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Patient Instructions

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1. Are the effects of internal focus instructions different from external focus instructions given during balance training in stroke patients? A double-blind randomized controlled trial. (PubMed)

Are the effects of internal focus instructions different from external focus instructions given during balance training in stroke patients? A double-blind randomized controlled trial. This study aimed to assess if external focus instructions result in greater improvements in motor skill and automaticity compared to internal focus instructions in stroke patients.Double-blind randomized controlled trial.Inpatient stroke rehabilitation unit.A total of 63 stroke patients (Meanage = 59.6 ± 10.7 (...)  years; Meandays since stroke = 28.5 ± 16.6; MedianFunctional Ambulation Categories = 4).Patients were randomly assigned to an internal ( N = 31) or external ( N = 32) focus instruction group. Both groups practiced a balance board stabilization task, three times per week, for three weeks. Balance performance was assessed at baseline, and after one and three weeks of practice.Primary outcome was the threshold stiffness (Nm/rad) at which patients could stay balanced. Secondary outcomes were patients

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2018 Clinical rehabilitation

2. Written Instruction for the administration of seasonal 'flu vaccination

Written Instruction for the administration of seasonal 'flu vaccination Written Instruction for the administration of seasonal ‘flu vaccination – SPS - Specialist Pharmacy Service – The first stop for professional medicines advice Menu · · ∙ ∙ ∙ 21st May 2019 Following advice issued in Spring 2018 advising on the use of Patient Group Directions in Occupational Health Services, SPS became aware of issues being encountered by healthcare organisations in offering employees the seasonal ‘flu (...) vaccine, including peer to peer vaccination, within the legislation. In late 2018 SPS began working with the CQC, MHRA, RCN, PHE, BMA Occupational Health Committee and representatives from NHS and independent sectors to identify a way that organisations can offer employee seasonal ‘flu vaccinations within the legislation. The outcome of this work has been to produce a written instruction for seasonal influenza vaccination. The written instruction can be adopted by organisations following the signed

2019 Specialist Pharmacy Services

3. BET 1: Follow-up phone calls and compliance with discharge instructions in elderly patients discharged from the emergency department. (PubMed)

BET 1: Follow-up phone calls and compliance with discharge instructions in elderly patients discharged from the emergency department. A short-cut review was carried out to establish whether follow-up phone calls improved compliance with follow-up and discharge instructions given to the elderly on discharge from the emergency department. 211 papers were found using the reported searches, of which 5 presented the best available evidence to answer the clinical question. The author, date (...) and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. It is concluded that telephone follow-up can identify non-compliance with discharge instructions in the elderly, but there is currently no evidence to show that it actually improves it.© Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.

2019 Emergency Medicine Journal

4. Evaluation of instructions in patient information leaflets for the use of intranasal corticosteroid sprays: an observational study. (PubMed)

Evaluation of instructions in patient information leaflets for the use of intranasal corticosteroid sprays: an observational study. In this study, we analysed patient information leaflets (PILs) of intranasal corticosteroid sprays (INCS) of different manufacturers in the UK to determine if instructions for the use of INCS are complete and uniform.PILs of all INCS of all manufacturers, available for patients in the UK, were collected from the British National Formulary website and the Medicines (...) and Healthcare products Regulatory Agency website. All instructions in these PILs were analysed.We identified PILs of INCS from 21 different manufacturers, available for patients in the UK.We analysed the instructions for the use of INCS in 21 different PILs and there is large variation in the PIL instructions for the technique of using INCS across PILs.Complete and uniform instructions for the use of INCS are lacking in PILs for registered preparations in the UK. Structured and standardised instructions

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2019 BMJ open

5. Animation and interactivity facilitate acquisition of pediatric life support skills: a randomized controlled trial using virtual patients versus video instruction. (PubMed)

Animation and interactivity facilitate acquisition of pediatric life support skills: a randomized controlled trial using virtual patients versus video instruction. Several promising studies suggest a positive impact of interactive and media-enriched e-learning resources such as virtual patients (VP) on skill acquisition in pediatric basic life support (PBLS). This study investigates which immanent VP components account for this effect.N = 103 medical students in their 5th year were assigned (...) to one of three groups: a video group prepared with self-instructional videos on PBLS (N = 37); an animation-enriched VP group with VP containing interactive questions (N = 35), static and animated media, and a static VP group with VP containing interactive questions and only static media (N = 31). Subsequent PBLS demonstrations were video-documented and scored for adherence to guideline-based algorithm, temporal demands (such as correct pace of rescue breaths and chest compressions), and quality

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2019 BMC medical education

6. Patient understanding of discharge instructions in the emergency department: do different patients need different approaches? (PubMed)

Patient understanding of discharge instructions in the emergency department: do different patients need different approaches? Previous studies have demonstrated that patients have poor understanding of the discharge instructions provided from the emergency department (ED). The aims of this study are to determine if patient factors, such as income and level of education, correlate with patient understanding of discharge instructions and to explore if different patient populations prefer (...) different resources for receiving discharge instructions.We conducted live observations of physicians providing discharge instructions in the ED to 100 patients followed by a patient survey to determine their understanding in four domains (diagnosis, treatment plan, follow-up instructions, and return to ED (RTED) instructions) and collect patient demographics. We enrolled patients over the age of 18 being discharged home. We excluded non-English- or French-speaking patients and those with significant

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2018 International journal of emergency medicine

7. Effects of using WeChat-assisted perioperative care instructions for parents of pediatric patients undergoing day surgery for herniorrhaphy. (PubMed)

Effects of using WeChat-assisted perioperative care instructions for parents of pediatric patients undergoing day surgery for herniorrhaphy. This study examined the effects of WeChat-assisted perioperative instructions for parents whose children were to undergo herniorrhaphy.A randomized controlled trial was conducted in a day surgery center in China. Participants were randomly assigned to the intervention (WeChat) group (n = 209) and the control (Leaflet) group (n = 209). The primary outcomes (...) (3.66%). The incidence of postoperative complications were higher in the control group.WeChat-assisted perioperative care instructions enhanced parents' knowledge on perioperative instructions and promoted the preparation of their children for day surgery resulting in lower rate of cancelling the surgery.WeChat has the ability to expand health services outside the hospital confines and could be used as an important low-cost health educational medium in China.Copyright © 2018 Elsevier B.V. All rights

2018 Patient education and counseling

8. Do Different Modes of Delivering Postoperative Instructions to Patients Help Reduce the Side Effects of Tooth Extraction? A Randomized Clinical Trial. (PubMed)

Do Different Modes of Delivering Postoperative Instructions to Patients Help Reduce the Side Effects of Tooth Extraction? A Randomized Clinical Trial. Postoperative instructions that are properly delivered can decrease postextraction side effects, such as stress, anxiety, and pain, in patients undergoing dental extraction. This study examined the role of the mode of delivering postoperative instructions in decreasing the side effects of dental extraction and increasing patient satisfaction (...) after the procedure.This randomized clinical trial was conducted on a population of 120 patients presenting to the oral and maxillofacial outpatient clinic affiliated with the Shiraz University of Medical Sciences (Shiraz, Iran) in 2015. The patients were randomly assigned to 3 groups of 40 per group. The first group received only verbal instructions after their surgical procedure. The second group received only written instructions. The third group received verbal and written instructions. Details

2018 Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons

9. Low-literacy Level Instructions and Reminder Calls Improve Patient Handling of Fecal Immunochemical Test Samples. (PubMed)

Low-literacy Level Instructions and Reminder Calls Improve Patient Handling of Fecal Immunochemical Test Samples. The fecal immunochemical test (FIT) is an alternative to colonoscopy and can increase overall screening for colorectal cancer (CRC). However, little is known about the frequency of and reasons for mishandled FIT samples.We performed a prospective study, nested within a randomized controlled trial of patients, recruited from December 2015 through August 2017, who were not up to date (...) with colorectal cancer screening (50-75 years old). The patients were randomly assigned to usual care or outreach groups that received a mailed FIT with low literacy level instructions or a reminder call, or both. We examined frequency of and reasons for mishandled FIT samples, including absence of collection date; time from collection to laboratory receipt of more than 14 days; or mishandling of stool, buffer, or cap. The outcomes were the frequency of mishandled FIT samples, effects of outreach

2018 Clinical Gastroenterology and Hepatology

10. Evaluation of inhaler technique and achievement and maintenance of mastery of budesonide/formoterol Spiromax® compared with budesonide/formoterol Turbuhaler® in adult patients with asthma: the Easy Low Instruction Over Time (ELIOT) study. (PubMed)

Evaluation of inhaler technique and achievement and maintenance of mastery of budesonide/formoterol Spiromax® compared with budesonide/formoterol Turbuhaler® in adult patients with asthma: the Easy Low Instruction Over Time (ELIOT) study. Incorrect inhaler technique is a common cause of poor asthma control. This two-phase pragmatic study evaluated inhaler technique mastery and maintenance of mastery with DuoResp® (budesonide-formoterol [BF]) Spiromax® compared with Symbicort® (BF) Turbuhaler® (...) in patients with asthma who were receiving inhaled corticosteroids/long-acting β2-agonists.In the initial cross-sectional phase, patients were randomized to a 6-step training protocol with empty Spiromax and Turbuhaler devices. Patients initially demonstrating ≥1 error with their current device, and then achieving mastery with both Spiromax and Turbuhaler (absence of healthcare professional [HCP]-observed errors), were eligible for the longitudinal phase. In the longitudinal phase, patients were

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2018 BMC pulmonary medicine

11. Evaluating the impact of translated written discharge instructions for patients with limited English language proficiency. (PubMed)

Evaluating the impact of translated written discharge instructions for patients with limited English language proficiency. Patients with limited English language proficiency have indicated that they believe post-operative instructions written in their native language will improve comprehension over verbal translation alone, but the effect of this has not been previously studied. We hypothesize that providing written discharge instructions in Spanish for native Spanish speakers will improve (...) verbal counseling in Spanish as well. Primary outcome was score on a standardized quiz assessing comprehension of discharge instructions. Patient satisfaction and preferences were secondary outcomes assessed through a survey. Participants underwent follow up one month after initial enrollment.Twenty subjects were enrolled, with ten receiving written discharge instructions in Spanish and ten receiving instructions written in English. There was no significant difference in comprehension scores between

2018 International Journal of Pediatric Otorhinolaryngology

12. Delivery of Standardized Patient Instructions in the After-Visit Summary Reduces Telephone Calls Between Clinic Visits. (PubMed)

Delivery of Standardized Patient Instructions in the After-Visit Summary Reduces Telephone Calls Between Clinic Visits. Telephone calls from patients can be a large source of between-visit work in outpatient clinics. A baseline audit at the study clinic identified medication refills and test results as the most common preventable calls. The authors created a dot phrase with standardized text detailing methods for refilling medications and reviewing test results and instructed providers to use (...) it in the after-visit summary (AVS). After implementation of the AVS dot phrase, telephone calls for medications and results had an adjusted absolute decrease of 23.9 (95% CI = 15.4-32.4) calls per day to 16.2 (SD 7.7) calls per day, a relative reduction of 61%. Providers reported significantly fewer inbox requests for both refills ( P = .04) and test results ( P = .01). Using a standardized AVS dot phrase to inform patients on how to navigate care needs can significantly reduce between-visit workload

2018 American Journal of Medical Quality

13. Patients' ability to read and understand dosing instructions of their own medicines - a cross sectional study in a hospital and community pharmacy setting. (PubMed)

Patients' ability to read and understand dosing instructions of their own medicines - a cross sectional study in a hospital and community pharmacy setting. Poor communication of medicines information to patients may cause medication errors. We assessed the completeness and readability of dosing instructions provided by pharmacists on dispensing labels and knowledge among patients on dosing instructions of their medicines.A cross sectional study was conducted in a selected teaching hospital (...) , and a community pharmacy, among 800 patients selected through a systematic sampling method, during a period of 2 months. Completeness of dosing instructions were assessed against a checklist. Patients were asked to read dosing instructions to assess readability. Patient knowledge on dosing instructions were determined through a questionnaire. Completeness, readability and knowledge were scored out of 10 for each dispensing label.A total of 1200 and 1372 dispensing labels were assessed in the hospital

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2018 BMC health services research

14. Dual-Task Training With Different Priority Instructional Sets on the Gait Parameters in Patients With Chronic Stroke

Dual-Task Training With Different Priority Instructional Sets on the Gait Parameters in Patients With Chronic Stroke Dual-Task Training With Different Priority Instructional Sets on the Gait Parameters in Patients With Chronic Stroke - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number (...) of saved studies (100). Please remove one or more studies before adding more. Dual-Task Training With Different Priority Instructional Sets on the Gait Parameters in Patients With Chronic Stroke The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03752788 Recruitment Status : Completed First Posted

2018 Clinical Trials

15. Health Literacy Status and Understanding of the Prescription Instructions in Diabetic Patients (PubMed)

Health Literacy Status and Understanding of the Prescription Instructions in Diabetic Patients This study aimed to assess the health literacy (HL) of patients having diabetes mellitus, their understanding of prescription instructions (PI), and the correlation between HL and understanding of PI. A cross-sectional survey was conducted in 263 adult diabetic patients who were assessed for their understanding of route of intake of the prescribed medication(s), frequency of intake, number (...) the mean total score for interpreting PI in patients with 7 or fewer years of education compared with the other groups with a higher educational status (P < 0.001). To conclude, diabetic patients with low HL level will have difficulty in understanding PI. Hence, an alternative comprehensive strategy needs to be adopted in clinical practice in these patients to provide them the instructions to take medications properly.

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2018 Journal of diabetes research

16. Parents Perception and Compliance With Pre Operative Fasting Instructions in Paediatric Patients

Parents Perception and Compliance With Pre Operative Fasting Instructions in Paediatric Patients Parents Perception and Compliance With Pre Operative Fasting Instructions in Paediatric Patients - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one (...) or more studies before adding more. Parents Perception and Compliance With Pre Operative Fasting Instructions in Paediatric Patients The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03606564 Recruitment Status : Completed First Posted : July 31, 2018 Last Update Posted : August 6, 2018 Sponsor

2018 Clinical Trials

17. Should we instruct patients to rub topical agents into skin?: the evidence. (PubMed)

Should we instruct patients to rub topical agents into skin?: the evidence. At least 15 factors influence the ability of compounds to penetrate the skin. Massage (rubbing) may be another factor that has gone relatively unrecognized.PubMed, Google Scholar, and EMBASE databases were accessed online in March 2018 in search of studies measuring absorption through skin with and without rubbing or massage.While some studies noted no difference in dermal absorption with regards to rubbing, others have

2018 Journal of Dermatological Treatment

18. Barriers to compliance with emergency department discharge instructions: lessons learned from patients' perspectives. (PubMed)

Barriers to compliance with emergency department discharge instructions: lessons learned from patients' perspectives. The objective of this study is to understand patients' perspectives about system-based barriers that may influence decision-making regarding following discharge instructions. In this qualitative study, subjects were interviewed by phone 1-4 weeks following being discharged to home from the emergency department (ED). We used a semi-structured interview guide to ask a series (...) patient attitudes toward and experiences with discharge instructions. They were: (1) failure to ensure clarity about diagnosis at the time of discharge from the ED, (2) failure to identify patients' feelings of hopelessness regarding the utility of follow-up, (3) difficulty in scheduling follow-up appointments, and (4) the importance of a clear discharge process. This study finds several system-based barriers might influence compliance. The four identified themes suggest a recurring cycle of visiting

2018 Internal and emergency medicine

19. Do Parents of Discharged Pediatric Emergency Department Patients Read Discharge Instructions? (PubMed)

Do Parents of Discharged Pediatric Emergency Department Patients Read Discharge Instructions? The percentage of discharged emergency department (ED) patients who read discharge instructions (DCIs) is unknown. In this study of parents of pediatric ED patients, we attempt to quantify the DCI readership rate and identify variables associated with readership. We hypothesized that few families would read their child's DCIs.We conducted a prospective, randomized study of parents of pediatric patients (...) who were discharged home from the ED. We randomized participants to receive a study invitation as either the second or the second to last page of their DCIs. We incentivized study participation with a $10 gift card and then used the invitation response rate as a proxy for DCI readership. We utilized logistic regression to identify predictor variables showing significant association with readership.One thousand patients were randomized; 963 were included in the final analysis. Eighty-four subjects

2018 Pediatric Emergency Care

20. Complex patterns of response to oral hygiene instructions: longitudinal evaluation of periodontal patients. (PubMed)

Complex patterns of response to oral hygiene instructions: longitudinal evaluation of periodontal patients. Oral hygiene instruction is an intervention widely practiced but increased knowledge about oral health does not necessarily dramatically impact oral disease prevalence in populations. We aimed to measure plaque and bleeding in periodontal patients over time to determine patterns of patient response to oral hygiene instructions.Longitudinal plaque and bleeding index data were evaluated (...) in 227 periodontal patients to determine the impact of oral hygiene instructions. Over multiple visits, we determined relative plaque accumulation and gingival bleeding for each patient. Subsequently, we grouped them in three types of oral hygiene status in response to initial instructions, using the longitudinal data over the period they were treated and followed for their periodontal needs. These patterns of oral hygiene based on the plaque and gingival bleeding indexes were evaluated based on age

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2018 BMC Oral Health

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