• 【急诊医学教育奖学金作家指南: 教育创新 (第3部分)。】 复制标题 收藏 收藏
    影响因子 :
    发表时间:2018-05-01
    来源期刊:CJEM
    DOI:10.1017/cem.2017.28 复制DOI
    作者列表:Hall AK,Hagel C,Chan TM,Thoma B,Murnaghan A,Bhanji F
    BACKGROUND & AIMS: OBJECTIVE:The scholarly dissemination of innovative medical education practices helps broaden the reach of this type of work, allowing scholarship to have an impact beyond a single institution. There is little guidance in the literature for those seeking to publish program evaluation studies and innovation papers. This study aims to derive a set of evidence-based features of high-quality reports on innovations in emergency medicine (EM) education. METHODS:We conducted a scoping review and thematic analysis to determine quality markers for medical education innovation reports, with a focus on EM. A search of MEDLINE, EMBASE, ERIC, and Google Scholar was augmented by a hand search of relevant publication guidelines, guidelines for authors, and website submission portals from medical education and EM journals. Study investigators reviewed the selected articles, and a thematic analysis was conducted. RESULTS:Our search strategy identified 14 relevant articles from which 34 quality markers were extracted. These markers were grouped into seven important themes: goals and need for innovation, preparation, innovation development, innovation implementation, evaluation of innovation, evidence of reflective practice, and reporting and dissemination. In addition, multiple outlets for the publication of EM education innovations were identified and compiled. CONCLUSION:The publication and dissemination of innovations are critical for the EM education community and the training of health professionals. We anticipate that our list of innovation report quality markers will be used by EM education innovators to support the dissemination of novel educational practices.
    背景与目标:
  • 【调整静脉注射。继续手术前血液透析患者的铁和EPO剂量: 我们可以保护患者免受缺铁性贫血的教育吗?】 复制标题 收藏 收藏
    DOI: 复制DOI
    作者列表:Deaver K,Bennington L
    BACKGROUND & AIMS: :Ongoing blood loss and iron-deficiency anemia are common problems in patients on hemodialysis; therefore, nephrology clinicians are particularly concerned with their patients who are scheduled for surgery Surgery can cause significant blood and iron losses, thereby worsening their preexisting anemia. However, patients on hemodialysis can be effectively treated preoperatively by adjusting their continued doses of intravenous (i.v.) iron and recombinant human erythropoietin (EPO) therapy, based on expected blood and iron losses. This valuable strategy can help improve surgical and anemia outcomes as well as decrease EPO requirements and the need for transfusions. This article examines the use of IV iron and EPO therapy as preventive therapy for anemia in patients on hemodialysis prior to invasive surgical procedures, illustrated with an experience from a dialysis unit and patient case studies.
    背景与目标: : 持续失血和缺铁性贫血是血液透析患者的常见问题; 因此,肾脏病临床医生特别关注计划进行手术的患者,这些患者可能会导致大量的血液和铁损失,从而加剧其先前存在的贫血。但是,可以根据预期的血液和铁损失,通过调整静脉内 (i.v.) 铁和重组人促红细胞生成素 (EPO) 治疗的持续剂量,在术前有效治疗血液透析患者。这种有价值的策略可以帮助改善手术和贫血的结果,并减少EPO的需求和输血的需求。本文研究了在侵入性外科手术之前使用IV铁和EPO疗法作为血液透析患者贫血的预防疗法,并结合透析单位和患者案例研究的经验进行了说明。
  • 【综合继续医学教育 (CME) 和质量改进 (QI) 计划对放射肿瘤学家 (RO) 临床实践的有效性。】 复制标题 收藏 收藏
    DOI:10.1016/j.ijrobp.2006.07.018 复制DOI
    作者列表:Leong CN,Shakespeare TP,Mukherjee RK,Back MF,Lee KM,Lu JJ,Wynne CJ,Lim K,Tang J,Zhang X
    BACKGROUND & AIMS: PURPOSE:There has been little radiation oncologist (RO)-specific research in continuing medical education (CME) or quality improvement (QI) program efficacy. Our aim was to evaluate a CME/QI program for changes in RO behavior, performance, and adherence to department protocols/studies over the first 12 months of the program. METHODS AND MATERIALS:The CME/QI program combined chart audit with feedback (C-AWF), simulation review AWF (SR-AWF), reminder checklists, and targeted CME tutorials. Between April 2003 and March 2004, management of 75 patients was evaluated by chart audit with feedback (C-AWF) and 178 patients via simulation review audit (SR-AWF) using a validated instrument. Scores were presented, and case management was discussed with individualized educational feedback. RO behavior and performance was compared over the first year of the program. RESULTS:Comparing the first and second 6 months, there was a significant improvement in mean behavior (12.7-13.6 of 14, p = 0.0005) and RO performance (7.6-7.9 of 8, p = 0.018) scores. Protocol/study adherence significantly improved from 90.3% to 96.6% (p = 0.005). A total of 50 actions were generated, including the identification of learning needs to direct CME tutorials, the systematic change of suboptimal RO practice, and the alteration of deficient management of 3% of patients audited during the program. CONCLUSION:An integrated CME/QI program combining C-AWF, SR-AWF, QI reminders, and targeted CME tutorials effectively improved targeted RO behavior and performance over a 12-month period. There was a corresponding increase in departmental protocol and study adherence.
    背景与目标:
  • 【注意力缺陷/多动障碍患者的药物使用与高等教育入学考试成绩之间的关联。】 复制标题 收藏 收藏
    DOI:10.1001/jamapsychiatry.2017.1472 复制DOI
    作者列表:Lu Y,Sjölander A,Cederlöf M,D'Onofrio BM,Almqvist C,Larsson H,Lichtenstein P
    BACKGROUND & AIMS: Importance:Individuals with attention-deficit/hyperactivity disorder (ADHD) are at greater risk for academic problems. Pharmacologic treatment is effective in reducing the core symptoms of ADHD, but it is unclear whether it helps to improve academic outcomes. Objective:To investigate the association between the use of ADHD medication and performance on higher education entrance tests in individuals with ADHD. Design, Setting, and Participants:This cohort study observed 61 640 individuals with a diagnosis of ADHD from January 1, 2006, to December 31, 2013. Records of their pharmacologic treatment were extracted from Swedish national registers along with data from the Swedish Scholastic Aptitude Test. Using a within-patient design, test scores when patients were taking medication for ADHD were compared with scores when they were not taking such medication. Data analysis was performed from November 24, 2015, to November 4, 2016. Exposures:Periods with and without ADHD medication use. Main Outcomes and Measures:Scores from the higher education entrance examination (score range, 1-200 points). Results:Among 930 individuals (493 males and 437 females; mean [SD] age, 22.2 [3.2] years) who had taken multiple entrance tests (n = 2524) and used ADHD medications intermittently, the test scores were a mean of 4.80 points higher (95% CI, 2.26-7.34; P < .001) during periods they were taking medication vs nonmedicated periods, after adjusting for age and practice effects. Similar associations between ADHD medication use and test scores were detected in sensitivity analyses. Conclusions and Relevance:Individuals with ADHD had higher scores on the higher education entrance tests during periods they were taking ADHD medication vs nonmedicated periods. These findings suggest that ADHD medications may help ameliorate educationally relevant outcomes in individuals with ADHD.
    背景与目标:
  • 【电子教育产品组合的开发: 医学教育专业人员纲要。】 复制标题 收藏 收藏
    DOI:10.1080/10401330701332219 复制DOI
    作者列表:Lewis KO,Baker RC
    BACKGROUND & AIMS: BACKGROUND:A growing body of literature shows that many universities and colleges are making educational portfolios part of their faculty assessment and student's learning plan for both undergraduate and graduate programs. We provide an outline for the development of a medical educator's portfolio, including an electronic version. DESCRIPTION:Guidelines for the development of an educational portfolio focusing on medical education are provided, including design, format, and content. An electronic version of the portfolio, which combines flexibility and ease of revision, is also described, including formats for publication and distribution. Student reflections on the e-portfolio are presented, and potential applications of the e-portfolio in medical education are described. CONCLUSION:We believe that portfolio development is a valuable application that provides rich documentation of participants' educational history, accomplishments, and intellectual property as related to their professional learning and growth.
    背景与目标:
  • 【澳大利亚护理实践,护士教育和护理人员国际化面临的挑战。】 复制标题 收藏 收藏
    DOI:10.5172/conu.2007.24.2.128 复制DOI
    作者列表:Parker V,McMillan M
    BACKGROUND & AIMS: :This paper examines factors that have lead to increasing internationalisation in nursing workforce and nursing education and contends that education and support for nurse managers and nurse academics is required in order to better prepare them for the challenges they will face. There are many benefits to be gained from internationalisation of nursing, the most significant being greater cross-cultural understanding and improved practices in workplaces across countries. However, the way in which nursing and nurses contribute to the international agenda is crucial to maintaining standards of education and nursing care in Australia and in countries with whom Australians collaborate. Internationalisation poses numerous challenges that need to be carefully thought through. This paper seeks to unravel and scrutinize some of the issues central to internationalisation in nursing, particularly in the Australian context.
    背景与目标: : 本文研究了导致护理人员和护理教育国际化程度提高的因素,并认为需要对护士经理和护士学者进行教育和支持,以便更好地为他们应对挑战做好准备。护理国际化有很多好处,最重要的是加强跨文化理解和改善各国工作场所的做法。但是,护理和护士为国际议程做出贡献的方式对于维持澳大利亚以及与澳大利亚人合作的国家的教育和护理标准至关重要。国际化带来了许多挑战,需要仔细思考。本文旨在阐明和审查护理国际化的一些核心问题,尤其是在澳大利亚背景下。
  • 【急诊科的预防护理,第一部分: 临床预防服务-它们与急诊医学相关吗?学术急救医学协会公共卫生和教育工作队预防服务工作组。】 复制标题 收藏 收藏
    DOI:10.1111/j.1553-2712.2000.tb02097.x 复制DOI
    作者列表:Rhodes KV,Gordon JA,Lowe RA
    BACKGROUND & AIMS: :In 1998 the Society for Academic Emergency Medicine's (SAEM's) Board of Directors asked the SAEM Public Health and Education Task Force to develop recommendations for prevention, screening, and counseling activities to be conducted in emergency departments (EDs). The Task Force's work was divided into two phases: 1) a discussion of the rationale for preventive services in the ED, along with generation of a preliminary list of prevention activities that could be studied for ED implementation; and 2) a formal evidence-based review of topics chosen from the preliminary list, along with recommendations for ED implementation and further study. This paper represents Phase I of the project. Phase II, the formal evidence-based review and recommendations, is published separately in this issue.
    背景与目标: : 1998年,学术急诊医学协会 (SAEM's) 董事会要求SAEM公共卫生和教育工作组为在急诊科 (EDs) 进行的预防,筛查和咨询活动制定建议。专责小组的工作分为两个阶段: 1) 讨论在ED中提供预防服务的理由,并生成可研究用于ED实施的预防活动的初步清单; 2) 对从初步清单中选择的主题进行正式的循证审查,以及对ED实施和进一步研究的建议。本文代表了该项目的第一阶段。第二阶段,正式的循证审查和建议,在本期单独发表。
  • 【学生-教师信任和学生在执照前学士学位护士教育中的成功。】 复制标题 收藏 收藏
    DOI:10.1016/j.nedt.2012.08.006 复制DOI
    作者列表:Scarbrough JE
    BACKGROUND & AIMS: OBJECTIVE:Nurse educators need an enhanced understanding of factors contributing to nursing student success to decrease attrition and increase retention. Improved understanding of factors related to successful nurse preparation could improve educational processes and facilitate student success, thereby addressing the worldwide nursing shortage as well as increasing the competence and expertise of new graduates. Student-faculty trust and related characteristics have been identified as factors associated with student success (Applebaum, 1995). Research investigating trust in communications and education has been conducted with students in other disciplines but not with nursing students. This research investigated the complex relationships between students' trust in faculty, the students' mood states, and students' educational performance and outcomes. METHOD:The study utilized a quantitative, cross-sectional, descriptive, and correlational design. Student volunteers were recruited from a baccalaureate nursing education program located in the southwest United States. Participants completed three instruments: the Health Sciences Reasoning Test (HSRT), Profile of Mood States (POMS), and Interpersonal Trust Scale (ITS). The resulting scores were compared and contrasted along with selected demographic variables. RESULTS:The study identified a significant relationship between total mood disturbance and interpersonal trust. The trends in the POMS subscales of Anger and Confusion are of particular interest, as the two factors strongly influenced shifts in Total Mood Disturbance. As students progressed through the nursing program, experiences of Anger and Confusion increased with each progressive semester and were accompanied by corresponding decreases in trust. CONCLUSIONS:The results complement established findings relating mood and cognitive function. Alterations in the student's level of trust potentially could share relationships with cognition and critical thinking, although perhaps not in a direct and linear fashion.
    背景与目标:
  • 【基于学校的口腔健康教育计划对伊朗儿童的影响: 一项随机分组试验的结果。】 复制标题 收藏 收藏
    DOI:10.1111/j.1600-0722.2012.00993.x 复制DOI
    作者列表:Yekaninejad MS,Eshraghian MR,Nourijelyani K,Mohammad K,Foroushani AR,Zayeri F,Pakpour AH,Moscowchi A,Tarashi M
    BACKGROUND & AIMS: :Parents and school staff play important roles in promoting children's oral health. Our study goals were to investigate whether an intervention targeting parents and school staff can improve the oral-health behavior and oral-health status of schoolchildren. Three-hundred and ninety-two schoolchildren in six schools in Tehran participated in a group randomized trial from September 2010 to March 2011. Schools were randomly allocated into three groups: comprehensive, student, and control. Intervention in the comprehensive group consisted of strategies to encourage children, their parents, and school staff to increase the frequency of toothbrushing and flossing. In the student group, the intervention targeted only children. The control group received no intervention. The primary outcome was change in oral-health behaviors (brushing and flossing), while the secondary outcomes were changes in oral hygiene and Community Periodontal indices and in Health Belief Model components. Multilevel modeling was employed for data analyses. Students who were in the comprehensive intervention group brushed and flossed significantly more frequently compared with those in the student intervention group. Although students' gingival health improved significantly in the comprehensive intervention group, such significant improvement was not seen in the student group. In conclusion, promising results are seen when the oral-health education targets both school and home settings.
    背景与目标: : 家长和学校工作人员在促进儿童口腔健康方面发挥着重要作用。我们的研究目标是调查针对父母和学校工作人员的干预措施是否可以改善学童的口腔健康行为和口腔健康状况。德黑兰六所学校的392名学童参加了从2010年9月到2011年3月的分组随机试验。学校被随机分为三组: 综合,学生和对照。综合小组的干预措施包括鼓励儿童,其父母和学校工作人员增加刷牙和使用牙线的频率的策略。在学生群体中,干预针对的是独生子女。对照组不接受干预。主要结局是口腔健康行为 (刷牙和使用牙线) 的变化,而次要结局是口腔卫生和社区牙周指数和健康信念模型成分的变化。采用多级建模进行数据分析。与学生干预组相比,综合干预组的学生刷牙线和牙线的频率明显更高。尽管综合干预组学生的牙龈健康状况显着改善,但在学生组中并未看到这种显着改善。总之,当口腔健康教育针对学校和家庭环境时,可以看到令人鼓舞的结果。
  • 【通过糖尿病自我管理教育和培训促进糖尿病相关公平: 现有的覆盖要求和增加参与的考虑因素。】 复制标题 收藏 收藏
    DOI:10.1097/PHH.0000000000001109 复制DOI
    作者列表:Carr D,Kappagoda M,Boseman L,Cloud LK,Croom B
    BACKGROUND & AIMS: :America is in the grips of a diabetes epidemic. Underserved communities disproportionately bear the burden of diabetes and associated harms. Diabetes self-management education and training (DSME/T) may help address the epidemic. By empowering patients to manage their diabetes, DSME/T improves health outcomes and reduces medical expenditures. However, participation in DSME/T remains low. Insurance coverage offers 1 approach for increasing participation in DSME/T. The impact of DSME/T insurance coverage on advancing diabetes-related health equity depends on which types of insurers must cover DSME/T and the characteristics of such coverage. We conducted a legal survey of DSME/T coverage requirements for private insurers, Medicaid programs, and Medicare, finding that substantial differences exist. Although 43 states require that private insurers cover DSME/T, only 30 states require such coverage for most or all Medicaid beneficiaries. Public health professionals and decision makers may find this analysis helpful in understanding and evaluating patterns and gaps in DSME/T coverage.
    背景与目标: : 美国正处于糖尿病流行的控制之中。服务不足的社区不成比例地承担着糖尿病和相关危害的负担。糖尿病自我管理教育和培训 (DSME/T) 可能有助于解决这一流行病。通过赋予患者管理糖尿病的能力,DSME/T改善了健康结果并减少了医疗支出。然而,对DSME/T的参与仍然很低。保险范围为增加对DSME/T的参与提供了一种方法。DSME/T保险承保范围对推进糖尿病相关健康公平的影响取决于哪些类型的保险公司必须承保DSME/T以及这种承保范围的特点。我们对私人保险公司、医疗补助计划和医疗保险的DSME/T保险要求进行了法律调查,发现存在实质性差异。尽管有43个州要求私人保险公司承保DSME/T,但只有30个州要求大多数或所有医疗补助受益人承保此类保险。公共卫生专业人员和决策者可能会发现此分析有助于理解和评估DSME/T覆盖范围的模式和差距。
  • 【批判性思维教育对护生解决问题能力的影响。】 复制标题 收藏 收藏
    DOI:10.1080/10376178.2017.1339567 复制DOI
    作者列表:Kanbay Y,Okanlı A
    BACKGROUND & AIMS: THE AIM OF THE STUDY:The aim of this study is to examine the effect of critical thinking education on nursing students' problem-solving skills. MATERIALS AND METHOD:This study was conducted with 93 nursing students, 49 in the control group and 44 in the education group. The California Critical Thinking Disposition Inventory and the Problem-solving Inventory were administered to them before and after 12 weeks of critical thinking education. RESULTS:The education group's mean critical thinking score was 253.61 on the pretest and 268.72 on the posttest. This increase was statistically significant (p < .001). The posttest mean score of the control group fell to 258.18 on the posttest after a pretest mean score of 260.79, and this difference was statistically significant (p < .001). According to the posttest results, the problem-solving skills of education group increased significantly (p < .001), while the control group's score fell significantly (p < .001). CONCLUSION:This study determined that critical thinking education improves problem-solving skills.
    背景与目标:
  • 【积极胆固醇治疗患者的重新分类: 多层冠状动脉造影对国家胆固醇教育计划指南的累加价值。】 复制标题 收藏 收藏
    DOI:10.1002/clc.20256 复制DOI
    作者列表:Scridon T,Novaro GM,Bush HS,Asher CR,Dandes E,Kabirdas D,Scridon C,Kuo BT,Whiteman M,Shen MY
    BACKGROUND & AIMS: BACKGROUND:National Cholesterol Education Program (NCEP) guidelines have been used to define treatment goals in patients with hypercholesterolemia. However, epidemiology-based guidelines are unable to identify all subjects with coronary artery disease for aggressive lipid intervention. OBJECTIVE:We sought to evaluate the additive value of multislice computed tomography (MSCT) angiography to the NCEP guideline classification for lipid treatment. METHODS:Multislice computed tomography was performed in 114 consecutive patients (mean age 57+/-14 y; 59% male) without known coronary artery disease. Subjects were classified into 3 categories (low-, intermediate-, and high-risk) according to their Framingham risk scores (FRS). RESULTS:Traditional cardiac risk factors were common: hypertension 59%, diabetes 13%, and smoking 22%. On the basis of the FRS, 11% (n=12/114) of the patients met high-risk criteria requiring aggressive cholesterol reduction. Of those in the low- and intermediate-risk groups, MSCT found coronary plaque in 76% (n=77/102), with moderate or severe plaque in 38% (n=39/102), thus reclassifying them in the high-risk category. Use of statin drugs increased from 32% at baseline to 53% (p=0.002) based on MSCT results; statin dose was increased in 31% of the patients who were already on a statin. The mean low-density lipoprotein cholesterol (LDL-c) decreased from 114 mg/dL to 91 mg/dL after MSCT (p<0.001). CONCLUSION:Multislice computed tomography reclassifies a high percentage of patients considered to be low- to intermediate-risk into the high-risk category based on their coronary artery lesions. Thus, the rise in MSCT use at present may have a large impact on clinician practice patterns in lipid-lowering therapy.
    背景与目标:
  • 【美国呼吸疗法国际教育的影响: 沙特国际学生的看法。】 复制标题 收藏 收藏
    DOI:10.4187/respcare.06961 复制DOI
    作者列表:AbuNurah HY,Zimmerman RD,Murray RB,Gardenhire DS
    BACKGROUND & AIMS: BACKGROUND:The purpose of this study was to assess graduate and undergraduate international respiratory therapy students' perceptions of the impact of their international educational experience on their life experience and development. METHODS:Data were collected through a validated descriptive survey. Four main dimensions of development were assessed: professional respiratory therapist (RT) role, global understanding, personal development, and intellectual development. RESULTS:The sample size was 62. Just over half of the subjects held a graduate degree in respiratory therapy, and 47% held an undergraduate degree in respiratory therapy. Female participants accounted for 13% of participants. The dimensions of development that were the most affected for RT undergraduate students were professional RT role and global understanding, whereas personal development was the most impacted area of development for graduate RT students. The time spent abroad for education had a positive correlation with the students' perceptions of development of their professional RT role (rs = 0.43, P = .001), personal development (rs = 0.26, P = .047), and overall survey development score (rs = 0.28, P = .036). Former graduates had a significantly higher perception of development of their professional practice (P = .035) and cultural interaction (P = .03) than did current students. CONCLUSIONS:International education has a large overall positive impact on students' life experience and development. The study findings support the value of promoting international education in RT programs due to its role in advancing students' development and the internationalization of RT education.
    背景与目标:
  • 【被动病人还是敬业专家?使用托勒密方法加强精神卫生护士教育和实践。】 复制标题 收藏 收藏
    DOI:10.1111/j.1447-0349.2007.00471.x 复制DOI
    作者列表:Warne T,McAndrew S
    BACKGROUND & AIMS: :This discussion paper seeks to explore an approach that metal health nurses can adopt that ensures the patient is at the centre of training and professional development opportunities. Although nurse training and education is shaped by practice and theory, the lived experiences of the patients as an educational resource often become lost in the milieu of 'doing' nursing. We argue that in addition to theoretical knowledge and practice knowledge, there is the need to harness the equally important patient experience knowledge. Drawing upon Ptolemaic concepts, this paper explores the potential tensions for mental health nurses resulting from the imbalance in power when engaging in therapeutic relationships with patients. It is argued that in order for mental health nurses to become more effective, they need to learn how to relinquish some of their power, even where this gives rise to uncomfortable tensions for the nurse. Such tensions result from the centrality afforded to theoretical knowledge and ritualized practice that underpins nursing and the difficulties this may cause for many nurses in accepting the value of patient experience as a primary source of knowledge. The difficulties of adopting this approach point to a need for mental health nurses and nurse educationalists to take a more reflexive approach to their patient encounters and within their encounters with each other.
    背景与目标: : 本讨论文件旨在探索金属保健护士可以采用的方法,以确保患者处于培训和专业发展机会的中心。尽管护士的培训和教育是由实践和理论决定的,但作为教育资源的患者的生活经验常常在 “做” 护理的环境中丢失。我们认为,除了理论知识和实践知识外,还需要利用同样重要的患者经验知识。本文借鉴托勒密的概念,探讨了与患者进行治疗关系时权力不平衡所导致的精神卫生护士的潜在紧张关系。有人认为,为了使精神卫生护士变得更有效,他们需要学习如何放弃一些权力,即使这会给护士带来不舒服的紧张情绪。这种紧张关系是由理论知识和仪式化实践所提供的核心作用所造成的,这些理论知识和仪式化实践是护理的基础,以及这可能给许多护士在接受患者经验作为主要知识来源的价值方面带来的困难。采用这种方法的困难表明,精神卫生护士和护士教育家需要对患者的遭遇以及彼此的遭遇采取更具反身性的方法。
  • 【让非洲裔美国青年参与开发一款严肃的性健康教育手机游戏: 混合方法研究。】 复制标题 收藏 收藏
    DOI:10.2196/16254 复制DOI
    作者列表:Patchen L,Ellis L,Ma TX,Ott C,Chang KHK,Araya B,Atreyapurapu S,Alyusuf A,Gaines Lanzi R
    BACKGROUND & AIMS: BACKGROUND:Although teen pregnancy rates decreased dramatically in the United States over the past decade, the rates of sexually transmitted infections (STIs) among adolescents and young adults increased. STI rates disproportionately affect African American youth and young adults. Innovative, accessible, and culturally relevant sexual health interventions are urgently needed. OBJECTIVE:This study aimed to identify the optimal modality for a game-based sexual health intervention; develop the educational, entertainment, and technological aspects of the serious game; and demonstrate its usability and acceptance by the target population. METHODS:This project was grounded in formative data collection with community-based participatory research principles and practices combined with a user-centered design and development approach. Sexually Active Adolescent-Focused Education (SAAFE) was developed using input and feedback from African American youths aged 15 to 21 years who participated in a youth advisory board and focus group discussions to inform the co-design and cocreation of the serious game. The process was highly iterative with multiple sessions for user input following design changes. It proceeded in 3 stages. Social cognitive theory and problem-solving theory were leveraged to provide evidence-based, trauma-informed education through a serious game. Usability testing assessed the quality of user experience with the prototype. RESULTS:Across all 3 stages, a total of 86 self-identified African American males and females aged 15 to 21 years from the District of Columbia and Birmingham, Alabama, participated. Participants requested a dating simulation game. They wanted SAAFE to be customizable, realistic, entertaining, educational, modern, and experiential, linking consequences to their gameplay decisions. Usability testing resulted in an initial System Usability Survey score of 77.7, placing the game in the 82nd percentile and above average for usability. CONCLUSIONS:Initial results suggest that the SAAFE prototype is a promising intervention to engage African American youth in sexual health education using a role-playing game. If proven efficacious, the game has the potential to meet the need for sex education, counterbalance unhealthy portrayals of sex in popular media, and respond to the disparities in the STI epidemic.
    背景与目标:

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