Digital Health Interventions for Adults With Type 2 Diabetes: Qualitative Study of Patient Perspectives on Diabetes Self-Management Education and Support

Background: The prevalence of type 2 diabetes is increasing globally, and health services in many countries are struggling with the morbidity, mortality, and costs associated with the complications of this long-term condition. Diabetes self-management education (DSME) and behavioral support can reduce the risks of developing diabetes-related complications and improve glycemic control. However, their uptake is low. Digital health interventions (DHI) can provide sustained support and may overcome challenges associated with attending diabetes self-management sessions. They have the potential for delivery at multiple locations at convenient times, anonymity, and presentation of content in attractive and tailored formats. This study investigates the needs and wants of patients with type 2 diabetes to inform the development of digital self-management education and support. Objective: The objective of this study was to explore patient perspectives on unmet needs for self-management and support and the role of DHI in adults living with type 2 diabetes. Methods: This study used a qualitative approach based on data generated from 4 focus groups with 20 patients. Results: The data generated by the focus groups illustrated the significant burden that the diagnosis of diabetes places on many patients and the negative impacts on their emotional well-being, work, social life, and physical health. Although patients’ experiences of the health care services varied, there was agreement that even the best services were unable to meet all users’ needs to support the emotional regulation, psychological adjustment, and behavioral changes needed for successful self-management. Conclusions: By focusing on medical management and information provision, existing health care services and education programs may not be adequately meeting all the needs of patients with type 2 diabetes. DHIs have the potential to improve access to DSME and behavioral support and extend the range of content offered by health services to fit with a wider range of patient needs. Features that could help DHIs address some of the unmet needs described by participants in this study included placing an emphasis on emotional and role management, being available at all times, having up-to-date evidence-based guidance for patients, and providing access to peer-generated and professional advice

Jefferson Digital Commons quarterly report: April-June 2017

For Full-Text access download report. Jefferson Digital Commons Quarterly Report: April-June 2017 The Jefferson Digital Commons had another very busy quarter with assets being deposited from across the enterprise. Total number of assets deposited this quarter: 371 Total downloads for this quarter: 113,261(April 10, 2017 highest download count: 1,763) 7,500 different institutions accessed content in the JDC Asset with the most downloads this quarter: 2017 issue of Inside Out Countries visiting the JDC this quarter: 196 Below are highlighted assets that were added to the inventory along with more feedback from researchers that continue to arrive from around the globe on the impact of works found in the JDC. If you would like to have content deposited please contact: [email protected], [email protected] or [email protected] Assorted highlighted materials added to the JDC April-June 2017: 9th Annual Faculty Days Design is Not Just for Designers! Use Design Thinking & Interprofessional Hackathon Design Events to Innovate Your Curriculum or Clinical Practice Article: Sonoelastography of the Common Flexor Tendon of the Elbow with Histologic Agreement: A Cadaveric Study Grand Rounds: Mindfulness for Chronic Pain Female Sexual Dysfunction and Problems in the Postmenopausal Woman: How to Help Stella Get her Groove Back Bipolar Disorder for Primary Care Pediatric Palliative Care Epigenetic Approaches to Epithelial Ovarian Cancer Family and Community Medicine Town Hall Dare More, Do More, Live More: Living Fearlessly Beyond Cancer Translational Cancer Research: The Surgeon\u27s Role Post-exposure prophylaxis (PEP) for HIV: A Guide to Use in Primary Care How to run away from Doctors and Hospitals Use of Teratogenic Medicines in Women of Reproductive Age Delirium Attention-Deficit Hyperactivity Disorder: A Biomedical Approach to Diagnosis and Treatment OSA and Primary Snoring: Palatal Surgery and Office-Based Procedures Annular and ovoid lesions: Defining Moments Sports Medicine Update Jonathan Letterman, MD: The Surgeon-Soldier a his Reforms of Battlefield Medicine Statistics for Surgeons Surgical Ergonomics in Otolaryngology Have you created your database yet? Two-year Mortality in Elderly Free Flap Patients: Case-Control Study Metformin effects on head and neck squamous carcinoma microenvironment: window of opportunity trial New Therapies in the Management of Heart Failure Overlapping Surgery in 2017: Understanding the Debate and What\u27s Next Research in the Department of Family and Community Medicine at Thomas Jefferson University Erectile Dysfunction Dysregulation of microRNAs leads to target therapy Diet, Gut, Brain: An Update Screening, Brief Intervention and Referral to Treatment (SBIRT) for Substance Use Disorders The History of Medicine and LGBTQ+ Populations in the United States Hodgkin Lymphoma: Progress Made and Challenges Ahead Breast Cancer Screening in the Modern Age Improving the quality and outcomes of older women\u27s decision-making around breast cancer screening and treatment Templeton Grand Rounds: Mitral Valve Surgery for Functional MR Evaluating Sleep Issues in Primary Care Department of Surgery: The Year in Review and Integration 2.0 (2016-2017 The last week of the fiscal year) Venous Thromboemboli: Should your patient with a DVT be admitted? The Subscapular System of Flaps in Head and Neck Reconstruction Targeting Frailty in Older Patients with Heart Failure: The REHAB-HF Experience Medical Cannabis: Lessons Learned by a Family Doctor Historical Materials: Caps & Capes - Student Nurses Newspaper, 1958-1971 House Staff Quality and Improvement Patient Safety Posters “The Weekend Effect : Weekday versus Weekend comparison of patients admitted with NSTEMI in terms of length of hospital stay, door to balloon time and left ventricular function A Quality Improvement Project to Reduce the Wait Time for Initial Appointment in an Urban Outpatient Sleep Center Journal The Medicine Forum, 2017, Volume 18. Meeting Report: The Value of Cancer Immunotherapy Summit at the 2016 Society for Immunotherapy of Cancer 31st anniversary annual meeting MPH Capstone presentations: Borders and Blood Pressure: Identifying the Association of Acculturation with Hypertension Diagnoses Among Hispanic-American Immigrants Partnerships to Improve Community Health (PICH) Initiative on Nutrition in Wilmington, DE: An Assessment of Fruit and Vegetable Consumption Perceptions of Living with Chronic Illness as Type 2 Diabetic Transgender Adults Addressing Obesity in the Early Head Start Community Through Environmental and Educational Means (Pilot Program) Screening for Adolescent Alcohol and Other Drug Use by Jefferson Providers: Methods, Barriers and Facilitators Self-Reported Prostate Cancer Screening Among Men Aged 45+ in Southeastern Pennsylvania: Trends from 2008-2015 and Correlates from 2015 Shedding Light on Communication Disorders in Syrian Refugee Children Veterans Status and Its Impact on Mental Health, Access, Use, Alcohol Use and Suicide Outcomes of Teen Pregnancies Delivered at University of Texas Medical Branch in 2013 The Impact of Case Management Interventions on Hospital Readmission Rates and Emergency Department Visits Weight Gain in Obese Pregnant Women and Risk for Cesarean Delivery by Class of Obesity Human Rights of Refugees, Immigrants and the Internally Displaced Assessing STD Knowledge and Attitudes of Campus Hookup Culture at Philadelphia University Policy and Public Health Implications for Exchange of Super Protected Data in Pennsylvania A Mixed-Methods Approach to Developing a Short-Form Opioid Abuse Screening Tool Climate Change and Resulting Floods: Using Social Capital to Strengthen Community Resilience in Eastwick, A Known Floodplan Retrospective Cohort Study of Refugee HealthCare Utilization in Philadelphia, 2007-2016 Healthcare utilization patterns among refugees resettled in the United States: A Systematic Review Developing and designing a sustainable evaluative program protocol that aims to deliver affordable quality eye-care to underserved children within the Philadelphia School District Evaluation of the Hit Count as a Concussion Prevention Strategy in a Youth (4-14 years old) Football League: A Grant Proposal Indego Helmet Assessment How Does an Understanding of the Lower Extremity Amputation Patient Population That a Large Urban Podiatric Practice Serves Improve the Care of that Population? Transition to and from the Nursing Home: A Qualitative Study of People Severely Disabled by Multiple Sclerosis and Measurement of Self-Efficacy MS in Applied Health Economics and Outcomes Research: Identification of Cognitively Impaired Patients At Risk For Development of Alzheimer\u27s Disease: An Analysis of US Medicare Claims Data MS in Health Policy: What Bundled Payment Structure Should Physical Therapists Support for Patients After Total Hip and Knee Arthroplasty? Consumer Cost Transparency Initiatives in Pennsylvania MS in Healthcare Quality and Safety: Implementation of Standardized Discharge Rounds as a Tool to Decrease Length of Stay in an Acute Care Hospital Implementation of Standardized Screening for Cognitive Dysfunction at a Multispecialty Group Practice Comparing Effectiveness Between Departments of Initiatives to Improve Stroke Prevention for Atrial Fibrillation Patients A Collaborative Approach to Improving Door-to-Needle Times in Patients with Acute Ischemic Stroke Standardizing the Use of Chlorhexidine Gluconate (CHG) Wipes in the Preoperative Area Prior to Colon, Hysterectomy, Total Hip, and Total Knee Surgery: Does Direct Observation Increase Compliance? News: Jefferson Digital Commons quarterly report: January-March 2017 Conference Posters Archived in the Jefferson Digital Commons Jefferson College of Population Health Capstones New to the Jefferson Digital Commons New Presentations in the Jefferson Digital Commons Newsletters: A Word from the Writing Center (April 2017) A Word from the Writing Center (May 2017) A Word from the Writing Center (June 2017) JCIPE Spring 2017 Inside Out, Spring 2016 Inside Out, Spring 2017 Sci-Tech Newsletter, June 2017 Occupational Therapy student capstones: Improving Sexual Intimacy of Adults with Physical Disabilities Sleep: Its Impact on Health Effects of Alternative Seating in the Classroom Effects of Transition Services for Students with Cerebral Palsy on Employment Podcasts: New Developments in Genetic/Genomic Testing: Implications for Population Health Improving Health Outcomes: Meeting the Basic Needs of Populations Posters: Evaluating Value-Based Frameworks Used for Relapsed or Refractory Multiple Myeloma Regimens: ICER Report, ASCO Value Framework, and NCCN Evidence Blocks Cost Savings and Efficiency Realized Decreasing Orders for Type and Crossmatching ST elevation myocardial infarction in a young adult: Expect the unexpected Looking beyond the traditional: integrating a new curriculum design into an immersion practicum evaluation tool Perceptions of Accelerated Bachelor of Science in Nursing Program Graduates Regarding Andragogical Practices Employed by Faculty Infection Prevention and Control in Baccalaureate Nursing Education: Identifying Content, Teaching Strategies and Gaps Book Club at Intern Orientation to Help Frame Professional Identity Pre-Admission Blood Pressure and Outcome in a Large Telestroke Cohort Socioeconomic Status and Stroke Outcome Increased Density of Axonal Spheroids in the Nucleus Gracilis of the Lower Brainstem in Diabetic Versus Non-Diabetic Patients The Bug-Bag: Consolidating Medications to Cut Costs Generation of CRISPR knockout of IDH1 in pancreatic ductal adenocarcinoma cell line: An optimal model to study pancreatic cancer metabolic reprogramming Evidence in Action: Impact of Early Occupational Therapy Intervention in the Complex Stroke Patient A Comparative Analysis of the Paris System and Institutional Reporting System for Urine Cytology in Upper Tract Urothelial Specimens Treatment-Related Decisional Conflict, Quality of Life, and Comorbid Illness in Older Adults with Cancer Predictors of HPV Vaccination Series Completion in Philadelphia Adolescents Exploring the Role of Life Review Videos with Patients Diagnosed with Advanced Cancer Gathering Qualitative Feedback and Demonstrating Value for an Institutional Repository (IR) Patient Attitudes Toward a Physician Led Radiology Review: Improved Understanding of Medical Conditions and a Potential New Quality Metric Inappropriate electrolyte repletion for patients undergoing endoscopic procedures Assessing the Burden of Unnecessary Central Venous Catheters in Patients on Medical-Surgical Floors The Use of Telemetry Monitoring Among General Medicine Patients Improving Medication Reconciliation Using Provider Education and an EHR Hard Stop Helping to Support CPC+ Initiative to Integrate Behavioral Health Within Primary Care: A Team-Based Approach to Improving Depression Management Lost in Translation: A Standardized, Interdepartmental Approach to Improve the Safety of Inpatient Transitions of Care Under Pressure: Ambulatory Blood Pressure Control Obstacles and Challenges to Implementing Multi-departmental QI at a Large, Academic Training Center-Lessons Learned from a HCV Screening Program Improving Pneumococcal Vaccination Rates in Jefferson Hospital Ambulatory Practice Patients Improving Colon Cancer Screening in a Resident Ambulatory Clinic Got Sugar? Pharmacist Intervention to Improve A1c The Case of the 10 Pound Giant: A Near Miss Root Cause Analysis Should we Set a Formalized Discharge Instruction Education Standard? Presentations: RNA matters lecture series: The Human tRNA Story: A Complex Epigenomic Landscape Unfolds Medicare at 50: Its Effect on Disparities Surgery Resident Research Day Presentations: GCC as a Therapeutic Target in Colorectal Cancer Stem Cells Exploring Complications and Quality of Life Following Paraesophageal Hernia Repair A spoonful of sugar: The role of IDH1 and metabolic reprogramming in pancreatic cancer Multi-institutional Evaluation of Adherence to Comprehensive Postoperative Venous Thromboembolism Chemoprophylaxis Implementing ICOUGH: The Messy Science of Quality Improvement The Effect of a HIF Prolyl Hydroxylase inhibitor on Liver Regeneration after Partial Hepatectomy in Mice Molecular Profiling of Resected Pancreatic Cancer: the Potentia Personalizing Adjuvant Therapy Drug Discovery in Pancreatic Cancer: The Power of the Pathway Approach What People are Saying About the JDC: Country: US Role: faculty Resource URL: http://jdc.jefferson.edu/medfp/153/ Comments: For teaching purpose Name: Betty Patricia Harrell Country: US Role: researcher Resource URL: https://core.ac.uk/download/pdf/46965911.pdf Comments: Too many volumes as I researcher Bricker, William Henry for genealogy I became fascinated by the sciences of the early 1900\u27s and could not stop...Thank you putting them online for free. Name: Leticia Ghelman Country: BR (Brazil) Role: student Resource URL: http://jdc.jefferson.edu/fmfp/7/ Comments: I am a student at Universidade Estacio de Sa- Rio de Janeiro, Brazil, College of Nutrition. We are writing a paper about Nutrition Literacy and would love to have access to the NLS. It would really help us in the development of our work, which is being conducted at a loca government family practice. Thank you in advance Name: Alam Country: AE (United Arab Emirates) Role: student Comments: Good work Referring Page: http://jdc.jefferson.edu/mphcapstone_presentation/143/ Country: US Role: physician, member of antibiotic stewardship comm Comments: good info on use of bandemia in clinical practice http://jdc.jefferson.edu/cgi/viewcontent.cgi?article=1103&context=medfp Name: Lauren Wiseman Country: US Role: Non-profit Regional HIE Resource URL: http://jdc.jefferson.edu/cgi/viewcontent.cgi?article=1002&context=ms_hqs Comments: We are seeking information on medication reconciliation with HIE as we strive to provide valuable use cases for our participants. Name: B. J. Strickland Country: US Role: genealogist Resource URL: http://jdc.jefferson.edu/jmc_catalogs/50/ Comments: Thank you for making this Annual Announcement available. I am in the middle of doing genealogical research on my family. This 1861-1862 Jefferson Medical College annual announcement has my great grandfather\u27s name, Dr. James S. Washington, on the graduate list. This piece of personal history is very rewarding. Thanks again

Digital and remote behavioral therapies for treating tic disorders: Recent advances and next steps

The rapid expansion of access to and engagement with digital technology over the past 15 years has transformed the potential for remote delivery of evidence-based digital health interventions (DHIs). Digital and remote behavioral interventions have the potential to address current gaps in the provision of evidence-based therapies in healthcare services. As the lack of access to behavioral treatments for people with tic disorders is a pressing issue across the world, there is great potential for DHIs to close this treatment gap. Here, we present a critical synthesis of the recent key advances in the field of digitally delivered, remote therapy for tics, outlining the research evidence for the clinical and cost-effectiveness and acceptability of digital or remotely delivered therapy. We found five trials aimed at reducing tic severity in children and young people and one trial for adults. The evidence supports the clinical utility of DHIs to deliver tic therapies, which shows promise in being clinically efficacious compared to an active control. Furthermore, DHIs in trials show good adherence and engagement and are acceptable to patients. The role of human support (including therapists and parents for young people) is likely to be important to encourage adherence. DHIs, where the main therapeutic content is delivered via web-based chapters, are likely to reduce clinical time, and maintain intervention fidelity, but further research is required to understand cost-effectiveness. Despite utilizing randomized controlled trials, only two trials were sufficiently powered to address efficacy and only one trial explored contextual factors that may influence engagement. Moreover, only one trial followed patients for >12 months, thus further long-term follow-ups are required. Specifically, we note that despite an emerging evidence base, DHIs for tics are yet to be routinely implemented in healthcare provision in any country. Drawing on the existing evidence, we conclude by proposing a stepped care model, in which digital therapy is implemented as a widely accessible first-line treatment using a purely online or therapist-supported approach

Technology-enhanced Personalised Learning: Untangling the Evidence

Technology-enhanced personalised learning is not yet common in Germany, which is why we have tasked scientists with summarising the current status of international research on the matter. This study demonstrates the great potential of technology in implementing effective personalised learning. Nevertheless, it has not been assessed yet whether the practical implementation actually works: Even in countries such as the U.S., which lead the way in using techology in classroom settings, hardly any evaluation studies have been done to prove the effectiveness of technology-enhanced personalised learning. In the light of the above, the authors make recommendations for actions to be taken in Germany to make best use of the potential of technology in providing individual support and guidance to students

Social Media And Health: Implications For Primary Health Care Providers

This report is the second deliverable of the ?Digital Inclusion and Social Knowledge Media for Health: Frameworks and Roadmaps? project. The first discussed the concept of social and digital exclusion whilst this report focuses on the emerging phenomenon of social media. The report outlines current knowledge on the users and usages of social media for health and goes on to discuss social media in the context of a continuing focus (ref. D1.1) on the areas of mental health, smoking cessation and teenage lifestyles. The report concludes with an outline of an approach to a ?social media strategy? and with suggestions for directions for future research

A two-way interactive broadband satellite architecture to break the digital divide barrier

September 24-26, 2007, Turin, Ital