Browsing by Subject "Patient Education"
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Item The Impact of Tele-Health Education in Decreasing the Knowledge Deficit Regarding Coronary Artery Disease in a Rural Area(2014-04-14) Crecelius, Teela D.Background: The objective of this study was to evaluate if using an educational tele-health intervention will reduce the knowledge deficit by a significant amount. Methods: Using a pre-test post-test design, the study examined the effect of a brief multimedia health education curriculum on knowledge related to coronary artery disease. Specifically, each participant experienced an educational intervention consisting of a 5-minute tele-health video as well as a pamphlet explaining the pathophysiology, risk factors, and prevention of coronary artery disease. To assess change, the project included a pre- and post-survey that assessed participant knowledge related to coronary artery disease. Results: Upon determining that the data followed a normal distribution, a paired-sample t-test was performed to compare mean scores from pre- to post-test. Post-test scores (M = 6.38, SD = 1.04) were significantly greater than pre-test scores (M = 5.54, SD = 1.20), t(12) = -2.51, p = 0.03, d = 0.75.Cohen’s d indicates that participants improved their knowledge by three-fourths of a standard deviation, which, according to Cohen (1988), is classified as a medium-sized effect. Conclusion: Tele-health does significantly improve knowledge base when comparing pre-test and post-test scores. Using tele-health could potentially be a useful avenue to provide medical education to rural populations in the United States.Item Indiana State Board of Health Monthly Bulletin, 1906 Vol. 8 No. 7(1906) Hurty, John Newell, 1852-1925Item Indiana State Board of Health Monthly Bulletin, 1906 Vol. 8 No. 9(1906) Keene, T. VictorItem Item Nutrition education for women through the reproductive years(1982) Kelderhouse, Ann M.Item Reducing Hospital Readmission from Skilled Nursing Facilities to Reduce Healthcare Costs and Improve Quality of Care(2021-04-29) Ekstrom, Morgan; DeRolf, Annie; Department of Occupational Therapy, School of Health and Human Sciences; Cochran, RebeccaPatients discharged to skilled nursing facilities after hospital stays experience high readmission rates due to insurance mandating length of stay. This study used mixed methods to determine patient characteristics that contribute to readmissions and develop recommendations to reduce readmissions. The medical records of 241 patients discharged from a skilled nursing facility (SNF) were reviewed to identify common characteristics of individuals who readmitted in 30 or 60 days. Data was analyzed using an independent samples t-test and binary logistic regression analysis. There was a significant difference in average SNF length of stay, number of comorbidities, and self-care and mobility scores of patients readmitted in 30 days and those who did not. There was a significant difference in SNF length of stay, more comorbidities, self-care and mobility scores, and number of risk factors of patients readmitted in 60 days and those who did not. Binary logistic regression showed short SNF length of stay, congestive heart failure, and more comorbidities predicted a readmission in 30 days. Similarly, diabetes, more comorbidities, and not receiving home health predicted readmissions in 60 days. Qualitative data was collected from patient interviews to gain perspectives on the quality of care at the SNF and therapist surveys to determine their understanding of readmissions and their proposed solutions for readmissions. Recommendations included improving communication between staff and patients, increasing patient education, and providing therapy discharge instruction to ensure successful discharge. The results propose possible reasons for readmissions and ways to reduce them to improve patient outcomes and decrease healthcare spending.