Provider documentation of patient education: a lean investigation

Purpose

The study evaluates how providers give patient education materials and identifies improvements to comply with Meaningful Use (MU) requirements.

Methods

Thirty-eight patient-provider interactions in two health care outpatient clinics were observed.

Results

Providers do not uniformly know MU patient education requirements. Providers have individual preferences and find gaps in what is available. Accessing and documenting patient education varies among providers. Embedded electronic health record (EHR) materials, while available, have technical access barriers.

Conclusions

Providers'' EHR skills and knowledge levels contribute to non-standardized patient education delivery.     

The validity and reliability of focus groups as a research method in adult education

The article examines the theory and practice of focus groups in adult education research. Three theoretical positions are described: radical hermeneutic, moderate interpretative and pragmatic realistic position trying to bridge the gap with positivist research. This last position has been chosen as the departure point for a further analysis of the focus group elements, which relate to validity and reliability. The research examines four European research projects in the field of adult education. The most important and surprising data are presented with reference to both socio-psychological and technical problems in the use of this method. The results highlight the importance and dynamics of all the elements discussed.     

服务业创新的新熊彼特定义：基于新分类法的概念探讨

创新是一项复杂的过程并具有多面性。在众多以创新与生产率之间联系为主题的研究中，由于数据限制，往往只采用单一指标来测度创新。本文对这种方式提出了质疑，认为这种研究方法可能会系统地偏向于某类经常通过参与创新活动以达到各种商业目的的公司或产业。为了更好地测度创新，本文介绍了一种创新索引，即以潜变量模型为基础的含有多项创新指标的线性指标组合。这一尝试得到加拿大制造业公司的大量微观数据组合的支持。     

Developmental Brain Research With Participants From Underprivileged Communities: Strategies for Recruitment,Participation, and Retention

Challenges associated with recruitment and retention of participants from underprivileged social communities, in addition to neuroscience researchers' unfamiliarity with these communities, possibly explain the limited number of individuals from these communities who participate in neuroscience research studies. The consequence is a scarcity of data in this fast‐growing segment of the population. In particular, developmental research involving children from ethnic minorities has yet to catch up with the number of studies available for middle‐class White children (Flores et al., 2002). This underrepresentation can lead to disparities in health and social services for children from these communities, as well as to a nonrepresentative knowledge base of child neurodevelopment. Developing and utilizing innovative and culturally sensitive approaches to recruiting participants from underprivileged communities can maximize their participation in research, as behavioral researchers have known for some time. Here, based on our experience recruiting low‐socioeconomic status (SES) Latino children from Los Angeles, we offer strategies to improve recruitment, involvement, and retention. We have a special focus on techniques relevant to recruiting for neuroimaging, which is associated with new challenges not faced to the same degree in research historically. Better inclusion of underrepresented children in research can ultimately lead to the development and improvement of effective public polices to support their needs, ranging from education to health care.     

The Dutch motor skills assessment as tool for talent development in table tennis: a reproducibility and validity study

A motor skills assessment could be helpful in talent development by estimating essential perceptuo-motor skills of young players, which are considered requisite to develop excellent technical and tactical qualities. The Netherlands Table Tennis Association uses a motor skills assessment in their talent development programme consisting of eight items measuring perceptuo-motor skills specific to table tennis under varying conditions. This study aimed to investigate this assessment regarding its reproducibility, internal consistency, underlying dimensions and concurrent validity in 113 young table tennis players (6–10 years). Intraclass correlation coefficients of six test items met the criteria of 0.7 with coefficients of variation between 3% and 8%. Cronbach’s alpha valued 0.853 for internal consistency. The principal components analysis distinguished two conceptually meaningful factors: “ball control” and “gross motor function.” Concurrent validity analyses demonstrated moderate associations between the motor skills assessment’s results and national ranking; boys r = ?0.53 (P < 0.001) and girls r = ?0.45 (P = 0.015). In conclusion, this evaluation demonstrated six test items with acceptable reproducibility, good internal consistency and good prospects for validity. Two test items need revision to upgrade reproducibility. Since the motor skills assessment seems to be a reproducible, objective part of a talent development programme, more longitudinal studies are required to investigate its predictive validity.     

A longitudinal evaluative study of student difficulties with engineering graphics

We have previously reported in this journal that spatial ability influences academic performance in engineering. We have also reported that spatial ability is trainable, and can be increased through instruction focused on using perception and mental imagery in three-dimensional representation. In this article, we present the results of a longitudinal evaluative study of student difficulties with engineering graphics at our university, involving research over a 24-year period. Prior to our intervention, the first-year engineering graphics course at our university had a failure rate of 36% for all engineering students, and failure rates of 80% for African students studying at our university. In terms of outcomes, our study indicates that changed teaching practices have been associated with increased pass rates, which currently average 88% for all students. There is clear evidence that African students no longer experience major difficulties in passing the course. This can be attributed both to changes in teaching methodology, as well as broader contextual changes occurring in South Africa over the period reviewed.

Despite evidence of increased pass rates, our data suggest that there is a continuing relationship between three-dimensional spatial perception and academic performance in engineering graphics, as well as with aggregated first-year engineering marks. For this reason, many students still require academic support. There is also evidence that female students experience difficulties with engineering graphics due to lack of previous technical experience, and use a variety of strategies to overcome their study problems. The most effective appear to be use of peers and friends, and in particular students who had previously taken the course, as mediators of the course content and materials. Those female students who have not taken technical drawing at school level, and female students who do not network with other engineering students, are those at greatest disadvantage.     

A System of Student Feedback: Considerations of Academic Staff Taken into Account

As a consequence of the suspension of a system of yearly evaluations of individual courses with student questionnaires, the University of Leuven organised a broad consultation of the academic community focussing on what they expect from a system based on student feedback. The study revealed that this community attaches great importance to a clear definition of the goals of student feedback, improvement and accountability, and a logical translation of these goals into a concrete approach. The study also confirmed the need of academic staff for a concrete response to the importance they give to quality improvement and enhancement besides accountability.     

Why Are You Saying That? Increases in Gaze Duration as Responses to Group Member Dissent

The present study investigated students’ eye gaze while reacting to dissenting peers in groups. We measured the duration of gaze toward a confederate who disagreed with either a prevailing idea around which the group was coalescing or the process by which the group was solving a problem. Results indicated that participants gazed at dissenting confederates longer than at confederates in control groups. Qualitative analysis suggested that participants seemed to use eye gaze to understand the confederate, to prompt the confederate to contribute to discussions, to ease tensions, and to process information relative to the group’s task. Results provide an expanded look at how group members respond to dissenters, how conflict operates in some student groups, and how group members may differentiate acceptable and unacceptable disagreement.     

Problems in the context evaluation of individualized courses

From 1970 to 1974 an Individualized Study System (ISS) for mathematics courses for first year engineering students was developed. Because of changes in the curriculum, new courses had to be developed from August 1974. The context evaluation of these new courses (ISS-calculus) consisted mainly of the evaluation of the mathematics courses developed during the preceding years. After a year the Department decided to suspend ISS as a teaching system for calculus partly because of dissatisfaction of the teachers with ISS-calculus.This paper consists of two parts. Part one (sections 1,2) is a case study and summarizes the development of the system from 1970 to 1975. It examines in detail the problems encountered in this development with special attention to the role of the executive teacher. The organization of an ISS-course and the planning decisions to be taken become more complex according to the number of executive teachers. In part two (sections 3,4) we provide a classification of ISS courses to illustrate the complexity of the system and we offer some general advice on the management of individualized study systems.