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https://www.readbyqxmd.com/read/28640845/is-self-assessment-of-medical-abortion-using-a-low-sensitivity-pregnancy-test-combined-with-a-checklist-and-phone-text-messages-feasible-in-south-african-primary-healthcare-settings-a-randomized-trial
#1
Deborah Constant, Jane Harries, Kristen Daskilewicz, Landon Myer, Kristina Gemzell-Danielsson
OBJECTIVE: To evaluate feasibility of self-assessment of medical abortion outcome using a low-sensitivity urine pregnancy test, checklist and text messages. The study assessed whether accurate self-assessment required a demonstration of the low-sensitivity urine pregnancy test or if verbal instructions suffice. METHODS: This non-inferiority trial enrolled 525 adult women from six public sector abortion clinics. Eligible women were undergoing medical abortion at gestations within 63 days...
2017: PloS One
https://www.readbyqxmd.com/read/28637449/task-shifting-interpersonal-counseling-for-depression-a-pragmatic-randomized-controlled-trial-in-primary-care
#2
Camila T Matsuzaka, Milton Wainberg, Andrea Norcini Pala, Elis V Hoffmann, Bruno M Coimbra, Rosaly F Braga, Annika C Sweetland, Marcelo F Mello
BACKGROUND: Task shifting approaches (rational redistribution of tasks among health workforce teams) to train lay professionals to assist with integrating mental health treatment in primary care has been recommended to close the mental health treatment gap for depression in low- and middle-income countries. This study aims to examine the a new model for depression care in a low-resource environment compared to enhanced treatment at usual (E-TAU). METHODS: We trained non-specialist community health workers (local lay employees of the public health system) to provide Interpersonal Counseling (IPC) to treat depressive symptoms in the Brazilian, São Paulo city, family health strategy (FHS)...
June 21, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28614520/lay-agency-and-the-generation-of-public-private-mix-health-care-maps
#3
Consuelo Sampaio Meneses, Luiz Carlos de Oliveira Cecilio, Rosemarie Andreazza, Graça Carapinheiro, Maria da Graça Garcia Andrade, Sílvia Maria Santiago, Eliane Cardoso Araújo, Ana Lúcia Medeiros Souza, Denizi Oliveira Reis, Nicanor Rodrigues da Silva Pinto, Sandra Maria Spedo
This paper discusses part of the results obtained from a study carried out in two cities of the so-called ABCD Paulista Region in the period 2010-2012, in an attempt to spot the existence of non-state regulatory rationale towards access and consumption of health care services. The first stage includes interviews carried out with strategic stakeholders (managers and politicians) and key workers players. The second stage collected the stories of 18 very frequent users of health care services. This study revealed the leading role played by users to produce "health care maps", with emphasis on the frequent use of public and private resources in their itineraries, circumventing or merging with government regulation to obtain the care they need...
June 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28585044/lifestyle-tailored-interventions-for-south-asians-with-type-2-diabetes-living-in-high-income-countries-a-systematic-review
#4
Paola Ballotari, Francesca Ferrari, Luciana Ballini, Antonio Chiarenza, Valeria Manicardi, Paolo Giorgi Rossi
AIM: To summarize evidence on the effectiveness of educational interventions for type 2 diabetes control in South Asians living in high-income countries. METHODS: We systematically searched PubMed, EMBASE, Cinahl and the Cochrane Library, using Medical Subject Heading and free-text terms. The considered outcomes were: mortality, morbidity, glycaemic control, blood pressure, practice (diet, physical activity and self-care), attitudes/awareness and knowledge. Papers published up to July 2015 were considered...
June 6, 2017: Acta Diabetologica
https://www.readbyqxmd.com/read/28582445/human-resources-and-models-of-mental-healthcare-integration-into-primary-and-community-care-in-india-case-studies-of-72-programmes
#5
Nadja van Ginneken, Meera S Maheedhariah, Sarah Ghani, Jayashree Ramakrishna, Anusha Raja, Vikram Patel
BACKGROUND: Given the scarcity of specialist mental healthcare in India, diverse community mental healthcare models have evolved. This study explores and compares Indian models of mental healthcare delivered by primary-level workers (PHW), and health workers' roles within these. We aim to describe current service delivery to identify feasible and acceptable models with potential for scaling up. METHODS: Seventy two programmes (governmental and non-governmental) across 12 states were visited...
2017: PloS One
https://www.readbyqxmd.com/read/28577639/pediatric-dental-focused-interprofessional-interventions-rethinking-early-childhood-oral-health-management
#6
REVIEW
Burton L Edelstein
Evidence of effectiveness for prevention of early childhood caries suggests that parent engagement needs to occur perinatally and that unconventional providers, helping professionals like social workers and dietitians and lay health workers like community health workers, are most effective. This finding, coupled with the emergence of population-based accountable care, value-based purchasing with global payments, understanding of common risk factors for multiple conditions, and social determinants of health behaviors, calls for a rethinking of early childhood oral health care...
July 2017: Dental Clinics of North America
https://www.readbyqxmd.com/read/28564547/challenges-to-the-provision-of-community-aged-care-services-across-rural-australia-perceptions-of-service-managers
#7
Pauline Savy, Jeni Warburton, Suzanne Hodgkin
INTRODUCTION: The Australian community aged care sector is facing a growing workforce crisis, particularly in rural and regional areas. Its predominantly female workforce is ageing, and recruiting younger, skilled workers is proving difficult. The service sector, too, is proving highly complex and diverse as a result of contemporary aged care service reforms as well as ongoing difficulties in providing services to the growing numbers of older people living in Australia's rural areas. Despite these multiple challenges, there is a gap in research that explores how rural aged care services manage their day-to-day requirements for skilled workers across the diverse service sector...
April 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28545307/examining-occupational-health-and-safety-vulnerability-among-canadian-workers-with-disabilities
#8
F Curtis Breslin, A Morgan Lay, Arif Jetha, Peter Smith
OBJECTIVE: To compare workers with and without disabilities on their reported workplace hazard exposure and the presence of occupational health and safety vulnerability factors. METHODS: Working-aged adults in Ontario or British Columbia were recruited to participate in a cross-sectional survey (n = 1988). Self-reported measures included demographic factors, work-related variables, perceived level of activity limitation at work, and presence of work safety vulnerability factors utilizing a novel framework...
May 26, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28486980/task-shifting-of-triage-to-peer-expert-informal-care-providers-at-a-tertiary-referral-hiv-clinic-in-malawi-a-cross-sectional-operational-evaluation
#9
Megan Landes, Courtney Thompson, Edson Mwinjiwa, Edith Thaulo, Chrissie Gondwe, Harriet Akello, Adrienne K Chan
BACKGROUND: HIV treatment models in Africa are labour intensive and require a high number of skilled staff. In this context, task-shifting is considered a feasible alternative for ART service delivery. In 2006, a lay health cadre of expert patients (EPs) at a tertiary referral HIV clinic in Zomba, Malawi was capacitated. There are few evaluations of EP program efficacy in this setting. Triage is the process of prioritizing patients in terms of the severity of their condition and ensures that no harmful delays occur to treatment and care...
May 9, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28482899/improving-access-to-health-care-amongst-vulnerable-populations-a-qualitative-study-of-village-malaria-workers-in-kampot-cambodia
#10
Marco Liverani, Chea Nguon, Ra Sok, Daro Kim, Panharith Nou, Sokhan Nguon, Shunmay Yeung
BACKGROUND: There is growing interest in the expansion of community health workers programmes in low- and middle-income countries as a cost-effective approach to address shortages of health professionals. However, our understanding of the reception of large-scale programmes and how to improve them remains limited, with knowledge gaps about factors that may promote or discourage equitable access to services. This paper examines the case of the Village Malaria Workers (VMW) programme in Cambodia, an extensive community-based intervention for the management of malaria cases in remote rural areas...
May 8, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28456615/a-pilot-study-of-trabajadora-de-salud-a-lay-health-worker-intervention-for-latinas-os-with-traumatic-brain-injuries-and-their-caregivers
#11
Kristen F Linton, Bum Jung Kim
BACKGROUND: Latinas/os with traumatic brain injuries (TBIs) and their caregivers experience worse outcomes than others. OBJECTIVE: The study aimed to assess the acceptability and promise of Trabajadora de Salud on the functional abilities, hospital readmission, rehabilitation, employment, depression, somatic symptoms, and caregiver burden among Latinas/os with TBIs and their caregivers. METHODS: A pre-posttest experimental pilot study was conducted...
April 21, 2017: Disability and Health Journal
https://www.readbyqxmd.com/read/28436276/should-trained-lay-providers-perform-hiv-testing-a-systematic-review-to-inform-world-health-organization-guidelines
#12
C E Kennedy, P T Yeh, C Johnson, R Baggaley
New strategies for HIV testing services (HTS) are needed to achieve UN 90-90-90 targets, including diagnosis of 90% of people living with HIV. Task-sharing HTS to trained lay providers may alleviate health worker shortages and better reach target groups. We conducted a systematic review of studies evaluating HTS by lay providers using rapid diagnostic tests (RDTs). Peer-reviewed articles were included if they compared HTS using RDTs performed by trained lay providers to HTS by health professionals, or to no intervention...
April 24, 2017: AIDS Care
https://www.readbyqxmd.com/read/28425023/challenges-and-opportunities-in-global-mental-health-a-research-to-practice-perspective
#13
REVIEW
Milton L Wainberg, Pamela Scorza, James M Shultz, Liat Helpman, Jennifer J Mootz, Karen A Johnson, Yuval Neria, Jean-Marie E Bradford, Maria A Oquendo, Melissa R Arbuckle
PURPOSE OF REVIEW: Globally, the majority of those who need mental health care worldwide lack access to high-quality mental health services. Stigma, human resource shortages, fragmented service delivery models, and lack of research capacity for implementation and policy change contribute to the current mental health treatment gap. In this review, we describe how health systems in low- and middle-income countries (LMICs) are addressing the mental health gap and further identify challenges and priority areas for future research...
May 2017: Current Psychiatry Reports
https://www.readbyqxmd.com/read/28407262/lay-worker-health-literacy-a-concept-analysis-and-operational-definition
#14
Kathleen Paco Cadman
The concept of lay worker health literacy is created by concurrently analyzing and synthesizing two intersecting concepts, lay workers and health literacy. Articulation of this unique intersection is the result of implementing a simplified Wilson's Concept Analysis Procedure. This process incorporates the following components: a) selecting a concept, b) determining the aims/purposes of analysis, c) identifying all uses of the concept, d) determining defining attributes, e) identifying a model case, f) identifying borderline, related, contrary, and illegitimate cases, g) identifying antecedents and consequences, and h) defining empirical referents...
April 13, 2017: Nursing Forum
https://www.readbyqxmd.com/read/28400954/increasing-use-of-mental-health-services-in-remote-areas-using-mobile-technology-a-pre-post-evaluation-of-the-smart-mental-health-project-in-rural-india
#15
Pallab K Maulik, Sudha Kallakuri, Siddhardha Devarapalli, Vamsi Krishna Vadlamani, Vivekanand Jha, Anushka Patel
BACKGROUND: About 25% of the Indian population experience common mental disorders (CMD) but only 15-25% of them receive any mental health care. Stigma, lack of adequate mental health professionals and mental health services account for this treatment gap, which is worse in rural areas. Our project evaluated task shifting and mobile-technology based electronic decision support systems to enhance the ability of primary care health workers to provide evidence-based mental health care for stress, depression, and suicidal risk in 30 remote villages in the state of Andhra Pradesh, India...
June 2017: Journal of Global Health
https://www.readbyqxmd.com/read/28400951/contribution-of-community-health-workers-to-improving-access-to-timely-and-appropriate-case-management-of-childhood-fever-in-mozambique
#16
Tanya Guenther, Salim Sadruddin, Karen Finnegan, Erica Wetzler, Fatima Ibo, Paulo Rapaz, Jeanne Koepsell, Ibad Ul Haque Khan, Agbessi Amouzou
BACKGROUND: Large scale evaluations in several settings have demonstrated that lay community health workers can be trained to provide quality case management of childhood illnesses. In 2010, Mozambique introduced the integrated community case management (iCCM) strategy to reach children in remote areas with care provided through Agentes Polivalentes Elementares (APEs). We assessed the contribution of the program to improved care-seeking and appropriate treatment of childhood febrile illness in Nampula Province...
June 2017: Journal of Global Health
https://www.readbyqxmd.com/read/28399952/reducing-the-treatment-gap-for-mental-neurological-and-substance-use-disorders-in-africa-lessons-from-the-friendship-bench-in-zimbabwe
#17
D Chibanda
Mental, neurological and substance use disorders (MNS) are a leading cause of disability in Africa. In response to the large treatment gap for MNS, a growing body of evidence-based treatments (EBTs) is emerging from Africa; however, there is a dearth of knowledge on how to scale up EBT. The Friendship Bench intervention is a brief psychological treatment delivered through the primary health care system in Zimbabwe by trained lay health workers. It has contributed significantly towards narrowing the treatment gap for common mental disorders in Zimbabwe where it has been scaled up to over 70 primary health care facilities...
April 12, 2017: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/28393741/impact-and-acceptability-of-lay-health-trainer-led-lifestyle-interventions-delivered-in-primary-care-a-mixed-method-study
#18
Shelina Visram
Aim To evaluate the impact and acceptability of offering one-to-one lifestyle interventions delivered by lay health trainers in the primary care setting. BACKGROUND: Chronic conditions represent major causes of ill-health, avoidable disability, pain and anxiety, and tend to be more prevalent in less affluent groups. This is due, in part, to the link between unhealthy lifestyles and lower socio-economic status, although factors such as poverty, worklessness and social exclusion play a larger role...
April 10, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28370767/insiders-and-incomers-how-lay-public-health-workers-knowledge-might-improve-public-health-practice
#19
Heather Yoeli, Mima Cattan
Since 2005, health trainers and other lay public health workers (LPHWs) have been increasingly active in the UK. Although elsewhere in the world LPHWs are expected to come from the communities within which they work and know that their knowledge is valued, neither is the case for LPHWs in the UK. This study sought to discover the lay knowledge of health trainers and other LPHWs, aiming to ascertain how this knowledge might more effectively be utilised within UK public health services. This paper describes a participatory and ethnographic case study research project undertaken on an anonymised urban estate in North East England...
March 28, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28353007/clarifying-values-and-preferences-for-care-near-the-end-of-life-the-role-of-a-new-lay-workforce
#20
Debra K Litzelman, Thomas S Inui, Kathleen M Schmitt-Wendholt, Anthony Perkins, Wilma J Griffin, Ann H Cottingham, Steven S Ivy
Community health workers (CHWs) can engage elderly persons in advance care planning (ACP) conversations. We report how trained CHWs used Go Wish cards (GW (R) cards) to identify patients' highest priority preferences and evaluated whether engaging in ACP conversations was associated with subsequent health care utilization. A one-year long, pre-post longitudinal design was used to evaluate our educational intervention using mixed-methods. 392 patients (mean of 73.3 years, 82% women, 48% African American, 43% Caucasian) enrolled in the Aging Brain Care (ABC) program and participated in ACP discussions with CHWs...
March 28, 2017: Journal of Community Health
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