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"Patient engagement"

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https://www.readbyqxmd.com/read/29045991/naloxone-counseling-for-harm-reduction-and-patient-engagement
#1
Jonathan K Han, Lucas G Hill, Marianne E Koenig, Niladri Das
BACKGROUND AND OBJECTIVES: The United States is experiencing an epidemic of opioid-related deaths. Naloxone, the drug of choice for reversing acute opioid overdose, is not routinely prescribed for outpatient use. The aims of this project were to improve naloxone awareness, increase naloxone prescribing, and prevent opioid overdoses. METHODS: A naloxone counseling intervention was implemented in three family health centers by an interprofessional team of providers including family medicine physicians, clinical pharmacists, and social workers...
October 2017: Family Medicine
https://www.readbyqxmd.com/read/29045208/recalibrating-privacy-protections-to-promote-patient-engagement
#2
Ameet Sarpatwari, Niteesh K Choudhry
The past decade has seen the continued growth of evidence-based practices to diagnose and treat disease and deliver health care. The benefits of these advances for patient and population health, however, depend on patient engagement — the active participation of patients in their own care. Patient..
October 19, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/29044479/the-strategies-to-reduce-injuries-and-develop-confidence-in-elders-intervention-falls-risk-factor-assessment-and-management-patient-engagement-and-nurse-co-management
#3
David B Reuben, Priscilla Gazarian, Neil Alexander, Katy Araujo, Dorothy Baker, Jonathan F Bean, Chad Boult, Peter Charpentier, Pamela Duncan, Nancy Latham, Rosanne M Leipzig, Lisa M Quintiliani, Thomas Storer, Siobhan McMahon
In response to the epidemic of falls and serious falls-related injuries in older persons, in 2014, the Patient Centered Outcomes Research Institute (PCORI) and the National Institute on Aging funded a pragmatic trial, Strategies to Reduce Injuries and Develop confidence in Elders (STRIDE) to compare the effects of a multifactorial intervention with those of an enhanced usual care intervention. The STRIDE multifactorial intervention consists of five major components that registered nurses deliver in the role of falls care managers, co-managing fall risk in partnership with patients and their primary care providers (PCPs)...
October 17, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29040548/european-society-of-cardiology-smartphone-and-tablet-applications-for-patients-with-atrial-fibrillation-and-their-health-care-providers
#4
Dipak Kotecha, Winnie W L Chua, Larissa Fabritz, Jeroen Hendriks, Barbara Casadei, Ulrich Schotten, Panos Vardas, Hein Heidbuchel, Veronica Dean, Paulus Kirchhof
We are in the midst of a digital revolution in health care, although the application of new and useful technology in routine clinical practice is variable. The Characterizing Atrial fibrillation by Translating its Causes into Health Modifiers in the Elderly (CATCH ME) Consortium, in collaboration with the European Society of Cardiology (ESC), has funded the creation of two applications (apps) in atrial fibrillation (AF) for use in smartphones and tablets. The patient app aims to enhance patient education, improve communication between patients and health care professionals, and encourage active patient involvement in the management of their condition...
October 10, 2017: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/29040177/providing-self-management-education-to-patients-with-type-2-diabetes-mellitus-addressing-basic-nutrition-and-hypoglycemia
#5
Carrie Palmer
NPs and other primary care providers will continue to encounter a growing population of patients with type 2 diabetes mellitus. Helping patients engage in self-care behaviors is essential to achieve blood glucose control and prevent diabetes-related complications. This article explores opportunities to provide education to patients with diabetes mellitus on the important self-care topics of nutrition and hypoglycemia during a primary care visit.
November 16, 2017: Nurse Practitioner
https://www.readbyqxmd.com/read/29037112/peer-led-transformative-learning-approaches-increase-classroom-engagement-in-care-self-management-classes-during-inpatient-rehabilitation-of-individuals-with-spinal-cord-injury
#6
Julie Gassaway, Michael L Jones, W Mark Sweatman, Tamara Young
OBJECTIVE: Evaluate effects of revised education classes on classroom engagement during inpatient rehabilitation for individuals with spinal cord injury/disease (SCI/D). DESIGN: Multiple-baseline, quasi-experimental design with video recorded engagement observations during conventional and revised education classes; visual and statistical analysis of difference in positive engagement responses observed in classes using each approach. PARTICIPANTS/SETTING: 81 patients (72% male, 73% white, mean age 36 SD 15...
October 16, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29032705/a-mobile-application-for-monitoring-and-management-of-depressed-mood-in-a-vulnerable-pregnant-population
#7
Liisa Hantsoo, Stephanie Criniti, Annum Khan, Marian Moseley, Naomi Kincler, Laura J Faherty, C Neill Epperson, Ian M Bennett
OBJECTIVE: This study tested whether a mood tracking and alert (MTA) mobile application (app) improved mental health care delivery in a high-risk obstetric population. METHODS: Pregnant women with depressive symptomatology at <32 weeks gestation were followed for eight weeks after randomization to a control patient portal (PP) app alone or with the MTA app. The MTA app monitored activity, assessed mood, and alerted obstetric providers of signs of worsening mood...
October 16, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29032485/endoscopic-plantar-fascia-release-via-a-suprafascial-approach-is-effective-for-intractable-plantar-fasciitis
#8
Wataru Miyamoto, Youichi Yasui, Shinya Miki, Hirotaka Kawano, Masato Takao
PURPOSE: To evaluate the medium-term clinical results of endoscopic plantar fascia release (EPFR) using a suprafascial approach for recalcitrant plantar fasciitis. METHODS: Twenty-four feet of twenty-three patients who underwent EPFR using a suprafascial approach were followed up for more than 2 years using the American Orthopedic Foot and Ankle Society (AOFAS) score. The AOFAS score at final follow-up was compared between patients who participated in athletic activity (group A) and those who were sedentary (group S) and between those with and those without calcaneal spur (group with CS and group without CS, respectively)...
October 14, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29030831/practical-considerations-for-using-online-methods-to-engage-patients-in-guideline-development
#9
Sean Grant, Glen S Hazlewood, Holly L Peay, Ann Lucas, Ian Coulter, Arlene Fink, Dmitry Khodyakov
Clinical practice guidelines (CPGs) have been widely used in healthcare policy, practice, and for suggesting future research. As patients increasingly become involved in CPG development to produce patient-centered recommendations, more research is needed on methods to engage patients, particularly methods allowing for scalable engagement of large, diverse, and geographically distributed groups of patients. In this article, we discuss practical considerations for using online methods to engage patients in CPG development...
October 13, 2017: Patient
https://www.readbyqxmd.com/read/29028419/an-innovative-educational-clinical-experience-promoting-geriatric-exercise
#10
Kenneth M Manning, Darien L McNeill, Sandro O Pinheiro, Mitchell T Heflin, Willy M Valencia, Cathy C Lee, Steven C Castle, Leslie Katzel, Jamie Giffuni, Miriam C Morey
Formal educational training in physical activity promotion is relatively sparse throughout the medical education system. We describe an innovative clinical experience in physical activity directed at medical clinicians on a geriatrics rotation. The experience consists of a single 2.5 hour session, in which learners are partnered with geriatric patients engaged in a formal supervised exercise program. The learners are guided through an evidence-based exercise regimen tailored to functional status. This experience provides learners with an opportunity to interact with geriatric patients outside the hospital environment to counterbalance the typical geriatric rotation in which geriatric patients are often seen in clinics or hospitals...
October 13, 2017: Gerontology & Geriatrics Education
https://www.readbyqxmd.com/read/29027472/using-decisional-conflict-to-evaluate-patient-engagement-during-hospital-discharge
#11
Erin P Dowling, Aram A Namavar, Sitaram Vangala, Ashley Busuttil, Nasim Afsar-Manesh
No abstract text is available yet for this article.
October 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29025829/is-an-opportunistic-primary-care-based-intervention-for-non-responders-to-bowel-screening-feasible-and-acceptable-a-mixed-methods-feasibility-study-in-scotland
#12
Natalia Calanzani, Debbie Cavers, Gabriele Vojt, Sheina Orbell, Robert J C Steele, Linda Brownlee, Steve Smith, Julietta Patnick, David Weller, Christine Campbell
OBJECTIVES: We aimed to test whether a brief, opportunistic intervention in general practice was a feasible and acceptable way to engage with bowel screening non-responders. DESIGN: This was a feasibility study testing an intervention which comprised a brief conversation during routine consultation, provision of a patient leaflet and instructions to request a replacement faecal occult blood test kit. A mixed-methods approach to evaluation was adopted. Data were collected from proformas completed after each intervention, from the Bowel Screening Centre database and from questionnaires...
October 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/29025824/development-of-an-evidence-based-complex-intervention-for-community-rehabilitation-of-patients-with-hip-fracture-using-realist-review-survey-and-focus-groups
#13
Jessica Louise Roberts, Nafees Ud Din, Michelle Williams, Claire A Hawkes, Joanna M Charles, Zoe Hoare, Val Morrison, Swapna Alexander, Andrew Lemmey, Catherine Sackley, Phillipa Logan, Clare Wilkinson, Jo Rycroft-Malone, Nefyn H Williams
OBJECTIVES: To develop an evidence and theory-based complex intervention for improving outcomes in elderly patients following hip fracture. DESIGN: Complex-intervention development (Medical Research Council (MRC) framework phase I) using realist literature review, surveys and focus groups of patients and rehabilitation teams. SETTING: North Wales. PARTICIPANTS: Surveys of therapy managers (n=13), community and hospital-based physiotherapists (n=129) and occupational therapists (n=68) throughout the UK...
October 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/29025397/a-qualitative-study-of-patient-education-needs-for-hip-and-knee-replacement
#14
Deborah Kennedy, Amy Wainwright, Lucy Pereira, Susan Robarts, Patricia Dickson, Jennifer Christian, Fiona Webster
BACKGROUND: Quality health information is key to patient engagement, self-management and an enhanced healthcare experience. There is strong evidence to support involving patients and their families in the development and evaluation of health-related educational material. These factors were the impetus for our high volume joint replacement centre to undertake a qualitative study to elicit patient experiences to inform the development of effective strategies and education along the care continuum for hip and knee replacement...
October 12, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29024577/interpersonal-barriers-to-recovery-from-borderline-personality-disorder-a-qualitative-analysis-of-patient-perspectives
#15
Adam Carmel, Nicole I Torres, Samantha Chalker, Katherine Anne Comtois
Social-environmental factors have been found to be an integral part in the recovery process for individuals with psychiatric disabilities. There are few studies that have obtained patient perspectives of how their social and treatment environments help facilitate or impede the recovery process. The following study examined the self-reported interpersonal barriers to recovery among a sample of individuals (N = 31) with borderline personality disorder who were receiving dialectical behaviour therapy. The goal of study was to identify self-reported problematic behaviour that interferes with recovery goals and identify types of family, friend and/or provider behaviours that increased the likelihood of patients engaging in these problematic behaviours...
October 12, 2017: Personality and Mental Health
https://www.readbyqxmd.com/read/29016973/electronic-health-record-adoption-in-us-hospitals-the-emergence-of-a-digital-advanced-use-divide
#16
Julia Adler-Milstein, A Jay Holmgren, Peter Kralovec, Chantal Worzala, Talisha Searcy, Vaishali Patel
Objective: While most hospitals have adopted electronic health records (EHRs), we know little about whether hospitals use EHRs in advanced ways that are critical to improving outcomes, and whether hospitals with fewer resources - small, rural, safety-net - are keeping up. Materials and Methods: Using 2008-2015 American Hospital Association Information Technology Supplement survey data, we measured "basic" and "comprehensive" EHR adoption among hospitals to provide the latest national numbers...
November 1, 2017: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29016559/the-reflux-improvement-and-monitoring-trim-program-is-associated-with-symptom-improvement-and-weight-reduction-for-patients-with-obesity-and-gastroesophageal-reflux-disease
#17
Rena Yadlapati, John E Pandolfino, Olga Alexeeva, Dyanna L Gregory, Meredith R Craven, David Liebovitz, Abbey Lichten, Erin Seger, Moira Workman, Nora St Peter, Jenna Craft, Bethany Doerfler, Rajesh N Keswani
OBJECTIVES: Current healthcare systems do not effectively promote weight reduction in patients with obesity and gastroesophageal reflux disease (GERD). The Reflux Improvement and Monitoring (TRIM) program provides personalized, multidisciplinary, health education and monitoring over 6 months. In this study we aimed to (i) measure the effectiveness of TRIM on GERD symptoms, quality of life, and weight, and (ii) examine patient health beliefs related to TRIM. METHODS: This prospective mixed methods feasibility study was performed at a single center between September 2015 and February 2017, and included adult patients with GERD and a body mass index ≥30 kg/m(2)...
October 10, 2017: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/28991946/a-concise-tool-for-measuring-care-coordination-from-the-provider-s-perspective-in-the-hospital-setting
#18
Christine M Weston, Sehyo Yune, Eric B Bass, Scott A Berkowitz, Daniel J Brotman, Amy Deutschendorf, Eric E Howell, Melissa B Richardson, Carol Sylvester, Albert W Wu
BACKGROUND: To support hospital efforts to improve coordination of care, a tool is needed to evaluate care coordination from the perspective of inpatient healthcare professionals. OBJECTIVES: To develop a concise tool for assessing care coordination in hospital units from the perspective of healthcare professionals, and to assess the performance of the tool in measuring dimensions of care coordination in 2 hospitals after implementation of a care coordination initiative...
October 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28984405/an-empirically-based-conceptual-framework-for-fostering-meaningful-patient-engagement-in-research
#19
Clayon B Hamilton, Alison M Hoens, Catherine L Backman, Annette M McKinnon, Shanon McQuitty, Kelly English, Linda C Li
BACKGROUND: Patient engagement in research (PEIR) is promoted to improve the relevance and quality of health research, but has little conceptualization derived from empirical data. OBJECTIVE: To address this issue, we sought to develop an empirically based conceptual framework for meaningful PEIR founded on a patient perspective. METHODS: We conducted a qualitative secondary analysis of in-depth interviews with 18 patient research partners from a research centre-affiliated patient advisory board...
October 6, 2017: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/28983515/using-research-informed-pedagogical-practices-to-maximize-learning-in-youth-cognitive-behavioral-therapy
#20
Gerald M Reid, Amie E Grills, Nicholas D Mian, Alexis A Reid, Rachel A Merson, David A Langer
Cognitive-behavioral therapy (CBT) for youth is an evidence-based treatment that typically starts with some form of psychoeducation, during which the patient is taught in a didactic manner about their presenting problems and strategies to ameliorate their symptoms. The learning process continues over the course of treatment as patients consolidate and attempt to utilize their aqcuired knowledge in their daily life. Manuals provide helpful structure and strategies to facilitate this learning process (e.g., using metaphors, personalized coping cards); however, there is variability across patients in terms of what presented content they will be able to access and understand, how they can most effectively transfer what they learn into their everyday life, and why they will become engaged in this learning process...
2017: Evid Based Pract Child Adolesc Ment Health
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