keyword
https://read.qxmd.com/read/37933459/a-mixed-methods-approach-to-understanding-barriers-and-facilitators-to-healthy-eating-and-exercise-from-five-european-countries-highlighting-the-roles-of-enjoyment-emotion-and-social-engagement
#1
JOURNAL ARTICLE
Sarah Snuggs, Sophie Clot, Daniel Lamport, Anumeha Sah, Joseph Forrest, Agnes Helme Guizon, Amanpreet Kaur, Zara Iqbal, Cindy Caldara, Marie-Claire Wilhelm, Camille Anin, Julia Vogt
Healthy adults are consistently falling below national and international recommendations for physical activity and dietary intake across Europe. This study took a co-creative approach with adult samples from five European countries to qualitatively and quantitatively establish motivators, barriers and sustaining factors for positive health behaviour change. Stage 1 delivered a newly-designed online programme, creating a community who identified challenges, motivators and solutions to sustaining positive healthy eating and physical activity behaviours...
November 7, 2023: Psychology & Health
https://read.qxmd.com/read/36466759/-the-more-you-give-the-better-it-is-for-you-you-know-the-reward-is-greater-than-the-effort-the-compassionate-communities-connectors-experience
#2
JOURNAL ARTICLE
Samar M Aoun, Robyn Richmond, Kerrie Noonan, Kerry Gunton, Bruce Rumbold
BACKGROUND: The Compassionate Communities Connectors programme is a volunteer-led initiative designed to enhance the social networks of families living with chronic or life-limiting illnesses. Specially trained volunteers supported existing members of the families' social networks and also enlisted the support of community members, Caring Helpers, to address the social and practical needs of these families. The programme is an initiative of The South West Compassionate Communities Network in Western Australia, in partnership with the health service...
2022: Palliative care and social practice
https://read.qxmd.com/read/33020085/pushing-the-limits-of-recovery-in-chronic-stroke-survivors-a-descriptive-qualitative-study-of-users-perceptions-of-the-queen-square-upper-limb-neurorehabilitation-programme
#3
JOURNAL ARTICLE
Kate Kelly, Fran Brander, Amanda Strawson, Nick Ward, Kathryn Hayward
INTRODUCTION: The Queen Square Upper Limb (QSUL) Neurorehabilitation Programme is a clinical service within the National Health Service in the UK that provides 90-hours of therapy over 3-weeks to stroke survivors with persistent upper limb impairment. This study aimed to explore the perceptions of participants of this programme, including clinicians, stroke survivors and caregivers. DESIGN: Descriptive qualitative. Data analysis was performed using a conventional thematic content approach to identify main themes by four researchers to avoid any potential bias or personal motivations, promoting confirmability...
October 5, 2020: BMJ Open
https://read.qxmd.com/read/32770998/how-should-community-health-workers-in-fragile-contexts-be-supported-qualitative-evidence-from-sierra-leone-liberia-and-democratic-republic-of-congo
#4
JOURNAL ARTICLE
Joanna Raven, Haja Wurie, Ayesha Idriss, Abdulai Jawo Bah, Amuda Baba, Gartee Nallo, Karsor K Kollie, Laura Dean, Rosie Steege, Tim Martineau, Sally Theobald
BACKGROUND: Community health workers (CHWs) are critical players in fragile settings, where staff shortages are particularly acute, health indicators are poor and progress towards Universal Health Coverage is slow. Like other health workers, CHWs need support to contribute effectively to health programmes and promote health equity. Yet the evidence base of what kind of support works best is weak. We present evidence from three fragile settings-Sierra Leone, Liberia and Democratic Republic of Congo on managing CHWs, and synthesise recommendations for best approaches to support this critical cadre...
August 8, 2020: Human Resources for Health
https://read.qxmd.com/read/32414827/understanding-how-community-antiretroviral-delivery-influences-engagement-in-hiv-care-a-qualitative-assessment-of-the-centralised-chronic-medication-dispensing-and-distribution-programme-in-south-africa
#5
JOURNAL ARTICLE
Jienchi Dorward, Lindani Msimango, Andrew Gibbs, Hlengiwe Shozi, Sarah Tonkin-Crine, Gail Hayward, Christopher C Butler, Hope Ngobese, Paul K Drain, Nigel Garrett
INTRODUCTION: Providing antiretroviral therapy (ART) for millions of people living with HIV requires efficient, client-centred models of differentiated ART delivery. In South Africa, the Centralised Chronic Medication Dispensing and Distribution (CCMDD) programme allows over 1 million people to collect chronic medication, including ART, from community pick-up points. We aimed to explore how CCMDD influences engagement in HIV care. METHODS: We performed in-depth interviews and focus group discussions with clients receiving ART and healthcare workers in Durban, South Africa...
May 15, 2020: BMJ Open
https://read.qxmd.com/read/30763522/accommodating-to-a-troubled-life-chronic-obstructive-pulmonary-disease-patients-experiences-and-perceptions-of-self-image-during-the-course-of-rehabilitation
#6
JOURNAL ARTICLE
Charlotte Simonÿ, Ingrid Charlotte Andersen, Uffe Bodtger, Regner Birkelund
Background: To tailor future rehabilitation programmes for patients with chronic pulmonary obstructive disease, there is a need for more in-depth knowledge about what is essential to these patients and how they perceive their self-image while participating in rehabilitation. Therefore, this study aims to explore patients' experiences and perception of self-image during pulmonary rehabilitation. Methods: Twenty-one patients were followed by participant observations during standard rehabilitation complicity supplemented with final individual interviews...
August 2020: Disability and Rehabilitation
https://read.qxmd.com/read/30563507/promoting-exercise-training-and-physical-activity-in-daily-life-a-feasibility-study-of-a-virtual-group-intervention-for-behaviour-change-in-copd
#7
JOURNAL ARTICLE
Tatjana M Burkow, Lars K Vognild, Elin Johnsen, Astrid Bratvold, Marijke Jongsma Risberg
BACKGROUND: Physical inactivity is associated with poor health outcomes in chronic obstructive pulmonary disease (COPD). It is therefore crucial for patients to have a physically active lifestyle. The aims of this feasibility study were to assess a tablet-based physical activity behavioural intervention in virtual groups for COPD regarding 1) patients' acceptance 2) technology usability 3) patients' exercise programme adherence and 4) changes in patients' physical activity level. METHODS: We used an application with functionality for a virtual peer group, a digital exercise diary, a follow-along exercise video, and visual rewards on the home screen wallpaper...
December 18, 2018: BMC Medical Informatics and Decision Making
https://read.qxmd.com/read/29796072/advanced-critical-care-practitioners-practical-experience-of-implementing-the-advanced-critical-care-practitioner-faculty-of-intensive-care-medicine-curriculum-in-a-london-critical-care-unit
#8
JOURNAL ARTICLE
Geraldine Lee, Jo-Anne Gilroy, Alistair Ritchie, Vimal Grover, Keetje Gull, Pascale Gruber
With a chronic shortage of doctors in intensive care, alternative roles are being explored. One of these is the role of the Advanced Critical Care Practitioner. The Advanced Critical Care Practitioner Curriculum was developed by the Faculty of Intensive Care Medicine and is used to provide a structured programme of training. The Advanced Critical Care Practitioner programme consists of an academic and clinical component. This article outlines a practical approach of how the programme was developed and is currently being delivered at a single institution...
May 2018: Journal of the Intensive Care Society
https://read.qxmd.com/read/25811487/impact-of-stretch-targets-for-cardiovascular-disease-management-within-a-local-pay-for-performance-programme
#9
JOURNAL ARTICLE
Utz J Pape, Kit Huckvale, Josip Car, Azeem Majeed, Christopher Millett
Pay-for-performance programs are often aimed to improve the management of chronic diseases. We evaluate the impact of a local pay for performance programme (QOF+), which rewarded financially more ambitious quality targets ('stretch targets') than those used nationally in the Quality and Outcomes Framework (QOF). We focus on targets for intermediate outcomes in patients with cardiovascular disease and diabetes. A difference-in-difference approach is used to compare practice level achievements before and after the introduction of the local pay for performance program...
2015: PloS One
https://read.qxmd.com/read/23543567/computer-based-diabetes-self-management-interventions-for-adults-with-type-2-diabetes-mellitus
#10
REVIEW
Kingshuk Pal, Sophie V Eastwood, Susan Michie, Andrew J Farmer, Maria L Barnard, Richard Peacock, Bindie Wood, Joni D Inniss, Elizabeth Murray
BACKGROUND: Diabetes is one of the commonest chronic medical conditions, affecting around 347 million adults worldwide. Structured patient education programmes reduce the risk of diabetes-related complications four-fold. Internet-based self-management programmes have been shown to be effective for a number of long-term conditions, but it is unclear what are the essential or effective components of such programmes. If computer-based self-management interventions improve outcomes in type 2 diabetes, they could potentially provide a cost-effective option for reducing the burdens placed on patients and healthcare systems by this long-term condition...
March 28, 2013: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/23020045/epigenetic-regulation-in-drug-addiction
#11
REVIEW
Przemysław Biliński, Andrzej Wojtyła, Lucyna Kapka-Skrzypczak, Roman Chwedorowicz, Małgorzata Cyranka, Tadeusz Studziński
The interaction between environmental signals and genes has now taken on a clear molecular form as demonstrated by stable changes in chromatin structure. These changes occur through activation or repression of specific gene programmes by a combination of chromatin remodelling, activation and enzymatic modification of DNA and histones as well as nucleosomal subunit exchange. Recent research investigating the molecular mechanisms controlling drug-induced transcriptional, behavioural and synaptic activity has shown a direct role for chromatin remodelling--termed as epigenetic regulation--of neuronal gene programmes and subsequent addictive behaviour arising from it...
2012: Annals of Agricultural and Environmental Medicine: AAEM
https://read.qxmd.com/read/22966110/pay-for-performance-in-the-united-kingdom-impact-of-the-quality-and-outcomes-framework-a-systematic-review
#12
REVIEW
Stephen J Gillam, A Niroshan Siriwardena, Nicholas Steel
PURPOSE: Primary care practices in the United Kingdom have received substantial financial rewards for achieving standards set out in the Quality and Outcomes Framework since April 2004. This article reviews the growing evidence for the impact of the framework on the quality of primary medical care. METHODS: Five hundred seventy-five articles were identified by searching the MEDLINE, EMBASE, and PsycINFO databases, and from the reference lists of published reviews and articles...
September 2012: Annals of Family Medicine
https://read.qxmd.com/read/22507660/incentive-payments-are-not-related-to-expected-health-gain-in-the-pay-for-performance-scheme-for-uk-primary-care-cross-sectional-analysis
#13
JOURNAL ARTICLE
Robert Fleetcroft, Nicholas Steel, Richard Cookson, Simon Walker, Amanda Howe
BACKGROUND: The General Medical Services primary care contract for the United Kingdom financially rewards performance in 19 clinical areas, through the Quality and Outcomes Framework. Little is known about how best to determine the size of financial incentives in pay for performance schemes. Our aim was to test the hypothesis that performance indicators with larger population health benefits receive larger financial incentives. METHODS: We performed cross sectional analyses to quantify associations between the size of financial incentives and expected health gain in the 2004 and 2006 versions of the Quality and Outcomes Framework...
April 16, 2012: BMC Health Services Research
https://read.qxmd.com/read/22204698/dealing-with-locally-driven-degradation-a-quick-start-option-under-redd
#14
JOURNAL ARTICLE
Margaret M Skutsch, Arturo Balderas Torres, Tuyeni H Mwampamba, Adrian Ghilardi, Martin Herold
The paper reviews a number of challenges associated with reducing degradation and its related emissions through national approaches to REDD+ under UNFCCC policy. It proposes that in many countries, it may in the short run be easier to deal with the kinds of degradation that result from locally driven community over-exploitation of forest for livelihoods, than from selective logging or fire control. Such degradation is low-level, but chronic, and is experienced over very large forest areas. Community forest management programmes tend to result not only in reduced degradation, but also in forest enhancement; moreover they are often popular, and do not require major political shifts...
2011: Carbon Balance and Management
https://read.qxmd.com/read/20038190/ongoing-pharmaceutical-reforms-in-france-implications-for-key-stakeholder-groups
#15
REVIEW
Catherine Sermet, Veronique Andrieu, Brian Godman, Eric Van Ganse, Alan Haycox, Jean-Pierre Reynier
The rapid rise in pharmaceutical costs in France has been driven by new technologies and the growing prevalence of chronic diseases as well as considerable prescribing freedom and choice of physician among patients. This has led to the introduction of a number of reforms and initiatives in an attempt to moderate expenditure whilst ensuring universal coverage and rewarding innovation. These reforms include accelerating access to and granting average European prices for new innovative drugs, delisting drugs where there are concerns over their value and instigating rebates for excessive prescribing...
2010: Applied Health Economics and Health Policy
https://read.qxmd.com/read/19879294/field-programmable-gate-array-implementation-of-a-probabilistic-neural-network-for-motor-cortical-decoding-in-rats
#16
JOURNAL ARTICLE
Fan Zhou, Jun Liu, Yi Yu, Xiang Tian, Hui Liu, Yaoyao Hao, Shaomin Zhang, Weidong Chen, Jianhua Dai, Xiaoxiang Zheng
A practical brain-machine interface (BMI) requires real-time decoding algorithms to be realised in a portable device rather than a personal computer. In this article, a field-programmable gate array (FPGA) implementation of a probabilistic neural network (PNN) is proposed and developed to decode motor cortical ensemble recordings in rats performing a lever-pressing task for water rewards. A chronic 16-channel microelectrode array was implanted into the primary motor cortex of the rat to record neural activity, and the pressure signal of the lever were recorded simultaneously...
January 15, 2010: Journal of Neuroscience Methods
https://read.qxmd.com/read/19802522/a-narrative-review-on-the-management-of-medication-overuse-headache-the-steep-road-from-experience-to-evidence
#17
REVIEW
Paolo Rossi, Rigmor Jensen, Giuseppe Nappi, Marta Allena
The management of medication overuse headache (MOH) is based essentially on the withdrawal of the overused drug(s). Drug withdrawal is performed according to widely differing protocols, both within and across countries; therefore, therapeutic recommendations for the acute phase of detoxification vary considerably among studies. Basically, the aims of MOH management are: (a) to withdraw the overused drug(s); (b) to alleviate withdrawal symptoms by means of a bridge therapy, which includes pharmacological and non-pharmacological support, designed to help the patient to tolerate the withdrawal process; (c) to prevent relapse...
December 2009: Journal of Headache and Pain
https://read.qxmd.com/read/19505787/obstacles-to-patient-education-in-chronic-diseases-a-trans-theoretical-analysis
#18
JOURNAL ARTICLE
Gérard Reach
OBJECTIVE: The aim of this article is to discuss the background and the consequences of preference on short-term rewards by individuals, which represents an obstacle to any educational programme aimed to prevent long-term complications of chronic diseases such as diabetes, hypertension or obesity. METHODS: We used a trans-theoretical analysis referring to three theories: (1) Construal Level Theory (Trope and Liberman) suggests that the human mind tends to assign remote events as "high-level" criteria, abstraction, in particular, and to proximal events as "low-level" criteria, a concrete description, in particular...
November 2009: Patient Education and Counseling
https://read.qxmd.com/read/19474232/cascading-crises-resilience-and-social-support-within-the-onset-and-development-of-multiple-chronic-conditions
#19
JOURNAL ARTICLE
Dave Sells, William H Sledge, Melissa Wieland, David Walden, Elizabeth Flanagan, Rebecca Miller, Larry Davidson
OBJECTIVE: To describe and better understand adults' responses to the onset, accrual and influence of multiple chronic conditions and to social support in adapting to consequent difficulties. METHODS: Qualitative study of 33 adults with multiple chronic illnesses randomly sampled from an urban primary care clinic. Semi-structured interviews targeted retrospective accounts of illness onset, consequent loss, as well as current accounts of social support and adaptation...
June 2009: Chronic Illness
https://read.qxmd.com/read/17430445/using-the-chronic-care-model-to-tackle-depression-among-older-adults-who-have-long-term-physical-conditions
#20
REVIEW
P McEvoy, P Barnes
Effective psychological and pharmacological treatments are available, but for depressed older adults with long-term physical conditions, the outcome of routine care is generally poor. This paper introduces the chronic care model, a systemic approach to quality improvement and service redesign, which was developed by Ed Wagner and colleagues. The model highlights six key areas that need to be addressed, if depression is to be tackled more effectively in this neglected patient group: delivery system design, patient-provider relationships, decision support, clinical information systems, community resources and healthcare organization...
May 2007: Journal of Psychiatric and Mental Health Nursing
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