Background Often considered an “invisible disability”, hearing loss is one of the most prevalent chronic diseases and the third leading cause for years lived with disability worldwide. Hearing loss has substantial impacts on communication, psychological wellbeing, social connectedness, cognition, quality of life, and economic independence. The Hearing impairment in Adults: a Longitudinal Outcomes Study (HALOS) aims to evaluate the: (1) impacts of hearing devices (hearing aids and/or cochlear implants), (2) differences in timing of these interventions and in long-term outcomes between hearing aid and cochlear implant users, and (3) cost-effectiveness of early intervention for adult-onset hearing loss among hearing device users. Materials and methods HALOS is a mixed-methods study collecting cross-sectional and longitudinal data on health and social outcomes from 908 hearing aid and/or cochlear implant users aged ≥40 years, recruited from hearing service providers across Australia. The quantitative component will involve an online survey at baseline (time of recruitment), 24-months, and 48-months and will collect audiological, health, psychosocial, functional and employment outcomes using validated instruments. The qualitative component will be conducted in a subset of participants at baseline and involve semi-structured interviews to understand the patient journey and perspectives on the Australian hearing service model. Ethics This study has been approved by the Macquarie University Human Research Ethics Committee (ID: 11262) and Southern Adelaide Local Health Network (ID: LNR/22/SAC/88). Dissemination of results: Study findings will be disseminated to participants via a one-page summary, and to the public through publications in peer-reviewed journals and presentations at conferences. Trial registration Australia New Zealand Clinical Trial Registry (ANZCTR) registration number: ACTRN12622000752763.
Background: People who have attempted suicide are at high risk of further suicide attempts. Telephone-delivered interventions have merits of easily accessible and costeffectiveness, and may be useful in follow-up management of suicide attempters. Objective: To assess the efficacy of telephone-delivered interventions for preventing suicide re-attempts in suicide attempters. Methods: We searched PubMed, EMBASE, Cochrane Library, and PsycINFO to April 2014. This review included randomized controlled trials comparing telephone-delivered interventions for preventing suicide re-attempts with usual care in suicide attempters. Studies which used phones for calling or messaging or as a part of their intervention were included. But studies which are unclear whether they used phones were excluded. Two independent reviewers appraised study quality and extracted data. Results: Out of 142 studies, 7 studies were included in this review. Studies had good methodological quality features, and were categorized as telephone contact (n ¼ 3), crisis card which enable 24-hour crisis telephone consultation (n ¼ 2), mixed (phone plus other interventions) (n ¼ 2). Meta-analyses found that telephone contact did not significantly reduce proportion of repeaters (RR 0.78, 95% CI 0.58 to 1.07), deaths by suicide (RR 0.70, 95% CI 0.12 to 4.16), and losses to follow-up (RR 0.86, 95% CI 0.68 to 1.08) during the following year. One of the telephone contact studies proved effect in psychological symptom. Crisis card showed no significant effect on proportion of repeaters (RR 0.64, 95% CI 0.27 to 1.54). Although mixed interventions were not effective in repeated suicide attempt, one of them was effective in suicidal ideation and depression. Discussion: There was little evidence that telephonedelivered interventions can effect in suicide attempters. Most of included studies provided brief and a few times interventions, so more aggressive interventions are required. Conclusion: Telephone-delivered interventions may have a role in reducing suicidal ideation, depression, and psychological symptom, but there is a need for more research because current evidence is scarce.Background: The background of this study was to adapt institution's current fall prevention guidelines based on various evidence guidelines. Objective: This study was conducted to adapt institution's current fall prevention guidelines based on various evidence guidelines. Methods: This adaptation is based on guideline adaptation methodology, Adaptation Manual version 2.0 developed by National Evidence-based Collaborating Agency. We reviewed 3 fall prevention guidelines in the National Institute for Clinical Excellence, National Guideline Clearinghouse, Registered Nurses' Association Ontario and 13 best practice in the Joanna Briggs Institute. Clinical guidelines were evaluated by Appraisal of Guidelines for Research and Evaluation II, 9 modules including a total of 22 steps. Then the guideline was translated into Korean and a preliminary guideline was established after checking content v...
Objective: To promote a friendly and service oriented environment within a large hospital for women and children, staff and service feedbacks were obtained. These revealed that hospital staff did not smile readily when they encountered each other in thehospital. The objective is to improve smile levels amongst health care staff in a hospital using a standardised smile score scale. Methods: A baseline survey on the status of smile of hospital was performed using a standardised Smile Score Scale (with scale from -1 to 10). Smile levels were scored when assessors encountered staff along corridors and lifts. The scores were standardised according to level of familiarity and assessors' own smile score. Two further surveys were performed after measures to improve smile were implemented Results: With an assessor smile level of 2 for 165 staff subjects (first survey), the overall standardised smile level was 1.51. Measures were taken by a team to enhance awareness of the importance of smile and to remind staff to smile. Despite these measures, a second survey of 206 staff subjects revealed a smile score level of only 1.43. Another set of measures was implemented which include emphasis on leadership encouragement, spontaneous initiation of smile, and instant positive reinforcements for smile. A third survey of 245 staff subjects revealed an improvement in overall smile score level to 2.00. There was an improvement of 32.5% over the baseline smile score of 1.51. In tandem, the proportion of staff with Smile Score Level 2 and above, decreased from 61.8% in the first survey to 50.0% in the second survey (p<.05) but increased to 72.7% in the third survey (p<.0001). Conclusion: There was improvement of smile levels amongst health care staff. Changing the smile culture in a hospital is a challenging task which requires the correct strategy. Use of a Smile Score Scale is invaluable.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.