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https://www.readbyqxmd.com/read/29243007/comparison-of-telephone-and-televideo-modes-for-delivery-of-genetic-counseling-a-randomized-trial
#1
Corrine I Voils, Vickie L Venne, Hollis Weidenbacher, Nina Sperber, Santanu Datta
Telephone and televideo have yielded equivalent patient satisfaction and psychosocial outcomes when compared to in-person genetic counseling, yet little is known about how they compare to one another. In this randomized controlled trial, veterans received genetic counseling via telephone or traveled to a clinic to participate via encrypted televideo. Knowledge and visit satisfaction were assessed 2 weeks later. Travel time, mileage, and out-of-pocket costs were calculated for videoconferencing. Qualitative interviews were conducted with patients and counselors to assess acceptability...
December 15, 2017: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/29242175/developing-mhealth-messages-to-promote-postmenstrual-regulation-contraceptive-use-in-bangladesh-participatory-interview-study
#2
Elisabeth Eckersberger, Erin Pearson, Kathryn Andersen, Altaf Hossain, Katharine Footman, Kamal Kanti Biswas, Sadid Nuremowla, Kate Reiss
BACKGROUND: Abortions are restricted in Bangladesh, but menstrual regulation is an approved alternative, defined as a procedure of regulating the menstrual cycle when menstruation is absent for a short duration. Use of contraception after menstrual regulation can reduce subsequent unintended pregnancy, but in Bangladesh, the contraceptive method mix is dominated by short-term methods, which have higher discontinuation and failure rates. Mobile phones are a channel via which menstrual regulation clients could be offered contraceptive support after leaving the clinic...
December 14, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29240002/practices-attitudes-and-knowledge-about-crohn-s-disease-and-smoking-cessation-among-gastroenterologists
#3
Benjamin Nulsen, Bruce E Sands, Brijen J Shah, Ryan C Ungaro
OBJECTIVE: Cigarette smoking is one of the most important, modifiable environmental factors in Crohn's disease (CD) and screening for tobacco use is an official recommendation and quality measure in the care of CD patients. The objective of this study was to learn more about gastroenterologists' practices, opinions, and knowledge in this area. PATIENTS AND METHODS: A 15 question survey was sent through email to two national gastroenterology distribution lists. Questions were written in multiple choice formats and were designed to collect information about gastroenterologists' practices, attitudes, and knowledge regarding smoking cessation in CD patients...
December 12, 2017: European Journal of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/29237686/toward-genetics-driven-early-intervention-in-dilated-cardiomyopathy-design-and-implementation-of-the-dcm-precision-medicine-study
#4
REVIEW
Daniel D Kinnamon, Ana Morales, Deborah J Bowen, Wylie Burke, Ray E Hershberger
BACKGROUND: The cause of idiopathic dilated cardiomyopathy (DCM) is unknown by definition, but its familial subtype is considered to have a genetic component. We hypothesize that most idiopathic DCM, whether familial or nonfamilial, has a genetic basis, in which case a genetics-driven approach to identifying at-risk family members for clinical screening and early intervention could reduce morbidity and mortality. METHODS: On the basis of this hypothesis, we have launched the National Heart, Lung, and Blood Institute- and National Human Genome Research Institute-funded DCM Precision Medicine Study, which aims to enroll 1300 individuals (600 non-Hispanic African ancestry, 600 non-Hispanic European ancestry, and 100 Hispanic) who meet rigorous clinical criteria for idiopathic DCM along with 2600 of their relatives...
December 2017: Circulation. Cardiovascular Genetics
https://www.readbyqxmd.com/read/29236569/lactation-advice-through-texting-can-help-an-analysis-of-intensity-of-engagement-via-two-way-text-messaging
#5
J L Martinez-Brockman, N Harari, R Pérez-Escamilla
Rates of breastfeeding initiation and duration among women who attend the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) are dramatically lower than nonparticipants. Innovative solutions are needed to improve breastfeeding rates in this population. The Lactation Advice through Texting Can Help (LATCH) study was one such approach, designed to augment and reinforce the WIC breastfeeding peer counseling process. The purpose of the present study was to examine engagement via two-way text messaging in a sample of women attending the WIC breastfeeding peer counseling program and enrolled in LATCH...
December 13, 2017: Journal of Health Communication
https://www.readbyqxmd.com/read/29235186/improving-quit-rates-of-web-delivered-interventions-for-smoking-cessation-full-scale-randomized-trial-of-webquit-org-versus-smokefree-gov
#6
Jonathan B Bricker, Kristin E Mull, Jennifer B McClure, Noreen L Watson, Jaimee L Heffner
BACKGROUND AND AIMS: Millions of people worldwide use websites to help them quit smoking, but effectiveness trials have an average 34% follow-up data retention rate and an average 9% quit rate. We compared the quit rates of a website using a new behavioral approach called Acceptance and Commitment Therapy (ACT; WebQuit.org) with the current standard of the National Cancer Institute's (NCI) Smokefree.gov website. DESIGN: A two-arm stratified double-blind individually randomized trial (n = 1319 for WebQuit; n = 1318 for Smokefree...
December 13, 2017: Addiction
https://www.readbyqxmd.com/read/29234989/clinical-cardiovascular-genetic-counselors-take-a-leading-role-in-team-based-variant-classification
#7
Chloe Reuter, Megan E Grove, Kate Orland, Katherine Spoonamore, Colleen Caleshu
We sought to delineate the genetic test review and interpretation practices of clinical cardiovascular genetic counselors. A one-time anonymous online survey was taken by 46 clinical cardiovascular genetic counselors recruited through the National Society of Genetic Counselors Cardiovascular Special Interest Group. Nearly all (95.7%) gather additional information on variants reported on clinical genetic test reports and most (81.4%) assess the classification of such variants. Clinical cardiovascular genetic counselors typically (81...
December 12, 2017: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/29226694/effectiveness-of-motivational-interviewing-for-improving-physical-activity-self-management-for-adults-with-type-2-diabetes-a-review
#8
Patricia Davern Soderlund
Objectives This review examines the effectiveness of motivational interviewing for physical activity self-management for adults diagnosed with diabetes mellitus type 2. Motivational interviewing is a patient centered individually tailored counseling intervention that aims to elicit a patient's own motivation for health behavior change. Review questions include (a) How have motivational interviewing methods been applied to physical activity interventions for adults with diabetes mellitus type 2? (b) What motivational interviewing approaches are associated with successful physical activity outcomes with diabetes mellitus 2? Methods Database searches used PubMed, CINAHL, and PsycINFO for the years 2000 to 2016...
January 1, 2017: Chronic Illness
https://www.readbyqxmd.com/read/29220633/developing-adaptive-treatment-strategies-to-address-suicidal-risk-in-college-students-a-pilot-sequential-multiple-assignment-randomized-trial-smart
#9
Jacqueline Pistorello, David Jobes, Scott Compton, Nadia Samad Locey, Joseph C Walloch, Robert Gallop, Josephine S Au, Samantha K Noose, Maria Young, Jacquelyn Johnson, Yani Dickens, Patricia Chatham, Tami Jeffcoat, Georgia Dalto, Spondita Goswami
OBJECTIVES: This pilot study investigated the potential to utilize adaptive treatment strategies for treating moderate to severe suicidal risk among college students. This paper will describe the unique design and report on feasibility and acceptability findings. METHODS: A two-stage Sequential Multiple Assignment Randomized Trial (SMART) was conducted: In Stage 1, 62 suicidal college students were randomized to either a suicide-focused or a treatment-as-usual condition (4-8 weeks)...
December 8, 2017: Archives of Suicide Research: Official Journal of the International Academy for Suicide Research
https://www.readbyqxmd.com/read/29215420/interdisciplinary-guidelines-for-care-of-women-presenting-to-the-emergency-department-with-pregnancy-loss
#10
Anita Catlin
In April 2016, the National Perinatal Association and Kaiser Permanente Northern California Nursing Research Community Benefits Grant sponsored an interdisciplinary summit to explore the needs of women who present with actual or potential pregnancy loss to the emergency department (ED). Thirty-two experts in the field of pregnancy loss, 17 of whom represented their professional organizations, participated. These experts, which included nurses, physicians, social workers, counselors, authors, and parents, worked together to create guidelines for care of women with a pregnancy loss in the ED...
January 2018: MCN. the American Journal of Maternal Child Nursing
https://www.readbyqxmd.com/read/29204809/genesurance-counseling-genetic-counselors-roles-and-responsibilities-in-regards-to-genetic-insurance-and-financial-topics
#11
Shelby Brown, Susan Puumala, Jennifer Leonhard, Megan Bell, Jason Flanagan, Lori Williamson Dean, Quinn Stein
While traditional components of genetic counseling sessions are well recognized, less is known about insurance and financial discussions. This study sought to examine "genesurance counseling" which we defined as: that portion of a genetic counseling session, whether intentional or non-intentional, that is devoted to the topic of costs and insurance/third party coverage (particularly for genetic testing). Our objective was to assess genetic counselors' practices and perspective related to genesurance counseling...
December 4, 2017: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/29204808/implementing-a-virtual-health-telemedicine-program-in-a-community-setting
#12
Scott M Weissman, Kate Zellmer, Nicole Gill, Deborah Wham
Aurora Health Care in eastern Wisconsin has a clinical genetics program driven by genetic counselors in the cancer/adult and prenatal genetics settings. In 2015, the workforce shortage of genetic counselors left us with 4 open positions for genetic counselors that we were unable to fill. We explored many models of alternative service delivery, and determined virtual health (VH) via telemedicine to be the best option for our system. Historically, telemedicine technologies have been used to provide access to healthcare services to patients in remote areas...
December 4, 2017: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/29203084/the-impact-of-genetic-counselors-use-of-facilitative-strategies-on-cognitive-and-emotional-processing-of-genetic-risk-disclosure-for-alzheimer-s-disease
#13
Yue Guan, Debra L Roter, Jennifer L Wolff, Laura N Gitlin, Kurt D Christensen, J Scott Roberts, Robert C Green, Lori H Erby
OBJECTIVES: To determine the impact of genetic counselor (GC) communication on cognitive and emotional processing of Alzheimer's disease (AD) risk information during discussions with patients with clinical diagnoses of mild cognitive impairment and their companion. METHODS: 79 recordings and transcripts of AD risk disclosure sessions collected as part of the fourth REVEAL Trial were coded using the Roter Interaction Analysis System (RIAS) and the Linguistic Inquiry Word Count (LIWC)...
November 27, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/29202754/institutional-context-and-vct-practitioner-narratives-possibilities-and-limitations-for-hiv-prevention-in-rio-de-janeiro-brazil
#14
Claudia Mora, Simone Monteiro, Carlos Otávio Fiúza Moreira
BACKGROUND: Voluntary Counseling and Testing (VCT) is an HIV prevention strategy that promotes the principles of confidentiality and informed consent. International research has highlighted VCT counselors' isolation from service planning and the contradictions they negotiate between local values and global testing recommendations. In Brazil, studies have identified many limitations, including counselors' difficulties to implement a vulnerability approach to HIV prevention as recommended in the country's national guidelines...
December 4, 2017: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/29199389/development-and-evaluation-of-a-telephone-communication-protocol-for-the-delivery-of-personalized-melanoma-genomic-risk-to-the-general-population
#15
Georgina L Fenton, Amelia K Smit, Lucinda Freeman, Caro Badcock, Kate Dunlop, Phyllis N Butow, Judy Kirk, Anne E Cust
Communicating personalized genomic risk results for common diseases to the general population as a form of tailored prevention is novel and may require alternative genetic counseling service delivery models. We describe the development and evaluation of a communication protocol for disclosing melanoma genomic risk information to the asymptomatic general population and assess participants' satisfaction and acceptability. Participants (n = 117) were aged 22-69 years, living in New South Wales, Australia and unselected for family history...
December 3, 2017: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/29197036/cancer-genetic-counseling-communication-with-low-income-chinese-immigrants
#16
Janice Ka Yan Cheng, Claudia Guerra, Rena J Pasick, Dean Schillinger, Judith Luce, Galen Joseph
As genetics and genomics become part of mainstream medicine, these advances have the potential to either reduce or exacerbate health disparities. Relatively, little research has explored the quality of genetic counseling communication experienced by limited English proficiency patients, especially Chinese Americans. We observed and audio recorded genetic counseling appointments (n = 40) of low-income, limited English-proficient Chinese patients (n = 25) and conducted post-visit interviews (n = 17) using stimulated recall to examine patient understanding of the communication...
December 1, 2017: Journal of Community Genetics
https://www.readbyqxmd.com/read/29189446/a-national-study-of-school-counselors-perceptions-of-the-nursing-profession
#17
Cheryl Williams, Laurie Dickstein-Fischer
School counselors are uniquely poised to influence career development among middle and high school students interested in nursing. This study examined 204 school counselors' perceptions about nursing and secondary educational preparation. Despite national and local efforts to increase enrollment in baccalaureate and higher nursing programs, counselors remain unaware of the need for increased education in nursing. Nurse educators need to align with school counselors to adequately prepare students interested in nursing as a health career...
November 16, 2017: Nurse Educator
https://www.readbyqxmd.com/read/29187767/triads-in-equine-assisted-social-work-enhance-therapeutic-relationships-with-self-harming-adolescents
#18
Catharina Carlsson
Despite an increasing number of studies, there is still a lack of knowledge about the unique features that underlie the process in equine assisted social work (EASW). This study aimed to reveal, through qualitative methods, the dyads within the triad that become stronger during the process of EASW, as well as the effect of the participation of the horse on the relationship between the counselor and client. Data were collected through in-depth interviews with nine female self-harming clients aged 15-21 years and eight staff members...
2017: Clinical Social Work Journal
https://www.readbyqxmd.com/read/29183868/providing-home-based-hiv-testing-and-counseling-for-transgender-youth-project-moxie-protocol-for-a-pilot-randomized-controlled-trial
#19
Rob Stephenson, Nicholas Metheny, Akshay Sharma, Stephen Sullivan, Erin Riley
BACKGROUND: Transgender and gender nonconforming people experience some of the highest human immunodeficiency virus (HIV) rates in the United States, and experience many structural and behavioral barriers that may limit their engagement in HIV testing, prevention, and care. Evidence suggests that transgender and gender nonconforming youth (TY) are especially vulnerable to acquiring HIV, yet there is little research on TY and few services are targeted towards HIV testing, prevention, and care for this population...
November 28, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/29182040/life-experience-of-bereaved-parents-after-the-2014-sewol-ferry-disaster-in-south-korea
#20
Dong Hun Lee, Minsoo Khang, Jiyoung Shin, Hwa Jung Lee, Jacqueline A Brown
The aim of this study was to identify the outcomes of parental bereavement and the changes in life experience that follow the traumatic death of a teenage child. The results of the study are aimed to assist counselors and educators who work with themes of grief and loss. From 17 in-depth interviews from parents bereaved by the Sewol ferry disaster of 2014 in South Korea, three main categories were found to capture the reality for parents after the sudden and traumatic death of a teenage child: (a) personal changes, (b) changes in close relationships, and (c) changes in social life...
January 1, 2017: Omega
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