PEC innovation最新文献

{"title":"Barriers and facilitators to diabetes prevention support for women in Malaysia with gestational diabetes mellitus: A qualitative study","authors":"Irmi Zarina Ismail ,&nbsp;Madeleine Benton ,&nbsp;Hafizah Mahamad Sobri ,&nbsp;Anisah Baharom ,&nbsp;Nicola Guess ,&nbsp;Kimberley Goldsmith ,&nbsp;Iklil Iman ,&nbsp;Siew Mooi Ching ,&nbsp;Barakatun-Nisak Mohd Yusof ,&nbsp;Nurul Iftida Basri ,&nbsp;Mazatulfazura Sf Binti Salim ,&nbsp;Faezah Hassan ,&nbsp;Helen Murphy ,&nbsp;Angus Forbes ,&nbsp;Khalida Ismail ,&nbsp;Boon How Chew ,&nbsp;Iliatha Papachristou Nadal","doi":"10.1016/j.pecinn.2025.100438","DOIUrl":"10.1016/j.pecinn.2025.100438","url":null,"abstract":"<div><h3>Objectives</h3><div>To explore the barriers and facilitators to diabetes prevention support among pregnant women in Malaysia.</div></div><div><h3>Design</h3><div>A qualitative study using individual in-depth interviews, analysed using reflexive thematic analysis.</div></div><div><h3>Setting</h3><div>Public health clinics and one central government hospital in Selangor, Malaysia.</div></div><div><h3>Participants</h3><div>Women diagnosed with gestational diabetes mellitus.</div></div><div><h3>Results</h3><div>Sixteen women aged 26 to 41 years, from three different ethnic groups (Malay, Chinese, and Indian) participated in the study. Key barriers to diabetes prevention support included limited access to relevant and usable information; competing health needs during pregnancy; social and cultural priorities overriding self-care; and structural constraints. Facilitators included intrinsic motivation and self-awareness; awareness of future diabetes risk; social and family support; access to trusted and culturally relevant information. All participants reported challenges in maintaining healthy lifestyle practices, particularly related to physical activity and diet during pregnancy. Information on diabetes prevention support was obtained from various sources, including healthcare providers, online platforms, and family members.</div></div><div><h3>Conclusion</h3><div>The findings from this study have significant implications for enhancing diabetes prevention support and informing the potential development of tailored diabetes prevention interventions for women in Malaysia.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"7 ","pages":"Article 100438"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145320071","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":"Factors predicting eHealth literacy: A profile of California, USA","authors":"Ronald W. Berkowsky ,&nbsp;Brandon Almanza ,&nbsp;Jasmine Garcia ,&nbsp;Noah Graza","doi":"10.1016/j.pecinn.2025.100410","DOIUrl":"10.1016/j.pecinn.2025.100410","url":null,"abstract":"<div><h3>Objective</h3><div>Given the known benefits of enhanced eHealth literacy in promoting patient health, identifying segments of the patient population at risk for low eHealth literacy can provide avenues for health professionals to promote enhanced eHealth skills through targeted outreach and intervention. The purpose of this study was to examine factors associated with eHealth literacy and to identify disparities in eHealth literacy in California.</div></div><div><h3>Methods</h3><div>Using survey data from the 2020 CALSPEAKS survey, ordinary least squares regression was performed on measures of self-assessed eHealth literacy to identify associated factors (<em>N</em> = 780).</div></div><div><h3>Results</h3><div>Findings showed that the strongest and most consistent predictors of eHealth literacy included self-rated health, a proxy measure for religiosity, Internet use characteristics, and personality traits (i.e., conscientiousness, neuroticism).</div></div><div><h3>Conclusion</h3><div>Overall, Californians report relatively high levels of eHealth literacy – but, those seeking to increase eHealth literacy among patients in the state may benefit from tailoring digital health information and eHealth interventions based on the significant associations found.</div></div><div><h3>Innovation</h3><div>Few studies have examined the impacts of personality characteristics on eHealth literacy using a large sample – findings elucidate innovative pathways to enhancing eHealth literacy (e.g., accommodating online content or training interventions to those reporting low conscientiousness or high neuroticism).</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"7 ","pages":"Article 100410"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144518195","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 Pediatric Ethics & Professionalism Assessment Tool (Pedi-EPAT): Development and implementation of a novel, competency-based assessment","authors":"Omri-David Soffer ,&nbsp;Lori R. Newman ,&nbsp;Mary Brennan ,&nbsp;David N. Williams ,&nbsp;Christy L. Cummings","doi":"10.1016/j.pecinn.2025.100433","DOIUrl":"10.1016/j.pecinn.2025.100433","url":null,"abstract":"<div><h3>Objective</h3><div>To develop and demonstrate validation of a competency-based formative assessment tool, the Pediatric Ethics &amp; Professionalism Assessment Tool (Pedi-EPAT).</div></div><div><h3>Methods</h3><div>Using a multi-phased study design, a panel of national experts in pediatrics, ethics, and medical education participated in tool development and established content validity using a Delphi approach. To optimize rating accuracy and minimize inter-rater variation, the panel completed frame-of-reference training, consisting of inter-rater comparisons of 3 recorded, simulated scenarios involving parent-actors and pediatric trainees. Outcomes included degree-of-association of raters' ordinal assessments, agreement of ratings between experts and raters, and median ratings per simulated scenario. Kendall's coefficient was used to estimate consistency across raters, and a structural equation-modeling framework assessed internal reliability</div></div><div><h3>Results</h3><div>11 experts participated in the 2-round Delphi. The final Pedi-EPAT achieved consensus and contained 34 items, including 2 items independent of the Delphi. During FOR training, consistency among the 6 raters by Kendall's coefficient was low-moderate (w = 0.33–0.35, <em>p</em> &lt; 0.05). The tool demonstrated excellent internal reliability (composite reliability = 0.97)</div></div><div><h3>Conclusion</h3><div>This novel, competency-based, formative assessment tool demonstrated content validity and internal reliability.</div></div><div><h3>Practice implications</h3><div>The Pedi-EPAT could aid supervising staff in providing high-quality assessments and feedback on ethical behavior and professionalism for pediatric trainees engaging in conversations with families.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"7 ","pages":"Article 100433"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157430","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":"An innovative immersive learning program for healthcare communication training","authors":"Jennifer Foucart ,&nbsp;Maxime Etenaille ,&nbsp;Noelle Junod-Perron","doi":"10.1016/j.pecinn.2025.100442","DOIUrl":"10.1016/j.pecinn.2025.100442","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to develop and evaluate an Immersive Learning (IL) to enhance healthcare communication skills training.</div></div><div><h3>Methods</h3><div>The IL consisted of a digital tool using a branching scenario model for six clinical themes with feedback provided to students at each critical point. A pre-post-trial design was conducted comparing the IL program against traditional role-playing exercises at Brussels University. Third year physiotherapy students were randomly assigned to an experimental IL group or a control group. Outcomes measures included students' self-perceived communication skills, satisfaction with the IL as well as its usability. Statistical analyses included Wilcoxon tests for skill progression.</div></div><div><h3>Results</h3><div>The IL group showed significantly improved self-perceived communication skills compared to the control group (<em>p</em> ≤0.001). Students considered IL program to be highly usable (satisfaction = 82) and strongly recommended its use (NP score = 63.83).</div></div><div><h3>Conclusion</h3><div>The IL program enhanced students' self-perceived communication skills, offering a supportive, engaging, and safe learning environment. IL is a valuable complement to traditional methods in healthcare education.</div></div><div><h3>Innovation</h3><div>This study introduces an innovative IL tool that provides personalized, interactive, and scenario-based learning, fostering autonomy and skill development in a low-pressure environment.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"7 ","pages":"Article 100442"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145465464","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":"Online training for Japanese healthcare professionals in the development and use of patient decision aids to facilitate shared decision-making: An acceptability study","authors":"Wakako Osaka ,&nbsp;Yumi Aoki ,&nbsp;Yuki Yonekura ,&nbsp;Hitomi Danya ,&nbsp;Kazuhiro Nakayama","doi":"10.1016/j.pecinn.2025.100425","DOIUrl":"10.1016/j.pecinn.2025.100425","url":null,"abstract":"<div><h3>Objectives</h3><div>To 1) design an online training program for Japanese healthcare professionals (HCPs) on the development and use of patient decision aids (PtDAs); 2) assess the acceptability of the program, participants' satisfaction with it, and their intention to develop and implement PtDAs, and 3) obtain suggestions from participants to improve the program.</div></div><div><h3>Methods</h3><div>A user-centered approach was used to design an online training program for Japanese HCPs on the development and use of PtDAs. HCPs (physicians, nurses, midwives, psychologists, etc.) were recruited to evaluate the training. A total of 40 HCPs completed questionnaires regarding the acceptability of the program, their satisfaction with it, intentions to develop and use PtDAs, and suggestions for improving the program.</div></div><div><h3>Results</h3><div>Acceptability ratings for the program were high, with over 90 % of participants finding it useful and easy to understand. Thirty-nine of the 40 participants watched all the videos at least once. Ninety percent of the sample were satisfied with the program, and 95 % (<em>n</em> = 38) intended to use PtDAs in the future, although only 65 % (<em>n</em> = 26) planned to develop such tools.</div></div><div><h3>Conclusion</h3><div>Our online training program for Japanese HCPs on the development and use of PtDAs was acceptable and useful, and most professionals indicated their intentions to use such tools.</div></div><div><h3>Innovation</h3><div>There is a lack of resources on PtDAs in Japan. Our online training program is an innovative resource for HCPs that fills an important gap in facilitating shared decision-making.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"7 ","pages":"Article 100425"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144931786","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":"Prospective changes in primary care patients' family communication after skin cancer genetic test offer","authors":"Caroline Salafia ,&nbsp;Smita Banerjee ,&nbsp;Jada G. Hamilton ,&nbsp;Elizabeth Schofield ,&nbsp;Yuelin Li ,&nbsp;David B. Buller ,&nbsp;Keith Hunley ,&nbsp;Andrew L. Sussman ,&nbsp;Dolores D. Guest ,&nbsp;Kimberly A. Kaphingst ,&nbsp;Marianne Berwick ,&nbsp;Jennifer L. Hay","doi":"10.1016/j.pecinn.2025.100409","DOIUrl":"10.1016/j.pecinn.2025.100409","url":null,"abstract":"<div><h3>Objective</h3><div>Given the promise of family communication to prompt cancer risk awareness, we examined how an offer for skin cancer genetic testing may prompt family cancer communication.</div></div><div><h3>Methods</h3><div>Primary care patients (<em>N</em> = 415, 45 % Hispanic) in New Mexico were randomized to a melanocortin-1 receptor (<em>MC1R)</em> genetic test invitation or usual care. We assessed whether family communication (frequency, targets of communication, and topics) differed based on whether participants were randomized to usual care, refused genetic testing, were tested and received either average- or higher-risk feedback.</div></div><div><h3>Results</h3><div>Findings showed no significant differences in frequency of family communication based on intervention exposure. Those who were tested and received higher-risk feedback displayed the highest levels of communication with certain targets, such as fathers. Some communication topics, such as the participant's risk of skin cancer, were discussed more by participants who were tested (both average- and higher-risk feedback) than those in usual care.</div></div><div><h3>Conclusion</h3><div>Findings highlight that an offer for skin cancer genetic testing may prompt aspects of family communication, such as discussion surrounding personal skin cancer risk.</div></div><div><h3>Innovation</h3><div>This study examined various elements of family communication after an offer for skin cancer genetic testing.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"7 ","pages":"Article 100409"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144270751","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 impact of extended communication skills training, with and without supplemental follow-up, on physician burnout, empathy, satisfaction with medicine, and self-compassion and patient satisfaction","authors":"Mark Ashley ,&nbsp;Melissa Esslinger ,&nbsp;Davida Becker ,&nbsp;Amy Wolf ,&nbsp;Jennifer Sangiacomo ,&nbsp;Lucia Soh","doi":"10.1016/j.pecinn.2025.100435","DOIUrl":"10.1016/j.pecinn.2025.100435","url":null,"abstract":"<div><h3>Objectives</h3><div>The study compares two different formats of a clinician-patient communication skills training program, Communication Skills Intensive (CSI) a 3.5-day residential training program vs Enhanced Communication Skills Intensive (CSI+) which includes CSI plus additional follow-up activities over six months. We tracked physician-level outcomes including empathy, burnout, satisfaction with medicine, and self-compassion, and patient satisfaction to determine optimal intensity of follow-up strategies required to sustain the benefits of clinician-patient communication training.</div></div><div><h3>Methods</h3><div>A prospective randomized controlled trial (RCT) was conducted within the Physician Education Department of a large healthcare organization. Two iterations of the program were compared: the 3.5-day Communication Skills Intensive (CSI) and an enhanced version incorporating supplemental follow-up activities (CSI+).</div></div><div><h3>Results</h3><div>Findings revealed that both CSI and CSI+ led to significant reductions in emotional exhaustion and depersonalization. However, only CSI+ demonstrated sustained improvements in physicians' self-reported empathy, as measured by the Jefferson Scale of Empathy. Both programs resulted in increased patient satisfaction, with improvements persisting over time. Notably, patient satisfaction scores continued to rise in 2024, indicating lasting positive effects.</div></div><div><h3>Innovation</h3><div>This study contributes to understanding the extent to which supplemental training is required to sustain the benefits of intensive residential communication training. More broadly, by demonstrating that a single-session residential program can yield sustained improvements across multiple domains, the study establishes an important benchmark for the design of efficient and impactful physician training interventions.</div></div><div><h3>Discussion and conclusions</h3><div>Stand-alone intensive communication training delivers significant benefits, improving both physician well-being and patient satisfaction. Supplemental follow-up may reinforce physicians' perception of their own empathy toward patients.</div></div><div><h3>Practice implications</h3><div>Future research should explore scalable strategies to sustain these benefits and further optimize training interventions.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"7 ","pages":"Article 100435"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219263","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":"User evaluation of a virtual reality simulation for anaesthesiologists-intensivists for non-technical skills","authors":"Krista Hoek ,&nbsp;Monique van Velzen ,&nbsp;Elise Sarton ,&nbsp;Christina Jaschinski","doi":"10.1016/j.pecinn.2025.100441","DOIUrl":"10.1016/j.pecinn.2025.100441","url":null,"abstract":"<div><h3>Objective</h3><div>Simulation training in medical settings is a cornerstone in medical education to practice technical and non-technical skills. The objective of this study was to evaluate user experiences and initial reactions to a multiplayer virtual reality (VR) simulation designed for anaesthesiologists.</div></div><div><h3>Methods</h3><div>A user-centred design approach guided the development of a VR-scenario training simulating a case of massive blood loss. Seven anaesthesiology residents and trainers from a Dutch academic hospital participated in qualitative and quantitative evaluations. Quantitative measures included questionnaires on presence, agency, physical dyscomfort, and perceived training value. Qualitative data were collected through structured observations and interviews.</div></div><div><h3>Results</h3><div>Participants reported a high sense of physical presence and moderate agency, with lower levels of self-presence. The VR environment was perceived as realistic and engaging. Challenges included unfamiliarity with VR controls, abstract avatars, and limited haptic feedback. Despite these barriers, participants recognized the potential of VR for team-based learning of non-technical skills, especially with prior onboarding or practice sessions.</div></div><div><h3>Innovation</h3><div>This study introduces a novel application of multiplayer VR simulation in anaesthesiology training, focusing on non-technical skills. The integration of user-centred design with qualitative and quantitative evaluation provides insights into the feasibility and acceptability of VR as an educational tool in this context.</div></div><div><h3>Conclusions</h3><div>VR simulation shows promise for training non-technical skills in anaesthesiology. While participants appreciated the realism and collaborative aspects, enhancements in usability and interaction design are necessary for broader implementation and impact.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"7 ","pages":"Article 100441"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145415068","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":"Acceptability of virtual reality for training health professions students in serious illness communication: A cross-sectional study with educators","authors":"Aleksandrina Skvortsova ,&nbsp;Stephanie Stiel ,&nbsp;Kambiz Afshar ,&nbsp;Hanna A.A. Röwer ,&nbsp;Claudia Bausewein ,&nbsp;Irene Hartigan ,&nbsp;Mohamad M. Saab ,&nbsp;Sandra Martins Pereira ,&nbsp;Pablo Hernández-Marrero ,&nbsp;Jan Hrdlička ,&nbsp;Jiri Wild ,&nbsp;Kateřina Rusinová ,&nbsp;Martin Loučka ,&nbsp;Lucie Hrdličková ,&nbsp;Martin Zielina ,&nbsp;Cathy Payne ,&nbsp;Liesbeth M. Van Vliet","doi":"10.1016/j.pecinn.2025.100411","DOIUrl":"10.1016/j.pecinn.2025.100411","url":null,"abstract":"<div><h3>Objectives</h3><div>This study investigates i) acceptability, ii) predictors of intention to use, iii) barriers and facilitators, and iv) perceived advantages and disadvantages of incorporating virtual reality (VR) into serious illness communication training from the perspective of health professions educators in Europe.</div></div><div><h3>Methods</h3><div>An online survey was distributed using snowball sampling across health professions educators involved in the creation and/or delivery of difficult communication courses (as educators, developers, coordinators).</div></div><div><h3>Results</h3><div>Seventy-five educators from 11 European countries involved in teaching serious illness communication skills completed the survey. While educators viewed VR positively and saw it as useful, their intention to implement it was moderate, possibly, due to low compatibility with current teaching methods and social norms. Major barriers reported by participants included financial constraints (62.7 %) and lack of VR training (54.7 %), while key facilitators were training availability (22 %) and technical support (11 %).</div></div><div><h3>Conclusion/innovation</h3><div>Educators perceive VR as a potential supplemental tool in difficult communication education; however, overcoming financial, training, and integration barriers is essential for its broader adoption and curricular integration. Further research is necessary to validate VR's effectiveness in developing the nuanced communication skills critical for serious illness communication.</div></div><div><h3>Innovation</h3><div>VR technology is a promising innovative tool for medical communication training.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"7 ","pages":"Article 100411"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144517814","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 experience of people with multiple sclerosis who receive occupational performance coaching","authors":"Niloufar Malakouti ,&nbsp;Dorothy Kessler ,&nbsp;Marcia Finlayson ,&nbsp;Samantha Stephens","doi":"10.1016/j.pecinn.2025.100418","DOIUrl":"10.1016/j.pecinn.2025.100418","url":null,"abstract":"<div><h3>Objective</h3><div>To explore how Occupational Performance Coaching (OPC) influences self-management in the daily lives of people with Multiple Sclerosis (PwMS).</div></div><div><h3>Methods</h3><div>A qualitative study involving 10 PwMS who underwent 6 sessions of telephone OPC over ten weeks. Interpretive description was used as the methodological approach. Participants were interviewed pre- and post-intervention, with thematic analysis performed on transcripts.</div></div><div><h3>Results</h3><div>Pre-intervention themes included resisting MS, living with MS, ongoing challenges, and strategies. Post-intervention, the theme of resisting MS dissipated, with emergent sub-themes of planning ahead, being consistent, and talking about the plan. Participants reported reduced resistance towards their condition, a shift in their focus from problems towards solutions, and an enhancement of existing strategies and/or development of new strategies used to overcome ongoing challenges in living with MS.</div></div><div><h3>Conclusion</h3><div>OPC may facilitate a shift in focus towards solutions and enhance self-management strategies in PwMS.</div></div><div><h3>Innovation</h3><div>This study highlights OPC as a promising and innovative approach for addressing the self-management needs of individuals with MS, emphasizing its potential to enhance meaningful participation by fostering effective coping strategies and proactive attitudes.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"7 ","pages":"Article 100418"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144588961","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}