Exploring clinician adoption of a novel evidence request feature in an electronic medical record system     

Rebecca N. Jerome  Nunzia Bettinsoli Giuse  S. Trent Rosenbloom  Patrick G. Arbogast 《Journal of the Medical Library Association》2008,96(1):34-41

Objective: The research evaluated strategies for facilitating physician adoption of an evidence-based medicine literature request feature recently integrated into an existing electronic medical record (EMR) system.Methods: This prospective study explored use of the service by 137 primary care physicians by using service usage statistics and focus group and survey components. The frequency of physicians'' requests for literature via the EMR during a 10-month period was examined to explore the impact of several enhanced communication strategies launched mid-way through the observation period. A focus group and a 25-item survey explored physicians'' experiences with the service.Results: There was no detectable difference in the proportion of physicians utilizing the service after implementation of the customized communication strategies (11% in each time period, P=1.0, McNemar''s test). Forty-eight physicians (35%) responded to the survey. Respondents who had used the service (n=19) indicated that information provided through the service was highly relevant to clinical practice (mean rating 4.6, scale 1 “not relevant”–5 “highly relevant”), and most (n=15) reported sharing the information with colleagues.Conclusion: The enhanced communication strategies, though well received, did not significantly affect use of the service. However, physicians noted the relevance and utility of librarian-summarized evidence from the literature, highlighting the potential benefits of providing expert librarian services in clinical workflow.

Highlights

• The communication strategies implemented during the study did not induce a noticeable increase in questions from physicians through the electronic medical record system.
• Surveyed physicians were generally satisfied with the evidence-based medicine literature request service and noted several resulting changes in clinical practice associated with librarian-provided evidence.
• Survey respondents viewed the monthly “evidence alert” newsletter, one of the communication strategies, as particularly effective, and it has become an integrated facet of the service.

Implications

• Librarians may contribute significantly to effective patient care by providing evidence to support the clinical decision-making process.
• The study''s findings emphasize the complexity of facilitating the adoption of services providing evidence for clinical practice.

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Head and neck size and neck strength predict linear and rotational acceleration during purposeful soccer heading     

Jaclyn B. Caccese  Thomas A. Buckley  Ryan T. Tierney  Kristy B. Arbogast  William C. Rose  Joseph J. Glutting 《Sports biomechanics / International Society of Biomechanics in Sports》2018,17(4):462-476

There is increasing societal concern about the long-term effects of repeated impacts from soccer heading, but there is little information about ways to reduce head impact severity. The purpose of this study was to identify factors that contribute to head acceleration during soccer heading. One-hundred soccer players completed 12 controlled soccer headers. Peak linear (PLA) and rotational (PRA) accelerations were measured using a triaxial accelerometer and gyroscope. Head acceleration contributing factors were grouped into 3 categories: size (head mass, neck girth), strength (sternocleidomastoid, upper trapezius) and technique [kinematics (trunk, head-to-trunk range-of-motion), sternocleidomastoid and upper trapezius activity]. Multiple regression analyses indicated size variables explained 22.1% of the variance in PLA and 23.3% of the variance in PRA; strength variables explained 13.3% of the variance in PLA and 17.2% of the variance in PRA; technique variables did not significantly predict PLA or PRA. These findings suggest that head and neck size and neck strength predict PLA and PRA. Anthropometric and neck strength measurements should be considered when determining an athlete’s readiness to begin soccer heading.  相似文献   

Problems and prospects of applied research: The development of an adolescent smoking prevention program     

Julie A. Burke  Samuel L. Becker  Rebecca A. Arbogast  Michelle J. Naughton 《Journal of Applied Communication Research》2013,41(1-2):1-18

This paper argues that applied research has the potential for making important theoretical contributions if efforts are made to explore and overcome inadequacies in existing social scientific theories by integrating, refining, and expanding these theories to achieve the necessary scope to solve the problem at hand. Ways in which these ends might be achieved are suggested through discussion of the procedures employed and the problems encountered in the development and assessment of Iowa's Program Against Smoking (I‐PAS), a theoretically‐based program to reduce adolescents' tobacco use.  相似文献