Design and Evaluation of an Electronic Educational Multimedia Package for Patients with Pyelonephritis

Document Type : original research

Authors

1 Associate Professor of Health Information Management, Health Information Management Department, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran

2 Department of Health Information Technology,School of Allied Medical Sciences, Zabol University of Medical Sciences, Zabol, Iran

3 Ph.D. student in medical informatics, Tehran University of medical sciences

4 BSc Graduated.

5 OIM Department, Aston Business School, Aston University, Birmingham, B4 7ET, United Kingdom

Abstract

Aim: Pyelonephritis is a subset of urinary tract infections that occurs by the ascent of bacteria from the lower urinary tract to the upper tract, such as kidneys. The purpose of this study is to create an introductory multimedia educational package for pyelonephritis.
Method: The required information was retrieved from Medline (through PubMed), Web of sciences, Scopus, and Google Scholar databases
by searching "Educational package" or "Training package" and "Pyelonephritis" keywords. In the next step, AutoPlay Media Studio software was selected to build an electronic educational multimedia package, considering the features of different Autoruns. In the usability evaluation stage, the isometric questionnaire 9241 part 10 was used. Four kidney and urinary tract specialists and eight experts in health information technology gave their views to us by completing the stated questionnaire. The results collected from the questionnaires were entered into SPSS-23 software for analysis using descriptive statistics.
Results: The content of the educational multimedia package, i.e., the definition of pyelonephritis, types of pyelonephritis, the causes of pyelonephritis, the underlying factors, clinical signs and symptoms, and methods of diagnosis and treatment are presented on different pages of the electronic package, respectively. The results of this usability evaluation showed that the items; "after not using the system for a long time, it is easy for the user to re-learn how to use the system" and "the user can use the system properly without asking his/her colleagues for help" had the lowest mean value (4.2) and the item; "explanations provided help the user to use the system more skillfully" had the highest mean value (4.9).
Conclusion: The use of educational multimedia packages by patients can improve awareness and affect public health. Our educational multimedia package is superior to traditional training due to easy access and not being limited to a specific time and place, increasing the quality of learning and awareness.

Keywords

References

  1. Chivima B. Pyelonephritis. Nursing standard (Royal College of Nursing (Great Britain): 1987). 2014; 28(23):61.
  2. Choong FX, Antypas H, Richter‐Dahlfors A. Integrated Pathophysiology of Pyelonephritis. Urinary Tract Infections: Molecular Pathogenesis and Clinical Management. 2017:503-22.
  3. Craig WD, Wagner BJ, Travis MD. Pyelonephritis: radiologic-pathologic review. Radiographics. 2008;28(1):255-76.
  4. Johnson JR, Russo TA. Acute pyelonephritis in adults. New England Journal of Medicine. 2018;378(1):48-59.
  5. Azami M, Jaafari Z, Masoumi M, Shohani M, Badfar G, Mahmudi L, et al. The etiology and prevalence of urinary tract infection and asymptomatic bacteriuria in pregnant women in Iran: a systematic review and Meta-analysis. BMC Urology. 2019;19(1):43.
  6. Kleeman CR, Hewitt W, Guze LB. Pyelonephritis. Journal of the American Medical Association. 1960;173(3):257-9.
  7. Kolman KB. Cystitis and pyelonephritis: diagnosis, treatment, and prevention. Primary Care: Clinics in Office Practice. 2019;46(2):191-2
  8. Neumann I, Moore P. Pyelonephritis (acute) in non-pregnant women. BMJ Clin Evid. 2014;2014:0807.
  9. Ramakrishnan K, Scheid DC. Diagnosis and management of acute pyelonephritis in adults. American family physician. 2005;71(5):933-42.
    1. Kim B, Myung R, Kim J, Lee M-j, Pai H. Descriptive epidemiology of acute pyelonephritis in Korea, 2010–2014: population-based study. Journal of Korean medical science. 2018;  33(49): e310.
    2. Ghazvini H, Taheri K, Edalati E, Miri A, Sedighi M, Mirkalantari S. Virulence factors and antimicrobial resistance in uropathogenic Escherichiacoli strains isolated from cystitis and pyelonephritis. Turkish journal of medical sciences. 2019;49(1):361-7.
    3. Nilashi M, Ahmadi H, Manaf AA, Rashid TA, Samad S, Shahmoradi L, et al. Coronary heart disease diagnosis through self-organizing map and fuzzy support vector machine with incremental updates. International Journal of Fuzzy Systems. 2020:1-13.
    4. Shahmoradi L, Karami M, Farzaneh-nejad A. Auditing knowledge toward leveraging organizational IQ in healthcare organizations. Healthcare informatics research. 2016;22(2):110.
    5. Torabi M, Safdari R, Shahmoradi L. Health information technology management. Tehran: Jafari. 2010:50-1.
    6. Kellermann AL, Jones SS. What it will take to achieve the as-yet-unfulfilled promises of health information technology. Health affairs. 2013;32(1):63-8.
    7. Hosseini MM, Safdari R, Shahmoradi L, Javaherzadeh M. Better diagnosis of acute appendicitis by using artificial intelligence. ISMJ. 2017;20(4):339-48.
    8. Cloete E. Electronic education system model. Computers & education. 2001;36(2):171-82.
    9. Okarska-Napierała M, Wasilewska A, Kuchar E. Urinary tract infection in children: Diagnosis, treatment, imaging–Comparison of current guidelines. Journal of pediatric urology. 2017;13(6):567-73.
    10. Target product profiles for needed antibacterial agents: enteric fever, gonorrhoea, neonatal sepsis, urinary tract infections and meeting report. 2020.
    11. Ahmadi M, Rezaei H, Shahmoradi L. Electronic health record: structure, content, and evaluation. Tehran: Jafari Publication. 2008.
    12. Ahmadi M, Shahmoradi L, Barabadi M, Hoseini F. Usability evaluation of hospital information systems based on isometric 9241. 2011.
    13. Shahmoradi L, Ahmadi M, Haghani Determining the most important evaluation indicators of healthcare information systems (HCIS) in Iran. Health Information Management Journal. 2007;36(1):13-22.
    14. Ahmadi M, Shahmoradi L, Haghani H. Six main stages evaluation of health information systems. Journal of Health Administration. 2007;10(28):15-24.
    15. Kolman KB. Cystitis and Pyelonephritis. Urology, An Issue of Primary Care: Clinics in Office Practice, E-book. 2019;46(2):191.
    16. Warren JW, Abrutyn E, Hebel JR, Johnson JR, Schaeffer AJ, Stamm WE. Guidelines for antimicrobial treatment of uncomplicated acute bacterial cystitis and acute pyelonephritis in women. Clinical Infectious Diseases. 1999;29(4):745-59.
    17. Scholes D, Hooton TM, Roberts PL, Gupta K, Stapleton AE, Stamm WE. Risk factors associated with acute pyelonephritis in healthy women. Annals of internal medicine. 2005;142(1):20-7.
    18. Kimmelstiel P, Kim OJ, Beres JA, Wellmann K. Chronic pyelonephritis. The American journal of medicine. 1961;30(4):589-607.
    19. Bailey R. The relationship of vesicoureteric reflux to urinary tract infection and chronic pyelonephritis-reflux nephropathy. Clinical nephrology. 1973;1(3):132-41.
    20. Tang H, Li C, Yen M, Chen Y, Wann S, Lin H, et al. Clinical characteristics of emphysematous pyelonephritis. Journal of microbiology, immunology, and infection. 2001;34(2):125-30.
    21. Lin W-R, Chen M, Hsu J-M, Wang C-H. Emphysematous pyelonephritis: patient characteristics and management approach. Urologia internationalis. 2014;93(1):29-33.
    22. Heimer SR, Rasko DA, Lockatell CV, Johnson DE, Mobley HL. Autotransporter genes pic and tsh are associated with Escherichia coli strains that cause acute pyelonephritis and are expressed during urinary tract infection. Infection and immunity. 2004;72(1):593-7.
    23. Roberts JA. Etiology and pathophysiology of pyelonephritis. American Journal of Kidney Diseases. 1991;17(1):1-9.
    24. Firoozeh F, Saffari M, Neamati F, Zibaei M. Detection of virulence genes in Escherichia coli isolated from patients with cystitis and pyelonephritis. International Journal of Infectious Diseases. 2014;29:219-22.
    25. Pinson AG, Philbrick JT, Lindbeck GH, Schorling JB. Fever in the clinical diagnosis of acute pyelonephritis. The American journal of emergency medicine. 1997;15(2):148-51.
    26. Lane DR, Takhar SS. Diagnosis and management of urinary tract infection and pyelonephritis. Emergency medicine clinics. 2011;29(3):539-52.
    27. Ghiringhelli L, Lepore G, Mattaini R, Caronno E, Caretta E. The diagnosis of chronic pyelonephritis in internal medicine. Minerva Medica. 1981;72(18):1131-8.
    28. Renata Y, Jassar H, Katz R, Hochberg A, Nir R-R, Klein-Kremer A. Urinary concentration of cytokines in children with acute pyelonephritis. European journal of pediatrics. 2013;172(6):769-74.
    29. McMurray BR, Wrenn KD, Wright SW. The usefulness of blood cultures in pyelonephritis. The American journal of emergency medicine. 1997;15(2):137-40.
    30. Parenti G, Passari A. Acute pyelonephritis. Role of diagnostic imaging. La Radiologia Medica. 2001;101(4):251-4.
    31. Bergeron MC. Treatment of pyelonephritis in adults. Medical Clinics of North America. 1995;79(3):619-49.
    32. Millar LK, Wing DA, Paul RH, Grimes DA. Outpatient treatment of pyelonephritis in pregnancy: a randomized controlled trial. Obstetrics & Gynecology. 1995; 86(4 Pt 1):560-4.
    33. Ward G, Jorden RC, Severance HW. Treatment of pyelonephritis in an observation unit. Annals of emergency medicine. 1991;20(3):258-61.
    34. McCabe WR, Jackson GG. Treatment of pyelonephritis: bacterial, drug and host factors in success or failure among 252 patients. New England Journal of Medicine. 1965;272(20):1037-44.
    35. Chen M-T, Huang C-N, Chou Y-H, Huang C-H, Chiang C-P, Liu G-C. Percutaneous drainage in the treatment of emphysematous pyelonephritis: 10-year experience. The Journal of urology. 1997;157(5):1569-73.
    36. Bieri FA, Gray DJ, Williams GM, Raso G, Li Y-S, Yuan L, et al. Health-education package to prevent worm infections in Chinese schoolchildren. New England Journal of Medicine. 2013;368(17):1603-12.
    37. Mahmoudvand Z, Kamkar M, Shahmoradi L, Nejad AF. Determination of minimum data set (msd) in echocardiography reporting system to exchange with ' 'iran's electronic health record (ehr) system. Acta Informatica Medica. 2016;24(2):116.
    38. Shahmoradi L, Safdari R, Piri Z, Mahmodabadi AD, Shahmoradi S, Nejad AF. Knowledge sharing as a powerful base for management: Barriers and solutions. The health care manager. 2017;36(2):176-83.
    39. Nilashi M, Ahmadi H, Shahmoradi L, Salahshour M, Ibrahim O. A soft computing method for mesothelioma disease classification. Journal of Soft Computing and Decision Support Systems. 2017;4(1):16-8.
    40. Safdari R, Shahmoradi L, Ebrahimi M. Minimum data set of anatomical pathology information system from the perspective of experts. Journal of Payavard Salamat. 2015;9(3):300-14.
    41. Hajavi A, Piri Z, Shahmoradi L, Asadi N, Kheradmandi S, Oveisi M, et al. A survey on completeness of inpatient informed consent forms in the three treatment-teaching centers in Iran University of Medical Sciences (IUMS). Journal of health administration. 2008;11(32):55-62.
    42. Nilashi M, Ibrahim O, Ahmadi H, Shahmoradi L, Samad S, Bagherifard K. A recommendation agent for health products recommendation using dimensionality reduction and prediction machine learning techniques. Journal of Soft Computing and Decision Support Systems. 2018;5(3):7-15.
    43. Forbat L, Robinson R, Bilton-Simek R, Francois K, Lewis M, Haraldsdottir E. Distance education methods are useful for delivering education to palliative caregivers: A single-arm trial of an education package (PalliativE Caregivers Education Package). Palliative medicine. 2018;32(2):581-8.
    44. Jannah M, Copriady J, Rasmiwetti R. Development of Interactive Learning Media using Autoplay Media Studio 8 for Colloidal Chemistry Material. Journal of Educational Sciences. 2019;3(1):132-44.
    45. Abbasi S, Moeini M, Shahriari M, Ebrahimi M, Khoozani EK. Designing and manufacturing of educational multimedia software for preventing coronary artery disease and-its effects on modifying the risk factors in patients with coronary artery disease. Electronic Journal of General Medicine. 2018;15 (3)(
    46. Dehkordi SM, Okhovat F, Karimiankakolaki Z. Designing a Clinical Trial Protocol about the Impact of Family-Based Multimedia Education Based on Telephone Tracking (Tele Nursing) to Improve the Quality of Life and Self-Efficacy in Patients with Myocardial Infarction. International Journal of Surgery Protocols. 2021;25(1):92.
    47. Skill Center [Available from: www.iskill.ir] .
    48. Eghbeli Y. Design and Evaluation of a Diabetes Multimedia Educational Package: Tarbiat modares University.
    49. Huang J-J, Tseng C-C. Emphysematous pyelonephritis: clinicoradiological classification, management, prognosis, and pathogenesis. Archives of Internal Medicine. 2000; 160(6):797-805.
    50. Ali NM, Shahar S, Kee YL, Norizan AR, Noah SAM. Design of an interactive digital nutritional education package for elderly people. Informatics for health and social care. 2012;37(4):217-29.
    51. Pieritz RA, Mendes R, da Silva RF, Maliska CR. CFD studio: An educational software package for CFD analysis and design. Computer Applications in Engineering Education. 2004;12(1):20-30.
Applied Health Information Technology
Volume 2, Issue 2 - Serial Number 3
December 2021
Pages 17-31

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History

  • Receive Date: 30 May 2021
  • Revise Date: 14 August 2021
  • Accept Date: 28 November 2021

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