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https://www.readbyqxmd.com/read/28209161/what-support-is-needed-to-self-manage-a-rheumatic-disorder-a-qualitative-study
#1
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
#2
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
#3
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
#4
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
#5
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...
January 24, 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
#6
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
#7
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
#8
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...
January 30, 2017: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28131420/merging-video-coaching-and-an-anthropologic-approach-to-understand-health-care-provider-behavior-toward-hand-hygiene-protocols
#9
Sophia Boudjema, Clément Tarantini, Patrick Peretti-Watel, Philippe Brouqui
BACKGROUND: We used videorecordings of routine care to analyze health care providers' deviance from protocols and organized follow-up interviews that were conducted by an anthropologist and a nurse. METHODS: After consent, health care workers were recorded during routine care by an automatic video remote control. Each participant was invited to watch her or his recorded behaviors on 2 different videos showing routine practices and her or his deviance from protocols, and to comment on them...
January 25, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28131050/ergometer-cycling-with-strict-versus-minimal-contact-supervision-among-the-oldest-adults-a-cluster-randomised-controlled-trial
#10
Evelien Van Roie, Sofie Martien, Emalie Hurkmans, Johan Pelssers, Jan Seghers, Filip Boen, Christophe Delecluse
OBJECTIVE: To evaluate the feasibility and short- and long-term effects of two 10-wk structured ergometer-cycling programs among elderly in assisted-living residences. DESIGN, SETTING, AND PARTICIPANTS: Eight assisted-living residences (N=95; age=81.2±5.9years) were randomly assigned to one of three conditions: 1) ergometer-cycling with strict coach-supervision (STRICT, N=3; n=35); 2) ergometer-cycling with autonomy-supportive minimal contact coach-supervision (AUT; N=3; n=36); or 3) control condition (CON; N=2, n=24)...
January 19, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28121534/a-strategy-for-identifying-and-disseminating-best-practice-innovations-in-the-care-of-patients-with-multiple-chronic-conditions-or-end-of-life-care-needs
#11
Daphna Gans, David A Ganz, Wendy Senelick, Heather E Mccreath, Jessica Jew, Dan Osterweil, Romilla A Batra, Zaldy Tan, Lee A Jennings, David B Reuben
Patients with multiple chronic conditions and those with end-of-life care needs experience high health care costs and needs for skilled coordination and well-trained staff. Focusing on these populations presents an opportunity to improve the patient experience toward the goal of more patient-centered care and reduced costs. Although innovative programs that provide better care to these patient populations have been developed, these innovations are often localized and not actively disseminated to other settings...
July 2016: Managed Care
https://www.readbyqxmd.com/read/28113672/a-robotic-coach-architecture-for-elder-care-rocare-based-on-multi-user-engagement-models
#12
Jing Fan, Dayi Bian, Zhi Zheng, Linda Beuscher, Paul A Newhouse, Lorraine C Mion, Nilanjan Sarkar
The aging population with its concomitant medical conditions, physical and cognitive impairments, at a time of strained resources, establishes the urgent need to explore advanced technologies that may enhance function and quality of life. Recently, robotic technology, especially socially assistive robotics has been investigated to address the physical, cognitive, and social needs of older adults. Most system to date have predominantly focused on one-on-one human robot interaction (HRI). In this paper, we present a multi-user engagement-based robotic coach system architecture (ROCARE)...
September 13, 2016: IEEE Transactions on Neural Systems and Rehabilitation Engineering
https://www.readbyqxmd.com/read/28100087/a-uhf-rfid-positioning-system-for-use-in-warehouse-navigation-by-employees-with-cognitive-disability
#13
Eric J M Gunther, Levin J Sliker, Cathy Bodine
Unemployment among the almost 5 million working-age adults with cognitive disabilities in the USA is a costly problem in both tax dollars and quality of life. Job coaching is an effective tool to overcome this, but the cost of job coaching services sums with every new employee or change of employment roles. There is a need for a cost-effective, automated alternative to job coaching that incurs a one-time cost and can be reused for multiple employees or roles. An effective automated job coach must be aware of its location and the location of destinations within the job site...
January 18, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28097626/peer-mentors-delivering-a-physical-activity-intervention-for-cancer-survivors-effects-among-mentors
#14
Bernardine M Pinto, Shira Dunsiger, Kevin Stein, Chelsey Kamson
To further inform implementation efforts of a telephone-based physical activity (PA) intervention for breast cancer survivors, we assessed the PA, fatigue, mood, and quality of life of the peer mentors/coaches who delivered the program. The coaches were volunteers with the American Cancer Society's Reach to Recovery program. The coaches (n = 18) delivered the PA intervention to 76 breast cancer survivors in a randomized controlled trial. Coaches completed assessments of PA (self-report), motivational readiness for PA, and standardized measures of psychosocial variables at the start of coaching and at study exit...
January 17, 2017: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/28075713/an-activist-approach-to-sport-meets-youth-from-socially-vulnerable-backgrounds-possible-learning-aspirations
#15
Carla Luguetti, Kimberly L Oliver, Luiz Eduardo Pinto Basto Tourinho Dantas, David Kirk
PURPOSE: This study was a 2-phase activist research project aimed at co-creating a prototype pedagogical model for working with youth from socially vulnerable backgrounds in a sport context. This article addresses the learning aspirations (learning outcomes) that emerged when we created spaces for youth to develop strategies to manage the risks they face in their community. METHOD: This study took place in a socially and economically disadvantaged neighborhood in a Brazilian city where we worked with a group of 17 boys aged 13 to 15 years old, 4 coaches, a pedagogic coordinator, and a social worker...
March 2017: Research Quarterly for Exercise and Sport
https://www.readbyqxmd.com/read/28075176/the-adapp-trial-a-two-year-longitudinal-multidisciplinary-intervention-study-for-prostate-cancer-frail-patients-on-androgen-deprivation-associated-to-curative-radiotherapy
#16
Julie Mareschal, Kerstin Weber, Pascale Rigoli, Edmund Biason, Laura Frambati, Carole Gotteland, Thomas Zilli, Claude Pichard, Raymond Miralbell
BACKGROUND: Androgen deprivation (AD) therapy combined to radiotherapy (RT) is a curative therapeutic option for patients with non-metastatic locally advanced or aggressive intermediate prostate cancer (PC), though with a range of nutritional, physical, and psychological side effects. A multidisciplinary care program was created to help frail patients to prevent and manage those side effects. MATERIAL AND METHODS: We conducted a longitudinal interventional study in frail patients, presenting either cardiovascular/pulmonary comorbidities, old age (≥75 years), vulnerability ratings, or balance impairment...
January 11, 2017: Acta Oncologica
https://www.readbyqxmd.com/read/28062349/-best-case-worst-case-training-surgeons-to-use-a-novel-communication-tool-for-high-risk-acute-surgical-problems
#17
Jacqueline M Kruser, Lauren J Taylor, Toby C Campbell, Amy Zelenski, Sara K Johnson, Michael J Nabozny, Nicole M Steffens, Jennifer L Tucholka, Kris L Kwekkeboom, Margaret L Schwarze
CONTEXT: Older adults often have surgery in the months preceding death, which can initiate post-operative treatments inconsistent with end-of-life values. "Best Case/Worst Case" (BC/WC) is a communication tool designed to promote goal-concordant care during discussions about high-risk surgery. OBJECTIVE: To evaluate a structured training program designed to teach surgeons how to use BC/WC. METHODS: Twenty-five surgeons from one tertiary-care hospital completed a two-hour training session followed by individual coaching...
January 3, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28031770/soccer-players-cultural-capital-and-its-impact-on-migration
#18
Jožef Križaj, Bojan Leskošek, Janez Vodičar, Mojca Doupona Topič
The purpose of this study was to identify factors that constituted the cultural capital among soccer players. We assumed that in the increasingly globalized world of professional soccer, a player's success would often depend on migrating and adjusting to life in other countries. Willingness to migrate and successful adjustment are tied to player's previous attitudes and/or behaviours (habitus), significant support from others, including family members, and previous experiences and success in sports and education...
December 1, 2016: Journal of Human Kinetics
https://www.readbyqxmd.com/read/28028738/risk-and-resilience-factors-associated-with-resident-burnout
#19
Deanna Chaukos, Emma Chad-Friedman, Darshan H Mehta, Laura Byerly, Alper Celik, Thomas H McCoy, John W Denninger
OBJECTIVE: We investigated hypothesized risk and resilience factors and their association with burnout in first year medicine and psychiatry residents at an urban teaching hospital in order to help guide the development of interventions targeted at reducing burnout. METHODS: We administered the Maslach Burnout Inventory (MBI), Perceived Stress Scale-10, Functional Assessment of Chronic Illness Therapy-Fatigue Scale, Penn State Worry Questionnaire, Patient Health Questionnaire-9 (depression symptoms), Revised Life Orientation Test (optimism), Self-Efficacy Questionnaire, Cognitive and Affective Mindfulness Scale, Interpersonal Reactivity Index Perspective-Taking Scale (empathy), and Measure of Current Status-Part A to first year medicine and psychiatry residents prior to initiation of clinical rotations in June...
December 27, 2016: Academic Psychiatry
https://www.readbyqxmd.com/read/28019726/examining-the-relationships-between-challenge-and-threat-cognitive-appraisals-and-coaching-behaviours-in-football-coaches
#20
Martin Dixon, Martin J Turner, Jamie Gillman
Previous research demonstrates that sports coaching is a stressful activity. This article investigates coaches' challenge and threat cognitive appraisals of stressful situations and their impact on coaching behaviour, using Blascovich and Mendes' (2000) biopsychosocial model as a theoretical framework. A cross-sectional correlational design was utilised to examine the relationships between irrational beliefs (Shortened general attitude and belief scale), challenge and threat appraisals (Appraisal of life events scale), and coaching behaviours (Leadership scale for sports) of 105 professional football academy coaches...
December 26, 2016: Journal of Sports Sciences
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