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https://www.readbyqxmd.com/read/28719223/from-bench-to-bedside-converting-placebo-research-into-belief-activation
#1
Jen Green, Heather Wright
Research on the placebo effect contains important elements that can be harnessed to improve clinical care. This paper proposes a new term, "Belief Activation," to describe the deliberate use of placebo effect tools by both patients and clinicians to catalyze healing. Belief Activation includes, but is not limited to, maximizing patient and practitioner expectations, classical and social conditioning, spirituality and prayer/intention, therapeutic relationship, healing environments, and minimizing the nocebo effect...
July 18, 2017: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/28714790/the-relationship-between-hip-strength-and-the-y-balance-test
#2
Benjamin R Wilson, Kaley E Robertson, Jeremy M Burnham, Michael C Yonz, Mary Lloyd Ireland, Brian Noehren
CONTEXT: The Y-Balance Test was developed as a test of dynamic postural control and has been shown to be predictive of lower extremity injury. However, the relationship between hip strength and performance on the Y-Balance Test has not been fully elucidated. OBJECTIVE: The goal of this study was to identify the relationship between components of isometric hip strength and the Y-Balance Test, to provide clinicians better guidance as to specific areas of muscle performance to address in the event of poor performance on the Y-Balance Test...
July 17, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/28714435/a-multicenter-family-practitioners-research-on-chronic-obstructive-pulmonary-disease-screening-using-the-copd-assessment-test
#3
Hakan Demirci, Koncuy Eniste, Ebru Onuker Basaran, Gokhan Ocakoglu, Zeynep Yilmaz, Sumeyye Tuna
OBJECTIVES: Spirometry is known to be a gold standard for the diagnosis of chronic obstructive pulmonary disease (COPD). COPD Assessment Test (CAT) is an eight-item questionnaire currently in use to evaluate patients with COPD. In the present study, we aimed to evaluate if CAT is an adequate tool for screening COPD. METHODS: In total, 600 persons aging ⩾40 years old were randomly selected from three different family practice units located in the city center. CAT was asked to the participants and a spirometry was used to assess pulmonary obstruction...
July 17, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28709452/influence-of-the-patient-practitioner-interaction-context-on-acupuncture-outcomes-in-functional-dyspepsia-study-protocol-for-a-multicenter-randomized-controlled-trial
#4
Seok-Jae Ko, Jae-Woo Park, Jungtae Leem, Ted J Kaptchuk, Vitaly Napadow, Braden Kuo, Jessica Gerber, Laurie Dimisko, Inkwon Yeo, Junhee Lee, Jinsung Kim
BACKGROUND: In the treatment of functional dyspepsia, the placebo effect has been reported to be high, and the influence of the patient-practitioner relationship may be a major component of this effect. The specific and non-specific effects of acupuncture cannot be easily distinguished, and the patient-practitioner relationship may influence the total therapeutic effect in clinical practice. There have been no studies that investigate the influence of patient-practitioner relationship on acupuncture treatment for patients with functional dyspepsia...
July 14, 2017: BMC Complementary and Alternative Medicine
https://www.readbyqxmd.com/read/28704628/positive-affect-is-associated-with-reduced-fixation-in-a-realistic-medical-simulation
#5
Monique F Crane, Sue Brouwers, Kirsty Forrest, Suyin Tan, Thomas Loveday, Mark W Wiggins, Chris Munday, Leila David
OBJECTIVE: This study extends previous research by exploring the association between mood states (i.e., positive and negative affect) and fixation in practicing anesthetists using a realistic medical simulation. BACKGROUND: The impact of practitioner emotional states on fixation is a neglected area of research. Emerging evidence is demonstrating the role of positive affect in facilitating problem solving and innovation, with demonstrated implications for practitioner fixation...
August 2017: Human Factors
https://www.readbyqxmd.com/read/28700259/mixed-method-study-to-investigate-models-of-australian-integrative-oncology
#6
EunJin Lim, Janette L Vardy, Byeongsang Oh, Haryana M Dhillon
OBJECTIVES: This study explored the models of services and experiences of coordinators and directors engaged in providing complementary and alternative medicine (CAM) or integrative medicine (IM) in oncology centers throughout Australia. DESIGN: Fourteen leaders of IM programs from ten systematically selected Australian oncology centers were interviewed. Participants described their center's service model. Interview transcripts were thematically analyzed to identify underlying themes...
July 12, 2017: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/28697845/evaluation-of-veterans-affairs-primary-care-nurse-practitioner-residency-achievement-of-competencies
#7
Kathryn Wirtz Rugen, Mary A Dolansky, Maya Dulay, Samuel King, Nancy Harada
BACKGROUND: The Institute of Medicine has recommended the establishment of residency programs for advanced practice nursing graduates. Currently, the evidence about program effectiveness is limited. PURPOSE: To describe the nurse practitioner (NP) resident outcomes on seven competency domains established by the VA Centers of Excellence in Primary Care Education (VA CoEPCE). METHODS: We evaluated mean NP resident competency self-ratings and mean mentor ratings over the 12-month program across NP residency programs at five sites...
June 13, 2017: Nursing Outlook
https://www.readbyqxmd.com/read/28693921/effects-of-couple-based-coping-intervention-on-self-efficacy-and-quality-of-life-in-patients-with-resected-lung-cancer
#8
Hong-Lin Chen, Kun Liu, Qing-Sheng You
OBJECTIVE: We aimed to assess the couple based coping intervention (CBCI) for self-efficacy and quality of life in patients with resected lung cancer, compared with individual coping intervention (ICI). METHODS: From October to December 2015, 132 consecutive patients with resected lung cancer who were married/lived in a stable relationship were randomly assigned to the ICI group and the CBCI group. RESULTS: The CBCI group had higher GSES compared with the ICI group at 2 month after operation, and at 6 month after operation (P<0...
July 7, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28689906/comparison-of-digital-intraoral-scanner-reproducibility-and-image-trueness-considering-repetitive-experience
#9
Jung-Hwa Lim, Ji-Man Park, Minji Kim, Seong-Joo Heo, Ji-Yun Myung
STATEMENT OF PROBLEM: Because the digital workflow can begin directly in the oral cavity, intraoral scanners are being adopted in dental treatments. However, studies of the relationship between the experience of the practitioner and the accuracy of impression data are needed. PURPOSE: The purpose of this clinical study was to investigate the effect of the experience curve on changes in trueness when a patient's complete dental arch is scanned. MATERIAL AND METHODS: Twenty dental hygienists with more than 3 years of experience in dental clinical practice (group 1 had 3 to 5 years; group 2 had >6 years) were recruited to learn to operate 2 intraoral scanner systems...
July 7, 2017: Journal of Prosthetic Dentistry
https://www.readbyqxmd.com/read/28688025/dyslipidemia-and-its-association-with-meibomian-gland-dysfunction-a-systematic-review
#10
REVIEW
Robin K Kuriakose, Puneet S Braich
PURPOSE: To perform a systematic review of the literature examining the association between meibomian gland dysfunction (MGD) and dyslipidemia. METHODS: A systematic literature search was performed using the Medline database. A total of four studies directly relevant to our search are reviewed here. RESULTS: In a series of four studies, all but one found that the prevalence of dyslipidemia was significantly higher in those with MGD compared to those without...
July 7, 2017: International Ophthalmology
https://www.readbyqxmd.com/read/28682527/issues-in-palliative-care
#11
Dean Schuyler
Through this column, we hope that practitioners in general medical settings will gain a more complete knowledge of the many patients who are likely to benefit from brief psychotherapeutic interventions. A close working relationship between primary care and psychiatry can serve to enhance patient outcome.
June 29, 2017: Primary Care Companion to CNS Disorders
https://www.readbyqxmd.com/read/28681928/practitioner-review-therapist-variability-patient-reported-therapeutic-alliance-and-clinical-outcomes-in-adolescents-undergoing-mental-health-treatment-a-systematic-review-and-meta-analysis
#12
REVIEW
Regina Murphy, Paul Hutton
BACKGROUND: Previous meta-analyses have only found small correlations (r = .10 to r = .19) between therapeutic alliance and clinical outcomes in samples of adolescents receiving psychological therapy. Although study-level variables have been found to moderate this, little is known about the impact of therapist variability. The present meta-analysis aimed to address this gap by using patient-therapist ratio as a moderator variable. METHODS: Contrary to previous reviews of adolescent alliance, individual effect sizes were extracted using a preregistered conceptual hierarchy...
July 6, 2017: Journal of Child Psychology and Psychiatry, and Allied Disciplines
https://www.readbyqxmd.com/read/28677921/expertise-in-action-insights-into-the-dynamic-nature-of-expertise-in-community-based-nursing
#13
Caroline A W Dickson, Chris McVittie, Anuj Kapilashrami
AIM: To gain insight into community nurses' experiences and how they make sense of the expertise they offer in their role BACKGROUND: Globally, the spotlight is currently on community nursing expertise because of the movement of hospital-based to community- based care. Caring for people at home is no longer solely concerned with prevention, but delivering complex care to patients who are acutely unwell or at the end of their life. Little is known about the distinct expertise of community nurses, or their contribution to patient outcomes...
July 5, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28664223/the-influence-of-pregnancy-on-women-with-adolescent-idiopathic-scoliosis
#14
REVIEW
Michael C Dewan, Nishit Mummareddy, Christopher Bonfield
PURPOSE: The study's aim was to address three fundamental questions related to pregnancy and adolescent idiopathic scoliosis (AIS), and provide clinically applicable answers to spine specialists and general practitioners alike. METHODS: The authors performed a systematic literature review using MEDLINE, EMBASE, Google Scholar, and Cochrane Database of Systematic Reviews to identify articles published between 1980 and 2015 that described pregnancy-related characteristics and outcomes in AIS patients...
June 29, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28662420/speech-language-pathologists-preferences-for-patient-centeredness
#15
Monica L Bellon-Harn, Jamie Hartwell Azios, Ashley L Dockens, Vinaya Manchaiah
PURPOSE: Preferences for patient-centeredness is an important indicator in healthcare service delivery. However, it remains largely unexplored in the field of communication science and disorders. This study investigated speech-language pathologists' (SLPs) preferences for patient-centeredness METHOD: The study involved a cross-sectional survey design. SLPs (n = 102) fully completed the modified Patient-Practitioner Orientation Scale (PPOS; Krupat et al, 2000) and also provided demographic details...
June 17, 2017: Journal of Communication Disorders
https://www.readbyqxmd.com/read/28659209/-approaching-psychological-problems-like-a-general-practitioner
#16
P L B J Lucassen, S Postma, T C Olde Hartman, H van Ravesteijn, M J Linssen, J Wolf, D L Gerritsen
An important cause of the high prescription levels of psychotropic medication for psychological symptoms is that these symptoms are assessed according to the same model as applied for physical symptoms, the disease model. This has led to a one-sided medical approach to psychological symptoms. A person-centred approach offers an alternative; the positive aspects of the disease-centred approach are retained and attention for the patient and his/her context become the central focal point for the general practitioner...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28659022/how-continuity-of-care-is-experienced-within-the-context-of-integrated-palliative-care-a-qualitative-study-with-patients-and-family-caregivers-in-five-european-countries
#17
Marlieke den Herder-van der Eerden, Jeroen Hasselaar, Sheila Payne, Sandra Varey, Sven Schwabe, Lukas Radbruch, Karen Van Beek, Johan Menten, Csilla Busa, Agnes Csikos, Kris Vissers, Marieke Groot
BACKGROUND: Patients with advanced diseases often experience deficient continuity of care. Although integrated palliative care promotes continuity of care, it is not clear how it can be optimized to improve continuity of care experiences. AIM: To examine how relational, informational and management continuity of care are experienced by patients with advanced diseases and their family caregivers receiving care from several integrated palliative care initiatives in five European countries...
March 1, 2017: Palliative Medicine
https://www.readbyqxmd.com/read/28657995/one-and-the-same-nocturnal-enuresis-and-overactive-bladder-in-the-female-veteran-population-evaluation-of-a-large-national-database
#18
Cara Ninivaggio, Heather Riese, Gena C Dunivan, Peter C Jeppson, Yuko M Komesu, Allison Murata, Glen Murata, Rebecca G Rogers, Sara B Cichowski
OBJECTIVES: The aims of this study were to describe relationships between women given a diagnosis of nocturnal enuresis (NE) and controls without any urinary complaints and to compare women with NE with those with overactive bladder (OAB). We hypothesized that NE has unique associations with demographics and medical and psychosocial diagnoses. METHODS: This is a secondary analysis of a database that included all female veterans who established care with a primary care provider from 1997 to 2015...
June 27, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28652293/improving-the-primary-secondary-care-interface-in-scotland-a-qualitative-exploration-of-impact-on-clinicians-of-an-educational-complex-intervention
#19
Rod Sampson, Ronald MacVicar, Philip Wilson
OBJECTIVES: To determine the impact on clinicians and any consequent influence on patient care of taking part in the bespoke interface-focused educational intervention. DESIGN: Qualitative design. SETTING: Primary and secondary care centres in NHS Highland health board area, Scotland. PARTICIPANTS: 33 urban-based clinicians (18 general practitioners and 15 hospital specialists) in NHS Highland, Scotland. INTERVENTION: An interface-focused educational intervention was carried out in primary and secondary care centres in NHS Highland health board area, Scotland...
June 26, 2017: BMJ Open
https://www.readbyqxmd.com/read/28648148/debt-counselling-for-depression-in-primary-care-an-adaptive-randomised-controlled-pilot-trial-decoder-study
#20
Mark B Gabbay, Adele Ring, Richard Byng, Pippa Anderson, Rod S Taylor, Caryn Matthews, Tirril Harris, Vashti Berry, Paula Byrne, Elliot Carter, Pam Clarke, Laura Cocking, Suzanne Edwards, Richard Emsley, Mauro Fornasiero, Lucy Frith, Shaun Harris, Peter Huxley, Siw Jones, Peter Kinderman, Michael King, Liv Kosnes, Daniel Marshall, Dave Mercer, Carl May, Debbie Nolan, Ceri Phillips, Tim Rawcliffe, Alexandra V Sardani, Elizabeth Shaw, Sam Thompson, Jane Vickery, Brian Wainman, Mark Warner
BACKGROUND: Depression and debt are common in the UK. Debt Counselling for Depression in Primary Care: an adaptive randomised controlled pilot trial (DeCoDer) aimed to assess the clinical effectiveness and cost-effectiveness of the addition of a primary care debt counselling advice service to usual care for patients with depression and debt. However, the study was terminated early during the internal pilot trial phase because of recruitment delays. This report describes the rationale, methods and findings of the pilot study, and implications for future research...
June 2017: Health Technology Assessment: HTA
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