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https://www.readbyqxmd.com/read/28641166/care-coordination-at-a-pediatric-accountable-care-organization-aco-a-qualitative-analysis
#1
Baria Hafeez, Sophia Miller, Anup D Patel, Zachary M Grinspan
OBJECTIVE: Care coordinators may help manage care for children with chronic illness. Their role in pediatric epilepsy care is understudied. We aimed to qualitatively describe the content of a care coordination intervention for children with epilepsy. METHODS: We conducted nine semi-structured interviews and one focus group with care coordinators at a pediatric accountable care organization (ACO) in Ohio. The care coordinators used a modified version of a published care coordination checklist for children with epilepsy (Patel AD, 2014)...
June 19, 2017: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/28639521/technology-enhanced-focus-groups-as-a-component-of-instrument-development
#2
Tania D Strout, Rachel L DiFazio, Judith A Vessey
Background Bullying is a critical public health problem and a screening tool for use in healthcare is needed. Focus groups are a common tool for generating qualitative data when developing an instrument and evidence suggests that technology-enhanced focus groups can be effective in simultaneously engaging participants from diverse settings. Aim To examine the use of technology-enhanced focus groups in generating an item pool to develop a youth-bullying screening tool. Discussion The authors explore methodological and ethical issues related to conducting technology-enhanced focus groups, drawing on their experience in developing a youth-bullying measure...
June 22, 2017: Nurse Researcher
https://www.readbyqxmd.com/read/28635437/assessment-of-diagnostic-information-and-quality-of-working-alliance-with-clients-diagnosed-with-personality-disorders-during-the-mental-health-intake
#3
Ora Nakash, Maayan Nagar
BACKGROUND: A primary purpose of diagnostic systems is to improve care, yet, little is known about how providers use it routine clinical care. AIMS: We investigated specific DSM-IV personality disorders (PDs) diagnostic information therapists collected during intake visits and the association between a therapist PD diagnosis and clients' and therapists' reports of the quality of working alliance during the intake. METHOD: A total of 122 intakes (n = 34, 27...
March 1, 2017: Journal of Mental Health
https://www.readbyqxmd.com/read/28631989/impact-of-rapport-on-neuropsychological-test-performance
#4
Michael D Barnett, Thomas D Parsons, Brooke L Reynolds, Lee A Bedford
Guides to neuropsychological assessment emphasize the importance of establishing rapport; however, there has been a minimal amount of empirical investigation of the impact of rapport on neuropsychological test performance. In this experiment, participants (N = 98) were randomly assigned to take neuropsychological tests in either a high or low rapport condition. Results showed that we were able to manipulate the level of rapport and that the level of rapport had a significant effect on the Grooved Pegboard Test and the Controlled Oral Word Association Test, with other tests nearing statistical significance...
March 1, 2017: Applied Neuropsychology. Adult
https://www.readbyqxmd.com/read/28628349/evaluation-of-a-client-centered-linkage-intervention-for-patients-newly-diagnosed-with-hiv-at-an-urban-united-states-lgbt-center-the-linkage-to-care-specialist-project
#5
Jesse Bendetson, Rhodri Dierst-Davies, Risa Flynn, Matthew R Beymer, Amy R Wohl, K Rivet Amico, Robert K Bolan
Linkage to care (LTC) is a key element of the HIV care continuum, and a crucial bridge from testing and diagnosis to receipt of antiretroviral therapies and viral suppression. In 2012, the Los Angeles LGBT Center hired a full-time LTC specialist (LTC-S), who developed a unique client-centered approach to LTC. This single-arm demonstration project was designed to systematically evaluate the LTC-S intervention. Individuals who were newly diagnosed with HIV between March 2014 and September 2015 were eligible for enrollment...
June 19, 2017: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/28626930/positive-youth-development-goes-mainstream
#6
Kristin A Moore
Evidence has accumulated that confirms the success of a positive youth development (PYD) approach. Importantly, a positive development approach is just that-an approach. It is not a particular program or curriculum but a set of practices designed to achieve one or more positive outcomes. As such, PYD practices can be added onto other programs to make positive outcomes more likely. For example, a tutoring program can work hard to hire and train staff to work with students in a trusting, respectful relationship...
June 19, 2017: Child Development
https://www.readbyqxmd.com/read/28619271/the-impact-of-motivational-interviewing-on-adherence-and-symptom-severity-in-adolescents-and-young-adults-with-chronic-illness-a-systematic-review
#7
REVIEW
Megan R Schaefer, Jan Kavookjian
OBJECTIVE: Given the negative consequences associated with non-adherence in adolescents and young adults (AYAs) with chronic illness, it is important to identify interventions to address this issue. Therefore, this review's primary objective is to evaluate the impact of motivational interviewing (MI) on adherence and symptom level/severity in AYAs with chronic illness using a modified Cochrane method. METHOD: Four databases (e.g., CINAHL, Medline, PsychINFO, and International Pharmaceutical Abstracts) were systematically reviewed...
June 12, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28615990/the-challenges-and-opportunities-of-translating-best-practice-immunisation-strategies-among-low-performing-general-practices-to-reduce-equity-gaps-in-childhood-immunisation-coverage-in-new-zealand
#8
Nikki M Turner, Nadia A Charania, Angela Chong, Joanna Stewart, Lynn Taylor
BACKGROUND: Immunisation coverage rates vary considerably at the local level across New Zealand and challenges remain with effectively translating best available research evidence into public health practice. This study aimed to translate best practices from high performing general practices into strategies to improve childhood immunisation coverage among low performing practices. METHODS: An intervention study was undertaken of general practices with low immunisation coverage rates and a high percentage of the enrolled population being of Māori ethnicity...
2017: BMC Nursing
https://www.readbyqxmd.com/read/28615181/fifteen-minute-consultation-communicating-with-young-people-how-to-use-heeadsss-a-psychosocial-interview-for-adolescents
#9
Montserrat Doukrou, Terry Yvonne Segal
Adolescents undergo a period of biological, social and psychosocial development, and each of these domains impacts each other. Psychosocial areas of concern often emerge over the adolescent period (such as mental health conditions, drug use and risky sexual behaviour); those with chronic illness being at higher risk. The paper aims to guide health practitioners on when and how to approach the psychosocial interview with young people and assess areas of risk or concern. This will include putting them at ease, developing rapport, seeing them alone and explaining confidentiality before commencing the assessment...
June 14, 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28612373/reduced-reward-related-neural-response-to-mimicry-in-individuals-with-autism
#10
C-T Hsu, J Neufeld, B Chakrabarti
Mimicry is a facilitator of social bonds in humans, from infancy. This facilitation is made possible through changing the reward value of social stimuli, e.g. we like and affiliate more with people who mimic us. Autism Spectrum Disorders (ASD) are marked by difficulties in forming social bonds. In this study, we investigate whether the reward-related neural response to being mimicked is altered in individuals with ASD, using a simple conditioning paradigm. Multiple studies in humans and nonhuman primates have established a crucial role for the ventral striatal (VS) region in responding to rewards...
June 14, 2017: European Journal of Neuroscience
https://www.readbyqxmd.com/read/28609723/a-rural-urban-comparison-of-privacy-and-confidentiality-concerns-associated-with-providing-sensitive-location-information-in-epidemiologic-research-involving-persons-who-use-drugs
#11
Abby E Rudolph, April M Young, Jennifer R Havens
BACKGROUND: Analyses that link contextual factors with individual-level data can improve our understanding of the "risk environment"; however, the accuracy of information provided by participants about locations where illegal/stigmatized behaviors occur may be influenced by privacy/confidentiality concerns that may vary by setting and/or data collection approach. METHODS: We recruited thirty-five persons who use drugs from a rural Appalachian town and a Mid-Atlantic city to participate in in-depth interviews...
June 8, 2017: Addictive Behaviors
https://www.readbyqxmd.com/read/28602116/rehabilitation-goal-setting-with-community-dwelling-adults-with-acquired-brain-injury-a-theoretical-framework-derived-from-clinicians-reflections-on-practice
#12
Sarah Prescott, Jennifer Fleming, Emmah Doig
PURPOSE: The aim of this study was to explore clinicians' experiences of implementing goal setting with community dwelling clients with acquired brain injury, to develop a goal setting practice framework. METHOD: Grounded theory methodology was employed. Clinicians, representing six disciplines across seven services, were recruited and interviewed until theoretical saturation was achieved. A total of 22 clinicians were interviewed. RESULTS: A theoretical framework was developed to explain how clinicians support clients to actively engage in goal setting in routine practice...
June 11, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28600644/women-s-experiences-of-participating-in-a-prospective-longitudinal-postpartum-depression-study-insights-for-perinatal-mental-health-researchers
#13
Heather J Andrighetti, Alicia Semaka, Jehannine C Austin
Barriers to recruitment for research on mental illness include participant distrust of researchers and social stigma. Though these issues may be acutely important in perinatal mental health research, they remain unexplored in this context. In order to inform strategies to more fully engage women in perinatal mental health research, we explored the motivations and experiences of women with a history of major depressive disorder who participated in a prospective longitudinal research study on postpartum depression (PPD)...
June 10, 2017: Archives of Women's Mental Health
https://www.readbyqxmd.com/read/28597131/applied-problem-solving-in-children-with-adhd-the-mediating-roles-of-working-memory-and-mathematical-calculation
#14
Lauren M Friedman, Mark D Rapport, Sarah A Orban, Samuel J Eckrich, Catrina A Calub
The difficulties children with ADHD experience solving applied math problems are well documented; however, the independent and/or interactive contributions of cognitive processes underlying these difficulties are not fully understood and warrant scrutiny. The current study examines two primary cognitive processes integral to children's ability to solve applied math problems: working memory (WM) and math calculation skills (i.e., the ability to utilize specific facts, skills, or processes related to basic math operations stored in long-term memory)...
June 9, 2017: Journal of Abnormal Child Psychology
https://www.readbyqxmd.com/read/28592576/patient-reported-outcome-measures-proms-for-assessing-perceived-listening-effort-in-hearing-loss-protocol-for-a-systematic-review
#15
Sarah E Hughes, Frances L Rapport, Isabelle Boisvert, Catherine M McMahon, Hayley A Hutchings
INTRODUCTION: In the UK, it is estimated that a disabling hearing loss (HL) affects 1 in 6 people. HL has functional, economic and social-emotional consequences for affected individuals. Intervention for HL focuses on improving access to the auditory signal using hearing aids or cochlear implants. However, even if sounds are audible and speech is understood, individuals with HL often report increased effort when listening.Listening effort (LE) may be measured using self-reported measures such as patient-reported outcome measures (PROMs)...
June 6, 2017: BMJ Open
https://www.readbyqxmd.com/read/28589309/influential-factors-on-treatment-decision-making-among-patients-with-colorectal-cancer-a-scoping-review
#16
REVIEW
Nicole M Cranley, Barbara Curbow, Thomas J George, Juliette Christie
PURPOSE: In recent years, a greater emphasis has been placed on shared decision-making (SDM) techniques between providers and patients with the goal of helping patients make informed decisions about their care and subsequently to improve patient health outcomes. Previous research has shown variability in treatment decision-making among patients with colorectal cancer (CRC), and there is little comprehensive information available to help explain this variability. Thus, the purpose of this study was to evaluate the current state of the literature on factors that are influential in treatment decision-making among patients with CRC...
June 6, 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/28585721/-let-him-speak-a-descriptive-qualitative-study-of-the-roles-and-behaviors-of-family-companions-in-primary-care-visits-among-older-adults-with-cognitive-impairment
#17
Judith B Vick, Halima Amjad, Katherine C Smith, Cynthia M Boyd, Laura N Gitlin, David L Roth, Debra L Roter, Jennifer L Wolff
OBJECTIVE: Cognitive impairment poses communication challenges in primary care. Although family "companions" commonly attend primary care visits of older adults with cognitive impairment, little is known about how their involvement affects communication. Therefore, we sought to understand how companion involvement affects the quality of primary care visit communication for older adults with cognitive impairment. METHODS: Cross-sectional, descriptive qualitative study participants were as follows: (1) English-speaking adults age 65 or older with mild, moderate, or severe cognitive impairment; (2) family members or other unpaid companions who accompany older adults to primary care visits; and (3) primary care clinicians...
June 6, 2017: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28585242/addressing-unmet-needs-of-patients-with-chronic-diseases-impact-of-the-visit-website-during-consultations
#18
Yew Kong Lee, Chirk Jenn Ng, Wah Yun Low
RATIONALE, AIMS, AND OBJECTIVES: Patient concerns are often neglected in consultations, especially for chronic diseases where patients and providers fall into the routine of chronic disease management in consultations. One strategy to elicit patient concerns has been to ask patients to complete agenda lists before the consultation. This study aimed to explore the impact of a preconsultation agenda website in addressing patients' unmet needs during chronic disease consultations. METHODS: Patients entered their concerns into a website (Values In Shared Interactions Tool (VISIT))...
June 6, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28581346/therapeutic-alliance-and-group-cohesion-in-an-online-support-program-for-adolescent-and-young-adult-cancer-survivors-lessons-from-recapture-life
#19
Brittany C McGill, Ursula M Sansom-Daly, Claire E Wakefield, Sarah J Ellis, Eden G Robertson, Richard J Cohn
Psychological support services for adolescent and young adults (AYAs) with cancer are moving online and are increasingly peer based. It is unclear whether online service delivery impacts critical therapeutic elements such as collaborative patient-therapist rapport and group cohesion. AYA cancer survivors (N = 39) participating in a six-week online cognitive-behavioral therapy group program-"Recapture Life"-rated their perception of therapeutic alliance and group cohesion. Participant-rated alliance and group cohesion were high throughout the program, and therapist-rated participant openness, trust, and motivation strengthened over time...
June 5, 2017: Journal of Adolescent and Young Adult Oncology
https://www.readbyqxmd.com/read/28571070/preoperative-simulation-in-planning-rhinoplasty-evaluation-from-patients-and-surgeons-perspectives
#20
İbrahim Alper Aksakal, Musa Kemal Keles, Murat Sinan Engin, İlhami Oğuzhan Aydoğdu, İsmail Küçüker
Among aesthetic surgery procedures, rhinoplasty is one of the most common. Preoperative simulations have become increasingly commonplace through the recent years along with a controversy regarding their use. Although capable of building a solid rapport between the surgeon and the patient by visualizing the end result, it can also prove to be a liability for a surgeon who is not confident about delivering the result which has been put on screen. The objective of this study is to evaluate the outlook of the surgeons and patients on preoperative simulations...
June 2017: Facial Plastic Surgery: FPS
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