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Teachable Moment

Anna K Donovan, David R Linz, Doris M Rubio, Melissa A McNeil, Carla L Spagnoletti
OBJECTIVES: New competency requirements from the Accreditation Council for Graduate Medical Education have prompted greater emphasis on developing residents' teaching skills. Many residents make their first foray into teaching during internship, making it an important yet underrecognized opportunity to develop basic teaching skills. In addition, in the current graduate medical education climate, residents' tasks are compressed into an even shorter time, which has caused teaching opportunities and expectations to be balanced with the need for efficiency...
December 2018: Southern Medical Journal
Hasmeena Kathuria, Elisa Koppelman, Belinda Borrelli, Christopher G Slatore, Jack A Clark, Karen E Lasser, Renda Soylemez Wiener
Introduction: Little is known about whether patients and physicians perceive lung cancer screening as a teachable moment to promote smoking cessation or the degree to which physicians in 'real world' settings link lung cancer screening discussions with smoking cessation counseling. We sought to characterize patient and physician perspectives of discussions about smoking cessation during lung cancer screening. Methods: We conducted a qualitative study (interviews and focus groups) with 21 physicians and 28 smokers screened in 4 diverse hospitals...
November 23, 2018: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
Angad S Uberoi, Timothy J Brown, Arjun Gupta
No abstract text is available yet for this article.
November 19, 2018: JAMA Internal Medicine
Sarah N Price, Jamie L Studts, Heidi A Hamann
BACKGROUND: Smoking after a cancer diagnosis negatively impacts health outcomes; smoking cessation improves symptoms, side effects, and overall prognosis. The Public Health Service and major oncology organizations have established guidelines for tobacco use treatment among cancer patients, including clinician assessment of tobacco use at each visit. Oncology care clinicians (OCCs) play important roles in this process (noted as the 5As: Asking about tobacco use, Advising users to quit, Assessing willingness to quit, Assisting in quit attempts, and Arranging follow-up contact)...
November 16, 2018: Oncologist
Rachel S Fisher, Joseph R Rausch, Amanda C Ferrante, Kemar V Prussien, Randal S Olshefski, Kathryn A Vannatta, Bruce E Compas, Cynthia A Gerhardt
OBJECTIVE: The majority of childhood cancer survivors develop at least one late effect subsequent to treatment (eg, cardiovascular disease and obesity). Consistent engagement in recommended health behaviors may mitigate some of these conditions. Researchers have identified early survivorship as a teachable moment, yet few studies have examined positive health behaviors during this period. METHODS: Families of children with cancer (ages 5-17) were initially recruited following a diagnosis or relapse of cancer...
November 6, 2018: Psycho-oncology
Stephen S O'Connor, Michael M Mcclay, Shujah Choudhry, Angela D Shields, Richard Carlson, Yaima Alonso, Kyle Lavin, Lisa Venanzi, Katherine Anne Comtois, Jo Ellen Wilson, Stephen E Nicolson
OBJECTIVE: The aim of this study was to further evaluate the acceptability and feasibility of the Teachable Moment Brief Intervention (TMBI). METHOD: A single blind, pilot randomized controlled trial of the TMBI + care as usual (CAU) compared to CAU was conducted for patients who survived a recent suicide attempt that required medical inpatient hospitalization. The intervention was delivered on medical/surgical and inpatient psychiatry units in the medical center...
August 10, 2018: General Hospital Psychiatry
Claire Stevens, Samuel G Smith, Charlotte Vrinten, Jo Waller, Rebecca J Beeken
Objectives Population-based cancer screening has been described as a teachable moment for behaviour change. This research examined the effect of faecal occult blood testing (FOBT) participation on smoking, alcohol consumption, fruit and vegetable consumption and physical activity. Setting Data were from screening-naïve men within the English Longitudinal Study of Ageing, receiving their first FOBT invitation (n = 774). Four waves of data were included in analyses (wave 4, 2008/2009 - wave 7, 2014/2015)...
October 18, 2018: Journal of Medical Screening
Cendrine D Robinson, Amparo Gonzalez-Feliciano, Lorelei A Mucci, Sarah C Markt
PURPOSE: Cigarette smoking among cancer survivors increases the risk of recurrence and secondary cancers. We sought to investigate smoking cessation following diagnosis of cancer compared to those not diagnosed with cancer. We also investigated cessation following diagnosis of a smoking-related and non-smoking-related cancer separately. METHODS: We conducted a matched cohort study within the Health Professionals Follow-Up Study (HPFS). We identified 566 men diagnosed with cancer who were current cigarette smokers at the time of diagnosis between 1986 and 2010 (exposed)...
December 2018: Journal of Cancer Survivorship: Research and Practice
Marcia E Clark, Ben Young, Laura E Bedford, Roshan das Nair, John F R Robertson, Kavita Vedhara, Francis Sullivan, Frances S Mair, Stuart Schembri, Roberta C Littleford, Denise Kendrick
Background: Lung cancer screening can reduce lung cancer mortality by 20%. Screen-detected abnormalities may provide teachable moments for smoking cessation. This study assesses impact of pulmonary nodule detection on smoking behaviours within the first UK trial of a novel auto-antibody test, followed by chest x-ray and serial CT scanning for early detection of lung cancer (Early Cancer Detection Test-Lung Cancer Scotland Study). Methods: Test-positive participants completed questionnaires on smoking behaviours at baseline, 1, 3 and 6 months...
September 29, 2018: Journal of Public Health
Jamilia R Sly, Sarah J Miller, Yaqi Li, Kemi Bolutayo, Lina Jandorf
Low-dose computed tomography (LDCT) screening may be a teachable moment for smoking cessation among African Americans. African Americans have been understudied within the context of LDCT and smoking cessation. The study objective was to evaluate the feasibility of recruiting African Americans to a future longitudinal trial and to obtain sample size estimates for that trial. Participants (N = 18) were African Americans eligible for LDCT screening who completed a questionnaire at three time points. Self-efficacy and intention to quit smoking were compared...
September 25, 2018: Journal of Psychosocial Oncology
Rebecca Barwise-Munro, Heather Morgan, Steve Turner
BACKGROUND: The number of acute medical paediatric emergency admissions is rising. We undertook qualitative interviews with parents and clinicians to better understand what factors, other than the health status of the child, may influence decision making leading to emergency admission. METHODS: Semi-structured interviews were conducted with parents; clinicians working in general practice, out-of-hours or the emergency department (referring clinicians); and doctors working in acute medical paediatrics (receiving clinicians)...
September 17, 2018: Healthcare (Basel, Switzerland)
Leonard Riley, Hassan Alnuaimat, Ali Ataya
No abstract text is available yet for this article.
October 1, 2018: JAMA Internal Medicine
J Okely, C Mason, A Collier, N Dunnachie, V Swanson
AIMS: Research regarding the determinants of concordance with gestational diabetes mellitus (GDM) treatment is limited. Here, we test whether the psychosocial changes outlined in the teachable moments model, as proposed by McBride et al. (McBride CM, Emmons KM, Lipkus IM. Understanding the potential of teachable moments: the case of smoking cessation. Health Educ Res 2003; 18: 156-170) are associated with following GDM treatment recommendations. METHODS: Fifty-nine women completed a baseline questionnaire (1 week after GDM diagnosis) in which they reported risk perception, social support, emotional response, the importance of their maternal identity and self-efficacy...
August 17, 2018: Diabetic Medicine: a Journal of the British Diabetic Association
Cuong Quach, Benjamin T Galen
No abstract text is available yet for this article.
September 1, 2018: JAMA Internal Medicine
Bharat Maraj, Charlie M Wray
No abstract text is available yet for this article.
September 1, 2018: JAMA Internal Medicine
Ameera Abdelrahim, Claire Balmer, June Jones, Hisham Mehanna, Janet Dunn
PURPOSE: Smoking is a major cause of head and neck squamous cell carcinoma (HNSCC), yet many patients who receive a diagnosis continue to smoke. This has an adverse effect on treatment and recovery, and leads to increased risks of recurrence and second cancers. There is evidence that stopping smoking after diagnosis can lead to better outcomes and reversal of risks. However, there is limited evidence for effective smoking cessation interventions in this population, and little about patient opinions regarding quitting smoking and support provided by healthcare professionals...
August 2018: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
James G Ravenel, John W Nance
Lung cancer screening has been shown in the National Lung Screening Trial (NLST) to result in a statistically significant decrease in lung cancer specific mortality. Also within that trial there was shown to be a 7% decrease in all-cause mortality. While the reasons for this benefit are not entirely clear, it may relate to the detection and treatment of other important findings. Smokers not only have a higher risk of lung cancer, but also increased risk of atherosclerosis. The latter can be detected by the discovery of aortic and/or coronary artery calcium on unenhanced CT...
June 2018: Translational Lung Cancer Research
Julie A Schmittdiel, Solveig A Cunningham, Sara R Adams, Jannie Nielsen, Mohammed K Ali
PURPOSE: When a person is given a diagnosis of diabetes, the changes in his or her health behaviors may influence the behaviors of his or her partner. The diabetes diagnosis may affect household members' perceptions of their own health risks, which could trigger behavioral change. The purpose of this study was to assess whether partners of persons with newly diagnosed diabetes changed their health behaviors compared with partners of persons without diabetes. METHODS: The study population consisted of Kaiser Permanente Northern California health plan members from 2007 to 2011...
July 2018: Annals of Family Medicine
Danielle Erkoboni, Jenny Radesky
No abstract text is available yet for this article.
July 2018: Journal of Pediatrics
Jaclyn LoPiccolo, Seema A Mehta, Evan J Lipson
No abstract text is available yet for this article.
August 1, 2018: JAMA Internal Medicine
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