2,893 results match your criteria Journal of Evaluation in Clinical Practice[Journal]


Beyond checkboxes: A qualitative assessment of physicians' experiences providing care in a patient-centred medical home.

J Eval Clin Pract 2019 Apr 17. Epub 2019 Apr 17.

Department of Family Medicine, Alpert Medical School of Brown University, Providence, Rhode Island.

Rationale, Aims, And Objectives: The patient-centred medical home (PCMH) is an innovative approach to health care reform. Despite a well-established process for recognizing PCMH practices, fidelity to, and/or adaptation of, the PCMH model can limit health care and population health improvements. This study explored the connection between fidelity/adaptation to the PCMH model with implementation successes and challenges through the experiences of family and internal medicine PCMH physicians. Read More

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http://dx.doi.org/10.1111/jep.13136DOI Listing

Empathy and burnout: A multicentre comparative study between residents and specialists.

J Eval Clin Pract 2019 Apr 14. Epub 2019 Apr 14.

Department of Sciences and Technology of Aberta University, Center of Mathematics, Fundamental Applications and Operations Research of the University of Lisbon, Portugal.

Rationale, Aims, And Objectives: The prevalence of burnout among medical doctors and its negative effect on empathy can influence therapeutic success. The aim of this study was to compare the levels of empathy and burnout between residents and specialists as well as to study the correlation between empathy and burnout.

Methods: This is an exploratory study of a convenience sample of 104 doctors who work in health institutions in Greater Lisbon area in Portugal, covering central hospitals, district hospitals, and health centres. Read More

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http://dx.doi.org/10.1111/jep.13147DOI Listing

Evidence-based medicine: A cornerstone for clinical care but not for quality improvement.

J Eval Clin Pract 2019 Apr 11. Epub 2019 Apr 11.

Centre for Quality Improvement and Patient Safety and the Department of Medicine, University of Toronto, Toronto, Canada.

Quality improvement (QI) as a clinical improvement science has been criticized for failing to deliver broad patient outcome improvement and for being a top-down regulatory and compliance construct. These critics have argued that the focus of QI should be on increasing adherence to clinical practice guidelines (CPGs) and, as a result, should be consolidated into research structures with the science of evidence-based medicine (EBM) at the helm. We argue that EBM often overestimates the role of knowledge as the root cause of quality problems and focuses almost exclusively on the effectiveness of care while often neglecting the domains of safety, efficiency, patient-centredness, and equity. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/jep.13135
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http://dx.doi.org/10.1111/jep.13135DOI Listing
April 2019
1 Read

Barriers to managing medications appropriately when patients have restrictions on oral intake.

J Eval Clin Pract 2019 Apr 10. Epub 2019 Apr 10.

Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia.

Rationale, Aims, And Objectives: Investigation of several serious adverse events in our organization highlighted that medications were managed inappropriately when patients have oral intake restrictions. The aim of this work was to identify the barriers to optimal medication management when patients have restrictions on their oral intake.

Method: Data were feedback and comments obtained between 2011 and 2014 from a hospital-wide quality assurance project. Read More

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http://dx.doi.org/10.1111/jep.13139DOI Listing
April 2019
2 Reads

Rasch analysis of the Patient Participation in Rehabilitation Questionnaire (PPRQ).

J Eval Clin Pract 2019 Apr 9. Epub 2019 Apr 9.

Metrology, RISE Research Institutes of Sweden, Gothenburg, Sweden.

Objective: To evaluate the Patient Participation in Rehabilitation Questionnaire (PPRQ) according to Rasch measurement theory.

Method: Five hundred twenty-two post-discharge patients from a neurological rehabilitation unit were included. The PPRQ questionnaire comprises 20 items rated by a cohort of 522 patients about their experiences of participating in rehabilitation. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/jep.13134
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http://dx.doi.org/10.1111/jep.13134DOI Listing
April 2019
7 Reads

Objective method for author determination (OMAD).

J Eval Clin Pract 2019 Apr 8. Epub 2019 Apr 8.

Marvasti Hospital, Tehran University of Medical Sciences, Tehran, Iran.

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http://dx.doi.org/10.1111/jep.13130DOI Listing

"Coercive induced citation": A concealed publication misconduct.

J Eval Clin Pract 2019 Apr 2. Epub 2019 Apr 2.

Marvasti Hospital, Tehran University of Medical Sciences, Tehran, Iran.

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http://dx.doi.org/10.1111/jep.13133DOI Listing

Attitude, source of knowledge, and supporting factors on evidence-based nursing among cardiovascular nurses: A cross-sectional descriptive study in Turkey.

J Eval Clin Pract 2019 Apr 1. Epub 2019 Apr 1.

College of Nursing, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA.

Rationale, Aims, And Objectives: Cardiovascular nursing has been a rapidly growing specialty since the 1960s. Assessing cardiovascular nurses' EBN (evidence-based nursing) attitudes and beliefs and the factors supporting EBN is important to assist the training programmes in fostering EBN practice in a clinical environment. Few investigations have been conducted on EBN knowledge, attitudes, beliefs, and implementation among cardiovascular nurses. Read More

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http://dx.doi.org/10.1111/jep.13132DOI Listing

Using implementation science to build intimate partner violence screening and referral capacity in a fracture clinic.

J Eval Clin Pract 2019 Apr 1. Epub 2019 Apr 1.

MAP Centre for Urban Health Solutions, St. Michael's Hospital, Toronto, Canada.

Rationale, Aims, And Objectives: Over the past two decades, research informing good clinical practices related to intimate partner violence (IPV) has been plentiful, yet partner violence screening remains challenging to translate into action. In spite of the documented efficacy of routine screening for women of reproductive age and the availability of validated screening instruments, many IPV screening programmes lack the components necessary for success. In Toronto, a multidisciplinary team of researchers and clinicians is using the tools of implementation science to scale up an evidence-based IPV screening and response programme in an urban orthopaedic clinic where prior screening attempts have been ineffective. Read More

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http://dx.doi.org/10.1111/jep.13128DOI Listing

Shared decision-making (SDM) in dentistry: A concise narrative review.

Authors:
Farah Asa'ad

J Eval Clin Pract 2019 Mar 28. Epub 2019 Mar 28.

Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden.

Objective: The aim of this review was to evaluate the implementation of shared decision-making (SDM) in dentistry and the roles of informed consent and patient decision-making aids (PDAs) as part of this process.

Materials And Methods: A review of pertinent literature was performed using PubMed and MEDLINE to determine the current position of the application of SDM in dentistry and the influence of informed consent and PDAs on this process.

Results: Limited number of published studies on the implementation of SDM in dental practice is available. Read More

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http://dx.doi.org/10.1111/jep.13129DOI Listing

Facilitating patient participation by embracing patients' preferences-A discussion.

Authors:
Ann Catrine Eldh

J Eval Clin Pract 2019 Mar 27. Epub 2019 Mar 27.

Department of Public Health and Caring Sciences, Linköping University, Linköping, Sweden.

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http://dx.doi.org/10.1111/jep.13126DOI Listing

Attitudes towards and experiences of ethical dilemmas in treatment decision-making process among medical oncologists.

J Eval Clin Pract 2019 Mar 25. Epub 2019 Mar 25.

Department of Medical History and Ethics, Faculty of Medicine, Mugla Sitki Kocman University, Mugla, Turkey.

Aim: This study aimed to evaluate the attitudes towards and experiences of ethical dilemmas in the treatment decision-making process among medical oncologists who are the members of the Turkish Society of Medical Oncology.

Materials And Methods: A questionnaire was developed based on related literature. Between April 1 and May 1, 2016, questionnaires were electronically sent to 412 medical oncologists who were the members of the Turkish Society of Medical Oncology. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/jep.13127
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http://dx.doi.org/10.1111/jep.13127DOI Listing
March 2019
5 Reads

Development of an application to support in-service training of anesthesiologists on preoperative evaluation in a public hospital in Brazil.

J Eval Clin Pract 2019 Mar 19. Epub 2019 Mar 19.

Virtual University Institute, Federal University of Ceará, Fortaleza, CE, Brazil.

Rationale, Aims And Objectives: This study investigated the process of construction, use, and field evaluation of a mobile application for teaching in the anesthesiology area.

Method: The application was built by using the Co-Design Methodology, which consists of five phases (scoping, shared understanding, brainstorming, refinement and implementation). A one-week case study was carried out in a hospital involving 20 participants (medical students and residents). Read More

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http://dx.doi.org/10.1111/jep.13112DOI Listing

Moral entrepreneurship, the power-knowledge nexus, and the Cochrane "crisis".

J Eval Clin Pract 2019 Mar 18. Epub 2019 Mar 18.

Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.

Background: In 2018, a so-called crisis developed in the international network of systematic reviewers known as Cochrane. It was widely depicted in terms of two competing narratives-"bad behaviour" by one member of Cochrane's Governing Board and scientific and moral decline within Cochrane.

Objective: Our goal was to distil insights on the structural issues underpinning the crisis, without taking a definitive position on the accuracy of either narrative. Read More

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http://dx.doi.org/10.1111/jep.13124DOI Listing
March 2019
1 Read

Evidence-based medicine-Not a panacea for the problems of a complex adaptive world.

J Eval Clin Pract 2019 Mar 19. Epub 2019 Mar 19.

School of Medicine and Public Health, University of Newcastle, Wamberal, NSW, Australia.

The recent sacking of Peter Gøtzsche from the Cochrane Collaboration Board raised strong responses and highlights the neglected issue about priorities-maintaining the reputation of the organization or vigorously debating the merits of scientific approaches to find answers to complex problems? The Cochrane approach hales the randomized trial (RCT) as the gold standard research approach and affirms that meta-analysis provides the ultimate poof (or platinum standard) to settle contentious issues confronting the clinician. However, most published medical research is wrong, and critics coined the acronym GIGO (garbage in, garbage out) as a meme to highlight the risks of blind faith in the hyped-up procedures of the EBM movement. This paper firstly explores the differences between the prevailing scientific method arising from the linear cause-and-effect assumption and the complex adaptive systems science methods arising from observations that most phenomena emerge from nonlinearity in networked systems. Read More

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http://dx.doi.org/10.1111/jep.13122DOI Listing
March 2019
1 Read

Concurrent validity of Nokia Go activity tracker in walking and free-living conditions.

J Eval Clin Pract 2019 Mar 15. Epub 2019 Mar 15.

Université catholique de Louvain, Secteur des Sciences de la Santé, Institut de Recherche Expérimentale et Clinique, Neuro Musculo Skeletal Lab (NMSK), Brussels, Belgium.

Rationale, Aims, And Objectives: Consumer-based activity trackers aim at quantifying physical activity in a wide range of contexts. Nevertheless, they need to be validated before they are confidently used. This study assessed the concurrent validity of the Nokia Go against reference devices, according to different sensor locations, in two measurement conditions: during a walking task and during a 24-hour free-living condition. Read More

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http://dx.doi.org/10.1111/jep.13125DOI Listing

Unplanned readmission after ocular trauma ambulatory surgery: A retrospective study of the Zhongshan Ophthalmic Center.

J Eval Clin Pract 2019 Mar 7. Epub 2019 Mar 7.

State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China.

Purpose: Ambulatory surgery (AS) has become common in recent years. This study explored the causes of unplanned readmission after AS and the trends in the rate of unplanned readmission in the Ocular Trauma Department of Zhongshan Ophthalmic Center.

Methods: We collected information on patients who underwent AS from 1 January 2015 to 31 December 2017, summarized the causes of ambulatory hospitalization, and analysed the type of initial surgical procedure and the reasons for 31-day unplanned readmission. Read More

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http://dx.doi.org/10.1111/jep.13123DOI Listing

Comprehensive medication reviews by ward-based pharmacists in Swedish hospitals: What does the patient have to say?

J Eval Clin Pract 2019 Mar 4. Epub 2019 Mar 4.

School of Pharmacy and Life Sciences, Robert Gordon University, Aberdeen, UK.

Rationale, Aims, And Objectives: Inappropriate medication prescribing and use amongst older patients is a major patient safety and health care problem. To promote appropriate medication prescribing and use, comprehensive medication reviews (CMRs) by ward-based pharmacists, including follow-up telephone calls after hospital discharge, have been conducted in older patients in the context of a randomized controlled trial (RCT). One of the key actors in a CMR is the patient. Read More

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http://dx.doi.org/10.1111/jep.13121DOI Listing
March 2019
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Informed consent practice for obstetric and gynaecologic procedures: A patients' perspective from a developing country.

J Eval Clin Pract 2019 Feb 28. Epub 2019 Feb 28.

Prime Institute of Public Health, Riphah International University, Islamabad, Pakistan.

Objectives: To assess the surgical informed consent (SIC) practices for obstetric and gynaecological (OB-GYN) procedures at different hospitals in Pakistan.

Methods: Study was conducted in five hospitals (three public and two private) of Peshawar, Pakistan. A pretested structured tablet-based questionnaire was administered from October 2016 through January 2017 among post-op OB-GYN patients. Read More

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http://dx.doi.org/10.1111/jep.13106DOI Listing
February 2019
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Dementia in the Bangladeshi diaspora in England: A qualitative study of the myths and stigmas about dementia.

J Eval Clin Pract 2019 Feb 27. Epub 2019 Feb 27.

College of Nursing, Midwifery and Healthcare, University of West London, London, UK.

Rationale, Aims And Objectives: Although Bangladeshis are three times more likely to be carers than White British, Bangladeshi family carers are the most deprived, neglected, and effectively a hidden group in the United Kingdom. There is a paucity of research within the Bangladeshi community that is capable of explaining and predicting the experiences and concerns of Bangladeshi family carers providing care for their relatives with dementia. The purpose of this study is to explore the perspectives of Bangladeshi family carers' knowledge and day-to-day experiences living in England. Read More

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http://dx.doi.org/10.1111/jep.13117DOI Listing
February 2019
1 Read

Comments on García-Lorenzo et al. Cost-effectiveness analysis of real-time continuous monitoring glucose compared to self-monitoring of blood glucose for diabetes mellitus in Spain.

J Eval Clin Pract 2019 Feb 27. Epub 2019 Feb 27.

Endocrinology and Nutrition, Ciudad Real General University Hospital, Ciudad Real, Spain.

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http://dx.doi.org/10.1111/jep.13120DOI Listing
February 2019

Validity and reliability of the Turkish version of the EmPHasis-10 questionnaire in patients with pulmonary hypertension.

J Eval Clin Pract 2019 Feb 22. Epub 2019 Feb 22.

Faculty of Health Sciences, Division of Physiotherapy and Rehabilitation, Istanbul University-Cerrahpasa, Istanbul, Turkey.

Rationale, Aims, And Objectives: The aim of the study was to evaluate the reliability and validity of the Turkish version of the EmPHasis-10 questionnaire to ensure cultural adaptation.

Methods: This study involved translation, back translation, and cross-cultural adaptation. One hundred and one patients who were diagnosed as having pulmonary hypertension (PH) for at least 6 months were evaluated using the Turkish version of EmPHasis-10. Read More

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http://dx.doi.org/10.1111/jep.13115DOI Listing
February 2019
2 Reads

An epistemological problem for integration in EBM.

J Eval Clin Pract 2019 Feb 22. Epub 2019 Feb 22.

University College London (UCL) (Science and Technology Studies department), London, UK.

Evidence-based medicine (EBM) calls for medical practitioners to "integrate" our best available evidence into clinical practice. A significant amount of the literature on EBM takes this integration to be unproblematic, focusing on questions like how to interpret evidence and engage with patient values, rather than critically looking at how these features of EBM can be implemented together. Other authors have also commented on this gap in the literature, for example, identifying the lack of clarity about how patient preferences and evidence from trials is supposed to be integrated in practice. Read More

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http://dx.doi.org/10.1111/jep.13109DOI Listing
February 2019

The multiple faces of practical wisdom in complex clinical practices: An empirical exploration.

J Eval Clin Pract 2019 Feb 22. Epub 2019 Feb 22.

Optentia Research Focus Area, North-West University, Vanderbijlpark, South Africa.

Rationale, Aims, And Objectives: In recent publications, attention has been drawn to the importance of practical wisdom in order to ensure good, individually attuned care in complex clinical practices. However, what remains insufficiently elucidated is how practical wisdom emerges in the workplace. This study aims to describe manifestations of practical wisdom in medical practices within a general hospital. Read More

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http://dx.doi.org/10.1111/jep.13119DOI Listing
February 2019

Humility in the face of uncertainty.

Authors:
Mathew Mercuri

J Eval Clin Pract 2019 04 20;25(2):173-175. Epub 2019 Feb 20.

Department of Medicine, McMaster University, Hamilton, Canada.

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http://dx.doi.org/10.1111/jep.13116DOI Listing

Exploring hospital patient sitters' fall prevention task readiness: A cross-sectional survey.

J Eval Clin Pract 2019 Feb 20. Epub 2019 Feb 20.

School of Physiotherapy and Exercise Science, Faculty of Health Sciences, Curtin University, Bentley, Western Australia, Australia.

Rationale, Aims, And Objectives: Patient sitters provide one-to-one care for hospital patients at high risk of falls. The study aimed to explore patient sitters' task readiness to assist in fall prevention on hospital wards.

Method: We conducted a cross-sectional survey. Read More

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http://dx.doi.org/10.1111/jep.13114DOI Listing
February 2019

Tolerating uncertainty about conceptual models of uncertainty in health care.

J Eval Clin Pract 2019 04 20;25(2):183-185. Epub 2019 Feb 20.

Program for Evidence-based Medicine & Comparative Effectiveness Research, Department of Supportive Medicine, Department of Hematology, City of Hope National Medical Center, Duarte, California, USA.

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http://dx.doi.org/10.1111/jep.13110DOI Listing
April 2019
5 Reads

E-cigarettes and the clinical encounter: Physician perspectives on e-cigarette safety, effectiveness, and patient educational needs.

J Eval Clin Pract 2019 Feb 19. Epub 2019 Feb 19.

Department of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, South Carolina.

Rationale, Aims, And Objectives: There is limited research on how health care providers approach the topic of e-cigarettes in clinical encounters, especially in conjunction with other best-practice recommendations for smoking cessation. This qualitative study explored physician perceptions and recommendations involving e-cigarettes in the context of smoking cessation counselling, including their opinions about the implementation and content of patient educational materials that focus on e-cigarettes.

Methods: Semistructured interviews were conducted with 15 physicians from family medicine, internal medicine, and obstetrics/gynaecology (OB/GYN). Read More

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http://dx.doi.org/10.1111/jep.13111DOI Listing
February 2019

Patients admitted to more research-active hospitals have more confidence in staff and are better informed about their condition and medication: Results from a retrospective cross-sectional study.

J Eval Clin Pract 2019 Feb 19. Epub 2019 Feb 19.

Research and Development Department, Cumbria Partnership NHS Foundation Trust, Carlisle, UK.

Rationale, Aims And Objectives: Clinical research activity in hospitals is associated with reduced mortality and improved overall care quality. In England, the latter is a compound score of several elements and both staff and inpatient feedback form part of the Care Quality Commission (CQC) ratings. The objective of this study was to determine if NHS Trusts' National Institute for Health Research (NIHR) study activity data correlates with specific outcomes from national NHS staff and patient surveys. Read More

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http://dx.doi.org/10.1111/jep.13118DOI Listing
February 2019

The Needs Self-Rating Questionnaire for Breast Cancer (NSQ-BC): Development of a tool for the needs assessment of women with breast cancer in mainland China.

J Eval Clin Pract 2019 Feb 17. Epub 2019 Feb 17.

School of Nursing, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, China.

Rationale, Aims, And Objectives: A needs assessment tool considering the cultural background of mainland China has not been reported. This study developed a Needs Self-rating Questionnaire for Breast Cancer (NSQ-BC) based on Maslow's hierarchy of needs for mainland Chinese patients.

Methods: The Delphi technique and pilot cross-sectional surveys (two rounds) were performed for item selection. Read More

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http://dx.doi.org/10.1111/jep.13113DOI Listing
February 2019
2 Reads
1.580 Impact Factor

The impact of allergic rhinitis on gastrointestinal disorders among young adults.

J Eval Clin Pract 2019 Feb 17. Epub 2019 Feb 17.

School of Medicine, Chung Shan Medical University, Taichung, Taiwan.

Background: An association between allergic rhinitis (AR) and digestive diseases (DDs) has been reported; however, studies have only focused on the prevalence of DDs in populations of patients with AR. In individuals with specific DDs, the impact of AR on the frequency of clinical visits for each DD has not been studied. Moreover, the association between topical steroid usage for AR and DDs has not been investigated. Read More

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http://dx.doi.org/10.1111/jep.13108DOI Listing
February 2019
2 Reads

Longitudinal assessment of exercise capacity and quality of life outcome measures in cystic fibrosis: A year-long prospective pilot study.

J Eval Clin Pract 2019 Feb 13. Epub 2019 Feb 13.

Department of Pediatrics, Division of Pulmonology, Akron Children's Hospital, Akron, Ohio.

Background: Multiple outcomes measures including exercise capacity and quality of life are necessary to get complete and accurate picture of cystic fibrosis (CF) progression. In this pilot study, we investigated these measures in CF longitudinally for a year to determine (a) minimal clinically important difference (MCID) for 6-minute walk distance (6MWD) and CF Health-Related Quality of Life Questionnaire (CFQ-R) domains and (b) how 6MWD, CFQ-R, and spirometry change during times of exacerbation and baseline health and their relationship among each other.

Methods: Subjects with moderate and severe CF (baseline FEV less than 70% predicted) at Akron Children's Hospital CF centre were followed for a full year longitudinally. Read More

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http://dx.doi.org/10.1111/jep.13105DOI Listing
February 2019
1 Read

GheOP S tool and START/STOPP criteria version 2 for screening of potentially inappropriate medications and omissions in nursing home residents.

J Eval Clin Pract 2019 Feb 5. Epub 2019 Feb 5.

Department of Pharmacology, Clinical Pharmacology and Toxicology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.

Rationale, Aims, And Objective: There is limited information about the comparative effectiveness of the START/STOPP (Screening Tool of Older Person's Prescriptions/Screening Tool to Alert doctors to Right Treatment) criteria and the Ghent Older People's Prescriptions community Pharmacy Screening tool (GheOP S tool) for the screening of potentially inappropriate prescribing (PIP) in the geriatric population. Considering this, the aim of this study was to compare the ability of the START/STOPP criteria and GheOP S tool to identify the PIP and potential prescribing omissions (PPOs) among elderly patients visiting their primary care physician.

Methods: This is a retrospective observational study where a total of 422 subjects were included. Read More

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http://dx.doi.org/10.1111/jep.13107DOI Listing
February 2019
1 Read

Clinical protocols for adults with acute abdominal pain in Australian emergency departments.

J Eval Clin Pract 2019 Feb 4. Epub 2019 Feb 4.

Adelaide Nursing School, University of Adelaide, Adelaide, Australia.

Rationale, Aims And Objectives: Patients with acute abdominal pain are a common presentation in hospital emergency departments; however, international studies have demonstrated that hospitals often lack clinical protocols to guide care. This study aimed to investigate whether Australian hospital emergency departments have acute abdominal pain clinical protocols, identify hospital-level predictors of the presence of these clinical protocols, and assess the quality of protocols.

Methods: A survey was sent to all Australian hospitals with emergency departments, collecting data on hospital characteristics and the presence of acute abdominal pain clinical protocols. Read More

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http://doi.wiley.com/10.1111/jep.13103
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http://dx.doi.org/10.1111/jep.13103DOI Listing
February 2019
9 Reads

Development and content validation of an instrument to support pharmaceutical counselling for dispensing of prescribed medicines.

J Eval Clin Pract 2019 Jan 31. Epub 2019 Jan 31.

Laboratory of Teaching and Research in Social Pharmacy (LEPFS), Department of Pharmacy, Federal University of Sergipe, São Cristóvão, Brazil.

Rationale, Aims, And Objectives: Counselling is essential in drug dispensing, since it enables patients to receive and understand the information to correctly use their medicines. Although counselling is a quality indicator on drug dispensing, models that guide pharmacists in this practice are scarce. Thus, this study aimed to develop and validate the content of an instrument to support pharmaceutical counselling for dispensing of prescribed medicines. Read More

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http://doi.wiley.com/10.1111/jep.13102
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http://dx.doi.org/10.1111/jep.13102DOI Listing
January 2019
4 Reads

The current role and perceived benefits and barriers of secondary care pharmacists facilitating patient participation in Clinical Trials of Investigational Medicinal Products (CTIMPs) conducted within the NHS: A cross-sectional survey.

J Eval Clin Pract 2019 Jan 28. Epub 2019 Jan 28.

York Trials Unit, University of York, York, UK.

Rationale, Aims, And Objectives: Secondary care pharmacists are well positioned within the healthcare system to communicate with patients and provide guidance and advice regarding drug treatments. They are able to broaden the opportunities to raise the profile of Clinical Trials of Investigational Medicinal Products (CTIMPs) and positively influence research. This research aimed to investigate the perceived benefits and barriers of secondary care pharmacists being involved in CTIMPs, their current role, and the perceived benefits and barriers of developing their role in facilitating patient participation for CTIMPs (eg, by identifying or recruiting potential participants). Read More

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http://dx.doi.org/10.1111/jep.13104DOI Listing
January 2019

Understanding FEV for the purpose of cystic fibrosis registry comparisons: Does bias in annual review FEV affect between-centre comparison within the UK? An analysis of registry data.

J Eval Clin Pract 2019 Jan 25. Epub 2019 Jan 25.

School of Health and Related Research (ScHARR), University of Sheffield, Sheffield, UK.

Rationale, Aims, And Objective: We previously demonstrated that annual review %FEV underestimates lung health of adults with CF compared with %FEV captured during periods of clinical stability. This has implications in the comparisons against registries with encounter-based FEV , such as the United States. It is uncertain whether this bias affects between-centre comparison within the United Kingdom. Read More

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http://dx.doi.org/10.1111/jep.13097DOI Listing
January 2019
7 Reads

Estimating willingness-to-pay for health care: A discrete choice experiment accounting for non-attendance to the cost attribute.

J Eval Clin Pract 2019 Jan 24. Epub 2019 Jan 24.

Department of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb, Zagreb, Croatia.

Rationale, Aims, And Objectives: The literature suggests that discrete choice experiments (DCEs) are a preferable method for estimating willingness-to-pay (WTP) values, as they may avoid some biases often observed in contingent valuation surveys, such as protest and strategic behaviour. However, the choice studies have demonstrated that attribute non-attendance may be a serious issue that leads to biased WTP estimates.

Method: A DCE was used to estimate patients' WTP for dental care at the dental school clinic. Read More

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http://dx.doi.org/10.1111/jep.13095DOI Listing
January 2019

Does integration of Magee equations into routine clinical practice affect whether oncologists order the Oncotype DX test? A prospective randomized trial.

J Eval Clin Pract 2019 Apr 23;25(2):196-204. Epub 2019 Jan 23.

Division of Medical Oncology, Department of Medicine, The Ottawa Hospital Cancer Centre and The University of Ottawa, Ottawa, Canada.

Objective: The three Magee Equations provide an estimate of the Oncotype DX recurrence score using commonly available clinicopathologic information (tumour size, grade, oestrogen receptor, progesterone receptor, HER2, and Ki67). We assessed whether integration of Magee Equations into routine clinical practice affected the frequency of Oncotype DX requests.

Methods: Patients with newly diagnosed, node negative, hormone receptor positive, and HER2 negative invasive breast cancer were randomized to undergo a Magee calculation or not. Read More

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http://dx.doi.org/10.1111/jep.13094DOI Listing
April 2019
1 Read
1.580 Impact Factor

Sustainable and cost-effective teenage breast awareness campaigns: Insights from a Nigerian high school intervention study.

J Eval Clin Pract 2019 Apr 20;25(2):312-322. Epub 2019 Jan 20.

Lecturer and Consultant Community Physician, Department of Community Medicine, Chukwuemeka Odumegwu Ojukwu University/University Teaching Hospital, Awka, Nigeria.

Background: With limited government-sponsored breast screening programmes in developing countries, breast awareness remains the only realistic survival hope for millions. Poor levels of knowledge and preventive practices remain in these countries, and early enlightenment to empower teenage high school girls has been advocated for, recently. This study evaluates ways to ensure sustainability for such an approach. Read More

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http://dx.doi.org/10.1111/jep.13101DOI Listing
April 2019
2 Reads

Portuguese version of the Medication Adherence Report Scale (MARS-9): Validation in a population of chronic pain patients.

J Eval Clin Pract 2019 Apr 16;25(2):346-352. Epub 2019 Jan 16.

Departamento de Biomedicina, Faculdade de Medicina, Universidade do Porto, Porto, Portugal.

Aim: The aim of present study was to perform the translation, cultural adaptation, and validation of the Medication Adherence Report Scale (MARS-P9) for the European Portuguese language in a sample of chronic pain patients.

Methods: A Portuguese version of the nine-item MARS (©Professor Rob Horne) scale (MARS-P9) was constructed through a process of translation, back translation, and experts' panel evaluation. A total of 141 chronic pain patients were subsequently evaluated at four time assessments during a 1-year pain medication treatment. Read More

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http://dx.doi.org/10.1111/jep.13098DOI Listing
April 2019
2 Reads
1.580 Impact Factor

Evaluation of clinical frailty screening in geriatric acute care.

J Eval Clin Pract 2019 Jan 10. Epub 2019 Jan 10.

Geriatric Education and Research Institute, Singapore.

Background: While frailty status is an attractive risk stratification tool, the evaluation of frailty in acute care can be challenging as some inpatients are unable to complete performance-based tests as part of frailty assessment and some tools may lack discriminative ability and categorize majority of cohorts as "frail". In this study, we evaluated the feasibility of frailty screening with the simple clinical frailty scale (CFS) by different clinicians, and its association with mortality and rehospitalization in a geriatric acute care setting.

Methods: This study took place in Geriatric Medicine Department of a General Hospital in Singapore. Read More

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http://dx.doi.org/10.1111/jep.13096DOI Listing
January 2019
3 Reads
1.580 Impact Factor

The time has come: Embedded implementation research for health care improvement.

J Eval Clin Pract 2019 Jan 10. Epub 2019 Jan 10.

Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia.

Rationale, Aims, And Objectives: The field of implementation science has developed in response to slow and inconsistent translation of evidence into practice. Despite utilizing increasingly sophisticated approaches to implementation, including applying a complexity science lens and conducting realist evaluations, challenges remain to getting the kinds of outcomes hoped for by implementation efforts. These include gaining access and buy-in from those implementing the change and accounting for the influence of local context. Read More

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http://dx.doi.org/10.1111/jep.13100DOI Listing
January 2019
1 Read

From the (new) editor's desk.

Authors:
Mathew Mercuri

J Eval Clin Pract 2019 02;25(1):3-4

Division of Emergency Medicine, McMaster University, Hamilton General Hospital, McMaster Wing, Rm 242, 237 Barton Street East, Hamilton, ON L8L 2X2, Canada.

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http://dx.doi.org/10.1111/jep.13089DOI Listing
February 2019
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Should medical device representatives assist surgeons?

J Eval Clin Pract 2019 Jan 9. Epub 2019 Jan 9.

Department of Pharmacology and Physiology and Department of Family Medicine, Georgetown University Medical Center, Washington, DC.

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http://dx.doi.org/10.1111/jep.13099DOI Listing
January 2019
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Support for the Spanish version of the CPAQ-8 as a measure of chronic pain acceptance.

J Eval Clin Pract 2018 Dec 27. Epub 2018 Dec 27.

Unit for the Study and Treatment of Pain-ALGOS, Research Center for Behavior Assessment (CRAMC), Department of Psychology, Universitat Rovira i Virgili, Tarragona, Spain.

Aim And Objective: To provide evidence regarding the psychometric properties of the Spanish eight-item version of the Chronic Pain Acceptance Questionnaire (CPAQ-8).

Method: Three hundred adults with chronic pain completed measures of pain acceptance, committed action, fear of movement, anxiety, depression, and health-related quality of life. A confirmatory factor analysis (CFA) of the CPAQ-8 was performed. Read More

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http://doi.wiley.com/10.1111/jep.13092
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http://dx.doi.org/10.1111/jep.13092DOI Listing
December 2018
14 Reads

Medication safety knowledge, attitude, and practice among hospital pharmacists in Lebanon.

J Eval Clin Pract 2019 Apr 27;25(2):323-339. Epub 2018 Dec 27.

INSPECT-LB: Institut National de Santé Publique, Epidémiologie Clinique et Toxicologie, Beirut, Lebanon.

Background: Studies showed that pharmacists have little experience with adverse drug reactions (ADRs) reporting due to insufficient knowledge of the concept of ADR and pharmacovigilance (PV). There is an urge to assess hospital pharmacists' knowledge in medication safety practices.

Objective: To evaluate the knowledge, attitude, and practice, among hospital pharmacists in Lebanon concerning ADRs and PV concepts. Read More

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http://dx.doi.org/10.1111/jep.13082DOI Listing
April 2019
1 Read
1.580 Impact Factor

The threshold model revisited.

J Eval Clin Pract 2019 Apr 21;25(2):186-195. Epub 2018 Dec 21.

Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Canada.

Background: The threshold model represents one of the most significant advances in the field of medical decision-making, yet it often does not apply to the most common class of clinical problems, which include health outcomes as a part of definition of disease. In addition, the original threshold model did not take a decision-maker's values and preferences explicitly into account.

Methods: We reformulated the threshold model by (1) applying it to those clinical scenarios, which define disease according to outcomes that treatment is designed to affect, (2) taking into account a decision-maker's values. Read More

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http://doi.wiley.com/10.1111/jep.13091
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http://dx.doi.org/10.1111/jep.13091DOI Listing
April 2019
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Outcomes following colorectal cancer surgery: Results from a population-based study in Queensland, Australia, using quality indicators.

J Eval Clin Pract 2018 Dec 21. Epub 2018 Dec 21.

Cancer Alliance Queensland, Metro South Hospital and Health Service, Brisbane, Australia.

Rationale, Aims And Objectives: Colorectal cancer (CRC) is one of the most common cancers diagnosed worldwide, and rates are continuing to rise. Surgery is the primary treatment for CRC, and our aim was to examine clinical outcomes following major resection using a series of established quality indicators and to identify factors associated with poor clinical outcomes.

Method: This population-based retrospective study included 4321 patients with diagnosed with CRC in 2012 and 2014 in Queensland, Australia, who underwent a major resection. Read More

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http://dx.doi.org/10.1111/jep.13087DOI Listing
December 2018
6 Reads

Improving patient access to hepatitis C antiviral medicines in Switzerland: Understanding the financial risks for community pharmacies.

J Eval Clin Pract 2018 Dec 21. Epub 2018 Dec 21.

Community Pharmacy Center, Department of Ambulatory Care and Community Medicine, University of Lausanne, Lausanne, Switzerland.

Rationale: As observed in other countries, some patients may experiment difficulties in obtaining their hepatitis C antiviral medicines (HCVm) in Swiss community pharmacies. There is a lack of data related to access to HCVm at the patient level and notably related to the potential financial risks for the community pharmacies.

Aims: (a) To evaluate the potential financial risks for community pharmacist associated with the delivery of HCVm in the Swiss healthcare system; (b) to explore the attitudes and experiences of community pharmacists related to these risks and their consequences for the patients. Read More

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http://dx.doi.org/10.1111/jep.13081DOI Listing
December 2018
2 Reads