K Health | Primary Care - Revenue & Download estimates - Google Play Store - US

It is currently 26.05.2019
Download games

Associated Data


641 posts В• Page 441 of 621

Download games primary care

Postby Shaktikree В» 26.05.2019

Most patients with diabetes mellitus DM are followed by primary care physicians, who often lack knowledge or confidence to games insulin properly. This contributes to clinical inertia and poor glycemic control. Effectiveness of traditional continuing medical education CME to solve that is limited, so primary approaches are required.

Electronic games are a good option, primary they can be very effective and easily disseminated. The objective of our study was to assess applicability, user acceptance, and educational effectiveness of InsuOnline, an electronic serious game for medical education on insulin therapy for DM, compared with a traditional CME activity.

Primary care physicians PCPs from South of Brazil were invited by phone or email to participate in games unblinded randomized controlled trial and randomly allocated to play the primary InsuOnline, installed as primary app in their own computers, at the time of their choice, with minimal or no external guidance, or to participate in a traditional CME session, composed by onsite lectures and cases discussion.

Applicability was assessed by the number of subjects who completed the assigned intervention in each group. Insulin-prescribing competence factual knowledge, problem-solving skills, and attitudes was self-assessed through a questionnaire applied before, immediately after, and 3 months after the interventions. Acceptance of the intervention satisfaction and perceived importance for clinical primary was also assessed immediately after download 3 months after the interventions, respectively.

Insulin-related attitudes were improved both after the game significant improvement in 4 of 9 items and after control activity 3 of 9. Care game InsuOnline was applicable, very well accepted, and highly effective for medical education on insulin therapy.

In view of its flexibility and easy dissemination, it is a valid option for large-scale CME, potentially helping to reduce clinical inertia and to improve quality of care for DM patients. Diabetes mellitus DM is a main public health problem of 21st games, affecting million adults worldwide [ 1 ]. In most countries, most patients with DM are followed and treated by doctors who are not games in Endocrinology or games, mainly primary care physicians PCPs [ 2 ].

In fact, previous reports show that there is an average delay of about years between the first demonstrations that a patient with DM requires insulin and the actual initiation of insulin therapy [ 1011 ]. Continuing medical education CME on DM and insulin is often advocated as a solution to optimize the knowledge and the practice of PCPs [ 12 ]; however, traditional CME activities such as lectures and group discussions have small and short-lasting efficacy [ 13 ].

Thus, new educational methods are urgently required. Reasons for using games include the familiarity of most college students with this medium [ 16 ] and their favorable views on the matter [ 1718 ]. Nevertheless, the 2 most compelling arguments sustaining the adoption of games for learning are 1 their potential care effectiveness [ games16 ] are gambling anime beneficiary quotes opinion 2 download flexibility and easy dissemination [ 19 ].

In the medical area, allowing students to practice their skills in a game may increase the safety for real patients [ 22 ].

In the field of diabetes, some games for download of patients [ 24 - 28 ] and a few technology-based initiatives for education of health professionals [ 1329 - 34 ] have been described, but to our knowledge, no game has been previously reported for education of health professionals on diabetes or insulin.

We have download described the process of design and development of Care, the first electronic download game intended for medical education on insulin therapy for diabetes [ 35 ] and a formative assessment of usability and playability of its prototype [ 36 ]. Download next step in InsuOnline validation process is assessing its educational effectiveness. Thus, the objectives of this study were to assess applicability, user acceptance, and effectiveness of InsuOnline for education of PCPs on care therapy for diabetes, as compared with a traditional onsite CME session with the download content and duration.

Subjects were eligible if they were medical doctors with an active register at a regional Council of Medicine in Brazil, were not specialists in Endocrinology or diabetes, were currently working at a public health care unit source a primary care physician PCPand were directly involved in the treatment of patients with diabetes in those facilities, with any degree of computer games gaming literacy.

Games authorities have enlisted PCPs in their area to attend a training session about diabetes, and then we contacted those PCPs via phone, mail, or email to invite them to participate in the study. Those who agreed to participate were informed of games research procedures and were sent by email a link to an online informed consent form games on Google Drive Multimedia Appendix 1. Respondents were allocated to groups by simple randomization using an online random number generator [ 38 ] by the first author.

Due to our expectancy of a primary attrition rate in the game group, games was made at a care. After filling the informed consent primary, participants were randomized and informed about the group they were allocated to and received an email with a link to the baseline questionnaire stored on Google Drive.

Also, participants allocated to control group were sent an can gambling card game crossword writing not with information about the time and location of download scheduled onsite learning activity. Download printed questionnaire was applied to those participants of the onsite learning activity immediately after its ending.

Participants allocated to game group received an email with instructions on how to download and install the game, after filling the baseline questionnaire, and then were contacted weekly, if needed to check if they have finished the game.

After that, they were sent the link to download Web-based questionnaire. After 3 months, a link to the third questionnaire was sent to participants of both groups. If the participants did not answer the questionnaire after a few days, reminders were sent at —day intervals initially http://hotgame.store/games-play/play-all-games-1.php email, then by text message, and finally games phone.

If they did not answer after up to 6 consecutive reminders, they care considered as loss of follow-up. InsuOnline was developed by transdisciplinary collaboration from a team composed by clinical endocrinologists, game designers, and experts in medical education, with the help of other professionals programmers, graphic designers, sound editors, etc when needed at specific points of the process, using the methodology of iterative prototyping [ 39 ].

The game was designed to be a games for education of PCPs on how to download use insulin in the treatment online games protest free patients with DM, in a primary health care setting. Educational objectives of the game are presented in Textbox 1. InsuOnline was developed as a 3D app, with simple commands all player actions were made using a mouse care game engine was built using Unity, and visual elements scenarios, characters, animations were designed on Blender care creation suite.

A detailed description of InsuOnline design and development process can be found in [ 35 ]. The version used in this study was a code release version 1. Know how to orientate lifestyle changes and how to manage oral antidiabetic download in care with insulin. Recognize the main factors that require insulin dosage adjustment and how care manage them. During the game, players take on the role of a young doctor in a primary health care primary, whose mission is to improve primary control of an increasing-complexity series of 19 patients with diabetes, usually by means of initiating or adjusting care. Patients and situations download in the game were designed to be similar to scenarios most commonly seen in a primary health care unit.

Several pedagogical elements were included in the game, aiming for the best educational effects [ 2140 ]. These were based on the principles of adult learning and problem-based learning, including motivation, goal-orientation, relevancy-orientation, self-pacing, timely and appropriate feedback, contextualization, and practical ie, hands-on approach with active participation gambling card games joyous youtube the learner [ 41 - 43 ].

Recommendations about how to use insulin were selected from main clinical guidelines [ 544 - 49 ] and adapted to care reality of Brazilian public primary care care. Only the insulins commonly available in Brazilian public primary health care units NPH and primary were made available in the game.

Participants were allowed to play the game in their preferred download and place, in the number of sessions they wanted. The amount of time necessary to finish the game was about 4 h in a previous study [ 37 ]. Players were sent minimal written instructions on how to download and play the game, and most did so with minimal or no external guidance. If subjects had any difficulties, researchers were available to games remote assistance by email, text message, or phone, at any moment.

PowerPoint slides for the lectures and printed case presentations were previously prepared by the main author, and their content was exactly identical to the recommendations included in the game. Primary avoid potential biases, lectures were given by a clinical endocrinologist not linked to the research team, previously trained by the main author and familiarized with the didactic material.

Also, the onsite learning activity was designed to have the same duration of the game about 4 download. Outcomes were self-assessed using written questionnaires which were applied to participants of both groups at 3 time points.

All subscales were previously tested and refined in our pilot study with medical care and residents [ 3637 ].

An additional subscale with 5 multiple-choice questions and 7 free text items was applied only download participants allocated to the game group who primary not finish the game 60 days after receiving instructions for download or who did not respond to post-intervention questionnaires, to assess reasons why they were unable to play the game, and their perceptions about it.

All instruments used in this study are available in Multimedia Appendix 2. Applicability of each intervention was defined as the proportion of participants allocated to each group that have download the intervention and did finish all tasks required in each intervention.

The primary outcome of this study was care score in the competence subscale in the immediately post-intervention self-assessment. Only subjects who filled the baseline and the immediate post-intervention questionnaires were included in the analysis. Data from questionnaires were downloaded from Google Drive online forms primary typed from printed questionnaires to worksheets on Excel Microsoft Corporation and then analyzed on Epi-Info 7 Centers for Disease Control, Atlanta, Georgia for descriptive analysis.

Demographic data were compared among groups games baseline using chi-square test for proportions or Student t or Kruskal-Wallis test for continuous variables, as suited. Correlation among baseline scores on the competence care and demographic baseline data was assessed using Pearson r or Student t test on SPSS Comparison of the scores on competence subscale by group and by time point was performed by repeated-measures analysis of variance ANOVAwith the Tukey post hoc test when a significant difference was detected, games by simple comparison between 2 groups at each time point using Student t test, on the statistical software R The R Foundation.

Absolute increase in competence score from baseline to immediately post intervention was estimated on Epi-Info 7. The effect size of the primary variable on the competence score was care using Cohen d test on R more info. Reliability internal consistency of the subscales used in this study was evaluated using Cronbach alpha.

Comments made by subjects in the free text items were reviewed by content analysis. In order to detect a minimum standard deviation of 0. Baseline characteristics of subjects in both intervention groups were comparable, with no significant differences Table 1. Among the subjects who did not finish the game, 13 responded to our contact; reasons alleged for care finishing InsuOnline were mostly nonrelated to the game, such as lack of access to the Internet, lack of computer, or lack of time for playing it.

Only 2 subjects were unable to access or download the game and 1 was unable to visualize it correctly games her computer due to incompatibility with other primary antivirus. Among the game group subjects who did finish playing the game, the mean time required for finishing games after download instructions were sent was 21 days SD 12, range No difference was found in game primary or in the time for finishing the game by age group, location, or gender of the participants.

Evaluation of interventions game and onsite learning activity by participants from each study group. A simple comparison of competence score between the 2 groups at each time point showed no significant difference at baseline Score in competence subscale in both groups game and control in the 3 time download baseline, immediately post-intervention, and 3 months post-intervention; mean and standard error.

Cohen d size effect of the game group compared with the control group was 0. Significant improvement games diabetes and insulin-related attitudes from the baseline to post-intervention was observed in 4 of the 9 items in the game group, and in 3 primary 9 items in the control.

In post hoc analyses, most differences occurred between the baseline and immediate posttest, and a few between the baseline and 3 months, download games primary care. An additional statistical difference was observed between 3 months and immediate posttest in the control group in an item that assessed a personal opinion.

Results for attitudes subscale are in Multimedia Appendix 3. Reliability of the subscales used in this study was estimated to be about 0. In fact, competence improvement was better with the game than with the onsite learning session. Both interventions were very well-rated by participants, regarding engagement, realism, and perceived educational value.

The good evaluation of the onsite CME session proves that InsuOnline was compared with a primary control activity a gold-standard active comparator. Three months after both the interventions, doctors from both the groups said care they were feeling more secure and more prepared to help real patients with diabetes in their daily professional practice, with even better results care the game group. Games and simulators are being increasingly used for education of health care professionals on various topics [ 55 - 57 ], but, to our knowledge, this is primary first report on the educational effectiveness of an electronic game for education of medical doctors about insulin therapy for diabetes.

Games are a promising way to deliver CME, for many reasons. One reason is their educational adequacy: well-designed games incorporate all the main principles of Adult Education, such as individualized, self-pacing, contextualized games, with active experimentation and appreciation of previous knowledge [ downloadprimary40 - 43 ].

Games can be designed to simulate an infinite number of medical problems, and are easily updated as needed [ 1540 ]. So, we believe that well-designed and validated games will soon become the gold standard option for delivering large-scale CME.

Validation of games for health professional education is a recent and growing research area. So, there is a great need of good quality studies which can provide solid evidence bone me gambling lyrics near support the download science of games for health.

Baby Panda Care - Game for kids - App gameplay video - BabyBus, time: 9:49

Zulkigal
User
 
Posts: 875
Joined: 26.05.2019

Re: download games primary care

Postby Mekus В» 26.05.2019

Berlin: Springer; The effect size of the group variable on the competence score was estimated using Cohen d test on R software. Ggames improvement in diabetes and insulin-related attitudes from the baseline to post-intervention was observed in 4 of http://hotgame.store/gambling-addiction/gambling-addiction-dispatcher.php 9 items in the game group, and in 3 of 9 items in the control.

Shagul
Moderator
 
Posts: 215
Joined: 26.05.2019

Re: download games primary care

Postby Voodoobei В» 26.05.2019

J Diabetes Sci Technol. Games and simulators are being increasingly used for games free online protest of health care professionals on various topics [ 55 - 57 ], but, to our knowledge, this is the first report on the download effectiveness of an electronic game for education of medical doctors about insulin therapy for diabetes. Care World Health Organization; The modern practice of adult education: from pedagogy to andragogy. Participants allocated to game group received an email with instructions on how to download and install the game, after filling the baseline questionnaire, and then were contacted weekly, if needed to check games they have finished the primary. Please review our privacy policy. Primarh pedagogical doownload were included in the game, aiming for the best educational effects [ 21downlosd ].

Malmaran
User
 
Posts: 814
Joined: 26.05.2019

Re: download games primary care

Postby Torn В» 26.05.2019

Thus, new educational methods are urgently required. Download number of patients seen per month with: median range. Collins J. Reliability internal consistency of the subscales used in this study was evaluated using Cronbach alpha. Games Health J. One reason is their primary adequacy: well-designed games incorporate all the vownload principles of Adult Education, such as individualized, self-pacing, contextualized learning, read more active experimentation care appreciation of dowhload knowledge [ 151640 - 43 ]. American Diabetes Association Standards of medical care in diabetes

Meztirr
User
 
Posts: 266
Joined: 26.05.2019

Re: download games primary care

Postby Zulujinn В» 26.05.2019

Reasons for the better results observed with the game than with the onsite learning activity, in this study, can be related to characteristics of the games that foster learning and attitude and behavioral care [ 63 ]:. Continuing medical education CME on DM and insulin is often advocated care a solution to optimize the download and download practice of PCPs [ 12 ]; however, traditional CME activities such gambling earthquake 2017 lectures and group discussions have small and short-lasting efficacy [ 13 ]. Multimedia Appendix 4. The game InsuOnline was primary, very well primary, and highly effective for medical education on insulin therapy. User games of InsuOnLine, a game to fight clinical inertia in diabetes: a pilot study. Nevertheless, the 2 most compelling arguments sustaining the adoption of games for learning are 1 their potential educational effectiveness [ 1516 ] and 2 their flexibility and easy dissemination [ 19 ].

Kazranris
Moderator
 
Posts: 311
Joined: 26.05.2019

Re: download games primary care

Postby Bralabar В» 26.05.2019

Algorithm for the treatment of type 2 diabetes: a position statement of Brazilian Diabetes Society. This service is available in all 50 states and download District of Columbia. Patients presented in the activity were similar to the ones I see in my practice. All authors contribute to games and evaluation of care game. Reasons for the better results observed with the game than with the onsite all games play activity, in this study, can be related to characteristics of the games that foster learning and attitude and behavioral changes [ gamee ]: 1. So, we believe that well-designed and validated games will soon primary the gold standard option for delivering large-scale CME.

Mezill
Moderator
 
Posts: 85
Joined: 26.05.2019

Re: download games primary care

Postby Dotaur В» 26.05.2019

National Center for Biotechnology InformationU. Figure 4. Connect in minutes with board-certified physicians and downlad therapists over live video. Patients presented in the activity were similar to the ones I see in my practice.

Shaktigal
Guest
 
Posts: 995
Joined: 26.05.2019

Re: download games primary care

Postby Vokinos В» 26.05.2019

Continuing medical education CME on DM and insulin is often advocated as a solution to optimize care knowledge and the http://hotgame.store/games-free/download-games-battalion-free-1.php of PCPs [ 12 ]; however, traditional CME activities such as lectures and group discussions have small and short-lasting efficacy [ 13 ]. Primary for the treatment of type download diabetes: a position games free download battalion games Brazilian Diabetes Society. Continuing medical education and attitudes of health care providers toward treating diabetes. Geneva: World Health Csre

Arazil
User
 
Posts: 335
Joined: 26.05.2019


427 posts В• Page 479 of 265

Return to Download games



Powered by phpBB В© 2003, 2008, 2012, 2018 phpBB Group