1
|
Baldwin AJ. An artificial intelligence language model improves readability of burns first aid information. Burns 2024; 50:1122-1127. [PMID: 38492982 DOI: 10.1016/j.burns.2024.03.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Revised: 01/29/2024] [Accepted: 03/05/2024] [Indexed: 03/18/2024]
Abstract
AIMS This study aimed to assess the potential of using an artificial intelligence (AI) large language model to improve the readability of burns first aid information. METHODS An AI language model (ChatGPT-3) was used to rewrite content from the top 50 English-language webpages containing burns first aid information to be understandable by an individual with the literacy level of an 11-year-old, as recommended by the American Medical Association and Health Education England. The assessment of readability was conducted using five validated tools. RESULTS In their original form, only 4% of the patient education materials (PEMs) met the target readability level across all tools. The median grade was 6.9 (SD=1.1). One-sample one-tailed t-test revealed that this was not significantly below the target (p = .31). After AI-modification, 18% of PEMs reached the target level using all tools, with a median grade of 6 (SD=0.9), which was significantly below the target level (p < .001). Once rewritten using AI, paired t-test demonstrated that all readability scores improved significantly (p < .001). CONCLUSION Utilising an AI language model proved an effective and viable method for enhancing readability of burns first aid information.
Collapse
Affiliation(s)
- Alexander J Baldwin
- Department of Burns and Plastic Surgery, Buckinghamshire Healthcare NHS Trust, Buckinghamshire, UK.
| |
Collapse
|
2
|
Baldwin AJ. Readability, accountability, and quality of burns first aid information available online. Burns 2023; 49:1823-1832. [PMID: 37821277 DOI: 10.1016/j.burns.2023.03.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Revised: 02/05/2023] [Accepted: 03/06/2023] [Indexed: 03/12/2023]
Abstract
AIM To assess the readability, accountability, and quality of burns first aid information available online. METHODS The top 50 English language webpages containing burns first aid information were compiled and categorised. Readability was measured using five validated tools. Accountability was assessed using the Journal of the American Medical Association (JAMA) benchmarks. Quality was evaluated using a scale based on previous literature. RESULTS Two (4%) webpages were judged to be at the target reading level using all tools. Median grade ranged from 4.6 to 9.6 (M = 6.9, SD = 1.1). One-sample one-tailed t-test determined that median grade was not significantly below the target grade of ≤ 6.9 (p = 0.314). Only seven (14%) webpages satisfied all the JAMA accountability benchmarks. No webpages fulfilled all 15 quality criteria. Mean quality score was 9.8 (SD = 2.4). Only 27 (54%) advised 20 min of cooling. One-way analysis of variance demonstrated that accountability was influenced by source (p = 0.01). Pearson's correlation coefficient revealed that accountability and quality had a positive correlation (r = 0.32, p = 0.02). CONCLUSION Much of the burns first aid information available online is written above the recommended reading level and fails to meet standards of accountability or quality.
Collapse
Affiliation(s)
- Alexander J Baldwin
- Department of Burns and Plastic Surgery, Buckinghamshire Healthcare NHS Trust, Buckinghamshire, UK.
| |
Collapse
|
3
|
Vasudevan A, Bailey HM, Sager A, Kazis LE. Impact of the Early COVID-19 Pandemic on Burn Care: A Multi-National Study. J Burn Care Res 2022; 44:580-589. [PMID: 35661890 PMCID: PMC9214119 DOI: 10.1093/jbcr/irac076] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Indexed: 11/30/2022]
Abstract
This qualitative study documents and analyzes COVID-19’s impacts on burn care in twelve nations. Burn care saw valuable improvements in surgical techniques, skin grafting, and other acute treatments during the decades before the COVID-19 pandemic which increased severely burned patients’ survival rates and quality of life. Detailed interviews, conducted in the 12 nations reveal that the COVID-19 pandemic greatly affected the delivery of acute and rehabilitation services for burn patients. Resources have been suctioned away from non-COVID healthcare and burn care has not been spared. Acute, post-acute rehabilitation, and mental health services have all suffered. Weak preparation has deeply burdened health care services in most nations, resulting in lower access to care. Access problems have accelerated innovations like telehealth in many nations. The spread of misinformation through social and traditional media has contributed to the varied responses to COVID-19. This compounded problems in health care delivery. Burn care providers delivered services for survivors during extremely difficult circumstances by continuing to furnish acute and long-term services for patients with complex disease. Emphasis on future pandemic preparedness will be vital because they undermine all aspects of burn care and patient outcomes. As the COVID-19 pandemic continues to unfold around the world, it will be important to continue to monitor and analyze the adaptability of nations, health care systems, and burn care providers.
Collapse
Affiliation(s)
| | - Hannah M Bailey
- Department of Health Law, Policy & Management, Boston University School of Public Health
| | - Alan Sager
- Department of Health Law, Policy & Management, Boston University School of Public Health
| | - Lewis E Kazis
- Department of Health Law, Policy & Management, Boston University School of Public Health.,Department of Physical Medicine and Rehabilitation, Harvard Medical School
| |
Collapse
|
4
|
Gurbuz K, Demir M, Das K. A survey of YouTube videos as a source of useful/un-useful information in the field of the prevention and management of burn injuries: A cross-sectional analysis of the English language content. J Burn Care Res 2021; 43:971-976. [PMID: 34877599 DOI: 10.1093/jbcr/irab231] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
The study was designed on whether YouTube videos are useful as an information resource in the field of burn injury prevention and management. Current literature on the educational content and quality of burn-related first aid videos on YouTube was reported as inadequate and inaccurate. However, the quality of YouTube videos on various medical and clinical topics has been the subject of many previous studies, and there has been increasing evidence that the content ratio of usefulness was higher than that of non-useful. While hours and even minutes in burn injuries are as precious as gold in terms of outcomes, it would be a significant loss not to use the most popular and easily accessible free social media platform of our time as a tool that can contribute to the prevention of burns and raise awareness. Analysis was conducted with the remaining 96 videos from 240 videos obtained from YouTube, according to possible search terms and exclusion of videos according to predetermined criteria. The Global Quality Score (GQS) and modified DISCERN (m.DISCERN) tools were used to assess the quality and reliability of the videos. Viewer engagement metrics and video properties were also investigated according to the usefulness criteria (e.g., video length, duration on YouTube, topic contents, source uploads, reliability, and quality). Finally, it was revealed that nearly 80 percent of the YouTube videos contained information in the field of the prevention and management of burn injuries deemed useful in this study, comparable to the other medical disciplines' reports in the literature.
Collapse
Affiliation(s)
- Kayhan Gurbuz
- University of Health Sciences, Adana City Training and Research Hospital, Department of General Surgery, Burn Center, Adana, Turkey
| | - Mete Demir
- University of Health Sciences, Adana City Training and Research Hospital, Department of General Surgery, Burn Center, Adana, Turkey
| | - Koray Das
- University of Health Sciences, Adana City Training and Research Hospital, Department of General Surgery, Burn Center, Adana, Turkey
| |
Collapse
|
5
|
Cowley LE, Bennett CV, Brown I, Emond A, Kemp AM. Mixed-methods process evaluation of SafeTea: a multimedia campaign to prevent hot drink scalds in young children and promote burn first aid. Inj Prev 2020; 27:419-427. [PMID: 33093127 PMCID: PMC8461408 DOI: 10.1136/injuryprev-2020-043909] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2020] [Revised: 08/27/2020] [Accepted: 08/30/2020] [Indexed: 11/07/2022]
Abstract
Objectives SafeTea is a multifaceted intervention delivered by community practitioners to prevent hot drink scalds to young children and improve parents’ knowledge of appropriate burn first aid. We adapted SafeTea for a national multimedia campaign, and present a mixed-methods process evaluation of the campaign. Methods We used social media, a website hosting downloadable materials and media publicity to disseminate key messages to parents/caregivers of young children and professionals working with these families across the UK. The SafeTea campaign was launched on National Burns Awareness Day (NBAD), October 2019, and ran for 3 months. Process evaluation measurements included social media metrics, Google Analytics, and quantitative and qualitative results from a survey of professionals who requested hard copies of the materials via the website. Results Findings were summarised under four themes: ‘reach’, ‘engagement’, ‘acceptability’ and ‘impact/behavioural change’. The launch on NBAD generated widespread publicity. The campaign reached a greater number of the target audience than anticipated, with over 400 000 views of the SafeTea educational videos. Parents and professionals engaged with SafeTea and expressed positive opinions of the campaign and materials. SafeTea encouraged parents to consider how to change their behaviours to minimise the risks associated with hot drinks. Reach and engagement steadily declined after the first month due to reduced publicity and social media promotion. Conclusion The SafeTea campaign was successful in terms of reach and engagement. The launch on NBAD was essential for generating media interest. Future campaigns could be shorter, with more funding for additional social media content and promotion.
Collapse
Affiliation(s)
| | - C Verity Bennett
- Division of Population Medicine, Cardiff University, Cardiff, UK
| | | | - Alan Emond
- Centre for Academic Child Health, University of Bristol, Bristol, UK
| | - Alison Mary Kemp
- Division of Population Medicine, Cardiff University, Cardiff, UK
| |
Collapse
|
6
|
Tapking C, Popp D, Hundeshagen G, Houschyar KS, Haug V, Boson AL, Benedikt S, Branski LK. Evaluation of the Online-Presence of ABA-Verified Burn Centers. J Burn Care Res 2020; 41:1063-1068. [PMID: 32639010 DOI: 10.1093/jbcr/irz204] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
Currently, patients seek healthcare information online. An up-to-date online presence is vital for success among the competition amid hospitals. Hospital websites have become an important medium to communicate with patients, provide information about certain diseases/conditions, and advertise healthcare services. This study aims to evaluate burn centers websites verified by the American Burn Association (ABA). The online presence of the 73 ABA-verified burn centers was evaluated according to criteria previously published by Benedikt et al. This included general information on burns, first aid, treatment at the burn unit, research, and education. ABA-verified burn centers were then compared with 48 German-speaking burn centers evaluated by Benedikt et al. Online information about patient care including treatment options and techniques was more often present in ABA-verified burn centers. However, this information was still provided in only half of the websites. Furthermore, ABA-verified burn centers more often used multimedia-based elements and social media platforms. On the other hand, German-speaking burn centers more often provided translations, general information (eg, staff and ward) about the burn center, as well as research and education. This study demonstrates that although many burn centers have well-designed websites, relevant burn-related information on patient care, research, and education is often missing or sparse. Today, most patients look for healthcare information online. Also, applicants for residency or fellowship programs tend to get a first picture of their potential employer on websites or social media. Keeping websites and social media up-to-date and informative can improve recruitment of patients and employees.
Collapse
Affiliation(s)
- Christian Tapking
- Department of Surgery, University of Texas Medical Branch and Shriners Hospitals for Children-Galveston.,Department of Hand, Plastic, and Reconstructive Surgery, Microsurgery, Burn Center, BG Trauma Center Ludwigshafen, University of Heidelberg, Germany
| | - Daniel Popp
- Department of Surgery, University of Texas Medical Branch and Shriners Hospitals for Children-Galveston.,Division of Plastic, Aesthetic, and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Austria
| | - Gabriel Hundeshagen
- Department of Hand, Plastic, and Reconstructive Surgery, Microsurgery, Burn Center, BG Trauma Center Ludwigshafen, University of Heidelberg, Germany
| | | | - Valentin Haug
- Department of Hand, Plastic, and Reconstructive Surgery, Microsurgery, Burn Center, BG Trauma Center Ludwigshafen, University of Heidelberg, Germany.,Division of Plastic Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts
| | - Alexis L Boson
- Department of Surgery, University of Texas Medical Branch and Shriners Hospitals for Children-Galveston.,School of Medicine, University of Texas Medical Branch, Galveston
| | - Stefan Benedikt
- Division of Plastic, Aesthetic, and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Austria.,Department of Trauma Surgery, University Hospital Innsbruck, Austria
| | - Ludwik Krzysztof Branski
- Department of Surgery, University of Texas Medical Branch and Shriners Hospitals for Children-Galveston.,Division of Plastic, Aesthetic, and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Austria
| |
Collapse
|
7
|
Schiefer JL, Schuller H, Fuchs PC, Grigutsch D, Klein M, Ribitsch B, Schulz A. Burn first aid knowledge in Germany and the influences of social-economic factors. Burns 2020; 46:1458-1465. [DOI: 10.1016/j.burns.2020.03.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2019] [Revised: 03/08/2020] [Accepted: 03/20/2020] [Indexed: 11/26/2022]
|
8
|
Kilshaw AD, Jivan S. Smartphone apps on burns first aid: A review of the advice. Burns 2020; 47:171-174. [PMID: 33279340 DOI: 10.1016/j.burns.2020.04.022] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2019] [Revised: 03/16/2020] [Accepted: 04/11/2020] [Indexed: 11/18/2022]
Abstract
AIMS Many websites giving first aid advice are disappointingly inaccurate and at times dangerous in regard to burn injuries. With more patients relying on their smart phones to obtain online information the aim of this study was to compare first aid applications (apps) burn advice against those guidelines set by the British Burns Association (BBA). METHOD A content analysis of all freely available English written first aid apps from Google Play and the Apple Store was performed. The information was compared against BBA guidance which was split into 12 domains and scored appropriately. RESULTS 61 of the 103 first aid apps included in the study, had information on the treatment of burn injuries. The mean score for all apps was 3.3 out of 12. 85% of apps postulated the need to cool the burn. However, only 11% of apps stipulated the need for 20min of cooling, while 3% suggested the burn can be cooled up to 3h post injury. Disappointingly even apps produced by reputable first aid charities scored poorly. CONCLUSION Burns first aid is documented as being poorly given in the community. With easy access to the internet and specifically smart device apps, more needs to be done to improve burn first aid information online.
Collapse
Affiliation(s)
- Andrew David Kilshaw
- Department of Burns, Plastic and Reconstructive Surgery, Pinderfields General Hospital, Aberford Road, Wakefield WF14DG, UK.
| | - Sharmila Jivan
- Department of Burns, Plastic and Reconstructive Surgery, Pinderfields General Hospital, Aberford Road, Wakefield WF14DG, UK
| |
Collapse
|
9
|
Guptarak M, Conway J, Stone TE, Fongkaew W, Settheekul S, Baxter E. Health Beliefs of Nurses in Northern Thailand: A Q-Methodology Study. J Transcult Nurs 2019; 31:350-359. [PMID: 31382839 DOI: 10.1177/1043659619865589] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
Introduction: Northern Thailand has a distinct culture and set of health beliefs. Nurses' beliefs influence approaches to care affecting health care outcomes. This study explored the content, origin, and sociocultural influences on health beliefs of Northern Thai nurses and how they influence clinical practice and education. Method: Q-methodology was used in this study. Data were collected with interviews using Q-cards, Q-sort distribution board, and a semistructured interview guide. Results: Data were collected from 30 clinical nurses and 30 nurses working in academia. Q-factor analysis produced three factors accounting for 48% of variance: personal experience, Thai and Buddhist beliefs, and contemporary beliefs. Discussion: Participants who felt strongly rooted in their culture and beliefs were homogeneous in recognizing the need for evidence-based practice. Nurses aware of the nature and sources of their beliefs and those of patients are well-placed to balance maintenance of cultural traditions with the need to provide evidence-based practice.
Collapse
Affiliation(s)
- Marisa Guptarak
- Chiang Mai University Faculty of Nursing, Chiang Mai, Thailand
| | - Jane Conway
- University of New England, Armidale, New South Wales, Australia
| | | | | | | | - Emily Baxter
- University of New England, Armidale, New South Wales, Australia
| |
Collapse
|
10
|
Corcoran TB, Ward M, Jarosz K, Schug SA. The Evaluation of Anaesthesia-related Information on the Internet. Anaesth Intensive Care 2019; 37:79-84. [DOI: 10.1177/0310057x0903700103] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- T. B. Corcoran
- Department of Anaesthesia and Pain Medicine, Royal Perth Hospital Perth, Western Australia, Australia
- Director of Research
| | - M. Ward
- Department of Anaesthesia and Pain Medicine, Royal Perth Hospital Perth, Western Australia, Australia
- Clinical Tutor
| | - K. Jarosz
- Department of Anaesthesia and Pain Medicine, Royal Perth Hospital Perth, Western Australia, Australia
- University of Wesern Australia and University of Western Australia and Department of Anaesthesia and Pain Medicine
| | - S. A. Schug
- Department of Anaesthesia and Pain Medicine, Royal Perth Hospital Perth, Western Australia, Australia
- Anaesthesia and Pain Medicine, The University of Western Australia and Department of Anaesthesia and Pain Medicine
| |
Collapse
|
11
|
Kilshaw AD, Chang C, Jivan S. "Consistency an issue?" - A review of UK burns service online information on burns first aid. Burns 2018; 45:258-260. [PMID: 30377004 DOI: 10.1016/j.burns.2018.10.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2018] [Accepted: 10/10/2018] [Indexed: 10/28/2022]
Affiliation(s)
- Andrew David Kilshaw
- Department of Burns, Plastic and Reconstructive Surgery, Pinderfields General Hospital, Aberford Road, Wakefield, WF14DG, UK.
| | - Chad Chang
- Department of Burns, Plastic and Reconstructive Surgery, Pinderfields General Hospital, Aberford Road, Wakefield, WF14DG, UK.
| | - Sharmila Jivan
- Department of Burns, Plastic and Reconstructive Surgery, Pinderfields General Hospital, Aberford Road, Wakefield, WF14DG, UK.
| |
Collapse
|
12
|
Re-evaluation of websites from burn centers in Austria, Germany and Switzerland. Burns 2018; 45:220-227. [PMID: 30236817 DOI: 10.1016/j.burns.2018.08.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2018] [Revised: 06/24/2018] [Accepted: 08/07/2018] [Indexed: 11/21/2022]
Abstract
INTRODUCTION Websites serve as information and communication platforms; hence, they are important tools for the self-promotion of hospitals. In 2010, Selig et al. evaluated the online presence of burn centers in Germany, Austria, and Switzerland based on 37 quality criteria. This study aimed to re-evaluate these websites to assess their development over the past 6.5 years. MATERIALS AND METHODS Websites of the German-speaking burn centers were re-evaluated according to criteria previously described by Selig et al. Particular attention was paid to specific information on burns. Additionally, the implementation of social media platforms was investigated. RESULTS There was an overall increase in the quality of information published on websites. There was a considerable improvement recorded, especially in the categories of "teaching" and "patient care." However, burn-specific information was found to be still sparse. Over 50% of the hospitals were present on social media. CONCLUSIONS Although the quality of information published on German-speaking burn center websites increased, they must be further developed, especially regarding burn-related information. Moreover, a clear structure and design could prevent long searches and facilitate an easier flow of information. The interface from websites and social media platforms appear to be an important tool for up-to-date self-promotion.
Collapse
|
13
|
Burgess JD, Watt KA, Kimble RM, Cameron CM. Knowledge of childhood burn risks and burn first aid: Cool Runnings. Inj Prev 2018; 25:301-306. [PMID: 29386371 DOI: 10.1136/injuryprev-2017-042650] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2017] [Revised: 12/25/2017] [Accepted: 12/27/2017] [Indexed: 11/03/2022]
Abstract
AIM The high incidence of hot beverage scalds among young children has not changed in the past 15 years, but preventive campaigns have been scarce. A novel approach was used to engage mothers of young children in an app-based hot beverage scald prevention campaign 'Cool Runnings'. This paper provides baseline data for this randomised controlled trial (RCT). METHOD Queensland-based mothers aged 18+ years with at least one child aged 5-12 months were recruited via social media to Cool Runnings, which is a two-group, parallel, single-blinded RCT. RESULTS In total, 498 participants from across Queensland completed the baseline questionnaire. The most common source of burn first aid information was the internet (79%). One-third (33%) correctly identified hot beverage scalds as the leading cause of childhood burns, 43% knew the age group most at risk. While 94% reported they would cool a burn with water, only 10% reported the recommended 20min duration. After adjusting for all relevant variables, there were two independent predictors of adequate burn first aid knowledge: first aid training in the past year (OR=3.32; 95% CI 1.8 to 6.1) and smoking status (OR=0.17; 95% CI 0.04 to 0.7). CONCLUSION In this study, mothers of young children were largely unaware how frequently hot beverage scalds occur and the age group most susceptible to them. Inadequate burn first aid knowledge is prevalent across mothers of young children; there is an urgent and compelling need to improve burn first aid knowledge in this group. Given the high incidence of hot beverages scalds in children aged 6-24 months, it is important to target future burn prevention/first aid campaigns at parents of young children. TRIAL REGISTRATION NUMBER ACTRN12616000019404; Pre-results.
Collapse
Affiliation(s)
- Jacqueline D Burgess
- Centre for Children's Burns and Trauma Research, University of Queensland, Children's Health Research Centre, Brisbane, Australia.,Wound Management Innovation Cooperative Research Centre, Brisbane, Australia.,Pegg Leditschke Children's Burns Centre, Lady Cilento Childen's Hospital, Brisbane, Australia
| | - Kerrianne A Watt
- College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Australia
| | - Roy M Kimble
- Centre for Children's Burns and Trauma Research, University of Queensland, Children's Health Research Centre, Brisbane, Australia.,Pegg Leditschke Children's Burns Centre, Lady Cilento Childen's Hospital, Brisbane, Australia.,Department of Paediatric Surgery, Urology Burns and Trauma Unit, Lady Cilento Children's Hospital, Brisbane, Australia
| | - Cate M Cameron
- The Jamieson Trauma Institute, Metro North Hospital and Health Service District, Herston, Australia.,The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Meadowbrook, Australia
| |
Collapse
|
14
|
Burgess J, Kimble R, Watt K, Cameron C. Hot tea and tiny tots don’t mix: A cross-sectional survey on hot beverage scalds. Burns 2017; 43:1809-1816. [DOI: 10.1016/j.burns.2017.05.008] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2017] [Revised: 05/05/2017] [Accepted: 05/08/2017] [Indexed: 10/19/2022]
|
15
|
Nurmatov UB, Mullen S, Quinn-Scoggins H, Mann M, Kemp A. The effectiveness and cost-effectiveness of first aid interventions for burns given to caregivers of children: A systematic review. Burns 2017; 44:512-523. [PMID: 28784346 DOI: 10.1016/j.burns.2017.05.022] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2017] [Revised: 05/09/2017] [Accepted: 05/25/2017] [Indexed: 11/28/2022]
Abstract
OBJECTIVES the effectiveness and cost-effectiveness of burns first-aid educational interventions given to caregivers of children. METHODS Systematic review of eligible studies from seven databases, international journals, trials repositories and contacted international experts. RESULTS Of 985 potential studies, four met the inclusion criteria. All had high risk of bias and weak global rating. Two studies identified a statistically significant increase in knowledge after of a media campaign. King et al. (41.7% vs 63.2%, p<0.0001), Skinner et al. (59% vs 40%, p=0.004). Skinner et al. also identified fewer admissions (64.4% vs 35.8%, p<0.001) and surgical procedures (25.6% vs 11.4%, p<0.001). Kua et al. identified a significant improvement in caregiver's knowledge (22.9% vs 78.3%, 95% CI 49.2, 61.4) after face-to-face education intervention. Ozyazicioglu et al. evaluated the effect of a first-aid training program and showed a reduction in use of harmful traditional methods for burns in children (29% vs 16.1%, p<0.001). No data on cost-effectiveness was identified. CONCLUSION There is a paucity of high quality research in this field and considerable heterogeneity across the included studies. Delivery and content of interventions varied. However, studies showed a positive effect on knowledge. No study evaluated the direct effect of the intervention on first aid administration. High quality clinical trials are needed.
Collapse
Affiliation(s)
- Ulugbek B Nurmatov
- Division of Population Medicine, School of Medicine, Cardiff University, CF 14 4YS, Cardiff, Wales, UK.
| | - Stephen Mullen
- Paediatric Emergency Department, University Hospitals of Wales, CF 14 4XW, Cardiff, Wales, UK; The Scar Free Foundation Centre for Children's Burns Research, CF 14 4YS, Cardiff, Wales, UK.
| | - Harriet Quinn-Scoggins
- Division of Population Medicine, School of Medicine, Cardiff University, CF 14 4YS, Cardiff, Wales, UK; The Scar Free Foundation Centre for Children's Burns Research, CF 14 4YS, Cardiff, Wales, UK.
| | - Mala Mann
- Specialist Unit for Review Evidence, Cardiff University, CF 14 4YS, Cardiff, Wales, UK.
| | - Alison Kemp
- Division of Population Medicine, School of Medicine, Cardiff University, CF 14 4YS, Cardiff, Wales, UK; The Scar Free Foundation Centre for Children's Burns Research, CF 14 4YS, Cardiff, Wales, UK.
| |
Collapse
|
16
|
Nădăşan V. The Quality of Online Health-Related Information – an Emergent Consumer Health Issue. ACTA MEDICA MARISIENSIS 2016. [DOI: 10.1515/amma-2016-0048] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
The Internet has become one of the main means of communication used by people who search for health-related information. The quality of online health-related information affects the users’ knowledge, their attitude, and their risk or health behaviour in complex ways and influences a substantial number of users in their decisions regarding diagnostic and treatment procedures.
The aim of this review is to explore the benefits and risks associated with using the Internet as a source of health-related information; the relationship between the quality of the health-related information available on the Internet and the potential risks; the multiple conceptual components of the quality of health-related information; the evaluation criteria for quality health-related information; and the main approaches and initiatives that have been implemented worldwide to help improve users’ access to high-quality health-related information.
Collapse
|
17
|
Inaccurate, inadequate and inconsistent: A content analysis of burn first aid information online. Burns 2016; 42:1671-1677. [PMID: 27756588 DOI: 10.1016/j.burns.2016.09.017] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2016] [Revised: 09/14/2016] [Accepted: 09/15/2016] [Indexed: 11/21/2022]
Abstract
OBJECTIVE With the popularity of the Internet as a primary source of health-related information, the aim of this website content analysis was to assess the accuracy and quality of burn first aid information available on the Internet. METHODS Using the search term 'burn first aid' in four popular search engines, the first 10 websites from each search engine were recorded. From a total of 40 websites recorded, 14 websites were evaluated after removing duplicates. Websites were assessed on content accuracy by four independent reviewers with checks conducted on inter-rater reliability. Website quality was recorded based on Health on the Net Code of Conduct (HONcode) principles. RESULTS Country of origin for the 14 websites was the US (7), Australia (6), and New Zealand (1). The mean content accuracy score was 5.6 out of 10. The mean website quality score was 6.6 out of 12. Australasian websites scored lower for quality but higher for accuracy. The US websites scored higher for quality than accuracy. Website usability and accuracy in a crisis situation were also assessed. The median crisis usability score was 3 out of five, and the median crisis accuracy score was 3.5 out of five. CONCLUSIONS The inaccurate and inconsistent burn first aid treatments that appear online are reflected in the often-incorrect burn first aid treatments seen in patients attending emergency departments. Global consistency in burn first aid information is needed to avoid confusion by members of the public.
Collapse
|
18
|
Alomar M, Rouqi FA, Eldali A. Knowledge, attitude, and belief regarding burn first aid among caregivers attending pediatric emergency medicine departments. Burns 2016; 42:938-43. [DOI: 10.1016/j.burns.2016.03.019] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2015] [Revised: 02/26/2016] [Accepted: 03/24/2016] [Indexed: 10/21/2022]
|
19
|
Wood FM, Phillips M, Jovic T, Cassidy JT, Cameron P, Edgar DW. Water First Aid Is Beneficial In Humans Post-Burn: Evidence from a Bi-National Cohort Study. PLoS One 2016; 11:e0147259. [PMID: 26808839 PMCID: PMC4725848 DOI: 10.1371/journal.pone.0147259] [Citation(s) in RCA: 98] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2015] [Accepted: 01/02/2016] [Indexed: 11/21/2022] Open
Abstract
Introduction Reported first aid application, frequency and practices around the world vary greatly. Based primarily on animal and observational studies, first aid after a burn injury is considered to be integral in reducing scar and infection, and the need for surgery. The current recommendation for optimum first aid after burn is water cooling for 20 minutes within three hours. However, compliance with this guideline is reported as poor to moderate at best and evidence exists to suggest that overcooling can be detrimental. This prospective cohort study of a bi-national burn patient registry examined data collected between 2009 and 2012. The aim of the study was to quantify the magnitude of effects of water cooling first aid after burn on indicators of burn severity in a large human cohort. Method The data for the analysis was provided by the Burn Registry of Australia and New Zealand (BRANZ). The application of first aid cooling prior to admission to a dedicated burn service, was analysed for its influence on four outcomes related to injury severity. The patient related outcomes were whether graft surgery occurred, and death while the health system (cost) outcomes included total hospital length of stay and admission to ICU. Robust regression analysis using bootstrapped estimation adjusted using a propensity score was used to control for confounding and to estimate the strength of association with first aid. Dose-response relationships were examined to determine associations with duration of first aid. The influence of covariates on the impact of first aid was assessed. Results Cooling was provided before Burn Centre admission for 68% of patients, with at least twenty minutes duration for 46%. The results indicated a reduction in burn injury severity associated with first aid. Patients probability for graft surgery fell by 0.070 from 0.537 (13% reduction) (p = 0.014). The probability for ICU admission fell by 0.084 from 0.175 (48% reduction) (p<0.001) and hospital length of stay (LOS) fell by 2.27 days from 12.9 days (18% reduction) (p = 0.001). All outcomes except death showed a dose-response relationship with the duration of first aid. The size of burn and age interacted with many of the relationships between first aid and outcome and these are described and discussed. Discussion & Conclusion This study suggests that there are significant patient and health system benefits from cooling water first aid, particularly if applied for up to 20 minutes. The results of this study estimate the effect size of post-burn first aid and confirm that efforts to promote first aid knowledge are not only warranted, but provide potential cost savings.
Collapse
Affiliation(s)
- Fiona M. Wood
- Burn Service of Western Australia, State Adult Burn Unit, Fiona Stanley Hospital, Murdoch, Western Australia, Australia
- Burn Injury Research Unit, University of Western Australia, Crawley, Western Australia, Australia
- Fiona Wood Foundation, Murdoch, Western Australia, Australia
- * E-mail:
| | - Michael Phillips
- Perkins Institute of Medical Research, Royal Perth Hospital, Perth and University of Western Australia, Crawley, Western Australia, Australia
| | - Tom Jovic
- University of Edinburgh, Edinburgh, Scotland, United Kingdom
- Burn Service of Western Australia, Burn Unit, Royal Perth Hospital, Perth, Western Australia, Australia
| | - John T Cassidy
- Burn Service of Western Australia, Burn Unit, Royal Perth Hospital, Perth, Western Australia, Australia
- James Connolly Memorial Hospital, Blanchardstown, Dublin, Ireland
| | - Peter Cameron
- Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
| | - Dale W. Edgar
- Burn Service of Western Australia, State Adult Burn Unit, Fiona Stanley Hospital, Murdoch, Western Australia, Australia
- Fiona Wood Foundation, Murdoch, Western Australia, Australia
- Burn Injury Research Node, The University of Notre Dame Australia, Fremantle, Western Australia, Australia
| | | |
Collapse
|
20
|
Selig HF, Lumenta DB, König C, Andel H, Kamolz LP. Evaluation of the online-presence (homepage) of burn units/burn centers in Germany, Austria and Switzerland. Burns 2011; 38:444-9. [PMID: 22071361 DOI: 10.1016/j.burns.2011.09.018] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2011] [Revised: 08/28/2011] [Accepted: 09/20/2011] [Indexed: 11/17/2022]
Abstract
PURPOSE A successful online presence is an important key factor in the competition among hospitals today. However, little is known about the internet presence and the quality of websites of burn units on the World Wide Web. The aim was to assess the online presence of hospitals provided by specialized burn units in German speaking countries with a focus on the rate and the performance of actively run websites. METHODS A multicenter, observational, cross-sectional study was performed over a period of 1.5 month (October-December 2010). Forty-four burn units were assessed by using a previously generated criteria list. The list included 36 criteria with following topics: "research and teaching"; "patient care"; "clinical emphases", "general information"; "information brokerage". RESULTS Overall, the websites examined offered a good overview about their different online services with many multimedia-based elements included. All websites consisted of hyperlinks, general multimedia-based elements and information on means of communication with the hospital, respectively. In contrast, the quality of specific information for burn patients was relatively poor. With regard to the need of elderly people, the usability and the layout, the different websites offer a lot of options for future improvements. CONCLUSION Burn centers in Germany, Austria and Switzerland already consider the World Wide Web as an important tool for self-promotion and communication. The potential of burn center websites to function as a knowledge base for first aid as well as preventive measurements should be considered and realized in future web site designs.
Collapse
Affiliation(s)
- H F Selig
- Section of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, State Hospital Wiener Neustadt, Austria
| | | | | | | | | |
Collapse
|
21
|
Harvey LA, Barr ML, Poulos RG, Finch CF, Sherker S, Harvey JG. A population‐based survey of knowledge of first aid for burns in New South Wales. Med J Aust 2011; 195:465-8. [DOI: 10.5694/mja11.10836] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Lara A Harvey
- School of Public Health and Community Medicine, University of New South Wales, Sydney, NSW
| | - Margo L Barr
- Centre for Epidemiology and Research, NSW Department of Health, Sydney, NSW
| | - Roslyn G Poulos
- School of Public Health and Community Medicine, University of New South Wales, Sydney, NSW
| | | | | | - John G Harvey
- Burns Unit, The Children's Hospital at Westmead, Sydney, NSW
| |
Collapse
|
22
|
Corcoran TB, Haigh F, Seabrook A, Schug SA. A Survey of Patients' Use of the Internet for Chronic Pain-Related Information. PAIN MEDICINE 2010; 11:512-7. [DOI: 10.1111/j.1526-4637.2010.00817.x] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
23
|
Hanif F, Read JC, Goodacre JA, Chaudhry A, Gibbs P. The role of quality tools in assessing reliability of the internet for health information. Inform Health Soc Care 2010; 34:231-43. [PMID: 19919300 DOI: 10.3109/17538150903359030] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
The Internet has made it possible for patients and their families to access vast quantities of information that previously would have been difficult for anyone but a physician or librarian to obtain. Health information websites, however, are recognised to differ widely in quality and reliability of their content. This has led to the development of various codes of conduct or quality rating tools to assess the quality of health websites. However, the validity and reliability of these quality tools and their applicability to different health websites also varies. In principle, rating tools should be available to consumers, require a limited number of elements to be assessed, be assessable in all elements, be readable and be able to gauge the readability and consistency of information provided from a patient's view point. This article reviews the literature on the trends of the Internet use for health and analyses various codes of conduct/ethics or 'quality tools' available to monitor the quality of health websites from a patient perspective.
Collapse
Affiliation(s)
- Faisal Hanif
- Cambridge Transplant Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, CB2 0SP, UK.
| | | | | | | | | |
Collapse
|
24
|
|
25
|
|
26
|
Optimal Duration of Cooling for an Acute Scald Contact Burn Injury in a Porcine Model. J Burn Care Res 2008; 29:828-34. [DOI: 10.1097/bcr.0b013e3181855c9a] [Citation(s) in RCA: 61] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
27
|
Rea S, Lim J, Falder S, Wood F. Use of the Internet by burns patients, their families and friends. Burns 2008; 34:345-9. [PMID: 17870244 DOI: 10.1016/j.burns.2007.05.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2006] [Accepted: 05/14/2007] [Indexed: 11/27/2022]
Abstract
INTRODUCTION The Internet has also become an increasingly important source of health-related information. However, with this exponential increase comes the problem that although the volume of information is huge, the quality, accuracy and completeness of the information are questionable, not only in the field of medicine. Previous studies of single medical conditions have suggested that web-based health information has limitations. The aim of this study was to evaluate Internet usage among burned patients and the people accompanying them to the outpatient clinic. METHODS A customised questionnaire was created and distributed to all patients and accompanying persons in the adult and paediatric burns clinics. This investigated computer usage, Internet access, usefulness of Internet search and topics searched. RESULTS Two hundred and ten people completed the questionnaire, a response rate of 83%. Sixty three percent of responders were patients, parents 21.9%, spouses 3.3%, siblings, children and friends the remaining 10.8%. Seventy seven percent of attendees had been injured within the last year, 11% between 1 and 5 years previously, and 12% more than 5 years previously. Seventy four percent had computer and Internet access. Twelve percent had performed a search. Topics searched included skin grafts, scarring and scar management treatments such as pressure garments, silicone gel and massage. DISCUSSION This study has shown that computer and Internet access is high, however a very small number actually used the Internet to access further medical information. Patients with longer standing injuries were more likely to access the Internet. Parents of burned children were more frequent Internet users. As more burn units develop their own web sites with information for patients and healthcare providers, it is important to inform patients, family members and friends that such a resource exists. By offering such a service patients are provided with accurate, reliable and easily accessible information which is appropriate to their needs.
Collapse
Affiliation(s)
- S Rea
- Burn Service of Western Australia, Royal Perth Hospital, Perth, Western Australia, Australia.
| | | | | | | |
Collapse
|