PEC innovation最新文献

{"title":"Use of digital flashcards for reproductive health counseling among adolescents","authors":"Meghan A. Anderson ,&nbsp;Rachel Price ,&nbsp;Tori P. Miller ,&nbsp;Rajan Lamichhane ,&nbsp;Jennie L. Yoost","doi":"10.1016/j.pecinn.2025.100401","DOIUrl":"10.1016/j.pecinn.2025.100401","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study is to determine whether “digital flashcard” graphics on a provider's smartphone are helpful in educating adolescents about reproductive health.</div></div><div><h3>Methods</h3><div>A randomized study compared the understanding of reproductive health topics among adolescents using digital flashcards during a clinical visit vs counseling as usual (control).</div></div><div><h3>Results</h3><div>There were 197 subjects (99 flashcards, 98 control) with mean age of 14.7 years. Among subjects in the flashcard group, new patients used more flashcards than return patients (3.48 vs 2.40, <em>p</em> = 0.001). The most frequently used flashcards were 7-day placebo birth control pills, the intrauterine device, internal anatomy and 84-day birth control pills. Among the flashcard group 96.9 % reported they “agreed” or “strongly agreed” that flashcards were helpful in understanding the topics discussed, and 98 % would recommend using them in the future. All subjects experienced an increase in understanding of the topics discussed during clinic, and there was no difference between the flashcard group and control.</div></div><div><h3>Conclusion</h3><div>Subjects using the digital flashcards during their clinical encounter reported high acceptability.</div></div><div><h3>Innovation</h3><div>Digital flashcards are accessible via smart phone use and can be easily distributed among providers to assist in reproductive health counseling in adolescents.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100401"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144069860","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":"Communication across language barriers in Nordic paediatric oncology care – A cross-sectional multicentre survey with healthcare personnel","authors":"Melissa Jakobsson ,&nbsp;Helena Ventovaara ,&nbsp;Johanna Granhagen Jungner ,&nbsp;Eva Broström ,&nbsp;Elisabet Tiselius ,&nbsp;Pernilla Pergert","doi":"10.1016/j.pecinn.2025.100395","DOIUrl":"10.1016/j.pecinn.2025.100395","url":null,"abstract":"<div><h3>Objective</h3><div>The study investigated how healthcare personnel communicate with families when experiencing language barriers, and the use of interpreters in Nordic paediatric oncology care.</div></div><div><h3>Methods</h3><div>A cross-sectional multicentre survey study with registered nurses (RNs) and medical doctors (MDs) at 20 Nordic paediatric oncology centres. The “Communication over Language Barriers questionnaire” (CoLB-q) was used in the respective Nordic languages. Descriptive analysis and non-parametric tests were used to summarize and compare data.</div></div><div><h3>Results</h3><div>A total of 489 RNs and MDs completed the survey (response rate of 55 %). Although most respondents reported often or sometimes caring for families with limited proficiency in the country's majority languages, only 20 % had received education in how to use an interpreter. When communicating without an interpreter both professions had used relatives and children as language brokers to some extent. Most respondents assessed that the use of interpreters increased families' participation and improved their care relationships with the families. MDs used interpreters more often than RNs, who in turn used children as language brokers more frequently than the MDs did.</div></div><div><h3>Conclusion</h3><div>Although most respondents believed that a professional interpreter increases patients' and families' participation and safety in care, children were used as language brokers by both professions. Few had received education or training on how to use an interpreter despite that most participants often met families with limited proficiency in the country's majority language.</div></div><div><h3>Innovation</h3><div>This study highlights a critical gap and underscores the necessity for healthcare personnel to receive education and training on utilizing professional interpreter resources.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100395"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898551","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":"2025-04-30","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":"2025-04-30","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":"2025-04-30","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":"Perceptions of positive and negative clinician communication in obstetrical visits from the perspectives of pregnant patients who use substances","authors":"Abisola Olaniyan ,&nbsp;Mary Hawk ,&nbsp;Dara D. Mendez ,&nbsp;Steven M. Albert ,&nbsp;Natalie Stern ,&nbsp;Sneha Patnaik ,&nbsp;Judy C. Chang","doi":"10.1016/j.pecinn.2025.100394","DOIUrl":"10.1016/j.pecinn.2025.100394","url":null,"abstract":"<div><h3>Objectives</h3><div>To explore the perceptions of pregnant patients who use substances regarding positive or negative clinician communication during obstetrical care.</div></div><div><h3>Methods</h3><div>We analyzed qualitative data from 85 semi-structured interviews with pregnant patients who reported or tested positive for substance use, which explored their interaction with obstetric providers during their first prenatal visit. This analysis focuses on patients' perceptions of negative versus positive clinician communication behaviors.</div></div><div><h3>Results</h3><div>Eighty-five participants described clinician communication behaviors they felt affected their feelings about the clinician and their willingness to talk about prenatal substance use and other sensitive topics. Negative behaviors included clinicians (1) expressing judgment, (2) rushing through the consultation and providing limited information to patients, and (3) using statements or behaviors that made patients feel dehumanized. Positive behaviors included clinicians (1) explicitly expressing care for the patient, (2) creating rapport by soliciting patient stories and building relationships, and (3) demonstrating attentive listening.</div></div><div><h3>Innovation</h3><div>To our knowledge, our study is the first to explore clinician communication behavior with a focus on prenatal substance use from the perspective of pregnant people using substances.</div></div><div><h3>Conclusion</h3><div>Our findings highlight pregnant patients' perspectives on communication patterns that could improve patient-clinician interactions and, in turn, maternal health care and outcomes.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100394"},"PeriodicalIF":0.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143881344","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":"Knowledge and confidence regarding pressure ulcer prevention among caregivers of high-risk individuals: A pre- and post-education assessment in a single-center","authors":"Maram T. Alkhatieb ,&nbsp;Rahaf W. Shigdar ,&nbsp;Zainab A. Alkhalifah ,&nbsp;Hussain A. Alkhalifah ,&nbsp;Hanan F. Alsabri ,&nbsp;Lama W. Attar ,&nbsp;Hana Z. Fatani ,&nbsp;Haifa M. Alnahdi","doi":"10.1016/j.pecinn.2025.100393","DOIUrl":"10.1016/j.pecinn.2025.100393","url":null,"abstract":"<div><h3>Objective</h3><div>We aimed to measure the effect of implementing a pressure ulcer (PU) educational program on the knowledge and confidence of caregivers taking care of bedridden patients or patients with limited mobility.</div></div><div><h3>Methods</h3><div>This study included caregivers of immobile or bedridden patients in our center from 23 April 2023 to 13 May 2023. A pre-assessment questionnaire to assess knowledge about PUs was provided. After this, an educational session was implemented. Thereafter, a post-assessment questionnaire was provided to measure the education outcomes.</div></div><div><h3>Results</h3><div>A total of 98 caregivers were included in the study; the majority were females (<em>n</em> = 69, 70.4 %) and were family members of the patient (<em>n</em> = 89, 90.8 %). Most have never received education on PUs and their prevention (<em>n</em> = 63, 64.3 %). The education sessions significantly affected the level of knowledge, as the scores were significantly higher post-education compared to pre-education (16.96 ± 2.73 vs. 11.06 ± 3.71, <em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Overall, we found that education sessions on PUs using different visual and audio aids could significantly increase caregivers' knowledge of PU prevention.</div></div><div><h3>Innovation</h3><div>We adopted a multi-faceted approach by developing original educational materials tailored to non-professional caregivers, including videos, booklets, and brochures in Arabic and English. This helped ensure accessibility and enhance the potential for widespread applicability in diverse home settings.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100393"},"PeriodicalIF":0.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870166","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":"Development and evaluation of the patient engagement questionnaire (PEQ)","authors":"Stephanie Batio,&nbsp;Laura M. Curtis,&nbsp;Julia Yoshino Benavente,&nbsp;Stacy C. Bailey,&nbsp;Michael S. Wolf","doi":"10.1016/j.pecinn.2025.100392","DOIUrl":"10.1016/j.pecinn.2025.100392","url":null,"abstract":"<div><h3>Objective</h3><div>We sought to develop and evaluate the Patient Engagement Questionnaire (PEQ); a brief, remote assessment that captures both measures of health literacy and patient activation in the context of engagement in healthcare.</div></div><div><h3>Methods</h3><div>Participants in the COVID-19 &amp; Chronic Conditions cohort study completed a survey that included PEQ items, demographics, Newest Vital Sign, Consumer Health Activation Index, and patient-reported outcomes. Exploratory and Confirmatory Factor Analysis were used to conduct an item reduction process and assess fit. Spearman correlations and generalized linear regression models were performed to assess convergent and predictive validity. Stratum-specific likelihood ratios were used to determine cutoffs.</div></div><div><h3>Results</h3><div>630 participants completed the survey. PEQ had 6 items loading onto one single factor, with good reliability (α = 0.76), and convergent validity with the NVS (<em>r</em> = 0.30, <em>p</em> &lt; 0.001) and CHAI (<em>r</em> = 0.41, p &lt; 0.001). Higher PEQ scores were significantly associated with lower depression (<em>r</em> = −0.30, <em>p</em> &lt; 0.001) and better physical function (<em>r</em> = 0.31, <em>p</em> &lt; 0.01). Two categories emerged: limited (6–26, SSLR: 3.15) and adequate (26–30, SSLR: 0.53).</div></div><div><h3>Conclusion</h3><div>The PEQ is a brief and easily administered tool designed to capture the intersect between health literacy and activation.</div></div><div><h3>Practice implications</h3><div>The PEQ will help identify patients struggling with care engagement, aiding resource allocation to those most in need.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100392"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848559","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":"Content and quality of smartphone applications for bariatric surgery: A review and content analysis","authors":"Irma Hellbrecht ,&nbsp;Nadja Könsgen ,&nbsp;Alina Weise ,&nbsp;Fabian Schlumberger ,&nbsp;Dawid Pieper ,&nbsp;Jessica Breuing","doi":"10.1016/j.pecinn.2025.100391","DOIUrl":"10.1016/j.pecinn.2025.100391","url":null,"abstract":"<div><h3>Objective</h3><div>Our aim was to provide a descriptive analysis of the content and quality of bariatric apps available in Germany.</div></div><div><h3>Methods</h3><div>From November 2022 to February 2023, apps available in German used in pre- or postoperative care were searched in the Google Play, the Apple App Store, and the Register for Digital Health Applications (DHA). One author reviewed titles and summary pages. Relevant apps were downloaded and two authors assessed their eligibility. Additionally, the authors independently screened records indexed in Medline/Embase. Besides a summary of the app content, a quality assessment was performed using two checklists (the Action Alliance for Patient Safety Checklist (APS); the Mobile App Rating Scale (MARS).</div></div><div><h3>Results</h3><div>38 potentially relevant apps were identified, <em>n</em> = 3 were included. Functionality was good (MARS score 13–18/20). Content quality was variable (MARS score 7–19/35). Moreover, the apps' content lacked references and varied in scope.</div></div><div><h3>Conclusion</h3><div>There are few apps in the field of BS available and the quality of their content is moderate to low. The evidence base remains unclear due to a lack of sources.</div></div><div><h3>Innovation</h3><div>This is the first structured assessment of bariatric apps in Germany using validated checklists. The results provide a foundation for evidence-based, patient-centered app development in bariatric care and thus represent an important digital innovation in this field.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100391"},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816767","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":"Leveraging artificial intelligence chatbots for anemia prevention: A comparative study of ChatGPT-3.5, copilot, and Gemini outputs against Google Search results","authors":"Shinya Ito ,&nbsp;Emi Furukawa ,&nbsp;Tsuyoshi Okuhara ,&nbsp;Hiroko Okada ,&nbsp;Takahiro Kiuchi","doi":"10.1016/j.pecinn.2025.100390","DOIUrl":"10.1016/j.pecinn.2025.100390","url":null,"abstract":"<div><h3>Aim</h3><div>This study evaluated the understandability, actionability, and readability of text on anemia generated by artificial intelligence (AI) chatbots.</div></div><div><h3>Methods</h3><div>This cross-sectional study compared texts generated by ChatGPT-3.5, Microsoft Copilot, and Google Gemini at three levels: “normal,” “6th grade,” and “PEMAT-P version.” Additionally, texts retrieved from the top eight Google Search results for relevant keywords were included for comparison. All texts were written in Japanese. The Japanese version of the PEMAT-P was used to assess understandability and actionability, while jReadability was used for readability. A systematic comparison was conducted to identify the strengths and weaknesses of each source.</div></div><div><h3>Results</h3><div>Texts generated by Gemini at the 6th-grade level (<em>n</em> = 26, 86.7 %) and PEMAT-P version (<em>n</em> = 27, 90.0 %), as well as ChatGPT-3.5 at the normal level (<em>n</em> = 21, 80.8 %), achieved significantly higher scores (≥70 %) for understandability and actionability compared to Google Search results (<em>n</em> = 17, 25.4 %, <em>p</em> &lt; 0.001). For readability, Copilot and Gemini texts demonstrated significantly higher percentages of “very readable” to “somewhat difficult” levels than texts retrieved from Google Search (<em>p</em> = 0.000–0.007).</div></div><div><h3>Innovation</h3><div>This study is the first to objectively and quantitatively evaluate the understandability and actionability of educational materials on anemia prevention. By utilizing PEMAT-P and jReadability, the study demonstrated the superiority of Gemini in terms of understandability and readability through measurable data. This innovative approach highlights the potential of AI chatbots as a novel method for providing public health information and addressing health disparities.</div></div><div><h3>Conclusion</h3><div>AI-generated texts on anemia were found to be more readable and easier to understand than traditional web-based texts, with Gemini demonstrating the highest level of understandability. Moving forward, improvements in prompts will be necessary to enhance the integration of visual elements that encourage actionable responses in AI chatbots.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100390"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143835081","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}