Computer-Based Programmed Instruction Did Not Improve the Knowledge Retention of Medication Instructions of Individuals With Type 2 Diabetes Mellitus

Ruiz, Jorge G.; Andrade, Allen D.; Anam, Ramanakumar; Lisigurski, Miriam Zylberglait; Karanam, Chandana

doi:10.1177/0145721713508825

Cited by 17 publications

(30 citation statements)

References 68 publications

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“…It has been well-documented that patients retain only a fraction of the information imparted by medical providers [13,14]. This has been demonstrated across medical specialties, despite attempts to improve retention of information by patients with interventions targeting providers [15] and patients alike [16,17]. While information recall by patients is low, information that is Brecalled^is often inaccurate or misconstrued [18].…”

Section: Discussionmentioning

confidence: 99%

Decision-making surrounding the use of preimplantation genetic testing for aneuploidy reveals misunderstanding regarding its benefit

Quinn

Juarez‐Hernandez

Dunn

et al. 2018

J Assist Reprod Genet

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Purpose We aimed to explore how patients make decisions regarding use of preimplantation genetic testing for aneuploidy (PGT-A) for in vitro fertilization (IVF). Methods This is a cross-sectional survey at an academic medical center. Three hundred subjects initiating an IVF cycle over 8 weeks were asked to complete a validated survey to determine how they decided whether or not to pursue PGT-A. All patients were previously counseled that the primary goal of PGT-A is to maximize pregnancy rates per embryo transfer. Survey responses were compared between those who elected PGT-A and those who did not with a chi-squared or t test. Results Of 191 subjects who completed the survey, 117 (61%) planned PGT-A, while 74 (39%) did not. Among those who decided to undergo PGT-A, 56% stated their primary reason was to have a healthy baby, while 18% chose PGT-A to reduce the incidence of birth defects, and 16% aimed to decrease the risk of miscarriage. Patients who decided not to pursue PGT-A stated they prioritized avoiding the scenario in which they might have no embryos to transfer (36%) or reducing cost (31%). Both groups rated physicians as the single most important source of information in their decision-making (56% vs 68%, p = NS). Conclusions Patients who chose to undergo PGT-A have different priorities from those who do not. Many patients planning PGT-A do so for reasons that are not evidence-based. While patients cite physicians as their primary source of information in the decision-making process, rationales for selecting PGT-A are inconsistent with physician counseling.

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Section: Discussionmentioning

confidence: 99%

Decision-making surrounding the use of preimplantation genetic testing for aneuploidy reveals misunderstanding regarding its benefit

Quinn

Juarez‐Hernandez

Dunn

et al. 2018

J Assist Reprod Genet

View full text Add to dashboard Cite

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“…Another used VR and an HMD to deliver the VH intervention [ 78 ]. Some studies did not detail exactly how the conversations between humans and VH were automated [ 58 , 68 , 78 , 92 ], other than mentioning that nonverbal behaviors were programmed to align with verbal utterances. Two studies modeled their intervention after tutorials, with functionality, such as play, pause, repeat, and answering multiple-choice questions [ 58 , 92 ].…”

Section: Resultsmentioning

confidence: 99%

“…But Marcos-Pablos et al [ 95 ] generated dynamic expressions for VH (eg, anger, happiness, sadness) by first using a laser scanner to obtain a 3D face model and then using animation software. The speech of VH was either synthetically produced [ 76 ] or lip-synced to audio-recorded voice narrations [ 58 , 92 ]. Synthetic speech was generated using commercially available software.…”

Section: Resultsmentioning

confidence: 99%

“…Middle-aged Caucasian and African American VH were designed to achieve racial concordance with users [ 92 ], but racial concordance did not significantly affect perceived similarity [ 86 ]. Researchers also investigated the effects of attire, background image, and alignment on trust.…”

Section: Resultsmentioning

confidence: 99%

“…The most common design approaches were collaboration with domain experts, qualitative observation of similar human-human interactions, and adoption of public health and governmental guidelines. Some studies conducted focus groups and one-to-one interviews with target users [ 59 , 68 , 90 , 92 , 97 , 104 ]. Others informed their design decisions from prior literature or theoretical frameworks [ 58 , 59 , 68 , 71 , 90 , 91 , 93 ].…”

Section: Resultsmentioning

confidence: 99%

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Computer-Controlled Virtual Humans in Patient-Facing Systems: Systematic Review and Meta-Analysis

Chattopadhyay¹,

Ma²,

Sharifi³

et al. 2020

J Med Internet Res

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Background Virtual humans (VH) are computer-generated characters that appear humanlike and simulate face-to-face conversations using verbal and nonverbal cues. Unlike formless conversational agents, like smart speakers or chatbots, VH bring together the capabilities of both a conversational agent and an interactive avatar (computer-represented digital characters). Although their use in patient-facing systems has garnered substantial interest, it is unknown to what extent VH are effective in health applications. Objective The purpose of this review was to examine the effectiveness of VH in patient-facing systems. The design and implementation characteristics of these systems were also examined. Methods Electronic bibliographic databases were searched for peer-reviewed articles with relevant key terms. Studies were included in the systematic review if they designed or evaluated VH in patient-facing systems. Of the included studies, studies that used a randomized controlled trial to evaluate VH were included in the meta-analysis; they were then summarized using the PICOTS framework (population, intervention, comparison group, outcomes, time frame, setting). Summary effect sizes, using random-effects models, were calculated, and the risk of bias was assessed. Results Among the 8,125 unique records identified, 53 articles describing 33 unique systems, were qualitatively, systematically reviewed. Two distinct design categories emerged — simple VH and VH augmented with health sensors and trackers. Of the 53 articles, 16 (26 studies) with 44 primary and 22 secondary outcomes were included in the meta-analysis. Meta-analysis of the 44 primary outcome measures revealed a significant difference between intervention and control conditions, favoring the VH intervention (SMD = .166, 95% CI .039-.292, P=.012), but with evidence of some heterogeneity, I2=49.3%. There were more cross-sectional (k=15) than longitudinal studies (k=11). The intervention was delivered using a personal computer in most studies (k=18), followed by a tablet (k=4), mobile kiosk (k=2), head-mounted display (k=1), and a desktop computer in a community center (k=1). Conclusions We offer evidence for the efficacy of VH in patient-facing systems. Considering that studies included different population and outcome types, more focused analysis is needed in the future. Future studies also need to identify what features of virtual human interventions contribute toward their effectiveness.

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Modulare stationäre Diabetesschulung

2014

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Computer-Based Programmed Instruction Did Not Improve the Knowledge Retention of Medication Instructions of Individuals With Type 2 Diabetes Mellitus

Abstract: CPI did not improve medication knowledge retention at 2 weeks. CPI led to higher patient satisfaction compared with controls.

Cited by 17 publications

References 68 publications

Decision-making surrounding the use of preimplantation genetic testing for aneuploidy reveals misunderstanding regarding its benefit

Decision-making surrounding the use of preimplantation genetic testing for aneuploidy reveals misunderstanding regarding its benefit

Computer-Controlled Virtual Humans in Patient-Facing Systems: Systematic Review and Meta-Analysis

Modulare stationäre Diabetesschulung

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