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https://www.readbyqxmd.com/read/28543173/a-clinical-review-of-communication-training-for-haematologists-and-haemato-oncologists-a-case-of-art-versus-science
#1
REVIEW
Deborah Christie, Sarah Glew
The art of communication at times seems at odds with the science of medicine. Poor communication is associated with risks for patient and physician. Communication skills are highly relevant for haematologists and are associated with increased physician and patient satisfaction, positive psychosocial outcomes and possible health outcomes. Medical communication training has recently become widespread but is largely restricted to junior medical professionals. In haematology, the proliferation of high quality communication skills is low and there are few interventions catering for the required skillset...
May 22, 2017: British Journal of Haematology
https://www.readbyqxmd.com/read/28538983/assocation-of-a-surgical-task-during-training-with-team-skill-acquisition-among-surgical-residents-the-missing-piece-in-multidisciplinary-team-training
#2
Jessica L Sparks, Dustin L Crouch, Kathryn Sobba, Douglas Evans, Jing Zhang, James E Johnson, Ian Saunders, John Thomas, Sarah Bodin, Ashley Tonidandel, Jeff Carter, Carl Westcott, R Shayn Martin, Amy Hildreth
Importance: The human patient simulators that are currently used in multidisciplinary operating room team training scenarios cannot simulate surgical tasks because they lack a realistic surgical anatomy. Thus, they eliminate the surgeon's primary task in the operating room. The surgical trainee is presented with a significant barrier when he or she attempts to suspend disbelief and engage in the scenario. Objective: To develop and test a simulation-based operating room team training strategy that challenges the communication abilities and teamwork competencies of surgeons while they are engaged in realistic operative maneuvers...
May 24, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28536873/bending-the-curve-a-community-based-behavioral-parent-training-model-to-address-adhd-related-concerns-in-the-voluntary-sector-in-denmark
#3
Anil Chacko, Christoffer Scavenius
Limited access to evidence-based behavioral parent training (BPT) for addressing attention deficit/hyperactivity disorder (ADHD) has been a growing concern internationally. Models to improve access to BPT are needed, particularly those that can be readily implemented in community settings and that leverage the potential workforce to increase capacity to deliver BPT. The purpose of this study was to evaluate a BPT model which included oft-used content, methods, processes of BPT (common-elements), non-professionally delivered (task-shifted/shared) BPT intervention, and an efficient ancillary support system (training, fidelity, and supervision methods) for families of youth with parental concerns about ADHD...
May 23, 2017: Journal of Abnormal Child Psychology
https://www.readbyqxmd.com/read/28536502/lost-in-translation-defects-in-transfer-rna-modifications-and-neurological-disorders
#4
REVIEW
Andrea Bednářová, Marley Hanna, Isabella Durham, Tara VanCleave, Alexis England, Anathbandhu Chaudhuri, Natraj Krishnan
Transfer RNAs (tRNAs) are key molecules participating in protein synthesis. To augment their functionality they undergo extensive post-transcriptional modifications and, as such, are subject to regulation at multiple levels including transcription, transcript processing, localization and ribonucleoside base modification. Post-transcriptional enzyme-catalyzed modification of tRNA occurs at a number of base and sugar positions and influences specific anticodon-codon interactions and regulates translation, its efficiency and fidelity...
2017: Frontiers in Molecular Neuroscience
https://www.readbyqxmd.com/read/28535804/housing-first-and-harm-reduction-a-rapid-review-and-document-analysis-of-the-us-and-canadian-open-access-literature
#5
REVIEW
Dennis P Watson, Valery Shuman, James Kowalsky, Elizabeth Golembiewski, Molly Brown
BACKGROUND: Housing First is an evidence-based practice intended to serve chronically homeless individuals with co-occurring serious mental illness and substance use disorders. Despite housing active substance users, harm reduction is an often-overlooked element during the Housing First implementation process in real-world settings. In this paper, we explore the representation of the Housing First model within the open-access scholarly literature as a potential contributing factor for this oversight...
May 23, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28532734/a-family-centered-intervention-for-the-transition-to-living-with-multiple-myeloma-as-a-chronic-illness-a-pilot-study
#6
Susan R Mazanec, Sarah Miano, Linda Baer, Erica L Campagnaro, Abdus Sattar, Barbara J Daly
Patients with multiple myeloma and their family caregivers must master self-management tasks related not only to the disease and treatment, but also associated with transitioning to living with chronic illness. The aim of this study was to assess the feasibility, acceptability, safety, and fidelity of an intervention that had a psychoeducational approach and included a low-impact, home-based walking activity. A secondary aim was to obtain preliminary data of the effect of the intervention, as compared to an attention control group, on anxiety, activation for self-management, fatigue, depression and health-related quality of life (HRQOL)...
June 2017: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/28532509/barriers-and-facilitators-to-healthcare-professional-behaviour-change-in-clinical-trials-using-the-theoretical-domains-framework-a-case-study-of-a-trial-of-individualized-temperature-reduced-haemodialysis
#7
Justin Presseau, Brittany Mutsaers, Ahmed A Al-Jaishi, Janet Squires, Christopher W McIntyre, Amit X Garg, Manish M Sood, Jeremy M Grimshaw
BACKGROUND: Implementing the treatment arm of a clinical trial often requires changes to healthcare practices. Barriers to such changes may undermine the delivery of the treatment making it more likely that the trial will demonstrate no treatment effect. The 'Major outcomes with personalized dialysate temperature' (MyTEMP) is a cluster-randomised trial to be conducted in 84 haemodialysis centres across Ontario, Canada to investigate whether there is a difference in major outcomes with an individualized dialysis temperature (IDT) of 0...
May 22, 2017: Trials
https://www.readbyqxmd.com/read/28525577/moving-triadic-gaze-intervention-into-practice-measuring-clinician-attitude-and-implementation-fidelity
#8
Julie Feuerstein, Lesley B Olswang, Kathryn Greenslade, Gay Lloyd Pinder, Patricia Dowden, Jodi Madden
Purpose: This research investigated a first step in implementing the dynamic assessment (DA) component of Triadic Gaze Intervention (Olswang, Feuerstein, Pinder, & Dowden, 2013; Olswang et al., 2014), an evidence-based protocol for teaching early signals of communication to young children with physical disabilities. Clinician attitudes about adopting external evidence into practice and implementation fidelity in DA protocol delivery were examined following training. Method: Seven early intervention clinicians from multiple disciplines were trained to deliver the four essential elements of the DA protocol: (a) provide communication opportunity, (b) recognize child's potentially communicative signal, (c) shape child's signal toward triadic gaze, and (d) reinforce with play...
May 24, 2017: Journal of Speech, Language, and Hearing Research: JSLHR
https://www.readbyqxmd.com/read/28521248/designing-and-evaluating-the-effectiveness-of-a-serious-game-for-safe-administration-of-blood-transfusion-a-randomized-controlled-trial
#9
Apphia Jia Qi Tan, Cindy Ching Siang Lee, Patrick Yongxing Lin, Simon Cooper, Lydia Siew Tiang Lau, Wei Ling Chua, Sok Ying Liaw
BACKGROUND: Preparing nursing students for the knowledge and skills required for the administration and monitoring of blood components is crucial for entry into clinical practice. Serious games create opportunities to develop this competency, which can be used as a self-directed learning strategy to complement existing didactic learning and simulation-based strategies. AIM: To describe the development and evaluation of a serious game to improve nursing students' knowledge, confidence, and performance in blood transfusion...
May 6, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28514888/seeing-is-believing-healthcare-professionals-perceptions-of-a-complex-intervention-to-improve-care-towards-the-end-of-life-a-qualitative-interview-study
#10
Katherine Bristowe, Irene Carey, Adrian Hopper, Susanna Shouls, Wendy Prentice, Irene J Higginson, Jonathan Koffman
BACKGROUND: Methods to improve care, trust and communication are important in acute hospitals. Complex interventions aimed at improving care of patients approaching the end of life are increasingly common. While evaluating outcomes of complex interventions is essential, exploring healthcare professionals' perceptions is also required to understand how they are interpreted; this can inform training, education and implementation strategies to ensure fidelity and consistency in use. AIM: To explore healthcare professionals' perceptions of using a complex intervention (AMBER care bundle) to improve care for people approaching the end of life and their understandings of its purpose within clinical practice...
May 1, 2017: Palliative Medicine
https://www.readbyqxmd.com/read/28514472/the-trifocus-framework-and-interprofessional-collaborative-practice-in-severe-disabilities
#11
Susan M Bruce, Susan M Bashinski
Purpose: Individuals with severe disabilities are a diverse group of learners with complex communication needs. This article presents a synthesis of the literature addressing the five strategies of the trifocus framework, with its triadic structure of learner with disability, communication partner, and environment. The application of interprofessional collaborative practice (IPCP) to the implementation of trifocus framework communication strategies is emphasized. Method: A literature search was conducted using Google Scholar and EBSCO to identify literature and research studies on IPCP and communication intervention for learners with severe disabilities, published 1994-2015, and then organized within the trifocus framework...
May 17, 2017: American Journal of Speech-language Pathology
https://www.readbyqxmd.com/read/28508678/past-is-prologue-how-to-advance-caregiver-interventions
#12
Steven H Zarit
OBJECTIVES: Research on caregiving interventions has increased substantially in recent years. Although many promising approaches have been tested, results are often modest. The goal of this paper is to identify conceptual and methodological issues that could lead to better treatment outcome. METHOD: A critical review of the literature on interventions for caregivers of persons with dementia. RESULTS: A fundamental issue in caregiver interventions is what are appropriate goals for treatment and what outcome measures should be used to address those goals...
May 16, 2017: Aging & Mental Health
https://www.readbyqxmd.com/read/28499573/positive-thinking-training-intervention-for-caregivers-of-persons-with-autism-establishing-fidelity
#13
Abir K Bekhet
More than 3.5 million in the US are diagnosed with autism spectrum disorder (ASD) and caregivers experience stress that adversely affects their well-being. Positive thinking training (PTT) intervention can minimize that stress. However, before testing the effectiveness of PTT, its fidelity must be established. This pilot intervention trial examined fidelity of an online PTT intervention for ASD caregivers with a random assignment of 73 caregivers to either the online PTT intervention or to the control group...
June 2017: Archives of Psychiatric Nursing
https://www.readbyqxmd.com/read/28497097/a-randomized-controlled-pilot-study-of-educational-techniques-in-teaching-basic-arthroscopic-skills-in-a-low-income-country
#14
Abhiram R Bhashyam, Catherine Logan, Heather J Roberts, Rameez A Qudsi, Jacky Fils, George S M Dyer
BACKGROUND: Little is known about how to introduce complex technologies like arthroscopy into low-income countries. Thus, we compared low- versus high-resource intensive methods of teaching basic arthroscopic skills in a randomized controlled trial in Haiti. METHODS: Forty-eight Haitian orthopaedic surgeons and residents attending an orthopaedic conference in Haiti were block randomized to receive instruction through a composite video (Control) or a composite video plus hands-on teaching with an expert visiting surgeon (Intervention)...
March 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28496396/interventions-for-reducing-self-stigma-in-people-with-mental-illnesses-a-systematic-review-of-randomized-controlled-trials
#15
REVIEW
Roland Brian Büchter, Melanie Messer
Background: Self-stigma occurs when people with mental illnesses internalize negative stereotypes and prejudices about their condition. It can reduce help-seeking behaviour and treatment adherence. The effectiveness of interventions aimed at reducing self-stigma in people with mental illness is systematically reviewed. Results are discussed in the context of a logic model of the broader social context of mental illness stigma. Methods: Medline, Embase, PsycINFO, ERIC, and CENTRAL were searched for randomized controlled trials in November 2013...
2017: German Medical Science: GMS E-journal
https://www.readbyqxmd.com/read/28494753/preventing-sickness-absenteeism-among-employees-with-common-mental-disorders-or-stress-related-symptoms-at-work-design-of-a-cluster-randomized-controlled-trial-of-a-problem-solving-based-intervention-versus-care-as-usual-conducted-at-the-occupational-health
#16
G Bergström, M Lohela-Karlsson, L Kwak, L Bodin, I Jensen, M Torgén, L Nybergh
BACKGROUND: Common mental disorders (CMDs) are among the leading causes of sick leave in Sweden and other OECD countries. They result in suffering for the individual and considerable financial costs for the employer and for society at large. The occupational health service (OHS) can offer interventions in which both the individual and the work situation are taken into account. The aim of this paper is to describe the design of a study evaluating the effectiveness of an intervention given at the OHS to employees with CMDs or stress-related symptoms at work...
May 12, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28489644/an-open-source-ultrasound-software-for-diagnosis-of-fistula-maturation
#17
Barry Belmont, Dae Woo Park, William F Weitzel, Albert J Shih
Vascular access is essential for hemodialysis patients. The mature native arteriovenous fistula has been the preferred vascular access for hemodialysis, because it has greater longevity than synthetic grafts. However, once surgically created, fistulas often fail to develop (mature) into viable points of vascular access, requiring surgical or radiologic interventions before their use. Because maturation depends on vascular mechanics (e.g., distensibility and wall shear), we developed open-source ultrasound software to investigate these metrics clinically...
May 8, 2017: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
https://www.readbyqxmd.com/read/28481820/a-prenatal-coparenting-intervention-with-unmarried-father-mother-dyads-fidelity-of-intervention-delivery-by-male-female-community-mentor-teams
#18
Selin Salman-Engin, Tara Little, Vikki Gaskin-Butler, James P McHale
BACKGROUND: Most prenatal preventive interventions for unmarried mothers do not integrate fathers or help the parents plan for the development of a functional coparenting alliance after the baby's arrival. Furthermore, properly trained professionals have only rarely examined the fidelity of these interventions. PURPOSE: This report examines whether experienced community interventionists (home visitors, health educators, fatherhood service personnel) with no formal couples' therapy training are capable of pairing together to deliver with adequate fidelity a manualized dyadic intervention designed for expectant unmarried mothers and fathers...
June 2017: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/28475943/psychometric-properties-of-the-motivational-interviewing-treatment-integrity-coding-system-4-2-with-jail-inmates
#19
Mandy D Owens, Lauren N Rowell, Theresa Moyers
Motivational Interviewing (MI) is an evidence-based approach shown to be helpful for a variety of behaviors across many populations. Treatment fidelity is an important tool for understanding how and with whom MI may be most helpful. The Motivational Interviewing Treatment Integrity coding system was recently updated to incorporate new developments in the research and theory of MI, including the relational and technical hypotheses of MI (MITI 4.2). To date, no studies have examined the MITI 4.2 with forensic populations...
April 27, 2017: Addictive Behaviors
https://www.readbyqxmd.com/read/28474837/feasibility-of-a-staff-training-and-support-programme-to-improve-pain-assessment-and-management-in-people-with-dementia-living-in-care-homes
#20
Anya Petyaeva, Martine Kajander, Vanessa Lawrence, Lei Clifton, Alan J Thomas, Clive Ballard, Iracema Leroi, Michelle Briggs, Jose Closs, Tom Dening, Kayleigh-Marie Nunez, Ingelin Testad, Renee Romeo, Anne Corbett
OBJECTIVES: The objective of this study was to establish the feasibility and initial effectiveness of training and support intervention for care staff to improve pain management in people with dementia living in care homes (PAIN-Dem). METHODS: PAIN-Dem training was delivered to care staff from three care homes in South London, followed by intervention support and resources to encourage improved pain management by staff over 4 weeks. Feasibility was assessed through fidelity to intervention materials and qualitative approaches...
May 5, 2017: International Journal of Geriatric Psychiatry
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