Hospice and Palliative Care Provider Experiences With Meditation Using Mobile Applications

Lehto, Rebecca H.; Heeter, Carrie; Allbritton, Marcel; Wiseman, Michelle

doi:10.1188/18.onf.380-388

Cited by 17 publications

(18 citation statements)

References 29 publications

(41 reference statements)

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“…Only MD Anderson Cancer Center personnel trained in maintaining confidentiality, the principal investigators, and coinvestigators had access to study records. Study data were collected and managed using Research Electronic Data Capture (REDCap) tools hosted at MD Anderson [52,53]. All protected health information was removed from the data when they were exported from RED-Cap for analysis.…”

Section: Informed Consent Data Confidentiality and Data Protectionmentioning

confidence: 99%

Challenging the Status Quo of Physician Attire in the Palliative Care Setting

et al. 2020

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Background, Aim, and Hypothesis This randomized controlled trial aimed to compare the impact of a physician's attire on the perceptions of patients with cancer of compassion, professionalism, and physician preference. Our hypothesis was that patients would perceive the physician with formal attire as more compassionate than the physician wearing casual attire. Materials and Methods One hundred five adult follow‐up patients with advanced cancer were randomized to watch two standardized, 3‐minute video vignettes with the same script, depicting a routine physician‐patient clinic encounter. Videos included a physician in formal attire with tie and buttoned‐up white coat and casual attire without a tie or white coat. Actors, patients, and investigators were all blinded to the purpose and videos watched, respectively. After each video, patients completed validated questionnaires rating their perception of physician compassion, professionalism, and their overall preference for the physician. Results There were no significant differences between formal and casual attire for compassion (median [interquartile range], 25 [10–31] vs. 20 [8–27]; p = .31) and professionalism (17 [13–21] vs. 18 [14–22]; p = .42). Thirty percent of patients preferred formal attire, 31% preferred casual attire, and 38% had no preference. Subgroup analysis did not show statistically significant differences among different cohorts of age, sex, marital status, and education level. Conclusion Doctors’ attire did not affect the perceptions of patients with cancer of physician's level of compassion and professionalism, nor did it influence the patients’ preference for their doctor or their trust and confidence in the doctor's ability to provide care. There is a need for more studies in this area of communications skills. Clinical trial identification number. NCT03168763 Implications for Practice The significance of physician attire as a means of nonverbal communication has not been well characterized. It is an important element to consider, as patient preferences vary geographically, are influenced by cultural beliefs, and may vary based on particular care settings. Previous studies consisted of nonblinded surveys and found increasing confidence in physicians wearing a professional white coat. Unfortunately, there are no randomized controlled trials, to the authors’ knowledge, to confirm the survey findings. In this randomized, blinded clinical trial the researchers found that physician's attire did not affect patients’ perception of the physician's level of compassion and professionalism. Attire also did not influence the patients’ preferences for their doctor or their trust and confidence in the doctor's ability to provide care.

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Section: Informed Consent Data Confidentiality and Data Protectionmentioning

confidence: 99%

Challenging the Status Quo of Physician Attire in the Palliative Care Setting

et al. 2020

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“…The Department of Palliative, Rehabilitation, and Integrative Medicine (PRIM) at the University of Texas MD Anderson Cancer Center implements numerous evidence-based interventions aimed at increasing wellness and engagement among its personnel. Many interventions targeting burnout in the palliative care workforce have been explored; (for example, ( 25 , 26 , 27 , 28 , 29 )) most have focused on increasing personal resiliency, though evidence suggests that organizational changes are also necessary to combat burnout. ( 30 , 31 , 32 ) In 2015, we introduced a Weekly Self Care Checklist ( Figure 1 ) – a one-page, 13-item list of evidence-based items, contained in a palliative care handbook that is distributed to all PRIM clinical personnel and carried in the lab coat pocket at all times.…”

Section: Introductionmentioning

confidence: 99%

Empowering the Health and Well-Being of the Palliative Care Workforce: Evaluation of a Weekly Self-Care Checklist

Swan¹,

Azhar²,

Anderson³

et al. 2021

Journal of Pain and Symptom Management

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Background Workplace interventions are needed to prevent burnout and support the well-being of the palliative care workforce. Intervention We implemented a 13-item self care checklist, included in a handbook on palliative care carried in the lab coat of all clinical personnel, to remind them to care for their own well-being. Measures We conducted a survey of all palliative care clinical staff to evaluate the usefulness and feasibility of checklist items and the checklist itself. We collected demographics, perceptions of professional satisfaction and burnout, and qualitative feedback aimed at improving the checklist. Outcomes Of 39 personnel contacted, 32 (82%) responded. Most (20; 62%) found the checklist useful. Exercise was the most highly ranked item, while Watching Visual Arts was the lowest ranked item. Conclusions and Lessons Learned: Numerous opportunities were identified to improve the checklist and facilitate achievement of checklist items. Survey data will be used in the next checklist version.

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“…Customizable push-notification medication reminders 36 Flashing lights and beeping of electronic pill bottle 36 Discreteness of electronic pill bottle 36 Blood pressure logging 34 Weight logging 34 Education modules 34 Health-related messages to coach 34 Hypertension (n = 1) Weigh-ins 37 None reported Meal logging 37 Educational articles 37 Targeted text messages 37 Mental health (n = 10) Personalization of app content [38][39][40] Videogame-inspired cognitive intervention 13 Push notifications at 12:30 pm any day, or at 7:30 pm on weekends (vs. other times of the day) 46 Tailored health message notifications (vs. standard push notifications) are associated with a small increase in likelihood to engage with an app within 24 h 46 Graphical representation of mood states over time 38 ''Some participants appreciated the badges and reinforcements they received when they completed their check-in surveys, whereas others felt patronized by the motivational language'' 40 Prompts to use app 38 Internet-based problem-solving therapy 13 Daily health tips 13,45 Daily surveys 40,45 Alerts in response to daily surveys 40 Direct visualization of their own data 40 Using a hub recommender app 41 Expectation to swap apps in and out of use rotation 42 Low-intensity coaching 42 Skills training through brief app sessions 42 Appointment reminders 43 Tracking functions 43 Anger frequency/intensity/cues logging 44 Behavioral strategies suggestions 44 Individually tailored anger management plan prompts 44…”

Section: Discussionmentioning

confidence: 99%

What Works Best to Engage Participants in Mobile App Interventions and e-Health: A Scoping Review

Oakley-Girvan

Yunis

Longmire

et al. 2021

Telemedicine and e-Health

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Background: Despite the growing popularity of mobile app interventions, specific engagement components of mobile apps have not been well studied. Methods: The objectives of this scoping review are to determine which components of mobile health intervention apps encouraged or hindered engagement, and examine how studies measured engagement. Results: A PubMed search on March 5, 2020 yielded 239 articles that featured the terms engagement, mobile app/ mobile health, and adult. After applying exclusion criteria, only 54 studies were included in the final analysis. Discussion: Common app components associated with increased engagement included: personalized content/feedback, data visualization, reminders/push notifications, educational information/material, logging/self-monitoring functions, and goal-setting features. On the other hand, social media integration, social forums, poor app navigation, and technical difficulties appeared to contribute to lower engagement rates or decreased usage. Notably, the review revealed a great variability in how engagement with mobile health apps is measured due to lack of established processes. Conclusion: There is a critical need for controlled studies to provide guidelines and standards to help facilitate engagement and its measurement in research and clinical trial work using mobile health intervention apps.

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Hospice and Palliative Care Provider Experiences With Meditation Using Mobile Applications

Abstract: Findings support further evaluation of a technology-mediated meditation program for professional caregivers to reduce perceived stress associated with the work environment.

Cited by 17 publications

References 29 publications

Challenging the Status Quo of Physician Attire in the Palliative Care Setting

Challenging the Status Quo of Physician Attire in the Palliative Care Setting

Empowering the Health and Well-Being of the Palliative Care Workforce: Evaluation of a Weekly Self-Care Checklist

What Works Best to Engage Participants in Mobile App Interventions and e-Health: A Scoping Review

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