1
|
Chuang TY, Cheng W, Chiu YC, Fan YH, Chi CC, Chang CC, Liao CH. Free interactive counselling program in a mobile communication application for improving health education on indwelling ureteric stents after ureterorenoscopic lithotripsy: An observational study. Digit Health 2022; 8:20552076221117754. [PMID: 35959198 PMCID: PMC9358552 DOI: 10.1177/20552076221117754] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Accepted: 07/18/2022] [Indexed: 11/16/2022] Open
Abstract
Objective This study examines the potential benefit of an interactive counselling program via a mobile application (app), which can instantly provide patients with the necessary information and correct response regarding their condition. Methods We designed a free ‘Ureteric Stent Interactive Program’ for patients receiving ureterorenoscopic lithotripsy and provided the program to interested patients. Patient data were collected from medical records and depending on whether patients used our program, they were divided into two groups: ‘program-user’ and ‘non-user’. The differences between the groups were analysed using Fisher’s exact tests. Results Of the 70 patients, 50 elected to use the program. The program-user group was significantly younger (<60 years: 74% vs 15%, P<0.001) and had higher education levels (40% vs 5%, P = 0.004). All 50 patients in the program-user group reported being satisfied (32%) or very satisfied (68%) with the program. Patients over 60 years were significantly more satisfied with program (35.5% vs 6.3%, P = 0.04). Conclusions Younger patients with high education levels were more likely to use the app and improve their health knowledge. Using the program resulted in high satisfaction, especially among older patients. This study demonstrates the benefits of interactive application for educating patients regarding their health.
Collapse
Affiliation(s)
- Tzu-Yu Chuang
- Division of Urology, Department of Surgery, Taipei City Hospital, Zhongxiao Branch
| | - Weiming Cheng
- Division of Urology, Department of Surgery, Taipei City Hospital, Zhongxiao Branch
- Program in Molecular Medicine, School of Life Sciences, National Yang Ming Chiao Tung University, Hsinchu
- Institute of Biopharmaceutical Science, School of Life Sciences, National Yang Ming Chiao Tung University, Hsinchu
- Department of Urology, Faculty of Medicine, National Yang Ming Chiao Tung University, Hsinchu
| | - Yi-Chun Chiu
- Department of Urology, School of Medicine, National Yang Ming Chiao Tung University, Hsinchu
- Division of Urology, Department of Surgery, Heping Fuyou Branch, Taipei
- Department of Exercise and Health Sciences, University of Taipei, Taipei
| | - Yu-Hua Fan
- Department of Urology, Faculty of Medicine, National Yang Ming Chiao Tung University, Hsinchu
- Department of Urology, Taipei Veterans General Hospital, Taipei
| | - Chia-Chi Chi
- Division of Urology, Department of Surgery, Taipei City Hospital, Zhongxiao Branch
| | - Chang-Chi Chang
- Division of Urology, Department of Surgery, Taipei City Hospital, Zhongxiao Branch
- Department of Urology, Faculty of Medicine, National Yang Ming Chiao Tung University, Hsinchu
| | - Chia-Heng Liao
- Division of Urology, Department of Surgery, Taipei City Hospital, Zhongxiao Branch
| |
Collapse
|
2
|
Wang L, Di X, Yang L, Dai X. Differences in the Potential Accessibility of Home-Based Healthcare Services among Different Groups of Older Adults: A Case from Shaanxi Province, China. Healthcare (Basel) 2020; 8:E452. [PMID: 33139667 PMCID: PMC7711610 DOI: 10.3390/healthcare8040452] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2020] [Revised: 10/30/2020] [Accepted: 10/30/2020] [Indexed: 12/28/2022] Open
Abstract
With the increase of the aging population and the lack of family care, home-based healthcare services have gradually become the main model to cope with aging, so local governments have invested heavily in the construction of home-based healthcare services. However, healthcare services still have problems such as low resource utilization and imbalanced development. The reason is that the supply and demand of healthcare services are not matched and the potential accessibility is low. Therefore, based on the supply and demand of healthcare services, this article pulls out the spatial and social factors that affect the potential accessibility, and tests the influence of individual factors on the potential accessibility among different groups of older adults. It is found that the perceived vulnerability of the older adults will reduce the potential accessibility of healthcare services. The psychosocial status, income and education level with the willingness to use healthcare services of the older adults are directly proportional, while residence has a negative impact on the potential accessibility. Finally, based on this finding, this article puts forward feasible suggestions from the perspective of policy content, publicity, and implementation.
Collapse
Affiliation(s)
| | - Xiaodong Di
- School of Public Policy and Administration, Xi’an Jiaotong University, No 28 Xianning West Road, Xi’an 710049, China; (L.W.); (L.Y.); (X.D.)
| | | | | |
Collapse
|
3
|
Vaillancourt R, Giby CN, Murphy BP, Pouliot A, Trinneer A. Recall of Pharmaceutical Pictograms by Older Adults. Can J Hosp Pharm 2019; 72:446-454. [PMID: 31853145 PMCID: PMC6910848] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
BACKGROUND Low health literacy and high medication burden in the older adult population are contributing factors to the misunderstanding of medication instructions, leading to an increased risk of poor adherence and adverse events in this group of patients. OBJECTIVE To evaluate the ability of older adults to recall the meaning of 13 pharmaceutical pictograms 4 weeks after receipt of feedback on pictogram meaning. METHODS Older adults (aged 65 or older) were recruited from one community pharmacy in Canada. One-on-one structured interviews were conducted to assess the comprehensibility of 13 pharmaceutical pictograms from the International Pharmaceutical Federation's database of pictograms. Each participant was then told the meaning of each pictogram. Recall was assessed 4 weeks later. RESULTS A total of 58 participants met the inclusion criteria and agreed to participate. The number of pictograms meeting the ISO threshold for comprehensibility of symbols increased from 10 at the initial comprehensibility assessment to 13 at the recall assessment. Analysis of demographic data showed no associations between initial comprehensibility of the pictograms and age, sex, education level, or number of medications taken. CONCLUSIONS The results of this study indicate that after being informed of the meaning of pharmaceutical pictograms, older adults were able to recall the pictogram meanings for at least 4 weeks.
Collapse
Affiliation(s)
- Régis Vaillancourt
- , OMM, CD, BPharm, PharmD, FCSHP, is with the Department of Pharmacy, Children's Hospital of Eastern Ontario, Ottawa, Ontario
| | - Cindy N Giby
- , PharmD, is with Shoppers Drug Mart, Ottawa, Ontario
| | - Bradley P Murphy
- , BSc, PharmD, was, at the time this study was conducted, a student at the University of Waterloo, School of Pharmacy. He is now with the Department of Pharmacy, Children's Hospital of Eastern Ontario, Ottawa, Ontario
| | - Annie Pouliot
- , PhD, was, at the time this study was conducted, with the Department of Pharmacy, Children's Hospital of Eastern Ontario, Ottawa, Ontario
| | - Anne Trinneer
- , MA, is with the Department of Pharmacy, Children's Hospital of Eastern Ontario, Ottawa, Ontario
| |
Collapse
|
4
|
Managing the Social Determinants of Health: Part I: Fundamental Knowledge for Professional Case Management. Prof Case Manag 2018; 23:107-129. [PMID: 29601423 DOI: 10.1097/ncm.0000000000000281] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVES PRIMARY PRACTICE SETTING(S):: Applicable to health and behavioral health settings, wherever case management is practiced. FINDING/CONCLUSION The SDH pose major challenges to the health care workforce in terms of effective resource provision, health and behavioral health treatment planning plus adherence, and overall coordination of care. Obstacles and variances to needed interventions easily lead to less than optimal outcomes for case managers and their health care organizations. Possessing sound knowledge and clear understanding of each SDH, the historical perspectives, main theories, and integral dynamics, as well as creative resource solutions, all support a higher level of intentional and effective professional case management practice. IMPLICATIONS FOR CASE MANAGEMENT PRACTICE Those persons and communities impacted most by the SDH comprise every case management practice setting. These clients can be among the most vulnerable and disenfranchised members of society, which can easily engender biases on the part of the interprofessional workforce. They are also among the costliest to care for with 50% of costs for only 5% of the population. Critical attention to knowledge about managing the SDH leverages and informs case management practice, evolves more effective programming, and enhances operational outcomes across practice settings.
Collapse
|
5
|
Medication Adherence and Safety Program for Community-Dwelling Seniors With Chronic Conditions. J Dr Nurs Pract 2016; 9:170-176. [DOI: 10.1891/2380-9418.9.2.170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Misuse and mismanagement of medical products (e.g., pharmaceuticals and medical devices) can significantly impact the quality of life of community-dwelling seniors aged 65 years and older with chronic health conditions. Medication therapy management is an ongoing concern among community-dwelling older adults. The increased use of both prescription and over-the-counter (OTC) pharmaceuticals and the lack of medication safety education drove the importance of this capstone project. To explore the problem, the researchers implemented a multifaceted educational intervention. The intervention format included seminars on medication adherence, safety, storage, and disposal for this target population and their caregivers residing in Broward County, Florida. This scholarly project was aligned with the national objectives addressed in Healthy People 2020 that promoted the need to ensure the safe use of medical products (U.S. Department of Health and Human Services [HHS], 2013). A pilot of the Medication Adherence and Safety Program (MASP) for Community-Dwelling Seniors with Chronic Conditions was conducted with a convenience sample of 31 community-dwelling older adults aged 65 years and older. The MASP educational intervention for these community-dwelling seniors with chronic conditions resulted in self-reported increased medication errors, storage, and disposal awareness. Recommendations for future studies include the use of a modified pre- and postintervention test, the addition of a medication take-back to the program, and the use of more novice health care professionals to educate and perform the Brown Bag medication reviews (BBMRs).
Collapse
|
6
|
Berthenet M, Vaillancourt R, Pouliot A. Evaluation, Modification, and Validation of Pictograms Depicting Medication Instructions in the Elderly. JOURNAL OF HEALTH COMMUNICATION 2016; 21 Suppl 1:27-33. [PMID: 27043755 DOI: 10.1080/10810730.2015.1133737] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Poor health literacy has been recognized as a limiting factor in the elderly's ability to comprehend written or verbal medication information and also to successfully adhere to medical regimens. The objective of this study was to validate a set of pictograms depicting medication instructions for use among the elderly to support health literacy. Elderly outpatients were recruited in 3 community pharmacies in Canada. One-on-one structured interviews were conducted to assess comprehension of 76 pictograms from the International Pharmaceutical Federation. Comprehension was assessed using transparency testing and pictogram translucency, or the degree to which the pictogram represents the intended message. A total of 135 participants were enrolled in this study, and 76 pictograms were assessed. A total of 50 pictograms achieved more than 67% comprehension. Pictograms depicting precautions and warnings against certain side effects were generally not well understood. Gender, age, and education level all had a significant impact on the interpretation scores of certain individual pictograms. When all pictograms were included, younger males had a significantly higher comprehension score than older females, and participants with a higher level of education provided significantly higher translucency scores. Even when pictograms reached the comprehension threshold set by the International Organization for Standardization in the general populations, only 50 of these pictograms achieved more than 67% comprehension among the elderly, confirming that validation in this subpopulation should be conducted prior to using specific pictograms. Accompanying pictograms with education about these pictograms and important counseling points remains extremely important.
Collapse
Affiliation(s)
- Marion Berthenet
- a Pharmacy Department , Children's Hospital of Eastern Ontario , Ottawa , Ontario , Canada
| | - Régis Vaillancourt
- a Pharmacy Department , Children's Hospital of Eastern Ontario , Ottawa , Ontario , Canada
| | - Annie Pouliot
- a Pharmacy Department , Children's Hospital of Eastern Ontario , Ottawa , Ontario , Canada
| |
Collapse
|
7
|
|
8
|
DeMarco J, Nystrom M. The Importance of Health Literacy in Patient Education. JOURNAL OF CONSUMER HEALTH ON THE INTERNET 2010. [DOI: 10.1080/15398285.2010.502021] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|