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https://www.readbyqxmd.com/read/29042345/the-association-of-patient-factors-digital-access-and-online-behavior-on-sustained-patient-portal-use-a-prospective-cohort-of-enrolled-users
#1
Susan S Woods, Christopher W Forsberg, Erin C Schwartz, Kim M Nazi, Judith H Hibbard, Thomas K Houston, Martha Gerrity
BACKGROUND: As electronic health records and computerized workflows expand, there are unprecedented opportunities to digitally connect with patients using secure portals. To realize the value of patient portals, initial reach across populations will need to be demonstrated, as well as sustained usage over time. OBJECTIVE: The study aim was to identify patient factors associated with short-term and long-term portal usage after patients registered to access all portal functions...
October 17, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29040893/quality-of-online-information-on-breast-cancer-treatment-options
#2
Nadia Arif, Pietro Ghezzi
Offering breast cancer patients treatment choice has become a priority as the involvement of patients in the decision-making process is associated with improved physical and psychological outcomes. As the Internet is increasingly being used by patients as a source of medical information, it is important to evaluate the quality of information relating to breast cancer on the Internet. We analysed 200 websites returned by google.co.uk searching "breast cancer treatment options" in terms of their typology and treatment options described...
October 14, 2017: Breast: Official Journal of the European Society of Mastology
https://www.readbyqxmd.com/read/29040634/implementation-of-acute-care-patient-portals-recommendations-on-utility-and-use-from-six-early-adopters
#3
Lisa V Grossman, Sung W Choi, Sarah Collins, Patricia C Dykes, Kevin J O'Leary, Milisa Rizer, Philip Strong, Po-Yin Yen, David K Vawdrey
Objective: To provide recommendations on how to most effectively implement advanced features of acute care patient portals, including: (1) patient-provider communication, (2) care plan information, (3) clinical data viewing, (4) patient education, (5) patient safety, (6) caregiver access, and (7) hospital amenities. Recommendations: We summarize the experiences of 6 organizations that have implemented acute care portals, representing a variety of settings and technologies...
September 4, 2017: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29038699/the-correlation-of-social-support-with-mental-health-a-meta-analysis
#4
Tayebeh Fasihi Harandi, Maryam Mohammad Taghinasab, Tayebeh Dehghan Nayeri
BACKGROUND AND AIM: Social support is an important factor that can affect mental health. In recent decades, many studies have been done on the impact of social support on mental health. The purpose of the present study is to investigate the effect size of the relationship between social support and mental health in studies in Iran. METHODS: This meta-analysis was carried out in studies that were performed from 1996 through 2015. Databases included SID and Magiran, the comprehensive portal of human sciences, Noor specialized magazine databases, IRANDOC, Proquest, PubMed, Scopus, ERIC, Iranmedex and Google Scholar...
September 2017: Electronic Physician
https://www.readbyqxmd.com/read/29038093/patient-portal-use-and-experience-among-older-adults-systematic-review
#5
Dawn K Sakaguchi-Tang, Alyssa L Bosold, Yong K Choi, Anne M Turner
BACKGROUND: The older adult population (65 years or older) in the United States is growing, and it is important for communities to consider ways to support the aging population. Patient portals and electronic personal health records (ePHRs) are technologies that could better serve populations with the highest health care needs, such as older adults. OBJECTIVE: The aim of this study was to assess the existing research landscape related to patient portal and ePHR use and experience among older adults and to understand the benefits and barriers to older adults' use and adoption of patient portals and ePHRs...
October 16, 2017: JMIR Medical Informatics
https://www.readbyqxmd.com/read/29035646/electronic-health-record-portals-adoption-empirical-model-based-on-utaut2
#6
Jorge Tavares, Amélia Goulão, Tiago Oliveira
BACKGROUND: The future of healthcare delivery is becoming more citizen centered, as today's user is more active and better informed. Governmental institutions are promoting the deployment and use of online services such as Electronic Health Record (EHR) portals. This makes the adoption of EHR portals an important field to study and understand. OBJECTIVE: The aim of this study is to understand the factors that drive individuals to adopt EHR portals. METHODS: This study applies the extended unified theory of acceptance and usage technology (UTAUT2) to explain patients' individual adoption of EHR portals...
October 16, 2017: Informatics for Health & Social Care
https://www.readbyqxmd.com/read/29035422/the-use-of-telemedicine-and-mobile-technology-to-promote-population-health-and-population-management-for-psychiatric-disorders
#7
REVIEW
Carolyn Turvey, John Fortney
PURPOSE OF REVIEW: This article discusses recent applications in telemedicine to promote the goals of population health and population management for people suffering psychiatric disorders. RECENT FINDINGS: The use of telemedicine to promote collaborative care, self-monitoring and chronic disease management, and population screening has demonstrated broad applicability and effectiveness. Collaborative care using videoconferencing to facilitate mental health specialty consults has demonstrated effectiveness in the treatment of depression, PTSD, and also ADHD in pediatric populations...
October 16, 2017: Current Psychiatry Reports
https://www.readbyqxmd.com/read/29032705/a-mobile-application-for-monitoring-and-management-of-depressed-mood-in-a-vulnerable-pregnant-population
#8
Liisa Hantsoo, Stephanie Criniti, Annum Khan, Marian Moseley, Naomi Kincler, Laura J Faherty, C Neill Epperson, Ian M Bennett
OBJECTIVE: This study tested whether a mood tracking and alert (MTA) mobile application (app) improved mental health care delivery in a high-risk obstetric population. METHODS: Pregnant women with depressive symptomatology at <32 weeks gestation were followed for eight weeks after randomization to a control patient portal (PP) app alone or with the MTA app. The MTA app monitored activity, assessed mood, and alerted obstetric providers of signs of worsening mood...
October 16, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29025122/software-application-profile-opal-and-mica-open-source-software-solutions-for-epidemiological-data-management-harmonization-and-dissemination
#9
Dany Doiron, Yannick Marcon, Isabel Fortier, Paul Burton, Vincent Ferretti
Motivation: Improving the dissemination of information on existing epidemiological studies and facilitating the interoperability of study databases are essential to maximizing the use of resources and accelerating improvements in health. To address this, Maelstrom Research proposes Opal and Mica, two inter-operable open-source software packages providing out-of-the-box solutions for epidemiological data management, harmonization and dissemination. Implementation: Opal and Mica are two standalone but inter-operable web applications written in Java, JavaScript and PHP...
September 2, 2017: International Journal of Epidemiology
https://www.readbyqxmd.com/read/29025034/an-environmental-scan-of-shared-access-to-patient-portals
#10
Jennifer L Wolff, Victoria S Kim, Suzanne Mintz, Rebecca Stametz, Joan M Griffin
We sought to understand the comprehensiveness of consumer-oriented information describing the availability of shared access to adult patient portals from publicly reported information on institutional websites of 20 large and geographically diverse health systems. All 20 health systems reported that they offer patients the ability to share access to their patient portal account with a family member or friend; however, the comprehensiveness of information regarding registration procedures, features, and terminology varied widely...
August 25, 2017: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29024353/exercise-and-physical-activity-for-patients-with-esld-improving-functional-status-and-sarcopenia-while-on-the-transplant-waitlist
#11
REVIEW
Andrés Duarte-Rojo, Astrid Ruiz-Margáin, Aldo J Montaño-Loza, Ricardo Macías-Rodríguez, Arny Ferrando, W Ray Kim
Sarcopenia and physical deconditioning are frequent complications in patients with cirrhosis and end-stage liver disease (ESLD). They are the end result of impaired dietary intake, chronic inflammation, altered macro- and micronutrient metabolism, and low physical activity. Frailty is the end result of prolonged sarcopenia and physical deconditioning. It severely affects a patient's functional status, and presents in about 1 in 5 patients on the liver transplant (LT) waitlist. Sarcopenia, poor physical fitness/cardiopulmonary endurance, and frailty are all associated with increased mortality in ESLD...
October 11, 2017: Liver Transplantation
https://www.readbyqxmd.com/read/29019046/effect-of-reminding-patients-to-complete-fecal-immunochemical-testing-a-comparative-effectiveness-study-of-automated-and-live-approaches
#12
Gloria D Coronado, Jennifer S Rivelli, Morgan J Fuoco, William M Vollmer, Amanda F Petrik, Erin Keast, Sara Barker, Emily Topalanchik, Ricardo Jimenez
BACKGROUND: The Community Preventive Services Task Force recommends multi-component interventions, including patient reminders, to improve uptake of colorectal cancer screening. OBJECTIVE: We sought to compare the effectiveness of different forms of reminders for a direct-mail fecal immunochemical test (FIT) program. DESIGN: Patient-randomized controlled trial. PARTICIPANTS: 2772 adults aged 50-75, not up to date with colorectal cancer screening recommendations, with a clinic visit in the previous year at any of four participating health center clinics...
October 10, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29016789/a-technology-based-patient-and-family-engagement-consult-service-for-the-pediatric-hospital-setting
#13
Gretchen P Jackson, Jamie R Robinson, Ebone Ingram, Mary Masterman, Catherine Ivory, Diane Holloway, Shilo Anders, Robert M Cronin
Objective: The Vanderbilt Children's Hospital launched an innovative Technology-Based Patient and Family Engagement Consult Service in 2014. This paper describes our initial experience with this service, characterizes health-related needs of families of hospitalized children, and details the technologies recommended to promote engagement and meet needs. Materials and Methods: We retrospectively reviewed consult service documentation for patient characteristics, health-related needs, and consultation team recommendations...
July 22, 2017: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/28994235/lipo-protein-emulsion-structure-in-the-diet-affects-protein-digestion-kinetics-intestinal-mucosa-parameters-and-microbiota-composition
#14
Marion Oberli, Véronique Douard, Martin Beaumont, Daphné Jaoui, Fabienne Devime, Sandy Laurent, Catherine Chaumontet, Damien Mat, Steven Le Feunteun, Camille Michon, Anne-Marie Davila, Gilles Fromentin, Daniel Tomé, Isabelle Souchon, Marion Leclerc, Claire Gaudichon, François Blachier
SCOPE: Food structure is a key factor controlling digestion and nutrient absorption. We tested the hypothesis that protein emulsion structure in the diet may affect digestive and absorptive processes. METHODS & RESULTS: Rats (n = 40) were fed for 3 weeks two diets chemically identical but based on lipid-protein liquid-fine (LFE) or gelled-coarse (GCE) emulsions that differ at the macro- and micro-structure levels. After an overnight fasting, they ingested a (15) N-labeled LFE or GCE test meal and were euthanized 0, 15min, 1h and 5h later...
October 10, 2017: Molecular Nutrition & Food Research
https://www.readbyqxmd.com/read/28990993/rural-patients-and-primary-care-clinic-staffs-perceptions-of-ehr-implementation-an-ethnographic-exploration
#15
Sarah Kooienga
This focused ethnographic research study explores patients' and clinic staffs' experience of electronic health record (EHR) implementation in a small, independent, rural primary care practice. On the basis of participant observation of clinic staff, staff focus group, and patient interviews, results demonstrate that both patients and clinic staff have distrust and disconnect from technology. Yet, patients and clinic staff embrace patient-centered approaches and value team-based care. Understanding patients' and staffs' experience can facilitate the EHR implementation in the rural primary care setting and facilitate online access, patient portals, and other technologically based patient-centered approaches...
October 4, 2017: Journal of Ambulatory Care Management
https://www.readbyqxmd.com/read/28986341/computerized-decision-aids-for-shared-decision-making-in-serious-illness-systematic-review
#16
Anna Staszewska, Pearl Zaki, Joon Lee
BACKGROUND: Shared decision making (SDM) is important in achieving patient-centered care. SDM tools such as decision aids are intended to inform the patient. When used to assist in decision making between treatments, decision aids have been shown to reduce decisional conflict, increase ease of decision making, and increase modification of previous decisions. OBJECTIVE: The purpose of this systematic review is to assess the impact of computerized decision aids on patient-centered outcomes related to SDM for seriously ill patients...
October 6, 2017: JMIR Medical Informatics
https://www.readbyqxmd.com/read/28977135/systematic-literature-review-on-models-and-practices-of-early-childhood-intervention-in-brazil
#17
Bruna Pereira Ricci Marini, Mariane Cristina Lourenço, Patrícia Carla de Souza Della Barba
OBJECTIVE: To identify which Early Childhood Intervention practices and models are described in the Brazilian literature. DATA SOURCES: A systematic integrative review of the literature indexed in databases from Virtual Health Library, Bielefeld Academic Search Engine, Education Resources Information Center and Portal of Periodicals of the Coordination of Improvement of Higher Education Personnel was carried out, considering the period between 2005 and 2015. The following articles were analyzed: those published in English or Portuguese, fully available online, with the terms "Early Intervention", "Early Stimulation" or "Essential Stimulation" in the title, abstract or keywords; studies that enrolled children aged from 0 to 6 years, their caregivers or professionals in Early Intervention services; manuscripts published in journals classified as ≥ B2 (WebQualis; Qualis 2014) in the fields of Education or Physical Education; and studies that described Early Intervention practices...
September 21, 2017: Revista Paulista de Pediatria: Orgão Oficial da Sociedade de Pediatria de São Paulo
https://www.readbyqxmd.com/read/28972652/shared-decision-making-for-people-with-asthma
#18
REVIEW
Kayleigh M Kew, Poonam Malik, Krishnan Aniruddhan, Rebecca Normansell
BACKGROUND: Asthma is a chronic inflammatory disease that affects the airways and is common in both adults and children. It is characterised by symptoms including wheeze, shortness of breath, chest tightness, and cough. People with asthma may be helped to manage their condition through shared decision-making (SDM). SDM involves at least two participants (the medical practitioner and the patient) and mutual sharing of information, including the patient's values and preferences, to build consensus about favoured treatment that culminates in an agreed action...
October 3, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28968781/federation-in-genomics-pipelines-techniques-and-challenges
#19
Somali Chaterji, Jinkyu Koo, Ninghui Li, Folker Meyer, Ananth Grama, Saurabh Bagchi
Federation is a popular concept in building distributed cyberinfrastructures, whereby computational resources are provided by multiple organizations through a unified portal, decreasing the complexity of moving data back and forth among multiple organizations. Federation has been used in bioinformatics only to a limited extent, namely, federation of datastores, e.g. SBGrid Consortium for structural biology and Gene Expression Omnibus (GEO) for functional genomics. Here, we posit that it is important to federate both computational resources (CPU, GPU, FPGA, etc...
August 29, 2017: Briefings in Bioinformatics
https://www.readbyqxmd.com/read/28967695/intravenous-immunoglobulin-for-the-treatment-of-childhood-encephalitis
#20
REVIEW
Mildred A Iro, Natalie G Martin, Michael Absoud, Andrew J Pollard
BACKGROUND: Encephalitis is a syndrome of neurological dysfunction due to inflammation of the brain parenchyma, caused by an infection or an exaggerated host immune response, or both. Attenuation of brain inflammation through modulation of the immune response could improve patient outcomes. Biological agents such as immunoglobulin that have both anti-inflammatory and immunomodulatory properties may therefore be useful as adjunctive therapies for people with encephalitis. OBJECTIVES: To assess the efficacy and safety of intravenous immunoglobulin (IVIG) as add-on treatment for children with encephalitis...
October 2, 2017: Cochrane Database of Systematic Reviews
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