Name: the dyspepsia educational tool as a novel aid in dyspepsia management
Uploaded: 2019-06-29T13:00:00
Description: Watch this Scientific Journal Video about The Dyspepsia Educational Tool As a Novel Aid in Dyspepsia Management at JoVE.com

开发消化不良教育工具的资金来自荷兰卫生研究与发展组织(ZonMw)的赠款,荷兰大学医学中心联合会的"做或不做"方案(NFU)。我们还要感谢来自 Medify bv 的所有工作人员。支持、设备和专业知识。此外,我们谨感谢所有与会者。

本议定书中描述的所有程序均获得拉德布德大学医学中心机构审查委员会的批准(文件号2016-3074)。
1. 初步研究
<ol><li>重点小组评估消化不良管理中未满足的需求<ol>
<li>为消化不良患者和全科医生的重点组创建结构。</li>
		<li>进行焦点小组。继续执行其他焦点小组,直到达到信息饱和。 注:本研究进行了两个重点小组。<ol>
<li>从患者组织平台和胃肠病门诊招募参与者。</li>
			<...

<ol>
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使用上述协议开发的数字消化不良教育工具是一种新型的多媒体教育工具,可帮助患者和医生管理消化不良。可以采用此工具来刺激患者参与,改善健康结果,同时减少医疗资源的不当使用。
类似的程序已经描述了开发纤维肌痛应用程序15。与消化不良一样,纤维肌痛的管理最初侧重于非药物治疗,强调患者参与的重要性。此应用程序的初步研究使用不同的方法,并...

患者教育是医疗保健的重要组成部分,使患者能够积极参与对其健康的责任管理。为了提高医疗资源的疗效和适当使用,需要采取现代和针对疾病的措施,以促进患者参与。
如今,数字工具越来越多地取代纸质版本的患者教育,得益于其可持续性、有效分布和可视化信息的潜力。对于缺乏治疗和生物基质的慢性疾病,教育对于激励患者进行自我管理至关重要。消化不良是一种经常引起长期投诉的疾病。症状的确切来源仍不清楚,尽管证据表明三种主要的病理生理机制,包括1)对胃扩张过敏,2)胃食受损,导致对膳食反应不充分,以及3) 延迟胃排空4.此外,十二指肠扰动,脑胃扰动,和饮食因素已被建议发挥作用5。主要症状包括餐后饱足、胃外疼痛、早发饱和外伤灼热。消化不良患者上消化道(GI)内窥镜未发现70%以上症状的原因;这些病例被称为功能性消化不良。消化不良的药理治疗选择是有限的,往往煽动患者决心补充和替代疗法6,7。消化不良患者的生活质量往往降低,因为消化不良与伴随的问题,如睡眠质量和工作效率损失8。消化不良管理受益于积极的患者参与,因为行为干预是消化不良治疗的主要组成部分9,10。这些干预措施需要患者作出重大努力,而个性化和交互式支持可能促进这种努力。
正确管理消化不良对于改善医疗效果和防止过度使用医疗资源至关重要。上消化不良的胃肠道(GI)内窥镜是一种众所周知的过度使用形式,因为它的诊断产量是有限的11。已经提出了几种方法,以减少上胃肠道内窥镜的数量,主要集中在医生教育或基于药物的症状减少12。对患者来说,对消化不良病因的不确定性往往不能令人满意,因此,诊断测试可能会过多地进行。因此,对患者进行有关发病机制、治疗方案和保守管理的教育将是减少上胃肠道内窥镜数量的有效策略。
虽然数字工具可能为患者教育提供一个极好的平台,但数字工具需要多种功能,以便最大限度地提高患者采用率和随后的患者参与疾病管理13。数字教育的预期成功主要取决于其发展过程和为优化信息传递所采取的措施。然而,数字教育工具的开发过程很少发布,这影响了对有效性和安全性的复制、进展和评价1,14。
需要对以患者为中心的数字教育工具的开发进行详细的描述和评估。我们描述了我们的消化不良教育工具的开发,作为未来教育工具发展的模板。

<table border="0" cellpadding="0" cellspacing="0" style="width:591px;" width="589">
	<tbody>
		<tr height="62">
			<td height="62" style="height:63px;width:223px;">Dyspepsia e-learning</td>
			<td style="width:73px;">Dyspepsia e-learning</td>
			<td style="width:123px;"></td>
			<td style="width:172px;">Digital educational tool for dyspepsia management</td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;width:223px;">Paper Food Diary</td>
			<td style="width:73px;">Any</td>
			<td style="width:123px;"></td>
			<td>Schedule to record food consumption and symptoms</td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;width:223px;">Computer</td>
			<td style="width:73px;">Any</td>
			<td style="width:123px;"></td>
			<td>A computer or tablet should be used to complete the e-learning</td>
		</tr>
		<tr height="42">
			<td height="42" style="height:42px;width:223px;">Medify Content Management System</td>
			<td style="width:73px;">Medify BV</td>
			<td style="width:123px;"></td>
			<td>A content management system to process the e-learning content</td>
		</tr>
	</tbody>
</table>

the dyspepsia educational tool as a novel aid in dyspepsia management

数字教育工具在当前的医疗保健领域有着成熟的作用。特别是,非药物学管理的疾病受益于这一发展,因为它使患者参与自我管理。消化不良是一种被认为由胃和十二指肠扰动、脑-胃轴扰动和饮食因素引起的疾病。行为干预是消化不良治疗的重要组成部分,因此患者参与和通过教育激励至关重要。描述这种教育工具开发过程的协议很少。我们提供描述消化不良教育工具开发的方法。评估用户的需求是第一步,其次是文献搜索。内容以主旋律开发,并进入内容管理系统,构建程序。在工具的先导测试后进行最终调整。所提供的协议可用作开发数字消化不良教育工具的指南,或作为类似情况的工具。

焦点小组的结果
五名病人,通过患者网络(n = 2)或门诊部(n = 3)招募,被邀请加入一个焦点小组。根据胃肠病学家的意见,所有焦点组患者都被诊断患有消化不良。表1介绍了包括病人的特征。
大多数与会者一致认为,症状的起因和来源的不确定性是一个主要问题?...

Watch this Scientific Journal Video about The Dyspepsia Educational Tool As a Novel Aid in Dyspepsia Management at JoVE.com

The Dyspepsia Educational Tool As a Novel Aid in Dyspepsia Management

消化不良教育工具作为消化不良管理中的一种新帮助

该协议描述了数字消化不良教育工具的开发过程。介绍了未满足需求和文献、内容开发和工具构建的评估。该方法可作为数字教育工具未来发展的指南。

Digital educational tools have a well-established role in current healthcare. In particular, disorders that are managed non-pharmacologically benefit from ...

为患者教育开发电子学习包括几个步骤。在这里，我们提供一步一步的协议，用于发展消化不良的电子学习。纳入步骤，以确保患者将来采用该工具是早期过程的关键。重要的是要评估患者和卫生保健提供者对当前消化不良管理的看法，特别是缺少哪些元素。进行焦点组，直到信息饱和。通过本地全科医师网络，从胃肠病门诊诊所和全科医生下的患者组织平台招募参与者。为所有参与者提供患者信息表，但不在信息表单中介绍焦点小组的问题。获得所有参与者的书面知情同意。在焦点小组中，提出开放式问题以启动讨论。应鼓励所有与会者发表意见。录制会话，然后转录。从焦点组中提取主要主题。根据评估需求后的主要大纲，概述应得到文献支持的专题。使用联机数据库搜索最近的文献。选择工具中最相关的文章作为科学背景。查找与消化不良管理相关的当地和国家指南。选择与目标受众最相关的建议。总结现有的国家患者消化不良信息。使用经批准的初级和二级护理信息，以及政府支持的基于 Web 的信息。将所有收集的数据合并到一个文件中并合并相关主题。创建工具中应处理的所有项的清晰概述，并将这些项组织成将在电子学习中维护的逻辑流。组织所有利益相关者的流程会话。讨论概述中的所有项目，并标识可以通过真实视频或动画可视化或应显示为文本的元素。以本章的概述开始每一章。介绍重要项目和术语。在每章的结尾，给出一章总结。避免提供可能会分散注意力的冗余信息。使用项目符号点和/或粗体文本突出显示基本信息。在编写文本时使用纯语言书写。在编写将显示在工具中的文本时，请明确考虑目标受众，然后从该角度进行写入。保持七至八年级的阅读水平，将段落限制为最多十个句子。对于视频，编写所有视频的详细脚本和日志文件。仔细选择拍摄视频的适当位置。某些元素可以可视化为 3D，以提高对内容的理解。对所需的 3D 动画的每个步骤使用可视引用。将动画拆分为 8 到 12 秒的剪辑。在剪辑之前和之后，提供文本块，提供有关剪辑的信息。创建所有内容后，内容应纳入电子学习。将所有内容添加到内容管理系统中，以调整顺序和外观。这包括几个步骤。第一步是将所有文本和视频添加到面板。第二步是选择可用的背景图像或 3D 可视化效果。第三步是添加自定义问题。第四步也是最后一步是检查所有内容是否都正确融入了电子学习中。向两名患者和两名全科医生管理试点教育工具，并征求对版面、内容和用户友好性的反馈。根据测试注释调整工具。在随机对照试验中验证教育工具的有效性和可用性。消化不良的电子学习包括几章，包括3D动画、文本块和视频。第一章讨论消化不良的患病率，以及上胃肠道内窥镜检查的价值和能力。第二章阐述了胃功能的正常和胃功能的紊乱，第三章列举了胃炎的若干原因。第四章介绍了生活方式建议，第五章介绍了几种胃保护药物的药理机制。评估消化不良电子学习的用户体验。关注可用性、信息完整性，按照说明和建议进行改进。一旦电子学习最终确定，应在随机临床试验中实施，以评估其可用性和有效性。从消化不良的电子学习的发展，我们了解到让患者参与开发过程的重要性。虽然一个焦点组提供重要信息，但最好在信息饱和之前进行多个焦点组。此外，我们了解到，在电子学习中包含交互式元素以提高用户体验非常重要。

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使用腺相关病毒作为一种工具来研究疾病中的视网膜障碍

M&#252;ller cells are the principal glial cells of the retina. Their end-feet form the limits of the retina at the outer and inner limiting membranes ...

Evaluation of the Efficacy of the H. pylori Protein HP-NAP as a Therapeutic Tool for Treatment of Bladder Cancer in an Orthotopic Murine Model

Evaluation of the Efficacy of the H. pylori Protein HP-NAP as a Therapeutic Tool for Treatment of Bladder Cancer in an Orthotopic Murine Model

评价疗效<em&gt;小时。幽门螺杆菌</em&gt;蛋白HP-NAP为膀胱癌的治疗在原位小鼠模型的治疗工具

Bladder cancer is one of the most common malignancies of the urogenital tract. Intravesical injection of Bacillus Calmette-Gu&#233;rin (BCG) is the gold ...

Neonatal Murine Cochlear Explant Technique as an In Vitro Screening Tool in Hearing Research

Neonatal Murine Cochlear Explant Technique as an In Vitro Screening Tool in Hearing Research

新生儿鼠耳蜗外科手术技术<em&gt;体外</em&gt;听力研究筛选工具

While there have been remarkable advances in hearing research over the past few decades, there is still no cure for Sensorineural Hearing Loss (SNHL), a ...

Tubal Cytology of the Fallopian Tube as a Promising Tool for Ovarian Cancer Early Detection

输卵管的管状细胞学作为卵巢癌早期检测的有前景的工具

Currently, it is widely accepted that the vast majority of ovarian high-grade serous carcinoma (HGSC) originate from the fallopian tube. However, due to ...

Ultrahigh Resolution Mouse Optical Coherence Tomography to Aid Intraocular Injection in Retinal Gene Therapy Research

超高分辨率小鼠光学相干层析成像辅助眼内注射在视网膜基因治疗中的应用

HR-SD-OCT is utilized to monitor the progression of photoreceptor degeneration in live mouse models, assess the delivery of therapeutic agents into the ...

Contractility Measurements of Human Uterine Smooth Muscle to Aid Drug Development

人子宫平滑肌的收缩力测量对药物开发的帮助

Discovery and characterization of novel pharmaceutical compounds or biochemical probes rely on robust and physiologically relevant assay systems. We ...