A5085045867- Patient-Provider Communication in Healthcare
- Meta-analysis and systematic reviews
- Animal Disease Management and Epidemiology
- Health Systems, Economic Evaluations, Quality of Life
- Microbial infections and disease research
- Palliative Care and End-of-Life Issues
- Patient Satisfaction in Healthcare
- Salmonella and Campylobacter epidemiology
- Statistical Methods in Clinical Trials
- Vector-Borne Animal Diseases
- Animal Behavior and Welfare Studies
- Viral gastroenteritis research and epidemiology
- Patient Dignity and Privacy
- Animal testing and alternatives
- Zoonotic diseases and public health
- Veterinary Practice and Education Studies
- Clinical practice guidelines implementation
- Animal Virus Infections Studies
- Genetic and phenotypic traits in livestock
- Ocular Infections and Treatments
- Milk Quality and Mastitis in Dairy Cows
- Aquaculture disease management and microbiota
- Chronic Disease Management Strategies
- Animal Nutrition and Physiology
- Food Security and Health in Diverse Populations
Michigan State University
2020-2025
University of Utah
2025
Iowa State University
2015-2024
Midlands Partnership NHS Foundation Trust
2024
University of Guelph
1999-2023
University of Arizona
2022-2023
Michigan United
2020-2023
Center for Veterinary Medicine
2023
University of Ottawa
2011-2020
Ames National Laboratory
2015-2019
The study objective was to evaluate the psychometric properties of a decisional conflict scale (DCS) that elicits: 1) health-care consumers' uncertainty in making health-related decision; 2) factors contributing uncertainty; and 3) perceived effective decision making. DCS developed response lack instruments available health-care-consumer aids tailor decision-supporting interventions particular consumer needs. evaluated with 909 individuals deciding about influenza immunization or breast...
Background. As patients become more involved in health care decisions, there may be greater opportunity for decision regret. The authors could not find a validated, reliable tool measuring regret after decisions. Methods. A5- item scale was administered to 4 patient groups making different Convergent validity deter- mined by examining the scale's correlation with satisfaction measures, decisional conflict, and outcome measures. Results. showed good internal consistency (Cronbach's = 0.81...
Preference-sensitive treatment decisions involve making value trade-offs between benefits and harms that should depend on informed patient choice. There is strong evidence decision aids not only improve quality but also prevent the overuse of options patients do value. This paper discusses progress in implementing policy prospects for reaching a “tipping point” adoption “informed choice” as standard practice.
Objectives To describe the development, validation and inter-rater reliability of an instrument to measure quality patient decision support technologies (decision aids). Design Scale development study, involving construct, item scale testing. Setting There has been increasing use – adjuncts discussions clinicians have with patients about difficult decisions. A global interest in developing these interventions exists among both for-profit not-for-profit organisations. It is therefore...
Objective. The IPDAS Collaboration has developed a checklist and an instrument (IPDASi v3.0) to assess the quality of patient decision aids (PDAs) in terms their development process shared decision-making design components. Certification PDAs is growing interest US elsewhere. We report modified Delphi consensus agree on IPDASi (v3.0) items that should be considered as minimum standards for PDA certification, inclusion refined (v4.0). Methods. A 2-stage voting standards. Item scores...
Ours is an era in which patients seek greater engagement health care choices, increasing the demand for high-quality information about clinical options. Providing support informed choice not straightforward, however, because of challenges faced by clinicians, systems, and consumers. Greater use written or electronic tools can help to clarify choices patients, but decision aids cannot replace human element facilitating choice. The ideal solution couple with counseling understand potential...
Introduction. The Ottawa Decision Support Framework (ODSF) has guided practitioners and patients facing difficult decisions for 20 years. It asserts that decision support interventions address patients’ decisional needs improve quality. Purpose. To update the ODSF based on a synthesis of evidence. Methods. We conducted an overview systematic reviews, searching 9 electronic databases. Eligible reviews included assessments, interventions, outcome measures by ODSF. extracted data synthesized...
Observational epidemiologic studies provide critical data for the evaluation of potential effects environmental, occupational and behavioural exposures on human health. Systematic reviews these play a key role in informing policy practice. should incorporate assessments risk bias results included studies.
We created the c.1286C>G stop-gain mutation found in a family with primary ovarian insufficiency (POI) at age 30 years. The Eif4enif1 C57/Bl6 transgenic mouse model contained floxed exon 10-19 cassette conditional knock-in containing 10. hybrid offspring of CMV-Cre mice Eif4enif1WT/flx were designated Eif4enif1WT/Δ for simplicity. A subset female heterozygotes (Eif4enif1WT/Δ) had no litters. In those litters, final litter was earlier (5.4 ± 2.6 vs 10.5 0.7 months; P = .02). Heterozygous...
As patients want to participate more in decision making, and as the range of medical options expands, clinicians are challenged improve their communication risk supportive skills. Are practitioners' counselling skills up job?
Decision aids are tools designed to help patients participate in the clinical decision-making process.To determine whether use of an audiobooklet (AB) decision aid explaining results a trial affected process study participants.Randomized controlled conducted from May 1997 April 1998.Fourteen centers that participated Stroke Prevention Atrial Fibrillation (SPAF) III trial.A total 287 SPAF aspirin cohort study, which with atrial fibrillation and relatively low risk stroke received 325 mg/d...
Although practice guidelines suggest that postmenopausal women learn about the benefits and nsks consider their values when deciding hormone therapy, optimal decision-support method has not been established. In a randomized controlled trial, authors compared efficacy of general educational pamphlet with tailored decision aid. The briefly summarized benefits, risks, likely beneficiaries in terms. aid, delivered via booklet audiotape, provided: detailed risks using functional terms...
Brain glucose metabolism is impaired during hypoglycemia, but, if sustained, brain reverts to normal in animal models--data man are lacking. We tested the hypothesis that adaptations occur allow maintenance of rates uptake (BGU) following recurrent hypoglycemia man. Twelve humans were studied over 4 days. On initial day, arterial plasma concentrations decreased from 4.72 2.50 mmol/liter five 0.56 steps. Cerebral blood flow, arteriovenous difference, BGU, and cognitive function quantitated at...
The purpose of this study was to measure the degree which informed women chose mastectomy, and reveal their reasons for choice.This a prospective cohort patients radiographically pathologically eligible either mastectomy or breast-conserving surgery (BCS; n = 125). Participants completed questionnaires at three time points: baseline, after viewing decision aid, surgical consultation. Questionnaires assessed clinical history, preference participation in making, information comprehension,...