 10.1016/j.pecinn.2024.100343

Christabel K. Cheung , Haelim Lee , Nina Francis-Levin , Eunju Choi , Yimin Geng , Bria N. Thomas , Valentina A. Roman , Michael E. Roth

{"title":"Provider preparedness to care for sexual and gender minority adolescent and young adult cancer patients: A scoping review","authors":"Christabel K. Cheung , Haelim Lee , Nina Francis-Levin , Eunju Choi , Yimin Geng , Bria N. Thomas , Valentina A. Roman , Michael E. Roth","doi":"10.1016/j.pecinn.2024.100343","DOIUrl":"10.1016/j.pecinn.2024.100343","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of the current scoping review is to explore knowledge and gaps in the literature on the preparedness of health care providers (HCPs) to deliver cancer care that addresses the needs of sexual and gender minority (SGM) adolescent and young adult (AYA) patients diagnosed with cancer between ages 15–39 years.</div></div><div><h3>Methods</h3><div>We conducted two comprehensive searches on OVID MEDLINE, PsycINFO, and CINAHL in February 2022 and June 2024; examined the empirical literature on HCPs who treat SGM AYA cancer patients; characterized existing research; and evaluated each contribution.</div></div><div><h3>Results</h3><div>A total of thirteen articles were included in the final review. The reviewed studies varied widely in sample sizes (<em>n</em> = 6 to <em>n</em> = 1253), reflecting different methodological approaches: quantitative cross-sectional (<em>n</em> = 3), qualitative (<em>n</em> = 4), and mixed methods (n = 6).</div></div><div><h3>Innovation</h3><div>The current scoping review piloted an innovative Quality Assessment (QA) Tool of Foundational Progress for SGM AYA Research to assess the quality of evidence, providing a new framework for evaluating and guiding future research.</div></div><div><h3>Conclusion</h3><div>The existing literature on provider preparedness to care for SGM AYA cancer patients is limited. Future studies are critically needed to improve providers' ability to holistically respond to the unique health care needs and concerns of this population.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100343"},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772628224000918/pdfft?md5=9b07231fa49c73f86cb916a68b91fcb3&pid=1-s2.0-S2772628224000918-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142311801","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}

引用次数: 0

Access to the internet and mobile applications in a mixed population emergency department: A repeated cross-sectional survey 混合人群急诊科使用互联网和移动应用程序的情况：重复横断面调查

PEC innovation Pub Date : 2024-09-12 DOI: 10.1016/j.pecinn.2024.100340

Shannon Toohey , Michelle T. Nguyen , Soheil Saadat , Carrie E. Chandwani , Stephen F. Gassner , Alisa Wray , Ronald Rivera , Warren Wiechmann

{"title":"Access to the internet and mobile applications in a mixed population emergency department: A repeated cross-sectional survey","authors":"Shannon Toohey , Michelle T. Nguyen , Soheil Saadat , Carrie E. Chandwani , Stephen F. Gassner , Alisa Wray , Ronald Rivera , Warren Wiechmann","doi":"10.1016/j.pecinn.2024.100340","DOIUrl":"10.1016/j.pecinn.2024.100340","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to assess patients' interest in education content delivered through electronic modalities and identify trends in internet access and use among emergency department patients of various socioeconomic statuses.</p></div><div><h3>Methods</h3><p>A prospective, cross-sectional survey with 50 questions was completed by 241 English and Spanish-speaking patients in 2014 and repeated with 253 participants in 2019 at the University of California, Irvine Medical Center's Emergency Department (UCIMCED).</p></div><div><h3>Results</h3><p>Internet access increased from 83.8 % in 2014 to 88.1 % in 2019. Most internet-using patients owned smartphones (80.1 % in 2014, 89.7 % in 2019). Patients used electronic devices, such as fit bits and activity trackers, to obtain health information. Email was the preferred method for receiving discharge instructions.</p></div><div><h3>Conclusions</h3><p>As of 2019, 88.1 % of UCIMCED patients have access to the internet or email, making electronic media a reasonable venue for patient education. Given that we have a predominantly low-income patient population—61 % and 32 % of respondents in 2014 and 2019, respectively, reporting an income of less than $25,000—these results are provide new avenues to reach patients of all socioeconomic statuses.</p></div><div><h3>Innovation</h3><p>The implications of this study can be used to develop electronic resources tailored to educate emergency department patients about their healthcare beyond the confines of a hospital.</p></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100340"},"PeriodicalIF":0.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772628224000888/pdfft?md5=7206b9373ad08372f79ee7b25ce01101&pid=1-s2.0-S2772628224000888-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142230704","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}

引用次数: 0

Communication at work: A survey to explore the relationships between healthcare providers' communication competence and professional quality of life in neonatal care 工作中的沟通：新生儿护理中医护人员沟通能力与专业生活质量之间的关系调查

PEC innovation Pub Date : 2024-09-10 DOI: 10.1016/j.pecinn.2024.100341

Nanon H.M. Labrie , Puck Straver , Anne A.M.W. van Kempen , Nicole R. van Veenendaal

{"title":"Communication at work: A survey to explore the relationships between healthcare providers' communication competence and professional quality of life in neonatal care","authors":"Nanon H.M. Labrie , Puck Straver , Anne A.M.W. van Kempen , Nicole R. van Veenendaal","doi":"10.1016/j.pecinn.2024.100341","DOIUrl":"10.1016/j.pecinn.2024.100341","url":null,"abstract":"<div><h3>Objective</h3><div>Providing medical care to preterm infants can be rewarding yet also stressful for healthcare providers in the neonatal care unit (NICU). While the impact of provider-parent communication on parent-related stress and satisfaction is widely accepted, little is known about the provider perspective. Therefore, this study explores the relationships between neonatal care providers' <em>communicative competence</em> and their <em>professional quality of life</em> and <em>job satisfaction</em>.</div></div><div><h3>Methods</h3><div>Using the NICU Communication Framework, we conducted a cross-sectional survey among <em>N</em> = 300 Dutch pediatricians‑neonatologists, nurses, and ancillary staff.</div></div><div><h3>Results</h3><div>Communication <em>performance</em> and providers' job satisfaction were correlated, particularly in terms of perceived quality of care, professional relationships, and personal rewards. When providers deemed communication <em>important</em> and perceived themselves as <em>skilled</em> communicators, job satisfaction increased. Experiencing sufficient <em>time</em> for conversations with parents was inversely correlated with provider fatigue and burn-out. Yet, providers reported insufficient opportunity for communication.</div></div><div><h3>Conclusion</h3><div>These results warrant reflection on the importance of communication in neonatal care, for the wellbeing of parents and providers alike.</div></div><div><h3>Innovation</h3><div>Focusing on the provider perspective, this study provides novel insights into the relationships between communication and outcomes of care. Our findings uniquely emphasize the power of communication to foster staff satisfaction and reduce burn-out in the NICU.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100341"},"PeriodicalIF":0.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S277262822400089X/pdfft?md5=357e35879158a0fbf0582bb71b87bd06&pid=1-s2.0-S277262822400089X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142311803","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}

引用次数: 0

Development of a decision aid with cost information for heart failure medication in Singapore 在新加坡开发包含心力衰竭用药成本信息的决策辅助工具

PEC innovation Pub Date : 2024-09-03 DOI: 10.1016/j.pecinn.2024.100342

Qianyu Shen , Dennis Chin Wee Chua , Po Fun Chan , Hwee Lin Wee

{"title":"Development of a decision aid with cost information for heart failure medication in Singapore","authors":"Qianyu Shen , Dennis Chin Wee Chua , Po Fun Chan , Hwee Lin Wee","doi":"10.1016/j.pecinn.2024.100342","DOIUrl":"10.1016/j.pecinn.2024.100342","url":null,"abstract":"<div><h3>Objective</h3><p>This study presents the development process of a heart failure (HF) medication decision aid (DA) specific to Singapore context, with the objective of promoting cost conversations.</p></div><div><h3>Methods</h3><p>Phase 1 was to create a DA prototype, where two HF clinicians were consulted on their input and needs. Phase 2 was pilot testing where the prototype was tested on HF patients and revised based on their feedback.</p></div><div><h3>Results</h3><p>The DA is a one-page poster that compares only two classes of HF medications. It encompasses seven attributes for comparison, including route of administration, treatment duration, frequency of use, hospitalization rate, survival rate, low blood pressure probability with personalized subsidized cost being the key attribute. A total of 48 patients participated in the pilot testing with only 2 patients (4.2 %) finding the DA difficult to understand. Almost all patients agreed that the DA provided greater clarity in the medication options.</p></div><div><h3>Conclusion</h3><p>By integrating the needs of both clinicians and patients and conducting user testing, we developed a novel HF medication DA. Patients found the tool easy to understand and acceptable.</p></div><div><h3>Innovation</h3><p>This innovative DA aims to improve cost conversations by providing tailored, concise, and locally relevant information for efficient use.</p></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"5 ","pages":"Article 100342"},"PeriodicalIF":0.0,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772628224000906/pdfft?md5=a9b719afd88e89238b9a35ebc233cb38&pid=1-s2.0-S2772628224000906-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142149566","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}

引用次数: 0