Journal of evaluation in clinical practice
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To examine the early effects of the financial incentive (FI) implemented in April 2022 in Japan for surgeries within 48 h after hip fracture (HF) in patients aged 75 and older on expedited HF surgery (EHFS), in-hospital mortality, perioperative morbidity, length of stay (LOS) and inpatient medical expenses (IMEs). ⋯ This study suggested that there was no significant, short-term effect of the FI for surgeries within 48 h after HF on any of the outcomes of interest.
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This study was planned to determine the effect of superstitions during pregnancy on quality of life and pregnancy adjustment. ⋯ Midwives and other health personnel should be informed and made aware of superstitions and practices that affect maternal and child health and women should be educated about harmful superstitious practices in the prenatal period.
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This study aims to determine the effectiveness of the digital storytelling (DS) method in increasing human papilloma virus (HPV) awareness. ⋯ The DS method was effective in raising HPV awareness given to the intervention group. Health professionals and researchers can benefit from DS in providing health education and consultancy services such as HPV awareness.
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The Perceptions of Palliative Care Instrument (PPCI) is a tool used to access perceptions towards palliative care in patients with advanced cancer. However, its psychometric properties have not been widely tested using modern psychometric methods. This study aimed to examine the psychometric properties of the PPCI in patients with advanced cancer using Rasch analysis. ⋯ The PPCI is a valid and reliable instrument for assessing perceptions of palliative care in advanced cancer patients. However, to further improve the quality and applicability of the PPCI, the deletion of items 18 and 21 is recommended, as they did not fit the Rasch model.
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Patients with rheumatoid arthritis (RA) experience a range of symptoms including joint pain and inflammation, stiffness, fatigue, anxiety, and low mood. Similar to patients with other long-term conditions, they may have periods of time when their disease is under control, and times when their condition is less stable, requiring treatment adjustments. The REMORA2 feasibility study explored the implementation of an integrated symptom-tracking system using a smartphone application (app), enabling patients to track day-to-day symptoms. The data was available in the electronic health record to be viewed at subsequent consultations. ⋯ Improved insights on the care of RA were generated as patients and clinicians discuss symptom tracking data. This can assist the patient-clinician dyad in the process of two-way learning and shared decision-making on the management of a long-term condition.