scholarly journals Applying Digital Information Delivery to Convert Habits of Antibiotic Use in Primary Care in Germany: Mixed-Methods Study (Preprint)

2020 ◽  
Author(s):  
Regina Poss-Doering ◽  
Lukas Kuehn ◽  
Martina Kamradt ◽  
Katharina Glassen ◽  
Michel Wensing
Keyword(s):  
Primary Care ◽  
Health Professionals ◽  
Diffusion Of Innovations ◽  
Antibiotic Use ◽  
Digital Tools ◽  
Medical Professionals ◽  
Digital Information ◽  
Digital Devices ◽  
Related Information ◽  
Health Related

BACKGROUND Antimicrobial resistance is an important global health issue. In Germany, the national agenda supports various interventions to convert habits of antibiotic use. In the CHANGE-3 (Converting Habits of Antibiotic Use for Respiratory Tract Infections in German Primary Care) study, digital tools were applied for information delivery: tablet computers in primary care practices, e-learning platforms for medical professionals, and a public website to promote awareness and health literacy among primary care physicians, their teams, and their patients. OBJECTIVE This study is embedded in the process evaluation of the CHANGE-3 study. The aim of this study was to evaluate the acceptance and uptake of digital devices for the delivery of health-related information to enhance awareness and change habits of antibiotic use in primary care in Germany. METHODS This study used a convergent-parallel mixed-methods design. Audio-recorded semistructured telephone interviews were conducted with physicians, nonphysician health professionals, and patients in the CHANGE-3 program. Pseudonymized verbatim transcripts were coded using thematic analysis. In-depth analysis was performed based on the inductive category of information provision via digital information tools. Identified themes were related to the main postulates of Diffusion of Innovations theory (DIT) to provide an explanatory frame. In addition, data generated through a structured survey with physicians and nonphysician health professionals in the program were analyzed descriptively and integrated with the qualitative data to explore the complementarity of the findings. RESULTS Findings regarding the acceptance and uptake of digital devices were related to three postulates of DIT: innovation characteristics, communication channels, and unanticipated consequences. Participants considered the provided digital educative solutions to be supportive for promoting health literacy regarding conversion of habits of antibiotic use. However, health care professionals found it challenging to integrate these solutions into existing routines in primary care and to align them with their professional values. Low technology affinity was a major barrier to the use of digital information in primary care. Patients welcomed the general idea of introducing health-related information in digital formats; however, they expressed concerns about device-related hygiene and the appropriateness of the digital tools for older patients. CONCLUSIONS Patients and medical professionals in German primary care are reluctant to use digital devices for information and education. Using a Diffusion of Innovations approach can support assessment of existing barriers and provide information about setting-specific preconditions that are necessary for future tailoring of implementation strategies. CLINICALTRIAL International Standard Randomized Controlled Trial Number (ISRCTN) 15061174; http://www.isrctn.com/ISRCTN15061174.

scholarly journals Applying Digital Information Delivery to Convert Habits of Antibiotic Use in Primary Care in Germany: Mixed-Methods Study

10.2196/18200 ◽  
2020 ◽  
Vol 22 (10) ◽  
pp. e18200 ◽  
Author(s):  
Regina Poss-Doering ◽  
Lukas Kuehn ◽  
Martina Kamradt ◽  
Katharina Glassen ◽  
Michel Wensing
Keyword(s):  
Primary Care ◽  
Health Professionals ◽  
Diffusion Of Innovations ◽  
Antibiotic Use ◽  
Digital Tools ◽  
Medical Professionals ◽  
Digital Information ◽  
Digital Devices ◽  
Related Information ◽  
Health Related

Background Antimicrobial resistance is an important global health issue. In Germany, the national agenda supports various interventions to convert habits of antibiotic use. In the CHANGE-3 (Converting Habits of Antibiotic Use for Respiratory Tract Infections in German Primary Care) study, digital tools were applied for information delivery: tablet computers in primary care practices, e-learning platforms for medical professionals, and a public website to promote awareness and health literacy among primary care physicians, their teams, and their patients. Objective This study is embedded in the process evaluation of the CHANGE-3 study. The aim of this study was to evaluate the acceptance and uptake of digital devices for the delivery of health-related information to enhance awareness and change habits of antibiotic use in primary care in Germany. Methods This study used a convergent-parallel mixed-methods design. Audio-recorded semistructured telephone interviews were conducted with physicians, nonphysician health professionals, and patients in the CHANGE-3 program. Pseudonymized verbatim transcripts were coded using thematic analysis. In-depth analysis was performed based on the inductive category of information provision via digital information tools. Identified themes were related to the main postulates of Diffusion of Innovations theory (DIT) to provide an explanatory frame. In addition, data generated through a structured survey with physicians and nonphysician health professionals in the program were analyzed descriptively and integrated with the qualitative data to explore the complementarity of the findings. Results Findings regarding the acceptance and uptake of digital devices were related to three postulates of DIT: innovation characteristics, communication channels, and unanticipated consequences. Participants considered the provided digital educative solutions to be supportive for promoting health literacy regarding conversion of habits of antibiotic use. However, health care professionals found it challenging to integrate these solutions into existing routines in primary care and to align them with their professional values. Low technology affinity was a major barrier to the use of digital information in primary care. Patients welcomed the general idea of introducing health-related information in digital formats; however, they expressed concerns about device-related hygiene and the appropriateness of the digital tools for older patients. Conclusions Patients and medical professionals in German primary care are reluctant to use digital devices for information and education. Using a Diffusion of Innovations approach can support assessment of existing barriers and provide information about setting-specific preconditions that are necessary for future tailoring of implementation strategies. Trial Registration International Standard Randomized Controlled Trial Number (ISRCTN) 15061174; http://www.isrctn.com/ISRCTN15061174.

Depressed Latinx Older Adults’ Shared Decision-Making Preferences

2021 ◽  
Author(s):  
Sara Romero ◽  
Patrick Raue ◽  
Andrew Rasmussen
Keyword(s):  
Primary Care ◽  
Decision Making ◽  
Puerto Rican ◽  
Shared Decision Making ◽  
Decision Making Process ◽  
Shared Decision ◽  
Medical Conditions ◽  
Depression Severity ◽  
Related Information ◽  
Health Related

The shared decision-making (SDM) model is the optimal patient-centered approach to reduce racial and ethnic health disparities in primary care settings. This study examined decision-making preferences and the desire to be knowledgeable of health-related information of a multiheritage group of depressed older Latinx primary care patients. The primary aim was to determine differences in treatment preferences for both general medical conditions and depression and desire to be knowledgeable of health-related information between older Puerto Rican adults compared to older non-Puerto Rican Latinx adults. We also examined whether depression severity moderated those relationships. A sample of 178 older Latinx patients were assessed on measures of decision-making preferences, information-seeking desires, and depression severity. Regression models indicated depression severity moderated the relationship between Latinx heritage and decision-making preferences that relate to general medical decisions, but not depression treatment. Specifically, Puerto Ricans with high levels of depression preferred to be more active in making decisions related to general medical conditions compared to non-Puerto Rican patients who preferred less active involvement. There was no difference between groups at low levels of depression as both groups preferred to be similarly active in the decision-making process. This investigation adds to the literature by indicating between-group differences within a Latinx older adult sample regarding decision-making preferences and the desire to be informed of health-related information. Future research is needed to identify other sociocultural characteristics that contribute to this disparity between Latinx heritage groups in their desires to participate in the decision-making process with their primary care provider.

Internet for providing healthinformation and education to patients - knowledge, attitude and practice of mental health professionals in North Wales UK

2011 ◽  
Vol 26 (S2) ◽  
pp. 1117-1117
Author(s):  
A. Jauhari ◽  
M.K. Tiptur ◽  
A. Jauhari ◽  
M. Krishna
Keyword(s):  
Mental Health ◽  
Health Information ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Mental Health Information ◽  
Related Information ◽  
Attitude And Practice ◽  
North Wales ◽  
Health Related ◽  
Knowledge Attitude And Practice

IntroductionInternet is the fastest growing medium and more than 50 million people seek health information online1. Almost a third of internet users with history of psychiatric disorder had used the internet to seek mental health information2.MethodA survey was conducted amongst North Wales, UK mental health professionals to understand their knowledge, attitude and practice about this topic. A total of 100 questionnaires were distributed out of which 71 responses were received.ResultAbout 39% mental health professionals believed that consultation is the best way to give mental health related information to the patients. Only 5% of mental health professionals always and 46% sometimes advised patients to look at internet for mental health related information. About 50% felt that internet will increase patient's understanding of their illness and 37% felt that it will improve their compliance. Sixty percent people felt that mental health information on internet is evidence-based. About 30% of the mental health professionals thought that the use of internet by mental health patients will increase the patient's anxiety and will increase their visit to the doctor. Majority did not have enough knowledge of websites to suggest to the patients.ConclusionMost professionals thought that it is a useful concept but further awareness about evidence-based website for professionals is needed.

scholarly journals Ethnicity matters in perceived impacts and information sources of COVID-19 among mothers with young children in Australia: a cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e050557
Author(s):  
Li Ming Wen ◽  
Huilan Xu ◽  
Danielle Jawad ◽  
Limin Buchanan ◽  
Chris Rissel ◽  
...  
Keyword(s):  
Social Media ◽  
Young Children ◽  
Health Professionals ◽  
Information Sources ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Face To Face ◽  
Related Information ◽  
Health Related ◽  
English Speaking

ObjectivesThis study aimed to investigate perceived impacts, ways of communication with professionals and information sources related to COVID-19, and explore whether these impacts or information sources were associated with ethnicity that is, language spoken at home.DesignA cross-sectional study.SettingSydney, Australia during the period from March to October 2020.ParticipantsMothers of young children participating in an existing trial.Outcome measuresMothers were asked to respond to a set of survey questions related to COVID-19 via telephone. The questions included a mental health scale, and how they communicated with health professionals and their information sources related to COVID-19 during the COVID-19 pandemic.ResultsOf 537 mothers who completed the survey (81% response rate), 45% reported they spoke a language other than English at home. Overall, 136 (26%) reported experiencing mental distress. 234 (44%) reported that COVID-19 affected the way they receive and communicate health-related information with health professionals, especially for those from non-English speaking backgrounds with an adjusted odds ratio (AOR) 1.58 (95% CI 1.10 to 2.27). They were less likely to use a face-to-face service (AOR 0.55, 95% CI 0.37 to 0.80) and more likely to use social media (AOR 2.11, 95% CI 1.40 to 3.17) for health-related information. Regarding sources of COVID-19-related information, mothers from non-English-speaking backgrounds were more likely to rely on family members (AOR 1.49, 95% CI 1.01 to 2.19) and social media (AOR 3.34, 95% CI 2.05 to 5.43).ConclusionsCOVID-19 has significantly impacted mothers with young children in regard to their mental health, means of communication with health professionals and sources of health information. Mothers from non-English-speaking communities were less likely to use a face-to-face service, and more likely to seek information from family members and social media. Appropriate health support for non-English-speaking community needs to take these factors into account.Trial registration numberANZCTR:12618001571268.they

eHealth Systems, Their Use and Visions for the Future

2009 ◽  
pp. 346-353
Author(s):  
Pirkko Nykänen
Keyword(s):  
Information And Communication Technologies ◽  
Health Professionals ◽  
Care Delivery ◽  
Communication Technologies ◽  
The Internet ◽  
Related Information ◽  
The Future ◽  
Health Related ◽  
Information And Communication ◽  
Physician Patient

eHealth refers to use of information and communication technologies to improve or enable health and healthcare. eHealth broadens the scope of health care delivery, citizens are in the center of services and services are offered by information systems often via the Internet. In this chapter eHealth systems are classified on the basis of their use and their functionality and the use is discussed from the viewpoints of citizens and health professionals. Citizens are increasingly using Internet and eHealth systems to search for medicine or health related information, and they become better informed and may take more responsibility of their own health. Health professionals are more reluctant to use the Internet and eHealth systems in physician-patient communication due to power and responsibility problems of decisions. In the future the socio-technical nature of eHealth should be considered and future systems developed for real use and user environment with user acceptable technology.

E-Health Systems

2011 ◽  
pp. 281-293 ◽  
Author(s):  
Pirkko Nykanen
Keyword(s):  
Information And Communication Technologies ◽  
Health Systems ◽  
Health Professionals ◽  
Healthcare Delivery ◽  
Communication Technologies ◽  
The Internet ◽  
Related Information ◽  
Health Related ◽  
Information And Communication ◽  
Physician Patient

E-health refers to use of information and communication technologies to improve or enable health and healthcare. E-health broadens the scope of healthcare delivery; citizens are in the center of services and services are offered by information systems often via the Internet. In this chapter e-health systems are classified on the basis of their use and their functionality and the use is discussed from the viewpoints of citizens and health professionals. Citizens are increasingly using Internet and e-health systems to search for medicine or health-related information, and they become better informed and may take more responsibility of their own health. Health professionals are more reluctant to use the Internet and e-health systems in physician-patient communication due to the power and responsibility problems of decisions. In the future the sociotechnical nature of e-health should be considered and future systems developed for real use and user environment with user acceptable technology.

scholarly journals Oncology Patient Interest in the Use of New Technologies to Manage Their Disease: Cross-Sectional Survey (Preprint)

2018 ◽  
Author(s):  
Roberto Collado-Borrell ◽  
Vicente Escudero-Vilaplana ◽  
Antonio Calles ◽  
Estela Garcia-Martin ◽  
Belen Marzal-Alfaro ◽  
...  
Keyword(s):  
Health Professional ◽  
Cancer Patients ◽  
Health Professionals ◽  
The Internet ◽  
Sociodemographic Characteristics ◽  
Oncology Patients ◽  
Health Apps ◽  
Related Information ◽  
Health Related ◽  
The Impact

BACKGROUND Information and communication technologies (ICTs) in oncology can revolutionize the medical care of cancer patients. ICTs can promote patients’ empowerment and real-time disease monitoring. There is limited information about the impact of ICTs in cancer patients or their level of interest in using these tools for greater management of their condition. OBJECTIVE This study aimed to understand the ICT usage profile in hematology-oncology patients to identify their needs and determine their level of interest in these technologies as a means of managing their disease. METHODS A 28-item questionnaire was drawn up by a multidisciplinary team including pharmacists and oncologists. The questions were organized into 3 blocks, which were as follows: block A—sociodemographic characteristics; block B—use of ICTs when searching for health-related information; and block C—usage preferences for health apps. Hematology-oncology patients receiving treatment between May and July 2017 were included. A paper copy of the questionnaire was handed over to patients in either the day hospital or the pharmaceutical care consultancy in pharmacy services. RESULTS A total of 650 questionnaires were handed out, with a participation of 94.0% (611/650). Patient sociodemographic characteristics were as follows: mean age was 57.8 years (age range: 19-91). Of 611 participants, 40.7% (249/611) had a university education, and 45.1% (276/611) of participants reported their overall state of health to be good. Results from use of ICTs when searching for health-related information were as follows: 87.1% (532/611) of participants were interested in being informed about health-related matters. Of all participants, 75.5% (532/611) sought information from health professionals and 61.3% (375/611) on the internet. Before going to their doctor’s appointment, 21.8% (133/611) of patients looked up information about their disease or treatment on the internet. This access to the internet rose to 50.9% (311/611) after their first medical appointment with their oncologist. Usage preferences for health apps were as follows: 82.7% (505/611) had a smartphone, whereas 20.3% (124/611) had a health app installed. Overall, 81.5% (498/611) would use an app if their health professional recommended it to them, but 39.6% (242/611) were not willing to pay for it. CONCLUSIONS The hematology-oncology patients showed a great deal of interest in searching for health-related information by means of ICTs, especially using smartphones and apps. The issues that drew the most interest in terms of apps were appointment management, advice on disease management, and communication with health professionals. Free access to these features and the recommendation by a health professional are important factors when it comes to their use. Therefore, the health care provider is a key element in the recommendation of ICTs, providing their knowledge and experience concerning their correct usage.

scholarly journals Use of Social Media among Intern Doctors in Regards to Covid-19

2020 ◽  
Vol 2 (1) ◽  
pp. 56-64
Author(s):  
Prativa Subedi ◽  
Bibechan Thapa ◽  
Aakriti Pandey
Keyword(s):  
Social Media ◽  
Health Professionals ◽  
Cost Effective ◽  
Depth Information ◽  
Hospital Data ◽  
Cross Sectional ◽  
Medical College ◽  
Related Information ◽  
Health Related ◽  
Use Of Social Media

Background: The world is not just fighting a pandemic of COVID-19, but also tackling infodemic due to the rampant spread of misinformation and rumor about COVID-19 across various online and printed media. Social media is an easy, quick, and cost-effective source of information but its contents are not regulated. Users also usually don't verify information on social media on authentic sites. So, misinformation spreads at a exponential rate. Intern doctors as young physician should have scientific knowledge of disease and not be misled by rumors. Also, health-related information shared by health professionals owes greater credibility to the public. This study aims to explore whether or not intern doctors are using social media rationally in regards to COVID-19. Methods: This is a cross-sectional, mixed-method study carried out among medical and dental interns of KIST Medical College and Teaching Hospital. Data was collected with the help of a self-administered semi-structured questionnaire after pretesting. Two Focus group discussions were conducted to gain in- depth information. Findings: 65 % percent of the intern doctors most often used social media to gain information about COVID-19 out of which 87.1 % used Facebook more often.  Around 46 % just read the full title of news appearing in social media while only 32.9 % read the full text.  36 % share the news just by seeing the title. Nearly 35 % of intern doctors check the authenticity of information on social media by verifying it via experts or from authentic sources. Conclusion: Rational use of social media is a must to combat the epidemic of COVID 19. Health professionals including young doctors like interns should focus on scientific and evidence-based information and should use social media rationally both for acquisition and dissemination of information on COVID-19.

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