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Gleason-Comstock J, Calhoun CB, Mozeb G, Louis C, Hill A, Locke BJ, Harrell V, Yasmin S, Zhang L, Flack JM, Artinian NT, Xu J. Recruitment, Retention, and Future Direction for a Heart Health Education and Risk Reduction Intervention Led by Community Health Workers in an African American Majority City. J Racial Ethn Health Disparities 2022; 10:1432-1440. [PMID: 35641734 PMCID: PMC9154027 DOI: 10.1007/s40615-022-01329-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2022] [Revised: 05/04/2022] [Accepted: 05/05/2022] [Indexed: 12/01/2022]
Abstract
Heart disease is a leading cause of death for African Americans. A community-academic partnership cross-trained community health workers to engage African American adults in a 6-month heart health education and risk reduction intervention. We conducted a one-group feasibility study using a one group (pre-posttest) design. A total of 100 adults were recruited from 27 zip codes in an African American majority city through community-based organizations (46%), churches (36%), and home visits (12%). Ninety-six percent were African American; 55% were female, 39% were male, and 6% were transgender. Their mean age was 44.6 years (SD = 15.9). Ninety-two percent had health insurance. Seventy-six percent of participants averaged blood pressure (BP) readings > 130/80 mmHg. Eleven percent of participants had a 30% or higher probability of developing cardiovascular disease in the next 10 years. Six-month follow-up was completed with 96% of participants. There were statistically significant increases in knowledge and in perception of personal risk for heart disease. However, slightly more participants (n = 77, 80.2%) had BP > 130/80 mmHg. The Community Advisory Group recommended expanding the intervention to 12 months and incorporating telehealth with home BP monitoring. Limited intervention duration did not meet longer term objectives such as better control of high BP and sharing risk reduction planning with primary care providers.
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Affiliation(s)
- Julie Gleason-Comstock
- Department of Family Medicine & Public Health Sciences, 3939 Woodward Avenue, Detroit, MI, USA. .,Wayne State University School of Medicine, Detroit, MI, 48201, USA.
| | | | - Ghadir Mozeb
- Wayne State University School of Medicine, Detroit, MI, 48201, USA
| | - Cardell Louis
- Wayne State University School of Medicine, Detroit, MI, 48201, USA
| | - Alex Hill
- Department of Anthropology, Wayne State University, Detroit, MI, USA
| | | | - Victor Harrell
- Community Health Awareness Group, Inc., Detroit, MI, USA
| | - Sadia Yasmin
- Wayne State University School of Medicine, Detroit, MI, 48201, USA
| | - Liying Zhang
- Wayne State University School of Medicine, Detroit, MI, 48201, USA
| | - John M Flack
- Department of Internal Medicine, Southern Illinois School of Medicine, Springfield, IL, USA
| | - Nancy T Artinian
- College of Nursing, Michigan State University, East Lansing, MI, USA
| | - Jinping Xu
- Wayne State University School of Medicine, Detroit, MI, 48201, USA
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Maramba ID, Jones R, Austin D, Edwards K, Meinert E, Chatterjee A. The Role of Health Kiosks: A Scoping Review (Preprint). JMIR Med Inform 2020; 10:e26511. [PMID: 35348457 PMCID: PMC9006133 DOI: 10.2196/26511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2020] [Revised: 03/05/2021] [Accepted: 02/25/2022] [Indexed: 11/13/2022] Open
Abstract
Background Health kiosks are publicly accessible computing devices that provide access to services, including health information provision, clinical measurement collection, patient self–check-in, telemonitoring, and teleconsultation. Although the increase in internet access and ownership of smart personal devices could make kiosks redundant, recent reports have predicted that the market will continue to grow. Objective We seek to clarify the current and future roles of health kiosks by investigating the settings, roles, and clinical domains in which kiosks are used; whether usability evaluations of health kiosks are being reported, and if so, what methods are being used; and what the barriers and facilitators are for the deployment of kiosks. Methods We conducted a scoping review using a bibliographic search of Google Scholar, PubMed, and Web of Science databases for studies and other publications between January 2009 and June 2020. Eligible papers described the implementation as primary studies, systematic reviews, or news and feature articles. Additional reports were obtained by manual searching and querying the key informants. For each article, we abstracted settings, purposes, health domains, whether the kiosk was opportunistic or integrated with a clinical pathway, and whether the kiosk included usability testing. We then summarized the data in frequency tables. Results A total of 141 articles were included, of which 134 (95%) were primary studies, and 7 (5%) were reviews. Approximately 47% (63/134) of the primary studies described kiosks in secondary care settings. Other settings included community (32/134, 23.9%), primary care (24/134, 17.9%), and pharmacies (8/134, 6%). The most common roles of the health kiosks were providing health information (47/134, 35.1%), taking clinical measurements (28/134, 20.9%), screening (17/134, 12.7%), telehealth (11/134, 8.2%), and patient registration (8/134, 6.0%). The 5 most frequent health domains were multiple conditions (33/134, 24.6%), HIV (10/134, 7.5%), hypertension (10/134, 7.5%), pediatric injuries (7/134, 5.2%), health and well-being (6/134, 4.5%), and drug monitoring (6/134, 4.5%). Kiosks were integrated into the clinical pathway in 70.1% (94/134) of studies, opportunistic kiosks accounted for 23.9% (32/134) of studies, and in 6% (8/134) of studies, kiosks were used in both. Usability evaluations of kiosks were reported in 20.1% (27/134) of papers. Barriers (e.g., use of expensive proprietary software) and enablers (e.g., handling of on-demand consultations) of deploying health kiosks were identified. Conclusions Health kiosks still play a vital role in the health care system, including collecting clinical measurements and providing access to web-based health services and information to those with little or no digital literacy skills and others without personal internet access. We identified research gaps, such as training needs for teleconsultations and scant reporting on usability evaluation methods.
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Affiliation(s)
| | - Ray Jones
- Centre for Health Technology, University of Plymouth, Plymouth, United Kingdom
| | - Daniela Austin
- Centre for Health Technology, University of Plymouth, Plymouth, United Kingdom
| | - Katie Edwards
- Centre for Health Technology, University of Plymouth, Plymouth, United Kingdom
| | - Edward Meinert
- Centre for Health Technology, University of Plymouth, Plymouth, United Kingdom
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Gleason Comstock J, Janisse J, Streater A, Brody A, Goodman A, Zhang L, Mango L, Dawood R, Costello W, Patton S, Paranjpe A, Welsh C, Welch R, Levy P. Efficacy of enhanced emergency department discharge for chronic hypertension management - Results of a randomized controlled trial. Contemp Clin Trials Commun 2020; 19:100613. [PMID: 32743119 PMCID: PMC7387778 DOI: 10.1016/j.conctc.2020.100613] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2019] [Revised: 06/16/2020] [Accepted: 07/12/2020] [Indexed: 11/28/2022] Open
Abstract
Introduction AchieveBP is a randomized controlled trial (RCT) of an education intervention for patients with chronic hypertension who have uncontrolled blood pressure (BP) at discharge from an urban emergency department (ED). The study examined efficacy and moderators of an educational intervention in an RCT on BP control at 180-day post-intervention. Methods Participants were recruited from a single, urban ED and randomized to receive or not to receive hypertension education. To minimize potential bias, participants were all started on an evidence-based anti-hypertensive regimen and medications were dispensed directly to participants by the study team. Bivariate analysis was performed to examine differences in sociodemographic characteristics between patients achieving BP control and those who did not. Paired t-test was used to compare the difference of systolic and diastolic BP between baseline and 180 days post-discharge. Multiple logistic regression analysis examined interaction of covariates and intervention on achieving BP control. Results One hundred and thirty-nine participants were randomized into the study. All were African-American with a mean age of 47.6 (SD = 10.8) years; 51% were male, 63% had smoked cigarettes and 15% had diabetes. A total of 66 patients completed the study (47.4%), 44 of whom (67%) achieved BP control. However, there was no difference in BP reduction or control between the two groups. Age and smoking status showed moderation effects on intervention efficacy. Conclusion Despite a neutral effect of our intervention, a high level of BP control was achieved overall, suggesting that the ED may be a viable location for efforts aimed at reducing the impact of chronic hypertension in predominantly African American communities.
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Affiliation(s)
- Julie Gleason Comstock
- Department of Family Medicine & Public Health Sciences, School of Medicine, Wayne State University, 3939 Woodward, Detroit, MI, 48201, USA.,Cardiovascular Research Institute, School of Medicine, Wayne State University, 421 E Canfield St. Detroit, MI 48201, USA.,Center for Urban Studies, Wayne State University, 700 Cass Ave, Detroit, MI, 48202, USA
| | - James Janisse
- Department of Family Medicine & Public Health Sciences, School of Medicine, Wayne State University, 3939 Woodward, Detroit, MI, 48201, USA
| | - Alicia Streater
- Center for Urban Studies, Wayne State University, 700 Cass Ave, Detroit, MI, 48202, USA
| | - Aaron Brody
- Department of Emergency Medicine, School of Medicine, Wayne State University, 4201 St. Antoine, UHC-6G, Detroit, MI, 48202, USA.,Wayne State University Integrative Biosciences Center (iBIO), 6135 Woodward Ave, Detroit, MI, 48202, USA
| | - Allen Goodman
- Department of Economics, Wayne State University 656 Kirby St, 2074 FAB, Detroit, MI, 48202, USA
| | - Liying Zhang
- Department of Family Medicine & Public Health Sciences, School of Medicine, Wayne State University, 3939 Woodward, Detroit, MI, 48201, USA.,Wayne State University Integrative Biosciences Center (iBIO), 6135 Woodward Ave, Detroit, MI, 48202, USA
| | - LynnMarie Mango
- Wayne State University Integrative Biosciences Center (iBIO), 6135 Woodward Ave, Detroit, MI, 48202, USA
| | - Rachelle Dawood
- Wayne State University Integrative Biosciences Center (iBIO), 6135 Woodward Ave, Detroit, MI, 48202, USA
| | - William Costello
- Department of Family Medicine & Public Health Sciences, School of Medicine, Wayne State University, 3939 Woodward, Detroit, MI, 48201, USA.,Cardiovascular Research Institute, School of Medicine, Wayne State University, 421 E Canfield St. Detroit, MI 48201, USA.,Center for Urban Studies, Wayne State University, 700 Cass Ave, Detroit, MI, 48202, USA
| | - Shayla Patton
- Department of Family Medicine & Public Health Sciences, School of Medicine, Wayne State University, 3939 Woodward, Detroit, MI, 48201, USA
| | - Aniruddha Paranjpe
- Department of Family Medicine & Public Health Sciences, School of Medicine, Wayne State University, 3939 Woodward, Detroit, MI, 48201, USA.,Cardiovascular Research Institute, School of Medicine, Wayne State University, 421 E Canfield St. Detroit, MI 48201, USA.,Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI, USA
| | - Connor Welsh
- Michigan State University College of Human Medicine, Secchia Center, 15 Michigan St NE, Grand Rapids, MI, 49503, USA
| | - Robert Welch
- Cardiovascular Research Institute, School of Medicine, Wayne State University, 421 E Canfield St. Detroit, MI 48201, USA.,Department of Emergency Medicine, School of Medicine, Wayne State University, 4201 St. Antoine, UHC-6G, Detroit, MI, 48202, USA
| | - Phillip Levy
- Cardiovascular Research Institute, School of Medicine, Wayne State University, 421 E Canfield St. Detroit, MI 48201, USA.,Department of Emergency Medicine, School of Medicine, Wayne State University, 4201 St. Antoine, UHC-6G, Detroit, MI, 48202, USA.,Wayne State University Integrative Biosciences Center (iBIO), 6135 Woodward Ave, Detroit, MI, 48202, USA
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Clifton DC, Benjamin RW, Brown AR, Ostrovsky DA, Narayan AP. A Tablet-Based Educational Tool: Toward More Comprehensive Pediatric Patient Education. Clin Pediatr (Phila) 2018; 57:1176-1182. [PMID: 29575940 DOI: 10.1177/0009922818766621] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
There is a paucity of data on the impact of mobile technology on physician-led education in the pediatric population. We performed a prospective pilot study in a pediatric diabetes clinic to evaluate the impact of tablet-based patient education. A total of 106 patients and caregivers completed postclinic surveys, 64 (60%) in the intervention group and 42 (40%) in the control group. The majority of the intervention group patients (86%) liked tablet use and felt it was better or similar (99%) to baseline. Moreover, a majority receiving tablet-based education perceived an increase in diabetes knowledge (57%) compared with baseline (39%), though the difference did not reach statistical significance ( P = .059). Those who received tablet-based education felt they were educated on more diabetes-related topics. As the use of mobile technology in medicine grows, additional research is needed to compare mobile technology with traditional methods in providing education to the pediatric population.
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Gleason-Comstock J, Streater A, Goodman A, Janisse J, Brody A, Mango L, Dawood R, Levy P. Willingness to pay and willingness to accept in a patient-centered blood pressure control study. BMC Health Serv Res 2017; 17:538. [PMID: 28784120 PMCID: PMC5547517 DOI: 10.1186/s12913-017-2451-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2017] [Accepted: 07/18/2017] [Indexed: 11/16/2022] Open
Abstract
Background Elevated blood pressure is a major risk factor for cardiovascular disease and stroke but patients often discount recommended behavioral changes and prescribed medications. While effective interventions to promote adherence have been developed, cost-effectiveness from the patient’s perspective, has not been well studied. The valuation of patient time and out of pocket expenses should be included while performing cost effectiveness evaluation. The AchieveBP study uses the contingent valuation method to assess willingness to accept (WTA) and willingness to pay (WTP) among patients with a history of uncontrolled blood pressure discharged from an urban emergency department and enrolled in a larger randomized controlled trial. Methods WTA and WTP were assessed by asking patients a series of questions about time and travel costs and time value related to their study participation. A survey was conducted during the final study visit with patients to investigate the effectiveness of a kiosk-based educational intervention on blood pressure control. All study patients, regardless of study arm, received the same clinical protocol of commonly prescribed antihypertensive medication and met with research clinicians four times as part of the study procedures. Results Thirty-eight patients were offered the opportunity to participate in the cost-effectiveness study and all completed the survey. Statistical comparisons revealed these 38 patients were similar in representation to the entire RCT study population. All 38 (100.0%) were African-American, with an average age of 49.1 years; 55.3% were male, 21.1% were married, 78.9% had a high school or higher education, and 44.7% were working. 55.9% did not have a primary care provider and 50.0% did not have health insurance. Time price linear regression analysis was performed to estimate predictors of WTA and WTP. Conclusions WTP and WTA may generate different results, and the elasticities were proportional to the estimated coefficients, with WTP about twice as responsive as WTA. An additional feature for health services research was successful piloting in a clinical setting of a brief patient-centered cost effectiveness survey. Trial registration https://clinicaltrials.gov. Registration Number NCT02069015. Registered February 19, 2014 (Retrospectively registered). Electronic supplementary material The online version of this article (doi:10.1186/s12913-017-2451-5) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Julie Gleason-Comstock
- Department of Family Medicine & Public Health Sciences, School of Medicine, Wayne State University, 3939 Woodward Ave, Detroit, MI, 48201, USA. .,Cardiovascular Research Institute, School of Medicine, Wayne State University, 421 E. Canfield St, Detroit, MI, 48201, USA. .,Center for Urban Studies, Wayne State University, 5700 Cass Ave, Detroit, MI, 48202, USA.
| | - Alicia Streater
- Center for Urban Studies, Wayne State University, 5700 Cass Ave, Detroit, MI, 48202, USA
| | - Allen Goodman
- Department of Economics, Wayne State University, 656 W. Kirby St., 2074 FAB, Detroit, MI, 48202, USA
| | - James Janisse
- Department of Family Medicine & Public Health Sciences, School of Medicine, Wayne State University, 3939 Woodward Ave, Detroit, MI, 48201, USA
| | - Aaron Brody
- Department of Emergency Medicine, Wayne State University, 4201 St. Antoine, UHC-6G, Detroit, MI, 48201, USA.,Detroit Medical Center, Sinai Grace Hospital, 6071 W. Outer Drive, Detroit, MI, 48235, USA.,Integrative Biosciences Center (iBIO), Wayne State University, 6135 Woodward Ave, Detroit, MI, 48202, USA
| | - LynnMarie Mango
- Department of Emergency Medicine, Wayne State University, 4201 St. Antoine, UHC-6G, Detroit, MI, 48201, USA.,Detroit Medical Center, Detroit Receiving Hospital, 4201 St. Antoine Blvd, Detroit, MI, 48201, USA.,Integrative Biosciences Center (iBIO), Wayne State University, 6135 Woodward Ave, Detroit, MI, 48202, USA
| | - Rachelle Dawood
- Department of Emergency Medicine, Wayne State University, 4201 St. Antoine, UHC-6G, Detroit, MI, 48201, USA.,Detroit Medical Center, Detroit Receiving Hospital, 4201 St. Antoine Blvd, Detroit, MI, 48201, USA.,Integrative Biosciences Center (iBIO), Wayne State University, 6135 Woodward Ave, Detroit, MI, 48202, USA
| | - Phillip Levy
- Cardiovascular Research Institute, School of Medicine, Wayne State University, 421 E. Canfield St, Detroit, MI, 48201, USA.,Department of Emergency Medicine, Wayne State University, 4201 St. Antoine, UHC-6G, Detroit, MI, 48201, USA.,Detroit Medical Center, Detroit Receiving Hospital, 4201 St. Antoine Blvd, Detroit, MI, 48201, USA.,Integrative Biosciences Center (iBIO), Wayne State University, 6135 Woodward Ave, Detroit, MI, 48202, USA
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Gleason-Comstock J, Streater A, Ager J, Goodman A, Brody A, Kivell L, Paranjpe A, Vickers J, Mango L, Dawood R, Levy P. Patient education and follow-up as an intervention for hypertensive patients discharged from an emergency department: a randomized control trial study protocol. BMC Emerg Med 2015; 15:38. [PMID: 26691646 PMCID: PMC4687379 DOI: 10.1186/s12873-015-0052-3] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2015] [Accepted: 09/24/2015] [Indexed: 01/13/2023] Open
Abstract
Background Persistently elevated blood pressure (BP) is a leading risk factor for cardiovascular disease development, making effective hypertension management an issue of considerable public health importance. Hypertension is particularly prominent among African Americans, who have higher disease prevalence and consistently lower BP control than Whites and Hispanics. Emergency departments (ED) have limited resources for chronic disease management, especially for under-served patients dependent upon the ED for primary care, and are not equipped to conduct follow-up. Kiosk-based patient education has been found to be effective in primary care settings, but little research has been done on the effectiveness of interactive patient education modules as ED enhanced discharge for an under-served urban minority population. Methods/Design Achieving Blood Pressure Control Through Enhanced Discharge (AchieveBP) is a behavioral RCT patient education intervention for patients with a history of hypertension who have uncontrolled BP at ED discharge. The project will recruit up to 200 eligible participants at the ED, primarily African-American, who will be asked to return to a nearby clinical research center for seven, thirty and ninety day visits, with a 180 day follow-up. Consenting participants will be randomized to either an attention-control or kiosk-based interactive patient education intervention. To control for potential medication effects, all participants will be prescribed similar, evidenced-based anti-hypertensive regimens and have their prescription filled onsite at the ED and during visits to the clinic. The primary target endpoint will be success in achieving BP control assessed at 180 days follow-up post-ED discharge. The secondary aim will be to assess the relationship between patient activation and self-care management. Discussion The AchieveBP trial will determine whether using interactive patient education delivered through health information technology as ED enhanced discharge with subsequent education sessions at a clinic is an effective strategy for achieving short-term patient management of BP. The project is innovative in that it uses the ED as an initial point of service for kiosk-based health education designed to increase BP self-management. It is anticipated findings from this translational research could also be used as a resource for patient education and follow-up with hypertensive patients in primary care settings. Trial registration ClinicalTrials.gov Registration Number: NCT02069015. Registered February 19, 2014.
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Affiliation(s)
- Julie Gleason-Comstock
- Department of Family Medicine & Public Health Sciences, School of Medicine, Wayne State University, 3939 Woodward Ave., 48201, Detroit, MI, USA. .,Cardiovascular Research Institute, School of Medicine, Wayne State University, 421 E. Canfield St., 48201, Detroit, MI, USA. .,Center for Urban Studies, Wayne State University, 5700 Cass Ave., 48202, Detroit, MI, USA.
| | - Alicia Streater
- Center for Urban Studies, Wayne State University, 5700 Cass Ave., 48202, Detroit, MI, USA.
| | - Joel Ager
- Department of Family Medicine & Public Health Sciences, School of Medicine, Wayne State University, 3939 Woodward Ave., 48201, Detroit, MI, USA.
| | - Allen Goodman
- Department of Economics, Wayne State University, 656 W. Kirby St., 2074 FAB, 48202, Detroit, MI, USA.
| | - Aaron Brody
- Department of Emergency Medicine, Wayne State University, 4201 St. Antoine, UHC-6G, 48201, Detroit, MI, USA.
| | - Laura Kivell
- Center for Urban Studies, Wayne State University, 5700 Cass Ave., 48202, Detroit, MI, USA.
| | - Aniruddha Paranjpe
- Department of Family Medicine & Public Health Sciences, School of Medicine, Wayne State University, 3939 Woodward Ave., 48201, Detroit, MI, USA.
| | - Jasmine Vickers
- Department of Family Medicine & Public Health Sciences, School of Medicine, Wayne State University, 3939 Woodward Ave., 48201, Detroit, MI, USA. .,Cardiovascular Research Institute, School of Medicine, Wayne State University, 421 E. Canfield St., 48201, Detroit, MI, USA.
| | - LynnMarie Mango
- Department of Emergency Medicine, Wayne State University, 4201 St. Antoine, UHC-6G, 48201, Detroit, MI, USA.
| | - Rachelle Dawood
- Department of Emergency Medicine, Wayne State University, 4201 St. Antoine, UHC-6G, 48201, Detroit, MI, USA.
| | - Phillip Levy
- Cardiovascular Research Institute, School of Medicine, Wayne State University, 421 E. Canfield St., 48201, Detroit, MI, USA. .,Department of Emergency Medicine, Wayne State University, 4201 St. Antoine, UHC-6G, 48201, Detroit, MI, USA.
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Health Knowledge Effects: An Integrated Community Health Promotion Platform. Comput Inform Nurs 2015; 34:137-42. [PMID: 26657621 DOI: 10.1097/cin.0000000000000207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
The Taiwanese government subsidizes healthcare providers offering preventive medicine to patients to help reduce the threats of chronic sickness and halt skyrocketing medical expenditures. Usually, nurses are the primary workers who perform community health promotion; however, because of the chronic shortage of working nurses, many Taiwan hospitals have closed wards and deferred the responsibility of promoting primary prevention. With a community health promotion platform integrating interactive response features and Web sites for community patients and hospital staff, a case hospital efficiently sustained the community health services. The objective of this study was to assess the impact of the integrated community health promotion platform for conducting education. Fifty-four patients/residents were invited to join a quasi-experiment of health education, and a follow-up survey was conducted to assess the acceptance of the community health promotion platform from both the experimental group of learners/users and the hospital staff. The results showed that the community health promotion platform was effective in improving participant health awareness. The experimental group outperformed the control group, with higher posttest scores and longer knowledge retention. Furthermore, users indicated a high acceptance of the community health promotion platform.
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Dempsey AF, Maertens J, Beaty B, O'Leary ST. Characteristics of users of a tailored, interactive website for parents and its impact on adolescent vaccination attitudes and uptake. BMC Res Notes 2015; 8:739. [PMID: 26625932 PMCID: PMC4665955 DOI: 10.1186/s13104-015-1721-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2015] [Accepted: 11/19/2015] [Indexed: 12/05/2022] Open
Abstract
Background We examined the characteristics of parents using an iPad-based intervention about vaccines, and its impact on vaccination attitudes and behavior. Methods Interventions were implemented in three primary care clinics from June 2012–September 2013. Baseline and follow up surveys assessed vaccination attitudes and intentions. Medical records were used to examine adolescent vaccine uptake. Results During the study, 42 parents viewed tailored educational content. Users were generally positive about vaccines, though one out of five worried that vaccines caused more harm than good. Among the 16 parents completing the post-intervention survey, there was a slightly higher, non-statistically significant, mean vaccination intention after viewing the website than prior to viewing it for three of the four adolescent vaccines (all except tetanus–diphtheria–acellular pertussis). Using the intervention did not increase the likelihood of adolescent vaccination. Conclusions Providing educational material via iPads in clinic waiting rooms does not appear to be an effective strategy for engaging parents about vaccines. Overall, parents’ interaction with TeenVaxScene was low, and had little impact on their vaccination attitudes and beliefs. However, use of TeenVaxScene did not appear to worsen parents’ attitudes about vaccines. New and creative ideas for engaging parents to use such educational materials are needed.
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Affiliation(s)
- Amanda F Dempsey
- Adult and Child Center for Outcomes Research and Dissemination Science (ACCORDS), 13199 East Montview Blvd, Suite 300, Aurora, CO, 80045, USA.
| | - Julie Maertens
- Adult and Child Center for Outcomes Research and Dissemination Science (ACCORDS), 13199 East Montview Blvd, Suite 300, Aurora, CO, 80045, USA.
| | - Brenda Beaty
- Adult and Child Center for Outcomes Research and Dissemination Science (ACCORDS), 13199 East Montview Blvd, Suite 300, Aurora, CO, 80045, USA.
| | - Sean T O'Leary
- Adult and Child Center for Outcomes Research and Dissemination Science (ACCORDS), 13199 East Montview Blvd, Suite 300, Aurora, CO, 80045, USA. Sean.O'
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Reis S, Visser A, Frankel R. Health information and communication technology in healthcare communication: the good, the bad, and the transformative. PATIENT EDUCATION AND COUNSELING 2013; 93:359-362. [PMID: 24295793 DOI: 10.1016/j.pec.2013.10.007] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Affiliation(s)
- Shmuel Reis
- Bar Ilan University, Faculty of Medicine in the Galilee, Israel.
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