Policy and research poster session 11
Track 11
| Saturday, October 28, 2023 |
| 1:20 PM - 1:55 PM |
| Exhibition Hall |
Speaker
Dr Cheryl Yan Fang Tan
Consultant
Singhealth Community Hospitals
A Systematic Review on Patient experiences and acceptance towards Telerehabilitation – a study protocol
Summary
A Systematic Review on Patient experiences and acceptance towards Telerehabilitation – a study protocol
Abstract
Background
Telerehabilitation is an emerging field that provides delivery of rehabilitation services to patients via remote information and communication technologies. Several reviews have demonstrated the efficacy and cost-effectiveness of telerehabilitation in improving post-surgical and stroke patients’ physical outcomes, while affording greater patient convenience. Currently, there are no reviews which have summarised results from qualitative studies about patient experiences and challenges encountered with telerehabilitation. Hence, this review aims to synthesise data from qualitative studies about elderly patients’ experiences with telerehabilitation.
Methods
This protocol is developed based on the recommendations of the Enhancing transparency in reporting the synthesis of qualitative research (ENTREQ) statement. Qualitative studies which evaluated telerehabilitation in the elderly (≥60 years of age) will be included. The literature search will be conducted in Cochrane Central Registry of Controlled Trials, Medline, Embase, PsycINFO, CINAHL EBSCOhost and Scopus, from their inception until March 2023. Two independent researchers will screen the identified citations and extract data using a standardized data extraction form. The quality of the included studies will be assessed using the Joanna Briggs checklist for qualitative research appraisal tool and results from included articles will be qualitatively synthesised using the framework synthesis approach.
Discussion
This systematic review will provide an overview of experiences and challenges of elderly patients with telerehabilitation. Results from this review will aid the development of instruments to assess patient reported outcome measures for telerehabilitation and highlight to policy-makers important patient related considerations in designing or improving telerehabilitation services.
Trial registration number
This review was registered under Open Science Framework and is accessible at https://www.doi.org/10.17605/OSF.IO/GEFVD
Abstract
Background
Telerehabilitation is an emerging field that provides delivery of rehabilitation services to patients via remote information and communication technologies. Several reviews have demonstrated the efficacy and cost-effectiveness of telerehabilitation in improving post-surgical and stroke patients’ physical outcomes, while affording greater patient convenience. Currently, there are no reviews which have summarised results from qualitative studies about patient experiences and challenges encountered with telerehabilitation. Hence, this review aims to synthesise data from qualitative studies about elderly patients’ experiences with telerehabilitation.
Methods
This protocol is developed based on the recommendations of the Enhancing transparency in reporting the synthesis of qualitative research (ENTREQ) statement. Qualitative studies which evaluated telerehabilitation in the elderly (≥60 years of age) will be included. The literature search will be conducted in Cochrane Central Registry of Controlled Trials, Medline, Embase, PsycINFO, CINAHL EBSCOhost and Scopus, from their inception until March 2023. Two independent researchers will screen the identified citations and extract data using a standardized data extraction form. The quality of the included studies will be assessed using the Joanna Briggs checklist for qualitative research appraisal tool and results from included articles will be qualitatively synthesised using the framework synthesis approach.
Discussion
This systematic review will provide an overview of experiences and challenges of elderly patients with telerehabilitation. Results from this review will aid the development of instruments to assess patient reported outcome measures for telerehabilitation and highlight to policy-makers important patient related considerations in designing or improving telerehabilitation services.
Trial registration number
This review was registered under Open Science Framework and is accessible at https://www.doi.org/10.17605/OSF.IO/GEFVD
Takeaways
1. A summary analysis of patients' experiences utilising telerehabilitation.
2. Recommendations in developing instruments to assess patient reported outcomes.
3. An approach in performing a qualitative synthesis research.
2. Recommendations in developing instruments to assess patient reported outcomes.
3. An approach in performing a qualitative synthesis research.
Biography
Dr Cheryl Tan graduated from the National University of Singapore Yong Loo Lin School of Medicine in 2010. She is a Family Physician who obtained her MBBS in 2010 and Master of Medicine (Family Medicine) in 2016 from National University of Singapore (NUS). She was later conferred the Fellow of College of Family Physicians Singapore in 2019 and received her Graduate Diploma in Palliative Medicine in April 2022. She has worked in various family medicine settings such as outpatient polyclinics, home care and transitional care. She is currently a Consultant in Outram Community Hospital (SingHealth Community Hospitals), where she manages patients admitted for rehabilitation, sub-acute care and palliative care.
Dr Tan is active in undergraduate and postgraduate teaching. She is a physician faculty of the SingHealth Family Medicine Residency program, and a core clinical supervisor in the College of Family Physicians Fellowship program.
Prof Ray Power
Medical Director And Co-founder
Centric Health
"The Healthcare Cure", an award winning film documentary portraying the beautiful and impactful relationship between patients and their own GPs
Summary
The Healthcare Cure film bravely prescribes a path forward for one of the world’s largest and most dysfunctional industries. It addresses the “big shift” that will occur in healthcare that will save millions of lives while improving the human experience in the healthcare system. The big shift is the rapid transition from an industry focused on sickness intervention to prevention and anticipation. It shines a light on the beauty and impactfulness of a deep and meaningful relationship between patients and their GPs. It contrasts this traditional and successful approach in Ireland, that still exists today, where the doctor patient relationship is sacrosanct with the norm in the U.S. where patients crave an equivalent dynamic. We must listen to our patients.
“The Healthcare Cure” addresses the three big enablers of the big shift that include hyper-consumerization, enabling/connected technologies, and new economic/value models. This is more than just a plan for the future, it is the genesis of a movement wherein patients in society are demanding better health over more treatment.
The film shares many patient and GP stories that speak on everything from the impact of behavioural health, digital health, healthcare economics to prevention and wellness. This film offers up real, responsible solutions with the principal goal of changing the trajectory of healthcare for the betterment of patients and healthcare providers.
Our movie won the most impactful award at the Sedona Film Festival, Arizona in 2021 with equivalent plaudits in Ireland. It champions a new model - indeed going back to the future in how we interact as GPs with our patients.
www.thehealthcarecure.com - film by Prof. Ray Power and Nick Webb - (watch movie)
“The Healthcare Cure” addresses the three big enablers of the big shift that include hyper-consumerization, enabling/connected technologies, and new economic/value models. This is more than just a plan for the future, it is the genesis of a movement wherein patients in society are demanding better health over more treatment.
The film shares many patient and GP stories that speak on everything from the impact of behavioural health, digital health, healthcare economics to prevention and wellness. This film offers up real, responsible solutions with the principal goal of changing the trajectory of healthcare for the betterment of patients and healthcare providers.
Our movie won the most impactful award at the Sedona Film Festival, Arizona in 2021 with equivalent plaudits in Ireland. It champions a new model - indeed going back to the future in how we interact as GPs with our patients.
www.thehealthcarecure.com - film by Prof. Ray Power and Nick Webb - (watch movie)
Takeaways
Key Messages -
1. understand and feel the emotion that our patients love us as their GPs.
2 appreciate that our vocation requires us to nurture deep and meaningful relationships with our patients.
3. explore the potential of enabling technology so as to capture a perpetual touch with our patients.
4. belong to the movement to demand "The Healthcare Cure".
1. understand and feel the emotion that our patients love us as their GPs.
2 appreciate that our vocation requires us to nurture deep and meaningful relationships with our patients.
3. explore the potential of enabling technology so as to capture a perpetual touch with our patients.
4. belong to the movement to demand "The Healthcare Cure".
Biography
Ray Power is a semi-rural GP in Ireland and co-founder of Centric Health a network of 70 GP partner practices across Ireland with over 300 GP colleagues. He is an Adjunct Associate Clinical Professor at University College Dublin. He is co-producer of an award-winning film documentary - The Healthcare Cure - winner of the most impactful film documentary at the Sedona Film Festival in 2021 in the U.S. The film shines a light on the beauty and impactfulness of the relationship between patients and their GPs, comparing the traditional approach in Ireland with the norm in the United States where often the delivery of primary care services has become commoditized. The film indeed champions a model of proactive rather than reactive care, favouring prevention to hyper-intervention as the only sustainable model. Indeed the way forward is back to the future! Dr Power proudly screens The Healthcare Cure at W.O.N.C.A. (59 mins) provoking a movement and conversation empowering General Practice.
Dr Chun-Hsien Hsu
Department of Family Medicine, Taipei City Hospital, Heping Fuyou Branch, Taipei
The relationship between blood pressure and metabolic syndrome among normotensive middle-aged women
Summary
Aims / Goals
The aim of the present study was to investigate the association between different blood pressure measurements (systolic blood pressure (SBP), diastolic blood pressure (DBP), and pulse pressure (PP)) within normotension and cardiovascular diseases (CVD) risks. Determining whether subjects with high-normotension are still at higher risk of metabolic syndrome (MetS) than those with low-normotension is the goal of this study.
Methods
This study enrolled female adults aged 40 to 64 years in a standard health examination programme. Participants were required to have SBP <120 mmHg and DBP <80 mmHg. The subjects were classified into tertile groups according to their SBP or DBP levels. All of the analyses were conducted separately by the menopause status.
Results
A total of 8,000 subjects were included in the analysis, of whom 5,056 participants were premenopause and 2,944 ones were postmenopause. A higher prevalence of MetS was correlated to higher BP levels in both premenopause and postmenopause cohorts.
The correlation and linear relationship between continuous SBP, DBP, PP levels and the values of MetS components were conducted. Only waist circumference was significantly correlated to all BP measurements in both cohorts.
The odds ratio of having MetS between SBP and DBP tertiles were carried out. In general, the relationships between BP levels and the risks of MetS were more apparent for SBP than DBP. Noticeably, the observed associations of the BP measurements with the risks of MetS were not significantly different between the premenopause and postmenopause cohorts.
Conclusions
The risks of MetS begin to increase with the elevation of BP even when it is still within the normal range. The status of menopause does not modify the association between BP level and the risk of MetS in normotensive middle-aged women. Primary prevention, such as lifestyle modification, and stricter control of BP should be emphasized.
The aim of the present study was to investigate the association between different blood pressure measurements (systolic blood pressure (SBP), diastolic blood pressure (DBP), and pulse pressure (PP)) within normotension and cardiovascular diseases (CVD) risks. Determining whether subjects with high-normotension are still at higher risk of metabolic syndrome (MetS) than those with low-normotension is the goal of this study.
Methods
This study enrolled female adults aged 40 to 64 years in a standard health examination programme. Participants were required to have SBP <120 mmHg and DBP <80 mmHg. The subjects were classified into tertile groups according to their SBP or DBP levels. All of the analyses were conducted separately by the menopause status.
Results
A total of 8,000 subjects were included in the analysis, of whom 5,056 participants were premenopause and 2,944 ones were postmenopause. A higher prevalence of MetS was correlated to higher BP levels in both premenopause and postmenopause cohorts.
The correlation and linear relationship between continuous SBP, DBP, PP levels and the values of MetS components were conducted. Only waist circumference was significantly correlated to all BP measurements in both cohorts.
The odds ratio of having MetS between SBP and DBP tertiles were carried out. In general, the relationships between BP levels and the risks of MetS were more apparent for SBP than DBP. Noticeably, the observed associations of the BP measurements with the risks of MetS were not significantly different between the premenopause and postmenopause cohorts.
Conclusions
The risks of MetS begin to increase with the elevation of BP even when it is still within the normal range. The status of menopause does not modify the association between BP level and the risk of MetS in normotensive middle-aged women. Primary prevention, such as lifestyle modification, and stricter control of BP should be emphasized.
Takeaways
1. The risks of MetS begin to increase with the elevation of BP even when it is still within the normal range.
2. The status of menopause does not modify the association between BP level and the risk of MetS in normotensive middle-aged women.
3. Primary prevention, such as lifestyle modification, and stricter control of BP should be emphasized.
2. The status of menopause does not modify the association between BP level and the risk of MetS in normotensive middle-aged women.
3. Primary prevention, such as lifestyle modification, and stricter control of BP should be emphasized.
Biography
Chun-Hsien Hsu is an outstanding physician and researcher. His medical specialties are family medicine and geriatric medicine, and the main topics of his researches are geriatric syndromes, metabolic syndrome, type 2 diabetes mellitus, and insulin resistance. In view of focus on the preventive medicine, he mainly investigated the association between metabolic syndrome and common clinical examinations in the outpatient department, such as blood pressure, blood glucose, and body measurements. Both cross-sectional and longitudinal studies were performed. Totally, he had published more than 10 articles as the first or corresponding author in the international academic journals and conferences in recent 5 years.
Dr Eden Habtemariam
Addis Ababa University
Knowledge and practice of diabetic foot care among type 1 and type 2 diabetic patients, Addis Ababa, Ethiopia
Summary
Diabetic foot ulcer and the resulting lower extremity amputations are common, costly, and disabling complication of diabetes. Up to 12% of all hospitalized diabetic patients in Africa have foot ulceration. These DFU patients face stigma, difficulties in social life, and even unemployment. Interventions aimed at preventing foot ulcers in patients have been shown to reduce lower extremity amputations by 85%.
The aim of this study was to assess the knowledge and practice of diabetic foot care among type 1 and type 2 diabetic patients at Zewditu Memorial Hospital, Addis Ababa, Ethiopia, 2021.
An institution based cross sectional study was employed from June 1 to August 30, 2021 using interviewer administered questionnaires. A total of 394 patients participated in the study using convenient sampling technique.
A significant knowledge gap was seen in participants not being aware of the appropriate temperature for foot wash and the need for frequent inspection of the inside of footwear Results indicated that more than half of the participants often dried their feet after washing (59.9%)], while only 28.4% participants always dried between their toes after a wash. A significant number of participants did not apply moisturizing cream 41.1%.
There is a need for implementation of strong educational programs concerning diabetic foot care. The study also shows the association of accessible information on diabetic foot care with good results of diabetic foot care practice.
The aim of this study was to assess the knowledge and practice of diabetic foot care among type 1 and type 2 diabetic patients at Zewditu Memorial Hospital, Addis Ababa, Ethiopia, 2021.
An institution based cross sectional study was employed from June 1 to August 30, 2021 using interviewer administered questionnaires. A total of 394 patients participated in the study using convenient sampling technique.
A significant knowledge gap was seen in participants not being aware of the appropriate temperature for foot wash and the need for frequent inspection of the inside of footwear Results indicated that more than half of the participants often dried their feet after washing (59.9%)], while only 28.4% participants always dried between their toes after a wash. A significant number of participants did not apply moisturizing cream 41.1%.
There is a need for implementation of strong educational programs concerning diabetic foot care. The study also shows the association of accessible information on diabetic foot care with good results of diabetic foot care practice.
Takeaways
Explore knowledge and practices of diabetic patient’s foot care
Biography
Dr Eden Habtemariam completed her undergraduate training in Medicine and postgraduate training in family medicine at Addis Ababa University, College of Health Sciences. She started working at the department of Family Medicine as a lecturer on January 2018. She is currently working as an assistant professor of Family Medicine.
