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https://www.readbyqxmd.com/read/28067585/folic-acid-education-for-hispanic-women-the-promotora-de-salud-model
#1
Alina L Flores, Jennifer Isenburg, Christina L Hillard, Leslie deRosset, Lisa Colen, Troy Bush, Cara T Mai
BACKGROUND: Although rates of neural tube defects (NTDs) have declined in the United States since fortification, disparities still exist with Hispanic women having the highest risk of giving birth to a baby with a NTD. The Promotora de Salud model using community lay health workers has been shown to be an effective tool for reaching Hispanics for a variety of health topics; however, literature on its effectiveness in folic acid interventions is limited. MATERIALS AND METHODS: An intervention using the Promotora de Salud model was implemented in four U...
January 9, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/28056877/antenatal-care-trial-interventions-a-systematic-scoping-review-and-taxonomy-development-of-care-models
#2
Andrew Symon, Jan Pringle, Soo Downe, Vanora Hundley, Elaine Lee, Fiona Lynn, Alison McFadden, Jenny McNeill, Mary J Renfrew, Mary Ross-Davie, Edwin van Teijlingen, Heather Whitford, Fiona Alderdice
BACKGROUND: Antenatal care models vary widely around the world, reflecting local contexts, drivers and resources. Randomised controlled trials (RCTs) have tested the impact of multi-component antenatal care interventions on service delivery and outcomes in many countries since the 1980s. Some have applied entirely new schemes, while others have modified existing care delivery approaches. Systematic reviews (SRs) indicate that some specific antenatal interventions are more effective than others; however the causal mechanisms leading to better outcomes are poorly understood, limiting implementation and future research...
January 6, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28030929/risk-exposure-to-vibration-and-noise-in-the-use-of-agricultural-track-laying-tractors
#3
Mariangela Vallone, Filippa Bono, Elisabeth Quendler, Pierluigi Febo, Pietro Catania
Human exposure to mechanical vibration may represent a significant risk factor for exposed workers in the agricultural sector. Also, noise in agriculture is one of the risk factors to be taken into account in the evaluation of workers' health and safety. One of the major sources of discomfort for the workers operating a tractors is the noise to which they are exposed during work. The aim of this study was to evaluate the risk of exposure to whole-body vibration for the operator driving track-laying tractors in vineyard orchard and the noise level...
23, 2016: Annals of Agricultural and Environmental Medicine: AAEM
https://www.readbyqxmd.com/read/28027368/effect-of-a-primary-care-based-psychological-intervention-on-symptoms-of-common-mental-disorders-in-zimbabwe-a-randomized-clinical-trial
#4
Dixon Chibanda, Helen A Weiss, Ruth Verhey, Victoria Simms, Ronald Munjoma, Simbarashe Rusakaniko, Alfred Chingono, Epiphania Munetsi, Tarisai Bere, Ethel Manda, Melanie Abas, Ricardo Araya
Importance: Depression and anxiety are common mental disorders globally but are rarely recognized or treated in low-income settings. Task-shifting of mental health care to lay health workers (LHWs) might decrease the treatment gap. Objective: To evaluate the effectiveness of a culturally adapted psychological intervention for common mental disorders delivered by LHWs in primary care. Design, Setting, and Participants: Cluster randomized clinical trial with 6 months' follow-up conducted from September 1, 2014, to May 25, 2015, in Harare, Zimbabwe...
27, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27986352/colorectal-cancer-screening-and-chinese-americans-efficacy-of-lay-health-worker-outreach-and-print-materials
#5
Tung T Nguyen, Janice Y Tsoh, Kent Woo, Susan L Stewart, Gem M Le, Adam Burke, Ginny Gildengorin, Rena J Pasick, Jun Wang, Elaine Chan, Lei-Chun Fung, Jane Jih, Stephen J McPhee
INTRODUCTION: Chinese Americans have low colorectal cancer (CRC) screening rates. Evidence-based interventions to increase CRC screening in this population are lacking. This study aims to compare the efficacy of two interventions in increasing CRC screening among Chinese Americans. DESIGN: Cluster randomized comparative trial. SETTING/PARTICIPANTS: From 2010 to 2014, a community-academic team conducted this study in San Francisco, CA with Chinese Americans aged 50-75 years who spoke English, Cantonese, or Mandarin...
December 1, 2016: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/27979785/evaluating-the-impact-of-healthcare-provider-training-to-improve-tuberculosis-management-a-systematic-review-of-methods-and-outcome-indicators-used
#6
REVIEW
Shishi Wu, Imara Roychowdhury, Mishal Khan
BACKGROUND: Developing human resources capacity is vital for tuberculosis (TB) control in low- and middle-income countries. Although investments in TB healthcare provider (HCP) training programmes have increased, it is unclear whether these are robustly evaluated. The objective of this systematic review was to synthesize the methods and outcome indicators used to assess TB HCP training programmes. METHODS: A systematic scoping review of publications reporting on evaluations of training programmes for HCPs - including doctors, nurses, paramedics, and lay health workers - was conducted through a search in three electronic databases, Google Scholar, and five websites of non-profit organizations...
December 12, 2016: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/27978818/multiple-and-mixed-methods-in-formative-evaluation-is-more-better-reflections-from-a-south-african-study
#7
Willem Odendaal, Salla Atkins, Simon Lewin
BACKGROUND: Formative programme evaluations assess intervention implementation processes, and are seen widely as a way of unlocking the 'black box' of any programme in order to explore and understand why a programme functions as it does. However, few critical assessments of the methods used in such evaluations are available, and there are especially few that reflect on how well the evaluation achieved its objectives. This paper describes a formative evaluation of a community-based lay health worker programme for TB and HIV/AIDS clients across three low-income communities in South Africa...
December 15, 2016: BMC Medical Research Methodology
https://www.readbyqxmd.com/read/27940186/patient-navigation-in-medically-underserved-areas-study-design-a-trial-with-implications-for-efficacy-effect-modification-and-full-continuum-assessment
#8
Yamile Molina, Anne E Glassgow, Sage J Kim, Nerida M Berrios, Heather Pauls, Karriem S Watson, Julie S Darnell, Elizabeth A Calhoun
BACKGROUND: The Patient Navigation in Medically Underserved Areas study objectives are to assess if navigation improves: 1) care uptake and time to diagnosis; and 2) outcomes depending on patients' residential medically underserved area (MUA) status. Secondary objectives include the efficacy of navigation across 1) different points of the care continuum among patients diagnosed with breast cancer; and 2) multiple regular screening episodes among patients who did not obtain breast cancer diagnoses...
December 8, 2016: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/27913659/formative-research
#9
Tracy L Finlayson, Padideh Asgari, Lisa Hoffman, Ana Palomo-Zerfas, Martha Gonzalez, Nannette Stamm, Maria-Isabel Rocha, Arcela Nunez-Alvarez
Oral health is a leading unmet health need among migrant families. This article describes the 1-year, community-based participatory research (CBPR) approach employed to plan and develop a Líder Communitario (lay community health worker)-led educational intervention for Mexican migrant adult caregivers and their families in three underserved, remote communities in North San Diego County, California. Four partner organizations collaborated, reviewed existing oral health curricula, and sought extensive input on educational topics and research design from key informants, migrant caregivers, and Líderes Communitarios...
December 1, 2016: Health Promotion Practice
https://www.readbyqxmd.com/read/27894389/-qualitative-study-on-the-current-status-of-hospitalized-burn-children-s-quality-of-life
#10
R Q Lin, L Li, L Xu, Q Pan, J X Dai
Objective: To explore the current status of hospitalized burn children's quality of life, so as to lay foundation for carrying out the related intervention in future. Methods: Using qualitative research method, semi-structured interviews were conducted on 11 parents of burn children hospitalized in Department of Burns of Fujian Medical University Union Hospital from March to May 2016. Then the data were analyzed and concluded with phenomenological analysis method to refine the themes. Results: Parents' description about the current status of hospitalized burn children's quality of life could be summed up into four areas: physiology, psychology, social development, and family; and in six themes: obvious itching symptom, limited movement development, night terror and constant cry because of fear, reduced social game, negative attachment type, and parents under multiple pressures...
November 20, 2016: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
https://www.readbyqxmd.com/read/27875482/impact-of-community-health-workers-on-elderly-patients-advance-care-planning-and-health-care-utilization-moving-the-dial
#11
Debra K Litzelman, Thomas S Inui, Wilma J Griffin, Anthony Perkins, Ann H Cottingham, Kathleen M Schmitt-Wendholt, Steven S Ivy
BACKGROUND: Advance care planning (ACP) is recommended for all persons to ensure that the care they receive aligns with their values and preferences. OBJECTIVE: To evaluate an ACP intervention developed to better meet the needs and priorities of persons with chronic diseases, including mild cognitive impairment. RESEARCH DESIGN: A year-long, pre-post intervention using lay community health workers [care coordinator assistants (CCAs)] trained to conduct and document ACP conversations with patients during home health visits with pre-post evaluation...
November 21, 2016: Medical Care
https://www.readbyqxmd.com/read/27870795/achieving-equity-in-physical-activity-participation-acsm-experience-and-next-steps
#12
Rebecca E Hasson, David R Brown, Joan Dorn, Lisa Barkley, Carol Torgan, Melicia Whitt-Glover, Barbara Ainsworth, NiCole Keith
There is clear and consistent evidence that regular physical activity is an important component of healthy lifestyles, and fundamental to promoting health and preventing disease. Despite the known benefits of physical activity participation, many people in the United States (US) remain inactive. More specifically, physical activity behavior is socially patterned with lower participation rates among women, racial/ethnic minorities, sexual minority youth, individuals with less education, persons with physical, mental and cognitive disabilities, individuals > 65 years of age, and those living in the southeast region of the US...
November 19, 2016: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/27864988/time-to-question-diabetes-self-management-support-for-arabic-speaking-migrants-exploring-a-new-model-of-care
#13
H Alzubaidi, K Mc Namara, C Browning
AIM: The objective of this study was to explore a new model for diabetes self-management support in Arabic-speaking migrants. METHODS: Two qualitative methods were used: face-to-face semi-structured individual interviews and focus groups. Interviews were audio-taped, transcribed verbatim and coded thematically. Arabic-speaking migrants with Type 2 diabetes were recruited from several primary, secondary and tertiary healthcare settings in metropolitan Melbourne, Australia...
November 16, 2016: Diabetic Medicine: a Journal of the British Diabetic Association
https://www.readbyqxmd.com/read/27863515/feasibility-trial-of-a-scalable-psychological-intervention-for-women-affected-by-urban-adversity-and-gender-based-violence-in-nairobi
#14
Katie S Dawson, Alison Schafer, Dorothy Anjuri, Lincoln Ndogoni, Caroline Musyoki, Marit Sijbrandij, Mark van Ommeren, Richard A Bryant
BACKGROUND: Living in conditions of chronic adversity renders many women more vulnerable to experiencing gender-based violence (GBV). In addition to GBV's physical and social consequences, the psychological effects can be pervasive. Access to evidence-based psychological interventions that seek to support the mental health of women affected by such adversity is rare in low- and middle-income countries. METHODS: The current study evaluates a brief evidence-informed psychological intervention developed by the World Health Organization for adults impacted by adversity (Problem Management Plus; PM+)...
November 18, 2016: BMC Psychiatry
https://www.readbyqxmd.com/read/27861500/development-of-a-tool-to-stage-households-readiness-to-change-dietary-behaviours-in-kerala-india
#15
Meena Daivadanam, T K Sundari Ravindran, K R Thankappan, P S Sarma, Rolf Wahlström
Dietary interventions and existing health behaviour theories are centred on individuals; therefore, none of the available tools are applicable to households for changing dietary behaviour. The objective of this pilot study was to develop a practical tool that could be administered by community volunteers to stage households in rural Kerala based on readiness to change dietary behaviour. Such a staging tool, comprising a questionnaire and its algorithm, focusing five dietary components (fruits, vegetables, salt, sugar and oil) and households (rather than individuals), was finalised through three consecutive pilot validation sessions, conducted over a four-month period...
2016: PloS One
https://www.readbyqxmd.com/read/27779308/pulmonary-function-among-latino-thoroughbred-horse-farmworkers
#16
John C Flunker, Jessica Miller Clouser, David Mannino, Jennifer Swanberg
BACKGROUND: Latino thoroughbred workers may be at risk for developing abnormal pulmonary function related to occupational exposures. METHODS: Eighty worker participants were recruited via community-based purposive sampling. Questionnaires and spirometry tests were administered by trained lay health promoters. Demographic and occupational factors were assessed for associations with respiratory outcomes via multivariable logistic regression. RESULTS: Twenty-seven percent of participants exhibited abnormal pulmonary function (primarily restrictive), 79% reported any respiratory symptoms, and 94% infrequently used dust masks...
January 2017: American Journal of Industrial Medicine
https://www.readbyqxmd.com/read/27769312/community-health-worker-in-hard-to-reach-rural-areas-of-myanmar-filling-primary-health-care-service-gaps
#17
Angkana Sommanustweechai, Weerasak Putthasri, Mya Lay Nwe, Saw Thetlya Aung, Mya Min Theint, Viroj Tangcharoensathien, San Shway Wynn
BACKGROUND: Myanmar is classified as critical shortage of health workforce. In responses to limited number of trained health workforce in the hard-to-reach and remote areas, the MOH trained the Community Health Worker (CHW) as health volunteers serving these communities on a pro bono basis. This study aimed to assess the socio-economic profiles, contributions of CHW to primary health care services and their needs for supports to maintain their quality contributions in rural hard to reach areas in Myanmar...
October 21, 2016: Human Resources for Health
https://www.readbyqxmd.com/read/27756450/barriers-and-facilitators-of-interventions-for-improving-antiretroviral-therapy-adherence-a-systematic-review-of-global-qualitative-evidence
#18
REVIEW
Qingyan Ma, Lai Sze Tso, Zachary C Rich, Brian J Hall, Rachel Beanland, Haochu Li, Mellanye Lackey, Fengyu Hu, Weiping Cai, Meg Doherty, Joseph D Tucker
INTRODUCTION: Qualitative research on antiretroviral therapy (ART) adherence interventions can provide a deeper understanding of intervention facilitators and barriers. This systematic review aims to synthesize qualitative evidence of interventions for improving ART adherence and to inform patient-centred policymaking. METHODS: We searched 19 databases to identify studies presenting primary qualitative data on the experiences, attitudes and acceptability of interventions to improve ART adherence among PLHIV and treatment providers...
2016: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/27716189/awareness-and-implementation-of-nine-world-health-organization-s-patient-safety-solutions-among-three-groups-of-healthcare-workers-in-oman
#19
Ahmed Al-Mandhari, Ibrahim Al-Zakwani, Samir Al-Adawi, Samra Al-Barwani, Lakshmanan Jeyaseelan
BACKGROUND: The pressing need to reduce burgeoning poor safety measures affecting millions worldwide has alerted World Health Assembly to set-up mechanisms to increase patient safety. In response to such needs, World Health Organization (WHO) formulated nine life-saving patient safety solutions that would be essential to lower reduce healthcare-related harm. There is a paucity of research examining awareness of such nine patient safety solutions. This study has been designed and conducted to compare self-estimated awareness and practice of the World Health Organization's nine "Life-saving Patient Safety Solutions" aide memoirs among different groups of healthcare workers in Oman...
September 30, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27688798/feasibility-of-an-interactive-voice-response-system-for-monitoring-depressive-symptoms-in-a-lower-middle-income-latin-american-country
#20
Mary R Janevic, Amparo C Aruquipa Yujra, Nicolle Marinec, Juvenal Aguilar, James E Aikens, Rosa Tarrazona, John D Piette
BACKGROUND: Innovative, scalable solutions are needed to address the vast unmet need for mental health care in low- and middle-income countries (LMICs). METHODS: We conducted a feasibility study of a 14-week automated telephonic interactive voice response (IVR) depression self-care service among Bolivian primary care patients with at least moderately severe depressive symptoms. We analyzed IVR call completion rates, the reliability and validity of IVR-collected data, and participant satisfaction...
2016: International Journal of Mental Health Systems
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