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Dorough A, Narendra JH, Wilkie C, Hegde A, Swain K, Chang EH, Oliver T, Flythe JE. Stakeholder-Guided Development of Dialysis Vascular Access Education Materials. KIDNEY360 2021; 2:1115-1123. [PMID: 35368361 PMCID: PMC8786100 DOI: 10.34067/kid.0002382021] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/06/2021] [Accepted: 04/29/2021] [Indexed: 02/04/2023]
Abstract
Background Initiating hemodialysis via an arteriovenous (AV) access is considered best practice for most patients. Despite the well-recognized advantages of AV access, 80% of US patients start hemodialysis with a catheter. Limited patient knowledge about vascular access, among other factors, may play a role in this high rate. We used iterative stakeholder input to develop novel, mixed media vascular access education materials and evaluated their preliminary acceptability. Methods We conducted preliminary focus groups and interviews with key stakeholders to assess patient vascular access understanding and elicit perspectives on existing education materials. We then used stakeholder input to inform initial development and iterative updates to the content and design of an animated video and complementary brochure. Video development (scripting, storyboarding, animation) was guided by an evidence-based framework and two health behavior change models. We assessed acceptability of the completed materials with patients and medical providers/personnel via interviews. Results Overall, 105 stakeholders participated in education materials development and review (80 patients/care partners, 25 medical providers/personnel). Preliminary qualitative work included 52 patients/care partners and 16 providers/personnel; video development included 28 patients/care partners and nine providers/personnel. The video script, storyboards, and animation underwent 14, four, and nine stakeholder-guided iterations, respectively. Responsive changes included aesthetic modifications, technical updates, and content additions (e.g., HD circuit, access self-monitoring, enhanced patient testimonials). The final 18-minute video and complementary brochure define vascular access types, describe care processes, outline potential complications, and address common patient concerns. Interviews with 28 patients/care partners and nine providers/personnel from diverse geographic regions revealed preliminary acceptability of, and enthusiasm for, the materials by patients and providers. Conclusions In collaboration with key stakeholders, we developed mixed media vascular access education materials that were well-received by patients and providers. Preliminary findings suggest that the materials are promising to improve vascular access understanding among patients.
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Affiliation(s)
- Adeline Dorough
- University of North Carolina Kidney Center, Division of Nephrology and Hypertension, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina
| | - Julia H. Narendra
- University of North Carolina Kidney Center, Division of Nephrology and Hypertension, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina
| | | | - Akhil Hegde
- University of North Carolina Kidney Center, Division of Nephrology and Hypertension, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina
| | - Kawan Swain
- University of North Carolina Kidney Center, Division of Nephrology and Hypertension, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina
| | - Emily H. Chang
- University of North Carolina Kidney Center, Division of Nephrology and Hypertension, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina
| | - Terence Oliver
- Hussman School of Journalism and Media, University of North Carolina, Chapel Hill, North Carolina
| | - Jennifer E. Flythe
- University of North Carolina Kidney Center, Division of Nephrology and Hypertension, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina
- Cecil G. Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, North Carolina
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Hilt AD, Hierck BP, Eijkenduijn J, Wesselius FJ, Albayrak A, Melles M, Schalij MJ, Scherptong RWC. Development of a patient-oriented Hololens application to illustrate the function of medication after myocardial infarction. EUROPEAN HEART JOURNAL. DIGITAL HEALTH 2021; 2:511-520. [PMID: 36713611 PMCID: PMC9707881 DOI: 10.1093/ehjdh/ztab053] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Revised: 04/25/2021] [Accepted: 06/08/2021] [Indexed: 02/07/2023]
Abstract
Aims Statin treatment is one of the hallmarks of secondary prevention after myocardial infarction. Adherence to statins tends to be difficult and can be improved by patient education. Novel technologies such as mixed reality (MR) expand the possibilities to support this process. To assess if an MR medication-application supports patient education focused on function of statins after myocardial infarction. Methods and results A human-centred design-approach was used to develop an MR statin tool for Microsoft HoloLens™. Twenty-two myocardial infarction patients were enrolled; 12 tested the application, 10 patients were controls. Clinical, demographic, and qualitative data were obtained. All patients performed a test on statin knowledge. To test if patients with a higher tendency to become involved in virtual environments affected test outcome in the intervention group, validated Presence- and Immersive Tendency Questionnaires (PQ and ITQ) were used. Twenty-two myocardial infarction patients (ST-elevation myocardial infarction, 18/22, 82%) completed the study. Ten out of 12 (83%) patients in the intervention group improved their statin knowledge by using the MR application (median 8 points, IQR 8). Test improvement was mainly the result of increased understanding of statin mechanisms in the body and secondary preventive effects. A high tendency to get involved and focused in virtual environments was moderately positive correlated with better test improvement (r = 0.57, P < 0.05). The median post-test score in the control group was poor (median 6 points, IQR 4). Conclusions An MR statin education application can be applied effectively in myocardial infarction patients to explain statin function and importance.
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Affiliation(s)
- Alexander D Hilt
- Department of Cardiology, Leiden University Medical Center, PO Box 9600, 2300 RC Leiden, The Netherlands
| | - Beerend P Hierck
- Leiden University Medical Center, Center for Innovation of Medical Education, Albinusdreef 2, 2333 ZA Leiden, The Netherlands,Leiden University, Teachers Academy, Albinusdreef 2, 2333 ZA Leiden, The Netherlands
| | - Joep Eijkenduijn
- Faculty of Technical Medicine, Delft University of Technology, Landbergstraat 15, 2628 CE Delft, The Netherlands
| | - Fons J Wesselius
- Faculty of Technical Medicine, Delft University of Technology, Landbergstraat 15, 2628 CE Delft, The Netherlands
| | - Armagan Albayrak
- Faculty of Industrial Design Engineering, Delft University of Technology, Landbergstraat 15, 2628 CE Delft, The Netherlands
| | - Marijke Melles
- Faculty of Industrial Design Engineering, Delft University of Technology, Landbergstraat 15, 2628 CE Delft, The Netherlands,Department of Public and Occupational Health, Amsterdam University Medical Centre, Vrije Universiteit Amsterdam, De Boelelaan 1117, 1118, 1081 HV Amsterdam, The Netherlands
| | - Martin J Schalij
- Department of Cardiology, Leiden University Medical Center, PO Box 9600, 2300 RC Leiden, The Netherlands
| | - Roderick W C Scherptong
- Department of Cardiology, Leiden University Medical Center, PO Box 9600, 2300 RC Leiden, The Netherlands,Corresponding author. Tel: +31 71 5262020,
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Murray J, Williams B. The Role of Images on Illness Behaviour: Interdisciplinary Theory, Evidence, and Ideas. Psychol Rep 2020; 124:2453-2475. [PMID: 32757718 PMCID: PMC8647478 DOI: 10.1177/0033294120945602] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
If illness behaviour is to be fully understood, the social and behavioural sciences must
work together to understand the wider forms in which illness is experienced and
communicated with individuals and society. The current paper synthesised literature across
social and behavioural sciences exploring illness experience and communication through
physical and mental images. It argues that images may have the capacity to embody and
influence beliefs, emotions, and health outcomes. While four commonalities exist,
facilitating understandings of illness behaviour across the fields (i.e., understanding
the importance of the patient perspective; perception of the cause, sense of identity with
the illness, consequences, and level of control; health beliefs influencing illness
experience, behaviours, and outcomes; and understanding illness beliefs and experiences
through an almost exclusive focus on the written or spoken word), we will focus on
exploring the fourth commonality. The choice to focus on the role of images on illness
behaviour is due to the proliferation of interventions using image-based approaches. While
these novel approaches show merit, there is a scarcity of theoretical underpinnings and
explorations into the ways in which these are developed and into how people perceive and
understand their own illnesses using image representations. The current paper identified
that the use of images can elucidate patient and practitioner understandings of illness,
facilitate communication, and potentially influence illness behaviours. It further
identified commonalities across the social and behavioural sciences to facilitate theory
informed understandings of illness behaviour which could be applied to visual intervention
development to improve health outcomes.
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Affiliation(s)
- Jennifer Murray
- School of Health and Social Care, Edinburgh Napier University, Edinburgh, UK
| | - Brian Williams
- School of Health and Social Care, Edinburgh Napier University, Edinburgh, UK
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Krasnoryadtseva A, Derksen C, Dalbeth N, Petrie KJ. Not Every Picture Tells a Story: A Content Analysis of Visual Images in Patient Educational Resources About Gout. J Rheumatol 2020; 47:1815-1821. [DOI: 10.3899/jrheum.191245] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/14/2020] [Indexed: 01/23/2023]
Abstract
Objective.The aim of this study was to evaluate which concepts about gout and its treatment are reflected in images in online educational resources about gout.Methods.A Google search was performed to identify English-language patient resources from medical and health organizations and health education websites in 7 countries: Australia, Canada, Ireland, New Zealand, South Africa, UK, and USA. Two raters independently coded the images in the resources into 5 main categories: clinical presentations of gout, urate/monosodium urate (MSU) crystals, medicines, food/healthy lifestyle, and other advice for people with gout.Results.In total, 103 resources were identified; 28 resources without images were excluded. Seventy-one educational resources with a total of 310 images were included in the study sample. Of the 310 images, clinical presentations of gout were depicted in 92 images (30%), food/healthy lifestyle in 73 images (24%), urate/MSU crystals in 50 (16%), medicines in 14 (5%). Urate-lowering medication was shown only in 1 image (0.3%) and just 6 images (2%) depicted a serum urate target. Ninety-one images (29%) did not convey specific information about gout.Conclusion.Key concepts about gout and treatment are underrepresented in the images used in educational resources for patients. A large proportion of the images do not convey useful information about gout or its management.
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Krasnoryadtseva A, Dalbeth N, Petrie K. Does seeing personal medical images change beliefs about illness and treatment in people with gout? A randomised controlled trial. Psychol Health 2019; 35:107-123. [PMID: 31184207 DOI: 10.1080/08870446.2019.1626396] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
Objective: To explore the effects of an educational intervention with embedded personal medical images on illness perceptions, medication beliefs and treatment understanding in patients with gout. Design: Sixty people with gout were recruited into the study with three arms. The participants viewed a 12-min presentation about gout with either personalised medical scans, generic scans or medical illustrations from a standard educational booklet on gout. Main Outcome Measures: Illness perceptions about gout and beliefs about treatment for gout were assessed at baseline and immediately after the intervention. Results: There were no significant time by group interaction effects. All groups showed an increase in treatment control beliefs (p = .002), medication necessity (p < .001), improved understanding of medicines for gout (p < .001) and reduced their perceived gout stigma (p = .004). The personalised intervention was rated as more interesting compared to one with medical illustrations (p = .026). Personal scans were found more helpful than generic scans (p = .023) and medical illustrations (p = .048). Conclusion: The brief educational intervention yielded positive changes in illness perceptions, medication beliefs and treatment understanding in all groups. Personal scans did not induce specific changes but made the information more interesting.
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Affiliation(s)
| | - Nicola Dalbeth
- Department of Medicine, University of Auckland, Auckland, New Zealand
| | - Keith Petrie
- Department of Psychological Medicine, University of Auckland, Auckland, New Zealand
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Pedersen MM, Fink P, Kasch H, Frostholm L. Development of an Internet-delivered educational video for acute whiplash injuries. Pilot Feasibility Stud 2019; 5:60. [PMID: 31061715 PMCID: PMC6487037 DOI: 10.1186/s40814-019-0445-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2018] [Accepted: 04/09/2019] [Indexed: 11/12/2022] Open
Abstract
Objective To describe the development of a preventive educational video for patients exposed to whiplash trauma following motor vehicle accidents. Methods The development followed a systematic approach and was theory-driven supplemented with available empirical knowledge. The specific content was developed by a multidisciplinary group involving health professionals and visual production specialists. Results A 14-min educational video was created. The video content focuses on stimulating adaptive recovery expectations and preventing maladaptive illness beliefs. The video presents a multifactorial model for pain incorporating physiological and cognitive-behavioural aspects, advice on pain relief, and exercises. Subjects interviewed for a qualitative evaluation found the video reassuring and that it aligned well with verbal information received in the hospital. Conclusions The development of the visual educational intervention benefitted from a systematic development approach entailing both theoretical and research-based knowledge. The sparse evidence on educational information for acute whiplash trauma posed a challenge for creating content. Further knowledge is required regarding what assists recovery in the early stages of whiplash injuries in order to improve the development of educational interventions.
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Affiliation(s)
- Majbritt Mostrup Pedersen
- 1The Research Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, Nørrebrogade 44, Bygn. 2C, 8000 Aarhus, Denmark
| | - Per Fink
- 1The Research Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, Nørrebrogade 44, Bygn. 2C, 8000 Aarhus, Denmark.,3Department of Clinical Medicine, Aarhus University, 8000 Aarhus, Denmark
| | - Helge Kasch
- The Spinal Cord Injury Centre of Western Denmark, Department of Neurology, Regional Hospital of Viborg, 8800 Viborg, Denmark.,3Department of Clinical Medicine, Aarhus University, 8000 Aarhus, Denmark
| | - Lisbeth Frostholm
- 1The Research Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, Nørrebrogade 44, Bygn. 2C, 8000 Aarhus, Denmark.,3Department of Clinical Medicine, Aarhus University, 8000 Aarhus, Denmark
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Kontos P, Grigorovich A, Colobong R, Miller KL, Nesrallah GE, Binns MA, Alibhai SMH, Parsons T, Jassal SV, Thomas A, Naglie G. Fit for Dialysis: a qualitative exploration of the impact of a research-based film for the promotion of exercise in hemodialysis. BMC Nephrol 2018; 19:195. [PMID: 30081845 PMCID: PMC6091204 DOI: 10.1186/s12882-018-0984-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2018] [Accepted: 07/18/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Exercise improves functional outcomes and quality of life of older patients with end-stage renal disease undergoing hemodialysis. Yet exercise is not promoted as part of routine care. Health care providers and family carers rarely provide encouragement for patients to exercise, and the majority of older patients remain largely inactive. There is thus the need for a shift in the culture of hemodialysis care towards the promotion of exercise for wellness, including expectations of exercise participation by older patients, and encouragement by health care providers and family carers. Film-based educational initiatives hold promise to effect cultures of best practice, but have yet to be utilized in this population. METHODS We developed a research-based film, Fit for Dialysis, to promote exercise for wellness in hemodialysis care. Using a qualitative approach, we evaluated the effects that resulted from engagement with this film (e.g. knowledge/attitudes regarding the importance of exercise-based principles of wellness) as well as the generative mechanisms of these effects (e.g. realism, aesthetics). We also explored the factors related to patients, family carers, and health care providers that influenced engagement with the film, and the successful uptake of the key messages of Fit for Dialysis. We conducted qualitative interviews with 10 patients, 10 health care providers, and 10 family carers. Data were analyzed using thematic analysis. RESULTS The film was perceived to be effective in increasing patients', family carers' and health care providers' understanding of the importance of exercise and its benefits, motivating patients to exercise, and in increasing encouragement by family carers and health care providers of patient exercise. Realism (e.g. character identification) and aesthetic qualities of the film (e.g. dialogue) were identified as central generative mechanisms. CONCLUSIONS Fit for Dialysis is well-positioned to optimize the health and wellbeing of older adults undergoing hemodialysis. TRIAL REGISTRATION NCT02754271 ( ClinicalTrials.gov ), retroactively registered on April 21, 2016.
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Affiliation(s)
- Pia Kontos
- Toronto Rehabilitation Institute-University Health Network, 550 University Ave, Toronto, ON M5G 2A2 Canada
- Dalla Lana School of Public Health, University of Toronto, 155 College St, Toronto, ON M5T 3M7 Canada
| | - Alisa Grigorovich
- Toronto Rehabilitation Institute-University Health Network, 550 University Ave, Toronto, ON M5G 2A2 Canada
- Dalla Lana School of Public Health, University of Toronto, 155 College St, Toronto, ON M5T 3M7 Canada
| | - Romeo Colobong
- Toronto Rehabilitation Institute-University Health Network, 550 University Ave, Toronto, ON M5G 2A2 Canada
| | - Karen-Lee Miller
- Toronto Rehabilitation Institute-University Health Network, 550 University Ave, Toronto, ON M5G 2A2 Canada
| | - Gihad E. Nesrallah
- Department of Nephrology, Humber River Regional Hospital, 1235 Wilson Ave, Toronto, M3M 0B2 ON Canada
| | - Malcolm A. Binns
- Dalla Lana School of Public Health, University of Toronto, 155 College St, Toronto, ON M5T 3M7 Canada
- Rotman Research Institute, Baycrest Health Sciences, 3560 Bathurst St, Toronto, ON M6A 2E1 Canada
| | - Shabbir M. H. Alibhai
- Department of Medicine, University of Toronto, 1 King’s College Cir, Toronto, ON M5S 1A8 Canada
- Institute of Health Policy, Management and Evaluation, 155 College St, Toronto, ON M5T 3M7 Canada
- Institute of Medical Sciences, University of Toronto, 1 King’s College Cir, Toronto, ON M5S 1A8 Canada
- Department of Medicine, University Health Network, 200 Elizabeth St, Toronto, ON M5G 2C4 Canada
| | - Trisha Parsons
- School of Rehabilitation Therapy, Queen’s University, 31 George St, Kingston, ON K7L 3N6 Canada
| | - Sarbjit Vanita Jassal
- Department of Medicine, University Health Network, 200 Elizabeth St, Toronto, ON M5G 2C4 Canada
- Division of Nephrology, University Health Network, 200 Elizabeth St, Toronto, ON M5G 2C4 Canada
| | - Alison Thomas
- St. Michael’s Hospital, 30 Bond St, Toronto, ON M5B 1W8 Canada
- Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, 155 College St, Toronto, ON M5T 1P8 Canada
| | - Gary Naglie
- Toronto Rehabilitation Institute-University Health Network, 550 University Ave, Toronto, ON M5G 2A2 Canada
- Rotman Research Institute, Baycrest Health Sciences, 3560 Bathurst St, Toronto, ON M6A 2E1 Canada
- Department of Medicine, University of Toronto, 1 King’s College Cir, Toronto, ON M5S 1A8 Canada
- Department of Medicine, Baycrest Health Sciences, 3560 Bathurst St, Toronto, ON M6A 2E1 Canada
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Jones ASK, Fernandez J, Grey A, Petrie KJ. The Impact of 3-D Models versus Animations on Perceptions of Osteoporosis and Treatment Motivation: A Randomised Trial. Ann Behav Med 2018; 51:899-911. [PMID: 28474286 DOI: 10.1007/s12160-017-9913-1] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
BACKGROUND Osteoporosis is a degenerative bone disorder that disproportionately affects older women worldwide. Raising awareness regarding osteoporosis within this demographic is significant for health promotion. Initial evidence suggests that visualisations of illness and treatment can improve illness perceptions, increase treatment motivations and even promote health behaviours. We are yet to understand whether different visualisation mediums vary in their impact on perceptions and motivations. PURPOSE We investigated whether physical models or virtual animations had a greater impact on changing perceptions of osteoporosis and treatment motivation in an at-risk population of older women. METHODS A total of 128 women aged 50 and over were randomly assigned to view a brief presentation about osteoporosis using either 3-D printed bone models or electronic tablet animations. Illness perceptions, medication beliefs and motivations were measured at baseline and post-presentation. Mixed ANOVAs were used to identify significant changes over time between groups. RESULTS There were no significant interaction effects, revealing that neither medium had a greater impact on beliefs over time. Significant main effects of time revealed that from baseline to post-presentation, both mediums increased consequence beliefs, personal and treatment control, understanding of osteoporosis, motivations to take treatment if needed and medication necessity beliefs. Timeline beliefs and medication concerns decreased over time for both groups. CONCLUSIONS Both 3-D models and animations of osteoporosis are equally effective in changing beliefs and treatment motivation in an at-risk population. Visualisation devices are brief, cost-effective, have high acceptability and have considerable clinical applicability to promote awareness and prevention.
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Affiliation(s)
- Annie S K Jones
- Department of Psychological Medicine, University of Auckland, Auckland, New Zealand
| | - Justin Fernandez
- Auckland Bioengineering Institute, University of Auckland, Auckland, New Zealand
| | - Andrew Grey
- Department of Medicine, University of Auckland, Auckland, New Zealand
| | - Keith J Petrie
- Department of Psychological Medicine, University of Auckland, Auckland, New Zealand.
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Macdonald AS, Macduff C, Loudon D, Wan S. Evaluation of a visual tool co-developed for training hospital staff on the prevention and control of the spread of healthcare associated infections. Infect Dis Health 2017; 22:105-116. [PMID: 31862086 DOI: 10.1016/j.idh.2017.06.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2017] [Revised: 05/19/2017] [Accepted: 06/04/2017] [Indexed: 11/15/2022]
Abstract
BACKGROUND Staff training in infection prevention and control (IPC) across hospital settings has a crucial role in reducing the incidence of healthcare associated infections (HAIs). However the application of dynamic visualisation approaches in this context is under-developed, with very few in-depth evaluation studies of related processes and impacts. METHODS A prototype training tablet app for hospital staff, using interactive visuals was developed and evaluated. To demonstrate different pathogen behaviour, dynamic visualisations of norovirus, Clostridium difficile, and MRSA were developed in relation to location, survival and transmission within a virtual hospital ward model using evidence-based microbiological and staff behavioural data. A three-stage evaluation process was designed, involving a mixed sample of UK National Health Service staff (doctors, nurses and domestic staff, n = 150). RESULTS Participants reported improved awareness and understanding of the pathogens responsible for HAI, the types of information relevant for different staff cohorts, those aspects of the visualisations which worked well and those which were prone to cause misunderstandings, and suggestions for further development and improvement. The tool appeared to offer staff a new perspective on pathogens, being able to 'see' them contextualised in the virtual ward, making them seem more real. CONCLUSION Results showed the benefits of a detailed co-development process and a more contextualised understanding of the potential for visual apps to be used in IPC training.
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Affiliation(s)
- A S Macdonald
- The Glasgow School of Art, 167 Renfrew Street, Glasgow G3 6RQ, Scotland, UK.
| | - C Macduff
- The Glasgow School of Art, 167 Renfrew Street, Glasgow G3 6RQ, Scotland, UK.
| | - D Loudon
- The Glasgow School of Art, 167 Renfrew Street, Glasgow G3 6RQ, Scotland, UK.
| | - S Wan
- The Glasgow School of Art, 167 Renfrew Street, Glasgow G3 6RQ, Scotland, UK.
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Using Animation to Improve Recovery from Acute Coronary Syndrome: A Randomized Trial. Ann Behav Med 2016; 50:108-18. [PMID: 26497696 DOI: 10.1007/s12160-015-9736-x] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Abstract
UNLABELLED Background: Recovery from myocardial infarction has been associated with patients' perceptions of damage to their heart. New technologies offer a way to show patients animations that may foster more accurate perceptions and encourage medication adherence, increased exercise and faster return to activities. PURPOSE The purpose of this study was to investigate the effects of a brief animated intervention delivered at the patients' bedside on perceptions and recovery in acute coronary syndrome patients. METHODS Seventy acute coronary syndrome patients were randomly assigned to the intervention or standard care alone. Illness perceptions, medication beliefs and recovery outcomes were measured. RESULTS Post-intervention, the intervention group had significantly increased treatment control perceptions and decreased medication harm beliefs and concerns. Seven weeks later, intervention participants had significantly increased treatment control and timeline beliefs, decreased symptoms, lower cardiac avoidance, greater exercise and faster return to normal activities compared to control patients. CONCLUSIONS A brief animated intervention may be clinically effective for acute coronary syndrome patients (Trial-ID: ACTRN12614000440628).
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Murray J, Williams B, Hoskins G, Skar S, McGhee J, Treweek S, Sniehotta FF, Sheikh A, Brown G, Hagen S, Cameron L, Jones C, Gauld D. A theory-informed approach to developing visually mediated interventions to change behaviour using an asthma and physical activity intervention exemplar. Pilot Feasibility Stud 2016; 2:46. [PMID: 27965863 PMCID: PMC5154090 DOI: 10.1186/s40814-016-0091-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2015] [Accepted: 07/30/2016] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND Visualisation techniques are used in a range of healthcare interventions. However, these frequently lack a coherent rationale or clear theoretical basis. This lack of definition and explicit targeting of the underlying mechanisms may impede the success of and evaluation of the intervention. We describe the theoretical development, deployment, and pilot evaluation, of a complex visually mediated behavioural intervention. The exemplar intervention focused on increasing physical activity among young people with asthma. We employed an explicit five-stage development model, which was actively supported by a consultative user group. The developmental stages involved establishing the theoretical basis, establishing a narrative structure, visual rendering, checking interpretation, and pilot testing. We conducted in-depth interviews and focus groups during early development and checking, followed by an online experiment for pilot testing. A total of 91 individuals, including young people with asthma, parents, teachers, and health professionals, were involved in development and testing. RESULTS Our final intervention consisted of two components: (1) an interactive 3D computer animation to create intentions and (2) an action plan and volitional help sheet to promote the translation of intentions to behaviour. Theory was mediated throughout by visual and audio forms. The intervention was regarded as highly acceptable, engaging, and meaningful by all stakeholders. The perceived impact on asthma understanding and intentions was reported positively, with most individuals saying that the 3D computer animation had either clarified a range of issues or made them more real. Our five-stage model underpinned by extensive consultation worked well and is presented as a framework to support explicit decision-making for others developing theory informed visually mediated interventions. CONCLUSIONS We have demonstrated the ability to develop theory-based visually mediated behavioural interventions. However, attention needs to be paid to the potential ambiguity associated with images and thus the concept of visual literacy among patients. Our revised model may be helpful as a guide to aid development, acceptability, and ultimately effectiveness.
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Affiliation(s)
- Jennifer Murray
- Edinburgh Napier University, Sighthill Campus, Sighthill Court, Edinburgh, EH11 4BN UK
| | - Brian Williams
- Edinburgh Napier University, Sighthill Campus, Sighthill Court, Edinburgh, EH11 4BN UK
| | - Gaylor Hoskins
- Nursing, Midwifery and Allied Health Professions Research Unit, Unit 13 Scion House, Stirling Innovation Park, Stirling, FK9 4NF Scotland
| | - Silje Skar
- Nursing, Midwifery and Allied Health Professions Research Unit, Unit 13 Scion House, Stirling Innovation Park, Stirling, FK9 4NF Scotland
| | - John McGhee
- 3D Visualisation Aesthetics Lab, Art & Design University of New South Wales, Sydney, Australia
| | - Shaun Treweek
- Health Services Research Unit, University of Aberdeen, Foresterhill, Aberdeen, AB25 2ZD Scotland
| | - Falko F. Sniehotta
- Institute of Health & Society, Newcastle University, The Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne, NE2 4AX England
- Fuse, the UK CRC Centre of Excellence for Translational Research in Public Health, NewCastle, UK
| | - Aziz Sheikh
- Volunteer Centre Borders, First Floor, Riverside House, Ladhope Vale, Galashiels, TD1 1BT Scotland
| | - Gordon Brown
- Asthma UK Scotland, Hayweight House, 4th Floor, 23 Lauriston Street, Edinburgh, EH3 9DQ Scotland
| | - Suzanne Hagen
- Nursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian University, Cowcaddens Road, Glasgow, G4 0BA UK
| | - Linda Cameron
- University of California, Merced, 5200 N. Lake Road, Merced, CA 95343 USA
| | - Claire Jones
- Health Informatics Centre, University of Dundee, Dundee, DD1 4HN Scotland
| | - Dylan Gauld
- Duncan of Jordanstone College of Art and Design, University of Dundee, Dundee, Scotland
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Cockle-Hearne J, Cooke D, Faithfull S. Developing peer support in film for cancer self-management: what do men want other men to know? Support Care Cancer 2015; 24:1625-31. [DOI: 10.1007/s00520-015-2938-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2015] [Accepted: 09/02/2015] [Indexed: 11/24/2022]
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13
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Thirsk LM, Clark AM. What is the ‘self’ in chronic disease self-management? Int J Nurs Stud 2014; 51:691-3. [DOI: 10.1016/j.ijnurstu.2013.10.008] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2013] [Accepted: 10/09/2013] [Indexed: 11/25/2022]
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14
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Macduff C, Wood FK, Hackett C, McGhee J, Loudon D, Macdonald A, Dancer S, Karcher A. Visualizing the invisible: applying an arts-based methodology to explore how healthcare workers and patient representatives envisage pathogens in the context of healthcare associated infections. Arts Health 2013. [DOI: 10.1080/17533015.2013.808255] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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