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The influence of type of information, somatization, and locus of control on attitude, knowledge, and compliance with respect to the triphasic oral contraceptive Tri-Minulet.

The possibility of improving attitude, knowledge, and compliance with respect to the oral contraceptive (OC) Tri-Minulet (Wyeth, Hoofddorp, The Netherlands) by supplying brochures and information on audiotape was studied in 1239 healthy women, aged between 15 and 45. One group was orally informed, a second group additionally received brochures, and a third group received, in addition to the above two, information on audiotape. At baseline and after the first and third cycle, OC-attitude, missed pill handling, and compliance were assessed. Somatization and locus of control were also assessed. Knowledge of the medical advantages of the pill was increased by the audiotape and the compliance by the combination of brochures and audiotape. The brochures alone and in combination with tape improved the knowledge of how to handle missed pills. In somatizers and externals, who particularly showed a poor knowledge and a negative pill-attitude, this knowledge was increased by the combination of brochures and tape.

Adolescent↗

Evaluation of a self-help leaflet in treatment of social difficulties following facial disfigurement.

Psychological difficulty, particularly in social situations, is widely reported by disfigured people, but many receive no formal psychological treatment. This study randomly allocated 106 facially disfigured people either to receive a self-help leaflet offering cognitive-behavioural guidance or not. Participants were assessed pre-treatment and at 3 month follow-up. The untreated group then received the leaflet. Participants in the leaflet group fared better than controls on 3 of the 9 scales employed (Social Leisure [SAQ] (t=2.31, p=0.012), HADS anxiety (t=2.22, p=0.015), HADS depression (t=1.83, p=0.036). There is support for a cognitive-behavioural approach and the usefulness of self-help instructions in addressing the social difficulties of facially disfigured people. The approach merits further development and investigation.

Adaptation, Psychological↗

Preparing patients for urological surgery.

There is consensus among health care professionals that patients need and use written and oral patient education to prepare for hospitalisation. The purpose of this study was to re-design information for patients preparing for transurethral surgery (TUR P-B) and describe the effect of this change. A quasi-experimental design was used to answer the research questions. The findings showed that patients did benefit in some areas. The patients found a correspondence between what they were told to expect and what actually happened in the hospital. Nurses need to evaluate written materials to see that they are current and reflect best practice.

Aged↗

Should dentures be worn continuously?

Material has been presented to show the potential problem in continuous denture wearing. Commercial booklets for patient education have been reviewed and found to be in need of revision. Dental schools are not in agreement in the subject of continuous denture wear. The need for unanimity is evident, and if this is to be achieved, patient education publications must be revised. A maximum effort is needed to educate edentulous patients about oral tissue health, and especially the length of time that dentures should be worn.

Alveolar Process↗

Compliance to correct dose of chloroquine in uncomplicated malaria correlates with improvement in the condition of rural Nigerian children.

Non-compliance to correct dosing is thought to be one of the main causes of treatment failure of chloroquine in the home management of childhood malaria. There are few studies of compliance to drugs used for tropical diseases. In order to study compliance in the rural setting, chloroquine syrup was packaged with a novel pictorial insert for compliance to correct dosing. Compliance was assessed in a field trial in September 1996-December 1997, involving 632 children with uncomplicated malaria in Udi local government area in Nigeria. Written informed consent was obtained from mothers/guardians before children were enrolled in the study. There were 3 arms to the trial: control villages (group I) received chloroquine syrup without further intervention, group II received a pictorial insert with chloroquine syrup, and group III received chloroquine syrup, the pictorial insert and verbal instructions. Each group was made up of 3 health centres. Compliance was assessed by volumetric measurement of the chloroquine syrup left in 30-mL bottles and by questionnaires administered to mothers/helpers of the children. Control villages recorded full compliance for 36.5 +/- 4.4% of the children, group II for 51.9 +/- 7.9% and group III for 73.3 +/- 4.2%. There was a significant correlation (P < 0.0001) between full compliance, improvement and time for improvement of the condition. This study is deemed important because it focuses on children, who bear the greatest burden of malaria. It is unique for introducing a pictorial insert that illiterate villagers, who may not understand the use of age or weight in drug dispensing, may utilize as a substitute.

Antimalarials↗

A national minority transplant program for increasing donation rates.

Since 1982, our group efforts demonstrated statistically significant improvements in minority donation rates which have applicability to all minority populations. As we continue to reach out to the various ethnic communities, we must listen to the needs of the community understanding that all ethnic communities have various beliefs and cultural barriers that will need to be addressed. For instance, the African-American population revealed the previously mentioned five obstacles to donation. The Hispanic population has revealed relatively the same fears to donation as the African-American population. In addition, the tribes within the Native-American population each have their own belief systems which will have to be addressed appropriately. The fears and obstacles toward donation within the Asians and Pacific Islanders and the Alaska Native groups are being defined. However, initial research reveals that all of the minority groups have very similar, if not the same, fears that were identified with the initial focus group in 1978. This simple methodology that has been established can ultimately help achieve the overall desired goal--an increase in minority donation rates.

Black or African American↗

Information on new transplant legislation: how it was received by the general public and the action that ensued.

The information campaign was successful. The leaflet was observed by many and discussed by two-thirds of those who had seen it, most often with relatives. All who have registered with the donor register have taken a stand on the donation of organs and tissues for transplantation or other medical purposes. Many more have probably signed donor cards or told the next of kin. It is suggested that the population has been properly informed. The number of cadaver donors, which has decreased the last number of years, seems to be unaffected.

Advertising↗

Informational needs of families of intensive care unit patients.

Although results of the study are specific to St Michael Hospital's ICU, the implications of those results are not limited to the study site. Families of patients admitted to any critical care unit may experience similar needs as those identified in this study. Intensive care unit nurses need to identify these needs as a first step in the process toward family-centered care. Critical care nurses can view families either as further stressors on their time or as integral components of their nursing plan and valuable resources in the well-being and recovery of their patients. Tailoring interventions to the main concerns of families can allow ICU nurses to maintain their high standards of professional care while helping families cope with critical illness. Using a unit-based quality assurance study, critical care nurses can implement research-based interventions to address the information and emotional needs of families.

Adult↗

A consumer guide for marketing medical services: one institution's experience.

This paper describes the Cleveland Clinic Foundation's experience with the development and implementation of a 20-page quality indicator consumer guide for patients with or at risk of developing coronary artery disease. The guide, which provides six "quality indicators," was designed to enable patients to evaluate and compare quality-related information when choosing a provider. Design elements for the guide included a user-friendly format to offset the amount of information consumers are asked to absorb. Data on inquiries showed that the majority were women (53%) and adults under the age of 65 years (57%). Although the media criticized the guide as a marketing tool, it represents an effort to educate consumers about the importance of research when choosing a provider.

Choice Behavior↗