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287,194 results on '"Patient Satisfaction"'

40. Effect of Using Cheek Retractors on Patient Satisfaction and Trueness of Peripheral Borders in Maxillary Digital Scans for Totally Edentulous Patients: An In Vivo Study.

Author

Saadeh, Carmen, Tohme, Hani, Lawand, Ghida, Khoury, Nicolas, and Yared, Carole

Subjects
PATIENT satisfaction, PATIENTS' attitudes, DENTAL arch, PATIENT preferences, ROOT-mean-squares
Abstract

Purpose: To evaluate the effect of cheek retractors on the accuracy of capturing peripheral borders in totally edentulous digital scans by comparing the conventional impression technique to digital scans made using two different cheek retractors. Materials and Methods: In total, 16 edentulous maxillary impressions were made using three techniques: (1) the conventional impression technique, using modeling thermoplastic compound and zinc oxide eugenol paste; (2) the digital intraoral scanning technique, using the DIO scan retractor (DIO); and (3) the digital intraoral scanning technique, using the Brånemark lip retractor (BRAN). The control impressions of each patient were poured, scanned using a desktop scanner, and transferred into a 3D-analysis software. DIO and BRAN groups were scanned using an intraoral scanner, imported, and superimposed, using best-fit algorithm on the corresponding control. The root mean square for the whole surface and for particular regions of interest were calculated to assess the degree of trueness. Patient perception of the impression techniques was the secondary outcome. Statistical analyses were performed using one-sample t test and Wilcoxon test (α = .05). Results: Significant discrepancies were found for BRAN and DIO compared to the control. No significant discrepancies were found when comparing RMS of BRAN and DIO at different regions. Scan retractors had a significant impact on patient satisfaction, with patients preferring DIO. Conclusions: Edentulous intraoral scans made using cheek retractors had similar deviations when compared to each other but diverged from the conventional impression in the edentulous maxilla. Patient preference for intraoral scans over conventional impressions was confirmed. The use of different retraction methods during intraoral scanning of totally edentulous maxillary arches does not affect the peripheral border registration. [ABSTRACT FROM AUTHOR]

Published
2025
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41. A Novel Behavioral Intervention to Enhance Physical Activity for Older Veterans in a Skilled Nursing Facility.

Author

Stutzbach, Julie A., Hare, Kristine S., Gustavson, Allison M., Derlein, Danielle L., Kellogg, Andrea L., and Stevens-Lapsley, Jennifer E.

Subjects
PATIENT compliance, EXERCISE, HEALTH attitudes, RESEARCH funding, EXERCISE therapy, PILOT projects, CLINICAL trials, TREATMENT effectiveness, DESCRIPTIVE statistics, DISCHARGE planning, PSYCHOLOGY of veterans, GERIATRIC rehabilitation, NURSING care facilities, EXPERIMENTAL design, GERIATRIC assessment, COMPARATIVE studies, WALKING speed, LENGTH of stay in hospitals, PATIENT satisfaction, MEDICAL care for older people, BODY movement, HOSPITAL care of older people, BEHAVIOR therapy, PHYSICAL activity, PATIENTS' attitudes, GAMIFICATION, MEDICAL care costs, OLD age
Abstract

Physical activity levels during skilled nursing facility (SNF) rehabilitation fall far below what is needed for successful community living and to prevent adverse events. This feasibility study's purpose was to evaluate the feasibility, acceptability, and preliminary effectiveness of an intervention designed to improve physical activity in patients admitted to SNFs for short-term rehabilitation. High-Intensity Rehabilitation plus Mobility combined a high-intensity (i.e., high weight, low repetition), progressive (increasing in difficulty over time), and functional resistance rehabilitation intervention with a behavioral economics-based physical activity program. The behavioral economics component included five mobility sessions/week with structured goal setting, gamification, and loss aversion (the idea that people are more likely to change a behavior in response to a potential loss over a potential gain). SNF physical therapists, occupational therapists, and a mobility coach implemented the High-Intensity Rehabilitation plus Mobility protocol with older Veterans (n = 18) from a single SNF. Participants demonstrated high adherence to the mobility protocol and were highly satisfied with their rehabilitation. Treatment fidelity scores for clinicians were ≥95%. We did not observe a hypothesized 40% improvement in step counts or time spent upright. However, High-Intensity Rehabilitation plus Mobility participants made clinically important improvements in short physical performance battery scores and gait speed from admission to discharge that were qualitatively similar to or slightly higher than historical cohorts from the same SNF that had received usual care or high-intensity rehabilitation alone. These results suggest a structured physical activity program can be feasibly combined with high-intensity rehabilitation for SNF residents following a hospital stay. [ABSTRACT FROM AUTHOR]

Published
2024
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