Knowledge translation materials can promote discussions between Asian men with diabetes and their physicians about erectile dysfunction
Researchers studied communication about erectile dysfunction (ED) between doctors and 120 Asian male patients with diabetes in a primary care clinic in Kedah, Malaysia.
2023-11-27
(Press-News.org)
Researchers studied communication about erectile dysfunction (ED) between doctors and 120 Asian male patients with diabetes in a primary care clinic in Kedah, Malaysia. At the outset of the study, all participating physicians received a brief introduction to the fundamentals of ED treatment. Prior to a regular consultation, 60 men (the intervention group) were given a simple prompt sheet on which they could indicate whether they wanted to discuss, or were already discussing, ED with their doctor; physicians in the intervention group were provided with a knowledge translation flipchart developed by the researchers to assist with ED discussion. The flipchart featured concise, plain-language text and colorful illustrations, presented on paired patient- and physician-facing panels. Neither patients nor doctors in the control group received materials to facilitate discussion. Following consultation, all 120 men in the study completed a survey providing demographic information, an ED diagnostic sheet (the 5-item International Index of Erectile Function, or IIEF-5), and questions about any discussion of ED with their physician.
About two-thirds of the intervention group discussed ED-related issues with their physician, compared with 8.3% of the control group. ED medications were prescribed to 57.5% of subjects in the intervention group, but to none in the control group. Physicians used the flipchart in 82.5% of intervention group consultations, and all patients with whom the flipchart was used reported that they were satisfied with their consultations.
What We Know: ED is a common sexual dysfunction worldwide and often affects men with other serious health issues, including type 2 diabetes mellitus (T2DM). Nevertheless, ED is frequently underdiagnosed and undertreated due to communication barriers between patients, who might face embarrassment about discussing sexual health, and physicians, who might not be knowledgeable about ED. Further, Asian men tend to be more conservative about sexuality—and, by extension, addressing sexual health with their doctors—than European men, despite experiencing higher rates of sexual dysfunction.
What This Study Adds: This study suggests that, for Asian men who view ED as a taboo subject, the use of both doctor- and patient-oriented materials may encourage conversations about and treatment of ED. Usage of the flipchart created for this study may improve patients’ overall satisfaction with ED consultation in this cultural context. This type of intervention could improve diagnosis and treatment of ED elsewhere if the knowledge translation tools are adapted to respond to diverse cultures’ attitudes toward ED and sexual health more broadly.
Improving Erectile Dysfunction Management Among Asian Men With Diabetes Using the Knowledge Translation Intervention
Saharuddin Ahmad, MD, MMed, et al
Department of Family Medicine, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia
Pre-embargo article link (Link expires at 5 p.m. EDT Nov. 27, 2023)
Permanent link
END
ELSE PRESS RELEASES FROM THIS DATE:
2023-11-27
Adults and older children with asthma can take objective measures of symptoms such as peak expiratory flow (PEF), the volume of airflow in one forced exhalation, at home. This provides a more complete picture of their disease and helps them detect asthma exacerbations or negative changes to their condition at the onset. However, a 2022 report by the Global Initiative for Asthma (GINA) identifies continuous respiratory sounds such as wheezes, rhonchi, as the best indicators of asthma exacerbation, especially in children under 5 years of age. Assessment of these symptoms, still primarily done by doctors using ...
2023-11-27
Researchers from around the United States collaborated on a clinical trial to test the effectiveness of a practice intervention for improving outcomes for patients with both physical and mental health problems by enhancing integrated behavioral health (IBH) activities. The research team recruited 42 primary care practice sites in 13 states, including internal medicine, family medicine, small and large groups, for-profit, academic, and safety-net clinics. Each site had a co-located behavioral health provider (a psychologist, social worker, or licensed counselor ...
2023-11-27
International Group of Research Experts Establish Checklist Detailing Key Consensus Reporting Items for Primary Care Studies
In an effort to fill the need for primary care–focused guidelines, an international group of top researchers has developed the Consensus Reporting Items for Studies in Primary Care (CRISP) Checklist, which outlines 24 items that describe the research team, patients, study participants, health conditions, clinical encounters, care teams, interventions, study measures, settings of care, and implementation of ...
2023-11-27
Embargoed for release until 5:00 p.m. ET on Monday 27 November 2023
Annals of Internal Medicine Tip Sheet
@Annalsofim
Below please find summaries of new articles that will be published in the next issue of Annals of Internal Medicine. The summaries are not intended to substitute for the full articles as a source of information. This information is under strict embargo and by taking it into possession, media representatives are committing to the terms of the embargo not only on their own behalf, but also on behalf of the organization they represent.
----------------------------
1. Unfiltered ...
2023-11-27
In Ontario, Canada, most COVID-19 vaccinations were administered by public health organizations and pharmacies rather than by family physicians. Researchers devised a practice facilitation intervention program to help family physicians proactively engage with their patients who were not yet vaccinated for COVID‐19.
Six trained practice facilitators helped 90 family physicians identify unvaccinated patients and offered resources to address COVID‐19 vaccine hesitancy, scripts and email templates for patient outreach, and connections to trained medical student volunteers to work as physician‐delegates by conducting patient telephone outreach and motivational interviewing. ...
2023-11-27
For more than a century, American cities have been sliced and diced by high-traffic roadways. Interstate highways and wide arterials are now a defining feature of most metropolitan areas, their constant flow of cars spewing pollution into nearby neighborhoods.
Researchers have only just begun to understand the health risks posed by all that pollution. Long-term exposure to traffic-related air pollution — a complex mixture of exhaust from tailpipes, brake and tire wear, and road dust — has been linked to increased rates ...
2023-11-27
Canadian researchers examined how the rapid shift to using virtual care during the COVID-19 pandemic has impacted primary care doctors’ well-being at work. They utilized a self-determination theory (SDT) lens to examine how autonomous (vs. controlled) motivation among family physicians impacted their well-being when shifting to virtual care, and whether satisfaction (vs. frustration) of their basic psychological needs at work mediated that relationship. The researchers gathered qualitative data by surveying 156 family physicians ...
2023-11-27
Some patients choose to voluntarily stop eating and drinking (VSED) as a way of hastening death. Researchers from the Amsterdam University Medical Centre conducted a study to describe patients’ motives for doing so, how they decide to voluntarily stop eating and drinking, and the way in which they prepare to do so, along with how they involve others. The researchers conducted qualitative interviews with 29 patients living in the Netherlands. Among 29 cases, 24 started VSED and 19 died. Thirteen cases were included before and ...
2023-11-27
Researchers performed an analysis to assess the proportion of accredited U.S. family medicine residency programs and trainees in states with abortion restrictions. Of 693 accredited family medicine residency programs in the U.S., 201 programs (29%) were in states where abortion was banned or heavily restricted as of August 2, 2023. Fourteen of the 17 states in this category had complete abortion bans.
While most (63.8%) family medicine residency programs were in states with at least some abortion restrictions, 251 ...
2023-11-27
In an effort to fill the need for primary care–focused guidelines, an international group of top researchers has developed the Consensus Reporting Items for Studies in Primary Care (CRISP) Checklist, which outlines 24 items that describe the research team, patients, study participants, health conditions, clinical encounters, care teams, interventions, study measures, settings of care, and implementation of findings and results in primary care. The CRISP Working Group conducted a scoping review of literature on the state of primary care research reporting as well as several rounds of online surveys to assess ...
LAST 30 PRESS RELEASES:
[Press-News.org] Knowledge translation materials can promote discussions between Asian men with diabetes and their physicians about erectile dysfunction
Researchers studied communication about erectile dysfunction (ED) between doctors and 120 Asian male patients with diabetes in a primary care clinic in Kedah, Malaysia.
