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https://www.readbyqxmd.com/read/29243284/professional-paradox-identity-formation-in-qualified-doctors-pursuing-further-training
#1
Mercedes Chan, Dan Pratt, Gary Poole, Ravi Sidhu
CONTEXT: Many newly qualified specialists and subspecialists pursue additional training. Although their motivations are many, the pursuit of further training as an alternative to unemployment is an emerging trend. Paradoxically, doctors continue as trainees with a consultant's credentials, and without the guarantee of eventual employment. This study explores seven doctors' experiences, the effects of further training on their professional identity formation (PIF), and how these effects are reconciled on a personal and professional level...
December 15, 2017: Medical Education
https://www.readbyqxmd.com/read/29242173/exploring-determinants-of-patient-adherence-to-a-portal-supported-oncology-rehabilitation-program-interview-and-data-log-analyses
#2
Hendrik P Buimer, Monique Tabak, Lex van Velsen, Thea van der Geest, Hermie Hermens
BACKGROUND: Telemedicine applications often do not live up to their expectations and often fail once they have reached the operational phase. OBJECTIVE: The objective of this study was to explore the determinants of patient adherence to a blended care rehabilitation program, which includes a Web portal, from a patient's perspective. METHODS: Patients were enrolled in a 12-week oncology rehabilitation treatment supported by a Web portal that was developed in cooperation with patients and care professionals...
December 14, 2017: JMIR Rehabilitation and Assistive Technologies
https://www.readbyqxmd.com/read/29241529/development-and-testing-of-a-goals-of-care-intervention-in-advanced-heart-failure
#3
Cynthia M Dougherty, Heather L Coats, J Randall Curtis, Ardith Z Doorenbos
AIM: The purpose of this paper is to describe the conceptual framework for a goals of care (GoC) intervention, elements, and findings of intervention feasibility, acceptability, and benefits from both patients with heart failure (HF) and their providers. BACKGROUND: Receiving care at a mechanical circulatory support center for advanced HF offers new opportunities for treatment, making the implementation of a GoC intervention timely and crucial in helping patients determine next steps in HF treatment...
December 2017: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/29241143/perceptions-about-supervised-injection-facilities-among-people-who-inject-drugs-in-philadelphia
#4
Robert E Harris, Jessica Richardson, Rosemary Frasso, Evan D Anderson
BACKGROUND: People who inject drugs (PWID) are at high risk for infectious diseases, skin and soft tissue infections, and overdose. However, these harms are all avoidable when sterile injection equipment, hygienic places to inject, and medical care are accessible. Unfortunately, many PWID in the U.S lack these resources. The most vulnerable are forced to inject in public spaces, where individual risks are high and communal harms are sometimes many. Supervised Injection Facilities (SIFs) are an established intervention for reducing these harms...
December 10, 2017: International Journal on Drug Policy
https://www.readbyqxmd.com/read/29238607/protocol-for-a-feasibility-randomised-controlled-trial-of-the-use-of-physical-activity-monitors-in-an-exercise-referral-setting-the-pacers-study
#5
Jemma Hawkins, Michelle Edwards, Joanna Charles, Russell Jago, Mark Kelson, Kelly Morgan, Simon Murphy, Emily Oliver, Sharon Simpson, Rhiannon Tudor Edwards, Graham Moore
Background: Exercise referral schemes are recommended by the National Institute for Clinical Excellence (NICE) for physical activity promotion among inactive patients with health conditions or risk factors. Whilst there is evidence for the initial effectiveness and cost-effectiveness of such schemes for increasing physical activity, evidence of long-term effects is limited. Techniques such as goal setting, self-monitoring and personalised feedback may support motivation for physical activity...
2017: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/29237429/using-theory-based-messages-to-motivate-u-s-pregnant-women-to-prevent-cytomegalovirus-infection-results-from-formative-research
#6
Denise M Levis, Christina L Hillard, Simani M Price, Erika Reed-Gross, Erika Bonilla, Minal Amin, Jennifer D Stowell, Rebekah Clark, Delaney Johnson, Karen Mask, Cynthia Carpentieri, Michael J Cannon
BACKGROUND: An estimated 1 in 150 infants is born each year with congenital cytomegalovirus (CMV); nearly 1 in 750 suffers permanent disabilities. Congenital CMV is the result of a pregnant woman becoming infected with CMV. Educating pregnant women about CMV is currently the best approach to prevention. Limited research is available on how to effectively communicate with women about CMV. We conducted formative research on fear appeals theory-based messages about CMV and prevention with U...
December 14, 2017: BMC Women's Health
https://www.readbyqxmd.com/read/29237109/enhancing-self-care-management-of-interdialytic-fluid-weight-gain-in-patients-on-hemodialysis-a-pilot-study-using-motivational-interviewing
#7
Stacy Crown, Janet A Vogel, Christina Hurlock-Chorostecki
Patients receiving hemodialysis are challenged with restricting their fluid intake to ensure appropriate interdialytic weight gains. While nurses endeavor to promote selfcare, the ability to manage fluid gain rests on the patient's understanding and decision to limit fluid intake. A mixed-methods pilot study was undertaken to determine if motivational interviewing, a patient-centered, conversational, and collaborative approach to stimulating behavior change and resolving ambivalence, enhances self-care fluid management...
January 2017: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/29235264/reconceptualizing-motivation-for-smoking-cessation-among-people-with-rheumatoid-arthritis-as-incentives-and-facilitators
#8
Megan E Gath, Lisa K Stamp, Pip Aimer, Simon Stebbings, Gareth J Treharne
OBJECTIVES: Smokers with rheumatoid arthritis (RA) may have different motivations for, and barriers to, quitting. Understanding the motivations of smokers and ex-smokers with RA will help in the design and implementation of targeted smoking cessation interventions for people with RA that are not based solely on extrapolation from the general population or populations with other chronic illnesses. METHODS: Twenty-nine smokers and 10 recent ex-smokers with RA participated in semi-structured interviews via telephone 18 months after being offered a smoking cessation intervention in Aotearoa/New Zealand...
December 13, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/29233579/why-do-certain-primary-health-care-teams-respond-better-to-intimate-partner-violence-than-others-a-multiple-case-study
#9
Isabel Goicolea, Bruno Marchal, Anna-Karin Hurtig, Carmen Vives-Cases, Erica Briones-Vozmediano, Miguel San Sebastián
OBJECTIVE: To analyse how team level conditions influenced health care professionals' responses to intimate partner violence. METHODS: We used a multiple embedded case study. The cases were four primary health care teams located in a southern region of Spain; two of them considered "good" and two s "average". The two teams considered good had scored highest in practice issues for intimate partner violence, measured via a questionnaire (PREMIS - Physicians Readiness to Respond to Intimate Partner Violence Survey) applied to professionals working in the four primary health care teams...
December 9, 2017: Gaceta Sanitaria
https://www.readbyqxmd.com/read/29233429/pharmacy-students-perceptions-of-the-usefulness-of-motivational-interviewing-and-the-use-of-mobile-health-applications-on-patient-counseling-in-the-future
#10
Justin K Owensby, Jan Kavookjian
INTRODUCTION: To explore student pharmacists' perceptions of 1) future patient counseling, 2) use of mobile health applications (mHealth apps), and 3) usefulness of motivational interviewing (MI) in patient encounters and potential app messaging. METHODS: A cross-sectional design with first and second year pharmacy students (n=315) at a multi-campus university after exposure to mHealth app and MI curricular content. A questionnaire assessed perceptions of 1) future patient counseling, 2) using apps for personal use and professional encounters, and 3) potential practicality and usefulness of MI principles/skills in apps messaging...
July 2017: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29233305/motivational-interviewing-education-creation-and-assessment-of-a-learning-module-implemented-among-advanced-pharmacy-practice-students
#11
Lydia Bailey, Russell Curington, Bethanne Brown, Michael Hegener, Mike Espel
BACKGROUND AND PURPOSE: The purpose of this prospective nonrandomized study (quasi-experimental), pre-/post-intervention design was to implement and assess a formal orientation training program for Advanced Pharmacy Practice Experience (APPE) students focusing on skills related to motivational interviewing (MI). EDUCATIONAL ACTIVITY AND SETTING: Students were assessed on their knowledge, perceived ability, and perceived need to incorporate MI in practice using a pre-/posttest...
September 2017: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29233157/medical-student-intervention-to-promote-effective-nicotine-dependence-and-tobacco-healthcare-mind-the-gap-single-centre-feasibility-randomised-trial-results
#12
Anusha Kumar, Kenneth D Ward, Lisa Mellon, Miriam Gunning, Sinead Stynes, Anne Hickey, Ronán Conroy, Shane MacSweeney, David Horan, Liam Cormican, Seamus Sreenan, Frank Doyle
BACKGROUND: Although brief cessation advice from healthcare professionals increases quit rates, smokers typically do not get this advice during hospitalisation, possibly due to resource issues, lack of training and professionals' own attitudes to providing such counselling. Medical students are a potentially untapped resource who could deliver cessation counselling, while upskilling themselves and changing their own attitudes to delivering such advice in the future; however, no studies have investigated this...
December 11, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29233101/learning-from-older-peoples-reasons-for-participating-in-demanding-intensive-epidemiological-studies-a-qualitative-study
#13
Alicja M Baczynska, Sarah C Shaw, Harnish P Patel, Avan A Sayer, Helen C Roberts
BACKGROUND: Recruitment rates of older people in epidemiological studies, although relatively higher than in clinical trials, have declined in recent years. This study aimed to explore motivating factors and concerns among older participants in an intensive epidemiological study (Hertfordshire Sarcopenia Study - HSS) and identify those that could aid future recruitment to epidemiological studies and clinical trials. METHODS: Participants of the HSS fasted overnight and travelled several hours each way to the research facility at an English hospital for extensive diet/lifestyle questionnaires and investigations to assess muscle including blood tests and a muscle biopsy...
December 12, 2017: BMC Medical Research Methodology
https://www.readbyqxmd.com/read/29232526/prevention-of-childhood-obesity-in-child-health-services-follow-up-of-the-primrose-trial
#14
Johanna Enö Persson, Benjamin Bohman, Per Tynelius, Finn Rasmussen, Ata Ghaderi
BACKGROUND: Childhood obesity is an urgent public health concern, and there's a need for long-term, high-quality, primary prevention trials targeting parents of young children. The aim of the current study was to evaluate the long-term effect of a parental support program based on motivational interviewing (MI). METHODS: A cluster randomized controlled trial was carried out in eight Swedish counties. Participating families (N = 1355) were enrolled when the child was 9 months old, and participated in nine sessions during ∼39 months...
December 12, 2017: Childhood Obesity
https://www.readbyqxmd.com/read/29231747/practice-patterns-to-improve-pre-and-post-transplant-medication-adherence-in-heart-transplant-centres-a-secondary-data-analysis-of-the-international-bright-study
#15
Yuliya Senft, Monika Kirsch, Kris Denhaerynck, Fabienne Dobbels, Remon Helmy, Cynthia L Russell, Lut Berben, Sabina De Geest
BACKGROUND: As medication non-adherence is a major risk factor for poor post-transplant outcomes, we explored how adherence is assessed, enhanced and integrated across the transplant continuum. AIM: The aim of this study was to study practice patterns regarding pre- and post-transplant medication adherence assessment and interventions in international heart transplant centres. METHODS: We used data from the Building Research Initiative Group: chronic illness management and adherence in heart transplantation (BRIGHT) study, a cross-sectional study conducted in 36 heart transplant centres in 11 countries...
December 1, 2017: European Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/29230403/farmer-and-veterinarian-attitudes-towards-the-bovine-tuberculosis-eradication-programme-in-spain-what-is-going-on-in-the-field
#16
Giovanna Ciaravino, Patricia Ibarra, Ester Casal, Sergi Lopez, Josep Espluga, Jordi Casal, Sebastian Napp, Alberto Allepuz
The effectiveness of health interventions against bovine tuberculosis (bTB) is influenced by several "non-biological" factors that may hamper bTB detection and control. Although the engagement of stakeholders is a key factor for the eradication programme's success, social factors have been often ignored in the control programmes of animal diseases, especially in developed countries. In this study, we used a qualitative approach to investigate perceptions, opinions, attitudes, and beliefs of farmers, and veterinarians who may influence the effectiveness of the Spanish bTB eradication programme...
2017: Frontiers in Veterinary Science
https://www.readbyqxmd.com/read/29227879/re-thinking-pre-drinking-implications-from-a-sample-of-teenagers-who-drink-in-private-settings
#17
James Wilson, Rowan P Ogeil, Tina Lam, Simon Lenton, Belinda Lloyd, Lucy Burns, Alexandra Aiken, William Gilmore, Tanya Chikritzhs, Richard Mattick, Dan I Lubman, Steve Allsop
BACKGROUND: Pre-drinking is often defined as an economically-minded set of drinking practices engaged in prior to attending public entertainment areas, such as licensed venues. This paper explores motivations and practical considerations that a sample of teenagers describes as significant to 'pre-drinking', despite not attending licensed premises during their most recent risky drinking session. METHODS: Data were derived from the mixed-methods Young Australians Alcohol Reporting System (YAARS) project...
December 8, 2017: International Journal on Drug Policy
https://www.readbyqxmd.com/read/29227358/the-impact-of-work-ability-on-work-motivation-and-health-a-longitudinal-study-based-on-older-employees
#18
Annemarie Feißel, Enno Swart, Stefanie March
OBJECTIVE: Work participation is determined by work motivation and work ability with health as a significant component. Within the lidA-study we explore the impact of work ability on work motivation and health with consideration of further influencing factors. METHODS: 4,109 older employees were interviewed two times (t0 = 2011, t1 = 2014). Two multivariate analyses were performed regarding the influence of work ability on work motivation (Model 1) and health (Model 2)...
December 8, 2017: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/29227155/using-mobile-health-to-improve-social-support-for-low-income-latino-patients-with-diabetes-a-mixed-methods-analysis-of-the-feasibility-trial-of-text-med%C3%A2-%C3%A2-fans
#19
Elizabeth Burner, Chun Nok Lam, Rebecca DeRoss, Marjorie Kagawa Singer, Michael Menchine, Sanjay Arora
BACKGROUND: Social support interventions can improve diabetes self-care, particularly for Latinos, but are time and resource intensive. Mobile health may overcome these barriers by engaging and training supporters remotely. METHODS: We conducted a randomized controlled feasibility trial of emergency department patients with diabetes to determine the feasibility of enrolling patients and supporters, acceptability of the intervention, and preliminary efficacy results to power a larger trial...
December 11, 2017: Diabetes Technology & Therapeutics
https://www.readbyqxmd.com/read/29226694/effectiveness-of-motivational-interviewing-for-improving-physical-activity-self-management-for-adults-with-type-2-diabetes-a-review
#20
Patricia Davern Soderlund
Objectives This review examines the effectiveness of motivational interviewing for physical activity self-management for adults diagnosed with diabetes mellitus type 2. Motivational interviewing is a patient centered individually tailored counseling intervention that aims to elicit a patient's own motivation for health behavior change. Review questions include (a) How have motivational interviewing methods been applied to physical activity interventions for adults with diabetes mellitus type 2? (b) What motivational interviewing approaches are associated with successful physical activity outcomes with diabetes mellitus 2? Methods Database searches used PubMed, CINAHL, and PsycINFO for the years 2000 to 2016...
January 1, 2017: Chronic Illness
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