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Wach K, Remen T, Claudot F. Patient understanding of oral information: Self-assessment versus test/feedback. PATIENT EDUCATION AND COUNSELING 2022; 105:2940-2950. [PMID: 35753830 DOI: 10.1016/j.pec.2022.05.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Revised: 05/20/2022] [Accepted: 05/21/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVES The primary objective of the study was to assess the agreement between the perceived and objectified comprehension levels of oral information received by patients during their preoperative consultation. METHODS We conducted a prospective study in a surgical consultation service with patients who had scheduled prosthetic surgery. The study included 2 measurement phases, each of which involved an evaluation of the patient's perceived understanding and an evaluation of the understanding by a health professional (i.e., objective understanding). RESULTS The study included 98 patients. Median (min-max) age was 67 (29-90) years. Depending on the item considered, the weighted kappa coefficient for agreement between perceived patient understanding and professional-objectified levels of understanding ranged from 0.05 to 0.42, suggesting low to moderate levels of agreement. In situations of disagreement, patients had higher self-ratings of understanding than practitioners' ratings for most items. CONCLUSION Self and hetero-measurement permits the HP to see "how much the patient understands" and to clear up any important element of management both from the point of view of the patient's legal autonomy (self-determination and choice) and of his or her power to act (management of his or her illness). PRACTICE IMPLICATIONS Asking patients if they have understood the information given is insufficient not only from both a medical care but also from a medico-legal point of view.
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Affiliation(s)
- Karine Wach
- University of Lorraine, APEMAC, F-54 000 Nancy, France.
| | - Thomas Remen
- CHRU de Nancy, Department of Methodology, Promotion, Investigation, Data Management, Methodology and Statistics Unit, F-54500 Vandoeuvre-lès-Nancy, France.
| | - Frédérique Claudot
- University of Lorraine, APEMAC, F-54 000 Nancy, France; CHRU de Nancy, Department of Methodology, Promotion, Investigation, Data Management, Methodology and Statistics Unit, F-54500 Vandoeuvre-lès-Nancy, France.
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Wang T, Voss JG. Information Overload in Patient Education: A Wilsonian Concept Analysis. Nurs Sci Q 2022; 35:341-349. [PMID: 35762054 DOI: 10.1177/08943184221092451] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The authors of this concept analysis seek to clarify the concept of information overload within the context of patient education in healthcare. A modified six-step Wilsonian concept analysis method with a review of qualified manuscripts from PubMed, PsycInfo, CINAHL, and MEDLINE from 2000 to 2018 was conducted. Information overload occurs when an individual acknowledges that information received is beyond his or her information-absorbing threshold. The causes include quantity and quality of the information and information delivery structures. Information overload is associated with higher levels of stress and poor self-care performance. It is significant for healthcare providers to recognize patients' feelings of information overload.
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Affiliation(s)
- Tongyao Wang
- Post-Doctoral Fellow, School of Nursing, University of Hong Kong, Hong Kong, China; Student, Frances Payne Bolton School of Nurisng, Case Western Reserve University, Cleveland, OH, USA
| | - Joachim G Voss
- Professor, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA
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Bacher H, Schweyen R, Kuhnt T, Leplow B, Hey J. Use of a Patient Information Leaflet on Oro-Dental Care During Radiotherapy. Patient Prefer Adherence 2020; 14:1751-1759. [PMID: 33061317 PMCID: PMC7532906 DOI: 10.2147/ppa.s262471] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/28/2020] [Accepted: 07/21/2020] [Indexed: 11/23/2022] Open
Abstract
PURPOSE A patient information leaflet (PIL) on oral and dental care during radiotherapy was tested whether and at which time during therapy it would be helpful to increase the knowledge about the therapy and the resulting side effects and the management of these. Additionally, the participants' subjective perception of being well informed about the topic was examined. PARTICIPANTS AND METHODS Surveys were conducted in August 2018-April 2019, at the University Hospitals Halle and Leipzig (Germany). The study population consisted of patients who were treated with radiotherapy in the head and neck region. Half of them received access to the PIL. The survey was conducted with three different versions of a printout questionnaire, which covered the relevant topics at three different times of therapy. The time the participants were surveyed depended on the time of their first therapy appointment. The items of the questionnaires tested their concrete knowledge and assessed the subjective perception of the level of information received. RESULTS Of the 81 participants who received the PIL, 93.8% read it and 92.1% of them considered it helpful. The sample comprised 181 participants aged 32 to 85 years (M = 62.9), of which 135 were males, 42 were females, and 4 were unspecified. Evaluation showed a difference of 4.7%; 18.5%; and 13.6% in correct answers between subjects with and without access to the PIL before, during, and after the therapy, respectively. The assessment of the participants' personal information level was independent of their access to the PIL (chi-squared test, p = 0.89). CONCLUSION Having access to the PIL increased participants' ability to answer the questionnaires correctly. Access to the PIL had no influence on the subjective feeling of being well informed.
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Affiliation(s)
- Helene Bacher
- Department of Dental Prosthetics, University Hospital Halle/Saale, Halle (Saale), Germany
| | - Ramona Schweyen
- Department of Dental Prosthetics, University Hospital Halle/Saale, Halle (Saale), Germany
| | - Thomas Kuhnt
- Clinic for Radiotherapy, University Hospital Leipzig, Leipzig, Germany
| | - Bernd Leplow
- Institute of Psychology, Institute for Therapy and Health Research (IFT-Nord), Martin Luther University Halle-Wittenberg, Halle/Saale, Germany
| | - Jeremias Hey
- Department of Dental Prosthetics, University Hospital Halle/Saale, Halle (Saale), Germany
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Maidment DW, Heyes R, Gomez R, Coulson NS, Wharrad H, Ferguson MA. Evaluating a Theoretically Informed and Cocreated Mobile Health Educational Intervention for First-Time Hearing Aid Users: Qualitative Interview Study. JMIR Mhealth Uhealth 2020; 8:e17193. [PMID: 32755885 PMCID: PMC7439142 DOI: 10.2196/17193] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2019] [Revised: 02/21/2020] [Accepted: 03/23/2020] [Indexed: 12/31/2022] Open
Abstract
BACKGROUND Adults living with hearing loss have highly variable knowledge of hearing aids, resulting in suboptimal use or nonuse. This issue can be addressed by the provision of high-quality educational resources. OBJECTIVE This study aims to assess the everyday experiences of first-time hearing aid users when using a newly developed, theoretically informed cocreated mobile health (mHealth) educational intervention called m2Hear. This intervention aims to deliver greater opportunities for individualization and interactivity compared with our previously developed multimedia intervention, C2Hear. METHODS A total of 16 first-time hearing aid users trialed m2Hear for a period of 10-weeks in their everyday lives, after which individual semistructured interviews were completed. The data were analyzed using an established deductive thematic analysis procedure underpinned by the Capability, Opportunity, Motivation-Behavior model. The model stipulates that to engage in a target behavior, an individual must have physical and psychological capability, physical and social opportunity, and automatic and reflective motivation. RESULTS Capability-m2Hear was viewed as a concise and comprehensive resource, suitable for a range of digital literacy skills. It was stated that m2Hear could be conveniently reused to provide useful reminders that facilitate knowledge of hearing aids and communication. Opportunity-m2Hear was simple and straightforward to use, enabling greater individualization and independence. The availability of m2Hear via mobile technologies also improved accessibility. Motivation-m2Hear provided greater support and reassurance, improving confidence and empowering users to self-manage their hearing loss. CONCLUSIONS Overall, this qualitative study suggests that m2Hear supports first-time hearing aid users to successfully self-manage their hearing loss postfitting. Furthermore, this study demonstrates the utility of employing a combined theoretical and ecologically valid approach in the development of mHealth educational resources to meet the individual self-management needs of adults living with hearing loss. TRIAL REGISTRATION ClinicalTrials.gov NCT03136718; https://clinicaltrials.gov/ct2/show/NCT03136718.
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Affiliation(s)
- David W Maidment
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, United Kingdom.,National Institute for Health Research, Nottingham Biomedical Research Centre, Nottingham, United Kingdom.,Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, United Kingdom
| | - Rachel Heyes
- National Institute for Health Research, Nottingham Biomedical Research Centre, Nottingham, United Kingdom.,Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, United Kingdom
| | - Rachel Gomez
- National Institute for Health Research, Nottingham Biomedical Research Centre, Nottingham, United Kingdom.,Nottingham University Hospitals National Health Service Trust, Nottingham, United Kingdom
| | - Neil S Coulson
- Division of Rehabilitation, Aging and Wellbeing, School of Medicine, University of Nottingham, Nottingham, United Kingdom
| | - Heather Wharrad
- School of Health Sciences, University of Nottingham, Nottingham, United Kingdom
| | - Melanie A Ferguson
- National Institute for Health Research, Nottingham Biomedical Research Centre, Nottingham, United Kingdom.,Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, United Kingdom.,Nottingham University Hospitals National Health Service Trust, Nottingham, United Kingdom.,National Acoustic Laboratories, Sydney, Australia
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Impact of hearing loss on clinical interactions between older adults and health professionals: a systematic review. Eur Geriatr Med 2020; 11:919-928. [DOI: 10.1007/s41999-020-00358-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2020] [Accepted: 07/08/2020] [Indexed: 10/23/2022]
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Keerstock S, Smiljanic R. Clear speech improves listeners' recall. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2019; 146:4604. [PMID: 31893679 DOI: 10.1121/1.5141372] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/09/2019] [Accepted: 12/02/2019] [Indexed: 05/24/2023]
Abstract
The present study examined the effect of intelligibility-enhancing clear speech on listeners' recall. Native (n = 57) and non-native (n = 31) English listeners heard meaningful sentences produced in clear and conversational speech, and then completed a cued-recall task. Results showed that listeners recalled more words from clearly produced sentences. Sentence-level analysis revealed that listening to clear speech increased the odds of recalling whole sentences and decreased the odds of erroneous and omitted responses. This study showed that the clear speech benefit extends beyond word- and sentence-level recognition memory to include deeper linguistic encoding at the level of syntactic and semantic information.
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Affiliation(s)
- Sandie Keerstock
- Department of Linguistics, University of Texas at Austin, 305 East 23rd Street STOP B5100, Austin, Texas 78712, USA
| | - Rajka Smiljanic
- Department of Linguistics, University of Texas at Austin, 305 East 23rd Street STOP B5100, Austin, Texas 78712, USA
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Timmers T, Janssen L, Pronk Y, van der Zwaard BC, Koëter S, van Oostveen D, de Boer S, Kremers K, Rutten S, Das D, van Geenen RC, Koenraadt KL, Kusters R, van der Weegen W. Assessing the Efficacy of an Educational Smartphone or Tablet App With Subdivided and Interactive Content to Increase Patients' Medical Knowledge: Randomized Controlled Trial. JMIR Mhealth Uhealth 2018; 6:e10742. [PMID: 30578185 PMCID: PMC6320423 DOI: 10.2196/10742] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2018] [Revised: 10/15/2018] [Accepted: 10/17/2018] [Indexed: 01/08/2023] Open
Abstract
Background Modern health care focuses on shared decision making (SDM) because of its positive effects on patient satisfaction, therapy compliance, and outcomes. Patients’ knowledge about their illness and available treatment options, gained through medical education, is one of the key drivers for SDM. Current patient education relies heavily on medical consultation and is known to be ineffective. Objective This study aimed to determine whether providing patients with information in a subdivided, categorized, and interactive manner via an educational app for smartphone or tablet might increase the knowledge of their illness. Methods A surgeon-blinded randomized controlled trial was conducted with 213 patients who were referred to 1 of the 6 Dutch hospitals by their general practitioner owing to knee complaints that were indicative of knee osteoarthritis. An interactive app that, in addition to standard care, actively sends informative and pertinent content to patients about their illness on a daily basis by means of push notifications in the week before their consultation. The primary outcome was the level of perceived and actual knowledge that patients had about their knee complaints and the relevant treatment options after the intervention. Results In total, 122 patients were enrolled in the control group and 91 in the intervention group. After the intervention, the level of actual knowledge (measured on a 0-36 scale) was 52% higher in the app group (26.4 vs 17.4, P<.001). Moreover, within the app group, the level of perceived knowledge (measured on a 0-25 scale) increased by 22% during the week within the app group (from 13.5 to 16.5, P<.001), compared with no gain in the control group. Conclusions Actively offering patients information in a subdivided (per day), categorized (per theme), and interactive (video and quiz questions) manner significantly increases the level of perceived knowledge and demonstrates a higher level of actual knowledge, compared with standard care educational practices. Trial Registration International Standard Randomized Controlled Trial Number ISRCTN98629372; http://www.isrctn.com/ISRCTN98629372 (Archived by WebCite at http://www.webcitation.org/73F5trZbb)
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Affiliation(s)
- Thomas Timmers
- Interactive Studios, Rosmalen, Netherlands.,Radboud University Medical Center, IQ Healthcare, Nijmegen, Netherlands
| | | | | | | | | | | | | | | | | | - Dirk Das
- Sint Anna Ziekenhuis, Geldrop, Netherlands
| | | | | | - Rob Kusters
- Open University of The Netherlands, Heerlen, Netherlands
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Lamanna C. A Storytelling Approach: Insights from the Shambaa. THE JOURNAL OF MEDICAL HUMANITIES 2018; 39:377-389. [PMID: 29552699 DOI: 10.1007/s10912-018-9512-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Narrative medicine explores the stories that patients tell; this paper, conversely, looks at some of the stories that patients are told. The paper starts by examining the 'story' told by the Shambaa people of Tanzania to explain the bubonic plague and contrasts this with the stories told by Ghanaian communities to explain lymphatic filariasis. By harnessing insights from memory studies, these stories' memorability is claimed to be due to their use mnemonic devices woven into stories. The paper suggests that stories can be unpatronising, informative, and appropriate vehicles for communicating medical information to all age groups across all cultures.
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Brosseau L, Toupin-April K, Paterson G, Cavallo S, Shallwani SM, Barette JA, Duong P, Paquet N, Rududura EG, D'Entremont R, King J, Poulin L, Cardinal D, Loew L. La version franco-canadienne de l'outil « OA Go Away » : Au revoir Arthrose | Comité d'experts pour la rédaction de la première version expérimentale de l'outil « OA Go Away » | Comité d'experts pour l'évaluation de la deuxième version expérimentale de l'outil « OA Go Away ». Physiother Can 2018; 70:330-338. [PMID: 30745718 PMCID: PMC6361405 DOI: 10.3138/ptc.2017-56.f] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Purpose: the purpose of the article is to produce a French-Canadian translation of the "OA Go Away" tool and to assess the validity of its contents as well as its test-retest reliability. "OA Go Away" is a customized tool that measures the various symptoms, their impact, and the physical activities of people with osteoarthritis of the hip or knee to improve self-care and help them be physically active. Method: Vallerand's cross-cultural validation methodology was used. First, professional translators and rehabilitation professionals produced a parallel reverse translation of the "OA Go Away" tool. Then, a committee of experts examined the translated versions and created a first experimental draft of the "Au revoir arthrose" tool. This draft was assessed and modified by a second committee of experts. Three users with osteoarthritis of the knee then assessed this version. Finally, a linguist examined the draft and an expert produced a final reverse translation of that version. The main co-researchers proposed final modifications of that version. Results: Twenty-one users indicated that the wording of the final "Au revoir arthrose" version was clear. The test-retest reliability was acceptable for the main elements of the "Au revoir arthrose" journal. Conclusions: The process's five rigorous steps enabled the creation of a valid French-Canadian version of the "Au revoir arthrose" tool. On average, the French-Canadian version of the "Au revoir arthrose" tool has moderate test-retest reliability for all of its elements. This tool can prove to be relevant for people suffering from osteoarthritis of the hip or knee, motivating them to be physically active, and for the health professionals who care for them.
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Affiliation(s)
| | - Karine Toupin-April
- Institut de recherche de l'hôpital pour enfants de l'Est de l'Ontario
- Faculté de médecine
- Faculté des sciences de la santé
| | | | - Sabrina Cavallo
- Professeure adjointe, École de Réadaptation, Ergothérapie, Université de Montréal, Montréal (Québec)
| | | | | | | | - Nicole Paquet
- École des sciences de la réadaptation
- Programme de physiothérapie
| | - Eva-Gazelle Rududura
- Consortium national de formation en santé (CNFS), Volet, Université d'Ottawa / Soins à domicile et en milieu communautaire, Hawesbury (Ontario)
| | | | - Judy King
- École des sciences de la réadaptation
- Programme de physiothérapie
| | - Lucie Poulin
- École des sciences de la réadaptation
- Programme de physiothérapie
| | - Dominique Cardinal
- Consortium national de formation en santé (CNFS), Volet, Université d'Ottawa / Soins à domicile et en milieu communautaire, Hawesbury (Ontario)
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