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https://www.readbyqxmd.com/read/29145626/twelve-month-outcomes-of-a-group-randomized-community-health-advocate-led-smoking-cessation-intervention-in-public-housing
#1
Daniel R Brooks, Joanna L Burtner, Belinda Borrelli, Timothy C Heeren, Tegan Evans, Jessica A Davine, Jonathan Greenbaum, Matthew Scarpaci, John Kane, Vaughan W Rees, Alan C Geller
Background: Lower rates of smoking cessation are a major reason for the higher prevalence of smoking among socioeconomically disadvantaged adults. Because barriers to quitting are both more numerous and severe, socioeconomically disadvantaged smokers may benefit from more intensive intervention. We sought to determine whether a smoking cessation intervention delivered by public housing residents trained as Tobacco Treatment Advocates (TTAs) could increase utilization of cessation resources and increase abstinence...
November 14, 2017: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
https://www.readbyqxmd.com/read/29144156/upmc-prescription-for-wellness-a-quality-improvement-case-study-for-supporting-patient-engagement-and-health-behavior-change
#2
Rebecca J Maners, Eric Bakow, Michael D Parkinson, Gary S Fischer, Geoffrey R Camp
Addressing patient health and care behaviors that underlie much of chronic disease continues to challenge providers, medical practices, health systems, and insurers. Improving health and care as described by the Quadruple Aim requires innovation at the front lines of clinical care: the doctor-patient interaction and office practice. This article describes the use of Lean Six Sigma in a quality improvement (QI) effort to design an effective and scalable method for physicians to prescribe health coaching for healthy behaviors in a primary care medical home within a large integrated delivery and financing system...
November 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29137836/how-participatory-action-research-changed-our-view-of-the-challenges-of-shared-decision-making-training
#3
Jette Ammentorp, Maiken Wolderslund, Connie Timmermann, Henry Larsen, Karina Dahl Steffensen, Annegrethe Nielsen, Marianne E Lau, Bodil Winther, Lars Henrik Jensen, Elisabeth Assing Hvidt, Niels Christian Hvidt, Pål Gulbrandsen
OBJECTIVE: This paper aims to demonstrate how the use of participatory action research (PAR) helped us identify ways to respond to communication challenges associated with shared decision-making (SDM) training. METHODS: Patients, relatives, researchers, and health professionals were involved in a PAR process that included: (1) two theatre workshops, (2) a pilot study of an SDM training module involving questionnaires and evaluation meetings, and (3) three reflection workshops...
November 9, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/29134297/community-based-efforts-to-prevent-and-manage-diabetes-in-women-living-in-vulnerable-communities
#4
Laurie Lachance, R Patrick Kelly, Margaret Wilkin, Jodi Burke, Sandra Waddell
Social determinants of health likely play a significant role in the development of type 2 diabetes for women in vulnerable communities. Adult African American women diagnosed with or at-risk for diabetes in Inkster, Michigan (n = 113) and a group of demographically similar women in Flint, Michigan (n = 48) participated in programs aimed at increasing diabetes-related self-management behaviors through peer coaching, health literacy training, and social support. Participants completed surveys to measure changes in health, health behaviors, health literacy, and social support...
November 13, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/29130536/adoption-and-use-of-an-injury-prevention-exercise-programme-in-female-football-a-qualitative-study-among-coaches
#5
H Lindblom, S Carlfjord, M Hägglund
This study focuses on an injury prevention exercise programme (IPEP), Knee Control, which has been shown to reduce the incidence of acute knee injury in female adolescent football players. The aim was to explore the factors influencing coaches' adoption and use of Knee Control within female football in Sweden. This was a qualitative study involving interviews with 20 strategically selected coaches for female football teams, predominantly adolescent teams. The semi-structured interview guide was influenced by the Health Belief Model, and an ecological perspective was adopted during the interviews...
November 11, 2017: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/29124494/information-and-support-needs-of-young-women-regarding-breast-cancer-risk-and-genetic-testing-adapting-effective-interventions-for-a-novel-population
#6
Suzanne C O'Neill, Chalanda Evans, Rebekah J Hamilton, Beth N Peshkin, Claudine Isaacs, Sue Friedman, Kenneth P Tercyak
Young women from hereditary breast and ovarian cancer (HBOC) families face a unique set of challenges in managing their HBOC risk, where obtaining essential information to inform decision making is key. Previous work suggests that this need for specific health information also comes at a time of heightened distress and greater individuation from family. In this report, we describe our adaptation of a previously-studied behavioral intervention for this population, utilizing a systematic approach outlined by the Centers for Disease Control and Prevention...
November 9, 2017: Familial Cancer
https://www.readbyqxmd.com/read/29121991/medical-students-as-health-coaches-implementation-of-a-student-initiated-lifestyle-medicine-curriculum
#7
Rani Polak, Adi Finkelstein, Tom Axelrod, Marie Dacey, Matan Cohen, Dennis Muscato, Avi Shariv, Naama W Constantini, Mayer Brezis
BACKGROUND: By 2020, the World Health Organization predicts that two-thirds of all diseases worldwide will be the result of lifestyle choices. Physicians often do not counsel patients about healthy behaviors, and lack of training has been identified as one of the barriers. Between 2010 and 2014, Hebrew University developed and implemented a 58-h Lifestyle Medicine curriculum spanning five of the 6 years of medical school. Content includes nutrition, exercise, smoking cessation, and behavior change, as well as health coaching practice with friends/relatives (preclinical years) and patients (clinical years)...
November 10, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29120891/clinicians-ability-motivation-and-opportunity-to-acquire-and-transfer-knowledge-an-age-driven-perspective
#8
Silvia Profili, Alessia Sammarra, Roberto Dandi, Daniele Mascia
BACKGROUND: Many countries are seeing a dramatic increase in the average age of their clinicians. The literature often highlights the challenges of high replacement costs and the need for strategies to retain older personnel. Less discussed are the potential pitfalls of knowledge acquisition and transfer that accompany this aging issue. PURPOSE: We propose a conceptual framework for understanding how clinicians' age interact with ability, motivation, and opportunity to predict clinical knowledge transfer and acquisition in health care organizations...
November 8, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/29117929/a-fully-automated-web-based-program-improves-lifestyle-habits-and-hba1c-in-patients-with-type-2-diabetes-and-abdominal-obesity-randomized-trial-of-patient-e-coaching-nutritional-support-the-anode-study
#9
Boris Hansel, Philippe Giral, Laetitia Gambotti, Alexandre Lafourcade, Gilbert Peres, Claude Filipecki, Diana Kadouch, Agnes Hartemann, Jean-Michel Oppert, Eric Bruckert, Michel Marre, Arnaud Bruneel, Emilie Duchene, Ronan Roussel
BACKGROUND: The prevalence of abdominal obesity and type 2 diabetes mellitus (T2DM) is a public health challenge. New solutions need to be developed to help patients implement lifestyle changes. OBJECTIVE: The objective of the study was to evaluate a fully automated Web-based intervention designed to help users improve their dietary habits and increase their physical activity. METHODS: The Accompagnement Nutritionnel de l'Obésité et du Diabète par E-coaching (ANODE) study was a 16-week, 1:1 parallel-arm, open-label randomized clinical trial...
November 8, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29111629/effects-of-muay-thai-training-frequency-on-body-composition-and-physical-fitness-in-healthy-untrained-women
#10
Jeniffer A de S Rapkiewicz, João P Nunes, Jerry L Mayhew, Alex Silva Ribeiro, Hellen C Garcez Nabuco, Maria T Fávero, Emerson Franchini, Matheus Amarante do Nascimento
BACKGROUND: The purpose of the study was to compare the effects of different frequencies of Muay Thai training on body composition, and physical fitness in healthy untrained women. METHODS: Twenty women were randomly assigned to one of two training groups: G2X (n = 9) performed Muay Thai twice a week, while G3X (n = 11) performed the same program three times a week, both for 13 weeks. Anthropometric dimensions, fat-free mass, fat mass, resting metabolic rate, VO2 max, upper-body and abdominal muscle endurance, explosive leg power, agility, flexibility, and dietary intake were measured at pre and post-training...
November 7, 2017: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/29110703/effectiveness-of-a-theory-based-multicomponent-intervention-movement-coaching-on-the-promotion-of-total-and-domain-specific-physical-activity-a-randomised-controlled-trial-in-low-back-pain-patients
#11
Andrea Schaller, Katja Petrowski, Timo-Kolja Pfoertner, Ingo Froboese
BACKGROUND: The promotion of physical activity is a major field in rehabilitation and health promotion but evidence is lacking on what method or strategy works best. Ensuing from this research gap, the present study compared the effectiveness of a comprehensive theory based multicomponent intervention (Movement Coaching) to a low intensity intervention in low back pain patients. METHODS: A monocenter randomized controlled trial with three measuring points (T0 = baseline, T1 = six month follow-up, T2 = twelve month follow-up) was conducted...
November 6, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29106978/coaching-patients-saves-lives-and-money
#12
Joshua Byrnes, Thomas Elliott, Margarite J Vale, Michael V Jelinek, Paul Scuffham
Background The Coaching on Achieving Cardiovascular Health (COACH) Program has been proven to improve biomedical and lifestyle cardiovascular disease (CVD) risk factors. The objective of this study was to evaluate the long term impact of The COACH Program on overall survival, hospital utilization and costs from the perspective of a private health insurer (payor), in patients with CVD. Methods A prospective parallel-group case-control study design with controls randomly matched to patients based on propensity score...
October 26, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/29105001/design-of-projectrun21-a-14-week-prospective-cohort-study-of-the-influence-of-running-experience-and-running-pace-on-running-related-injury-in-half-marathoners
#13
Camma Damsted, Erik Thorlund Parner, Henrik Sørensen, Laurent Malisoux, Rasmus Oestergaard Nielsen
BACKGROUND: Participation in half-marathon has been steeply increasing during the past decade. In line, a vast number of half-marathon running schedules has surfaced. Unfortunately, the injury incidence proportion for half-marathoners has been found to exceed 30% during 1-year follow-up. The majority of running-related injuries are suggested to develop as overuse injuries, which leads to injury if the cumulative training load over one or more training sessions exceeds the runners' load capacity for adaptive tissue repair...
November 6, 2017: Injury Epidemiology
https://www.readbyqxmd.com/read/29102480/what-are-the-key-elements-for-implementing-intensive-primary-care-a-multisite-veterans-health-administration-case-study
#14
Evelyn T Chang, Pushpa V Raja, Susan E Stockdale, Marian L Katz, Donna M Zulman, Jessica A Eng, Kathy H Hedrick, Jeffrey L Jackson, Neha Pathak, Brook Watts, Carrie Patton, Gordon Schectman, Steven M Asch
Many integrated health systems and accountable care organizations have turned to intensive primary care programs to improve quality of care and reduce costs for high-need high-cost patients. How best to implement such programs remains an active area of discussion. In 2014, the Veterans Health Administration (VHA) implemented five distinct intensive primary care programs as part of a demonstration project that targeted Veterans at the highest risk for hospitalization. We found that programs evolved over time, eventually converging on the implementation of the following elements: 1) an interdisciplinary care team, 2) chronic disease management, 3) comprehensive patient assessment and evaluation, 4) care and case management, 5) transitional care support, 6) preventive home visits, 7) pharmaceutical services, 8) chronic disease self-management, 9) caregiver support services, 10) health coaching, and 11) advanced care planning...
October 25, 2017: Healthcare
https://www.readbyqxmd.com/read/29097298/study-design-and-methods-for-the-activity-and-technology-activate-trial
#15
Brigid M Lynch, Nga H Nguyen, Marina M Reeves, Melissa M Moore, Dori E Rosenberg, Michael J Wheeler, Terry Boyle, Jeff K Vallance, Christine M Friedenreich, Dallas R English
BACKGROUND: Physical activity is positively associated with survival and quality of life among breast cancer survivors. Despite these benefits, the majority of breast cancer survivors are insufficiently active. The potential health benefits of reducing sedentary behaviour (sitting time) in this population have not been extensively investigated. The ACTIVATE Trial will evaluate the efficacy of an intervention that combines wearable technology (the Garmin Vivofit2®) with traditional behavioural change approaches to increase physical activity and reduce sedentary behaviour performed by breast cancer survivors...
October 30, 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/29096775/randomized-clinical-trial-of-online-parent-training-for-behavior-problems-after-early-brain-injury
#16
Shari L Wade, Amy E Cassedy, Emily L Shultz, Huaiyu Zang, Nanhua Zhang, Michael W Kirkwood, Terry Stancin, Keith O Yeates, H Gerry Taylor
OBJECTIVE: To evaluate the effectiveness of Internet-based Interacting Together Everyday: Recovery After Childhood TBI (I-InTERACT) versus abbreviated parent training (Express) or access to online resources (internet resources comparison [IRC]) in improving parenting skills and decreasing behavior problems after early traumatic brain injury (TBI). METHOD: In this randomized, controlled, clinical trial, 113 children 3 to 9 years old previously hospitalized for moderate to severe TBI were randomly assigned to receive Express (n = 36), I-InTERACT (n = 39), or IRC (n = 38)...
November 2017: Journal of the American Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29089913/diabetes-related-distress-and-depressive-symptoms-are-not-merely-negative-over-a-3-year-period-in-malaysian-adults-with-type-2-diabetes-mellitus-receiving-regular-primary-diabetes-care
#17
Boon-How Chew, Rimke C Vos, Rebecca K Stellato, Guy E H M Rutten
For people with type 2 diabetes mellitus (T2DM) the daily maintenance of physical and psychological health is challenging. However, the interrelatedness of these two health domains, and of diabetes-related distress (DRD) and depressive symptoms, in the Asian population is still poorly understood. DRD and depressive symptoms have important but distinct influences on diabetes self-care and disease control. Furthermore, the question of whether changes in DRD or depressive symptoms follow a more or less natural course or depend on disease and therapy-related factors is yet to be answered...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/29088437/feasibility-of-training-physical-therapists-to-deliver-the-theory-based-self-management-of-osteoarthritis-and-low-back-pain-through-activity-and-skills-solas-intervention-within-a-trial
#18
Alison Keogh, James Matthews, Ricardo Segurado, Deirdre A Hurley
Background: Provider training programs are frequently under evaluated leading to ambiguity surrounding effective intervention components. Objective: To assess the effectiveness of a training program in guiding physical therapists to deliver the Self-management of Osteoarthritis and Low back pain through Activity and Skills (SOLAS) group education and exercise intervention (ISRCTN49875385) using a communication style underpinned by self-determination theory (SDT)...
October 23, 2017: Physical Therapy
https://www.readbyqxmd.com/read/29084067/a-randomized-control-trial-of-cardiopulmonary-feedback-devices-and-their-impact-on-infant-chest-compression-quality-a-simulation-study
#19
Andrea L Austin, Carmen N Spalding, Katrina N Landa, Brian R Myer, Cure Donald, Jason E Smith, Gerald Platt, Heather C King
OBJECTIVES: In effort to improve chest compression quality among health care providers, numerous feedback devices have been developed. Few studies, however, have focused on the use of cardiopulmonary resuscitation feedback devices for infants and children. This study evaluated the quality of chest compressions with standard team-leader coaching, a metronome (MetroTimer by ONYX Apps), and visual feedback (SkillGuide Cardiopulmonary Feedback Device) during simulated infant cardiopulmonary resuscitation...
October 27, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29077844/pathways-to-high-and-low-performance-factors-differentiating-primary-care-facilities-under-performance-based-financing-in-nigeria
#20
Shunsuke Mabuchi, Temilade Sesan, Sara C Bennett
The determinants of primary health facility performance in developing countries have not been well studied. One of the most under-researched areas is health facility management. This study investigated health facilities under the pilot performance-based financing (PBF) scheme in Nigeria, and aimed to understand which factors differentiated primary health care centres (PHCCs) which had performed well, vs those which had not, with a focus on health facility management practices. We used a multiple case study where we compared two high-performing PHCCs and two low-performing PHCCs for each of the two PBF target states...
October 25, 2017: Health Policy and Planning
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