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Incorporating the leading practice provider in the delivery of tele critical care medicine addresses the critical care provider shortage. However, the current literature lacks information about potential workflows, deployment issues, and implementation results, implying that expanding teleCCM coverage is unlikely. Here, we demonstrate the deployment of a telemedicine APP pilot service within a recently launched teleCCM initiative with the intention of determining the suitability and ease of deployment. The aim is to evaluate the effectiveness and potential impact on the ICU operation in several hospitals affiliated with a large academic center, using an existing tele-ICU system with a balanced APP solution. In summary, the eAPP can be quickly deployed in existing teleCCM settings, providing responsive and valuable care that meets the specific needs of specific ICUs while simultaneously increasing the delivery of ICU care.
Source link: https://europepmc.org/article/MED/35780144
This research is designed to investigate the effects of a pilot SDD ERP on patient self-reported pain scoring and narcotic use by patient self-reported pain scoring and narcotic use. Methods A Quality Improvement Pilot Program was launched to determine the effect of a SDD ERP on post-operative pain score monitoring and opioid use in healthy patients undergoing elective colorectal surgery as an alternative to post-operative hospitalization during the COVID-19 pandemic. Despite relatively high reported pain scores, Mean total narcotic use was 5. 2 tablets of 5 mg oxycodone. Conclusions SDD has been shown to have significantly lower patient use for postoperative pain relief than hypothesized in our first study. With the reduction of prescribed discharge oxycodone 5 mg quantity from #40 to #10 tablets, this pilot SDD project resulted in a change in clinical practice.
Source link: https://europepmc.org/article/MED/35771192
Background: Many community medic services have the intention of reducing unnecessary emergency department visits among high users of acute care, but less emphasis is placed on reducing ambulance summons for emergency medical services. Participants used 9-1-1 an average of 0. 68 times per 30 person-days before the community's paramedic intervention and 0. 51 times per 30 person-days after the intervention, indicating a decrease in 9-1-1 utilization of 25%. Participants who had more than one home visit or who were in the highest quartile of 9-1-1 use prior to the intervention showed no statistically significant changes in 9-1-1 use. This pilot study demonstrates the advisability of an EMS-based, community paramedic-only intervention to reduce unnecessary 9-1-1 calls, as well as a few small EMS savings, which can be achieved by sending community paramedics to home visits with frequent users of 9-1-1.
Source link: https://europepmc.org/article/MED/35666265
The primary aim of this pilot controlled trial is to determine the feasibility of an intervention that screens for and addresses child and families's nutritional needs in a pediatric weight management clinic. Methods We will run a single-center, pilot RCT of 40 families with children enrolled in a children's obesity management service at a tertiary children's hospital in Ontario, Canada, Canada's tertiary children's Hospital. Families with unmet social care will be randomized to either a community navigator or self-navigation of community resources. The primary feasibility findings and success factors for success include the following: recruitment rates will be acceptable if more than 80% of our target sample is met in the 6 months of study; uptake of intervention will be considered fruitful if > 80% of families complete the program; and a follow-up of participants will be considered fruitful if > 90% of participants complete all the study visits.
Source link: https://europepmc.org/article/MED/35717284
These services address common challenges that patients face with traditional face-to-face healthcare, such as travel, a lack of time, and a high demand on the public health system, which are all typical barriers. Compared to an online self-management book, Objective To determine the suitability, usability, and implementation context of a self-management internet-based course focused on exercises and pain education in people with chronic musculoskeletal pain. Methods Design: A comparative pilot study of a prospectively registered, assessor-blinded, 2-arm randomised controlled trial with economic analysis was conducted in parallel. Participants: 65 patients with persistent musculoskeletal pain aged 18 to 60 years. Interventions: A 8-week telerehabilitation course focused on exercises and pain management was compared to an online self-management book. Patient satisfaction reports, acceptability, appropriateness, potential, and usability of the program were among the patient's expectations; economic costs, accessibility, and feasibility of the trial were the primary outcome measures in this 8-week post-treatment follow-up. On a 1 to 5 scale, the intervention group delivered responses with a mean of 4. 5 points for acceptability, 4. 5 points for appropriateness, and 4. 5 points for feasibility measured on a 1 to 5 scale. All patients in the intervention group had positive reactions to the system usability results, according to the system usability report. We found a total cost of US$ 278. 3 per patient in the intervention group and U. S. $141. 52 per patient in the control group for 8 weeks of operational expenditures related to the healthcare, physicians, and loss of productivity at 8 weeks. Conclusions The Reabilitador project is regarded as a complete, useful, and acceptable from the users' implementation standpoint, according to the users. Both groups reported being happy with the platform and the new program content.
Source link: https://europepmc.org/article/MED/35776863
Peer telemental health recently became Medicaid reimbursable during the COVID-19 crisis, raising the need for uniformized training on digital peer support services. During the COVID-19 crisis, the 4-h Digital Peer Support Training course was designed to prepare peer support specialists for rapid uptake in offering digital peer assistance during the COVID-19 crisis. Surveys were administered to determine pre-post changes in the DPS course for participants, including attitudes/ beliefs regarding DPS, readiness to use/ participate in DPS, and organizational readiness to deploy DPS. The 4-h DPS course may be helpful in providing diverse groups of peer support specialists with a uniform training framework. The DPS short course can be widely distributed throughout the region, providing peer support specialists with the competencies and resources needed to expand the reach of peer support services beyond the COVID-19 crisis and beyond.
Source link: https://europepmc.org/article/MED/35708827
Screening for distress was introduced in our academic hospital with the participation of patients as partners. This pilot qualitative research sought to learn about their work. Mean global content on a Likert scale surpassed 8. 92 over 10. 92 percent over 10. 91 over 10. Patients-as-partners greatly appreciated their participation, but also identified obstacles that could be investigated in future quality improvement initiatives, according to our preliminary findings.
Source link: https://europepmc.org/article/MED/35719417
Introduction Posttraumatic stress disorder affects maternal-infant bonding during the childbearing year, including for maternal drug use, inadequate prenatal care, premature delivery, and impaired maternal-infant bonding. This open pilot was conducted in a large city in a mid-Atlantic state of an organization that offers perinatal care via community health workers. Multiple imputation methods and paired-samples t tests examined PTSD symptoms and responses related to theorized mechanisms of affect dysregulation and interpersonal sensitivity in order to determine prediction and persistence. Optimum Learning Modules 40, 56 women who completed pretests, 38 completed the core curriculum of a minimum of four of ten learning modules, with a maximum of 38 of 36 women who completed pretests, 38 completed the core curriculum. PTSD and depression scores changed dramatically from clinical to nonclinical range scores for PTSD and depression, according to Per-protocol results. Discussion These results show that a psychoeducational approach with tutor assistance could be highly effective in inducing positive mental health changes in a high-risk perinatal population. CHWs with intervention-specific training can be highly useful in establishing a trauma-specific intervention.
Source link: https://europepmc.org/article/MED/35689499
Aim The effect of a web-based relapse prevention strategy may vary depending on a particular population, if the study participants included drug users of various characteristics. This secondary research looked at subgroups of Japanese drug users who might profit from a web-based relapse prevention service. Methods Outpatients with a drug use disorder were randomly assigned to an 8-week, six-session web-based relapse prevention service or web-based self-monitoring only. The relationship between the intervention condition and the subgroup condition was investigated by an author. For those who used methamphetamine or those who had previously received a face-to-face relapse prevention service, the intervention group had larger effect sizes than the average population's findings. Conclusions This report shows that patients undergoing short-term therapy may benefit from a web-based relapse prevention service as an alternative therapy.
Source link: https://europepmc.org/article/MED/35689457
Older adults can have poor health issues as a result of social isolation and loneliness. Our aim was to eliminate these social problems using an intergenerational reverse-mentoring service, which was aided by social capital and intergroup contact theories. We developed an adapted, entirely online version of Cyber-Seniors, which encouraged undergraduate students to provide technology mentoring to local older adults in a seven-county area in rural Appalachia during fall 2020. We recruited gerontology students through the University and older adults through local senior services. In the comparison between baseline and follow-up, isolation did not change among older adults, but it did rise among students in the family domain. The pre- and post-tests among older adults soared among the pre- and post-tests, but not among students. Although larger studies are required to fully test the program's effectiveness, this pilot study shows that reverse mentoring services can be implemented successfully and can improve socioeconomic outcomes.
Source link: https://europepmc.org/article/MED/35742370
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