Browsing by Subject "patient education"

Now showing 1 - 8 of 8
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    Development and Usability Testing of a Computer-Tailored Decision Support Tool for Lung Cancer Screening: Study Protocol
    (JMIR, 2017) Carter-Harris, Lisa; Comer, Robert Skipworth; Goyal, Anurag; Vode, Emilee Christine; Hanna, Nasser; Ceppa, DuyKhanh; Rawl, Susan M.; School of Nursing
    Background: Awareness of lung cancer screening remains low in the screening-eligible population, and when patients visit their clinician never having heard of lung cancer screening, engaging in shared decision making to arrive at an informed decision can be a challenge. Therefore, methods to effectively support both patients and clinicians to engage in these important discussions are essential. To facilitate shared decision making about lung cancer screening, effective methods to prepare patients to have these important discussions with their clinician are needed. Objective: Our objective is to develop a computer-tailored decision support tool that meets the certification criteria of the International Patient Decision Aid Standards instrument version 4.0 that will support shared decision making in lung cancer screening decisions. Methods: Using a 3-phase process, we will develop and test a prototype of a computer-tailored decision support tool in a sample of lung cancer screening-eligible individuals. In phase I, we assembled a community advisory board comprising 10 screening-eligible individuals to develop the prototype. In phase II, we recruited a sample of 13 screening-eligible individuals to test the prototype for usability, acceptability, and satisfaction. In phase III, we are conducting a pilot randomized controlled trial (RCT) with 60 screening-eligible participants who have never been screened for lung cancer. Outcomes tested include lung cancer and screening knowledge, lung cancer screening health beliefs (perceived risk, perceived benefits, perceived barriers, and self-efficacy), perception of being prepared to engage in a patient-clinician discussion about lung cancer screening, occurrence of a patient-clinician discussion about lung cancer screening, and stage of adoption for lung cancer screening. Results: Phases I and II are complete. Phase III is underway. As of July 15, 2017, 60 participants have been enrolled into the study, and have completed the baseline survey, intervention, and first follow-up survey. We expect to have results by December 31, 2017 and to have data analysis completed by March 1, 2018. Conclusions: Results from usability testing indicate that the computer-tailored decision support tool is easy to use, is helpful, and provides a satisfactory experience for the user. At the conclusion of phase III (pilot RCT), we will have preliminary effect sizes to inform a future fully powered RCT on changes in (1) knowledge about lung cancer and screening, (2) perceived risk of lung cancer, (3) perceived benefits of lung cancer screening, (4) perceived barriers to lung cancer screening, (5) self-efficacy for lung cancer screening, and (6) perceptions of being adequately prepared to engage in a discussion with their clinician about lung cancer screening.
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    Effectiveness of Video-Based Home Exercise Programs in Hand Therapy
    (2025) Shin, Christina; Kurrus, Melinda; Department of Occupational Therapy, School of Health and Human Sciences; Hartman, Shannon
    Traditionally, paper handouts have been the primary method for delivering home exercise programs (HEPs) in outpatient orthopedic settings. Patient adherence to HEPs is crucial for preventing hand deformities, improving hand function, and facilitating recovery. However, contextual barriers – such as language barriers, low health literacy, and psychosocial challenges – often hinder patients’ ability to understand and follow prescribed exercises, negatively impacting their functional recovery. Oftentimes, printed materials fail to recognize and address the diverse learning needs and education levels of patients, further limiting patient adherence. The goal of this capstone project was to develop video-based exercises for hand and upper extremity rehabilitation and to ensure their accessibility and sustainability within the outpatient occupational therapy team. Through improved educational resources, the capstone student and site aimed to accommodate diverse patient needs, thereby enhancing patient adherence and clinical outcomes. Following the implementation of the capstone project materials, therapists perceived the video-based exercises as an effective tool for demonstrating correct exercise execution, increasing patient confidence, supporting patient adherence, and assisting patients with language barriers. The results of this study suggested that video-based exercises can serve as a valuable and sustainable alternative to traditional paper handouts.
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    Inclusive Health Programming for Individuals with Intellectual Disabilities
    (2022-05) Nickerson, Sarah; Chase, Anthony; Department of Occupational Therapy, School of Health and Human Sciences; Devine, Samantha
    People with intellectual disabilities face many health disparities including limited access, knowledge, communication, and quality healthcare services. The capstone experience aimed to decrease some of the gaps that the intellectual disabilities community faces. The project applied the focuses of education and advocacy to increase awareness in society of inclusive healthcare. Through the various projects completed in the capstone experience, the target populations received educational resources and materials to increase participation. The capstone was designed to assist in people with intellectual disabilities to achieve their full health potential by providing access to quality health providers, educational opportunities, and resource and feedback sharing. Through qualitative feedback and discussions, the capstone experience engaged members of the intellectual disability (ID) community to increase knowledge and independence of their own health. The capstone student gained competence in working with the ID population as well as the significance of inclusive healthcare in future career decisions and client interactions. The overall capstone experience resulted in an increase in inclusive healthcare through the organization and for a future statewide level in the community.
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    Patient and Clinician Education in Upper Extremity Rehabilitation
    (2024) Sweeney, Kressa; Albright, Megan; Department of Occupational Therapy, School of Health and Human Sciences; Higgs, Jill
    A person’s upper extremity, especially the hand, serves as the primary tool of function in daily life. Therefore, upper extremity injuries and conditions can have an extreme impact on life roles and daily tasks. Routines and practices that were once second nature become challenging, discouraging, and sometimes unattainable. Through occupational therapy, healing is facilitated, limitations are addressed, and function is restored. To achieve this outcome, however, both the patient and the therapist must have adequate knowledge and understanding of the upper extremity injury. The patient must be educated on their condition to be able to actively participate in their recovery, and the clinician must be educated on how to best treat the injury. Therefore, the aim of this doctoral capstone project is to improve both patient and clinician education within upper extremity rehabilitation. To improve patient education practices in occupational therapy, research was conducted to identify trends, gaps, and needs in upper extremity rehabilitation patient education. To improve clinician education in upper extremity rehabilitation, an orthosis guidebook was created to aid clinicians and students with selecting, fabricating, and modifying orthoses. By combining these two goals, the doctoral capstone project aimed to improve best practice and education within upper extremity rehabilitation.
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    Primary Care Patients Who Complete Colonoscopy after Referral and Those Who Do Not: Are they Different?
    (Office of the Vice Chancellor for Research, 2014-04-11) Olofinkua, Oluwakemi Blessing; Rawl, Susan M.; Habermann, Barbara; Christy, Shannon M.; Perkins, Susan; Tong, Yan; Gebregziabher, Netsanet; Mabis, Michelle; Krier, Connie; Mirchandani, Amit; Fatima, Hala
    Up to 50% of people in one safety net hospital in the Midwest who received a recommendation for colonoscopy from their healthcare provider failed to complete the test. Research is needed to understand the complex interplay between individual, social, and health care systems and their influence on colonoscopy completion. The purpose of this study was to compare people who completed colonoscopy after receiving a referral with those who did not on demographic and clinical characteristics, CRC knowledge, and health beliefs (perceived risk, perceived benefits, perceived barriers). Quantitative data were collected via telephone interviews from 90 patients; 46 who completed colonoscopy and 44 non-completers. In-depth interviews were conducted with 42 participants to examine perceptions of barriers and facilitators to test completion. Data were analyzed using two-sample t-tests, chi-square tests, Fisher’s exact tests and content analysis. People who completed colonoscopy had a higher mean CRC knowledge score (p=.0008), and a smaller proportion had hypertension (p=.03). No group differences in perceived risk (p=0.81), perceived benefits (p=0.66), and perceived barriers scores (p=0.24) were observed. Non-completers frequently reported that life events interfered with their ability to keep their appointments. While receipt of a provider recommendation is the most important predictor of CRC screening, results showed that receipt of a recommendation with immediate referral to an endoscopist and automatic colonoscopy appointment-making were not sufficient to insure test completion. Education and tailored counseling about the need for and benefits of colonoscopy, along with reminders and tangible assistance to complete the test in the context of competing demands, may be required to increase completion rates.
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    A review of immediacy and implications for provider–patient relationships to support medication management
    (Dove, 2016-01-07) Bartlett Ellis, Rebecca J.; Carmon, Anna F.; Pike, Caitlin; IU School of Nursing
    Objectives This review is intended to 1) describe the construct of immediacy by analyzing how immediacy is used in social relational research and 2) discuss how immediacy behaviors can be incorporated into patient–provider interventions aimed at supporting patients’ medication management. Methods A literature search was conducted using Cumulative Index to Nursing and Allied Health Literature (CINAHL), Google Scholar, OVID, PubMed, and Education Resource Information Center (ERIC) EBSCO with the keyword “immediacy”. The literature was reviewed and used to describe historical conceptualizations, identify attributes, examine boundaries, and identify antecedents and consequences of immediacy. Results In total, 149 articles were reviewed, and six attributes of immediacy were identified. Immediacy is 1) reciprocal in nature and 2) reflected in the communicator’s attitude toward the receiver and the message, 3) conveys approachability, 4) respectfulness, 5) and connectedness between communicators, and 6) promotes receiver engagement. Immediacy is associated with affective learning, cognitive learning, greater recall, enhanced relationships, satisfaction, motivation, sharing, and perceptions of mutual value in social relationships. Conclusion Immediacy should be further investigated as an intervention component of patient–provider relationships and shared decision making in medication management. Practice implications In behavioral interventions involving relational interactions between interveners and participants, such as in medication management, the effects of communication behaviors and immediacy during intervention delivery should be investigated as an intervention component.
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    Supporting Healthy Lifestyles of Liver Transplant Candidates and Recipients
    (Office of the Vice Chancellor for Research, 2014-04-11) Halle, Jessie; LeMond, Katelyn; Robinson, Irene; Sloss, Rebecca
    Background: Currently, liver transplant (LTx) recipients do not receive occupational therapy services post discharge. Literature addresses post-LTx issues, many within the scope of occupational therapy practice including physical quality of life (sleep, pain, mobility, sexual functioning, nutrition, physical fatigue and physical activity), physiological quality of life (anxiety and depression, self-image, coping style, fear of graft rejection, noncompliance, and physiological fatigue), and role return. Therefore, implementing an occupational therapy intervention addressing common post-LTx issues could facilitate return to valued roles and occupations. Purpose: The purpose of this study is to examine the feasibility of an educational and supportive intervention to assist LTx recipients in return to valued roles and daily activities. Method: Evaluation of a program based on translation of data from a longitudinal recovery study. The basis of evaluation was a patient satisfaction survey from session content and environment. The goal was to assess feasibility of our occupational therapist led post-LTx intervention program. Results: Based on survey results from the Spring-Fall 2013 education sessions, 100% of responses would recommend the sessions for others, and the average numerical response for “how helpful did you find the manual” was 3.44 (Likert scale 1-4 with 4 being very helpful). When asked what would you improve, responses ranged from "being more structured" to "increasing the number of participants”. Results following program modification showed 100% of participants would recommended the session for others, and 100% found the location and time of sessions convenient. The average response for “how helpful did you find the manual” was 3.38, with 54% of participants finding the manual very helpful. Implications for Practice: This research contributes evidence for the content of an educational intervention post -LTx. Our research identified benefits of the program and improvements to maximize participant satisfaction. This study highlights the need for occupational therapy interventions and patient education post-LTx.
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    Web-Based Educational Seminars Compare Favorably with In-House Seminars for Bariatric Surgery Patients
    (Springer, 2019-03) Monfared, Sara; Martin, Anna; Gupta, Kamna; Stefanidis, Dimitrios; Selzer, Don; Choi, Jennifer; Butler, Annabelle; Banerjee, Ambar; Surgery, School of Medicine
    Background Comprehensive preparative patient education is a key element in bariatric patient success. The primary objective of this study was to compare attrition rates, demographics, and surgery outcomes between patients who participated in the online vs in-house preparative seminars. Methods A retrospective chart review was performed involving patients who chose to participate in online vs in-house educational seminar between July of 2014 and December of 2016. The patients were divided into two groups based on their choice of educational seminar and tracked to see how many made it to an initial visit and to surgery. In those who had bariatric surgery, data was collected on age, type of insurance, length of stay (LOS), longest follow-up, and change in body mass index. Results Total of 1230 patients were included in this study. There was no difference in attrition rate to initial consultation visit (29.1% vs 29.9%), but there was a statistically higher attrition to surgery in the in-house seminar attendees (72.9%) compared to online participants (66.6%, p < 0.05). Between January 2015 and December 2016, 291 patients underwent primary bariatric surgery. The online group was on average 3 years younger which was statistically significant. There were no differences in LOS, longest follow-up, and weight loss at 12 months between the groups. Conclusion When comparing attrition rates and bariatric surgery outcomes, no overall difference was noted between patients who received web- or hospital-based preparative education. Bariatric programs should provide access to online seminars to attract younger population and save resources and cost.