Using mHealth to improve adherence and reduce blood pressure in individuals with hypertension and bipolar disorder (iTAB-CV): study protocol for a 2-stage randomized clinical trial

Levin, Jennifer; Moore, David J.; Depp, Colin A.; Montoya, Jessica L.; Briggs, Farren; Rahman, Mahboob; Stange, Kurt C.; Einstadter, Douglas; Weise, Celeste; Conroy, Carla; Yala, Joy; Radatz, Ethan

doi:10.1186/s13063-022-06449-9

Cited by 3 publications

(1 citation statement)

References 75 publications

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“…Adherence to treatment is a crucial component in achieving quality of care and successful medical treatment as well as good health outcomes [ 13 – 15 ]. A recent systematic review pointed to the significance of interpersonal communication and counseling- and education-based interventions for patient adherence to treatment [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Patient-centeredness—a cultural targeted survey among junior medical managers

Tal,

Barnea,

Tur-Sinai

2023

Int J Equity Health

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Background Patient-centeredness is a core element in healthcare. However, there is a gap between the understanding of this term by healthcare professionals, and patients’ capability, self-efficacy, and willingness to take part in medical decisions. We aim to expose standpoints toward “patient centeredness” among junior medical managers (JMM), as they bridge between policy strategies and patients. We try to reveal cultural differences by comparing the views of the majority and the minority subpopulations of Israel (Arabic and Hebrew speakers). Methods A cross-sectional survey among JMM studying for an advanced degree in health-system management at three academic training colleges in Israel was conducted in February–March 2022. The respondents completed a structured questionnaire comprising four sections: a) perceptions of trust, accountability, insurance coverage, and economic status; b) perceptions regarding decision-making mechanisms; c) preferences toward achieving equity, and d) demographic details. Results A total of 192 respondents were included in the study—50% Hebrew speakers and 50% Arabic speakers. No differences were found between Arabic and Hebrew speakers regarding perception of trust, accountability, insurance coverage, and economic status. JMM from both subpopulations believed that patients’ gender and age do not influence physicians’ attitudes but Arabic-speaking respondents perceived that healthcare professionals prefer educated patients or those with supportive families. All respondents believed that patients would like to be more involved in medical decisions; yet Arabic-speakers perceived patients as tending to rely on physicians’ recommendations while Hebrew speakers believed that patients wish to lead the medical decision by themselves. Conclusions Patient-centeredness strategy needs to be implemented bottom-up as well as top-down, in a transparent nationwide manner. JMM are key actors in carrying out this strategy because they realize policy guidelines in the context of social disparities, enabling them to achieve a friendly personalized dialogue with their patients. We believe that empowering these JMM may create a ripple effect, yielding a bottom-up perception of equity and initiating change.

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Section: Introductionmentioning

confidence: 99%

Patient-centeredness—a cultural targeted survey among junior medical managers

Tal,

Barnea,

Tur-Sinai

2023

Int J Equity Health

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Updated strategies for the management of poor medication adherence in patients with bipolar disorder

McVoy

Levin

2023

Expert Review of Neurotherapeutics

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Patient Centeredness - a Cultural Targeted Survey among Junior Medical Managers

Tal¹,

Barnea

Tur‐Sinai

2022

Preprint

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Background: Patient centeredness is a core element in healthcare. However, there is a gap between the understanding of this term by health care professionals, and patients’ capability, self-efficacy and willingness to take part in medical decisions. We aimed to expose standpoints toward "patient centeredness" among junior medical managers (JMM), as they bridge between policy strategies and patients. We tried to reveal cultural differences by comparing the views of the majority and the minority subpopulations of Israel (Arabic and Hebrew speakers). Methods: A cross-sectional survey among JMM studying for an advanced degree in health systems management at three academic training colleges in Israel was conducted in February-March 2022. The respondents completed a structured questionnaire, comprising four sections: a) perceptions towards trust, accountability, insurance coverage and economic status; b) perception regarding decision-making mechanisms; c) preferences toward achieving equity and d) demographic details. Results: A total of 192 respondents were included in the study, 50% were Hebrew speakers and 50% were Arabic speakers. No differences were found between Arabic and Hebrew speakers regarding perception towards trust, accountability, insurance coverage and economic status. JMM from both subpopulations perceived that patients' gender and age do not influence the attitude of physicians, but Arabic speaking respondents perceived that healthcare professionals prefer educated patients, or those with supportive families. All respondents perceived that patients would like to be more involved in medical decisions; yet, Arabic-speakers believe that patients tend to rely on physicians’ recommendations, while Hebrew speakers believe patients wish to lead the medical decision by themselves. Conclusions: Patient centeredness strategy needs to be implemented bottom-up as well as top-down, in a transparent nationwide manner. JMM are key actors to accomplish this strategy, as they realize policy guidelines in the context of social disparities, thus they can achieve a friendly personalized dialogue with their patients. We believe that empowerment of these JMM may create a ripple effect yielding a bottom- up perception of equity and initiating change.

show abstract

Using mHealth to improve adherence and reduce blood pressure in individuals with hypertension and bipolar disorder (iTAB-CV): study protocol for a 2-stage randomized clinical trial

Cited by 3 publications

References 75 publications

Patient-centeredness—a cultural targeted survey among junior medical managers

Patient-centeredness—a cultural targeted survey among junior medical managers

Updated strategies for the management of poor medication adherence in patients with bipolar disorder

Patient Centeredness - a Cultural Targeted Survey among Junior Medical Managers

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