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Effectiveness of a patient-centered informational video for reducing anxiety before coronary catheterization: A self-controlled trial 以患者为中心的信息视频在冠状动脉导管插入术前减少焦虑的有效性:一项自我对照试验
PEC innovation Pub Date : 2025-12-01 Epub Date: 2025-09-13 DOI: 10.1016/j.pecinn.2025.100431
Asaf Arel , Gil Marcus , Ella Levi , Olexiy Bonder , Antoinette Monayer , Saar Minha
{"title":"Effectiveness of a patient-centered informational video for reducing anxiety before coronary catheterization: A self-controlled trial","authors":"Asaf Arel ,&nbsp;Gil Marcus ,&nbsp;Ella Levi ,&nbsp;Olexiy Bonder ,&nbsp;Antoinette Monayer ,&nbsp;Saar Minha","doi":"10.1016/j.pecinn.2025.100431","DOIUrl":"10.1016/j.pecinn.2025.100431","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate whether viewing a locally produced, patient-centered informational video is associated with lower peri-procedural anxiety among patients undergoing coronary catheterization.</div></div><div><h3>Methods</h3><div>Prospective, single-center, single-arm, self-controlled study. Consecutive weekday-morning patients were enrolled on recruitment days (<em>N</em> = 259). Anxiety was assessed with the Numeric Visual Analog Anxiety Scale (NVAAS, 0–10) at three time points: post-consent/pre-video (T0), immediately post-video/pre-procedure (T1), and post-procedure (T2). The primary analysis used a Friedman test on complete cases (<em>n</em> = 176) with Kendall's W; pairwise contrasts used Wilcoxon signed-rank tests with Holm adjustment, reporting Hodges–Lehmann median paired differences with 95 % CIs. Available-case and subgroup sensitivity analyses were prespecified.</div></div><div><h3>Results</h3><div>Median baseline anxiety was 5.0 (IQR 3.0–7.9). Anxiety decreased across time (Friedman χ<sup>2</sup>(2, <em>n</em> = 176) = 167.28, <em>p</em> &lt; 0.0001; Kendall's W = 0.48). Pairwise HL median differences were: T1-T0–1.5 (95 % CI -2.0 to −1.0; <em>p</em> &lt; 0.001), T2-T0–3.5 (−4.0 to −3.0; p &lt; 0.001), and T2-T1–1.5 (−2.0 to −1.0; p &lt; 0.001). Available-case sensitivity analyses yielded consistent effects. Baseline anxiety was higher in females; it also tended to be higher in first-time catheterization patients (<em>p</em> = 0.099).</div></div><div><h3>Conclusion</h3><div>Viewing a patient-centered video was associated with lower anxiety before coronary catheterization; causality cannot be inferred from this single-arm design.</div></div><div><h3>Innovation</h3><div>The intervention was produced by the clinical team, filmed in the actual unit, and is publicly available in three languages, offering a scalable, low-cost approach that can be locally adapted. Randomized, multicenter trials are warranted to confirm efficacy and generalizability.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"7 ","pages":"Article 100431"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157431","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}
引用次数: 0
Development and evaluation of the patient engagement questionnaire (PEQ) 制定和评估患者参与问卷(PEQ)
PEC innovation Pub Date : 2025-06-01 Epub Date: 2025-04-14 DOI: 10.1016/j.pecinn.2025.100392
Stephanie Batio, Laura M. Curtis, Julia Yoshino Benavente, Stacy C. Bailey, Michael S. Wolf
{"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":"2025-06-01","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}
引用次数: 0
Corrigendum to “Factors contributing to implementation of a father-friendly neonatal intensive care unit in Denmark” [PEC Innovation 5 (2024) 100353] “促成丹麦实施父亲友好型新生儿重症监护病房的因素”的勘误[PEC创新5 (2024)100353]
PEC innovation Pub Date : 2025-06-01 Epub Date: 2025-02-05 DOI: 10.1016/j.pecinn.2025.100379
Betty Noergaard , Karin Yde Waidtløw , Poul-Erik Kofoed , Signe Vahlkvist
{"title":"Corrigendum to “Factors contributing to implementation of a father-friendly neonatal intensive care unit in Denmark” [PEC Innovation 5 (2024) 100353]","authors":"Betty Noergaard ,&nbsp;Karin Yde Waidtløw ,&nbsp;Poul-Erik Kofoed ,&nbsp;Signe Vahlkvist","doi":"10.1016/j.pecinn.2025.100379","DOIUrl":"10.1016/j.pecinn.2025.100379","url":null,"abstract":"","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100379"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143285731","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 培训医务工作者和未经培训的口译员在COVID-19期间进行远程协作。
PEC innovation Pub Date : 2025-06-01 Epub 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 ,&nbsp;Noelia Burdeus-Domingo ,&nbsp;Kossigan Kokou-Kpolou ,&nbsp;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":"2025-06-01","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
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 临床表达的共情和反安慰剂缓解信息对乳腺癌患者积极化疗期间焦虑和副作用的影响:临床可行性研究
PEC innovation Pub Date : 2025-06-01 Epub 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 ,&nbsp;Fiona T. Brosig ,&nbsp;Marcel Soesan ,&nbsp;Katherina T. Vourtsis ,&nbsp;Mirte van der Spek ,&nbsp;Elise Sluiter ,&nbsp;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":"2025-06-01","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
Evaluation of information available on the web to patients undergoing splenectomy in Japan 对日本脾切除术患者网上可用信息的评估
PEC innovation Pub Date : 2025-06-01 Epub 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> &lt; 0.05) and between content score and actionability (<em>γ</em> = 0.49; 95 %CI, 0.07 to 0.69, <em>p</em> &lt; 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":"2025-06-01","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
Content and quality of smartphone applications for bariatric surgery: A review and content analysis 减肥手术智能手机应用程序的内容和质量:回顾和内容分析
PEC innovation Pub Date : 2025-06-01 Epub Date: 2025-04-08 DOI: 10.1016/j.pecinn.2025.100391
Irma Hellbrecht , Nadja Könsgen , Alina Weise , Fabian Schlumberger , Dawid Pieper , Jessica Breuing
{"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":"2025-06-01","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}
引用次数: 0
A qualitative exploration of service users' experiences of weight management conversations in a mental health setting 心理健康环境下服务用户体重管理对话体验的定性探索
PEC innovation Pub Date : 2025-06-01 Epub Date: 2025-03-22 DOI: 10.1016/j.pecinn.2025.100389
Emma Kemp , Catherine Haighton , Sally Faulkner , Kate McBride , Maria Raisa Jessica Aquino , Rob Wilson , Milica Vasiljevic , Craig Robson , Mish Loraine , Jill Harland , Angela M. Rodrigues
{"title":"A qualitative exploration of service users' experiences of weight management conversations in a mental health setting","authors":"Emma Kemp ,&nbsp;Catherine Haighton ,&nbsp;Sally Faulkner ,&nbsp;Kate McBride ,&nbsp;Maria Raisa Jessica Aquino ,&nbsp;Rob Wilson ,&nbsp;Milica Vasiljevic ,&nbsp;Craig Robson ,&nbsp;Mish Loraine ,&nbsp;Jill Harland ,&nbsp;Angela M. Rodrigues","doi":"10.1016/j.pecinn.2025.100389","DOIUrl":"10.1016/j.pecinn.2025.100389","url":null,"abstract":"<div><h3>Objective</h3><div>Healthcare professionals often use opportunistic weight management conversations, aligned with the Making Every Contact Count (MECC) approach, to provide motivational support to service users. While research supports this practice from the professionals' perspective, the views of service users on these interactions remain understudied. The aim of this study was to explore the experiences of service users with serious mental illness regarding weight management conversations with healthcare professionals.</div></div><div><h3>Methods</h3><div>Thirteen service users with serious mental illness (Nine inpatient, four community-based) participated in semi-structured 1–1 interviews exploring weight management support experiences. Transcript data was analysed using thematic analysis.</div></div><div><h3>Results</h3><div>Five key themes were developed: service users' experience of weight management conversations, developing therapeutic relationships, support for physical activity and weight management, deliverer characteristic preferences, and user descriptions of MECC.</div></div><div><h3>Conclusions</h3><div>Service users reported a lack of information about medication-related weight gain and suggested further staff training to improve therapeutic relationships and weight management support for service users with serious mental illness.</div></div><div><h3>Innovation</h3><div>This study uniquely explores service users' perspectives on weight management conversations within mental health care, applying MECC in a novel context. It highlights the perspective of individuals with serious mental illness on weight-related issues, challenging existing practices, and proposing strategies for integrating physical health support in mental health settings.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100389"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705471","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
Acceptability of the ePOWER intervention: Managing previvors' cancer-related uncertainty and supporting decision making ePOWER干预的可接受性:管理先前癌症相关的不确定性和支持决策
PEC innovation Pub Date : 2025-06-01 Epub Date: 2025-05-10 DOI: 10.1016/j.pecinn.2025.100402
Marleah Dean , Bethany Jowers , Claire Conley , Erica Camacho , Whitney Espinel , Kimberly A. Kaphingst
{"title":"Acceptability of the ePOWER intervention: Managing previvors' cancer-related uncertainty and supporting decision making","authors":"Marleah Dean ,&nbsp;Bethany Jowers ,&nbsp;Claire Conley ,&nbsp;Erica Camacho ,&nbsp;Whitney Espinel ,&nbsp;Kimberly A. Kaphingst","doi":"10.1016/j.pecinn.2025.100402","DOIUrl":"10.1016/j.pecinn.2025.100402","url":null,"abstract":"<div><h3>Objective</h3><div>Previvors—unaffected individuals who have increased risk of cancer due to a pathogenic or likely pathogenic variant in a gene—experience high levels of uncertainty, which is associated with negative outcomes. The ePOWER (empowering Preventive Options for Women Experiencing Risk) intervention is designed to help <em>BRCA1/2</em> previvors manage their cancer-related uncertainty and make informed health decisions. In this study, we assessed the acceptability of ePOWER using a multiple methods approach.</div></div><div><h3>Methods</h3><div>Previvors (<em>N</em> = 24) completed individual, semi-structured interviews. Previvors first completed the Treatment Acceptability and Preference Scale (TAPS). Additionally, using a Learner Verification &amp; Revision (LV&amp;R) interviewing approach, we also elicited feedback on whether ePOWER was understandable, salient, and satisfactory to previvors. Acceptability was assessed by quantitative data (TAPS scores) and qualitative data (interviews). In analyzing the interview data and integrating the findings, deductive coding was utilized using LV&amp;R categories and inductive thematic analysis was utilized to capture additional nuances from participants' evaluation.</div></div><div><h3>Results</h3><div>Adequate acceptability was demonstrated by TAPS scores. 88 % of participants exceeded the a priori acceptability threshold (TAPS ≥3). Deductive coding using LV&amp;R categories also confirmed ePOWER was visually appealing, understandable, persuasive, cultural appropriate, and fostered self-efficacy. Inductive thematic analysis expanded on the LV&amp;R categories and identified two additional themes: (1) relatability and emotional support and (2) useful resource.</div></div><div><h3>Conclusion</h3><div>ePOWER is an acceptable intervention to help previvors manage cancer-related uncertainty and support decision making.</div></div><div><h3>Innovation</h3><div>The ePOWER intervention can be shared during healthcare appointments and then utilized continuously by previvors to manage uncertainty and facilitate decisions.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100402"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143943104","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}
引用次数: 0
Enhancing perinatal health patient information through ChatGPT – An accuracy study 通过ChatGPT增强围产期健康患者信息-准确性研究
PEC innovation Pub Date : 2025-06-01 Epub Date: 2025-02-10 DOI: 10.1016/j.pecinn.2025.100381
P.L.M. de Vries , D. Baud , S. Baggio , M. Ceulemans , G. Favre , E. Gerbier , H. Legardeur , E. Maisonneuve , C. Pena-Reyes , L. Pomar , U. Winterfeld , A. Panchaud
{"title":"Enhancing perinatal health patient information through ChatGPT – An accuracy study","authors":"P.L.M. de Vries ,&nbsp;D. Baud ,&nbsp;S. Baggio ,&nbsp;M. Ceulemans ,&nbsp;G. Favre ,&nbsp;E. Gerbier ,&nbsp;H. Legardeur ,&nbsp;E. Maisonneuve ,&nbsp;C. Pena-Reyes ,&nbsp;L. Pomar ,&nbsp;U. Winterfeld ,&nbsp;A. Panchaud","doi":"10.1016/j.pecinn.2025.100381","DOIUrl":"10.1016/j.pecinn.2025.100381","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate ChatGPT's accuracy as information source for women and maternity-care workers on “nutrition” and “red flags” in pregnancy.</div></div><div><h3>Methods</h3><div>Accuracy of ChatGPT-generated recommendations was assessed by a 5-point Likert scale by eight raters for ten indicators per topic in four languages (French, English, German and Dutch). Accuracy and interrater agreement were calculated per topic and language.</div></div><div><h3>Results</h3><div>For both topics, median accuracy scores of ChatGPT-generated recommendations were excellent (5.0; IQR 4–5) independently of language. Median accuracy scores varied with a maximum of 1 on a 5-point Likert-scare according to question's framing. Overall accuracy scores were 83–89 % for ‘nutrition in pregnancy’ versus 96–98 % for ‘red flags in pregnancy’. Inter-rater agreement was good to excellent for both topics.</div></div><div><h3>Conclusion</h3><div>Although ChatGPT generated accurate recommendations regarding the tested indicators for nutrition and red flags during pregnancy, women should be aware of ChatGPT's limitations such as inconsistencies according to formulation, language and the woman's personal context.</div></div><div><h3>Innovation</h3><div>Despite a growing interest in the potential use of artificial intelligence in healthcare, this is, to the best of our knowledge, the first study assessing potential limitations that may impact accuracy of ChatGPT-generated recommendations such as language and question-framing in key domains of perinatal health.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100381"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420939","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}
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