Development Of Educational Materials Research Articles

P-1781. Development of an Inpatient Pharmacist-Driven Penicillin Allergy De-Labeling Protocol

Abstract Background Up to 10% of the US population reports a penicillin allergy. However, when further tested, over 95% of these patients could tolerate a penicillin. Unnecessary avoidance of penicillins results in more broad antibiotic treatment, leading to several worsened patient outcome, including increases in resistance, C. difficile rates, mortality, cost, and more. Example Inpatient Penicillin Allergy De-Labeling Protocol Visual representation of an example penicillin allergy de-labeling protocol Methods Key penicillin allergy de-labeling protocol development steps included assessment of local penicillin allergy prevalence, identification of key stakeholder groups, effectively communicating why de-labeling is important, and incorporating feedback from each stakeholder group into protocol language. Operational considerations included creation of standardized order sets and documentation tools, as well as defining scope and prioritization of patients by determining who is most likely to benefit from de-labeling. The last step was development of educational materials for pharmacists and nurses to effectively use the protocol, as well as patient education materials. Flowsheet outlining documentation requirements, including standardized allergy comments, progress note templates, and after visit summaries Results The Allina penicillin allergy de-labeling protocol was developed through collaborative efforts of pharmacy, infectious disease, allergy, and nursing. Within the protocol, patients with penicillin allergies listed in their charts are interviewed by a pharmacist, who calculates a PEN-FAST risk score. Patients with reactions that are consistent with intolerance rather than allergy may have their allergy removed without further testing. If reactions are consistent with allergy, but their PEN-FAST risk score is low (0-2), patients are eligible to complete an oral amoxicillin challenge. If PEN-FAST risk score is moderate to high (3-5), patients are eligible for referral to outpatient allergy for further testing. De-Labeling Protocol Development Process Example roadmap that can be used to develop a penicillin allergy de-labeling protocol in nearly any healthcare setting Conclusion The penicillin allergy de-labeling protocol was approved system-wide through pharmacy and nursing committees and will soon be rolled out to individual sites. This example may serve as a roadmap for development of penicillin de-labeling programs in other health systems and could be adapted as needed to work effectively in many healthcare settings. Disclosures All Authors: No reported disclosures

Improving the diagnostic accuracy of referrals for papilloedema (DIPP) study: protocol for a mixed-methods study

IntroductionPapilloedema can be the first sign of life-threatening disease, for example, brain tumours. Due to the potential seriousness of this clinical sign, the detection of papilloedema would normally prompt urgent...

Adaptation of the nutrition care process for metabolic diseases in the Mexican population

BackgroundThe Nutrition Care Process (NCP) is a systematic framework designed to enhance the quality of nutrition care. Given the high prevalence of metabolic diseases in Mexican population, there is a critical need for tailored nutrition care strategies.ObjectiveWe aim to describe the adaptation of the NCP to manage metabolic diseases in Mexican individuals.MethodsOur adaptation included a comprehensive literature review of clinical nutrition guidelines, by a structured consultation with experts to ensure clinical setting-specific and culturally appropriate modifications. A team of registered dietitians from two tier 3 hospitals, each with over five years of experience in metabolic disease management, customized the NCP’s four core steps—assessment, diagnosis, intervention, and monitoring—to meet the specific needs of the Mexican population.ResultsWe adapted the NCP to manage five common metabolic disorders: obesity, type 2 diabetes, kidney disease, metabolic dysfunction-associated steatotic liver disease, and dyslipidemia. Each step of the NCP was complemented by the development of educational materials designed to (1) enhance awareness of disease risk, (2) broaden their knowledge of nutritional management, and (3) provide tailored strategies for developing personalized action plans. The adapted NCP was implemented in clinical and research settings and the materials were documented as an online publication to facilitate widespread dissemination.ConclusionOur adaptation represents a significant advancement in the use of structured tools for nutrition care in Mexican populations, who face disproportionately high rates of metabolic diseases. Further research is needed to assess the effectiveness of this approach in clinical settings.

Development Evaluation and Acceptability of Module in Science Technology and Society

The purpose of this study is to develop, evaluate, and determine the acceptability of an instructional module in Science, Technology, and Society (STS) for students at West Visayas State University. The study aims to assess how effectively the module enhances student learning outcomes, focusing on its instructional quality, content relevance, and technical accuracy. In response to the increasing demand for high-quality educational materials, particularly in the field of STS, this research addresses the need for structured, self-paced learning tools that support both student engagement and academic performance. Modules provide a flexible learning environment that aligns with contemporary educational practices and meet the growing need for autonomous learning resources. The study utilized the ADDIE model, a systematic instructional design framework, to guide the development of the module. Participants included 51 students enrolled in the Bachelor of Secondary Education and Bachelor of Elementary Education programs. Data were collected through pre-tests, post-tests, and evaluations by expert validators. The module was assessed on various criteria including content accuracy, instructional quality, and technical aspects such as design and layout. Results indicated significant improvement in student performance, with post-test scores increasing from “poor” to “very good.” Expert validators rated the module as “Very Acceptable” across most categories, particularly in instructional quality, although some recommendations for improving content accuracy were noted. The study concludes that the developed STS module is an effective instructional tool for enhancing student learning outcomes. The findings suggest that continuous updates to the module’s content are necessary to maintain its relevance and accuracy. Further research could explore the long-term impact of such modules on student engagement and retention, with recommendations for integrating multimedia enhancements to foster a more dynamic learning experience. Keywords: Instructional Module, Science Technology and Society, ADDIE Model, Educational Material Development, Acceptability

The acceptance of robots in the orthopedic joint replacement operating room.

Robotic surgery has seen substantial growth over the years and continues to show promise, with recent implementation into orthopedic surgery. There is limited literature available on patient attitudes and comfort level with robotic compared with conventional surgery. We aimed to develop an understanding of patient views on robot-assisted knee replacement to help the development of patient education materials and facilitate successful implementation. A qualitative, descriptive methodology was used. Included participants were those who had undergone total knee replacement in the last 5 years. Participants completed an online semistructured interview assessing their past experiences and their fears and assumptions about robotic surgery. An inductive thematic analysis was completed to organize and present the major themes. Four overarching themes described the areas patients focused on: advancements in surgery, perception of robotic surgery and surgeons, reliability, and patient education materials. Major subthemes included the proven reliability of robots, safety fears, and efficacy. Some participants' fear centred around robot autonomy. Greater comfort with the use of robots would occur if patients were given information about the role of the robot before surgery. Patient education materials can help alleviate fears and prevent misperceptions about robot-assisted knee replacement. Materials should include themes of surgical advancements and how surgeons interact with these advancements, level of robot autonomy, and the reliability and safety of the robot.

Специфика формирования учебных материалов по языку специальности для иностранных студентов-медиков

The article deals with the features of teaching Russian as a foreign language within the framework of the professionally oriented training of foreign students of medical universities. The purpose of the work is to consider methodological approaches, tools and techniques that ensure effective language teaching in the medical and biological specialty. The main attention is paid to the requirements for the content, selection and development of educational materials for the effective formation of the communicative competence of future doctors, the quality of which is associated with the need to master not only the lexical and grammatical aspects of the language, but also the skills of speech behavior, conditioned by the peculiarities of medical discourse. Based on this, the main characteristics of the scientific style in general and medical terminology in particular, significant from the point of view of the substantive aspect of teaching language for special purposes (LSP), are covered. Based on the analysis of scientific and the most popular educational and methodological literature in medical universities, the authors derive typological principles for the implementation of the textological approach in teaching Russian for special purposes. The scientific novelty of the work lies in an attempt to generalize and systematize the methods and techniques of LSP teaching used in modern practice, on the basis of which a practical model for organizing educational materials for the systematic development of professional and communicative competence of medical students is proposed. The results of the study are practice-oriented in nature and can be used as a template for further improvement of the principles of organizing the educational process in the field of teaching Russian language in the medical and biological profile.

Understanding Emotional Responses to Text: A Psycholinguistic Investigation of Visual Influences

The paper explores the influence of visual elements on the emotional perception of textual content. Based on the experimental results, the authors evaluated how illustrations affected emotional responses to polycode/creolized texts. By using the semantic differential scales method, correlations between emotions and specific visual parameters were identified and analyzed. The results revealed how visual parameters of illustrations influence emotional responses to text in Russian, suggesting potential adjustments to emotional perception by manipulating these parameters: illustration style impacts recipient emotions; ambiguity and originality increase negative emotions, while realistic illustrations have varied effects. Additionally, the study investigated how variations in illustration style and content altered emotional interpretations of text, providing insights into the complex interplay between visual and verbal elements in communication. The findings suggest practical implications for educational material development, emphasizing the potential to adjust the emotional perception of textual content by manipulating visual characteristics. This research sheds light on the dynamics of emotional response to multimedia stimuli and offers valuable considerations for content creators seeking to optimize audience engagement and comprehension. It attempts to bridge the gap between visual perception, emotion processing, and linguistic communication, offering insights for both practical applications in NLP (Natural Language Processing) and theoretical advancements in cognitive sciences.

Comparative analysis of approaches to developing universal learning actions within computer science education

Introduction. In modern society, education plays a key role in the formation of personality and the development of skills necessary for successful adaptation and self-realization. One of the key aspects of the educational process is the development of universal learning activities (UMS), which provide the opportunity for effective learning and the application of acquired knowledge in various situations. In this regard, it becomes necessary to conduct a comparative analysis of approaches to the development of UMS in order to determine the most effective methods and tools that contribute to the successful development of educational materials and the formation of independent work skills. This article examines the constructivist approach in the context of developing universal learning actions (ULA) in computer science education in schools. The main focus is on the importance of connecting learning with real-life tasks and the ability of students to influence the learning process through independent choice of research topics.Materials and Methods. A comparative analysis of approaches to developing ULA in computer science education was conducted based on the study of theoretical works and practical examples of the application of these methods in the educational environment. The approaches are analyzed in terms of their ability to provide a holistic view of the study material and its practical application.Results. The advantages of the constructivist approach were identified, including its focus on the practical application of knowledge and the development of the ability for independent learning. However, shortcomings such as the risk of formalizing education and difficulties in assessing competencies were also noted. The systemic-activity approach emphasizes the integrity of the study material and its connection to real life.Discussion and Conclusions. The article discusses the conditions and aspects of each approach that contribute to the development of ULA. The importance of integrating theory with practice and the need for sufficient time for reflection and introspection in the constructivist approach are emphasized. The study highlights the importance of balancing the depth of theoretical knowledge and practical skills for effective computer science education. In the future, it is necessary to continue the study of the interaction of constructivist and system-activity approaches in education, especially in the context of the development of digital technologies and changing educational needs in the information society. It will also be useful to develop and test innovative diagnostic tools that will allow students to more accurately assess their competencies in creative and personality-oriented aspects of learning.

Theory-Informed Development of a Multicomponent Intervention to Implement Clinical Practice Guideline Recommendations in the Management of Shoulder Pain.

Suboptimal primary health care management of shoulder pain has been reported in previous studies. Implementing clinical practice guidelines (CPGs) recommendations using a theoretical approach is recommended to improve shoulder pain management. This study aims to identify determinants for implementing recommendations from shoulder CPGs to help develop an intervention based on the identified determinants. Family physicians and physical therapists managing patients with shoulder pain in primary care were invited to participate in a qualitative study to identify determinants to implementing recommendations from shoulder CPGs. The Theoretical Domains Framework (TDF) was used to inform the creation of the semi-structured interview guide and for deductive coding of transcriptions. The determinants were mapped to intervention functions, behavior change techniques (BCT) using the Behavior Change Wheel (BCW) method and strategies for implementing CPGs recommendations were identified. Interviews were conducted with 16 family physicians and 19 physical therapists. We identified 12 barriers and 6 facilitators within 7 TDF domains: knowledge, skills, beliefs about capabilities, beliefs about consequences, intentions, environmental context and resources, and social influence. We identified 6 intervention functions and 12 BCT addressing the relevant determinants. The 11 implementation strategies identified include the development and distribution of educational material, interactive educational outreach visits, and audit and feedback. Other components to consider are the identification and preparation of champions in primary care clinical settings, revision of professional roles, and creation of interdisciplinary clinical teams. The identification of barriers and facilitators to implementing recommendations from shoulder CPGs allowed us to select implementation strategies at individual and organizational levels. The implementation strategies will be adapted to specific primary care contexts in consultation with stakeholders and operationalized into a multi-component implementation intervention. Implementing the intervention has the potential to improve shoulder pain management in primary care and facilitate the use of evidence-based recommendations from CPGs.

TEACHERS’ VIEWS ABOUT USING DIGITAL TECHNOLOGIES IN EDUCATION OF INTELLECTUALLY GIFTED STUDENTS

Digital technologies have now become essential components of school education for all students with various educational needs and characteristics, and also provided new opportunities and resources for education of intellectually gifted students to take into account their unique cognitive and personal needs. At the same time, the key factors of effective gifted education are the teachers’ professional readiness and motivation to create the differentiated environment, methodologies, and curriculums, using these technologies. Due to the relevance of studying these issues, we researched the teachers’ attitudes toward using digital resources in school education of intellectually gifted students. Semi-structured interviews were conducted with  Moscow school teachers (Master’s degree students) on their beliefs about the educational needs of intellectually gifted adolescent in the context of digital technologies in order to interconnect teachers and students. In general, the respondents emphasized effi ciency of digital technologies, such as autonomy, distance (online) learning, discussion, competitions, and so on, in teaching and supporting intellectually gifted schoolchildren, their especial curiosity, diverse interests, high abilities, and high expectations (from self and others). The frequently mentioned benefi ts were availability of distant materials and consultants, like-minded persons for school and home work, and extracurricular activities. Possible challenges and negatives of using digital technology by gifted schoolchildren at different ages were also considered. Although all respondents indicated positive perceptions of digital technology education in the classroom or at home, most of them worried about their inadequacy of technological preparation and excessive time for development of educational materials. Our data show that the teachers need greater support in the production of digital curriculums and materials as well as their adaptations for gifted students in different educational situations.

Development of the quality improvement collaborative questionnaire (QuIC) to explore quality improvement partnerships to teach pre-registration nursing students

Background Quality improvement partnerships between healthcare organisations and higher education require further research to explore their potential to provide a valuable education experience for pre-registration nursing students. Aims Develop and validate a questionnaire for nurse academics to evaluate quality improvement content in pre-registration nursing curricula and the extent of partnership with higher education providers in developing this content. Conduct a pilot test of the questionnaire. Study design Use a content validity approach. Methods The Australian higher education sector was the setting and participants were nurse academics with knowledge of the quality improvement content taught in pre-registration nursing courses. The quality improvement collaboration (QuIC) questionnaire was informed by the literature and sent to ten quality improvement and higher education experts for content validation. Each question was scored on a Likert scale for relevance and clarity. The QuIC questionnaire was distributed by email to the 37 higher education organisations offering pre-registration programmes in Australia. Descriptive statistics were used to analyse the questionnaire data. Results Eight experts completed the content validity questionnaire in full, with the QuIC questionnaire achieving an excellent content validity score of 0.94 for relevance and clarity. The QuIC questionnaire was completed by 24 participants. The results indicated that quality improvement education partnerships are only used occasionally in Australia. The education methods used to teach this content were case studies (online cases n = 11, 46%; patient cases n = 9, 38%) and the development of quality improvement education materials (n = 7, 29%). Conclusions The QuIC questionnaire demonstrates excellent relevance and clarity, and is the first in the literature to address the constructs of quality improvement education and partnerships. The pilot results provide insight into quality improvement education methods used in Australia and the presence of partnerships. These results may be used to assist in the implementation of quality improvement education partnerships into curricula across the health professions.

Improving Computational Thinking & Creative Problem Solving: ESD & Micro:bit for Climate

This study aims to validate the Student Worksheet titled "ESD-Climate Change," developed using the Understanding by Design approach and complemented by Micro:bit devices. The validation was conducted by three experts, including two academic experts in education and one distinguished educator. Main findings from this study is the validation results reveal that this worksheet adheres to high standards. The "Content" dimension achieved a score of 84.33%, labeled "Very Suitable," signifying its strong relevance to climate change-related learning objectives. The "Construct" dimension garnered a score of 79.17%, categorized as "Suitable," indicating potential for improvement in some construction aspects. The "Language" dimension received an impressive score of 85.90%, also labeled "Very Suitable," highlighting its excellent language quality and communication proficiency. Finally, the "Design" dimension received the highest score of 95.18%, categorized as "Very Suitable," affirming the worksheet's strong design, encompassing its cover and content presentation. Overall, these findings underscore the worksheet's high quality in terms of content, language, and design, with minimal room for improvement in the construction aspect. This study contributes to the development of technology and environment-centered educational materials, which are increasingly pertinent in addressing future challenges associated with climate change.Keywords: ESD, computational thinking, creative problem solving

Prevalence and Correlates of Cannabis Use among Cancer Survivors

Abstract Background Delaware has legalized marijuana use for both medical and recreational use. This study identified factors associated with cannabis use among adults with chronic relative to individuals without a history of cancer in the First State. Methods Combined data (2020, 2021 and 2022) from the Behavioral Risk Factor Surveillance System (BRFSS) were analyzed for Delaware. Multivariable logistic regression examined individual-level demographic, socio-economic, clinical, and behavioral predictors associated with marijuana use stratified by history of cancer. Results Cannabis use was lower among cancer survivors compared to individuals with no history of cancer (6.76% vs. 13.43%). However, a higher proportion of cancer survivors reported use for medical purposes (75.13% vs. 64.28%). Marijuana use prevalence decreased with age among cancer survivors. After adjusting for sex, age, educational attainment, self-reported race/ethnicity, mental health status and physical health status, current smoking (odds ratio [OR], 4.24 vs. 2.74) and binge drinking (OR, 2.45 vs. 1.75) were associated with cannabis use in both groups. Conclusions Adults with cancer were more likely to use marijuana. Marijuana use prevalence decreased with age. Public perceptions of marijuana is becoming more acceptable. Risk of medical conditions such as cancer increase with age. As such, older adults might also become consumers of marijuana. Clinicians should screen for marijuana use among patients and initiate open discussions with patients about the benefits and risks associated with marijuana. Key messages • Need for ongoing cannabis research to better understand and inform its use for medical purposes. • Development of high-quality standardized education materials and clinical practice guidelines for marijuana use.

Development and Validation of an Artificial Intelligence-Assisted Patient Education Material for Ostomy Patients: A Methodological Study.

To develop and test the validity of an artificial intelligence-assisted patient education material for ostomy patients. A methodological study. The study was carried out in two main stages and five steps: (1) determining the information needs of ostomy patients, (2) creating educational content, (3) converting the educational content into patient education material, (4) validation of patient education material based on expert review and (5) measuring the readability of the patient education material. We used ChatGPT 4.0 to determine the information needs and create patient education material content, and Publuu Online Flipbook Maker was used to convert the educational content into patient education material. Understandability and applicability scores were assessed using the Patient Education Materials Assessment Tool submitted to 10 expert reviews. The tool inter-rater reliability was determined via the intraclass correlation coefficient. Readability was analysed using the Flesch-Kincaid Grade Level, Gunning Fog Index and Simple Measure of Gobbledygook formula. The mean Patient Education Materials Assessment Tool understandability score of the patient education material was 81.91%, and the mean Patient Education Materials Assessment Tool actionability score was 85.33%. The scores for the readability indicators were calculated to be Flesch-Kincaid Grade Level: 8.53, Gunning Fog: 10.9 and Simple Measure of Gobbledygook: 7.99. The AI-assisted patient education material for ostomy patients provided accurate information with understandable and actionable responses to patients, but is at a high reading level for patients. Artificial intelligence-assisted patient education materials can significantly increase patient information rates in the health system regarding ease of practice. Artificial intelligence is currently not an option for creating patient education material, and their impact on the patient is not fully known. The study followed the STROBE checklist guidelines. No patient or public contributions.

ARTIFICIAL INTELLIGENCE IN THE EDUCATION SECTOR OF KAZAKHSTAN: OPPORTUNITIES AND PROSPECTS

This article examines the potential for implementing artificial intelligence (AI) technologies in the education system of Kazakhstan. It focuses on how AI can contribute to the individualization of learning, improve the quality of education in remote regions, support teachers, and develop digital literacy among students. Key areas of AI use are analyzed, such as the automation of routine tasks, the creation of personalized educational programs, distance learning, and the development of educational materials in the Kazakh language. It also discusses the challenges associated with the use of AI and predicts its long-term effects on the development of the country's educational system.

Problems and prospects of developing spelling skills in schoolchildren with visual impairments in Uzbekistan

This article addresses issues concerning the development of accurate word pronunciation skills in English among students with visual impairments in Uzbekistan. The challenges include a scarcity of Braille literature, discrepancies in word writing and pronunciation between Uzbek and English, confusion stemming from similarities and differences in the Braille-based English alphabet and the Latin-script Uzbek alphabet, as well as a lack of educational materials and the production of essential and supplementary educational literature. The complexities associated with these issues are examined, with particular focus on psychological obstacles faced by students in the same demographic when learning English. Additionally, practical recommendations for enhancing this field will be formulated based on empirical research findings. Special attention is also given to the needs of consumers requiring educational materials for this demographic, adherence to academic standards, and the promotion of a conducive learning environment for students with visual impairments studying English.In addition, the issue of ensuring communication between schoolchildren with visual disabilities and their teachers, as well as assistants aiding in lesson preparation for the same group of students, in creating child-specific dictionaries and educational literature, is being addressed. There is also a need to coordinate the efforts of both state and non-state organizations on international and local levels to support the development of dictionaries and educational materials for teaching English to visually impaired students in Uzbekistan, along with establishing a system for delivering them and the necessary educational equipment

Towards stem cell therapies for hearing loss: awareness and perspectives of Australian audiologists and their patients.

Aim: Over the last two decades, numerous experimental studies have examined the feasibility of delivering stem cells into the cochlea to restore hearing. While these studies have spawned new cell therapy companies, there is little information on what patients understand or expect from these emerging therapies.Methods: This study sought to understand the awareness and perspectives of Australian audiologists and their adult patients toward stem cell therapies for treating hearing loss.Results: An anonymous survey indicated 91% of patients and 39% of audiologists were unaware of these therapies being developed. Thirty percent of audiologists reported being asked about stem cell therapies for hearing loss, but 70% were not confident answering patient queries about this and were unsure where to gather information. Primary concerns reported by patients were cost (45%) and safety of treatment (42%). Interestingly, 58% of patients were unsure of how this therapy would improve their hearing, yet 25% of these patients expected that their hearing would return to normal.Conclusion: There was strong support for development of educational materials for both patient and clinician. The increasingly important role of audiologists in providing patient counselling was reflected in overwhelming support (from both patient and clinician) for audiologists providing such information.

Effectiveness of caregiver educational materials for paediatric community-acquired pneumonia in the emergency department: a qualitative study.

The objective of this study was to better understand caregiver perspectives on educational materials relating to paediatric community-acquired pneumonia and antibiotic stewardship in the emergency department setting. This was a phenomenologically informed qualitative study. Caregivers of young children in Hamilton, Ontario were presented with four educational materials (animated video, physician led lecture-style video, caregiver led testimony-style video, and a printed brochure) providing information relating to treatment strategies for community-acquired pneumonia. Caregivers were then asked open-ended questions about how they felt about the effectiveness of the media used. The principles of conventional content analysis guided the coding and synthesis of the transcribed interviews. Eleven caregivers were interviewed. Most caregivers preferred the animated video and brochure to the lecture-style physician video and caregiver testimonial video. Common themes for effective educational materials included visually attention-grabbing graphics, accessible language, and formats they could reference following their visit (e.g. brochure). The busy nature of the emergency department setting can impede effective communication between clinicians and parents. Employing educational materials may allow for more informed parent-provider communication on care decision making. Caregivers in our study prioritized the simplest information formats for education around community-acquired pneumonia and antimicrobial stewardship which could be referenced following discharge. This was best accomplished by short, animated videos and brochures. Results from this study can inform development of future educational materials used in paediatric emergency department settings to optimize caregiver education and corresponding care plan adherence.

Developing translational products for adapting evidence-based physical activity interventions in rural communities

The development and distribution of educational materials is a key strategy to support the implementation of evidence-based interventions (EBIs). Rural communities have higher rates of physical inactivity and face higher burden of many diseases that increased physical activity can prevent. To support the translation of a developed physical activity intervention for adults in micropolitan communities (10,000-50,000 people), called Active XXXX, the University of XXXX Prevention Research Center for Rural Health (PRC-RH) created a toolkit and supplemental resources designed to guide implementers through the implementation of the intervention. Through a community-engaged process, the PRC-RH underwent three phases of review and evaluation of the developed products. The first phase involved the Community Advisory Board from the pilot intervention, the second involved the PRC-RH State Advisory Board and public health practitioners from across the state, and the third involved micropolitan leaders and micropolitan health department staff. The feedback received through these three phases resulted in changes to the developed products to improve usability, readability, and clarity. The feedback also resulted in the development of additional materials to further support the implementation of the intervention. The success the PRC-RH experienced in the review process can be attributed to the strong, established partnerships with practitioners across the state who represented a variety of community roles and organizations. The developed materials can be used to improve physical activity rates in rural and micropolitan communities, in turn reducing chronic diseases and improving the quality of life for rural residents.

Experience of a tertiary acute care hospital in Southeast Asia in initiating patient engagement with the aid of digital solutions.

With the goal of patient engagement, an initiative was formulated to equip each patient in the general wards with a tablet whereby they can access their health information and patient education materials and communicate with their healthcare team. This paper presented the methodology of the implementation efforts as well as an evaluation of the preliminary outcomes. The process of hospital-wide implementation was shared using the implementation research logic model. The bedside tablets were rolled out hospital-wide in a step-wedge manner over 12 months. Barriers and facilitators to this implementation were discussed together with strategies to optimize the situation. Preliminary outcomes of the implementation were evaluated using the RE-AIM framework. The initial adoption rate for the bedside tablet was low. Additional strategies, such as survey audits and provision of feedback, development of education materials for patients, facilitation, and purposefully re-examining the implementation strategies, were used to improve adoption. The trend of adoption increased over the course of 2 years from the start of implementation. The initial lower adoption rates may reflect Singapore's paternalistic healthcare culture. While this implementation was driven by the need to move away from paternalism and toward patient engagement, more time is required for significant cultural change.