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7. Plant diversity enhances ecosystem multifunctionality via multitrophic diversity

Author

Li, Yi, Schuldt, Andreas, Ebeling, Anne, Eisenhauer, Nico, Huang, Yuanyuan, Albert, Georg, Albracht, Cynthia, Amyntas, Angelos, Bonkowski, Michael, Bruelheide, Helge, Bröcher, Maximilian, Chesters, Douglas, Chen, Jun, Chen, Yannan, Chen, Jing-Ting, Ciobanu, Marcel, Deng, Xianglu, Fornoff, Felix, Gleixner, Gerd, Guo, Liangdong, Guo, Peng-Fei, Heintz-Buschart, Anna, Klein, Alexandra-Maria, Lange, Markus, Li, Shan, Li, Qi, Li, Yingbin, Luo, Arong, Meyer, Sebastian T., von Oheimb, Goddert, Rutten, Gemma, Scholten, Thomas, Solbach, Marcel D., Staab, Michael, Wang, Ming-Qiang, Zhang, Naili, Zhu, Chao-Dong, Schmid, Bernhard, Ma, Keping, and Liu, Xiaojuan

Published
2024
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37. Application of online courses combined with teach-back method to laryngectomy patients and family carers

Author

HUANG Jialu, LI Shan, ZHANG Caiyun, and XU Fei

Subjects
online course, teach-back method, laryngectomy, laryngocarcinoma, Medicine
Abstract

Objective·To explore the effect of online courses combined with the teach-back method among patients with laryngectomy and their family caregivers.Methods·Convenience sampling was used to select patients with laryngectomy treated in the Department of Otolaryngology, Shanghai Changhai Hospital from July 2022 to June 2023 and their family caregivers. The participants were divided into a control group and an observation group using the random number table method. The intervention was conducted in two different wards. General information of the two groups of patients and caregivers was collected. After admission, the control group watched offline videos recorded by the department. The videos introduced laryngocarcinoma-related knowledge and standard procedures of airway stoma care, suctioning, nasal feeding, etc., which were divided into 4 sessions with 30 min each. The patients watched one session per week. The observation group watched the same videos (8 lessons) online on their own after admission, while the nursing staff used the teach-back method for health education, consolidating 2 lessons once a week, 45 min/session for 4 weeks. The effectiveness of the intervention was evaluated by using Caregiver Preparedness Scale (CPS), Family Caregiver Task Inventory (FCTI), and Chinese Quality of Life Instruments for Cancer Patients-Head and Neck Cancer (QLICP-HN) at baseline (1st week), before discharge (4th week), and one month after discharge (8th week), as well as the incidence of adverse events during home care.Results·The study included a total of 120 pairs of patients and caregivers, with 60 pairs in each group. Five pairs in each group were excluded due to various reasons, leaving a total of 55 pairs in each group. There were no statistically significant differences between the two groups in terms of general information of the patients and the caregivers, QLICP-HN scores of the patients, and CPS and FCTI scores of the caregivers at baseline (P>0.05). Before discharge and 1 month after discharge, the CPS scores of the caregivers and the QLICP-HN scores of the patients in the observation group were significantly higher than those in the control group, and the FCTI scores were significantly lower (lower scores indicating better nursing care), with statistically significant differences (P

Published
2024
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38. Study protocol: process and outcome evaluation of the Walk with Ease program for fall prevention

Author

Nicholas R. Lamoureux, Jeni Lansing, Philip M. Dixon, L. Alison Phillips, Trina Radske-Suchan, Michael C. Dorneich, Li-Shan Chou, and Gregory J. Welk

Subjects
Physical activity, Healthy aging, Falls, Falls prevention, Physical therapy, Public aspects of medicine, RA1-1270
Abstract

Abstract Background Falls are the leading cause of injury related morbidity and mortality in older adults. Primary and secondary prevention strategies that address modifiable risk factors are critically important to reduce the number of falls and fall related injuries. A number of evidence-based fall prevention programs are available, but few offer potential for broad dissemination and public health impact due to implementation barriers, such as a need for trained program leaders and clinicians. Methods The study will use a randomized controlled trial design to evaluate incorporating physical therapy exercises (primary prevention strategy) within an existing intervention called Walk with Ease. While Walk with Ease has an established evidence-base related to the management of arthritis pain and symptoms, the present study will determine the potential to also reduce falls and fall risk in community-dwelling older adults. The integrated process and outcome evaluation will determine the relative effectiveness of individually-prescribed exercises (compared to standardized exercises) as well as the potential of ‘habit training’ resources (relative to generic behavior prompts) to improve compliance with exercises in this population. Discussion The study, conducted through a local clinical-community partnership will advance both the science and practice of community-based fall prevention programming, while also informing implementation strategies needed to promote broader dissemination. Trial registration ClinicalTrials.gov, NCT05693025, Registered January 20, 2023, Updated March 1, 2023.

Published
2024
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