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https://www.readbyqxmd.com/read/28322649/the-feasibility-of-an-exergaming-program-in-underserved-older-african-americans
#1
Ying-Yu Chao, Rita Musanti, Peijia Zha, Carina Katigbak
The study tested the feasibility and efficacy of an exergaming program in underserved older African American communities. The study is a single-group with pre- and posttest design. Twelve female participants ( M age = 64.17 ± 6.74 years) completed an exergaming program once or twice a week for 24 sessions over 14 weeks. Community health workers implemented the program through coaching and supporting mechanisms to motivate participants to exercise. A mixed-methods analysis was used to assess the intervention...
January 1, 2017: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28322648/randomized-trials-of-nurse-delivered-interventions-in-weight-management-research
#2
Lucine Petit Francis, Erin Spaulding, Ruth-Alma Turkson-Ocran, Jerilyn Allen
The purpose of this systematic review was to determine whether nurse-delivered weight management interventions improve weight outcomes across the life span. We conducted a comprehensive search of the PubMed, CINAHL, and PsycINFO electronic databases. We graded the trials using an adapted Jadad approach for methodological quality. The search identified a total of 1,159 citations; 23 articles from 20 studies were eligible for this review. Sixty-five percent of the studies reported significant findings related to body mass index (BMI) or weight reduction...
January 1, 2017: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28320732/what-is-the-effect-of-health-coaching-on-physical-activity-participation-in-people-aged-60-years-and-over-a-systematic-review-of-randomised-controlled-trials
#3
REVIEW
Juliana S Oliveira, Catherine Sherrington, Anita B Amorim, Amabile B Dario, Anne Tiedemann
BACKGROUND: Physical inactivity is common in older age, yet increased activity benefits older people in terms of preventing chronic disease and maximising independence. Health coaching is a behaviour change intervention that has been shown to increase physical activity in clinical populations. This systematic review and meta-analysis investigated the effect of health coaching on physical activity, mobility, quality of life and mood in older people. METHODS: MEDLINE, EMBASE, CENTRAL, PsycINFO, PEDro, SPORTDiscus, LILACS and CINAHL databases were used to identify randomised controlled trials which evaluated the effect of health coaching on physical activity (primary outcome) among people aged 60+...
March 20, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28315481/a-patient-advocate-to-facilitate-access-and-improve-communication-care-and-outcomes-in-adults-with-moderate-or-severe-asthma-rationale-design-and-methods-of-a-randomized-controlled-trial
#4
Andrea J Apter, Knashawn H Morales, Xiaoyan Han, Luzmercy Perez, Jingru Huang, Grace Ndicu, Anna Localio, Alyssa Nardi, Heather Klusaritz, Marisa Rogers, Alexis Phillips, Zuleyha Cidav, J Sanford Schwartz
Few interventions to improve asthma outcomes have targeted low-income minority adults. Even fewer have focused on the real-world practice where care is delivered. We adapted a patient navigator, here called a Patient Advocate (PA), a term preferred by patients, to facilitate and maintain access to chronic care for adults with moderate or severe asthma and prevalent co-morbidities recruited from clinics serving low-income urban neighborhoods. We describe the planning, design, methodology (informed by patient and provider focus groups), baseline results, and challenges of an ongoing randomized controlled trial of 312 adults of a PA intervention implemented in a variety of practices...
March 14, 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/28284835/randomized-trial-of-a-peer-led-telephone-based-empowerment-intervention-for-persons-with-chronic-spinal-cord-injury-improves-health-self-management
#5
Bethlyn Vergo Houlihan, Miriam Brody, Sarah Everhart-Skeels, Diana Pernigotti, Sam Burnett, Judi Zazula, Christa Green, Stathis Hasiotis, Timothy Belliveau, Subramani Seetharama, David Rosenblum, Alan Jette
OBJECTIVE: To evaluate the impact of "My Care My Call" (MCMC), a peer-led, telephone-based health self-management intervention in adults with chronic spinal cord injury (SCI). DESIGN: Single-blinded randomized controlled trial SETTING: General community PARTICIPANTS: Convenience sample of 84 adults with SCI (X= 9.9 years post-SCI); X=46 years old; 73.8% male; 44% with paraplegia; and 58% White. INTERVENTIONS: Trained Peer Health Coaches (PHC) applied the person-centered health self-management intervention with 42 experimental subjects over 6 months on a tapered call schedule...
March 8, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28268311/behavioral-informatics-dynamical-models-for-measuring-and-assessing-behaviors-for-precision-interventions
#6
Misha Pavel, Holly Jimison, Bonnie Spring
Poor health-related behaviors represent a major challenge to healthcare due to their significant impact on chronic and acute diseases and their effect on the quality of life. Recent advances in technology have enabled an unprecedented opportunity to assess objectively, unobtrusively and continuously human behavior and have opened the possibility of optimizing individual-tailored, precision interventions within the framework of behavioral informatics. A key prerequisite for this optimization is the ability to assess and predict effects of interventions...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28264792/enhancing-mhealth-technology-in-the-patient-centered-medical-home-environment-to-activate-patients-with-type-2-diabetes-a-multisite-feasibility-study-protocol
#7
Ronald Gimbel, Lu Shi, Joel E Williams, Cheryl J Dye, Liwei Chen, Paul Crawford, Eric A Shry, Sarah F Griffin, Karyn O Jones, Windsor W Sherrill, Khoa Truong, Jeanette R Little, Karen W Edwards, Marie Hing, Jennie B Moss
BACKGROUND: The potential of mHealth technologies in the care of patients with diabetes and other chronic conditions has captured the attention of clinicians and researchers. Efforts to date have incorporated a variety of tools and techniques, including Web-based portals, short message service (SMS) text messaging, remote collection of biometric data, electronic coaching, electronic-based health education, secure email communication between visits, and electronic collection of lifestyle and quality-of-life surveys...
March 6, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28257612/health-care-in-high-school-athletics-in-west-virginia
#8
Kyle Schneider, Wesley Meeteer, Jill A Nolan, H David Campbell
INTRODUCTION: The purpose of this study was to determine the level of implementation of emergency preparedness procedures and administrative procedures to provide appropriate medical coverage to high school athletics in the predominantly rural US state of West Virginia. Particular attention was given to determine the extent to which the schools provided the recommendations for best practice in the National Athletic Trainers Association consensus statement outlining appropriate medical coverage for high school athletics...
January 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28257110/cancer-communication-and-family-caregiver-quality-of-life
#9
Elaine Wittenberg, Tami Borneman, Marianna Koczywas, Catherine Del Ferraro, Betty Ferrell
Family caregivers have enormous communication responsibilities tied to caregiving, such as sharing the patient's medical history with providers, relaying diagnosis and prognosis to other family members, and making decisions about care with the patient. While caregiver stress and burden has been widely documented in the caregiving literature, little is known about how communication burden, real or perceived communication challenges, impacts caregiver quality of life. In family caregiving, the City of Hope (COH) Quality of Life model proposes that the caregiving experience is reciprocal to the patient experience, impacting physical, social, psychological, and spiritual quality of life...
March 2, 2017: Behavioral Sciences
https://www.readbyqxmd.com/read/28231260/effects-of-the-skills4genius-sports-based-training-program-in-creative-behavior
#10
Sara Santos, Sergio Jiménez, Jaime Sampaio, Nuno Leite
Team Sports has been suggested as a suitable environment to investigate creative behavior. This study's purpose was two-fold: first, it intended to identify the effects of the Skills4Genius sports-bases training program in thinking, motor, and in-game creative behavior in team sports. Second, it aimed to investigate the relationship between creative thinking and in-game creativity. Forty children from primary school were allocated into control (n = 18, age: 9.2±0.4) and experimental (n = 22, age: 9.5±0.7) groups...
2017: PloS One
https://www.readbyqxmd.com/read/28226470/behavioral-informatics-dynamical-models-for-measuring-and-assessing-behaviors-for-precision-interventions
#11
Misha Pavel, Holly Jimison, Bonnie Spring, Misha Pavel, Holly Jimison, Bonnie Spring, Bonnie Spring, Holly Jimison, Misha Pavel
Poor health-related behaviors represent a major challenge to healthcare due to their significant impact on chronic and acute diseases and their effect on the quality of life. Recent advances in technology have enabled an unprecedented opportunity to assess objectively, unobtrusively and continuously human behavior and have opened the possibility of optimizing individual-tailored, precision interventions within the framework of behavioral informatics. A key prerequisite for this optimization is the ability to assess and predict effects of interventions...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28222725/how-do-medical-students-differ-in-their-interpersonal-needs
#12
Yera Hur, A Ra Cho, Sun Huh, Sun Kim
BACKGROUND: Knowing one's interpersonal relationship preferences can be tremendously helpful for medical students' lives. The purpose of this study was to examine the interpersonal needs in medical students. METHODS: Between 2010 and 2015, a total of 877 students from four Korean medical schools took the Korean version of the Fundamental Interpersonal Relations Orientation - Behaviour (FIRO-B) scale. The FIRO-B results were analyzed by descriptive statistics, frequency, independent t-test, and one-way ANOVA...
February 21, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28209161/what-support-is-needed-to-self-manage-a-rheumatic-disorder-a-qualitative-study
#13
Janet M J Been-Dahmen, Margot J Walter, Jolanda Dwarswaard, Johanna M W Hazes, AnneLoes van Staa, Erwin Ista
BACKGROUND: Today, patients are expected to take an active role in the form of self-management. Given the burden of a rheumatic disorder, the patients cannot be expected to self-manage on their own. In order to develop self-management interventions that fit patients' needs and preferences, it is essential to examine patients' perspective on how support can be optimized. This study aimed to identify support needs of outpatients with rheumatic disorders and preferences for who should provide self-management support...
February 16, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28202032/cost-effectiveness-analysis-for-a-tele-based-health-coaching-program-for-chronic-disease-in-primary-care
#14
Erja Oksman, Miika Linna, Iiris Hörhammer, Johanna Lammintakanen, Martti Talja
BACKGROUND: The burden of chronic disease and multimorbidity is rapidly increasing. Self-management support interventions are effective in reduce cost, especially when targeted at a single disease group; however, economical evidence of such complex interventions remains scarce. The objective of this study was to evaluate a cost-effectiveness analysis of a tele-based health-coaching intervention among patients with type 2 diabetes (T2D), coronary artery disease (CAD) and congestive heart failure (CHF)...
February 15, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28156601/what-s-in-the-special-sauce-of-protocol-driven-outpatient-palliative-care-consultations
#15
Marie Bakitas, J Nicholas Dionne-Odom, Jennifer Frost, Margaret Plunkett, Lisa A Lisa A Stephens, Peggy Bishop
139 Background: Initial outpatient palliative care consultations (OPCC) in clinics are usually requested for uncontrolled symptoms. The purpose of this substudy was to determine the nature of recommendations made in early PC (EPC) protocol-driven OPCC. METHODS: Using a standardized tool, we conducted a content analysis on the assessment and plan components of protocol-driven OPCCs. OPCCs were conducted as a component of the ENABLE [Educate, Nurture, Advise, Before Life Ends] RCT (10/2010-9/2013) consisting of an OPCC and 6 structured weekly telephone coaching sessions and monthly follow up either at study entry (early) or 12 weeks later (delayed)...
October 9, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28156512/a-cluster-randomized-trial-of-a-patient-centered-communication-intervention-in-advanced-cancer-the-values-and-options-in-cancer-care-voice-study
#16
Richard L Kravitz, Paul Duberstein, Daniel J Tancredi, Guibo Xing, Ronald M Epstein
2 Background: Observational studies demonstrate links between patient-centered communication, prognosis discordance, quality of life (QoL) and aggressive treatments near the end of life, yet there are few randomized evaluations of communication interventions in advanced cancer. METHODS: We completed a cluster randomized controlled trial in cancer clinics in Western NY and Northern CA with medical oncologists (n = 38 randomized to intervention or control) and their community-dwelling adult patients with advanced non-hematologic cancer (n = 265; 194 with enrolled caregivers)...
October 9, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28152436/an-individualized-coaching-program-for-patients-with-acute-ischemic-stroke-feasibility-study
#17
P Vanacker, D Standaert, N Libbrecht, I Vansteenkiste, D Bernard, L Yperzeele, G Vanhooren
OBJECTIVES: An individualized stroke care program was developed to match patients' education with their needs regarding stroke knowledge, secondary prevention and rehabilitation. Our purpose was to assess feasibility of in-hospital and post-discharge, personalized stroke coaching service. METHODS: Acute ischemic stroke patients enrolled in ASTRAL-B stroke registry (Sint-Lucashospital, Bruges Belgium) with: (a) hospitalization between 12/2014-12/2015, (b) hospital-to-home discharge, and (c) without cognitive decline, were selected...
March 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28143388/effects-of-cardiac-telerehabilitation-in-patients-with-coronary-artery-disease-using-a-personalised-patient-centred-web-application-protocol-for-the-smartcare-cad-randomised-controlled-trial
#18
Rutger W M Brouwers, Jos J Kraal, Simone C J Traa, Ruud F Spee, Laurence M L C Oostveen, Hareld M C Kemps
BACKGROUND: Cardiac rehabilitation has beneficial effects on morbidity and mortality in patients with coronary artery disease, but is vastly underutilised and short-term improvements are often not sustained. Telerehabilitation has the potential to overcome these barriers, but its superiority has not been convincingly demonstrated yet. This may be due to insufficient focus on behavioural change and development of patients' self-management skills. Moreover, potentially beneficial communication methods, such as internet and video consultation, are rarely used...
January 31, 2017: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/28140737/the-caregivers-perspectives-of-burden-before-and-after-an-internet-based-intervention-of-young-persons-with-adhd-or-autism-spectrum-disorder
#19
Helena Söderqvist, Eklund Kajsa, Britt Hedman Ahlström, Elisabet Wentz
BACKGROUND: Everyday life in a family with a young person with attention-deficit/hyperactivity disorder (ADHD) and/or autism spectrum disorder (ASD), is multifaceted and may be a burden to the caregivers. The aim was to explore experiences of the caregiver situation, and how they were affected when the young persons received Internet-Based Support and Coaching (IBSC). METHOD: A multiple descriptive case design was used. Ten caregivers of 10 young persons with ADHD and/or ASD participated, and completed a questionnaire, measuring caregiver burden...
January 31, 2017: Scandinavian Journal of Occupational Therapy
https://www.readbyqxmd.com/read/28135140/promoting-end-of-life-discussions-in-advanced-cancer-effects-of-patient-coaching-and-question-prompt-lists
#20
Rachel A Rodenbach, Kim Brandes, Kevin Fiscella, Richard L Kravitz, Phyllis N Butow, Adam Walczak, Paul R Duberstein, Peter Sullivan, Beth Hoh, Guibo Xing, Sandy Plumb, Ronald M Epstein
Purpose To build on results of a cluster randomized controlled trial (RCT) of a combined patient-oncologist intervention to improve communication in advanced cancer, we conducted a post hoc analysis of the patient intervention component, a previsit patient coaching session that used a question prompt list (QPL). We hypothesized that intervention-group participants would bring up more QPL-related topics, particularly prognosis-related topics, during the subsequent oncologist visit. Patients and Methods This cluster RCT with 170 patients who had advanced nonhematologic cancer (and their caregivers) recruited from practices of 24 participating oncologists in western New York...
March 10, 2017: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
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