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Web-Based Patient Education

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121. Web-Based Education Prior to Knee Arthroscopy Enhances Informed Consent and Patient Knowledge Recall: A Prospective, Randomized Controlled Study. (Abstract)

Web-Based Education Prior to Knee Arthroscopy Enhances Informed Consent and Patient Knowledge Recall: A Prospective, Randomized Controlled Study. Preoperative patient education is an important part of the informed consent process, and a perceived lack of information can lower patient satisfaction. We sought to evaluate the effect of a web-based multimedia patient education tool on the perioperative experience of patients undergoing first-time knee arthroscopy for a meniscal tear.Adult patients (...) undergoing knee arthroscopy for the first time for a primary diagnosis of a meniscal tear were consecutively enrolled into the study from January 2014 through June 2014. Patients were equally randomized to a control group, who received standard preoperative counseling, or the intervention group, who completed a twenty-minute web-based multimedia tutorial in addition to standard counseling. The web-based tutorial covered relevant anatomy, pathology, and general perioperative instructions

2015 The Journal of Bone and Joint Surgery. American Volume Controlled trial quality: uncertain

122. Informing Web-Based Communication Curricula in Veterinary Education: A Systematic Review of Web-Based Methods Used for Teaching and Assessing Clinical Communication in Medical Education. (Abstract)

Informing Web-Based Communication Curricula in Veterinary Education: A Systematic Review of Web-Based Methods Used for Teaching and Assessing Clinical Communication in Medical Education. We determined the Web-based configurations that are applied to teach medical and veterinary communication skills, evaluated their effectiveness, and suggested future educational directions for Web-based communication teaching in veterinary education. We performed a systematic search of CAB Abstracts, MEDLINE (...) , Scopus, and ERIC limited to articles published in English between 2000 and 2012. The review focused on medical or veterinary undergraduate to clinical- or residency-level students. We selected studies for which the study population was randomized to the Web-based learning (WBL) intervention with a post-test comparison with another WBL or non-WBL method and that reported at least one empirical outcome. Two independent reviewers completed relevancy screening, data extraction, and synthesis of results

2014 Journal of veterinary medical education

123. Impact of Locally Adopted Simulation-Based Crew Resource Management Training on Patient Safety Culture: Comparison Between Operating Room Personnel and General Health Care Populations Pre and Post Course. (Abstract)

Impact of Locally Adopted Simulation-Based Crew Resource Management Training on Patient Safety Culture: Comparison Between Operating Room Personnel and General Health Care Populations Pre and Post Course. Crew resource management (CRM) was introduced to enhance patient safety and reduce medical errors through multidisciplinary learning experience. This study investigates the impact of locally adopted simulation-based CRM training on participants' perceptions and knowledge. A 32-item web-based (...) questionnaire was administered pre course, 1 month, and 1 year post course to assess changes in perceptions and knowledge. Another 12-item paper-based questionnaire was administered immediately post course to assess reactions. Among 712 participants analyzed, 165 were operating room staff. The majority agreed that the training is useful and relevant in daily practice. All participants showed significant improvements in perception and knowledge 1 month post course; however, these improvements declined 1 year

2019 American Journal of Medical Quality

124. Discontinuously supervised aerobic training vs. physical activity promotion in the self-management of type 2 diabetes in older Italian patients: design and methods of the 'TRIPL-A' randomized controlled trial. Full Text available with Trip Pro

physical activity among T2D patients, and their effectiveness may be enhanced when they are supported by computer-based technologies. The 'TRIPL-A' study (i.e., a TRIal to promote PhysicaL Activity among patients in the young-old age affected by T2D) aims to assess if realizing an innovative ERS, based on a strong partnership among general practitioners, specialist physicians, exercise specialists, and patients, and supported by a web-based application (WBA), can effectively lead sedentary older T2D (...) Discontinuously supervised aerobic training vs. physical activity promotion in the self-management of type 2 diabetes in older Italian patients: design and methods of the 'TRIPL-A' randomized controlled trial. Physical activity (PA) has health benefits for people with type 2 diabetes (T2D). Indeed, regular PA is considered an important part of any T2D management plan, yet most patients adopt a sedentary lifestyle. Exercise referral schemes (ERS) have the potential to effectively promote

2019 BMC Geriatrics Controlled trial quality: uncertain

125. Community Pharmacist Training-and-Communication Network and Drug-Related Problems in Patients With CKD: A Multicenter, Cluster-Randomized, Controlled Trial (Abstract)

) and their community pharmacies.Each cluster (a pharmacy and its patients) was randomly assigned to either ProFiL, a training-and-communication network program, or the control group. ProFiL pharmacists completed a 90-minute interactive web-based training program on use of medications in CKD and received a clinical guide, patients' clinical summaries, and facilitated access to the CKD clinic.Drug-related problems (primary outcome), pharmacists' knowledge and clinical skills, and patients' clinical attributes (eg (...) Community Pharmacist Training-and-Communication Network and Drug-Related Problems in Patients With CKD: A Multicenter, Cluster-Randomized, Controlled Trial Appropriate training for community pharmacists may improve the quality of medication use. Few studies have reported the impact of such programs on medication management for patients with chronic kidney disease (CKD).Multicenter, cluster-randomized, controlled trial.Patients with CKD stage 3a, 3b, or 4 from 6 CKD clinics (Quebec, Canada

2017 EvidenceUpdates

126. A Web-Based Educational Video to Improve Asthma Knowledge for Limited English Proficiency Latino Caregivers. (Abstract)

A Web-Based Educational Video to Improve Asthma Knowledge for Limited English Proficiency Latino Caregivers. To evaluate limited English proficiency (LEP) Latino caregiver asthma knowledge after exposure to an educational video designed for this target group.A cross-sectional, interventional study was performed. We aimed to evaluate the post-test impact on asthma knowledge from baseline after exposure to a patient-centered, evidence-based, and professionally produced Spanish asthma educational (...) %), with no written asthma action plan (65%), whose child's asthma diagnosis was present for at least 3 years (80%). Mean baseline asthma knowledge scores improved 8 points from 58.4 to 66.4 after watching the educational video (95% CI 5.3-10.7; t(19) = 6.21, p < 0.01). Knowledge improvements were similar across the ED and community groups. Knowledge gains were observed in the areas of ED utilization, medication usage, and activity limitations.The developed educational video improved caregiver asthma knowledge

2016 Journal of Asthma

127. Web-Based Tools for Educating Caregivers About Childhood Fever: A Randomized Controlled Trial. (Abstract)

Web-Based Tools for Educating Caregivers About Childhood Fever: A Randomized Controlled Trial. Fever is a common reason for an emergency department visit and misconceptions abound. We assessed the effectiveness of an interactive Web-based module (WBM), read-only Web site (ROW), and written and verbal information (standard of care [SOC]) to educate caregivers about fever in their children.Caregivers in the emergency department were randomized to a WBM, ROW, or SOC. Primary outcome was the gain (...) of 0.1 (2.7) for SOC. Mean (SD) caregiver satisfaction scores (out of 32) for the WBM, ROW, and SOC groups were 22.6 (3.2), 20.7 (4.3), and 17 (6.2), respectively. All groups were significantly different from one another in the following rank: WBM > ROW > SOC (P < 0.001).Web-based interventions are associated with significant improvements in caregiver knowledge about fever and high caregiver satisfaction. These interventions should be used to educate caregivers pending the demonstration of improved

2016 Pediatric Emergency Care Controlled trial quality: uncertain

128. Evaluation of the Efficacy of a Web-Based Work-Related Asthma Educational Tool. (Abstract)

Evaluation of the Efficacy of a Web-Based Work-Related Asthma Educational Tool. Work-related asthma (WRA) has been estimated to account for 15-20% of adult asthma cases. Studies have indicated that a substantial number of asthma patients have inadequate knowledge of work-related effects on their disease, which may contribute to suboptimal asthma control. A Canadian web-based educational tool on WRA was developed to address this knowledge gap in the population.To evaluate the effectiveness (...) of this web-based tool.Participants were recruited prior to a routine visit at a tertiary care asthma clinic in Toronto. A brief WRA knowledge questionnaire was developed and administered immediately before and after using of the web-based educational tool, and one year later.The study sample (N = 34) was mostly female (68%) with a mean age of 50.7 (SD, 17.2). Participants demonstrated significant improvement in questionnaire scores following interaction with the tool. The mean score increased from 76

2016 Journal of Asthma

129. Family Studies for Classification of Variants of Uncertain Classification: Current Laboratory Clinical Practice and a New Web-Based Educational Tool Full Text available with Trip Pro

Family Studies for Classification of Variants of Uncertain Classification: Current Laboratory Clinical Practice and a New Web-Based Educational Tool Multi-gene cancer panels often identify variants of uncertain clinical significance (VUS) that pose a challenge to health care providers in managing a patient's cancer risk. Family segregation analysis can yield powerful data to re-classify a VUS (as either benign or pathogenic). However, financial and personnel resources to coordinate (...) pedigrees for segregation analysis of their VUS. We describe a novel public educational tool ( FindMyVariant.org ) designed to inform patients and genetic counselors about strategies to improve the probability of variant classification using familial segregation. While the web tool is designed to be useful for any gene, the project was primarily focused on VUS's returned in cancer risk genes. FindMyVariant.org is a resource for genetic providers to offer motivated families who are willing to gather

2016 Journal of Genetic Counseling

130. Dietary Interventions in Multiple Sclerosis: Development and Pilot-Testing of an Evidence Based Patient Education Program. Full Text available with Trip Pro

Dietary Interventions in Multiple Sclerosis: Development and Pilot-Testing of an Evidence Based Patient Education Program. Dietary factors have been discussed to influence risk or disease course of multiple sclerosis (MS). Specific diets are widely used among patients with MS.To design and pilot-test an evidence based patient education program on dietary factors in MS.We performed a systematic literature search on the effectiveness of dietary interventions in MS. A web-based survey among 337 (...) patients with MS and 136 healthy controls assessed knowledge, dietary habits and information needs. An interactive group education program was developed and pilot-tested.Fifteen randomised-controlled trials (RCTs) were included in the systematic review. Quality of evidence was low and no clear benefit could be seen. Patients with MS significantly more often adhered to a `Mediterranean Diet`(29.7% versus 14.0%, p<0.001) compared to controls. 143 (42%) of the patients with MS had tried special MS diets

2016 PLoS ONE

131. A multi-centre investigation of delivering national guidelines on exercise training for men with advanced prostate cancer undergoing androgen deprivation therapy in the UK NHS. Full Text available with Trip Pro

delivered in the health services. The aim of this multi-centre investigation was to examine what exercise referral is currently available for men on ADT as provided by the NHS and if a supervised, individually-tailored exercise training package (as per the national NICE guidelines CG175) is embedded within prostate cancer care.A multi-centre investigation of current National Health Service (NHS) care involving a web-based survey of NHS prostate cancer care, five focus groups involving 26 men on ADT (...) and 37 semi-structured interviews with healthcare professionals (HCPs) involved in the management of prostate cancer. Descriptive statistics and thematic analysis evaluated quantitative and qualitative data, respectively. Qualitative methods followed COREQ standards.HCPs and men on ADT asserted that medical castration has a serious and debilitating impact on many features of men's quality of life. There is support for exercise training programmes as part of cancer care and patients would support

2018 PLoS ONE

132. A systematic review of web-based educational interventions. Full Text available with Trip Pro

A systematic review of web-based educational interventions. A complement to in-hospital educational interventions is web-based patient education accessed during the home recovery period. While findings demonstrate the effectiveness of web-based patient education interventions on patient outcomes, they fall short of identifying the characteristics that are associated with desired outcomes. The purpose of this systematic review was to determine the characteristics of web-based patient education (...) interventions that are associated with producing changes in self-care behaviors. A systematic review involving 19 studies was conducted to determine the most effective components of a web-based intervention. Findings suggest that the most effective form of web-based patient education is one that is interactive and allows patients to navigate the online system on their own. The findings from this systematic review allow for the design of a web-based educational intervention that will promote increased

2015 Clinical nursing research

133. Comparing the effectiveness of automated online counseling to standard web-based education on improving acne knowledge: a randomized controlled trial. Full Text available with Trip Pro

Comparing the effectiveness of automated online counseling to standard web-based education on improving acne knowledge: a randomized controlled trial. Evidence regarding what comprises effective education for acne vulgaris patients is lacking. Internet-based education may improve patient knowledge of this condition.Our objective was to compare the effectiveness of standard web-based education and an automated counseling website in improving acne knowledge.In a randomized trial, participants (...) the standard website group.This study is limited to adolescents with mild-to-moderate acne vulgaris.Internet-based patient education appears to be an effective method of improving acne knowledge among adolescents.

2015 American journal of clinical dermatology Controlled trial quality: uncertain

134. HypoAware-a brief and partly web-based psycho-educational group intervention for adults with type 1 and insulin-treated type 2 diabetes and problematic hypoglycaemia: design of a cost-effectiveness randomised controlled trial. Full Text available with Trip Pro

HypoAware-a brief and partly web-based psycho-educational group intervention for adults with type 1 and insulin-treated type 2 diabetes and problematic hypoglycaemia: design of a cost-effectiveness randomised controlled trial. Problematic hypoglycaemia is a significant problem among people with insulin-treated type 1 and 2 diabetes mellitus, which adversely affects quality of life and leads to high societal costs. Blood glucose awareness training (BGAT) is a psycho-educational group (...) intervention that has shown to be effective but difficult to implement in clinical practice, due to its demanding nature. The aim of this study is to evaluate the cost-effectiveness of the HypoAware intervention that has its roots in BGAT and helps patients to effectively recognize, treat and prevent hypoglycaemia, while also focussing on the psychosocial consequences of living with the constant risk of hypoglycaemia, both for patients and their significant others.An economic evaluation will be conducted

2015 BMC endocrine disorders Controlled trial quality: uncertain

135. Web-based Preconception Health Education Tool

for patients to date; few are truly patient-centered and even fewer have been rigorously evaluated. This study presents MyFamilyPlan - a novel, web-based, patient centered preconception health education tool designed for women of reproductive age receiving primary care. MyFamilyPlan is truly innovative in two key ways: MyFamilyPlan is a web-based preconception health self-assessment. This will allow for the employment of skip logic to individualize the questionnaire and subsequent health recommendations (...) Study Type : Interventional (Clinical Trial) Actual Enrollment : 292 participants Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double (Participant, Care Provider) Primary Purpose: Health Services Research Official Title: MyFamilyPlan: A Patient-Centered Web-based Preconception Health Education Tool Study Start Date : September 2015 Actual Primary Completion Date : June 1, 2016 Actual Study Completion Date : June 1, 2016 Arms and Interventions Go to Arm Intervention

2015 Clinical Trials

136. Reduction of inappropriate exit prescriptions for proton pump inhibitors: A before-after study using education paired with a web-based quality-improvement tool. Full Text available with Trip Pro

in Montreal, Canada.Four hundred sixty-four consecutively admitted patients in the preintervention control group, and 640 consecutively admitted patients in the intervention group.A monthly educational intervention paired with a Web-based quality improvement tool.We determined the proportion of patients admitted on PPIs, their indications, and appropriateness of use. We then compared the proportion of patients whose PPIs were discontinued at discharge before and after our intervention.Forty-four percent (...) Reduction of inappropriate exit prescriptions for proton pump inhibitors: A before-after study using education paired with a web-based quality-improvement tool. Proton pump inhibitors (PPIs) are overprescribed despite concerns regarding associated adverse drug events.To reduce inappropriate PPI prescriptions using hospitalization as the point of contact to effect meaningful change.Before-after study design.Forty-six-bed medical clinical teaching unit in a 417-bed university teaching hospital

2015 Journal of Hospital Medicine

137. Adult Bronchoscopy Training

than other educational methods for superior bronchoscopy pe r for ma nce ? 3. We suggest that ongoing quality and process improvement systems aft er initial skill acquisition be introduced ( Ungraded Consensus-Based Statement ). T raining and Evaluation Outside the United States Summary of Evidence An appropriate training program should include some didactic teaching in the form of lectures and be comple- mented with appropriate books. 13 , 14 Web-based learning using a digital resource (...) level of competence, but this tool has yet to be tested in the training of pulmonary fellows. 12 Some training programs have been moving toward incorporating simulation training and web-based virtual bronchos- copy training (see next section). In summary, no validated methods of determining competency exist at this time. S uggesti o ns: 1. We suggest that professional societies and certifying agencies move from a volume-based certifi cation system to skill acquisition and knowledge-based competency

2015 American College of Chest Physicians

138. Progress and divergence in palliativecare education for medical students: A comparative survey of UK course structure, content, delivery, contact with patients and assessment of learning. Full Text available with Trip Pro

Progress and divergence in palliativecare education for medical students: A comparative survey of UK course structure, content, delivery, contact with patients and assessment of learning. Effective undergraduate education is required to enable newly qualified doctors to safely care for patients with palliative care and end-of-life needs. The status of palliative care teaching for UK medical students is unknown.To investigate palliative care training at UK medical schools and compare with data (...) collected in 2000.An anonymised, web-based multifactorial questionnaire.Results were obtained from palliative care course organisers at all 30 medical schools in 2013 and compared with 23 medical schools (24 programmes) in 2000.All continue to deliver mandatory teaching on 'last days of life, death and bereavement'. Time devoted to palliative care teaching time varied (2000: 6-100 h, mean 20 h; 2013: 7-98 h, mean 36 h, median 25 h). Current palliative care teaching is more integrated. There was little

2016 Palliative medicine

139. Can Machine-learning Techniques Be Used for 5-year Survival Prediction of Patients With Chondrosarcoma? Full Text available with Trip Pro

complex patterns in data and to improve its models over time.The purposes of this study were (1) to develop machine-learning algorithms for the prediction of 5-year survival in patients with chondrosarcoma; and (2) to deploy the best algorithm as an accessible web-based app for clinical use.All patients with a microscopically confirmed diagnosis of conventional or dedifferentiated chondrosarcoma were extracted from the Surveillance, Epidemiology, and End Results (SEER) Registry from 2000 to 2010. SEER (...) indicates perfect prediction, whereas a Brier score of 1 indicates the poorest prediction. The Brier scores of the models are compared with the null model, which is calculated by assigning each patient a probability equal to the prevalence of the outcome.Four models for 5-year survival were developed with c-statistics ranging from 0.846 to 0.868 and Brier scores ranging from 0.117 to 0.135 with a null model Brier score of 0.182. The Bayes point machine was incorporated into a freely available web-based

2018 Clinical Orthopaedics and Related Research

140. An mHealth Pain Coping Skills Training Intervention for Hematopoietic Stem Cell Transplantation Patients: Development and Pilot Randomized Controlled Trial Full Text available with Trip Pro

An mHealth Pain Coping Skills Training Intervention for Hematopoietic Stem Cell Transplantation Patients: Development and Pilot Randomized Controlled Trial Pain is a challenge for patients following hematopoietic stem cell transplantation (HCT).This study aimed to develop and test the feasibility, acceptability, and initial efficacy of a Web-based mobile pain coping skills training (mPCST) protocol designed to address the needs of HCT patients.Participants had undergone HCT and reported pain (...) (self-report and 2-min walk test [2MWT]) were collected.Participants in the focus groups and user testing provided qualitative data that were used to iteratively refine the mPCST protocol. Focus group qualitative data included participants' experiences with pain following transplant, perspectives on ways to cope with pain, and suggestions for pain management for other HCT patients. User testing participants provided feedback on the HCT protocol and information on the use of videoconferencing

2018 JMIR mHealth and uHealth Controlled trial quality: uncertain

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