Abstract:Diabetes education delivered jointly by a trained lay person and a healthcare professional educator with the same educator role can provide equivalent patient benefits. This could provide a method that increases capacity, maintains quality and is cost-effective, while increasing access to self-management education.
“…Illness coherence has previously been associated with a range of protective and preventive behaviours in many health settings (Carey et al, 2014;Figueiras & Alves, 2007;Tanenbaum et al, 2015;Van der Elst et al, 2015). The results of the present study extend on these works by indicating that holding a coherent understanding of cervical cancer is associated with both greater intention to be vaccinated, as well as having undergone vaccination.…”
Section: Discussionsupporting
confidence: 81%
“…Within the clinical context of diabetes, another study further demonstrated improvements in patient illness coherence regarding diabetes self-management through a structured education programme that provided information about the Disease Risk-Action Link pertaining to blood glucose regulation and dietary and lifestyle factors (Carey et al, 2014). This study differed from Bishop et al (2005) and Hall et al (2004) in that participants received information about the advantages of adopting a health-enhancing behaviour, rather than the disadvantages of continuing a harmful behaviour.…”
Background: Cervical cancer vaccination is efficacious and widely available, yet uptake is less than optimal, even in countries such as Australia that provide government-funded vaccination programmes. Effective communication strategies are needed for presenting Human Papillomavirus (HPV) vaccine-related information in a format that enhances understanding about the vaccine, and ultimately, uptake of the vaccine. Using the Common Sense Model framework, we aimed to assess the role of illness coherence in women's decisions to undergo the vaccine. As a secondary aim, we piloted a communication strategy entailing the provision of Disease RiskAction Link information about the links between HPV, cervical cancer, and vaccination on women's cervical cancer illness coherence. Methods: In total, 132 young Australian women (18-26 years old) completed online surveys measuring illness coherence, vaccine status, intentions to undergo vaccination, and medical/demographic variables. Women who had not undergone vaccination were then randomised to receive either a brief or detailed information message about cervical cancer. Messages varied by the extent of detail (brief vs. detailed) providing Disease Risk-Action Link information about the link between the action of the vaccine, the HPV, and cervical cancer. Next, illness coherence was re-assessed. Results: ANOVA results suggested that women who were vaccinated reported higher levels of illness coherence. Linear regression analyses indicated that, in non-vaccinated women, illness coherence was significantly associated with intentions to vaccinate. ANCOVA analysis indicated that non-vaccinated women assigned to the detailed message condition reported greater increases in illness coherence compared to those assigned to the brief message condition. Conclusion: Illness coherence appears to be an important factor in actual vaccination uptake and intentions to vaccinate. The experimental informational message manipulation further demonstrated that the provision of detailed messages highlighting
“…Illness coherence has previously been associated with a range of protective and preventive behaviours in many health settings (Carey et al, 2014;Figueiras & Alves, 2007;Tanenbaum et al, 2015;Van der Elst et al, 2015). The results of the present study extend on these works by indicating that holding a coherent understanding of cervical cancer is associated with both greater intention to be vaccinated, as well as having undergone vaccination.…”
Section: Discussionsupporting
confidence: 81%
“…Within the clinical context of diabetes, another study further demonstrated improvements in patient illness coherence regarding diabetes self-management through a structured education programme that provided information about the Disease Risk-Action Link pertaining to blood glucose regulation and dietary and lifestyle factors (Carey et al, 2014). This study differed from Bishop et al (2005) and Hall et al (2004) in that participants received information about the advantages of adopting a health-enhancing behaviour, rather than the disadvantages of continuing a harmful behaviour.…”
Background: Cervical cancer vaccination is efficacious and widely available, yet uptake is less than optimal, even in countries such as Australia that provide government-funded vaccination programmes. Effective communication strategies are needed for presenting Human Papillomavirus (HPV) vaccine-related information in a format that enhances understanding about the vaccine, and ultimately, uptake of the vaccine. Using the Common Sense Model framework, we aimed to assess the role of illness coherence in women's decisions to undergo the vaccine. As a secondary aim, we piloted a communication strategy entailing the provision of Disease RiskAction Link information about the links between HPV, cervical cancer, and vaccination on women's cervical cancer illness coherence. Methods: In total, 132 young Australian women (18-26 years old) completed online surveys measuring illness coherence, vaccine status, intentions to undergo vaccination, and medical/demographic variables. Women who had not undergone vaccination were then randomised to receive either a brief or detailed information message about cervical cancer. Messages varied by the extent of detail (brief vs. detailed) providing Disease Risk-Action Link information about the link between the action of the vaccine, the HPV, and cervical cancer. Next, illness coherence was re-assessed. Results: ANOVA results suggested that women who were vaccinated reported higher levels of illness coherence. Linear regression analyses indicated that, in non-vaccinated women, illness coherence was significantly associated with intentions to vaccinate. ANCOVA analysis indicated that non-vaccinated women assigned to the detailed message condition reported greater increases in illness coherence compared to those assigned to the brief message condition. Conclusion: Illness coherence appears to be an important factor in actual vaccination uptake and intentions to vaccinate. The experimental informational message manipulation further demonstrated that the provision of detailed messages highlighting
“…Our qualitative findings support the positive quantitative findings from the DESMOND Lay Educator study,10 which indicated that patients can derive equivalent benefits from education sessions involving one lay educator and one healthcare professional educator, compared with sessions delivered by two healthcare professional educators (box 1). The findings from our interviews with a range of stakeholders highlighted some concerns, but we identified positive overall perceptions regarding the acceptability of using lay educators.…”
Section: Discussionsupporting
confidence: 80%
“…The aim of the DESMOND Lay Educator study (box 1) was to address this gap in the literature. Box 1 The Diabetes Education and Self Management for Ongoing and Newly Diagnosed (DESMOND) Lay Educator study10 Study design and timing: Non-randomised equivalence trial with a qualitative substudy, conducted between 2008 and 2011 (including development stage). Setting: Recruitment for the trial was through general practices (primary care centres) in four areas across England and Scotland. Intervention: Non-randomised participant allocation to a DESMOND course delivered in the standard format by two trained healthcare professional educators (control format) or by one formally recruited, trained lay educator and one professional educator (intervention format). Having diabetes was not a selection or exclusion criterion for recruitment of lay educators.…”
Section: Introductionmentioning
confidence: 99%
“…Quantitative findings from the trial have indicated equivalent positive changes in each study group,10 but it is important that evaluations also consider the question of the acceptability of the intervention being investigated, as this may have an impact on the feasibility of implementation. Information from previous studies is sparse in relation to the acceptability of using lay educators.…”
ObjectivesThe aim of the study was to extend a previously published checklist of study design features to include study designs often used by health systems researchers and economists. Our intention is to help review authors in any field to set eligibility criteria for studies to include in a systematic review that relate directly to the intrinsic strength of the studies in inferring causality. We also seek to clarify key equivalences and differences in terminology used by different research communities.Study Design and SettingExpert consensus meeting.ResultsThe checklist comprises seven questions, each with a list of response items, addressing: clustering of an intervention as an aspect of allocation or due to the intrinsic nature of the delivery of the intervention; for whom, and when, outcome data are available; how the intervention effect was estimated; the principle underlying control for confounding; how groups were formed; the features of a study carried out after it was designed; and the variables measured before intervention.ConclusionThe checklist clarifies the basis of credible quasi-experimental studies, reconciling different terminology used in different fields of investigation and facilitating communications across research communities. By applying the checklist, review authors' attention is also directed to the assumptions underpinning the methods for inferring causality.
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