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Article: An initial reliability analysis of a patient counseling rubric to objectively measure student pharmacist performance.

Garling, Kristin Ashley / Wong, Benjamin

2023 Volume 9, Issue 5, Page(s) e15768

Abstract: Current literature outlines the documented need for improved communication during patient medication counseling. Although many tools exist, there needs to be a national standardized tool that complies with federal and state law, to objectively measure ... ...

Abstract	Current literature outlines the documented need for improved communication during patient medication counseling. Although many tools exist, there needs to be a national standardized tool that complies with federal and state law, to objectively measure student pharmacist performance during patient counseling in the community pharmacy setting. The primary objective of this study is to perform an initial analysis of the internal consistency reliability of a patient medication counseling rubric designed with an Indian Health Services theoretical framework. Secondary objectives include measuring changes in student performance over the time of the study. The 18-item rubric was developed to objectively measure student pharmacist performance during patient medication counseling sessions in a 21-h Introductory Pharmacy Practice Experience (IPPE) course. The community-pharmacy-based IPPE patient counseling course evaluates students' communication skills and patient-centered counseling techniques in live and simulated patient counseling sessions. Three pharmacist evaluators assessed a total of 247 student counseling sessions. The rubric's internal consistency reliability was analyzed, and student performance improvement was observed within the course. Students' performance was evaluated as "meets expectations" in most live and simulated sessions. However, an independent groups
Language	English
Publishing date	2023-05-05
Publishing country	England
Document type	Journal Article
ZDB-ID	2835763-2
ISSN	2405-8440
ISSN	2405-8440
DOI	10.1016/j.heliyon.2023.e15768
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: An initial reliability analysis of a patient counseling rubric to objectively measure student pharmacist performance

Garling, Kristin Ashley / Wong, Benjamin

Heliyon. 2023 May, v. 9, no. 5 p.e15768-

2023

Abstract	Current literature outlines the documented need for improved communication during patient medication counseling. Although many tools exist, there needs to be a national standardized tool that complies with federal and state law, to objectively measure student pharmacist performance during patient counseling in the community pharmacy setting. The primary objective of this study is to perform an initial analysis of the internal consistency reliability of a patient medication counseling rubric designed with an Indian Health Services theoretical framework. Secondary objectives include measuring changes in student performance over the time of the study. The 18-item rubric was developed to objectively measure student pharmacist performance during patient medication counseling sessions in a 21-h Introductory Pharmacy Practice Experience (IPPE) course. The community-pharmacy-based IPPE patient counseling course evaluates students' communication skills and patient-centered counseling techniques in live and simulated patient counseling sessions. Three pharmacist evaluators assessed a total of 247 student counseling sessions. The rubric's internal consistency reliability was analyzed, and student performance improvement was observed within the course. Students' performance was evaluated as "meets expectations" in most live and simulated sessions. However, an independent groups t-test showed that the mean performance score for the live counseling sessions (2.59, SD = 0.29) was higher (p < 0.001) than that for the simulated counseling sessions (2.35, SD = 0.35). Students' performance in the course improved over three weeks [Week 1: mean (SD) = 2.29 (0.32), Week 2: mean (SD) = 2.44 (0.33), Week 3: mean (SD) = 2.62 (0.29); p < 0.001]. A Tukey-Kramer comparison post hoc test found a significant increase in the mean performance scores between weeks (p < 0.05). The overall internal consistency reliability of the counseling rubric was determined acceptable, with a Cronbach's alpha of 0.75. Further study is required, including the assessment of inter-rater reliability, factor analysis, variable analysis, and use in other states with patient confirmation testing necessary to validate the rubric for use with student pharmacists in the community pharmacy setting.
Keywords	academic achievement ; drug therapy ; factor analysis ; patients ; t-test ; Patient counseling ; Pharmacy student ; Pharmacists ; Reproducibility of results ; Community pharmacy ; Pharmacy education ; Simulation training
Language	English
Dates of publication	2023-05
Publishing place	Elsevier Ltd
Document type	Article ; Online
Note	Use and reproduction
ZDB-ID	2835763-2
ISSN	2405-8440
ISSN	2405-8440
DOI	10.1016/j.heliyon.2023.e15768
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Article ; Online: The effects of alcohol use on smoking cessation treatment with nicotine replacement therapy: An observational study.

Wong, Benjamin K C / Veldhuizen, Scott / Minian, Nadia / Zawertailo, Laurie / Selby, Peter

Addictive behaviors

2024 Volume 155, Page(s) 108045

Abstract: Introduction: Concurrent users of tobacco and alcohol are at greater risk of harm than use of either substance alone. It remains unclear how concurrent tobacco and alcohol use affects smoking cessation across levels of alcohol use and related problems. ... ...

Abstract	Introduction: Concurrent users of tobacco and alcohol are at greater risk of harm than use of either substance alone. It remains unclear how concurrent tobacco and alcohol use affects smoking cessation across levels of alcohol use and related problems. This study assessed the relationship between smoking cessation and levels of alcohol use problems. Methods: 59,018 participants received nicotine replacement therapy through a smoking cessation program. Alcohol use and related symptoms were assessed using the Alcohol Use Disorders Identification Test (AUDIT-10) and the AUDIT-Concise (AUDIT-C). The primary outcome was 7-day point prevalence cigarette abstinence (PPA) at 6-month follow-up. We evaluated the association between alcohol use (and related problems) and smoking cessation using descriptive methods and mixed-effects logistic regression. Results: 7-day PPA at 6-months was lower in groups meeting hazardous alcohol consumption criteria, with the lowest probability of smoking abstinence observed in the highest risk group. The probability of successful tobacco cessation fell with increasing levels of alcohol use and related problems. Adjusted predicted probabilities were 30.3 (95 % CI = 29.4, 31.1) for non-users, 30.2 (95 % CI = 29.4, 31.0) for low-risk users, 29.0 (95 % CI = 28.1, 29.9) for those scoring below 8 on the AUDIT-10, 27.3 (95 % CI = 26.0, 28.6) for those scoring 8-14, and 24.4 (95 % CI = 22.3, 26.5) for those scoring 15 or higher. Conclusion: Heavy, hazardous alcohol use is associated with lower odds of successfully quitting smoking compared to low or non-use of alcohol. Targeting alcohol treatment to this group may improve tobacco cessation outcomes.
Language	English
Publishing date	2024-04-28
Publishing country	England
Document type	Journal Article
ZDB-ID	197618-7
ISSN	1873-6327 ; 0306-4603
ISSN (online)	1873-6327
ISSN	0306-4603
DOI	10.1016/j.addbeh.2024.108045
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Article: Estimating the euro area output gap using multivariate information and addressing the COVID-19 pandemic.

Morley, James / Rodríguez-Palenzuela, Diego / Sun, Yiqiao / Wong, Benjamin

European economic review

2023 Volume 153, Page(s) 104385

Abstract: We estimate the euro area output gap by applying the Beveridge-Nelson decomposition based on a large Bayesian vector autoregression. Our approach incorporates multivariate information through the inclusion of a wide range of variables in the analysis and ...

Abstract	We estimate the euro area output gap by applying the Beveridge-Nelson decomposition based on a large Bayesian vector autoregression. Our approach incorporates multivariate information through the inclusion of a wide range of variables in the analysis and addresses data issues associated with the COVID-19 pandemic. The estimated output gap lines up well with the CEPR chronology of the business cycle for the euro area and we find that hours worked, more than the unemployment rate, provides the key source of information about labor utilization in the economy, especially in pinning down the depth of the output gap during the COVID-19 recession when the unemployment rate rose only moderately. Our findings confirm that labor market adjustments to the business cycle in the euro area occur more through the intensive, rather than extensive, margin.
Language	English
Publishing date	2023-01-24
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	1460589-2
ISSN	1873-572X ; 0014-2921
ISSN (online)	1873-572X
ISSN	0014-2921
DOI	10.1016/j.euroecorev.2023.104385
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Book ; Online: Incorporating relevant multivariate information for characterizing half-life with an application to purchasing power parity

Wong, Benjamin

(CAMA working paper ; 2017, 47)

2017

Author's details	Benjamin Wong (Reserve Bank of New Zealand and Centre for Applied Macroeconomic Analysis, ANU)
Series title	CAMA working paper ; 2017, 47
Language	English
Size	1 Online-Ressource (circa 38 Seiten), Illustrationen
Publisher	Centre for Applied Macroeconomic Analysis, The Australian National University
Publishing place	Canberra
Document type	Book ; Online
Database	ECONomics Information System

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Book ; Online: Historical decomopositions for nonlinear vector autoregression models

Wong, Benjamin

(CAMA working paper ; 2017, 62)

2017

Author's details	Benjamin Wong (Reserve Bank of New Zealand and Centre for Applied Macroeconomic Analysis, ANU)
Series title	CAMA working paper ; 2017, 62
Language	English
Size	1 Online-Ressource (circa 23 Seiten), Illustrationen
Publisher	Centre for Applied Macroeconomic Analysis, The Australian National University
Publishing place	Canberra
Document type	Book ; Online
Database	ECONomics Information System

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Article ; Online: Techniques to Reduce the Rate of Infection in Surgeries for Cerebrospinal Fluid Shunting in Adults.

Wong, Gunther W / Wong, Benjamin W / Wisecarver, Samuel K / Tang, Alan R / Thompson, Reid C / Englot, Dario J / Conwell, Trisha L

World neurosurgery

2024 Volume 183, Page(s) e549–e555

Abstract: Objective: Cerebrospinal fluid shunt placement is associated with high rates of infection. Multiple standardized protocols, particularly in pediatric populations, have been proposed to mitigate this infection rate. We sought to determine the ... ...

Abstract	Objective: Cerebrospinal fluid shunt placement is associated with high rates of infection. Multiple standardized protocols, particularly in pediatric populations, have been proposed to mitigate this infection rate. We sought to determine the effectiveness of a standardized shunt infection protocol in a large adult population. Methods: A retrospective cohort study of adults presenting for primary cerebrospinal fluid shunt placement from 2012 to 2022. The primary outcome of interest was shunt infection. The primary exposure of interest was implementation of the shunt protocol (began October 2015). Secondary exposures of interest included use and type of perioperative antibiotics and total operating room time. Results: In total, 820 patients were included, 140 before protocol implementation and 680 after protocol implementation. The overall number of infections over the study period was 15 (1.8% infection rate), with 8 infections preprotocol (5.7%) and 7 infections during the protocol period (1.0%). The infection protocol was associated with a decreased infection rate (odds rato [OR] 0.18, 95% confidence interval [CI] 0.05-0.58, P = 0.002). Total operating room time (OR 1.38 per 30-minute increase, 95% CI 1.05-1.81, P = 0.021) was associated with increased infection rate. Patients who received antibiotics with primarily gram-positive coverage (cefazolin or equivalent) did not have significantly different odds of shunt infection as patients who received broad-spectrum coverage (OR 2.10, 95% CI 0.56-7.88, P = 0.274). Conclusions: The implementation of an evidence-based perioperative shunt infection protocol is an effective method to decrease shunt infections. Broad-spectrum perioperative antibiotics may not have greater efficacy than gram-positive only coverage, but more research is required.
MeSH term(s)	Child ; Adult ; Humans ; Infant ; Retrospective Studies ; Hydrocephalus/surgery ; Cerebrospinal Fluid Shunts/methods ; Anti-Bacterial Agents/therapeutic use ; Reoperation
Chemical Substances	Anti-Bacterial Agents
Language	English
Publishing date	2024-01-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	2534351-8
ISSN	1878-8769 ; 1878-8750
ISSN (online)	1878-8769
ISSN	1878-8750
DOI	10.1016/j.wneu.2023.12.143
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Article ; Online: Effect of COVID-19 on smoking cessation outcomes in a large primary care treatment programme: an observational study.

Veldhuizen, Scott / Selby, Peter / Wong, Benjamin / Zawertailo, Laurie

BMJ open

2021 Volume 11, Issue 8, Page(s) e053075

Abstract: Objectives: The COVID-19 pandemic has changed patterns of smoking, other substance use and other health-related behaviours, leading to a virtualisation of non-urgent medical care. In this study, we examine associated changes in outcomes of smoking- ... ...

Abstract	Objectives: The COVID-19 pandemic has changed patterns of smoking, other substance use and other health-related behaviours, leading to a virtualisation of non-urgent medical care. In this study, we examine associated changes in outcomes of smoking-cessation treatment. Design: Observational study. Setting: Data are drawn from 221 physician-led primary care practices participating in a smoking cessation program in Ontario, Canada. Participants: 43 509 patients (53% female), comprising 35 385 historical controls, 6109 people enrolled before the pandemic and followed up during it, and 1815 people enrolled after the pandemic began. Intervention: Nicotine-replacement therapy with counselling. Primary outcome measure: 7-day self-reported abstinence from cigarettes at a follow-up survey 6 months after entry. Results: For people followed up in the 6 months (6M) after the pandemic began, quit probability declined with date of enrolment. Predicted probabilities were 31.2% (95% CI 30.0% to 32.5%) for people enrolled in smoking cessation treatment 6 months prior to the emergency declaration and followed up immediately after the state of emergency was declared, and 24.1% (95% CI 22.1% to 26.2%) for those enrolled in treatment immediately before the emergency declaration and followed up 6M later (difference=-6.5%, 95% CI -9.0% to -3.9%). Seasonality and total treatment use did not explain this decline. Conclusion: The probability of successful smoking cessation following treatment fell during the pandemic, with the decline consistent with an effect of 'exposure' to the pandemic-era environment. As many changes happened simultaneously, specific causes cannot be identified; however, the possibility that virtual care has been less effective than in-person treatment should be explored.
MeSH term(s)	COVID-19 ; Female ; Humans ; Male ; Ontario/epidemiology ; Pandemics ; Primary Health Care ; SARS-CoV-2 ; Smoking Cessation ; Tobacco Use Cessation Devices
Language	English
Publishing date	2021-08-26
Publishing country	England
Document type	Journal Article ; Observational Study ; Research Support, Non-U.S. Gov't
ZDB-ID	2599832-8
ISSN	2044-6055 ; 2044-6055
ISSN (online)	2044-6055
ISSN	2044-6055
DOI	10.1136/bmjopen-2021-053075
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Healthcare Utilization, Costs, and Adverse Events of Real-Time Continuous Glucose Monitoring versus Traditional Blood Glucose Monitoring Among US Adults with Type 1 Diabetes.

Wong, Benjamin / Deng, Yalin / Rascati, Karen L

Journal of diabetes science and technology

2021 Volume 16, Issue 6, Page(s) 1393–1400

Abstract: Objective: To compare healthcare utilization, costs, and incidence of diabetes-specific adverse events (ie, hyperglycemia, diabetic ketoacidosis, and hypoglycemia) in type 1 diabetes adult patients using real-time continuous glucose monitoring (rtCGM) ... ...

Abstract	Objective: To compare healthcare utilization, costs, and incidence of diabetes-specific adverse events (ie, hyperglycemia, diabetic ketoacidosis, and hypoglycemia) in type 1 diabetes adult patients using real-time continuous glucose monitoring (rtCGM) versus traditional blood glucose monitoring (BG). Methods: Adult patients (≥18 years old) with type 1 diabetes in a large national administrative claims database between 2013 and 2015 were identified. rtCGM patients with 6-month continuous health plan enrollment and ≥1 pharmacy claim for insulin during pre-index and post-index periods were propensity-score matched with BG patients. Healthcare utilization associated with diabetic adverse events were examined. A difference-in-difference (DID) method was used to compare the change in costs between rtCGM and BG cohorts. Results: Six-month medical costs for rtCGM patients (N = 153) increased from pre- to post-index period, while they decreased for matched BG patients (N = 153). DID analysis indicated a $2,807 (P = .062) higher post-index difference in total medical costs for rtCGM patients. Pharmacy costs for both cohorts increased. DID analysis indicated a $1,775 (P < .001) higher post-index difference in pharmacy costs for rtCGM patients. The incidence of hyperglycemia for both cohorts increased minimally from pre- to post-index period. The incidence of hypoglycemia for rtCGM patients decreased, while it increased marginally for BG patients. Inpatient hospitalizations for rtCGM and BG patients increased and decreased marginally, respectively. Conclusions: rtCGM users had non-significantly higher pre-post differences in medical costs but significantly higher pre-post differences in pharmacy costs (mostly due to the rtCGM costs themselves) compared to BG users. Changes in adverse events were minimal.
MeSH term(s)	Adult ; Humans ; Adolescent ; Diabetes Mellitus, Type 1 ; Blood Glucose Self-Monitoring/methods ; Blood Glucose ; Hypoglycemic Agents ; Hypoglycemia ; Patient Acceptance of Health Care ; Hyperglycemia ; Retrospective Studies
Chemical Substances	Blood Glucose ; Hypoglycemic Agents
Language	English
Publishing date	2021-08-13
Publishing country	United States
Document type	Journal Article
ISSN	1932-2968
ISSN (online)	1932-2968
DOI	10.1177/19322968211031519
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Dopamine D1 and NMDA receptor co-regulation of protein translation in cultured nucleus accumbens neurons.

Zimbelman, Alexa R / Wong, Benjamin / Murray, Conor H / Wolf, Marina E / Stefanik, Michael T

bioRxiv : the preprint server for biology

2023

Abstract: Protein translation is essential for some forms of synaptic plasticity. We used nucleus accumbens (NAc) medium spiny neurons (MSN), co-cultured with cortical neurons to restore excitatory synapses, to examine whether dopamine modulates protein ... ...

Abstract	Protein translation is essential for some forms of synaptic plasticity. We used nucleus accumbens (NAc) medium spiny neurons (MSN), co-cultured with cortical neurons to restore excitatory synapses, to examine whether dopamine modulates protein translation in NAc MSN. FUNCAT was used to measure translation in MSNs under basal conditions and after disinhibiting excitatory transmission using the GABA
Language	English
Publishing date	2023-04-02
Publishing country	United States
Document type	Preprint
DOI	10.1101/2023.04.02.535293
Database	MEDical Literature Analysis and Retrieval System OnLINE

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