PEC innovation最新文献_第2页

“In some ways it feels like a specialism”: Exploring the lived experience of multilingual maternity professionals – A qualitative interview study

PEC innovation Pub Date : 2025-01-22 DOI: 10.1016/j.pecinn.2025.100378

Emma Brooks

{"title":"“In some ways it feels like a specialism”: Exploring the lived experience of multilingual maternity professionals – A qualitative interview study","authors":"Emma Brooks","doi":"10.1016/j.pecinn.2025.100378","DOIUrl":"10.1016/j.pecinn.2025.100378","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the experience of multilingual maternity staff working in UK NHS hospitals.</div></div><div><h3>Methods</h3><div>As part of an exploratory qualitative descriptive approach, semi-structured interviews were conducted with multilingual healthcare professionals, working in perinatal care in different NHS trusts across the United Kingdom. Interviews were audio-recorded, transcribed and subsequently analyzed using thematic analysis.</div></div><div><h3>Results</h3><div>Where practitioners were able to draw on their linguistic skills, they felt that multilingualism was a specialism and appreciated by colleagues. Practitioners also felt that the utilisation of shared languages could boost the confidence of women and birthing people, as well as improving their understanding and sense of wellbeing. Conversely, several practitioners felt an obligation to offer linguistic support, noting that it added to a workload burden, and fear of litigation, that was not experienced by monolingual colleagues.</div></div><div><h3>Conclusion</h3><div>Strategic utilisation of linguistically skilled NHS practitioners may hold the potential for advancing equity of care for migrant populations, who are regularly and disproportionately represented in data recording adverse outcomes.</div></div><div><h3>Innovation</h3><div>Investing in institutional support and formal accreditation for multilingual health professionals would enable them to be able to operate with confidence, redress (invisibilized) workloads and contribute to advancing parity of care for migrant patients.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100378"},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143219154","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

Visuals versus textual scales: Optimizing reliability and user experience in observational assessment of parent-child interaction

PEC innovation Pub Date : 2025-01-20 DOI: 10.1016/j.pecinn.2025.100376

Mirte L. Forrer , Carlo Schuengel , Mirjam Oosterman

{"title":"Visuals versus textual scales: Optimizing reliability and user experience in observational assessment of parent-child interaction","authors":"Mirte L. Forrer , Carlo Schuengel , Mirjam Oosterman","doi":"10.1016/j.pecinn.2025.100376","DOIUrl":"10.1016/j.pecinn.2025.100376","url":null,"abstract":"<div><h3>Objective</h3><div>Assessment of parent-child interaction by practitioners is of great importance but hindered by a lack of instruments that withstand the constraints daily practice places on usage. Visuals may offer an alternative format. Visualizations were tested on reliability, accuracy, and feasibility in observational assessment of parent-child interaction, as alternatives for textual rating scales.</div></div><div><h3>Methods</h3><div>In Study 1, 95 students rated parent-child interactions with a video or text anchor scale, and in Study 2, 217 professionals rated the same interactions with a decision tree including visual components or a text anchor scale.</div></div><div><h3>Results</h3><div>Students using the video anchor scale were less reliable and accurate, slower, and had a less positive user experience than students using the text anchor scale. Professionals using the decision tree did not differ in reliability and were comparable in user experience with professionals using the text anchor scale. Rater accuracy showed similar dependency on quality of parental behavior for both scales: ratings were less accurate when the quality of the parent-child interaction was low, and more accurate when the quality was high. However, professionals were less accurate and slower in using the decision tree than the text anchor scale.</div></div><div><h3>Conclusion</h3><div>With a first iteration of a decision tree performing the same to or only slightly worse, efforts to further develop decision trees might be worthwhile.</div></div><div><h3>Innovation</h3><div>These nonintuitive findings underscore the value of experimental testing in assessment design in daily practice.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100376"},"PeriodicalIF":0.0,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143168144","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

Patients' emotional expressions and clinicians' responses in oncology – From recognition to exploration of concerns

PEC innovation Pub Date : 2025-01-17 DOI: 10.1016/j.pecinn.2025.100374

Fernanda Bittencourt Romeiro , Vanessa Garrido Pais , Gerry Humphris , Margarida Figueiredo-Braga

{"title":"Patients' emotional expressions and clinicians' responses in oncology – From recognition to exploration of concerns","authors":"Fernanda Bittencourt Romeiro , Vanessa Garrido Pais , Gerry Humphris , Margarida Figueiredo-Braga","doi":"10.1016/j.pecinn.2025.100374","DOIUrl":"10.1016/j.pecinn.2025.100374","url":null,"abstract":"<div><h3>Objectives</h3><div>The objective of this study was to analyze patient's emotional expressions during the consultations and the responses of their oncologists to these expressions.</div></div><div><h3>Methods</h3><div>The study employed a mixed-method, observational, descriptive, and explanatory design. A total of 31 adult patients at different clinical stages, undergoing cancer treatment and 8 oncologists were included. Thirty-one routine outpatient oncology consultations were analyzed, after being transcribed and coded, using the Portuguese version of the Verona Coding Definitions of Emotional Sequences (VR-CoDES).</div></div><div><h3>Results</h3><div>The oncologists elicited and recognized patients' emotional concerns but they did not explore them in a way that encouraged patients to continue verbalizing their feelings. Oncologists provided more directive and guidance-oriented responses, focusing on cues related to physical pain and symptoms. Multilevel logistic regression analysis modeled the probability of oncologists' responses showing reduction of space in relation to patients' emotional cues/concerns, controlling for clustering and patients' clinical and socio-demographic variables. The type of cue and treatment influenced the oncologists' responses.</div></div><div><h3>Conclusions</h3><div>Communication skills training focused on the ability to better explore patients' emotions may help oncologists to provide more explicit and empathetic responses that validate the emotional content expressed during consultations. <em>Practice Implications:</em> Oncologists do not use the same responses as a standard with patients, thus adjusting them individually.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100374"},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143168143","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

Are we offering palliative care and employing shared decision making in the neonatal intensive care unit? A 10-year retrospective chart review

PEC innovation Pub Date : 2025-01-16 DOI: 10.1016/j.pecinn.2025.100375

Sawyer Karabelas-Pittman , Helen Coo , Hannah Lee , Christine C. Moon , Gillian MacLean

{"title":"Are we offering palliative care and employing shared decision making in the neonatal intensive care unit? A 10-year retrospective chart review","authors":"Sawyer Karabelas-Pittman , Helen Coo , Hannah Lee , Christine C. Moon , Gillian MacLean","doi":"10.1016/j.pecinn.2025.100375","DOIUrl":"10.1016/j.pecinn.2025.100375","url":null,"abstract":"<div><h3>Objective</h3><div>Perinatal palliative care (PPC) supports families with a fetal diagnosis of a life-limiting condition or who are facing preterm labour at the limits of viability. Shared decision making (SDM) is the gold standard approach in PPC. The objectives of this study were to describe the Neonatal Intensive Care Unit (NICU) team's involvement in PPC and the extent of SDM at an academic hospital in southeastern Ontario, and the frequency with which PPC was offered, accepted and received for live births.</div></div><div><h3>Methods</h3><div>We retrospectively reviewed charts for births from January 2010–January 2020 where a life-limiting condition (LLC) had been prenatally diagnosed or there was threatened preterm labour (TPTL) at the limits of viability. Frequency distributions were used to summarize the NICU team's involvement, extent of SDM, and data related to PPC provision.</div></div><div><h3>Results</h3><div>The LLC group included 73 patients. The NICU team was consulted for 26 (36 %). Among the 10 consults that involved decision making, SDM was documented in 9 instances (90 %). PPC was offered to 9 of 60 LLC families (15 %) with a live birth and was accepted by 8 (89 %). The TPTL Group included 112 patients. Seventy (62 %) received a consult with the NICU team. SDM was documented in 34 of 39 consults (87 %) that involved decision making. PPC was offered to 28 of 90 families (31 %) who experienced a live birth and was accepted by 16 (57 %).</div></div><div><h3>Conclusion</h3><div>Our results demonstrate the need for standardized consultation and palliative care referral protocols to advance access to and quality of neonatal end-of-life care.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100375"},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143168205","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

The effect of clinician-expressed empathy and nocebo-alleviating information on breast-cancer-patients' anxiety and side effects during active chemotherapy: A clinical feasibility study

PEC innovation Pub Date : 2025-01-15 DOI: 10.1016/j.pecinn.2025.100373

Lara C. Gröschel , Fiona T. Brosig , Marcel Soesan , Katherina T. Vourtsis , Mirte van der Spek , Elise Sluiter , Liesbeth M. van Vliet

{"title":"The effect of clinician-expressed empathy and nocebo-alleviating information on breast-cancer-patients' anxiety and side effects during active chemotherapy: A clinical feasibility study","authors":"Lara C. Gröschel , Fiona T. Brosig , Marcel Soesan , Katherina T. Vourtsis , Mirte van der Spek , Elise Sluiter , Liesbeth M. van Vliet","doi":"10.1016/j.pecinn.2025.100373","DOIUrl":"10.1016/j.pecinn.2025.100373","url":null,"abstract":"<div><h3>Objective</h3><div>We set up a pilot-study to investigate main and interaction effects of nocebo-alleviating information and clinician-expressed empathy delivered via a standardized information-video on breast cancer patients' psychological and side effect outcomes during chemotherapy. Additionally, we aimed to reflect on the feasibility of the intervention (acceptability, practicality and integration) to inform future – follow-up – studies.</div></div><div><h3>Methods</h3><div>Using a clinical proof-of-principle randomized controlled trial, female breast cancer patients undergoing chemotherapy viewed one of four videos, varying in the level of nocebo-alleviating information(+/−) and clinician-expressed empathy(+/−). Due to the small sample size (<em>n</em> = 27), descriptive and recruitment data were utilized to evaluate effects and reflect on feasibility.</div></div><div><h3>Results</h3><div>The interventions appeared to yield limited effects on our small sample. Feasibility reflections mainly focused on the practical level, such as the use of more generalizable videos and optimizing the flow.</div></div><div><h3>Conclusion</h3><div>The study showed limited effects of the video intervention. It revealed recruitment challenges, while acceptability was high after inclusion. Moving forward, face-to-face clinician-patient interactions remain important, while cautiously exploring the potential benefits of modern technological advancements, ensuring thorough testing of their effects before implementation.</div></div><div><h3>Innovation</h3><div>This study marks an innovative approach in utilizing digital interventions to enhance cancer patient outcomes within clinical settings.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100373"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143168607","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

Supporting healthier food choices through AI-tailored advice: A research agenda

PEC innovation Pub Date : 2025-01-10 DOI: 10.1016/j.pecinn.2025.100372

Alain D. Starke , Jutta Dierkes , Gülen Arslan Lied , Gloria A.B. Kasangu , Christoph Trattner

{"title":"Supporting healthier food choices through AI-tailored advice: A research agenda","authors":"Alain D. Starke , Jutta Dierkes , Gülen Arslan Lied , Gloria A.B. Kasangu , Christoph Trattner","doi":"10.1016/j.pecinn.2025.100372","DOIUrl":"10.1016/j.pecinn.2025.100372","url":null,"abstract":"<div><h3>Objective</h3><div>To develop a research agenda to investigate the effectiveness of AI-tailored advice to support healthier home cooking. It aims to support healthier food choice in the context of hypertension, allergies, and sustainable diets.</div></div><div><h3>Methods</h3><div>We describe an agenda that has been formed between 2019 and 2022, through multiple rejected grant applications to the Research Council of Norway. We focus on the case of tailored recipe advice for individuals, formulating research questions and methods for three topics: “Acceptance of Personalized Food Advice”, “Algorithm and Interface AI: App Development”, and “Nutrition Modeling & Clinical Trials”. The overall methodology focuses on mitigating health issues among individuals with hypertension.</div></div><div><h3>Conclusion</h3><div>The design of AI to support healthier home cooking should tap into computational principles, as well as (psychological) theories of behavioral change. The effectiveness of an AI-driven home cooking app can be evaluated in a clinical trial akin to ‘regular’ dietary intervention studies.</div></div><div><h3>Innovation</h3><div>The development of a research agenda requires an integrated effort between scientists from different domains, during both the development and writeup of ideas. The proposed project is innovative, as most food technology and AI approaches have yet to be tested in proper trials on changes in eating habits.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100372"},"PeriodicalIF":0.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082501","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

Evaluation of information available on the web to patients undergoing splenectomy in Japan

PEC innovation Pub Date : 2024-12-29 DOI: 10.1016/j.pecinn.2024.100367

Masahiko Kita

{"title":"Evaluation of information available on the web to patients undergoing splenectomy in Japan","authors":"Masahiko Kita","doi":"10.1016/j.pecinn.2024.100367","DOIUrl":"10.1016/j.pecinn.2024.100367","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the medical information available on the Web in Japanese to patients undergoing splenectomy.</div></div><div><h3>Methods</h3><div>Japanese websites on splenectomy were identified by conducting a search on two Internet search engines. Scales were used to score readability, quality, understandability, and actionability. Correlation coefficients for the scale scores were calculated.</div></div><div><h3>Results</h3><div>31 Japanese websites were included in the analysis. “The increased lifetime risk of infection post-splenectomy” and “the requirement to carry a patient card or another form of identification indicating post-splenectomy” was mentioned in 90.3 % (28/31) and 3.2 % (1/31) of websites, respectively. The mean (±standard deviation) grade on the Japanese Readability was 9.8 (±0.9). The actionability of 22 websites was less than 30 %. Positive correlations were found between readability and DISCERN scores (<em>γ</em> = 0.37; 95 % confidence interval [CI], 0.01 to 0.64, <em>p</em> < 0.05) and between content score and actionability (<em>γ</em> = 0.49; 95 %CI, 0.07 to 0.69, <em>p</em> < 0.05).</div></div><div><h3>Conclusions</h3><div>Japanese information on websites available to patients undergoing splenectomy was insufficient. The dissemination of information on specific infection prevention measures is needed but must be available at an appropriate readability level.</div></div><div><h3>Innovation</h3><div>Creating patient education materials using content score items may promote splenectomy patients coping infection prevention behaviors in Japan.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100367"},"PeriodicalIF":0.0,"publicationDate":"2024-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143168606","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

“Having providers who are trained and have empathy is life-saving”: Improving primary care communication through thematic analysis with ChatGPT and human expertise

PEC innovation Pub Date : 2024-12-28 DOI: 10.1016/j.pecinn.2024.100371

Michelle A. Stage , Mackenzie M. Creamer , Mollie A. Ruben

{"title":"“Having providers who are trained and have empathy is life-saving”: Improving primary care communication through thematic analysis with ChatGPT and human expertise","authors":"Michelle A. Stage , Mackenzie M. Creamer , Mollie A. Ruben","doi":"10.1016/j.pecinn.2024.100371","DOIUrl":"10.1016/j.pecinn.2024.100371","url":null,"abstract":"<div><div>In the rapidly evolving field of healthcare research, Artificial Intelligence (AI) and conversational models like ChatGPT (Conversational Generative Pre-trained Transformer) offer promising tools for data analysis. The aim of this study was to: 1) apply ChatGPT methodology alongside human coding to analyze qualitative health services feedback, and 2) examine healthcare experiences among lesbian, gay, bisexual, transgender, and queer (LGBTQ+) patients (<em>N</em> = 41) to inform future intervention. The hybrid approach facilitated the identification of themes related to affirming care practices, provider education, communicative challenges and successes, and environmental cues. While ChatGPT accelerated the coding process, human oversight remained crucial for ensuring data integrity and context accuracy. This hybrid method promises significant improvements in analyzing patient feedback, providing actionable insights that could enhance patient-provider interactions and care for diverse populations.</div><div>Innovation: This study is the first to combine ChatGPT with human coding for rapid thematic analysis of LGBTQ+ patient primary care experiences.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100371"},"PeriodicalIF":0.0,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11758403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048962","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

Training healthcare workers and untrained interpreters in remote collaboration amidst COVID-19

PEC innovation Pub Date : 2024-12-26 DOI: 10.1016/j.pecinn.2024.100369

Yvan Leanza , Noelia Burdeus-Domingo , Kossigan Kokou-Kpolou , François René De Cotret

{"title":"Training healthcare workers and untrained interpreters in remote collaboration amidst COVID-19","authors":"Yvan Leanza , Noelia Burdeus-Domingo , Kossigan Kokou-Kpolou , François René De Cotret","doi":"10.1016/j.pecinn.2024.100369","DOIUrl":"10.1016/j.pecinn.2024.100369","url":null,"abstract":"<div><h3>Objective</h3><div>In the context of the public health emergency response to the COVID-19 pandemic in Quebec in 2020, remote public service interpreting has become, within a few days, an essential practice for maintaining services to migrants and allophone refugees, a particularly vulnerable population. This study aimed to measure the impact of two training courses on remote collaboration for mediated consultations developed for healthcare workers and untrained interpreters.</div></div><div><h3>Methods</h3><div>A total of 79 healthcare workers and 65 untrained interpreters from the province of Quebec were recruited. They completed the trainings, offered as webinars, and answered the two scales (knowledge and self-efficacy) of the <em>Questionnaire de connaissances sur l'interprétation de service publique à distance</em> [Remote Public Service Interpreting Knowledge Questionnaire]. The study employed paired <em>t</em>-tests to assess the effectiveness of both webinars.</div></div><div><h3>Results</h3><div>Findings reveal a positive impact immediately after completion and at a three-month follow-up. However, there was no significant enhancement in interpreters' self-efficacy over the medium term.</div></div><div><h3>Conclusion</h3><div>Given their modality (remote) and duration (30 min for healthcare workers and three hours for interpreters), the training courses are both effective and practical to implement.</div></div><div><h3>Innovation</h3><div>This study innovatively promotes interprofessional collaboration in public service interpreting and explores online training's potential to enhance both individual and collective efficacy in the field.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100369"},"PeriodicalIF":0.0,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11750570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025863","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

Safe sleep crib clinics: Promoting risk reduction strategies for sudden unexpected infant death

PEC innovation Pub Date : 2024-12-25 DOI: 10.1016/j.pecinn.2024.100370

Carolyn R. Ahlers-Schmidt , Christy Schunn , Ashley M. Hervey , Maria Torres

{"title":"Safe sleep crib clinics: Promoting risk reduction strategies for sudden unexpected infant death","authors":"Carolyn R. Ahlers-Schmidt , Christy Schunn , Ashley M. Hervey , Maria Torres","doi":"10.1016/j.pecinn.2024.100370","DOIUrl":"10.1016/j.pecinn.2024.100370","url":null,"abstract":"<div><h3>Objectives</h3><div>Safe Sleep Community Baby Showers (CBS) provide group education to reduce risk factors of sudden unexpected infant death (SUID). Based on CBS success, Safe Sleep Crib Clinics were developed to provide individual education. This study assessed Crib Clinic outcomes and differences in Crib Clinics compared to CBSs.</div></div><div><h3>Methods</h3><div>Certified Safe Sleep Instructors facilitated CBSs and/or Crib Clinics in their communities and collected participant data related to safe sleep, tobacco avoidance and breastfeeding. Crib Clinic data was compared pre- to post-test; post-test results were compared between Crib Clinics and CBSs.</div></div><div><h3>Results</h3><div>Crib Clinic attendees exhibited significant increases in intention to have infant follow safe sleep recommendations, avoid secondhand smoke and breastfeed (all <em>p</em> < 0.001). Significant differences between Crib Clinic and CBS participants related to marital status, language, tobacco, education and insurance (all <em>p</em> < 0.01). CBS and Crib Clinic participants differed on items related to sleep environment, breastfeeding and tobacco (all <em>p</em> = 0.05).</div></div><div><h3>Conclusions</h3><div>Overall Crib Clinics appear to be effective in increasing knowledge, intentions and confidence related to safe sleep, tobacco avoidance and breastfeeding. Crib Clinics may offer flexibility (e.g., time, format) that increases accessibility to safe sleep education for families.</div></div><div><h3>Innovation</h3><div>Results suggest the ability to shift education delivery method based on group size was important in both rural and urban settings.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100370"},"PeriodicalIF":0.0,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11750555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025858","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