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Quintana R, Fernandez S, Guggia L, Fay M, Camacho C, Gomez G, Petrelli J, Honeri A, Solórzano VA, Bensi A, Calvo ME, Pelaez-Ballestas I, Valdata M, Pons-Estel BA. Social networks as education strategies for indigenous patients with rheumatoid arthritis during COVID-19 pandemic. Are they useful? Clin Rheumatol 2022. [PMID: 35829932 DOI: 10.1007/s10067-022-06273-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Revised: 06/09/2022] [Accepted: 06/29/2022] [Indexed: 11/03/2022]
Abstract
INTRODUCTION The use of online education strategies has been introduced as a tool to support health care in patients with rheumatic disease. However, it is important to consider the patient's sociocultural environment. OBJECTIVE To design and assessment of bilingual audiovisual material acceptability, by means of two social networks, for patients with rheumatoid arthritis (RA) in the qom community in Argentina. METHODS A qualitative study was performed in two stages: (1) audiovisual material design, development, and validation implementing a collaborative action research method. (2) Publishing of the material on two social networks at two different times. The selected topic was the coronavirus disease 2019 impact on patients with RA. A qualitative and quantitative data analysis was performed. RESULTS Forty subjects participated into the initial validation stage with a 70% acceptance rate. First, 28 subjects (70%) participated on Facebook and 25 (62.5%) joined the WhatsApp group. Then, the same number of subjects participated on Facebook, while only 45% of subjects participated on WhatsApp. Most of them participated using short phrases such as "I like it." The 60% of the participants played the videos. However, less than 10% shared them. Videos in Spanish were the once most shared. Participation dramatically fell during the second time, and 40% of the WhatsApp subjects never participated. CONCLUSION The strategies developed for this indigenous community were of no utility, probably because of socio-cultural, economic, and digital barriers. They should be designed and implemented identifying the target group and its environment. Key Points • Online education strategies should be designed with cultural sensitivity. • Technological barriers make digital inequality visible in vulnerable groups. • Educational interventions should have a collaborative design and they should be created together with the communities. • The COVID-19 pandemic has deepened inequalities in the health care and follow-up of patients with rheumatic diseases, especially between most socially and economically disadvantaged groups.
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Gómez-Galicia DL, Aguilar-Castillo J, García-García C, Moctezuma-Rios JF, Álvarez-Hernández E, Medrano-Ramírez G, Casasola-Vargas J, Xibillé-Friedmann DX, Pelaez-Ballestas I, Montiel-Hernández JL. Qualitative validation of audiovisual educational material for use on rheumatoid arthritis patients. Rheumatol Int 2021; 42:2049-2059. [PMID: 34146129 DOI: 10.1007/s00296-021-04921-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Accepted: 06/10/2021] [Indexed: 11/28/2022]
Abstract
Medication compliance is critical to achieve therapeutic efficacy in patients with rheumatoid arthritis; however, among other factors, low patient-health literacy plays a negative role. Therefore, the development and validation of audiovisual educational material with the participation of health specialists and patients could lead to an improved level of compliance with treatment, while favoring its acceptance. To design and validate audiovisual educational material generated by a multidisciplinary and participative group of patients and health specialists. This study was carried out using a sequential methodology, including qualitative and quantitative techniques: (1) a non-participative observational study with patients and a non-systematic literature search were performed to identify conceptual topics. (2) Pilot videos were qualitatively assessed by patients and health specialists (focus groups and expert committees). (3) Improved versions of seven videos were quantitatively evaluated by patients and specialists following qualitative criteria of attraction, understanding, involvement, acceptance and induction of action. 74 patients with RA, 10 rheumatologists, 4 pharmacists and 2 medical anthropologists participated in the different phases of validation. A total of seven videos lasting 3 min each were generated, incorporating the most relevant suggestions by patients and healthcare professionals. The final version of the videos led to a mean compliance of 96.04 ± 5.2%, according to a representative group of patients and a mean 89.6 ± 9.4%, according to health professionals. With the participation of both patients and health specialists, seven audiovisual educational video recordings were developed and validated, reaching high levels of compliance in accordance with international criteria.
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Affiliation(s)
- Diana-Lizbeth Gómez-Galicia
- Laboratory of Pharmaceutical Epidemiology, Facultad de Farmacia, Universidad Autónoma del Estado de Morelos, Cuernavaca, México
| | - Joana Aguilar-Castillo
- Laboratory of Pharmaceutical Epidemiology, Facultad de Farmacia, Universidad Autónoma del Estado de Morelos, Cuernavaca, México
| | - Conrado García-García
- Rheumatology Unit, Hospital General de México "Dr. Eduardo Liceaga", México city, México
| | | | | | | | - Julio Casasola-Vargas
- Rheumatology Unit, Hospital General de México "Dr. Eduardo Liceaga", México city, México
| | | | | | - José-Luis Montiel-Hernández
- Laboratory of Cytokines and Autoimmunity, Facultad de Farmacia, Universidad Autónoma del Estado de Morelos (UAEM), Av. Universidad 1001 col. Chamilpa, C.P. 62209, Cuernavaca, Morelos, México.
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Moon C, Alizadeh F, Chaw GF, Mulongo MI, Schaefle K, Yao-Cohen M, Musominalli S, Paccione G. An educational intervention in rural Uganda: Risk-targeted home talks by village health workers. Patient Educ Couns 2020; 103:1209-1215. [PMID: 32035739 DOI: 10.1016/j.pec.2020.01.015] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/09/2019] [Revised: 01/06/2020] [Accepted: 01/18/2020] [Indexed: 06/10/2023]
Abstract
OBJECTIVE Evaluate the effectiveness of home talks (HTs), a novel model of health education delivered by village health workers (VHWs) with primary-level education to rural African mothers. Talk recipients were assessed by health census to be at risk for ill-health in one of 5 ways: malnutrition, diarrhea, respiratory disease, HIV, and poverty due to family size. METHODS Each participant received a pre-test, immediate post-test and delayed post-test on their assigned HT topic and a pre-test and delayed post-test on a randomly assigned control topic. Differences in scoring were examined against controls and over time using paired t-tests and general linear regression analysis, respectively. RESULTS Subjects lost knowledge gained from the HTs over time, but what they retained at 3 months was far greater than what they learned about the control topics (p-values <0.0001), independent of subjects' educational level. CONCLUSION Targeted HTs to people with health census-identified risk factors resulted in learning and significant retention of knowledge. PRACTICE IMPLICATIONS Positive behavioral change resulting from health education has been shown in diverse contexts. This personal model of home talk education by VHWs targeting vulnerable families is flexible and effective and may be used to improve community health in other impoverished settings worldwide.
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Affiliation(s)
- Charles Moon
- Department of Internal Medicine, Montefiore Medical Center, 111 E 210 St., The Bronx, NY, 10467, USA; Albert Einstein College of Medicine, 1300 Morris Park Ave., The Bronx, NY, 10461, USA; Doctors For Global Health, P.O. Box 1761 Decatur, GA, 30031, USA.
| | - Faraz Alizadeh
- Department of Pediatrics, Boston Children's Hospital & Boston Medical Center, 300 Longwood Ave., Boston, MA, 02115, USA; Doctors For Global Health, P.O. Box 1761 Decatur, GA, 30031, USA.
| | - Gloria Fung Chaw
- Department of Internal Medicine, Montefiore Medical Center, 111 E 210 St., The Bronx, NY, 10467, USA; Albert Einstein College of Medicine, 1300 Morris Park Ave., The Bronx, NY, 10461, USA; Doctors For Global Health, P.O. Box 1761 Decatur, GA, 30031, USA.
| | - Mary Immaculate Mulongo
- Kisoro District Hospital, Kisoro, Uganda; Doctors For Global Health, P.O. Box 1761 Decatur, GA, 30031, USA.
| | - Kenneth Schaefle
- Department of Internal Medicine, Montefiore Medical Center, 111 E 210 St., The Bronx, NY, 10467, USA; Albert Einstein College of Medicine, 1300 Morris Park Ave., The Bronx, NY, 10461, USA; Doctors For Global Health, P.O. Box 1761 Decatur, GA, 30031, USA.
| | - Morgen Yao-Cohen
- Department of Internal Medicine, Montefiore Medical Center, 111 E 210 St., The Bronx, NY, 10467, USA; Albert Einstein College of Medicine, 1300 Morris Park Ave., The Bronx, NY, 10461, USA; Doctors For Global Health, P.O. Box 1761 Decatur, GA, 30031, USA.
| | - Sam Musominalli
- Kisoro District Hospital, Kisoro, Uganda; Doctors For Global Health, P.O. Box 1761 Decatur, GA, 30031, USA.
| | - Gerald Paccione
- Department of Internal Medicine, Montefiore Medical Center, 111 E 210 St., The Bronx, NY, 10467, USA; Albert Einstein College of Medicine, 1300 Morris Park Ave., The Bronx, NY, 10461, USA; Doctors For Global Health, P.O. Box 1761 Decatur, GA, 30031, USA.
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