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Qualitative research primary care

Nasuh Malas, Edwin Klein, Elizabeth Tengelitsch, Anne Kramer, Sheila Marcus, Joanna Quigley
Pediatric mental healthcare is a growing component of primary care practice. However, there is a lack of access to mental health services, particularly Child and Adolescent Psychiatrists. The Michigan Child Collaborative Care (MC3) Program is a telepsychiatry service that offers embedded behavioral health consultants within primary care practices, telephonic consultation, video consultation and embedded care. Primary care provider (PCP) utilization of telepsychiatry services is predicated on perceiving the consultation service as user-friendly, helpful, and feasible in their practice...
June 21, 2018: Psychosomatics
Marlaine Figueroa Gray, Evette J Ludman, Tara Beatty, Abby R Rosenberg, Karen J Wernli
PURPOSE: Previous studies have called for further research to explore adolescent and young adult (AYA) decision-making in the context of advanced cancer to understand the perspectives of this understudied population. We conducted a qualitative study with patients and providers to better understand the decision-making experience of AYA patients with advanced stages of cancer. METHODS: Semistructured qualitative telephone interviews were conducted from April 2016 to October 2016...
August 10, 2018: Journal of Adolescent and Young Adult Oncology
Jennifer H Lingler, J Scott Roberts, Hyejin Kim, Jonna L Morris, Lu Hu, Meghan Mattos, Eric McDade, Oscar L Lopez
Introduction: Given mounting calls to disclose biomarker test results to research participants, we explored factors underlying decisions by patients with mild cognitive impairment to receive amyloid imaging results. Methods: Prospective, qualitative interviews were conducted with 59 participants (30 = mild cognitive impairment patients, 29 = care partners) from the scan arm of a randomized controlled trial on the effects of amyloid PET results disclosure in an Alzheimer Disease Research Center setting...
2018: Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring
Greici Capellari Fabrizzio, Erádio Gonçalves Júnior, Kamylla Santos da Cunha, Carolina Kahl, José Luís Guedes Dos Santos, Alacoque Lorenzini Erdmann
OBJECTIVE: Describing the care management of a patient affected by Devic's Disease in the Primary Health Care setting. METHOD: A clinical-qualitative case study based on the health status of a Devic's Disease patient in a Health Center of the municipality of Florianópolis, accompanied by the Family Health Team. Data collection was carried out by electronic medical records, documents of the patient's domain, as well as a semi-structured interview with the participant...
August 6, 2018: Revista da Escola de Enfermagem da U S P
Johanna Tomandl, Stephanie Book, Susann Gotthardt, Stefan Heinmueller, Elmar Graessel, Ellen Freiberger, Thomas Kuehlein, Susann Hueber, Stefanie Hoyer
INTRODUCTION: With the medical focus on disease, the problem of overdiagnosis inevitably increases with ageing. Considering the functional health of patients might help to discriminate between necessary and unnecessary medicine. The International Classification of Functioning, Disability and Health (ICF) is an internationally recognised tool for describing functional health. However, it is too detailed to be used in primary care practices. Consequently, the aim of this study is to identify relevant codes for an ICF core set for community-dwelling older adults (75 years and above) in primary care...
August 5, 2018: BMJ Open
Joseph E Glass, Jennifer F Bobb, Amy K Lee, Julie E Richards, Gwen T Lapham, Evette Ludman, Carol Achtmeyer, Ryan M Caldeiro, Rebecca Parrish, Emily C Williams, Paula Lozano, Katharine A Bradley
BACKGROUND: Experts recommend that alcohol-related care be integrated into primary care (PC) to improve prevention and treatment of unhealthy alcohol use. However, few healthcare systems offer such integrated care. To address this gap, implementation researchers and clinical leaders at Kaiser Permanente Washington (KPWA) partnered to design a high-quality program of evidence-based care for unhealthy alcohol use: the Sustained Patient-centered Alcohol-related Care (SPARC) program. SPARC implements systems of clinical care designed to increase both prevention and treatment of unhealthy alcohol use...
August 6, 2018: Implementation Science: IS
James Woodall, Joanne Trigwell, Ann-Marie Bunyan, Gary Raine, Victoria Eaton, Joanne Davis, Lucy Hancock, Mary Cunningham, Sue Wilkinson
BACKGROUND: Evidence of the effectiveness of social prescribing is inconclusive causing commissioning challenges. This research focusses on a social prescribing scheme in Northern England which deploys 'Wellbeing Coordinators' who offer support to individuals, providing advice on local groups and services in their community. The research sought to understand the outcomes of the service and, in addition, the processes which supported delivery. METHODS: Quantitative data was gathered from service users at the point they entered the service and also at the point they exited...
August 6, 2018: BMC Health Services Research
Mila Nu Nu Htay, Nan Nitra Than, Adinegara Lutfi Abas, Htay Lwin, Soe Moe
CONTEXT: Family planning is crucial for everyone within the reproductive age to promote the health and welfare of every member of the family. For the medical students, it is essential to have core knowledge, understanding of family planning concept, and competency in communication skills with the patients. The final-year medical students are posted in Maternal and Child Health Clinics for 3 weeks to gain the knowledge and practical experiences on the primary healthcare in the community...
2018: Journal of Education and Health Promotion
Jeannine Liddle, Meryl Lovarini, Lindy Clemson, Lynette Mackenzie, Amy Tan, Sabrina W Pit, Roslyn Poulos, Anne Tiedemann, Catherine Sherrington, Chris Roberts, Karen Willis
BACKGROUND: While there is strong evidence that fall prevention interventions can prevent falls in people aged 65 and over, translating evidence into routine practice is challenging. Research regarding how allied health professionals (AHPs) respond to this challenge is limited. As part of the Integrated Solutions for Sustainable Fall Prevention (iSOLVE) project, this study aimed to explore how AHPs were making fall prevention practice routine in primary care and the factors that influenced their fall prevention practice...
August 3, 2018: BMC Health Services Research
Ichsan Ichsan, Nur Wahyuniati, Ryan McKee, Louella Lobo, Karla Lancaster, Lynda Redwood-Campbell
Background: Conducting university-based research is important for informing primary care, especially in lower- and middle- income countries (LMICs) such as Indonesia. Syiah Kuala University (SKU), the largest educational institution in Aceh province, Indonesia, is actively establishing itself as a leader in research innovation; however, this effort has not yet demonstrated optimum results. Understanding faculty members' perceptions of how research is conducted in this setting is crucial for the design and implementation of successful and sustainable research strategies to increase the quantity and quality of primary care research conducted at LMIC universities...
2018: Asia Pacific Family Medicine
Taren Swindle, Josh Phelps
BACKGROUND: Early childhood educators have the potential to influence children's dietary outcomes through daily interactions. However, existing research suggests that educator practices are often suboptimal. Previous research has often focused on individual characteristics that affect practices. There is less study of contextual influences of practices of early childhood educators. OBJECTIVE: The purpose of this study was to understand and describe contextual factors evident in narratives of early childhood educators influencing mealtime and nutrition promotion practices...
July 28, 2018: Journal of the Academy of Nutrition and Dietetics
Tanja Gustafsson, Lena Nordeman
Aim: The aim was to describe asthma and chronic obstructive pulmonary disease nurses' experiences of caring for patients with chronic obstructive pulmonary disease in primary health care. Design: Descriptive qualitative research. Methods: Ten asthma and chronic obstructive pulmonary disease specialized nurses were interviewed. Systematic Text Condensation by Malterud was used to analyse the data. Results: Two main categories were found: the patient-nurse relationship and available resources...
July 2018: Nursing Open
Alice Sibelli, Rona Moss-Morris, Trudie Chalder, Felicity L Bishop, Sula Windgassen, Hazel Everitt
BACKGROUND: Previous studies have identified issues with the doctor-patient relationship in irritable bowel syndrome (IBS) that negatively impact symptom management. Despite this, little research has explored interactions between GPs and patients with refractory IBS. National guidelines suggest cognitive behavioural therapy (CBT) as a treatment option for refractory symptoms. AIM: To explore perceptions of interactions with GPs in individuals with refractory IBS after receiving CBT for IBS or treatment as usual (TAU)...
July 30, 2018: British Journal of General Practice: the Journal of the Royal College of General Practitioners
Aaron T Seaman, Melissa Steffen, Taisha Doo, Heather S Healy, Samantha L Solimeo
BACKGROUND: Bone densitometry (e.g., dual-energy X-ray absorptiometry or "DXA") is strongly associated with osteoporosis treatment; however, rates of DXA are low. While studies have demonstrated a continued need for primary care provider education on the role of DXA in preventive care, little is known about the role of patient attitudes toward DXA. This review's purpose is to synthesize the evidence about the effects of patient perceptions and experiences of DXA on osteoporosis prevention...
July 27, 2018: Journal of General Internal Medicine
Marybec Griffin, Kristen D Krause, Farzana Kapadia, Perry N Halkitis
PURPOSE: We used in-depth interviews with a cohort of young adult gay men (YAGM) to provide a more detailed understanding of their current healthcare engagement, including experiences with the healthcare system, provider knowledge of healthcare needs, and desired provider characteristics. METHODS: Qualitative interviews were conducted with a sample of 40 YAGM in New York City. The interview guide examined healthcare engagement across key developmental stages: childhood (birth-12), adolescence (13-18), young adulthood (19-22), and the present (23-26)...
July 26, 2018: LGBT Health
W Perry Dickinson, L Miriam Dickinson, Bonnie T Jortberg, Danielle M Hessler, Douglas H Fernald, Lawrence Fisher
BACKGROUND: Advanced primary care models emphasize patient-centered care, including self-management support (SMS), but the effective use of SMS for patients with type 2 diabetes (T2DM) remains a challenge. Interactive behavior-change technology (IBCT) can facilitate the adoption of SMS interventions. To meet the need for effective SMS intervention, we have developed Connection to Health (CTH), a comprehensive, evidence-based SMS program that enhances interactions between primary care clinicians and patients to resolve self-management problems and improve outcomes...
July 24, 2018: BMC Family Practice
Petra C Gronholm, Elizabeth Nye, Daniel Michelson
BACKGROUND: School-based mental health services have been advocated to increase access to psychological support for children and adolescents. However, concerns have been raised about the potential stigma associated with selection of students and the visibility of school-based service contact. METHODS: This review assessed findings from qualitative studies to identify potential stigmatising effects of participation in targeted school-based mental health interventions for students attending primary- or secondary-level education...
July 10, 2018: Journal of Affective Disorders
Nynke R Koning, Linda M M van der Schriek, Merel J van der Kooij, Frederike L Büchner, Jeroen A de Wilde, Mattijs E Numans, Mathilde R Crone
OBJECTIVE: To investigate how general practitioners and preventive youth health physicians experience their collaboration and to analyse factors involved. DESIGN: Qualitative research. METHOD: 14 general practitioners and 11 preventive youth health physicians from the Leiden and The Hague areas were interviewed in a semistructured manner. Data were analysed by thematic analysis using the 'Framework method', to identify important themes for collaboration...
May 29, 2018: Nederlands Tijdschrift Voor Geneeskunde
Andrea K Daniels, Rudolph L Van Niekerk
Introduction: Attitudes, responses, and reactions of HIV-positive women in three sub-Saharan African regions toward a therapeutic exercise intervention, aimed to determine the presence of depression and low body self-image, were captured. This provided insight into body satisfaction and desire to exercise (Stage 1, n=60), body self-image and depression (Stage 2, n=60), and overall concerns around the often adverse side effects of antiretroviral treatment (ART). A program of therapeutic (specialty) exercise was developed for the experimental design (Stage 2), to quantify the psychological side effects of these variables...
2018: HIV/AIDS: Research and Palliative Care
Odessa Petit Dit Dariel, Paula Cristofalo
Objectives Although interprofessional teamwork has been shown to improve patient safety, it is not yet routine practice in most hospital settings. There is also a lack of clarity regarding what teamwork actually means, with terms such as collaboration, coordination, networking and knotworking often being used interchangeably. In this study, we analyse 20 years of qualitative research on interprofessional teamwork in hospital settings and examine what it looks like and the factors influencing it. Methods The literature search included articles published between 1996 and 2016, and articles were included if they examined interprofessional teamwork within a hospital using qualitative methodology...
January 1, 2018: Journal of Health Services Research & Policy
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