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Participant Assessment (participant + assessment)

Distribution by Scientific Domains

Medical Sciences	50%

Selected Abstracts

Structured intervention utilizing state professional societies to foster quality improvement in practice

THE JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS, Issue 3 2008
Suzanne Lazorick MD
Abstract Introduction: Despite the existence of guidelines for attention deficit hyperactivity disorder (ADHD), clinical practices vary substantially. Practitioners can apply quality improvement (QI) strategies to adapt office processes and clinical practice towards evidence-based care. We identified facilitators and barriers to participation in a professional society,led structured collaborative to learn QI methods and improve care. Methods: Ten chapters of the American Academy of Pediatrics participated in the effort. Support to chapter leaders included conference calls, listserv, technical support, and data aggregation. Support from the chapters to participating pediatricians included online continuing medical education modules, a workshop, chart reviews, and QI coaching. Qualitative data were obtained through interviews of 22 project leaders and reviews of project progress reports. Quantitative results were obtained from surveys of 186 physician participants. Outcomes included facilitators/barriers to program implementation, evidence for sustained chapter QI infrastructure, and participant assessment of improvements in care. Results: Facilitators included physician opinion leaders, a workshop, conference calls, QI support, and opportunities for shared learning. Barriers included lack of time, competing clinical priorities, challenges of using the online module, and underutilization of listservs. Seven chapters planned ongoing activities around attention deficit hyperactivity disorder (ADHD), eight had specific plans to use QI infrastructure for additional clinical topics, and three developed significant QI infrastructure. Physicians believed care improved. Discussion: As requirements grow for participation in QI for maintenance of certification, national and state-level professional societies are interested in and can develop infrastructure to support quality improvement. Coaching, tools, and support from the national organization and QI experts are helpful in facilitating efforts. [source]

Double-Blind, Randomized, Placebo-Controlled Pilot Study of the Safety and Efficacy of Myobloc (Botulinum Toxin Type B) for the Treatment of Palmar Hyperhidrosis

DERMATOLOGIC SURGERY, Issue 3 2005
Leslie Baumann MD
Background Palmar hyperhidrosis is a problem of unknown etiology that affects patients both socially and professionally. Botulinum toxin type B (Myobloc), approved by the Food and Drug Administration for use in the treatment of cervical dystonia in the United States in December 2000, has subsequently been used effectively in an off-label indication to treat hyperhidrosis. There are sparse data, however, in the literature evaluating the safety and efficacy of BTX-B for the treatment of palmar hyperhidrosis. Objective We evaluated the safety and efficacy of Myobloc in the treatment of bilateral palmar hyperhidrosis. This was a double-blind, randomized, placebo-controlled study to report on the safety and efficacy of Myobloc. Methods Twenty participants (10 men, 10 women) diagnosed with palmar hyperhidrosis were injected with either Myobloc (5,000 U per palm) or a 1.0 mL vehicle (100 mM NaCl, 10 mM succinate, and 0.5 mg/mL human albumin) into bilateral palms (15 Myobloc, 5 placebo). The participants were followed until sweating returned to baseline levels. The main outcome measures were safety, efficacy versus placebo, and duration of effect. Results A significant difference was found in treatment response at day 30, as determined by participant assessments, between 15 participants injected with Myobloc and 3 participants injected with placebo. The duration of action, calculated in the 17 participants who received Myobloc injections and completed the study, ranged from 2.3 to 4.9 months, with a mean duration of 3.8 months. The single most reported adverse event was dry mouth or throat, which was reported by 18 of 20 participants. The adverse event profile also included indigestion or heartburn (60%), excessively dry hands (60%), muscle weakness (60%), and decreased grip strength (50%). Conclusion Myobloc proved to be efficacious for the treatment of palmar hyperhidrosis. Myobloc had a rapid onset, with most participants responding within 1 week. The duration of action ranged from 2.3 to 4.9 months, with a mean of 3.8 months. The adverse event profile included dry mouth, indigestion or heartburn, excessively dry hands, muscle weakness, and decreased grip strength. MYOBLOC WAS PROVIDED FOR THIS STUDY BY ELAN PHARMACEUTICALS. [source]

GTIDHNIHS: I knew-it-all-along

APPLIED COGNITIVE PSYCHOLOGY, Issue 5 2001
Harry L. Hom JR
Individuals who do insight problems are highly susceptible to hindsight bias. Two sets of studies assessed the impact of hindsight consequences on participants' judgements about anagram difficulty and specific factors for performance. In the first set, hindsight participants underestimated anagram difficulty relative to participants with task experience (worksight). Also, supportive evidence revealed that hindsight consequences were related to self-perceptions of confidence, ability, performance satisfaction, and subsequent performance expectations. In the second, two different hindsight techniques differentially impacted the participant's assessment of anagram difficulty. When comparing hindsight participants with and without worksight experience, the latter judged the anagrams to be easier. It is appropriate to examine further the cognitive and motivational consequences of hindsight bias in achievement situations. Copyright © 2001 John Wiley & Sons, Ltd. [source]

The proportion heuristic: problem set size as a basis for performance judgments

JOURNAL OF BEHAVIORAL DECISION MAKING, Issue 3 2001
David H. Silvera
Abstract How do people evaluate their degree of mastery over a task? A series of four studies demonstrated that a potentially irrelevant cue can have a strong influence on such evaluations. In these studies, the total amount of work given to participants (the problem set size) influenced both (a) the amount of work participants completed before feeling that they had performed well and were adequately prepared for a related future task, and (b) participants' assessments of their performance and their feelings of preparedness for a related future task. These effects occurred even when a randomization procedure was used to emphasize the arbitrary nature of the problem set size. The effects vanished, however, when participants were given extra time to evaluate their progress after completing each problem. Copyright © 2001 John Wiley & Sons, Ltd. [source]