Implementing an Educational Module on Integrative Therapies Used Among Palliative Care Patients
Author
Diola, LeaIssue Date
2020Keywords
Complementary therapiesIntegrative medicine
Integrative palliative care
Integrative therapies
Integrative therapy education
Palliative care
Advisor
Rishel, Cindy J.
Metadata
Show full item recordPublisher
The University of Arizona.Rights
Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction, presentation (such as public display or performance) of protected items is prohibited except with permission of the author.Abstract
Purpose. To evaluate the influence of an educational module about integrative therapies used in palliative care on knowledge among palliative care patients and its feasibility as a tool to provide patient education at the University of Arizona Telehealth Learning Center (TLC). Background. Palliative care is an interdisciplinary medical approach that aims to provide supportive care for chronically or critically ill individuals. Integrative palliative care helps improve the delivery of palliative care by incorporating integrative therapies in the palliative care setting. However, 80% of palliative care patients reported a lack of knowledge of integrative therapies. This project aimed to address the lack of patient education through an educational module on integrative therapies. Methods. This QI project was implemented online at the University of Arizona TLC on 10 simulated palliative care patients (SPs) using Zoom because of the COVID-19 pandemic. The SPs completed a pre-test survey to determine their baseline knowledge of integrative therapies before participating in a 20-minute Panopto educational module. After completing the educational module, the SPs answered a post-test survey to assess knowledge acquisition of integrative therapies and a post-test questionnaire to evaluate the feasibility of the educational module as a tool to deliver patient education. Results. The educational module resulted in knowledge acquisition among the SPs (N= 10) with a mean improvement of 2.6 correct answers and a standard deviation of 2.01. There was a statistically significant difference between the pre-test and post-test scores (P= 0.003). The SPs who completed the post-test questionnaire (N= 9) stated that they “strongly agree” and “somewhat agree” that the educational module was a feasible tool for patient education. Only one SP (11.1%) “neither agreed nor disagreed” that the overall presentation of the educational module was conducive to learning. Conclusions. An educational module on integrative therapies used in palliative care was a feasible tool for patient education and improved patient knowledge of integrative therapies. Ongoing implementation of the educational module can benefit more palliative care patients. To help advance future practice and research in palliative care, the results from this pilot project can be disseminated to other palliative care clinics or institutions.Type
textElectronic Dissertation
Degree Name
D.N.P.Degree Level
doctoralDegree Program
Graduate CollegeNursing
Degree Grantor
University of ArizonaCollections
Related items
Showing items related by title, author, creator and subject.
-
The application of computer-supported collaborative work and knowledge-based technology to the view modeling and integration problems: A multi-user view integration system (MUVIS).Ram, Sudha; Hayne, Stephen Charles.; George, Joey; Purdin, Titus; Isaac, Mark (The University of Arizona., 1990)This dissertation describes the architecture, development and implementation of a network application called MUVIS. MUVIS supports the design of distributed object-oriented databases by groups of potential users. MUVIS is a graphical system implemented on Microsoft Windows for personal computers attached to local area networks. It allows designers to share conceptual design objects in real-time and resolve naming conflicts through the electronic medium. It assists these database designers in representing their views and integrating these views into a global conceptual schema. The view integration component is decoupled from the view modeling component. The underlying data model, the Semantic Data Model (SDM), is extended to include distribution information and transaction specification. The visual interface to the SDM is an Extended Entity Relationship model, yet objects in the SDM are classes (as opposed to entities and relationships) and this fact reduces the complexity of the integration. An experiment involving groups of size three and four and individuals modeling a complex case validated the view modeling system. The groups were more efficient and produced higher quality designs than did individuals.
-
IMPACT - Integrative Medicine PrimAry Care Trial: protocol for a comparative effectiveness study of the clinical and cost outcomes of an integrative primary care clinic modelHerman, Patricia; Dodds, Sally; Logue, Melanie; Abraham, Ivo; Rehfeld, Rick; Grizzle, Amy; Urbine, Terry; Horwitz, Randy; Crocker, Robert; Maizes, Victoria; et al. (BioMed Central, 2014)BACKGROUND:Integrative medicine (IM) is a patient-centered, healing-oriented clinical paradigm that explicitly includes all appropriate therapeutic approaches whether they originate in conventional or complementary medicine (CM). While there is some evidence for the clinical and cost-effectiveness of IM practice models, the existing evidence base for IM depends largely on studies of individual CM therapies. This may in part be due to the methodological challenges inherent in evaluating a complex intervention (i.e., many interacting components applied flexibly and with tailoring) such as IM.METHODS/DESIGN:This study will use a combination of observational quantitative and qualitative methods to rigorously measure the health and healthcare utilization outcomes of the University of Arizona Integrative Health Center (UAIHC), an IM adult primary care clinic in Phoenix, Arizona. There are four groups of study participants. The primary group consists of clinic patients for whom clinical and cost outcomes will be tracked indicating the impact of the UAIHC clinic (n=500). In addition to comparing outcomes pre/post clinic enrollment, where possible, these outcomes will be compared to those of two matched control groups, and for some self-report measures, to regional and national data. The second and third study groups consist of clinic patients (n=180) and clinic personnel (n=15-20) from whom fidelity data (i.e., data indicating the extent to which the IM practice model was implemented as planned) will be collected. These data will be analyzed to determine the exact nature of the intervention as implemented and to provide covariates to the outcomes analyses as the clinic evolves. The fourth group is made up of patients (n=8) whose path through the clinic will be studied in detail using qualitative (periodic semi-structured interviews) methods. These data will be used to develop hypotheses regarding how the clinic works.DISCUSSION:The US health care system needs new models of care that are more patient-centered and empower patients to make positive lifestyle changes. These models have the potential to reduce the burden of chronic disease, lower the cost of healthcare, and offer a sustainable financial paradigm for our nation. This protocol has been designed to test whether the UAIHC can achieve this potential.TRIAL REGISTRATION:Clinical Trials.gov NCT01785485.
-
Integrated but Separate: An Integrative Medicine Program (PIM) & Health Sciences Library (AHSL) PartnershipWolfson, Catherine L; Holcomb, Mary; Soloff, Laurie (2003-06)This poster highlights a collaboration between a health sciences library and an integrative medicine program, to organize the latter's collection, offer its content via the library's online catalog, and allow limited circulation while maintaining the physical collection in the program. With limited library staff and a need to maintain availability of materials to the program, numerous issues needed addressing. First, the library did not have a cataloger with sufficient subject expertise and available time to handle the project in a timely manner. The solution was collaboration between a reference librarian with subject expertise and technical services personnel. Technical issues involved creating new locations in the online catalog and suppressing cataloging records from public view until the program is ready to share resources with the university community. NLM call numbers and Medical Subject Headings were used to achieve complete integration with the library's catalog. Some original cataloging was needed; subject headings in older records were updated (i.e., changing the old heading alternative medicine to the current complementary therapies). Some titles falling outside of health sciences fields needed Library of Congress call numbers. Future plans include: completing work on existing volumes, the library continuing to catalogthe program's materials, and setting up a circulation station in the program's library, with materials circulating according to policies determined by the program in consultation with appropriate library units. The collaboration between reference and technical services librarians has offered benefits both for the librarians involved and for the library as a whole. The integrative medicine program has not yet opened its doors to public use, so it is too early to report on feedback from users outside the program. However, the program is finding that NLM cataloging allows more efficient organization and retrieval of materials. All university departments benefit by access to a more extensive collection in this specialized area. The integrative medicine program and the library are finding this collaboration fruitful, and the programs's faculty and staff look forward to sharing resources with the university community.