18 research outputs found
Kappa values for each item for DISCERN and EQIP.
<p>Kappa values for each item for DISCERN and EQIP.</p
Datasheet1_Pediatriciansâ experiences of managing outpatient care during the COVID-19 pandemic: A qualitative study in Germany.docx
BackgroundPediatricians are important sources of information for parents regarding their children's health. During the COVID-19 pandemic, pediatricians faced a variety of challenges regarding information uptake and transfer to patients, practice organization and consultations for families. This qualitative study aimed at shedding light on German pediatriciansâ experiences of providing outpatient care during the first year of the pandemic.MethodsWe conducted 19 semi-structured, in-depth interviews with pediatricians in Germany from July 2020 to February 2021. All interviews were audio recorded, transcribed, pseudonymized, coded, and subjected to content analysis.ResultsPediatricians felt able to keep up to date regarding COVID-19 regulations. However, staying informed was time consuming and onerous. Informing the patients was perceived as strenuous, especially when political decisions had not been officially communicated to pediatricians or if the recommendations were not supported by the professional judgment of the interviewees. Some felt that they were not taken seriously or adequately involved in political decisions. Parents were reported to consider pediatric practices as sources of information also for non-medical inquiries. Answering these questions was time consuming for the practice personnel and involved non-billable hours. Practices had to adapt their set-up and organization immediately to the new circumstances of the pandemic, which proved costly and laborious as well. Some changes in the organization of routine care, such as the separation of appointments for patients with acute infection from preventive appointments, were perceived as positive and effective by some study participants. Telephone and online consultations were established at the beginning of the pandemic and considered helpful for some situations, whereas for others these methods were deemed insufficient (e.g. for examinations of sick children). All pediatricians reported reduced utilization mainly due to a decline in acute infections. However, preventive medical check-ups and immunization appointments were reported to be mostly attended.ConclusionPositive experiences of reorganizing pediatric practice should be disseminated as âbest practicesâ in order to improve future pediatric health services. Further research could show how some of these positive experiences in reorganizing care during the pandemic are to be maintained by pediatricians in the future.</p
Additional file 1: of Choice of outcomes and measurement instruments in randomised trials on eLearning in medical education: a systematic mapping review protocol
Search strings. (DOCX 16ĂÂ kb
Additional file 3: of Predictors of female sexual dysfunction: a systematic review and qualitative analysis through gender inequality paradigms
Supplementary Material. Significant risk factors stratifiedĂÂ by level of human development. (DOCX 27 kb
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âDLQI seems to be âactionâ, and Skindex-29 seems to be âemotionââ: qualitative study of the perceptions of patients with psoriasis or eczema on two common dermatology-specific quality of life measures
Little is known about which quality of life (QoL) measure best captures the lived experience of people with a chronic skin condition. The purpose of this study was to explore patientsâ views on the Dermatology Life Quality Index (DLQI) and Skindex-29. Participants were adults (n=28) with a diagnosis of eczema or psoriasis who completed the DLQI and the Skindex-29 before being interviewed about the content and format of these questionnaires. Interviews were analysed using content analysis. Participants were generally satisfied with length and layout of both questionnaires. However, the majority preferred the Skindex-29 for its ease of understanding, use of a longer recall period and incorporation of items on a variety of emotions. Participants reported both questionnaires failing to incorporate important aspects of their lives, for instance impact on professional relationships. Participants voiced limitations in both measures but overall felt Skindex-29 better captured their lived experience
Additional file 3 of Prevalences of cardiometabolic risk and lifestyle factors in young parents: evidence from a German birth cohort study
Additional file 3. Maternal alcohol and smoking habits by breastfeeding status
Additional file 2 of Prevalences of cardiometabolic risk and lifestyle factors in young parents: evidence from a German birth cohort study
Additional file 2. Obesity and lifestyle factors in families
Table_5_How do parents access, appraise, and apply health information on early childhood allergy prevention? A focus group and interview study.DOCX
BackgroundWhen parents want to make health-related decisions for their child, they need to be able to handle health information from a potentially endless range of sources. Early childhood allergy prevention (ECAP) is a good example: recommendations have shifted from allergen avoidance to early introduction of allergenic foods. We investigated how parents of children under 3 years old access, appraise and apply health information about ECAP, and their respective needs and preferences.MethodsWe conducted 23 focus groups and 24 interviews with 114 parents of children with varied risk for allergies. The recruitment strategy and a topic guide were co-designed with the target group and professionals from public health, education, and medicine. Data were mostly collected via video calls, recorded and then transcribed verbatim. Content analysis according to Kuckartz was performed using MAXQDA and findings are presented as a descriptive overview.ResultsParents most frequently referred to family members, friends, and other parents as sources of ECAP information, as well as healthcare professionals (HCPs), particularly pediatricians. Parents said that they exchanged experiences and practices with their peers, while relying on HCPs for guidance on decision-making. When searching for information online, they infrequently recalled the sources used and were rarely aware of providers of âgoodâ health information. While parents often reported trying to identify the authors of information to appraise its reliability, they said they did not undertake more comprehensive information quality checks. The choice and presentation of ECAP information was frequently criticized by all parent groups; in particular, parents of at-risk children or with a manifested allergy were often dissatisfied with HCP consultations, and hence did not straightforwardly apply advice. Though many trusted their HCPs, parents often reported taking preventive measures based on their own intuition.ConclusionOne suggestion to react upon the many criticisms expressed by parents regarding who and how provides ECAP information is to integrate central ECAP recommendations into regular child care counseling by HCPsâprovided that feasible ways for doing so are identified. This would assist disease prevention, as parents without specific concerns are often unaware of the ECAP dimension of issues such as nutrition.</p