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Web-Based Patient Education

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53761. Simulation-based morbidity and mortality conference: new technologies augmenting traditional case-based presentations. (Full text)

Simulation-based morbidity and mortality conference: new technologies augmenting traditional case-based presentations. The authors describe the use of a high-fidelity simulation laboratory to re-create a patient encounter for the purposes of enhancing a morbidity and mortality conference. The use of two separate technologies were enlisted: a METI high-fidelity patient simulator to re-create the case in a more lifelike fashion, and an audience response system to collect clinical impressions (...) throughout the case presentation and survey data at the end of the presentation. The re-creation of the patient encounter with all relevant physical findings displayed in high fidelity, with relevant laboratory data, nursing notes, and imaging as it occurred in the actual case, provides a more engaging format for the resident-learner. This technological enhancement was deployed at a morbidity and mortality conference, and the authors report the impressions collected via the audience response system

2006 Academic Emergency Medicine

53762. Addressing the systems-based practice core competency: a simulation-based curriculum. (Full text)

Addressing the systems-based practice core competency: a simulation-based curriculum. Systems-based practice is one of the six core competencies implemented by the Accreditation Council for Graduate Medical Education to direct residency educational outcome assessment and accreditation. Emergency medicine-specific systems-based practice criteria have been described to define the expected knowledge and skill sets pertinent to emergency medicine practitioners. High-fidelity patient simulation (...) is increasingly used in graduate medical education to augment case-based learning. The authors describe a simulation-based curriculum to address the emergency medicine-specific systems-based practice core competency.

2005 Academic Emergency Medicine

53763. Informatics Competencies Pre- and Post-Implementation of a Palm-based Student Clinical Log and Informatics for Evidence-based Practice Curriculum (Full text)

Informatics Competencies Pre- and Post-Implementation of a Palm-based Student Clinical Log and Informatics for Evidence-based Practice Curriculum The purpose of this paper is to describe the implementation and evaluation of a two-part approach to achieving informatics competencies: 1) Palm-based student clinical log for documentation of patient encounters; and 2) informatics for evidence-based practice curriculum. Using a repeated-measures, non-equivalent control group design, self-reported (...) informatics competencies were rated using a survey instrument based upon published informatics competencies for beginning nurses. For the class of 2002, scores increased significantly in all competencies from admission to graduation. Using a minimum score of 3 on a scale of 1=not competent and 5=expert to indicate competence, the only area in which it was not achieved was Computer Skills: Education. For 2001 graduates, Computer Skills: Decision Support was also below 3. There were no significant

2003 AMIA Annual Symposium Proceedings

53764. Effectiveness of case-based on-line learning of evidence-based practice guidelines. (PubMed)

Effectiveness of case-based on-line learning of evidence-based practice guidelines. Traditional continuing medical education (CME) has not been successful in improving physicians'practice. This project evaluated the use of e-mail to deliver evidence-based moderated case discussions to family physicians.In a randomized controlled trial, 58 southwestern Ontario physicians were recruited and randomly assigned to receive two evidence-based cases (type 2 diabetes, prevention) or were put (...) on a waiting list to receive the same. On-line discussions took place about each case. Data were collected using two knowledge questionnaires, charts audits, and standardized patient visits for each of the two cases.The two groups were similar except for rural/urban and solo versus group practice. The latter was related to outcomes, and analyses were controlled for this variable. The intervention group showed statistically significant improvements compared to the control group for knowledge and chart-audit

2005 Family medicine Controlled trial quality: uncertain

53765. Randomized trial of problem-based versus didactic seminars for disseminating evidence-based guidelines on asthma management to primary care physicians. (PubMed)

Randomized trial of problem-based versus didactic seminars for disseminating evidence-based guidelines on asthma management to primary care physicians. This randomized controlled trial (RCT) investigated the effectiveness of and satisfaction with small-group problem-based learning (PBL) versus a didactic lecture approach to guideline dissemination in asthma management controlling for confounders common in comparative educational interventions.Sites were selected as either lecture or PBL using (...) simple randomization. All participants were exposed to similar educational resources to ensure treatment equivalency. Instruments included standardized program/speaker evaluation forms and a validated case-based questionnaire with a visual analogue scale measuring the level of confidence of responses. The latter was presented immediately pre- and post-intervention and 3 months later. The statistician was blinded to intervention groups.Overall, 52 family physicians agreed to participate, 23 in the PBL

2004 The Journal of continuing education in the health professions Controlled trial quality: uncertain

53766. Economic evaluation of a primary care-based education programme for patients with osteoarthritis of the knee

Economic evaluation of a primary care-based education programme for patients with osteoarthritis of the knee Economic evaluation of a primary care-based education programme for patients with osteoarthritis of the knee: a review Journals Library An error has occurred in processing the XML document An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from

1999 NIHR HTA programme

53767. Problem based learning in continuing medical education: a review of controlled evaluation studies

educational interventions (lecture-based learning or large group discussion with didactic lecture or Internet resources) or no educational intervention. Participants included in the review Studies of people undertaking postgraduate and continuing medical education and continuing professional development were eligible for inclusion. The included studies were of general practitioners and staff of an out-patient clinic. Outcomes assessed in the review The outcome variables looked for were the participants (...) the preferred outcome variables, i.e. the participants' performance and patients' health. In one of the high- quality studies (problem-based learning via email versus use of Internet resources), neither educational programme increased the participants' knowledge but the group size was small. The other high-quality study (problem-based versus lecture-based learning) showed positive results for problem-based learning in terms of the participants' knowledge, clinical reasoning and satisfaction. It is unclear

2002 DARE.

53768. An integrative review of computer-based simulation in the education process

An integrative review of computer-based simulation in the education process An integrative review of computer-based simulation in the education process An integrative review of computer-based simulation in the education process Ravert P Authors' objectives To determine the effect of computer-based simulation on health-care education and learning. Searching MEDLINE, CINAHL, EMBASE, HealthSTAR, an aerospace database and ERIC were searched for potential studies for inclusion in the review (...) some type of computer-based simulation were eligible for inclusion. The specific interventions assessed were: the use of a cardiologic patient simulator, computer simulation of a cardiovascular arrest situation, a cardiovascular patient simulator, heart sound simulation, anaesthesia Gas Man simulation, and a structural clinical examination simulation. Participants included in the review Studies had to report the disciplines of the researchers, as well as those of the study participants, in order

2002 DARE.

53769. Mobile education in autopsy conferences of pathology: presentation of complex cases. (Full text)

Mobile education in autopsy conferences of pathology: presentation of complex cases. MeduMobile was a project to develop and evaluate learning scenarios for medical students and teachers by use of video communication and notebooks. Its core part was assigned to various medical routines, conferences or meetings such as doctor-patient bedside conversation. These were filmed by video teams and broadcasted live via the WLAN of the Charité campus to course participating students. One type (...) of the learning arrangements was the autopsy conference as an on-call scenario.The MeduMobile project consisted of two main compartments: the regular seminar event which took place every week or month, and the on-call event. For an on-call event the students were informed two hours before the lesson's start. A mobile video team organised the video conference via a specific MeduMobile seminar system. This software offered the students to log. The MeduMobile seminar system is based on the Windows operating

2007 Diagnostic pathology Controlled trial quality: uncertain

53770. Education Research: Communication skills for neurology residents: structured teaching and reflective practice. (Full text)

Education Research: Communication skills for neurology residents: structured teaching and reflective practice. Despite the importance of communication skills for neurologists, specific training in this area at the residency level is often lacking. This study aimed to enhance learning of these skills and to encourage reflective practice around communication skills.A group of 12 neurology residents participated in a series of six case-based communication skills workshops. Each workshop focused (...) on a particular clinical scenario, including breaking bad news, discussing do-not-resuscitate orders, communicating with "difficult" patients, disclosing medical errors, obtaining informed consent for neurologic tests and procedures, and discussing life-and-death decisions with families of critically ill patients. Residents also kept reflective portfolios in which real examples of these interactions were recorded.The program was well accepted, and residents rated the workshops as effective and relevant

2007 Neurology

53771. Implications of recent clinical trials for the National Cholesterol Education Program Adult Treatment Panel III guidelines. (Full text)

Implications of recent clinical trials for the National Cholesterol Education Program Adult Treatment Panel III guidelines. The Adult Treatment Panel III (ATP III) of the National Cholesterol Education Program issued an evidence-based set of guidelines on cholesterol management in 2001. Since the publication of ATP III, 5 major clinical trials of statin therapy with clinical end points have been published. These trials addressed issues that were not examined in previous clinical trials (...) of cholesterol-lowering therapy. The present document reviews the results of these recent trials and assesses their implications for cholesterol management. Therapeutic lifestyle changes (TLC) remain an essential modality in clinical management. The trials confirm the benefit of cholesterol-lowering therapy in high-risk patients and support the ATP III treatment goal of low-density lipoprotein cholesterol (LDL-C) <100 mg/dL. They support the inclusion of patients with diabetes in the high-risk category

2004 Circulation

53772. A randomized controlled trial comparing two educational booklets on prostate cancer. (PubMed)

A randomized controlled trial comparing two educational booklets on prostate cancer. To compare the helpfulness of two educational aids or booklets on early-stage prostate cancer.Participating consecutive patients and a family member, in three centres, received one of two booklets, one produced by AstraZeneca (AZ), the other produced by us (CCE); the patient and family shared a booklet but were separate study participants. The primary outcome was the Purpose-based Information Assessment (...) ) = 9.96, p = 0.02] and planning [chi(2) = 18.67, p = 0.00].High helpfulness ratings of both booklets suggest that patients benefit from education aids while differences in the booklet ratings suggest that aids are not equally helpful. The CCE booklet, the more helpful booklet of this study, is a systematically developed education aid available to urologists in Canada.

2006 The Canadian journal of urology Controlled trial quality: uncertain

53773. TRIP: a psycho-educational programme in Hong Kong for people with schizophrenia. (Full text)

TRIP: a psycho-educational programme in Hong Kong for people with schizophrenia. 'TRIP' (Transforming Relapse and Instilling Prosperity) is a ward-based illness management programme that aims to decrease treatment non-compliance and relapse rate by improving the insight and health of acute psychiatric patients with schizophrenia. Eighty-one stable male acute psychiatric patients with schizophrenia were randomized to receive the TRIP programme (n = 44) or the comparison group of traditional ward

2007 Occupational therapy international Controlled trial quality: uncertain

53774. Hypertension Intervention Nurse Telemedicine Study (HINTS): testing a multifactorial tailored behavioral/educational and a medication management intervention for blood pressure control. (PubMed)

Hypertension Intervention Nurse Telemedicine Study (HINTS): testing a multifactorial tailored behavioral/educational and a medication management intervention for blood pressure control. Only 31% of Americans with hypertension have their blood pressure (BP) under effective control. We describe a study that tests 3 different interventions in a randomized controlled trial using home BP telemedicine monitoring.A sample of hypertensive patients with poor BP control at baseline (N = 600 (...) ) are randomized to 1 of 4 arms: (1) control group--a group of hypertensive patients who receive usual care; (2) nurse-administered tailored behavioral intervention; (3) nurse-administered medication management according to a hypertension decision support system; (4) combination of the 2 interventions. The interventions are triggered based on home BP values transmitted via telemonitoring devices over standard telephone lines. The tailored behavioral intervention involves promoting adherence with medication

2007 American heart journal Controlled trial quality: uncertain

53775. Can a disease-specific education program augment self-management skills and improve Health-Related Quality of Life in people with hip or knee osteoarthritis? (Full text)

Can a disease-specific education program augment self-management skills and improve Health-Related Quality of Life in people with hip or knee osteoarthritis? Patient education and self-management programs are offered in many countries to people with chronic conditions such as osteoarthritis (OA). The most well-known is the disease-specific Stanford Arthritis Self-Management Program (ASMP). While Australian and international clinical guidelines promote the concept of self-management for OA (...) trial to determine the efficacy (in terms of Health-Related Quality of Life and self-management skills) and cost-utility of a 6-week group-based Stanford ASMP for people with hip or knee OA. Six hundred participants referred to an orthopaedic surgeon or rheumatologist for hip or knee OA will be recruited from outpatient clinics at 2 public hospitals and community-based private practices within 2 private hospital settings in Victoria, Australia. Participants must be 18 years or over, fluent

2006 BMC musculoskeletal disorders Controlled trial quality: predicted high

53776. Recovery following stroke: the role of self-management education. (PubMed)

some suggestion that rehabilitation should focus on the expansion of resources, skills and self-efficacy as this will enable individuals to cope more effectively with their medical condition and circumstances. The current study was a longitudinal randomised controlled trial involving 100 people with stroke, 58 of whom were randomly allocated to an intervention based on the notion of psychosocial skill expansion. All were patients of a major hospital in Queensland, Australia. An existing self (...) Recovery following stroke: the role of self-management education. Current stroke rehabilitation tends to focus on the bio-medical course of disability, often responding to psychological and social issues only when they have been implicated in crises. Although this situation is costly, little evidence exists in relation to how psychological and social outcomes can be facilitated or how psychosocial decline can be prevented. In the area of adjustment following traumatic injury, there has been

2007 Social Science & Medicine Controlled trial quality: uncertain

53777. A randomised controlled trial of clinical outreach education to rationalise antibiotic prescribing for acute dental pain in the primary care setting. (Full text)

group). Following the intervention, practitioners completed a standardised questionnaire for each patient that presented with acute dental pain.The control group received no intervention. The guideline group received educational material by post. The intervention group received educational material by post and an academic detailing visit by a trained pharmacist. The educational material included evidence-based guidelines on prescribing for acute dental pain and patient information leaflets.The (...) prescriptions than patients in the control group (OR (95% CI) 0.63 (0.41, 0.95)) and significantly fewer inappropriate antibiotic prescriptions (OR (95% CI) 0.33 (0.21, 0.54)). However, antibiotic and inappropriate antibiotic prescribing were not significantly different in the guideline group compared to the control group (OR (95% CI) 0.83 (0.55, 1.21) and OR (95% CI) 0.82 (0.53, 1.29) respectively).Strategies based upon educational outreach visits may be successfully employed to rationalise antibiotic

2006 British Dental Journal Controlled trial quality: uncertain

53778. What effect does an educational intervention have on interns' confidence and knowledge regarding acute dyspnea management? A randomized controlled trial. (Full text)

standard education or standard education plus the educational intervention. The educational intervention included two small-group, case-based discussions on acute dyspnea management. All participants completed pre- and post-intervention surveys over four months that assessed their knowledge and confidence in managing patients with acute dyspnea.Of the 16 interns in the intervention group, 14 attended one of the two small-group sessions while seven attended both sessions. Mean confidence increased (...) What effect does an educational intervention have on interns' confidence and knowledge regarding acute dyspnea management? A randomized controlled trial. Though acute dyspnea is commonly encountered in hospitalized patients, interns often receive only informal instruction in managing such patients. We hypothesized that formal instruction would improve interns' knowledge and confidence in managing patients with acute dyspnea.Twenty-six internal medicine interns were randomized to receive either

2006 Journal of hospital medicine : an official publication of the Society of Hospital Medicine Controlled trial quality: uncertain

53779. Economic benefits of self-management education in COPD. (PubMed)

Economic benefits of self-management education in COPD. There is emerging evidence that disease management with self-management education provided by a case manager might benefit COPD patients.To determine whether disease management with self-management education is more cost-effective than usual care among previously hospitalized COPD patients.Economic analysis in conjunction with a multicenter randomized clinical trial comparing patients conducting self-management with those receiving usual (...) care over a 1-year follow-up period.Respiratory referral centers.One hundred ninety-one COPD patients who required hospitalization in the year preceding enrollment were recruited from seven respiratory outpatient clinics.In addition to usual care, patients in the intervention group received standardized education on COPD self-management program called "Living Well with COPD" with ongoing supervision by a case manager.From the perspective of the health-care payer, we compared costs between the two

2006 Chest Controlled trial quality: uncertain

53780. The effect of educational interventions with siblings of hospitalized children. (PubMed)

interventions from a standardized educational intervention protocol developed by the researcher. Interventions focused on teaching the sibling about hospitalization, illness or injury, and treatment for the patient, based on cognitive stages of development. All interventions were conducted by child life specialists on staff at the hospital with extensive training and experience in preparation and procedural teaching.Results shows that siblings who received educational interventions had significantly lower (...) The effect of educational interventions with siblings of hospitalized children. Research has demonstrated that siblings of chronically ill children can experience significant emotional and behavior changes; however, few studies have looked at the specific impact of pediatric hospitalization on the nonhospitalized child. Studies also indicate that children who receive age-appropriate information are better equipped to handle the stress and anxiety often associated with hospitalization.This study

2007 Journal of developmental and behavioral pediatrics : JDBP Controlled trial quality: uncertain

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