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https://www.readbyqxmd.com/read/27903565/improving-care-for-heart-failure-patients-in-primary-care-gps-perceptions-a-qualitative-evidence-synthesis
#1
Miek Smeets, Sara Van Roy, Bert Aertgeerts, Mieke Vermandere, Bert Vaes
OBJECTIVES: General practitioners (GPs) play a key role in heart failure (HF) management. Despite multiple guidelines, the management of patients with HF in primary care is suboptimal. Therefore, all the qualitative evidence concerning GPs' perceptions of managing HF in primary care was synthesised to identify barriers and facilitators for optimal care, and ideas for improvement. DESIGN: Qualitative evidence synthesis. METHODS: Searches of MEDLINE, EMBASE, Web of Science and CINAHL databases up to 20/12/2015 were conducted...
November 30, 2016: BMJ Open
https://www.readbyqxmd.com/read/27821622/interventions-for-reducing-parenting-stress-in-families-with-pediatric-conditions-an-integrative-review
#2
Nadya Golfenshtein, Einav Srulovici, Janet A Deatrick
Parenting stress increases in the presence of serious-acute or chronic pediatric health conditions, potentially triggering negative outcomes for families. Parenting stress reduction interventions have been widely disseminated. The current review describes the types, components, and outcomes of these interventions in diverse pediatric populations. A systematic literature search yielded 26 experimental and quasi-experimental studies describing such interventions. Quality assessment was conducted by two doctorally prepared nursing researchers using the Downs and Black's checklist for randomized and nonrandomized studies of health care interventions...
November 2016: Journal of Family Nursing
https://www.readbyqxmd.com/read/27815233/app-chronic-disease-checklist-protocol-to-evaluate-mobile-apps-for-chronic-disease-self-management
#3
Kevin Anderson, Oksana Burford, Lynne Emmerton
BACKGROUND: The availability of mobile health apps for self-care continues to increase. While little evidence of their clinical impact has been published, there is general agreement among health authorities and authors that consumers' use of health apps assist in self-management and potentially clinical decision making. A consumer's sustained engagement with a health app is dependent on the usability and functionality of the app. While numerous studies have attempted to evaluate health apps, there is a paucity of published methods that adequately recognize client experiences in the academic evaluation of apps for chronic conditions...
November 4, 2016: JMIR Research Protocols
https://www.readbyqxmd.com/read/27792800/cutaneous-allodynia-and-its-risk-factors-in-korean-patients-with-migraine-a-survey-of-two-tertiary-care-hospitals
#4
Sun-Young Kim, Sung-Pa Park
AIMS: To measure the prevalence of cutaneous allodynia in Korean patients with migraine and to characterize the differential risks of migraine-associated factors and psychiatric disorders in its development. METHODS: The study included consecutive patients with migraine who visited headache clinics at two tertiary care hospitals. Questionnaires including the 12-item Allodynia Symptom Checklist (ASC-12) and the Migraine Disability Assessment (MIDAS) were administered to the patients...
October 2016: Journal of Oral & Facial Pain and Headache
https://www.readbyqxmd.com/read/27757025/older-adults-attitudes-and-barriers-toward-the-use-of-mobile-phones
#5
Nasrin Navabi, Fatemeh Ghaffari, Zahra Jannat-Alipoor
BACKGROUND AND OBJECTIVES: The limitations caused by the process of aging and the prevalence of chronic diseases contribute to reduced performance in physical, psychological, and social areas of life in older people. The use of mobile phones as easily accessible portable tools with a high performance is associated with an increased health literacy, self-care, and independence in older people. The present study was conducted to determine older people's attitudes toward the use of mobile phones and the barriers to their use...
2016: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/27745723/-psychological-processes-of-stress-management-and-neuroendocrine-regulation-in-incarcerated-adolescent-offenders-a-pilot-study
#6
L Guillod, S Habersaat, M Suter, T Jeanneret, C Bertoni, P Stéphan, S Urben
BACKGROUND: Adolescence is a stressful period where important biological, psychological and social changes occur. Adolescents are particularly vulnerable during this developmental period and can use various strategies to deal with daily stress, such as substance use or externalizing behaviors. In previous studies, stress in adolescents with externalizing behaviors was often linked to ineffective cognitive coping strategies (i.e., constructive thinking) and overlooking the biological aspects involved in stress management such as neuroendocrine regulation...
October 10, 2016: L'Encéphale
https://www.readbyqxmd.com/read/27737686/effectiveness-of-a-pharmacist-driven-intervention-in-copd-epic-study-protocol-for-a-randomized-controlled-trial
#7
Erin Davis, Carlo Marra, John-Michael Gamble, Jamie Farrell, Joe Lockyer, J Mark FitzGerald, Waseem Abu-Ashour, Charlie Gillis, John Hawboldt
BACKGROUND: Patients with chronic obstructive pulmonary disease (COPD) are often nonadherent with medications and have poor inhaler technique. Community pharmacists can help to improve health-related quality of life and overall outcomes in patients with COPD. We aim to measure the effectiveness of a systematic, pharmacist-driven intervention on patients with diagnosed COPD. METHODS/DESIGN: This pragmatic, parallel-group, cluster randomized controlled trial is designed to determine the effectiveness of a multifactorial, pharmacist-led intervention on medication adherence, inhaler technique, health-related quality of life, health care resource utilization including COPD exacerbations, and use of medications...
October 13, 2016: Trials
https://www.readbyqxmd.com/read/27680986/functioning-among-youth-with-comorbid-mood-disorder-and-chronic-physical-illness-in-public-sector-care
#8
Amy E Green, John Ferrand, Gregory A Aarons
OBJECTIVE: The current study examines parent/caregiver and youth report of psychosocial and health-related functioning among youth served in public systems of care, with mood disorder only, comorbid mood disorder and chronic physical illness, and chronic physical illness only. METHOD: Participants were 539 youths (ages, 11-18; 64% male) with a mood disorder and/or chronic physical illness enrolled in a study of public sector care. Presence of mood disorder was based on youth report on the Diagnostic Interview Schedule for Children-IV...
October 2016: Journal of Developmental and Behavioral Pediatrics: JDBP
https://www.readbyqxmd.com/read/27633634/prognostic-variables-and-scores-identifying-the-last-year-of-life-in-copd-a-systematic-review-protocol
#9
Laura-Jane E Smith, Ifrah Ali, Patrick Stone, Liam Smeeth, Jennifer K Quint
INTRODUCTION: People living with advanced chronic obstructive pulmonary disease (COPD) suffer from significant morbidity, reduced quality of life and high mortality, and are likely to benefit from many aspects of a palliative care approach. Prognostic estimates are a meaningful part of decision-making and better evidence for such estimates would facilitate advance care planning. We aim to provide quality evidence on known prognostic variables and scores which predict a prognosis in COPD of <12 months for use in the community...
September 15, 2016: BMJ Open
https://www.readbyqxmd.com/read/27591017/barriers-and-facilitators-to-patient-and-public-engagement-and-recruitment-to-digital-health-interventions-protocol-of-a-systematic-review-of-qualitative-studies
#10
Siobhan O'Connor, Peter Hanlon, Catherine A O'Donnell, Sonia Garcia, Julie Glanville, Frances S Mair
INTRODUCTION: Patients and the public are beginning to use digital health tools to assist in managing chronic illness, support independent living and self-care, and remain connected to health and care providers. However, engaging with and enrolling in digital health interventions, such as telehealth systems, mobile health applications, patient portals and personal health records, in order to use them varies considerably. Many factors affect people's ability to engage with and sign up to digital health platforms...
2016: BMJ Open
https://www.readbyqxmd.com/read/27530563/relationship-between-spiritual-intelligence-and-self-care-of-hemodialysis-patients
#11
Fatemeh Merati Fashi, Behnam Khaledi-Paveh, Rostam Jalali, Amir Hossein Hashemian
BACKGROUND: Chronic renal failure is a progressive and irreversible disorder which disables kidneys to excrete metabolic waste and maintain fluid and electrolyte and exposes the patients to different types of malfunctions. Hemodialysis is one of the main treatments for chronic kidney failure patients. Despite the therapeutic effect of hemodialysis in end stage renal failure, patients experience multiple physical and psychological stresses. Since body and spirit are correlated, religious attitude and spiritual intelligence can act as a potential support...
2016: Global Journal of Health Science
https://www.readbyqxmd.com/read/27526704/gender-differences-in-major-depressive-disorder-findings-from-the-singapore-mental-health-study
#12
Louisa Picco, Mythily Subramaniam, Edimansyah Abdin, Janhavi Ajit Vaingankar, Siow Ann Chong
INTRODUCTION: Major depressive disorder (MDD) is one of the most common psychiatric disorders worldwide, and various sociodemographic risk factors including age, gender and ethnicity have been associated with MDD. The present study aimed to establish whether gender-specific differences relating to the prevalence and correlates of MDD existed in the Singapore adult resident population. METHODS: The Singapore Mental Health Study was a population-based, cross-sectional, epidemiological study among Singapore citizens and permanent residents aged 18 years and above...
August 16, 2016: Singapore Medical Journal
https://www.readbyqxmd.com/read/27472994/measurement-properties-of-instruments-evaluating-self-care-and-related-concepts-in-people-with-chronic-obstructive-pulmonary-disease-a-systematic-review
#13
REVIEW
Marco Clari, Maria Matarese, Rosaria Alvaro, Michela Piredda, Maria Grazia De Marinis
The use of valid and reliable instruments for assessing self-care is crucial for the evaluation of chronic obstructive pulmonary disease (COPD) management programs. The aim of this review is to evaluate the measurement properties and theoretical foundations of instruments for assessing self-care and related concepts in people with COPD. A systematic review was conducted of articles describing the development and validation of self-care instruments. The methodological quality of the measurement properties was assessed using the COSMIN checklist...
September 2016: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/27458496/a-randomized-exploratory-study-to-evaluate-two-acupuncture-methods-for-the-treatment-of-headaches-associated-with-traumatic-brain-injury
#14
Wayne B Jonas, Dawn M Bellanti, Charmagne F Paat, Courtney C Boyd, Alaine Duncan, Ashley Price, Weimin Zhang, Louis M French, Heechin Chae
Background: Headaches are prevalent among Service members with traumatic brain injury (TBI); 80% report chronic or recurrent headache. Evidence for nonpharmacologic treatments, such as acupuncture, are needed. Objective: The aim of this research was to determine if two types of acupuncture (auricular acupuncture [AA] and traditional Chinese acupuncture [TCA]) were feasible and more effective than usual care (UC) alone for TBI-related headache. Materials and Methods: Design: This was a three-armed, parallel, randomized exploratory study...
June 1, 2016: Medical Acupuncture
https://www.readbyqxmd.com/read/27456328/pilot-study-to-test-the-feasibility-of-a-trial-design-and-complex-intervention-on-prioritising-multimedication-in-multimorbidity-in-general-practices-primumpilot
#15
Christiane Muth, Sebastian Harder, Lorenz Uhlmann, Justine Rochon, Birgit Fullerton, Corina Güthlin, Antje Erler, Martin Beyer, Marjan van den Akker, Rafael Perera, André Knottnerus, Jose M Valderas, Ferdinand M Gerlach, Walter E Haefeli
OBJECTIVE: To improve medication appropriateness and adherence in elderly patients with multimorbidity, we developed a complex intervention involving general practitioners (GPs) and their healthcare assistants (HCA). In accordance with the Medical Research Council guidance on developing and evaluating complex interventions, we prepared for the main study by testing the feasibility of the intervention and study design in a cluster randomised pilot study. SETTING: 20 general practices in Hesse, Germany...
2016: BMJ Open
https://www.readbyqxmd.com/read/27422021/prevalence-of-and-factors-associated-with-homebound-status-among-adults-in-urban-and-rural-spanish-populations
#16
Laureano Negrón-Blanco, Jesús de Pedro-Cuesta, Javier Almazán, Carmen Rodríguez-Blázquez, Esther Franco, Javier Damián
BACKGROUND: There is a marked growth in the number of homebound older adults, due mainly to increased life expectancy. Although this group has special characteristics and needs, it has not been properly studied. This study thus aimed to measure the prevalence of homebound status in a community-dwelling population, and its association with both socio-demographic, medical and functional characteristics and the use of health care and social services. METHODS: We used instruments coming under the WHO International Classification of Functioning (ICF) framework to carry out a cross-sectional study on populations aged 50 years and over in the province of Zaragoza (Spain), covering a total of 1622 participants...
2016: BMC Public Health
https://www.readbyqxmd.com/read/27401511/resource-use-and-health-care-costs-of-copd-patients-at-the-end-of-life-a-systematic-review
#17
Kristof Faes, Veerle De Frène, Joachim Cohen, Lieven Annemans
CONTEXT: Patients with chronic obstructive pulmonary disease (COPD) in their final months of life potentially place a high burden upon health care systems. Concrete knowledge about resources used and costs incurred by those patients at the end of life is crucial for policymakers. OBJECTIVES: The aim of this systematic review was to describe the resources used and costs incurred by patients with COPD at the end of life. METHODS: We performed a comprehensive literature search in Medline, Web of Science and Econlit...
July 8, 2016: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/27364808/collaborative-care-for-depression-in-chronic-hepatitis-c-clinics
#18
Fasiha Kanwal, Jeffrey M Pyne, Shahriar Tavakoli-Tabasi, Susan Nicholson, Brian Dieckgraefe, Erma Storay, Matthew Bidwell Goetz, Donna L Smith, Shubhada Sansgiry, Allen Gifford, Steven M Asch
OBJECTIVE: Depression is highly prevalent yet underdiagnosed and undertreated among patients with chronic hepatitis C virus (HCV) infection. Collaborative care models have improved depression outcomes in primary care settings, and this study aimed to provide more information on testing such methods in specialty HCV care. METHODS: Hepatitis C Translating Initiatives for Depression Into Effective Solutions (HEPTIDES) was a randomized controlled trial that tested a collaborative depression care model in HCV clinics at four Veterans Affairs facilities...
July 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27301483/associations-between-chronic-conditions-body-functions-activity-limitations-and-participation-restrictions-a-cross-sectional-approach-in-spanish-non-clinical-populations
#19
Carmen Rodríguez-Blázquez, Javier Damián, María José Andrés-Prado, Javier Almazán-Isla, Enrique Alcalde-Cabero, Maria João Forjaz, Juan Manuel Castellote, Jesús González-Enríquez, Pablo Martínez-Martín, Magdalena Comín, Jesús de Pedro-Cuesta
OBJECTIVES: To analyse the relationships between chronic conditions, body functions, activity limitations and participation restrictions in the International Classification of Functioning, Disability and Health (ICF) framework. DESIGN: A cross-sectional study. SETTING: 2 geographical areas in the Autonomous Region of Aragon, Spain, namely, a rural area, Cinco Villas, and an urban area in the city of Zaragoza. PARTICIPANTS: 864 individuals selected by simple random sampling from the register of Social Security card holders, aged 50 years and over, positive to disability screening...
2016: BMJ Open
https://www.readbyqxmd.com/read/27242357/continuous-paravertebral-block-for-post-cardiothoracic-surgery-analgesia-a-systematic-review-and-meta-analysis
#20
Anje J Scarfe, Susanne Schuhmann-Hingel, Joanna K Duncan, Ning Ma, Yasoba N Atukorale, Alun L Cameron
A continuous paravertebral block is used when pain relief is required beyond the duration of a single-injection paravertebral block. Surgical procedures requiring an incision into the pleural cavity are some of the most painful procedures postoperatively and, if not managed appropriately, can lead to chronic pain. The current gold standard for post-cardiothoracic surgery pain management is epidural analgesia, which has contraindications, a failure rate of up to 12% and risk of complications such as epidural abscess and spinal haematoma...
May 30, 2016: European Journal of Cardio-thoracic Surgery
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