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https://www.readbyqxmd.com/read/28438177/responding-to-non-communicable-diseases-in-zambia-a-policy-analysis
#1
Mulenga M Mukanu, Joseph Mumba Zulu, Chrispin Mweemba, Wilbroad Mutale
BACKGROUND: Non-communicable diseases (NCDs) are an emerging global health concern. Reports have shown that, in Zambia, NCDs are also an emerging problem and the government has begun initiating a policy response. The present study explores the policy response to NCDs by the Ministry of Health in Zambia using the policy triangle framework of Walt and Gilson. METHODS: A qualitative approach was used for the study. Data collected through key informant interviews with stakeholders who were involved in the NCD health policy development process as well as review of key planning and policy documents were analysed using thematic analysis...
April 24, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28437693/an-assessment-of-the-social-cognitive-predictors-of-exclusive-breastfeeding-behavior-using-the-health-action-process-approach
#2
J L Martinez-Brockman, F M Shebl, N Harari, R Pérez-Escamilla
RATIONALE: In the United States rates of exclusive breastfeeding duration remain exceedingly low. Exclusive breastfeeding is a complex learned behavior that is influenced by social cognitive, interpersonal, and structural factors. Interventions are needed that address factors at multiple levels of the social-ecological model. This study was designed to examine the social cognitive predictors of exclusive breastfeeding behavior in a sample of low-income women attending the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) breastfeeding peer counseling program and enrolled in the Lactation Advice Through Texting Can Help (LATCH) study...
April 12, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28434918/forming-and-activating-an-internal-facilitation-group-for-successful-implementation-a-qualitative-study
#3
Megan B McCullough, Chris Gillespie, Beth Ann Petrakis, Ellen A Jones, Angela M Park, Carol VanDeusen Lukas, Adam J Rose
BACKGROUND: This study focuses on an implementation facilitation strategy to improve the delivery of anticoagulation care within pharmacy-run clinics across 8 Veterans Health Administration (VA) medical centers. Other studies have explored various models of implementation facilitation, including external facilitation (EF), internal facilitation (IF), and blended facilitation (BF) combining both approaches. This study focuses on the use of an internal facilitation team of anticoagulation coordinators representing 8 VA anticoagulation clinics to enhance the implementation process...
April 9, 2017: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/28433774/the-role-of-compensatory-health-beliefs-in-eating-behavior-change-a-mixed-method-study
#4
Melanie A Amrein, Pamela Rackow, Jennifer Inauen, Theda Radtke, Urte Scholz
Compensatory Health Beliefs (CHBs), defined as beliefs that an unhealthy behavior can be compensated for by engaging in another healthy behavior, are assumed to hinder health behavior change. The aim of the present study was to investigate the role of CHBs for two distinct eating behaviors (increased fruit and vegetable consumption and eating fewer unhealthy snacks) with a mixed method approach. Participants (N = 232, mean age = 27.3 years, 76.3% women) were randomly assigned to a fruit and vegetable or an unhealthy snack condition...
April 19, 2017: Appetite
https://www.readbyqxmd.com/read/28428165/a-framework-for-the-study-of-complex-mhealth-interventions-in-diverse-cultural-settings
#5
Marion A Maar, Karen Yeates, Nancy Perkins, Lisa Boesch, Diane Hua-Stewart, Peter Liu, Jessica Sleeth, Sheldon W Tobe
BACKGROUND: To facilitate decision-making capacity between options of care under real-life service conditions, clinical trials must be pragmatic to evaluate mobile health (mHealth) interventions under the variable conditions of health care settings with a wide range of participants. The mHealth interventions require changes in the behavior of patients and providers, creating considerable complexity and ambiguity related to causal chains. Process evaluations of the implementation are necessary to shed light on the range of unanticipated effects an intervention may have, what the active ingredients in everyday practice are, how they exert their effect, and how these may vary among recipients or between sites...
April 20, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/28420556/can-paddock-scale-data-integration-achieve-more-cost-effective-outcomes-in-the-great-barrier-reef-a-case-study-in-the-fitzroy-basin
#6
Megan Star, John Rolfe, Miriam East, Terry Beutel, Kevin McCosker, Robin Ellis, Shaun Darr, Tom Coughlin
The decline in health of the Great Barrier Reef and the pressure on allocating funds efficiently has increased efforts to prioritise where public funds are invested. The Fitzroy basin and coastal catchments is 152,000 square kilometres and geographically diverse. Past work has identified that sediment loads leaving the catchment are posing a high risk to the ongoing health of the Reef and that there is a need to prioritise funds to achieve cost effective outcomes. In this paper we aim to present an alternative approach to effective prioritisation of sediment reductions...
April 15, 2017: Journal of Environmental Management
https://www.readbyqxmd.com/read/28415881/hip-and-pelvic-fracture-patients-with-fear-of-falling-development-and-description-of-the-step-by-step-treatment-protocol
#7
Karin Kampe, Michaela Kohler, Diana Albrecht, Clemens Becker, Martin Hautzinger, Ulrich Lindemann, Klaus Pfeiffer
OBJECTIVE: Based on a theoretical framework and sound evidence, this article describes a rehabilitation programme for patients with fear of falling after hip and pelvic fracture. RATIONALE: Based on exercise science principles, current knowledge from fall prevention, emotion regulation, and the Health Action Process Approach we developed a theoretical framework, from which the components of the intervention were derived. Description of the intervention: The intervention consists of 6 components: (1) relaxation, (2) meaningful activities and mobility-based goals, (3) falls related cognitions and emotions, coping with high risk tasks and situations, (4) individual exercise programme, (5) planning and implementing exercises and activities, and (6) fall risks and hazards...
May 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/28413148/incorporating-site-less-clinical-trials-into-drug-development-a-framework-for-action
#8
Irl B Hirsch, Joe Martinez, E Ray Dorsey, Gerald Finken, Alexander Fleming, Chris Gropp, Philip Home, Daniel I Kaufer, Spyros Papapetropoulos
PURPOSE: Options for leveraging available telemedicine technologies, ranging from simple webcams and telephones to smartphone apps and medical-grade wearable sensors, are evolving faster than the culture of clinical research. Until recently, most clinical trials relied on paper-based processes and technology. This cost- and labor-intensive system, while slowly changing, remains an obstacle to new drug development. Alternatives that use existing tools and processes for collecting real-world data in home settings warrant closer examination...
April 13, 2017: Clinical Therapeutics
https://www.readbyqxmd.com/read/28407746/understanding-experiences-of-and-preferences-for-service-user-and-carer-involvement-in-physical-health-care-discussions-within-mental-health-care-planning
#9
Nicola Small, Helen Brooks, Andrew Grundy, Rebecca Pedley, Chris Gibbons, Karina Lovell, Penny Bee
BACKGROUND: People with severe mental illness suffer more physical comorbidity than the general population, which can require a tailored approach to physical health care discussions within mental health care planning. Although evidence pertaining to service user and carer involvement in mental health care planning is accumulating, current understanding of how physical health is prioritised within this framework is limited. Understanding stakeholder experiences of physical health discussions within mental health care planning, and the key domains that underpin this phenomena is essential to improve quality of care...
April 13, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28404612/systematic-approach-to-evaluating-and-confirming-the-utility-of-a-suite-of-national-health-system-performance-hsp-indicators-in-canada-a-modified-delphi-study
#10
Omid Fekri, Kira Leeb, Yana Gurevich
OBJECTIVES: Evaluating an existing suite of health system performance (HSP) indicators for continued reporting using a systematic criteria-based assessment and national consensus conference. DESIGN: Modified Delphi approach with technical and leadership groups, an online survey of stakeholders and convening a national consensus conference. SETTING: A national health information steward, the Canadian Institute for Health Information (CIHI)...
April 12, 2017: BMJ Open
https://www.readbyqxmd.com/read/28396306/web-based-intervention-for-physical-activity-and-fruit-and-vegetable-intake-among-chinese-university-students-a-randomized-controlled-trial
#11
Yan Ping Duan, Julian Wienert, Chun Hu, Gang Yan Si, Sonia Lippke
BACKGROUND: Ample evidence demonstrates that university students are at high risk for sedentary behaviors and inadequate fruit and vegetable intake (FVI). Internet-based interventions for multiple health behavior appear to be promising in changing such unhealthy habits. Limited randomized controlled trials have tested this assumption among Chinese university students. OBJECTIVE: Our objective was to test the efficacy of an 8-week Web-based intervention compared with a control group condition to improve physical activity (PA) and FVI in Chinese university students...
April 10, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28395374/-i-would-not-even-think-of-applying-barriers-to-claiming-benefits-for-rehabilitation-services-for-children-and-adolescents-from-families-perspectives
#12
M Jürgensen, N Großmann, U Thyen
Background Medical rehabilitation is recognized as an effective health care service to promote and protect health and social participation of children and adolescents. Although the number of children and adolescents with chronic conditions is growing, applications for rehabilitation have declined substantially since 2008. The aim of the study is to identify barriers that prevent families from claiming benefits for rehabilitation services and to give recommendations for actions. Methods In this explorative study, guided qualitative interviews with families with children and adolescents eligible for benefits were conducted...
April 2017: Die Rehabilitation
https://www.readbyqxmd.com/read/28390420/partnering-with-patients-in-translational-oncology-research-ethical-approach
#13
Marie-France Mamzer, Nathalie Duchange, Sylviane Darquy, Patrice Marvanne, Claude Rambaud, Giovanna Marsico, Catherine Cerisey, Florian Scotté, Anita Burgun, Cécile Badoual, Pierre Laurent-Puig, Christian Hervé
BACKGROUND: The research program CARPEM (cancer research and personalized medicine) brings together the expertise of researchers and hospital-based oncologists to develop translational research in the context of personalized or "precision" medicine for cancer. There is recognition that patient involvement can help to take into account their needs and priorities in the development of this emerging practice but there is currently no consensus about how this can be achieved. In this study, we developed an empirical ethical research action aiming to improve patient representatives' involvement in the development of the translational research program together with health professionals...
April 8, 2017: Journal of Translational Medicine
https://www.readbyqxmd.com/read/28389127/participatory-quantitative-health-impact-assessment-of-urban-and-transport-planning-in-cities-a-review-and-research-needs
#14
REVIEW
Mark J Nieuwenhuijsen, Haneen Khreis, Ersilia Verlinghieri, Natalie Mueller, David Rojas-Rueda
INTRODUCTION: Urban and transport planning have large impacts on public health, but these are generally not explicitly considered and/or quantified, partly because there are no comprehensive models, methods and tools readily available. Air pollution, noise, temperature, green space, motor vehicle crashes and physical activity are important pathways linking urban and transport planning and public health. For policy decision-making, it is important to understand and be able to quantify the full-chain from source through pathways to health effects and impacts to substantiate and effectively target actions...
June 2017: Environment International
https://www.readbyqxmd.com/read/28372479/building-a-regional-health-agenda-a-rights-based-approach-to-health-in-south-america
#15
María Belén Herrero, Jorgelina Loza
Attention to health policies in Southern regional organisations reveals a new 'social turn' in the regional political economy of international cooperation. The aims of this paper are twofold. First, it aims to establish the extent to which the Union of South American Nations (UNASUR) has adopted and sustained policy interventions committed to addressing social inequities and asymmetries in relation to health, as indicated by regional policy agendas, policy development processes and resourcing. Second, it seeks to understand how UNASUR is mobilising national and regional actors in support of such policies...
April 3, 2017: Global Public Health
https://www.readbyqxmd.com/read/28371005/adverse-events-in-cardiac-surgery-a-mixed-methods-retrospective-study-in-an-italian-teaching-hospital
#16
Tommaso Bellandi, Riccardo Tartaglia, Silvia Forni, Sara D'Arienzo, Giorgio Tulli
RATIONALE, AIMS, AND OBJECTIVES: Adverse events (AEs) are a major concern in surgery, but the evidence in cardiac surgery is limited, especially on the contributory factors. According to the data of the National Outcomes Program, a unit was selected to conduct a mixed methods investigation into the incidence, type, and cause of AE, given its mortality rate that was double the national average on coronary artery bypass grafting, valve reparation, and replacement. METHODS: A retrospective investigation on the performance of a cardiac surgery, combining the routinely collected data on process and outcome measures with a 2-stage structured review of 280 medical records performed by 3 expert clinicians, with the support of a methodologist...
March 28, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28364827/common-decisions-made-and-actions-taken-during-small-animal-consultations-at-eight-first-opinion-practices-in-the-united-kingdom
#17
N J Robinson, M L Brennan, M Cobb, R S Dean
In order for veterinary surgeons to undertake an evidence-based approach to making decisions about their patients, it is important that new evidence is generated to support the clinical decision-making process. Many of the decisions are likely to be around the actions taken to treat or manage health problems discussed during the consultation, and little is currently known about the factors which affect the type of action taken. The aim of this study was to determine the decisions made and actions taken for health problems discussed during first-opinion small-animal consultations, as well as identifying factors which may affect the decision-making process...
April 1, 2017: Preventive Veterinary Medicine
https://www.readbyqxmd.com/read/28358899/a-systematic-review-of-rodent-pest-research-in-afro-malagasy-small-holder-farming-systems-are-we-asking-the-right-questions
#18
Lourens H Swanepoel, Corrie M Swanepoel, Peter R Brown, Seth J Eiseb, Steven M Goodman, Mark Keith, Frikkie Kirsten, Herwig Leirs, Themb'alilahlwa A M Mahlaba, Rhodes H Makundi, Phanuel Malebane, Emil F von Maltitz, Apia W Massawe, Ara Monadjem, Loth S Mulungu, Grant R Singleton, Peter J Taylor, Voahangy Soarimalala, Steven R Belmain
Rodent pests are especially problematic in terms of agriculture and public health since they can inflict considerable economic damage associated with their abundance, diversity, generalist feeding habits and high reproductive rates. To quantify rodent pest impacts and identify trends in rodent pest research impacting on small-holder agriculture in the Afro-Malagasy region we did a systematic review of research outputs from 1910 to 2015, by developing an a priori defined set of criteria to allow for replication of the review process...
2017: PloS One
https://www.readbyqxmd.com/read/28358788/an-application-of-business-process-management-to-health-care-facilities
#19
Mohsen M D Hassan
The purpose of this article is to help health care facility managers and personnel identify significant elements of their facilities to address, and steps and actions to follow, when applying business process management to them. The ABPMP (Association of Business Process Management Professionals) life-cycle model of business process management is adopted, and steps from Lean, business process reengineering, and Six Sigma, and actions from operations management are presented to implement it. Managers of health care facilities can find in business process management a more comprehensive approach to improving their facilities than Lean, Six Sigma, business process reengineering, and ad hoc approaches that does not conflict with them because many of their elements can be included under its umbrella...
April 2017: Health Care Manager
https://www.readbyqxmd.com/read/28355525/time-to-wait-a-systematic-review-of-strategies-that-affect-out-patient-waiting-times
#20
Ugenthiri Naiker, Gerry FitzGerald, Joel M Dulhunty, Michael Rosemann
Objective Out-patient waiting times pose a significant challenge for public patients in need of specialist evaluation and intervention. The aim of the present study was to identify and categorise effective strategies to reduce waiting times for specialist out-patient services with a focus on the Australian healthcare system.Methods A systematic review of major health databases was conducted using the key terms 'outpatient*' AND 'waiting time', 'process*' AND 'improvement in outpatient clinics'. Identified articles were assessed for their relevance by sequential review of the title, abstract and full text...
March 30, 2017: Australian Health Review: a Publication of the Australian Hospital Association
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