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Wang H, Liu J, Bordes MC, Chopra D, Reece GP, Markey MK, Hoffman AS. The role of psychosocial factors in patients' recollections of breast reconstruction options discussed with their surgeons. Sci Rep 2022; 12:7485. [PMID: 35523931 PMCID: PMC9076612 DOI: 10.1038/s41598-022-11478-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Accepted: 04/07/2022] [Indexed: 12/04/2022] Open
Abstract
A patient's comprehension and memory of conversations with their providers plays an important role in their healthcare. Adult breast cancer patients whose legal sex was female and who underwent treatment at the Center for Reconstructive Surgery at The University of Texas MD Anderson Cancer Center were asked to indicate which breast reconstruction procedures they discussed with their surgeon. We focused on the three most frequent responses: (a) participants who remembered discussing implant-based, tissue-based, and combination procedures; (b) participants who remembered only an implant-based option being discussed; and (c) participants who remember only a tissue-based option being discussed. We used multinomial logistic regression models to explore the psychosocial factors associated with patients' recollections of their breast reconstruction options after discussions with their reconstructive surgeons, controlling for medical factors that impact surgical decision-making. Our analyses identified body mass index, body image investment, and body image as statistically significantly associated with the reconstructive options that a participant recalls discussing with their surgeon. Our findings highlight body image investment and body image as important psychological factors that may influence what patients remember from consultations about breast reconstruction options.
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Affiliation(s)
- Haoqi Wang
- Department of Biomedical Engineering, The University of Texas at Austin, Austin, TX, USA
- Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Jun Liu
- Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Mary Catherine Bordes
- Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Deepti Chopra
- Department of Psychiatry, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Gregory P Reece
- Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Mia K Markey
- Department of Biomedical Engineering, The University of Texas at Austin, Austin, TX, USA
- Department of Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Aubri S Hoffman
- The Value Institute for Health and Care at Dell Medical School, The University of Texas at Austin, 1601 Trinity St. Bldg. B, StopZ1600, Austin, TX, 78712, USA.
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Rodríguez-Fernández JM, Danies E, Hoertel N, Galanter W, Saner H, Franco OH. Telemedicine Readiness Across Medical Conditions in a US National Representative Sample of Older Adults. J Appl Gerontol 2021; 41:982-992. [PMID: 34855553 DOI: 10.1177/07334648211056231] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Telemedicine has provided older adults the ability to seek care remotely during the coronavirus disease (COVID-19) pandemic. However, it is unclear how diverse medical conditions play a role in telemedicine uptake. A total of 3379 participants (≥65 years) were interviewed in 2018 as part of the National Health and Aging Trends Study. We assessed telemedicine readiness across multiple medical conditions. Most chronic medical conditions and mood symptoms were significantly associated with telemedicine unreadiness, for physical or technical reasons or both, while cancer, hypertension, and arthritis were significantly associated with telemedicine readiness. Our findings suggest that multiple medical conditions play a substantial role in telemedicine uptake among older adults in the US. Therefore, comorbidities should be taken into consideration when promoting and adopting telemedicine technologies among older adults.
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Affiliation(s)
| | | | - Nicolas Hoertel
- 26930AP-HP. Centre-Université de Paris, Hôpital Corentin-Celton, DMU Psychiatrie et Addictologie, Issy-les-Moulineaux, France.,INSERM, Institut de Psychiatrie et Neurosciences de Paris, UMR_S1266, Paris, France.,Université de Paris, Faculté de Santé, UFR de Médecine, Paris, France
| | | | - Hugo Saner
- Institute of Social and Preventive Medicine (ISPM), 30317University of Bern, Bern, Switzerland
| | - Oscar H Franco
- Institute of Social and Preventive Medicine (ISPM), 30317University of Bern, Bern, Switzerland
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de Lima Filho BF, Bessa NPOS, Fernandes ACT, da Silva Patrício ÍF, de Oliveira Alves N, da Costa Cavalcanti FA. Knowledge levels among elderly people with Diabetes Mellitus concerning COVID-19: an educational intervention via a teleservice. Acta Diabetol 2021; 58:19-24. [PMID: 32749549 PMCID: PMC7398858 DOI: 10.1007/s00592-020-01580-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2020] [Accepted: 07/16/2020] [Indexed: 12/11/2022]
Abstract
AIM To investigate knowledge levels concerning COVID-19 in elderly patients with T2DM. METHODS This cross-sectional, quantitative, observational, and descriptive study was undertaken among elderly individuals with T2DM involved in a body balance rehabilitation program that had been suspended due to social isolation. The study participants comprised elderly individuals with T2DM, contactable using fixed or mobile telephones. Data concerning participants' socioeconomic variables and knowledge of COVID-19 were collated, using a Brazil Ministry of Health guidelines checklist. Mann-Whitney and Spearman's correlation tests were used to analyze their responses. RESULTS Of 30 elderly participants, 76.7% were women and 63.3% were married. The average age was 69.96 ± 4.46 years. The most cited information medium was television (96.6%). Of a possible 24 correct responses on the checklist, the median correct response score was 7.5. No significant relationship was observed between the total checklist score and the variables studied. CONCLUSION Elderly participants did not have in-depth knowledge concerning COVID-19, which suggests that their knowledge sources may be deficient or that their capacity to retain information was inadequate.
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Chen N, Song J, Li B. Providing Aging Adults Social Robots' Companionship in Home-Based Elder Care. JOURNAL OF HEALTHCARE ENGINEERING 2019; 2019:2726837. [PMID: 31281615 PMCID: PMC6589319 DOI: 10.1155/2019/2726837] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/01/2017] [Accepted: 12/31/2018] [Indexed: 12/05/2022]
Abstract
Population aging is increasingly serious. The application of social robots for home-based elder care is an important way to solve this problem. Aging adults' demands for social robots' companionship affect robotic designs. This study aimed to investigate aging adults' demands for social robots' companionship and explored in which life situations it was appropriate to accompany aging adults by social robots. This study involved three phases. Phase 1 (an interview survey) collected the life situations in which aging adults lived alone at home. Based on the results of Phase 1, Phase 2 (a questionnaire survey) investigated aging adults' demands for companionship, whereas Phase 3 (an expert evaluation) investigated the feasibility of the robots' companionship for aging adults. After the three phases, this study compared aging adults' demands for companionship with the feasibility of social robots' companionship in each life situation. Based on the results, the life situations of dinning and watching TV, there was a greater likelihood that the companionship that aging adults needed might be provided by social robots. In the life situations of sleeping and short breaking, it was difficult that aging adults' demands for companionship were fulfilled by social robots. Implications were discussed for home-based elder care system.
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Affiliation(s)
- Na Chen
- School of Economics and Management, Beijing University of Chemical Technology, Beijing, China
| | - Jing Song
- School of Economics and Management, Tsinghua University, Beijing, China
| | - Bin Li
- School of Economics and Management, Beijing University of Chemical Technology, Beijing, China
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Fletcher C, Flight I, Chapman J, Fennell K, Wilson C. The information needs of adult cancer survivors across the cancer continuum: A scoping review. PATIENT EDUCATION AND COUNSELING 2017; 100:383-410. [PMID: 27765377 DOI: 10.1016/j.pec.2016.10.008] [Citation(s) in RCA: 86] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/24/2016] [Revised: 09/29/2016] [Accepted: 10/08/2016] [Indexed: 05/09/2023]
Abstract
OBJECTIVE To provide an updated synthesis of the literature that investigates the self-reported information needs of people diagnosed with cancer across the cancer continuum. METHODS We conducted a scoping review of the literature published from August 2003 to June 2015 and expanded an existing typology summarizing the information needs of people diagnosed with cancer. RESULTS The majority of the included studies (n=104) focused on questions relevant to the diagnosis/active treatment phase of the cancer continuum (52.9%) and thus the most frequently identified information needs related to this phase (33.4%). Information needs varied across the continuum and the results highlight the importance of recognising this fact. CONCLUSION People diagnosed with cancer experience discrete information needs at different points from diagnosis to survival. Much of the research conducted in this area has focused on their information needs during the diagnosis and treatment of cancer, and literature relating to information needs following completion of treatment is sparse. PRACTICE IMPLICATIONS Further research is needed to discern the specific nature of the treatment concerns and identify the information needs that survivors experience during recurrence of cancer, metastasis or changes in diagnosis, and the end of life phase of the cancer continuum.
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Affiliation(s)
- Chloe Fletcher
- Flinders Centre for Innovation in Cancer, School of Medicine, Flinders University, Adelaide, Australia
| | - Ingrid Flight
- Flinders Centre for Innovation in Cancer, School of Medicine, Flinders University, Adelaide, Australia.
| | - Janine Chapman
- Flinders Centre for Innovation in Cancer, School of Medicine, Flinders University, Adelaide, Australia
| | - Kate Fennell
- Flinders Centre for Innovation in Cancer, School of Medicine, Flinders University, Adelaide, Australia; Cancer Council SA, Adelaide, Australia
| | - Carlene Wilson
- Flinders Centre for Innovation in Cancer, School of Medicine, Flinders University, Adelaide, Australia; Cancer Council SA, Adelaide, Australia
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Dawson AM, Taylor RW, Williams SM, Taylor BJ, Brown DA. Do parents recall and understand children's weight status information after BMI screening? A randomised controlled trial. BMJ Open 2014; 4:e004481. [PMID: 25079920 PMCID: PMC4120339 DOI: 10.1136/bmjopen-2013-004481] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
OBJECTIVES As parents of young children are often unaware their child is overweight, screening provides the opportunity to inform parents and provide the impetus for behaviour change. We aimed to determine if parents could recall and understand the information they received about their overweight child after weight screening. DESIGN Randomised controlled trial of different methods of feedback. SETTING Participants were recruited through primary and secondary care but appointments took place at a University research clinic. PARTICIPANTS AND INTERVENTION 1093 children aged 4-8 years were screened. Only overweight children (n=271, 24.7%) are included in this study. Parents of overweight children were randomised to receive feedback regarding their child's weight using best practice care (BPC) or motivational interviewing (MI) at face-to-face interviews typically lasting 20-40 min. 244 (90%) parents participated in a follow-up interview 2 weeks later to assess recall and understanding of information from the feedback session. PRIMARY AND SECONDARY OUTCOME MEASURES Interviews were audio-taped and transcribed verbatim before coding for amount and accuracy of recall. Scores were calculated for total recall and sub-categories of interest. RESULTS Overall, 39% of the information was recalled (mean score 6.3 from possible score of 16). Parents given feedback via BPC recalled more than those in the MI group (difference in total score 0.48; 95% CI 0.05 to 0.92). Although 94% of parents were able to correctly recall their child's weight status, fewer than 10 parents could accurately describe what the measurements meant. Maternal education (0.81; 0.25 to 1.37) and parental ratings of how useful they found the information (0.19; 0.04 to 0.35) were significant predictors of recall score in multivariate analyses. CONCLUSIONS While parents remember that their child's body mass index is higher than recommended, they are unable to remember much of the information and advice provided about the result. TRIAL REGISTRATION NUMBER Australian New Zealand Clinical Trials Registry ACTRN12609000749202.
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Affiliation(s)
- Anna M Dawson
- Department of Women's and Children's Health, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand
| | - Rachael W Taylor
- Department of Medicine, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand
| | - Sheila M Williams
- Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand
| | - Barry J Taylor
- Department of Women's and Children's Health, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand
| | - Deirdre A Brown
- School of Psychology, Victoria University of Wellington, Wellington, New Zealand
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Ansburg PI, Heiss CJ. Potential Paradoxical Effects of Myth-Busting as a Nutrition Education Strategy for Older Adults. AMERICAN JOURNAL OF HEALTH EDUCATION 2013. [DOI: 10.1080/19325037.2012.10599215] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Pamela I. Ansburg
- a Department of Psychology , Metropolitan State College of Denver , Campus Box 54, Denver , CO , 80217
| | - Cynthia J. Heiss
- a Department of Psychology , Metropolitan State College of Denver , Campus Box 54, Denver , CO , 80217
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Orwig D, Rickles NM, Martin LG. Methodological Issues in Pharmacotherapy Research in Older Adults. ACTA ACUST UNITED AC 2011; 9:173-89. [DOI: 10.1016/j.amjopharm.2011.04.008] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/22/2011] [Indexed: 11/29/2022]
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Watson PWB, McKinstry B. A systematic review of interventions to improve recall of medical advice in healthcare consultations. J R Soc Med 2009; 102:235-43. [PMID: 19531618 DOI: 10.1258/jrsm.2009.090013] [Citation(s) in RCA: 140] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND In order for patients to adhere to healthcare advice, it is essential that they are able to recall this following a consultation. Although psychological research exists which highlights techniques and factors postulated to influence recall, only a limited body of work has been conducted to evaluate their effectiveness in a clinical context. AIM To carry out a systematic review of intervention trials designed to enhance recall of medical information. METHODS We searched Medline (1950-April 2007); Embase (1980-April 2007); Cinahl (1982-April 2007); PsychINFO (1969-2007); and the Cochrane Library Collection. Secondary searches were made through reference to relevant journals and reference lists from relevant papers/review papers. RESULTS From 69 papers provisionally identified, 34 papers met the inclusion criteria. Nine recall interventions had been evaluated (audio recordings, written materials, adjunct questions, prompt sheets, visual aids, cognitive strategies, rehearsal, communication styles and personalized teaching). Despite the experimental and theoretical evidence which could have informed cognitive interventions to enhance recall of healthcare advice, most studies primarily focused on the use of written and/or audio-recorded medical instructions. Although the majority of studies supported these approaches insofar as they enhanced recall, the findings were equivocal. CONCLUSION While written and tape-recorded instructions appear to improve recall in most situations, a dearth of interventions incorporating psychological theory was readily apparent. Further research is required in clinical settings to determine if cognitive interventions based on a more over-arching psychological model of recall are effective.
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Ayotte BJ, Allaire JC, Bosworth H. The Associations of Patient Demographic Characteristics and Health Information Recall: The Mediating Role of Health Literacy. AGING NEUROPSYCHOLOGY AND COGNITION 2009; 16:419-32. [DOI: 10.1080/13825580902741336] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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Does Cognitive Ability Explain Inaccuracy in Older Adults’ Self-Reported Medication Adherence? J Appl Gerontol 2009. [DOI: 10.1177/0733464808330821] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
This study examines the accuracy of younger-old and older-old adults’ self-reported adherence over a 3-month period and the potential interactive relationship between self-report accuracy and cognitive abilities. For 3 months, 71 younger-old ( M = 68.10, range = 57 to 74) and 62 older-old ( M = 80.31, range = 75 to 89) adults had their actual and self-reported adherence monitored. Cognitive tests assessing episodic and prospective memory were given at the beginning of the study. Multilevel models indicate that 32% of the variability in objective adherence was from between-person differences whereas 68% was from within-person fluctuations. There were age differences in the coupling of actual and self-reported adherence over time, such that younger-old adults’ self-reports less accurately reflected their actual adherence. Subsequent models indicate that age differences in the coupled relationship were further moderated by cognitive abilities. Results suggest that the relationships among age, cognitive abilities, and accuracy of self-reported adherence are far from simple.
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