The Experts below are selected from a list of 315 Experts worldwide ranked by ideXlab platform
Lars Henrik Myklebust - One of the best experts on this subject based on the ideXlab platform.
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Health professionals’ reactions to patients’ social media posts about treatment
International Journal of Integrated Care, 2017Co-Authors: Rolf Wynn, Lars Henrik MyklebustAbstract:Introduction : Social media use for health purposes is gaining ground, and individuals and organizations are increasingly using social media to inform about and discuss health-related issues and even to offer treatment [1,2]. The health-related use of the Internet and the social media can empower patients in dealing with their own health and illness [3]. However, there has been concern relating to how social media may influence the health Professional-Patient Relationship [4], and guidelines have been developed on health professionals’ social media use [5]. Methods : In a pilot study, we performed in-depth interviews with five healthcare providers (one doctor, two psychologists, and two nurses) working at a Norwegian psychiatric university clinic. They were asked about their work-related experiences with social media and especially whether they had experienced that their patients had discussed their treatment on social media. The interviews were analyzed drawing on the method of content analysis. Results : All had private social media accounts, but none had extensive work-related experience with social media. None had posted on social media as part of their work. Three had read social media comments posted by their patients relating to treatment. Patients’ posting of criticism was perceived of as potentially problematic for the health Professional-Patient Relationship. Discussion, limitations, and lessons learnt : It may represent a challenge for health providers when patients discuss and evaluate their treatment on social media. While patients may post about their interaction with health professionals and treatment, confidentiality makes this off limits to health professionals [4,5]. Moreover, such posts can in some cases reflect ongoing problems in the health Professional-Patient Relationship that should be addressed by the patient and the health professional. If health professionals feel that they are publicly unfairly evaluated by patients, this might provoke negative feelings towards patients and thereby negatively influence the health Professional-Patient Relationship [3-6]. The study suggests that there is a need for discussion amongst health professionals regarding how to handle online criticism in a professional manner. This was a small exploratory study and more research is needed to confirm its findings. References : 1. Gabarron E, Serrano JA, Wynn R, Armayones M. Avatars using computer/smartphone mediated communication and social networking in prevention of sexually transmitted diseases among North-Norwegian youngsters. BMC Med Inform Decis Mak 2012;12:120. 2. Gabarron E, Serrano JA, Wynn R, Lau AY. Tweet content related to sexually transmitted diseases: no joking matter. J Med Internet Res 2014;16(10):e228. 3. Santana S, Lausen B, Bujnowska-Fedak M, Chronaki CE, Prokosch HU, Wynn R. Informed citizen and empowered citizen in health: results from an European survey. BMC Fam Pract 2011;12:20. 4. Moubarak G, Guiot A, Benhamou Y. Facebook activity of residents and fellows and its impact on the doctor-patient Relationship. J Med Ethics 2011;37:101-4. 5. Mansfield SJ, Morrison SG, Stephens HO, et al. Social media and the medical profession. Med J Aust 2011;194:642-4. 6. Wynn R. Provider-patient interaction: A corpus-based study of doctor-patient and student-patient interaction, Oslo, Norway, Norwegian Academic Press, 1998.
Angus Forbes - One of the best experts on this subject based on the ideXlab platform.
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Perceptions of insulin use in type 2 diabetes in primary care: a thematic synthesis.
BMC family practice, 2018Co-Authors: Kathleen Elizabeth Ellis, Henrietta Mulnier, Angus ForbesAbstract:Increasing numbers of patients with type 2 diabetes mellitus are progressing to insulin therapy, and despite its potency many such individuals still have suboptimal glycaemic control. Insulin initiation and intensification is now often conducted by Practice Nurses and General Practitioners in many parts of the UK. Therefore, gaining insight into perspectives of patients and primary care clinicians is important in determining self-management and engagement with insulin. A thematic synthesis of studies was conducted exploring the views and experiences of people with type 2 diabetes and of healthcare professionals on insulin use and management in the context of primary care. Protocol based systematic searches of electronic databases (CINAHL, Cochrane Library, EMBASE, MEDLINE, PsycINFO, and Web of Science) were performed on 1 October 2014 and updated on 31 March 2015, to identify studies that identified the views and experiences of adults with type 2 diabetes or primary care clinicians on the use of insulin in the management of type 2 diabetes. Studies meeting the review inclusion criteria were critically appraised using the CASP qualitative research checklist or Barley’s checklist for survey designs. A thematic synthesis was then conducted of the collected studies. Thirty-four studies were selected. Of these, 12 used qualitative interviews (nine with patients and three with healthcare professionals) and 22 were survey based (14 with patients, three with healthcare professionals, and five with both). Twelve key themes were identified and formed three domains, patient perceptions, healthcare professional perceptions, and health Professional-Patient Relationships. The patient-centred themes were: insulin-related beliefs, social influences, psychological factors, hypoglycaemia, and therapy barriers. The clinician-related themes were: insulin skills of general practitioners, healthcare integration, healthcare professional-perceived barriers, hypoglycaemia, and explanations for adherence. Healthcare Professional-Patient Relationship themes were drawn from the perspectives of patients and from clinicians. This review reveals multiple barriers to optimal insulin use in primary care at both the patient and healthcare professional levels. These barriers indicate the need for multimodal interventions to: improve the knowledge and competencies of primary care professionals in insulin use; provide more effective patient education and self-management support; and introduce integrated insulin support systems.
Rolf Wynn - One of the best experts on this subject based on the ideXlab platform.
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Health professionals’ reactions to patients’ social media posts about treatment
International Journal of Integrated Care, 2017Co-Authors: Rolf Wynn, Lars Henrik MyklebustAbstract:Introduction : Social media use for health purposes is gaining ground, and individuals and organizations are increasingly using social media to inform about and discuss health-related issues and even to offer treatment [1,2]. The health-related use of the Internet and the social media can empower patients in dealing with their own health and illness [3]. However, there has been concern relating to how social media may influence the health Professional-Patient Relationship [4], and guidelines have been developed on health professionals’ social media use [5]. Methods : In a pilot study, we performed in-depth interviews with five healthcare providers (one doctor, two psychologists, and two nurses) working at a Norwegian psychiatric university clinic. They were asked about their work-related experiences with social media and especially whether they had experienced that their patients had discussed their treatment on social media. The interviews were analyzed drawing on the method of content analysis. Results : All had private social media accounts, but none had extensive work-related experience with social media. None had posted on social media as part of their work. Three had read social media comments posted by their patients relating to treatment. Patients’ posting of criticism was perceived of as potentially problematic for the health Professional-Patient Relationship. Discussion, limitations, and lessons learnt : It may represent a challenge for health providers when patients discuss and evaluate their treatment on social media. While patients may post about their interaction with health professionals and treatment, confidentiality makes this off limits to health professionals [4,5]. Moreover, such posts can in some cases reflect ongoing problems in the health Professional-Patient Relationship that should be addressed by the patient and the health professional. If health professionals feel that they are publicly unfairly evaluated by patients, this might provoke negative feelings towards patients and thereby negatively influence the health Professional-Patient Relationship [3-6]. The study suggests that there is a need for discussion amongst health professionals regarding how to handle online criticism in a professional manner. This was a small exploratory study and more research is needed to confirm its findings. References : 1. Gabarron E, Serrano JA, Wynn R, Armayones M. Avatars using computer/smartphone mediated communication and social networking in prevention of sexually transmitted diseases among North-Norwegian youngsters. BMC Med Inform Decis Mak 2012;12:120. 2. Gabarron E, Serrano JA, Wynn R, Lau AY. Tweet content related to sexually transmitted diseases: no joking matter. J Med Internet Res 2014;16(10):e228. 3. Santana S, Lausen B, Bujnowska-Fedak M, Chronaki CE, Prokosch HU, Wynn R. Informed citizen and empowered citizen in health: results from an European survey. BMC Fam Pract 2011;12:20. 4. Moubarak G, Guiot A, Benhamou Y. Facebook activity of residents and fellows and its impact on the doctor-patient Relationship. J Med Ethics 2011;37:101-4. 5. Mansfield SJ, Morrison SG, Stephens HO, et al. Social media and the medical profession. Med J Aust 2011;194:642-4. 6. Wynn R. Provider-patient interaction: A corpus-based study of doctor-patient and student-patient interaction, Oslo, Norway, Norwegian Academic Press, 1998.
Kathleen Elizabeth Ellis - One of the best experts on this subject based on the ideXlab platform.
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Perceptions of insulin use in type 2 diabetes in primary care: a thematic synthesis.
BMC family practice, 2018Co-Authors: Kathleen Elizabeth Ellis, Henrietta Mulnier, Angus ForbesAbstract:Increasing numbers of patients with type 2 diabetes mellitus are progressing to insulin therapy, and despite its potency many such individuals still have suboptimal glycaemic control. Insulin initiation and intensification is now often conducted by Practice Nurses and General Practitioners in many parts of the UK. Therefore, gaining insight into perspectives of patients and primary care clinicians is important in determining self-management and engagement with insulin. A thematic synthesis of studies was conducted exploring the views and experiences of people with type 2 diabetes and of healthcare professionals on insulin use and management in the context of primary care. Protocol based systematic searches of electronic databases (CINAHL, Cochrane Library, EMBASE, MEDLINE, PsycINFO, and Web of Science) were performed on 1 October 2014 and updated on 31 March 2015, to identify studies that identified the views and experiences of adults with type 2 diabetes or primary care clinicians on the use of insulin in the management of type 2 diabetes. Studies meeting the review inclusion criteria were critically appraised using the CASP qualitative research checklist or Barley’s checklist for survey designs. A thematic synthesis was then conducted of the collected studies. Thirty-four studies were selected. Of these, 12 used qualitative interviews (nine with patients and three with healthcare professionals) and 22 were survey based (14 with patients, three with healthcare professionals, and five with both). Twelve key themes were identified and formed three domains, patient perceptions, healthcare professional perceptions, and health Professional-Patient Relationships. The patient-centred themes were: insulin-related beliefs, social influences, psychological factors, hypoglycaemia, and therapy barriers. The clinician-related themes were: insulin skills of general practitioners, healthcare integration, healthcare professional-perceived barriers, hypoglycaemia, and explanations for adherence. Healthcare Professional-Patient Relationship themes were drawn from the perspectives of patients and from clinicians. This review reveals multiple barriers to optimal insulin use in primary care at both the patient and healthcare professional levels. These barriers indicate the need for multimodal interventions to: improve the knowledge and competencies of primary care professionals in insulin use; provide more effective patient education and self-management support; and introduce integrated insulin support systems.
John Weinman - One of the best experts on this subject based on the ideXlab platform.
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Identifying potentially modifiable factors associated with treatment non-adherence in paediatric growth hormone deficiency: A systematic review
Hormone research in paediatrics, 2018Co-Authors: Selina Graham, John Weinman, Vivian AuyeungAbstract:Background: Despite the developments of recombinant growth hormone (rhGH) treatment and the benefits in long-term clinical health outcomes, evidence has shown that many children with growth hormone deficiency (GHD) still fail to achieve their target adult height. Suboptimal outcomes have been largely attributed to treatment non-adherence. Methods: A search of 11 electronic databases was undertaken to identify relevant articles, published in English, between 1985 and 2018. Additional search strategies included hand-searching topic review articles to identify eligible studies. Articles were screened against the inclusion eligibility criteria and data on sample characteristics, study design, outcomes, and key findings was extracted. The results were narratively synthesised and categorised using the COM-B theoretical framework. Results: Twenty-one full-text articles were assessed for eligibility, of which 6 articles met the inclusion criteria. The prevalence of non-adherence in the included studies varied from 7 to 71%. Potentially modifiable factors associated with rhGH non-adherence were categorised within the COM-B framework; key factors included: a lack of knowledge and understanding of the condition and treatment, discomfort and pain associated with injections, and the quality of the healthcare Professional-Patient Relationship. Conclusion: This review highlights the scope of the adherence problem evident amongst the paediatric GHD population and in addition presents the wide range of potentially modifiable factors that explain this health-related behaviour.
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A Systematic Review of Factors Associated with Non-Adherence to Treatment for Immune-Mediated Inflammatory Diseases
Advances in Therapy, 2015Co-Authors: Eleni Vangeli, Savita Bakhshi, Anna Baker, Abigail Fisher, Delaney Bucknor, Ulrich Mrowietz, Andrew J. K. Östör, Laurent Peyrin-biroulet, Ana P. Lacerda, John WeinmanAbstract:Background Non-adherence impacts negatively on patient health outcomes and has associated economic costs. Understanding drivers of treatment adherence in immune-mediated inflammatory diseases is key for the development of effective strategies to tackle non-adherence. Objective To identify factors associated with treatment non-adherence across diseases in three clinical areas: rheumatology, gastroenterology, and dermatology. Design Systematic review. Data Sources Articles published in PubMed, Science Direct, PsychINFO and the Cochrane Library from January 1, 1980 to February 14, 2014. Study Selection Studies were eligible if they included patients with a diagnosis of rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, inflammatory bowel disease, or psoriasis and included statistics to examine associations of factors with non-adherence. Data Extraction Data were extracted by the first reviewer using a standardized 23-item form and verified by a second/third reviewer. Quality assessment was carried out for each study using a 16-item quality checklist. Results 73 studies were identified for inclusion in the review. Demographic or clinical factors were not consistently associated with non-adherence. Limited evidence was found for an association between non-adherence and treatment factors such as dosing frequency. Consistent associations with adherence were found for psychosocial factors, with the strongest evidence for the impact of the healthcare professional–patient Relationship, perceptions of treatment concerns and depression, lower treatment self-efficacy and necessity beliefs, and practical barriers to treatment. Conclusions While examined in only a minority of studies, the strongest evidence found for non-adherence were psychosocial factors. Interventions designed to address these factors may be most effective in tackling treatment non-adherence.
