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https://www.readbyqxmd.com/read/27906041/implementation-of-the-better-2-program-a-qualitative-study-exploring-barriers-and-facilitators-of-a-novel-way-to-improve-chronic-disease-prevention-and-screening-in-primary-care
#1
Nicolette Sopcak, Carolina Aguilar, Mary Ann O'Brien, Candace Nykiforuk, Kris Aubrey-Bassler, Richard Cullen, Eva Grunfeld, Donna Patricia Manca
BACKGROUND: BETTER (Building on Existing Tools to Improve Chronic Disease Prevention and Screening in Primary Care) is a patient-based intervention to improve chronic disease prevention and screening (CDPS) for cardiovascular disease, diabetes, cancer, and associated lifestyle factors in patients aged 40 to 65. The key component of BETTER is a prevention practitioner (PP), a health care professional with specialized skills in CDPS who meets with patients to develop a personalized prevention prescription, using the BETTER toolkit and Brief Action Planning...
December 1, 2016: Implementation Science: IS
https://www.readbyqxmd.com/read/27905993/pregnant-women-s-perceptions-of-exposure-to-brominated-flame-retardants
#2
A Lane, C G Goodyer, F Rab, J M Ashley, S Sharma, A Hodgson, J Nisker
BACKGROUND: Recent media reports on human studies associating brominated flame retardants (BFRs) in household products in pregnancy with urogenital anomalies in boys and endocrine disruption in both sexes. We sought to explore the perceptions of pregnant women of brominated flame retardant (BFR) exposure, in light of recent media reports on the adverse health effects of BFR exposure prenatally. METHODS: Pregnant women were recruited for interviews through posters and pamphlets in prenatal clinics, prenatal fairs and community centres...
December 1, 2016: Reproductive Health
https://www.readbyqxmd.com/read/27904238/physical-activity-and-breast-cancer-a-qualitative-study-on-the-barriers-to-and-facilitators-of-exercise-promotion-from-the-perspective-of-health-care-professionals
#3
Jenna Smith-Turchyn, Julie Richardson, Richard Tozer, Margaret McNeely, Lehana Thabane
Purpose: We determined the barriers to and facilitators of exercise promotion by health care professionals (HCPs) for women with breast cancer (BC). Methods: The study was a qualitative descriptive study. Semi-structured interviews were conducted with HCPs who treat individuals with BC in Ontario. The interviews were recorded and transcribed. Two reviewers independently used content analysis to determine codes and themes developed in the interviews. NVivo 10 was used during the coding process. Results: A total of 24 HCPs participated in this study...
2016: Physiotherapy Canada. Physiothérapie Canada
https://www.readbyqxmd.com/read/27896894/perspectives-of-resettled-african-refugees-on-accessing-medicines-and-pharmacy-services-in-queensland-australia
#4
Kim Bellamy, Remo Ostini, Nataly Martini, Therese Kairuz
OBJECTIVES: The aim of this study was to explore the barriers to accessing medicines and pharmacy services among refugees in Queensland, Australia, from the perspectives of resettled African refugees. METHODS: A generic qualitative approach was used in this study. Resettled African refugees were recruited via a purposive snowball sampling method. The researcher collected data from different African refugee communities, specifically those from Sudanese, Congolese and Somalian communities...
November 29, 2016: International Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/27896289/how-who-and-when-preferences-for-delivery-of-genome-sequencing-results-among-women-diagnosed-with-breast-cancer-at-a-young-age
#5
Kimberly A Kaphingst, Jennifer Ivanovich, Ashley Elrick, Rebecca Dresser, Cindy Matsen, Melody S Goodman
BACKGROUND: The increasing use of genome sequencing with patients raises a critical communication challenge: return of secondary findings. While the issue of what sequencing results should be returned to patients has been examined, much less attention has been paid to developing strategies to return these results in ways that meet patients' needs and preferences. To address this, we investigated delivery preferences (i.e., who, how, when) for individual genome sequencing results among women diagnosed with breast cancer at age 40 or younger...
November 2016: Molecular Genetics & Genomic Medicine
https://www.readbyqxmd.com/read/27893594/sexually-transmitted-disease-program-evolution-in-response-to-changes-in-the-public-health-environment-a-massachusetts-example
#6
Marion W Carter, Katherine K Hsu, Penny S Loosier, Brandy L Peterson Maddox, Sonal R Doshi, Karen Kroeger, Kevin Cranston
BACKGROUND: In 2008, the line item supporting sexually transmitted disease (STD) services in the Massachusetts state budget was cut as a result of budget shortfalls. Shortly thereafter, direct provision of STD clinical services supported by the Massachusetts Department of Public Health (MDPH) was suspended. Massachusetts Department of Public Health requested an initial assessment of its internal response and impact in 2010. A follow-up assessment occurred in September 2013. METHODS: In 2010 and 2013, 39 and 46 staff, respectively, from MDPH and from clinical partner agencies, were interviewed about changes in the role of the MDPH, partnerships, STD services, challenges, and recommendations...
November 2016: Sexually Transmitted Diseases
https://www.readbyqxmd.com/read/27893276/opportunities-for-hiv-prevention-communication-during-sexual-encounters-with-black-men-who-have-sex-with-men
#7
Tiffiany M Aholou, Jose Nanin, Kathryn Drumhiller, Madeline Y Sutton
Conversations about HIV prevention before engaging in sex may result in safer sex practices and decreased HIV transmission. However, partner communication for HIV prevention has been understudied among black/African American men who have sex with men (BMSM), a group that is disproportionately affected by HIV. We explored and described encounters and perceptions about HIV prevention conversations among BMSM and their sex partner(s) in New York City. We conducted an inductive thematic analysis of semi-structured interviews with BMSM who reported sex with a man in the previous 3 months...
November 28, 2016: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/27884162/-the-stars-seem-aligned-a-qualitative-study-to-understand-the-effects-of-context-on-scale-up-of-maternal-and-newborn-health-innovations-in-ethiopia-india-and-nigeria
#8
Neil Spicer, Della Berhanu, Dipankar Bhattacharya, Ritgak Dimka Tilley-Gyado, Meenakshi Gautham, Joanna Schellenberg, Addis Tamire-Woldemariam, Nasir Umar, Deepthi Wickremasinghe
BACKGROUND: Donors commonly fund innovative interventions to improve health in the hope that governments of low and middle-income countries will scale-up those that are shown to be effective. Yet innovations can be slow to be adopted by country governments and implemented at scale. Our study explores this problem by identifying key contextual factors influencing scale-up of maternal and newborn health innovations in three low-income settings: Ethiopia, the six states of northeast Nigeria and Uttar Pradesh state in India...
November 25, 2016: Globalization and Health
https://www.readbyqxmd.com/read/27870750/mapping-coaches-views-of-participation-in-crossfit-to-the-integrated-theory-of-health-behavior-change-and-sense-of-community
#9
Katie M Heinrich, Taran Carlisle, Ainslie Kehler, Sarah J Cosgrove
Group-based training through CrossFit has recently exploded in popularity. Anecdotally, participants often make lifestyle changes and experience improved fitness. Participation factors were mapped to the Integrated Theory of Health Behavior Change and "sense of community" constructs. Key informant interviews were conducted with 6 CrossFit gym owners/coaches. Data were thematically coded with NVivo 10. Results revealed key factors that both facilitated and restricted participation in CrossFit. Findings provide implications for future theory application and highlight how to improve initiation and adherence by capitalizing on community building and taking steps to reduce intimidation and cost, facilitate realistic goals, and ensure social support...
January 2017: Family & Community Health
https://www.readbyqxmd.com/read/27863534/diagnosis-a-posteriori-assessing-gestational-diabetes-screening-and-management-in-morocco
#10
Bettina Utz, Bouchra Assarag, Amina Essolbi, Amina Barkat, Yassir Ait Benkaddour, Vincent De Brouwere
BACKGROUND: In Morocco, gestational diabetes affects 1 in 10 pregnant women, but knowledge about screening and management practices outside university settings is limited. OBJECTIVE: To provide a comprehensive picture about the current situation of screening and management of gestational diabetes at different levels of care and to highlight existing challenges. DESIGN: We conducted a descriptive mixed methods study in the districts of Al Haouz and Marrakech by using both quantitative and qualitative methods, including document reviews of 369 antenatal cards and 299 hospital files, health facility inventories related to resource availability, 20 key informant interviews as well as focus group discussions with 32 pregnant women and exit interviews with 122 antenatal care (ANC) clients...
2016: Global Health Action
https://www.readbyqxmd.com/read/27859970/barriers-for-guideline-adherence-in-knee-osteoarthritis-care-a-qualitative-study-from-the-patients-perspective
#11
David Spitaels, Patrik Vankrunkelsven, Jurgen Desfosses, Frank Luyten, Sabine Verschueren, Dieter Van Assche, Bert Aertgeerts, Rosella Hermens
RATIONALE, AIMS AND OBJECTIVES: Guidelines for patients with knee osteoarthritis (OA) are suboptimally implemented in clinical care. To improve guideline adherence, patients' perceived barriers and facilitators in current care were investigated. METHODS: Eleven patients with knee OA were extensively interviewed using a semistructured script based on quality indicators. Directed content analysis, within the framework of Grol and Wensing, was performed to describe barriers and facilitators in 6 domains: guideline, health care professional, patient, social environment, organization, and financial context...
November 14, 2016: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/27857832/best-strategies-to-improve-school-leavers-knowledge-of-nutrition-and-food-systems-views-from-experts-in-iran
#12
Sanaz Sadegholvad, Heather Yeatman, Nasrin Omidvar, Anne-Maree Parrish, Anthony Worsley
BACKGROUND: The research to date does not present an articulated approach to ensure nutrition and food systems education is systematically implemented within schools. This paper aimed to investigate food experts' views of the best strategies to improve school-leavers' knowledge of nutrition and food systems. METHODS: In this qualitative study, 28 Iranian food and nutrition experts from four major provinces (Tehran, Fars, Isfahan, and Gilan) were selected and agreed to be interviewed...
2016: International Journal of Preventive Medicine
https://www.readbyqxmd.com/read/27855104/standardised-tobacco-packaging-a-health-policy-case-study-of-corporate-conflict-expansion-and-adaptation
#13
Jenny L Hatchard, Gary J Fooks, Anna B Gilmore
OBJECTIVES: To investigate opposition to standardised tobacco packaging in the UK. To increase understanding of how transnational corporations are adapting to changes in their access to policymakers precipitated by Article 5.3 of the Framework Convention on Tobacco Control (FCTC). DESIGN: Case study web-based documentary analysis, using NVivo V.10. Examination of relationships between opponents of standardised packaging and transnational tobacco companies (TTCs) and of the volume, nature, transparency and timing of their activities...
October 7, 2016: BMJ Open
https://www.readbyqxmd.com/read/27852721/e-cigarettes-a-safer-alternative-for-teenagers-a-uk-focus-group-study-of-teenagers-views
#14
Shona Hilton, Heide Weishaar, Helen Sweeting, Filippo Trevisan, Srinivasa Vittal Katikireddi
OBJECTIVE: Concerns exist that e-cigarettes may be a gateway to traditional cigarettes and/or (re)normalise teenage smoking. This qualitative study explores how teenagers in the UK currently perceive e-cigarettes and how and why they do or do not use them. DESIGN: 16 focus groups were conducted across the UK between November 2014 and February 2015, with 83 teenagers aged 14-17. All discussions were digitally recorded, transcribed verbatim, imported into NVivo 10 and thematically analysed...
November 16, 2016: BMJ Open
https://www.readbyqxmd.com/read/27852707/alcohol-consumption-among-university-students-a-typology-of-consumption-to-aid-the-tailoring-of-effective-public-health-policy
#15
Martin P Davoren, Mary Cronin, Ivan J Perry, Karl O'Connor
OBJECTIVE: Elevated levels of alcohol consumption among university students are well documented. Policymakers have attempted to combat this issue at a university, national and international level. Tailoring public health policy to effectively tackle alcohol use is crucial. Using Q-methodology, the current study aims to develop a typology of alcohol consumption in the Irish university student population. SETTING: A large Irish university. PARTICIPANTS: Hundreds of possible statements on types of consumption were generated from a systematic review and a set of one-on-one interviews...
November 15, 2016: BMJ Open
https://www.readbyqxmd.com/read/27845356/perceived-effectiveness-and-mechanisms-of-community-peer-based-programmes-for-spinal-cord-injuries-a-systematic-review-of-qualitative-findings
#16
REVIEW
A Divanoglou, M Georgiou
STUDY DESIGN: Systematic review and meta-synthesis of qualitative findings. OBJECTIVES: To establish the perceived effectiveness and mechanisms of community peer-based programmes based on narratives of consumers with spinal cord injury (SCI). METHODS: Scopus, Academic Search Complete, CINAHL, Health Source, Medline, PsycARTICLES, PsychINFO, SPORTSDiscus and ProQuest were searched for articles published in English between January 1990 and December 2015...
November 15, 2016: Spinal Cord
https://www.readbyqxmd.com/read/27842630/is-south-africa-advancing-towards-national-health-insurance-the-perspectives-of-general-practitioners-in-one-pilot-site
#17
R Surender, R Van Niekerk, L Alfers
BACKGROUND: The launch of the National Health Insurance (NHI) White Paper in December 2015 heralded a new stage in South Africa's advancement towards universal health coverage. The 'contracting in' of private sector general practitioners (GPs), though only one component of the overall reformed system, is nevertheless crucial to address staff shortages and capacity, and also to realise the broader vision of a single unified, integrated system. OBJECTIVE: To report on the views and experiences of GP providers tasked with implementing the reforms at one pilot site, Tshwane District in Gauteng Province, providing an insight into the practical challenges the NHI scheme faces in implementation...
November 2, 2016: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/27842533/a-qualitative-study-of-user-perceptions-of-mobile-health-apps
#18
Wei Peng, Shaheen Kanthawala, Shupei Yuan, Syed Ali Hussain
BACKGROUND: Mobile apps for health exist in large numbers today, but oftentimes, consumers do not continue to use them after a brief period of initial usage, are averse toward using them at all, or are unaware that such apps even exist. The purpose of our study was to examine and qualitatively determine the design and content elements of health apps that facilitate or impede usage from the users' perceptive. METHODS: In 2014, six focus groups and five individual interviews were conducted in the Midwest region of the U...
November 14, 2016: BMC Public Health
https://www.readbyqxmd.com/read/27807079/-now-i-care-a-qualitative-study-of-how-overweight-adolescents-managed-their-weight-in-the-transition-to-adulthood
#19
Helen Sweeting, Emily Smith, Joanne Neary, Charlotte Wright
OBJECTIVES: A qualitative study of recalled experiences of early adolescent overweight/obesity revealed low levels of weight-related concern. This further analysis aimed to explore weight-related concern and weight-loss efforts as participants transitioned into adulthood. DESIGN, PARTICIPANTS AND METHODS: Participants were 35 young adults from a population-based cohort study who had body mass index (BMI) >95th centile between ages 11 and 15 and participated in semistructured interviews aged 24...
November 2, 2016: BMJ Open
https://www.readbyqxmd.com/read/27805496/peer-generated-health-information-the-role-of-online-communities-in-patient-and-caregiver-health-decisions
#20
Douglas J Rupert, Jennifer Gard Read, Jacqueline B Amoozegar, Rebecca R Moultrie, Olivia M Taylor, Amie C O'Donoghue, Helen W Sullivan
Individuals increasingly access peer-generated health information (PGHI) through social media, especially online health communities (OHCs). Previous research has documented PGHI topics, credibility assessment strategies, and PGHI's connection with well-being. However, there is limited evidence on where, when, and why individuals seek PGHI and how they use PGHI in health decisions. We conducted in-person and online focus groups with verified OHC members (N = 89)-representing 50 different medical conditions and 77 OHCs-to explore these topics...
November 2016: Journal of Health Communication
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