Journal of evaluation in clinical practice
-
The clinical data management within biomedical research has gained importance over the last decade producing an increasing need of a web-based software application providing electronic data capture and clinical data management functionalities to ensure high quality data. We chose REDCap system over OpenClinica (free-distribution) to implement the electronic case report form (eCRF) at our HIV Unit. We then evaluated eCRF usability and stakeholder satisfaction in an upcoming Phase 4 clinical trial. ⋯ When adopting a new system, measuring user's perceived usability and satisfaction in a quantitative manner and with validated measures may be useful to identify users' uncovered needs and to improve future interaction user-system that will positively affect the quality of data managed in clinical research.
-
Developing a feasible and sensitive evaluation strategy for a new mental health service is a challenge that requires consideration of what a service is trying to achieve and what a 'good' outcome might look like. Perinatal mental illnesses are complex in their causes and treatment. Mother Baby Units provide specialist perinatal mental health care to parents experiencing mental illness in the perinatal period, with evaluations demonstrating clinical and social outcomes. There has however been remarkably little research on how MBUs achieve these outcomes. ⋯ Articulating the approach to evaluation provides a contribution to evaluation knowledge for others evaluating complex public health interventions. The relational nature of perinatal mental health experiences challenges individualistic approaches to care delivery, funding and evaluation. As part of service establishment, there is a need to consider what a 'good' outcome of care might be and to develop evaluation approaches that capture the relational components of recovery as well as the factors that support families to sustain change.
-
This study aims to evaluate the workload of clinical nurses by measuring the work relative value (work RVU) of common nursing items based on the resource-based relative value scale in China. ⋯ We have adhered to relevant EQUATOR guidelines and named the reporting method.
-
The Drug Burden Index (DBI) measures exposure to anticholinergic and sedative drugs, which are associated with harm in older adults. To facilitate deprescribing in older Australian inpatients, we piloted an intervention bundle integrating the DBI in Electronic Medical Records, clinician deprescribing guides, consumer information leaflets and a stewardship pharmacist. ⋯ The intervention was well accepted by hospital clinicians. The bundle requires further integration into workflows for sustainability and assessment of generalisability in other health services. Given patients, carers and GPs reported poor medication-related communication, future interventions may target this.
-
Neck pain is a major cause of disability worldwide, and current rehabilitation strategies show limited effectiveness. Subgrouping patients by their primary pain and disability drivers can help tailor treatments. At this end, the Pain and Disability Drivers Management (PDDM) was developed and has demonstrated preliminary effectiveness in the management of low back pain. Nevertheless, the PDDM model was only validated for this population. Adapting this framework to patients with neck pain would provide a more global view of the patient's experience of pain and support a genuine biopsychosocial intervention. ⋯ Through a modified DELPHI study, the PDDM model was updated and adapted to people with neck pain. Subsequent steps include clinical integration and measures of efficacy when used for assessment/treatment.