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https://www.readbyqxmd.com/read/29689054/community-health-worker-interventions-to-promote-psychosocial-outcomes-among-people-living-with-hiv-a-systematic-review
#1
Hae-Ra Han, Kyounghae Kim, Jeanne Murphy, Joycelyn Cudjoe, Patty Wilson, Phyllis Sharps, Jason E Farley
BACKGROUND: Community health worker (CHW) interventions are a successful strategy to promote health among HIV-negative and persons living with HIV (PLWH). Psychosocial factors are critical dimensions of HIV/AIDS care contributing to prognosis of the disease, yet it is unclear how CHW interventions improve psychosocial outcomes in PLWH. The purpose of this study was to critically appraise the types, scope, and nature of CHW interventions designed to address psychosocial outcomes in PLWH...
2018: PloS One
https://www.readbyqxmd.com/read/29687313/genetic-counselors-experience-with-and-opinions-on-the-management-of-newborn-screening-incidental-carrier-findings
#2
Kristen Leppert, Katharine Bisordi, Jessica Nieto, Kristin Maloney, Yue Guan, Shannan Dixon, Alena Egense
Newborn screening (NBS) is a public health program whose aim is to identify infants who will be clinically affected with a serious metabolic, genetic, or endocrine disorder; however, the technology utilized by many NBS programs also detects infants who are heterozygous carriers for autosomal recessive conditions. Discussion surrounding disclosure of these incidental carrier findings remains controversial. The purpose of this study was to assess genetic counselors' attitudes about disclosure of carrier status results generated by NBS and to gather data on their experiences with incidental carrier findings...
April 23, 2018: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/29685865/ethical-issues-for-direct-to-consumer-digital-psychotherapy-apps-addressing-accountability-data-protection-and-consent
#3
Nicole Martinez-Martin, Karola Kreitmair
This paper focuses on the ethical challenges presented by direct-to-consumer (DTC) digital psychotherapy services that do not involve oversight by a professional mental health provider. DTC digital psychotherapy services can potentially assist in improving access to mental health care for the many people who would otherwise not have the resources or ability to connect with a therapist. However, the lack of adequate regulation in this area exacerbates concerns over how safety, privacy, accountability, and other ethical obligations to protect an individual in therapy are addressed within these services...
April 23, 2018: JMIR Mental Health
https://www.readbyqxmd.com/read/29683040/barriers-and-facilitators-to-treatment-engagement-among-clients-in-inpatient-substance-abuse-treatment
#4
Yang Yang, David R Perkins, A Elizabeth Stearns
There is a call for drawing on client voice to provide a rich, nuanced understanding of factors influencing substance treatment engagement as to maximizing treatment benefits. We interviewed 60 clients in a short-term inpatient substance treatment program and examined facilitators and barriers to treatment engagement. Thematic analysis yielded four themes, including perceived treatment needs, trust and counselor rapport, peer inspiration, and organizational factors. Perceived treatment needs serve as both a facilitator and a barrier wherein the acknowledgment of needs led to greater treatment engagement whereas a lack of perceived needs hindered treatment engagement...
April 1, 2018: Qualitative Health Research
https://www.readbyqxmd.com/read/29675992/genetic-counselors-as-social-and-behavioral-scientists-in-the-era-of-precision-medicine
#5
Barbara B Biesecker
In the era of precision medicine, translating genomics into clinical care will involve answering key questions in social and behavioral research. The scope of this research addresses assessing how clients perceive and use genomic information, and how effectively genetic counseling is meeting clients' needs. Outcomes are central to enhancing practice effectiveness, improving patient outcomes, and informing cost effective services to address workforce challenges. While genetic counseling is generally thought of as a clinical practice, genetic counselors contribute to research in several ways...
March 2018: American Journal of Medical Genetics. Part C, Seminars in Medical Genetics
https://www.readbyqxmd.com/read/29675991/genetic-counseling-in-industry-settings-opportunities-in-the-era-of-precision-health
#6
Kirsty McWalter, Megan T Cho, Tara Hart, Rachel Nusbaum, Courtney Sebold, Sara Knapke, Rachel Klein, Bethany Friedman, Rebecca Willaert, Amanda Singleton, Leah Williams, Elizabeth Butler, Jane Juusola
The skill sets of genetic counselors are strongly utilized in industry, as evidenced by 20% of genetic counselors reporting employment within industry in 2016. In addition, industry genetic counselors are expanding their roles, taking on new responsibilities, and creating new opportunities. These advances have impacted the profession as a whole including, but not limited to, genetic counseling training curricula, a shift back to genetic counseling directly to patients, and a growing influence of genetic counselors on industry test offerings...
March 2018: American Journal of Medical Genetics. Part C, Seminars in Medical Genetics
https://www.readbyqxmd.com/read/29672136/which-patients-in-the-emergency-department-should-receive-preexposure-prophylaxis-implementation-of-a-predictive-analytics-approach
#7
Jessica P Ridgway, Ellen A Almirol, Alvie Bender, Andrew Richardson, Jessica Schmitt, Eleanor Friedman, Nicola Lancki, Ivan Leroux, Nina Pieroni, Jessica Dehlin, John A Schneider
Emergency Departments (EDs) have the potential to play a crucial role in HIV prevention by identifying and linking high-risk HIV-negative clients to preexposure prophylaxis (PrEP) care, but it is difficult to perform HIV risk assessment for all ED patients. We aimed to develop and implement an electronic risk score to identify ED patients who are potential candidates for PrEP. Using electronic medical record (EMR) data, we used logistic regression to model the outcome of PrEP eligibility. We converted the model into an electronic risk score and incorporated it into the EMR...
April 19, 2018: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/29672078/latina-o-adolescents-family-undocumented-status-disclosures-directed-at-school-counselors-a-latent-transition-analysis
#8
Jennifer A Kam, Jessica Gasiorek, Rachyl Pines, Keli Steuber Fazio
For adolescents from undocumented families, school counselors may serve as a resource to draw upon for support should the adolescents decide to disclose their family status. In this study, we identified psychological factors that were associated with adolescents' decisions to disclose (or not) their own or a family member's undocumented status to a counselor and examined corresponding mental health implications. Utilizing latent transition analyses with a sample of 410 Latina/o immigrant high school students, four profiles emerged in Wave 1: (1) indifferent nondisclosers, (2) concerned revealers, (3) anxious revealers, and (4) secure revealers...
April 2018: Journal of Counseling Psychology
https://www.readbyqxmd.com/read/29670405/perceptions-of-alcohol-use-in-the-context-of-hiv-treatment-a-qualitative-study
#9
Munyaradzi Madhombiro, Bazondlile Marimbe-Dube, Michelle Dube, Malinda Kaiyo-Utete, Angeline Paradzai, Dixon Chibanda, Simbarashe Rusakaniko, Asj van der Watt, Soraya Seedat
Background: Alcohol use is associated with poor HIV treatment outcomes. This study aimed to understand patients' perceptions of the impact of alcohol use in the context of HIV care. Methods: The study design was a descriptive qualitative study of HIV positive individuals receiving antiretroviral treatment. The study involved four focus group discussions with male and female participants at a tertiary center, city clinic, and rural church. We employed convenience sampling and invited patients coming for their routine visits and medication refills to participate...
2018: HIV/AIDS: Research and Palliative Care
https://www.readbyqxmd.com/read/29667697/resources-for-psychiatric-clinicians-working-with-breastfeeding-mothers
#10
Nancy M Terres
In today's health care-focused climate, in which encouraging breastfeeding is part of national and international health care initiatives, clinicians in any field should have resources available for breastfeeding mothers. The current article provides information for psychiatric clinicians on how breastfeeding may affect women with psychiatric conditions, the type of lactation counselor likely to be best prepared to collaborate with psychiatric clinicians, and resources available regarding maternal psychiatric medications safe for breastfeeding infants...
April 17, 2018: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/29658849/suicide-prevention-for-school-communities-an-educational-initiative-for-student-safety
#11
Diane Cody Roberts, Mary Ellen Taylor, Audrey D'Ann Pyle
A knowledge gap exists in school communities regarding suicide prevention and means reduction education. The article highlights two core interrelated topics: school nurse engagement in dialogue with students' families and the implementation of an innovative, community-based suicide prevention educational program at a suburban public school district. The authors provide an overview of the public health problem of suicide for students, current student challenges, role of the school nurse in suicide prevention, and a key gap in current school nursing practice...
May 2018: NASN School Nurse
https://www.readbyqxmd.com/read/29651437/questions-frequently-asked-of-healthcare-professionals-a-2-year-data-survey-conducted-at-a-medical-center
#12
Chi-Lien Hou, Ying-Hao Lu, Shun-Ching Chien, Hsu-Hui Chen, Chung-Yu Chen
In this descriptive, retrospective study, we analyzed the types of questions posed by healthcare professionals to drug counselors at a medical center and the types of provision of pharmaceutical advice solicited to improve pharmaceutical care quality and establish clear directions for clinical pharmacist training. We collected 8,558 questions posed by healthcare professionals (physicians, 38%; pharmacists, 39%; nurses, 23%) from the electronic drug information record system from May 2013 to April 2015 in one medical center...
2018: BioMed Research International
https://www.readbyqxmd.com/read/29650174/improving-the-interpersonal-competences-of-head-nurses-through-peplau-s-theoretical-active-learning-approach
#13
Suhariyanto, Rr Tutik Sri Hariyati, Titin Ungsianik
BACKGROUND: Effective interpersonal skills are essential for head nurses in governing and managing their work units. Therefore, an active learning strategy could be the key to enhance the interpersonal competences of head nurses. PURPOSE: This study aimed to investigate the effects of Peplau's theoretical approach of active learning on the improvement of head nurses' interpersonal skills. METHOD: This study used a pre-experimental design with one group having pretests and posttests, without control group...
February 2018: EnfermerĂ­a ClĂ­nica
https://www.readbyqxmd.com/read/29648615/a-multicomponent-behavioral-intervention-for-smoking-cessation-during-pregnancy-a-nonconcurrent-multiple-baseline-design
#14
Xiaozhong Wen, Rina D Eiden, Faye E Justicia-Linde, Youfa Wang, Stephen T Higgins, Nicolas Thor, Arsalan Haghdel, Ariel R Peters, Leonard H Epstein
Given serious consequences of maternal smoking, we aimed to develop and test a multicomponent behavioral intervention to enhance smoking cessation during pregnancy. In this nonconcurrent, multiple-baseline intervention pilot study, 48 daily smoking pregnant women (mean 13.7 weeks of gestation) were recruited from Buffalo, NY, USA. Upon completion of the repeated baseline smoking monitoring (up to 3 weeks), 30 continuous smokers received a contingent financial incentive-based intervention with three additional components (education and counseling, monitoring and feedback, and family support)...
April 10, 2018: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/29623802/spiritual-counseling-program-for-children-with-anxiety-disorders-a-multi-city-experiment
#15
Samta P Pandya
This article reports on a multi-city two-year long experiment on the effect of a spiritual counseling program (SCP) on children diagnosed with anxiety disorders. The two-year customized SCP was conducted with 1238 children from 20 private schools in five cities across five countries, with an equal number in a control group. Results showed that post-treatment self-reported and counselor-tested anxiety outcome measure scores were lower for the treatment group. Girls, children from more affluent cities, middle-class children, and those who had one stay-at-home parent and no siblings showed reduced anxiety disorders post-treatment...
March 2018: Journal of Pastoral Care & Counseling: JPCC
https://www.readbyqxmd.com/read/29621025/sexual-problems-of-patients-with-breast-cancer-after-treatment-a-systematic-review
#16
Yun-Chen Chang, Shiow-Ru Chang, Shih-Che Chiu
BACKGROUND: Sexual health is a crucial part of quality of life in breast cancer survivors, regardless of their relationship status. However, previous studies have rarely used qualitative methods to explore the postoperative experiences and feelings of patients with breast cancer. OBJECTIVE: The aim of this study was to explore the reasons underlying postoperative sexual relationship changes, sexual inactivity, and adaptation to sexual life in patients with breast cancer, as well as interventions provided by medical staff...
April 4, 2018: Cancer Nursing
https://www.readbyqxmd.com/read/29617780/perceived-quality-of-in-service-communication-and-counseling-among-adolescents-undergoing-voluntary-medical-male-circumcision
#17
Lynn M Van Lith, Elizabeth C Mallalieu, Eshan U Patel, Kim H Dam, Michelle R Kaufman, Karin Hatzold, Arik V Marcell, Webster Mavhu, Catherine Kahabuka, Lusanda Mahlasela, Emmanuel Njeuhmeli, Kim Seifert Ahanda, Getrude Ncube, Gissenge Lija, Collen Bonnecwe, Aaron A R Tobian
Background: Experience with providers shapes the quality of adolescent health services, including voluntary medical male circumcision (VMMC). This study examined the perceived quality of in-service communication and counseling during adolescent VMMC services. Methods: A postprocedure quantitative survey measuring overall satisfaction, comfort, perceived quality of in-service communication and counseling, and perceived quality of facility-level factors was administered across 14 VMMC sites in South Africa, Tanzania, and Zimbabwe...
April 3, 2018: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29617774/adolescent-male-circumcision-for-hiv-prevention-in-high-priority-countries-opportunities-for-improvement
#18
Catherine Lane, Robert C Bailey, Chewe Luo, Nida Parks
Global experts recognize the need to transform conventional models of healthcare to create adolescent responsive health systems. As countries near 80% coverage of voluntary medical male circumcision (VMMC) for those aged 15-49 years, prioritization of younger men becomes critical to VMMC sustainability. This special supplement reporting 9 studies focusing on adolescent VMMC programming and services comes at a critical time. Eight articles report how well adolescents are reached with the World Health Organization's minimum package for comprehensive human immunodeficiency virus (HIV) prevention in South Africa, Zimbabwe, and Tanzania, analyzing motivation, counseling, wound healing, parental involvement, female peer support, quality of in-service communication, and providers' perceptions, and one presents models for achieving high VMMC coverage by 2021...
April 3, 2018: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29594659/involvement-and-influence-of-healthcare-providers-family-members-and-other-mutation-carriers-in-the-cancer-risk-management-decision-making-process-of-brca1-and-brca2-mutation-carriers
#19
Athena Puski, Shelly Hovick, Leigha Senter, Amanda Ewart Toland
Deciding between increased cancer screening or prophylactic surgery and the timing of such procedures can be a difficult and complex process for women with BRCA mutations. There are gaps in our understanding of involvement of others in the decision-making process for women with BRCA mutations. This study evaluated the management decision-making process of women with BRCA mutations, focusing on the involvement of others. Grounded theory was used to analyze and code risk management decision-making information from interviews with 20 BRCA mutation carriers...
March 29, 2018: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/29589152/genetic-test-utilization-and-diagnostic-yield-in-adult-patients-with-neurological-disorders
#20
Tanya M Bardakjian, Ingo Helbig, Colin Quinn, Lauren B Elman, Leo F McCluskey, Steven S Scherer, Pedro Gonzalez-Alegre
To determine the diagnostic yield of different genetic test modalities in adult patients with neurological disorders, we evaluated all adult patients seen for genetic diagnostic evaluation in the outpatient neurology practice at the University of Pennsylvania between January 2016 and April 2017 as part of the newly created Penn Neurogenetics Program. Subjects were identified through our electronic medical system as those evaluated by the Program's single clinical genetic counselor in that period. A total of 377 patients were evaluated by the Penn Neurogenetics Program in different settings and genetic testing recommended...
March 28, 2018: Neurogenetics
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