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Patient Education

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161. Effect of Patient and Provider Education on Antibiotic Overuse for Respiratory Tract Infections. (PubMed)

Effect of Patient and Provider Education on Antibiotic Overuse for Respiratory Tract Infections. Antibiotic overuse for respiratory tract infections (RTIs) in primary care (PC) is a known important contributor to the serious health threat of antibiotic resistance, yet remains a difficult problem to improve. The purpose of the study was to assess the effects of a combination patient and provider education program on antibiotic prescribing in RTIs in a rural primary care clinic. Utilizing a quasi (...) -experimental pretest-posttest design, a retrospective electronic medical record review was conducted to determine if a patient and provider education program changed the rates of antibiotics being prescribed (immediate or delayed) during a visit for RTI for 207 randomly selected patients during the established evaluation time periods. The antibiotic prescription rate for the preintervention group was 56.3% compared to 28.8% for the postintervention group (p < .01). Immediate antibiotics were ordered

2019 Journal for Healthcare Quality

162. Protocol of a clinical trial study involving educational intervention in patients treated with warfarin. (PubMed)

Protocol of a clinical trial study involving educational intervention in patients treated with warfarin. Atrial fibrillation (AF) is the most common sustained arrhythmia worldwide. Oral anticoagulation is an effective strategy for primary and secondary prevention of stroke in patients with AF. Warfarin is an oral anticoagulant widely prescribed and, despite its benefits, the achievement of the goals of drug therapy depends on patient involvement, among other factors. Educational interventions (...) can contribute for effectiveness and safety of oral anticoagulation therapy. We sought to describe the protocol of a clinical trial designed to evaluate the effect of a patient-centered educational strategy focused on low-income patients with AF and poor anticoagulation control.Patients ≥18 years with AF, on warfarin for at least 6 months and time in therapeutic range (TTR) <60% will be recruited at 2 anticoagulation clinics (ACs) in Brazil. Patients from 1 AC will be allocated to the intervention

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2019 Medicine

163. The Effect of an Educational and Interactive Informed Consent Process on Patients with Cervical Spondylotic Myelopathy Caused by Ossification of the Posterior Longitudinal Ligament. (PubMed)

The Effect of an Educational and Interactive Informed Consent Process on Patients with Cervical Spondylotic Myelopathy Caused by Ossification of the Posterior Longitudinal Ligament. Prospective observational cohort study OBJECTIVE.: In this study, an educational and interactive informed consent (EIC) program was proposed for patients with OPLL-CSM to improve their comprehension level during the informed consent process.Cervical spondylotic myelopathy caused by ossification of the posterior (...) regarding OPLL-CSM through information booklets, a video, verbal information, and initial and second physician-patient interviews. After the second physician-patient interview, the patient was requested to answer 14 medical questions to assess their knowledge about OPLL-CSM. The proposed EIC process took approximately 90 minutes. They were asked to report the most useful educational method and the most effective method of reinforcing verbal communication.The mean questionnaire scores were higher

2019 Spine

164. Evaluation of an embryology and genetic testing patient counseling education intervention for reproductive endocrinology nurses. (PubMed)

Evaluation of an embryology and genetic testing patient counseling education intervention for reproductive endocrinology nurses. To study the impact of an educational program on the knowledge base of reproductive endocrinology nurses on embryology and genetics topics to determine both improvement in knowledge and confidence in the nurses' ability to counsel patients on such topics.Interventional study.Clinics.None; subjects were reproductive endocrinology nurses.Preintervention knowledge self (...) -efficacy test, educational exposure, and 2-week follow-up testing.Knowledge test scores, self-efficacy scores.Nurses, regardless of educational attainment, demonstrated statistically significant increases in knowledge of both embryology and genetics, which was retained at least 2 weeks after the educational intervention. Furthermore, nurse self-efficacy increased after intervention, and qualitative data support the desire for increased educational opportunities.Nurses benefit from focused educational

2019 Fertility and Sterility

165. Resident Impact on Patient & Surgeon Satisfaction and Outcomes: Evidence for Health System Support for Urology Education. (PubMed)

Resident Impact on Patient & Surgeon Satisfaction and Outcomes: Evidence for Health System Support for Urology Education. To assess the effect of resident involvement on patient and physician satisfaction, we evaluated the outcomes from a private urology group both prior to and after initiation of resident coverage.Urologic procedures completed by attending surgeons without residents from October 2010 to December 2011 were compared to the same surgeons working with residents from January 2012 (...) =1.000, respectively). There was a statistically significant improvement of readmission rate in non-surgical patients with resident coverage (p = 0.0344). Patients' satisfaction scores were higher in every category and they more often reported that they 'always' received quality care (78.6 % vs 82.5%) with resident coverage. Resident and faculty perceptions of training, patient care, and satisfaction increased with resident coverage.Resident coverage of a private practice Urology group resulted

2019 Urology

166. Amyloid β deposition in subcortical stroke patients and effects of educational achievement: A pilot study. (PubMed)

Amyloid β deposition in subcortical stroke patients and effects of educational achievement: A pilot study. A direct causal relationship of cerebrovascular risk factors/stroke to amyloid β (Aβ) deposition has yet to be shown. We conducted [11 C] Pittsburgh compound B (PiB)-positron emission tomography (PET) analysis on subacute ischemic stroke patients and healthy controls. We hypothesized that subacute ischemic stroke patients would show focal Aβ accumulation in cortical regions, which would (...) a significant increase of [11 C]PiB-BPND of the precuneus/posterior cingulate cortex (PCu/PCC) in stroke patients at the subacute stage. Based on stepwise multiple regression analysis of [11 C]PiB-BP changes during follow-up as the dependent variable, years of education was the best independent correlate. There was a significant negative relationship between changes in [11 C]PiB-BP and years of education.Our results suggest that processes before and after the onset of ischemic stroke may trigger Aβ

2019 International Journal of Geriatric Psychiatry

167. Physical activities attenuate the negative cognitive impact from white matter hyperintensities in stroke and TIA patients with low education. (PubMed)

Physical activities attenuate the negative cognitive impact from white matter hyperintensities in stroke and TIA patients with low education. The objective of this study is to examine the effects of recent regular participation leisure activities upon cognitive functions between 3 and 6 months after stroke or transient ischemic attack (TIA). We also explored whether the cognitive effects interacted with the severity of white matter hyperintensities (WMH), a marker of cerebral white matter (...) in the lower education group (b = 0.28, P < .01) but not in the higher education group.In patients with stroke/TIA, IA confers general cognitive benefits. Regular participation in PA negatively correlated with WMH volume. In patients with low education, PA increases resilience against vascular cognitive impairment.© 2019 John Wiley & Sons, Ltd.

2019 International Journal of Geriatric Psychiatry

168. Hand hygiene compliance of patients' family members in India: importance of educating the unofficial "fourth category" of healthcare personnel. (PubMed)

Hand hygiene compliance of patients' family members in India: importance of educating the unofficial "fourth category" of healthcare personnel. - In India, due to manpower constraints, patients' family members are often actively involved in healthcare activities of their near and dear ones. They have significant contact with the patient at all WHO's five moments for hand hygiene (HH). In this study, we analyzed the impact of decade long awareness campaigns on the HH compliance (HHC) in our (...) and educating patient attendants about the importance and process of hand hygiene as it is likely to result in immense benefit for patients.Copyright © 2019 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

2019 Journal of Hospital Infection

169. Readability of online patient education materials for parents after a failed newborn hearing screen. (PubMed)

Readability of online patient education materials for parents after a failed newborn hearing screen. A cross-sectional study design was utilized to evaluate the readability of patient education materials on the newborn hearing screen from Google and major institutions.The top 55 websites from the Google search "failed newborn hearing screen" and websites from major institutions (the U.S. News & World Report ranked top 10 children's hospitals, the top 5 pediatric otolaryngology fellowships (...) excellent with an intra-class correlation coefficient for each readability tool ≥0.950 (p < 0.001).Online patient education materials about the newborn hearing screen may be too difficult for the average reader. Revisions to these materials and redirection to more readable online resources may be necessary to benefit a more inclusive patient population.Copyright © 2019 Elsevier B.V. All rights reserved.

2019 International Journal of Pediatric Otorhinolaryngology

170. Clinical impact of an educational antimicrobial stewardship program associated with infectious diseases consultation targeting patients with cancer: Results of a 9-year quasi-experimental study with an interrupted time-series analysis. (PubMed)

Clinical impact of an educational antimicrobial stewardship program associated with infectious diseases consultation targeting patients with cancer: Results of a 9-year quasi-experimental study with an interrupted time-series analysis. Antibiotic stewardship programs (ASP) have already demonstrated clinical benefits. However, their effectiveness or safety in immunocompromised hosts needs to be proved.An ecologic quasi-experimental study was performed from January 2009 to June 2017 (...) in the Oncology department of a tertiary-care hospital. A stable program of Infectious Diseases consultation (IDC) already existed at this unit, and an educational ASP was added in 2011. Its main intervention consisted of face-to-face educational interviews. Antibiotic consumption was assessed through quarterly Defined Daily Doses (DDD) per 100 occupied bed-days. Mortality was evaluated in patients with bloodstream infections through the quarterly incidence density per 1000 admissions, and the annual

2019 Journal of Infection

171. A Longitudinal Ambulatory Quality Improvement Curriculum That Aligns Resident Education With Patient Outcomes: A 3-Year Experience. (PubMed)

A Longitudinal Ambulatory Quality Improvement Curriculum That Aligns Resident Education With Patient Outcomes: A 3-Year Experience. Quality improvement (QI) plays a vital role in practice management, patient care, and reimbursement. The authors implemented a 3-year longitudinal curriculum that combined QI didactics, intervention development, and implementation at university-based, community-based, and Veterans Administration-based practices. Highlights included Plan-Do-Study-Act cycle format (...) , team-based collaboration to brainstorm interventions, interdisciplinary QI council to select and plan interventions, system-wide intervention implementation across entire clinic populations with outcome monitoring, and intervention modifications based on challenges. A pre-post survey assessed residents' confidence in QI skills and interdisciplinary team participation, while quarterly quality data assessed patient outcomes. All 150 internal medicine residents participated. Confidence in QI

2019 American Journal of Medical Quality

172. Developing an online patient education resource for topical therapy: a pilot study. (PubMed)

Developing an online patient education resource for topical therapy: a pilot study. Topical therapies are first line treatments for the majority of skin conditions, yet many patients fail to use their treatments properly (1). Teaching patients how to use topical treatments is therefore an essential part of routine clinical care and improves treatment outcomes in atopic eczema and psoriasis.This article is protected by copyright. All rights reserved.

2019 British Journal of Dermatology

173. Early physical and psycho-educational rehabilitation in patients with coronary artery bypass grafting: A randomized controlled trial. (PubMed)

Early physical and psycho-educational rehabilitation in patients with coronary artery bypass grafting: A randomized controlled trial. Rehabilitation of patients following coronary artery bypass grafting (CABG) has been widely studied; however, research into early rehabilitation after CABG is sparse. The aim of this trial was to assess the impact of early rehabilitation, compared with usual care in patients following CABG.Randomized controlled trial.A total of 326 patients treated (...) -To-Stand test).Sixteen patients dropped out. No significant differences between groups in the primary outcome (6MWT) were found after 4 weeks (p = 0.27). For secondary outcomes the odds ratio of HADS-D ≥ 8 decreased in favour of the experimental intervention (p = 0.04). There was non-adherence to parts of the intervention. Per-protocol analysis showed differences between groups for the 6MWT (p = 0.02) and the Sit-To-Stand test (p = 0.046).In general, the intervention had no effect on the 6MWT

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2019 Journal of Rehabilitation Medicine Controlled trial quality: predicted high

174. Effectiveness of an In-Service Education Program to Improve Patient Safety Directed at Surgical Residents: A Randomized Controlled Trial. (PubMed)

Effectiveness of an In-Service Education Program to Improve Patient Safety Directed at Surgical Residents: A Randomized Controlled Trial. Patient safety is a critical issue in healthcare services particularly in surgical units and operation rooms because of the high prevalence and risk of medical errors in such settings. This study was conducted to determine whether a 1-day educational intervention can change the attitude and behavior of surgical residents regarding patient safety.A total of 90 (...) ). More than 60% of participants in the intervention group scored in the positive range for items assessing safety and teamwork climate.A 1-day interactive educational workshop may be effective in changing the attitude and practice of surgical residents regarding patient safety. Further assessment of this intervention in other healthcare settings involving health professionals from various specialties and use of an objective measure such as number of reported medical errors are needed to corroborate

2019 Journal of Surgical Education Controlled trial quality: uncertain

175. An Educational Intervention Using Steno Balance Cards to Improve Glycemic Control in Patients With Poorly Controlled Type 2 Diabetes Mellitus. (PubMed)

An Educational Intervention Using Steno Balance Cards to Improve Glycemic Control in Patients With Poorly Controlled Type 2 Diabetes Mellitus. Type 2 diabetes mellitus (T2DM) is largely attributableto lifestyle factors. Although physiological and medical care needs must be met, psychosocial factors should not be neglected.The aim of this study was to determine whether a 6-month intervention consisting of educational sessions using Steno Balance Cards, which involves guided group dialogue (...) . The Balance Cards were developed by the Danish Steno Diabetes Center. In the SC group, patients received general diabetes education using a conventional teachingmode.In the PBD group, glycolated hemoglobin A1c decreased 1.3% from 8.1% ± 0.7% to 6.8% ± 0.8%, whereas it decreased 0.6% in the SC group from 8.0% ± 0.6% to 7.4% ± 0.7%, with p < .05. At the end of the 6-month study period, the PBD group and the SC group completed a health-related quality of life questionnaire(12-item Short-Form Health Survey

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2019 The journal of nursing research : JNR Controlled trial quality: uncertain

176. Evaluating the effect of lifestyle education based on peer model on anxiety in patients with acute myocardial infarction. (PubMed)

Evaluating the effect of lifestyle education based on peer model on anxiety in patients with acute myocardial infarction. Background Anxiety in patients with myocardial infarction (MI) which has a very negative effect on the prognosis of their disease and their physical and mental health. We performed this study in order to find the impact of a peer based education (PE) on anxiety in patients with MI. Methods This was a randomized clinical trial study. The study participants included 60 patient (...) group. Conclusion Our findings indicated that the implication of PE as an educational element in decreasing anxiety score and can be considered as a method for continuing of care, and could as well as be a good approach for other patients.

2019 Journal of complementary & integrative medicine Controlled trial quality: uncertain

177. The dietary education trial in carbohydrate counting (DIET-CARB Study): study protocol for a randomised, parallel, open-label, intervention study comparing different approaches to dietary self-management in patients with type 1 diabetes. (PubMed)

The dietary education trial in carbohydrate counting (DIET-CARB Study): study protocol for a randomised, parallel, open-label, intervention study comparing different approaches to dietary self-management in patients with type 1 diabetes. Clinical guidelines recommend that patients with type 1 diabetes (T1D) learn carbohydrate counting or similar methods to improve glycaemic control. Although systematic educating in carbohydrate counting is still not offered as standard-of-care for all patients (...) on multiple daily injections (MDI) insulin therapy in outpatient diabetes clinics in Denmark. This may be due to the lack of evidence as to which educational methods are the most effective for training patients in carbohydrate counting. The objective of this study is to compare the effect of two different educational programmes in carbohydrate counting with the usual dietary care on glycaemic control in patients with T1D.The study is designed as a randomised controlled trial with a parallel-group design

2019 BMJ open Controlled trial quality: uncertain

178. Effects of Self-Management Education on Self-Efficacy and Quality of Life in Patients with Ulcerative Colitis: A Randomized Controlled Clinical Trial. (PubMed)

Effects of Self-Management Education on Self-Efficacy and Quality of Life in Patients with Ulcerative Colitis: A Randomized Controlled Clinical Trial. Self-management (SM) as a dynamic process enables Ulcerative colitis (UC) patients to live with this chronic illness. The present study aimed to investigate the effect of SM education on self-efficacy (SE) and quality of life (QoL) in patients with UC.This randomized controlled clinical trial study was conducted on 64 patients with UC from (...) December 2016 to February 2017 at Motahari clinic, Shiraz. Patients were randomly divided into two groups of intervention and control. The education program included six 90-minute sessions in 3 weeks and one month telephone follow-up. Before, immediately and one month after the intervention, the participants filled out the Strategies Used by People to Promote Health (SUPPH) for SE, and the Inflammatory Bowel Disease Questionnaire-9 (IBDQ-9) for Qol. Then, data were entered into SPSS 18.0 and analyzed

2019 International journal of community based nursing and midwifery Controlled trial quality: uncertain

179. Patient Education and Pharmacist Consultation Influence on Nonbenzodiazepine Sedative Medication Deprescribing Success for Older Adults. (PubMed)

Patient Education and Pharmacist Consultation Influence on Nonbenzodiazepine Sedative Medication Deprescribing Success for Older Adults. Use of nonbenzodiazepine sedative hypnotics or "Z-drugs"-including eszopiclone, zolpidem, or zaleplon-is discouraged for older adults; however, these medications commonly are prescribed to treat insomnia in this population. We evaluated the impact of direct-to-patient education, with or without a pharmacist consultation, on Z-drug discontinuation among Kaiser (...) Permanente Northwest members age 64 years and older.We randomized 150 patients to usual care (UC), educational information only, or educational information and pharmacist consultation. Patients age 64 years and older who received 2 to 3 Z-drug fills in 2016 were included. Logistic regression was used to calculate odds of discontinuation at 6 months among patients who received either intervention, compared with those who received UC.Patients who received education only and education plus pharmacist

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2019 The Permanente journal Controlled trial quality: uncertain

180. Direct Delivery of Kidney Transplant Education to Black and Low-Income Patients Receiving Dialysis: A Randomized Controlled Trial. (PubMed)

Direct Delivery of Kidney Transplant Education to Black and Low-Income Patients Receiving Dialysis: A Randomized Controlled Trial. Compared with others, black and low-income patients receiving dialysis are less likely to receive kidney transplantation (KT) education within dialysis centers. We examined the efficacy of 2 supplementary KT education approaches delivered directly to patients.Prospective, 3-arm parallel-group, randomized, controlled trial.Adult, black, and white low-income patients (...) receiving dialysis in Missouri.Patients were randomly assigned to 1 of 3 educational conditions: (1) standard of care, usual KT education provided in dialysis centers (control); (2) Explore Transplant @ Home patient-guided, 4 modules of KT education sent directly to patients using print, video, and text messages; and (3) Explore Transplant @ Home educator-guided, the patient-guided intervention plus 4 telephonic discussions with an educator.Primary: patient knowledge of living (LDKT) and deceased donor

2019 American Journal of Kidney Diseases Controlled trial quality: predicted high

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