This study examines patient and clinician perceptions of high-value care and its association with unnecessary interventions.
This randomized clinical trial evaluates the efficacy of telephone-based cognitive behavioral therapy for insomnia vs menopause education control.
This qualitative study describes the experience of bereaved caregivers and patients at the end of life who have a left ventricular assist device.
This randomized clinical trial evaluates the effectiveness of a care transition intervention using remote patient monitoring to reduce 180-day all-cause readmissions among older adults hospitalized with heart failure.
This systematic review and meta-analysis assesses randomized clinical trials that have evaluated interventions to prevent episodes of low back pain.
This randomized clinical trial evaluates the effectiveness of a standardized patient–based intervention designed to enhance primary care physician patient-centeredness and skill in handling patient requests for low-value diagnostic tests.
This clinical trial examines the effect of 3 different presentations of benefits and harms on patients’ intentions to accept low-value or potentially low-value screening services.
In a systematic review and meta-analysis of clinical trials of patient education for low back pain, Traeger et al found evidence that patient education in primary care can provide long-term reassurance for patients with acute or subacute low back pain.
Tannenbaum and colleagues compare the effect of a direct-to-consumer educational intervention against usual care on benzodiazepine therapy discontinuation in community-dwelling older adults.
Cook and coauthors understand explore barriers and enabling factors that influence physician point-of-care learning, and what decisions physicians face during this process. See the Invited Commentary by Dhaliwal.
Braun describes how low testosterone level has been marketed to consumers as a disease state in order to boost sales of testosterone replacement therapies.
Falls are a common adverse event during hospitalization of older adults, and few interventions have been shown to prevent them.
This study was a 3-group randomized trial to evaluate the efficacy of 2 forms of multimedia patient education compared with usual care for the prevention of in-hospital falls. Older hospital patients (n = 1206) admitted to a mixture of acute (orthopedic, respiratory, and medical) and subacute (geriatric and neurorehabilitation) hospital wards at 2 Australian hospitals were recruited between January 2008 and April 2009. The interventions were a multimedia patient education program based on the health-belief model combined with trained health professional follow-up (complete program), multi-media patient education materials alone (materials only), and usual care (control). Falls data were collected by blinded research assistants by reviewing hospital incident reports, hand searching medical records, and conducting weekly patient interviews.
Rates of falls per 1000 patient-days did not differ significantly between groups (control, 9.27; materials only, 8.61; and complete program, 7.63). However, there was a significant interaction between the intervention and presence of cognitive impairment. Falls were less frequent among cognitively intact patients in the complete program group (4.01 per 1000 patient-days) than among cognitively intact patients in the materials-only group (8.18 per 1000 patient-days) (adjusted hazard ratio, 0.51; 95% confidence interval, 0.28-0.93]) and control group (8.72 per 1000 patient-days) (adjusted hazard ratio, 0.43; 95% confidence interval, 0.24-0.78).
Multimedia patient education with trained health professional follow-up reduced falls among patients with intact cognitive function admitted to a range of hospital wards.
anzctr.org.au Identifier: ACTRN12608000015347