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Clinical interview

Stephanie Jarvi Steele, Todd J Farchione, Clair Cassiello-Robbins, Amantia Ametaj, Sophia Sbi, Shannon Sauer-Zavala, David H Barlow
OBJECTIVE: This study aimed to examine whether the Unified Protocol (UP), a transdiagnostic cognitive-behavioral therapy for emotional disorders (i.e., anxiety, mood, and related disorders), is efficacious in the treatment of co-occurring emotional disorders compared to established single disorder protocols (SDPs) that target specific disorders (e.g., panic disorder). METHOD: Participants included 179 adults seeking outpatient psychotherapy. Participant age ranged from 18 to 66 years, with an average of 30...
August 3, 2018: Journal of Psychiatric Research
Takeo Matsubara, Keisuke Suzuki, Hiroaki Fujita, Yuji Watanabe, Hirotaka Sakuramoto, Masanori Matsubara, Koichi Hirata
OBJECTIVE: The objective of this study was to investigate the prevalence of restless leg syndrome (RLS), leg motor restlessness (LMR) and RLS/LMR variants and their relationship with clinical factors in patients with Parkinson's disease (PD) and related disorders. METHODS: Sixty-three PD patients, 17 multiple system atrophy (MSA) patients and 11 progressive supranuclear palsy (PSP) patients were included in this study. Through face-to-face interviews, the patients were diagnosed with RLS/LMR, or with RLS/LMR variants in which the symptoms occur predominantly in body parts other than the legs...
August 7, 2018: Journal of the Neurological Sciences
Janet R McClure, Ilanit Tal, Caroline A Macera, Ming Ji, Caroline M Nievergelt, Soo Yong Lee, Josh Kayman, Sidney Zisook
BACKGROUND: With suicide rising in the United States, identifying and preventing suicides is increasingly important. To provide a valuable step toward achieving effective suicide risk assessment, this study examines the agreement between self-report measures and psychiatrist documentation of suicidal ideation and behaviors (SI) at a Veterans Administration (VA) psychiatric emergency clinic. METHODS: A total of 377 veterans presenting at a VA psychiatric emergency clinic completed a self-report survey on SI and other acute risk factors for suicidal behavior...
August 13, 2018: Depression and Anxiety
Kiri A Sandler, Sandra A Mitchell, Ethan Basch, Ann C Raldow, Michael L Steinberg, Jamal Sharif, Ryan R Cook, Patrick A Kupelian, Susan A McCloskey
PURPOSE: To improve assessment of symptomatic toxicity in cancer clinical trials and complement clinician-based toxicity reporting, the US National Cancer Institute developed a measurement system called the Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE). The objective of this study was to examine the content validity of PRO-CTCAE in patients undergoing radiation therapy and to establish anatomic site-specific item sets for implementation in cancer research...
September 1, 2018: International Journal of Radiation Oncology, Biology, Physics
Elizabeth Craun, Kathryn Lachance, Catherine Williams, Maria M Wong
INTRODUCTION: Previous research has found mixed results when assessing the association between a parent's history of depressive symptoms and a child's abilities on measures of executive functioning. The purpose of this study was to replicate and expand upon these findings by evaluating the influence of a parent's depressive symptoms on a young person's executive functioning. METHOD: As part of a larger study, 135 children (54.8% female, aged 8-12) and one biological parent completed diagnostic screening interviews...
August 13, 2018: Journal of Clinical and Experimental Neuropsychology
Umut Kırlı, Tolga Binbay, Marjan Drukker, Hayriye Elbi, Bülent Kayahan, Duygu Keskin Gökçelli, Ferda Özkınay, Hüseyin Onay, Köksal Alptekin, Jim van Os
BACKGROUND: Psychotic experiences (PEs) may predict a range of common, non-psychotic disorders as well as psychotic disorders. In this representative, general population-based cohort study, both psychotic and non-psychotic disorder outcomes of PE were analysed, as were potential moderators. METHODS: Addresses were contacted in a multistage clustered probability sampling frame covering 11 districts and 302 neighbourhoods at baseline (n = 4011). Participants were interviewed with the Composite International Diagnostic Interview (CIDI) both at baseline and at 6-year follow-up...
August 13, 2018: Psychological Medicine
Sarah Stotz, Jung Sun Lee, Jori Hall
OBJECTIVE: To understand low-income adults' expectations and experiences using an innovative smartphone and theory-based eLearning nutrition education programme, entitled Food eTalk. DESIGN: Longitudinal mixed-methods single case study including a series of focus group and individual interviews, demographic and Internet habits surveys, and user-tracking data. Interviews were transcribed verbatim, analysed using the constant comparative method and digitalized using Atlas...
August 13, 2018: Public Health Nutrition
Charlotte M Lewis, Thelma Gamboa-Maldonado, Juan Carlos Belliard, Anna Nelson, Susanne Montgomery
Traditional community health workers (CHWs) are expanding their role into clinical settings (cCHW) to support patients with care coordination and advocacy services. We investigated the potential to integrate cCHWs, via evaluation of patients' and CHWs' key demographics, needs, and abilities. This mixed-methods study, including adult patients and CHWs, was conducted in the Inland Valley of Southern California, between 2016 and 2017. Survey data, key informant interviews, and focus group discussions were evaluated to compare patient/CHW core demographics, and contrast patient-identified healthcare needs against CHW-identified cCHW service capabilities...
August 12, 2018: Journal of Community Health
Thomson J Ling, Kristy N Percario, Jessica M Hauck, Emily P Holland, Daniel Isenberg, Tiffany Henawi, Melanie A Peters, Jenna Karahalios, Rebecca Messano
Mental health on college campuses is a growing issue. Despite a rise in demand for services, counseling centers generally offer assistance during business hours, with a limited number of clinicians. Hotlines can provide an avenue for suicide prevention and intervention while offering training to graduate counseling students. The present study used a qualitative approach to examine the benefits and challenges of using hotlines as a clinical training modality. Interviews with nine graduate students volunteering at a hotline were analyzed using a consensual qualitative research methodology...
August 12, 2018: Community Mental Health Journal
David J Wright, Richard J Adams, Jeanette Blacklock, Sarah A Corlett, Rebecca Harmston, Margaret McWilliams, Stephen-Andrew Whyte, Gail Fleming
Purpose: To describe the most effective model for managing, educating, and training pharmacist advanced clinical practitioners (ACPs) in the urgent care center (UCC) setting, role evolution and how to measure their effectiveness. Participants and methods: Ethical approval was obtained to perform a qualitative longitudinal cohort study in three sites, with three pharmacists in each trained as ACPs from 2016 to 2017. ACP role, location, management, mentorship, and supervision were locally determined...
2018: Integrated Pharmacy Research and Practice
Mouna Ejjiyar, Moulay Driss El Amrani
Alopecia is defined as a congenital or temporary absence of hair or even as total or partial hair loss. Clinical manifestation is more marked on the scalp and it is more common in men than in women. Nevertheless, a set of extrinsic factors may be responsible for scarring alopecia of the scalp, including tumors, infections or even loss of substance secondary to thermal burns. On the basis of these illustrations, we here report three cases of patients with scarring alopecia of the scalp secondary to so-called "atypical" causes...
2018: Pan African Medical Journal
Daniel N Racey, Jerry Fox, Vashti L Berry, Kelly V Blockley, Rachel A Longridge, Jennifer L Simmons, Astrid Janssens, Willem Kuyken, Tamsin J Ford
We aimed to evaluate whether mindfulness-based cognitive therapy (MBCT) was feasible and acceptable for young people, their parents and the clinicians working with them; whether a parallel course for parents was a useful addition; and whether attendance at MBCT was associated with improved outcomes. The design was a mixed-method service evaluation of an eight-session MBCT programme for young people who were recovering from depression. The course was a manualised eight-session group intervention. Both young people ( n  = 18) and parents ( n  = 21) completed validated measures before and after the course...
2018: Mindfulness
Amy Harig, Amy Rybarczyk, Amanda Benedetti, Jacob Zimmerman
Background: Vague, incomplete, or inaccurate drug-allergy histories can be detrimental to patient safety and affect patient care. There is an increased chance of medication errors if details of a drug allergy are not documented. Incomplete or inaccurate allergy histories may also result in increased time spent by health care providers to clarify an order in question. Published literature from the early 1990s showed that a patient interview can facilitate collection of more complete allergy information and could lead to the removal of a documented drug allergy in approximately one-third of patients...
August 2018: P & T: a Peer-reviewed Journal for Formulary Management
JoAnna K Leyenaar, Christine B Andrews, Emily R Tyksinski, Eric Biondi, Kavita Parikh, Shawn Ralston
BACKGROUND: Emergency medicine and paediatric hospital medicine physicians each provide a portion of the initial clinical care for the majority of hospitalised children in the USA. While these disciplines share goals to increase quality of care, there are scant data describing their collaboration. Our national, multihospital learning collaborative, which aimed to increase narrow-spectrum antibiotic prescribing for paediatric community-acquired pneumonia, provided an opportunity to examine factors influencing the success of quality improvement efforts across these two clinical departments...
August 12, 2018: BMJ Quality & Safety
Søren T Skou, Jonas B Thorlund
OBJECTIVE: To describe the development and feasibility of an exercise therapy program for treatment of young adults (18-40 years of age) with a meniscal tear. METHODS: Researchers and experienced physical therapists developed a 12-week supervised neuromuscular and strengthening exercise therapy program based on clinical expertise and available evidence. Six patients (age range 22-39 years) considered eligible for meniscal surgery by an orthopedic surgeon underwent the program...
July 2018: Journal of Bodywork and Movement Therapies
Ida-Maisie Famiyeh, Linda MacKeigan, Alison Thompson, Kerry Kuluski, Lisa M McCarthy
BACKGROUND: In 2012, community pharmacists in Ontario, Canada gained regulatory authority to independently prescribe, including renew and adapt prescriptions. Studies have explored views of pharmacists, physicians and policymakers about pharmacist prescribing but less is known about the views of community pharmacy services users. OBJECTIVE: To describe Ontario community pharmacy service users' support for and stated willingness to use pharmacist prescribing services...
July 24, 2018: Research in Social & Administrative Pharmacy: RSAP
Christina Theodore-Oklota, Nicola Bonner, Holly Spencer, Rob Arbuckle, Chao-Yin Chen, Alison Skrinar
BACKGROUND: X-linked hypophosphatemia (XLH) is a rare genetic disorder characterized by renal phosphate wasting and defective bone mineralization. Symptoms include bone pain, joint pain, stiffness, and fatigue. Published evidence regarding the patient experience of XLH is sparse and no XLH-specific outcome measures have been validated. OBJECTIVES: To understand the symptoms, impacts, and patient experience of XLH and to evaluate the face and content validity of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC®) and the Brief Pain Inventory Short Form (BPI-SF) for use as end points in XLH clinical trials...
August 2018: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Elisabeth M Oehrlein, Eleanor M Perfetto, T Rose Love, Yujin Chung, Parima Ghafoori
BACKGROUND: In 2016, the Food and Drug Administration (FDA) released a Pilot Clinical Outcome Assessment Compendium (COA Compendium) intended to foster patient-focused drug development (PFDD). However, it is unclear whether patient perspectives were solicited during development or validation of the included patient-reported outcome (PRO) measures. OBJECTIVE: To examine the pedigree of a sample of measures included in the COA Compendium. METHODS: PROs included in chapters 1 or 2 of the COA Compendium were extracted and three reviewers independently searched PubMed and Google to identify information on measure pedigree...
August 2018: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Risha Gidwani-Marszowski, Andrea L Nevedal, Douglas W Blayney, Manali Patel, P Adam Kelly, Christine Timko, Kavitha Ramchandran, Samantha S Murrell, Steven M Asch
OBJECTIVES: Cancer costs have increased substantially in the past decades, prompting specialty societies to urge oncologists to consider value in clinical decision making. Despite oncologists' crucial role in guiding cancer care, current literature is sparse with respect to the oncologists' views on value. Here, we evaluated oncologists perceptions of the use and measurement of value in cancer care. METHODS: We conducted in-depth, open-ended interviews with 31 US oncologists practicing nationwide in various environments...
August 2018: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Alexander J Stratigos, Maria Concetta Fargnoli, Arcangela De Nicolo, Ketty Peris, Susana Puig, Efthymia Soura, Chiara Menin, Donato Calista, Paola Ghiorzo, Mario Mandala, Daniella Massi, Monica Rodolfo, Laura Del Regno, Irene Stefanaki, Helen Gogas, Veronique Bataille, Margaret A Tucker, David Whiteman, Eduardo Nagore, Maria Teresa Landi
BACKGROUND: Many melanoma observational studies have been carried out across different countries and geographic areas using heterogeneous assessments of epidemiologic risk factors and clinical variables. AIM: To develop a consensus questionnaire to standardize epidemiologic and clinical data collection for melanoma risk assessment. METHODS: We used a stepwise strategy that included: compilation of variables from case-control datasets collected at various centers of the MelaNostrum Consortium; integration of variables from published case-control studies; consensus discussion of the collected items by MelaNostrum members; revision by independent experts; addition of online tools and image-based charts; questionnaire testing across centers, and generation of a final draft...
August 10, 2018: Journal of the European Academy of Dermatology and Venereology: JEADV
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