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https://www.readbyqxmd.com/read/28433550/evaluation-of-a-telephone-delivered-community-based-collaborative-care-management-program-for-caregivers-of-older-adults-with-dementia
#1
Shahrzad Mavandadi, Laura O Wray, Suzanne DiFilippo, Joel Streim, David Oslin
OBJECTIVES: To evaluate whether a community-based, telephone-delivered, brief patient/caregiver-centered collaborative dementia care management intervention is associated with improved caregiver and care recipient (CR) outcomes. DESIGN: Longitudinal program evaluation of a clinical intervention; assessments at baseline and 3- and 6-month follow-up. SETTING: General community. PARTICIPANTS: Caregivers (N = 440) of older, community-dwelling, low-income CRs prescribed a psychotropic medication by a primary care provider who met criteria for dementia and were enrolled in the SUpporting Seniors Receiving Treatment And INtervention (SUSTAIN) program for older adults...
March 27, 2017: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28431554/a-need-to-accelerate-health-research-productivity-in-an-african-university-the-case-of-makerere-university-college-of-health-sciences
#2
Damalie Nakanjako, Dickens Akena, Dan K Kaye, James Tumwine, Elialilia Okello, Annettee Nakimuli, Andrew Kambugu, Hazel McCullough, Harriet Mayanja-Kizza, Moses R Kamya, Nelson K Sewankambo
BACKGROUND: In the last decade, Makerere University College of Health Sciences (MakCHS) has taken strides in research and training to improve healthcare through collaborative training and research programs. However, there is limited data on the trends of MakCHS faculty contributions to research and on faculty growth to take leading roles in health research. This paper reviews MakCHS faculty research publications over 15.5 years and outlines possible strategies to enhance faculty research outputs...
April 21, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28402217/the-dash-pilot-project-developing-community-based-nutrition-education-for-older-adults
#3
Jan M Ivery, Liza Benton, Ashley Harrison, Melissa Paul, Marielysse Cortés
Nutrition-related chronic health conditions among older adults are a growing concern. Thus, it is important to develop nutrition interventions designed to prevent chronic conditions from occurring and/or progressing. As part of the current study, education nutrition education materials were created for use in Georgia senior centers by graduate nutrition students at Georgia State University. After the nutrition education class, focus groups were conducted with participants (n = 62) to obtain feedback on the content and suggestions on how to improve the class for future groups...
April 12, 2017: Journal of Gerontological Social Work
https://www.readbyqxmd.com/read/28386536/the-otago-exercise-program-innovative-delivery-models-to-maximize-sustained-outcomes-for-high-risk-homebound-older-adults
#4
Tiffany E Shubert, Lavinia Spring Goto, Matthew Lee Smith, Luohua Jiang, Holly Rudman, Marcia G Ory
BACKGROUND: It is estimated one in two adults age 80 and over fall each year, resulting in substantial morbidity and mortality rates among this oldest-old population. The Otago Exercise program (OEP) is an evidence-based fall prevention program shown to reduce falls by 35% among high-risk older adults. The OEP was designed to be delivered in the home by physical therapists. This model has encountered multiple implementation challenges in the United States health-care system, which has resulted in the development and testing of innovative models to support a broader reach and dissemination of this program...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28363358/an-educational-video-program-to-increase-aging-services-technology-awareness-among-older-adults
#5
Joyce W Tam, Catherine Van Son, Dennis Dyck, Maureen Schmitter-Edgecombe
OBJECTIVE: Aging services technologies (ASTs), health technology that meets the needs of seniors, are being underutilized due to a lack of awareness. This study evaluated a video-based educational program to increase AST awareness. METHODS: Two hundred and thirty-one older adults completed AST measures pre- and post-program. RESULTS: Participants endorsed significantly improved AST knowledge and attitude and a lower level of perceived stigma post-program...
March 15, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28363133/the-use-of-step-aerobics-and-the-stability-ball-to-improve-balance-and-quality-of-life-in-community-dwelling-older-adults-a-randomized-exploratory-study
#6
Ayelet Dunsky, Tal Yahalom, Michal Arnon, Ronnie Lidor
OBJECTIVE: To explore the use of step aerobics (SA) and the stability ball (SB) as tools for balance improvement in community-dwelling older adults. METHOD: Forty-two women (age: 72.2±5.8 years) who attended a community day center volunteered to participate in the study. Following the first assessment session, 28 women were assigned randomly to one of two experimental groups (the use of either SA or SB). The other 14 participants, who were engaged in a ceramic class, served as the control group...
March 18, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28350314/integrating-quality-improvement-and-continuing-professional-development-at-an-academic-medical-center-a-partnership-between-practice-plan-hospital-and-medical-school
#7
Barbara Gold, Dawn England, William Riley, Ginny Jacobs-Halsey, Corinne Webb, Bobbi Daniels
INTRODUCTION: While quality improvement (QI) initiatives can be a highly effective means for improving health care delivery in academic medical centers (AMCs), many health care professionals are not formally trained in basic QI methodology, engaging clinicians in QI activities can be challenging, and there is often a lack of integration and coordination among QI functions (eg, Departments of Quality and Safety, Continuing Professional Development). In our AMC, we undertook a collaborative approach to achieve better vertical and horizontal integration of our QI education efforts...
October 2016: Journal of Continuing Education in the Health Professions
https://www.readbyqxmd.com/read/28347300/students-attitudes-and-perceptions-of-teaching-and-assessment-of-evidence-based-practice-in-an-occupational-therapy-professional-master-s-curriculum-a-mixed-methods-study
#8
Aliki Thomas, Lu Han, Brittony P Osler, Emily A Turnbull, Erin Douglas
BACKGROUND: Most health professions, including occupational therapy, have made the application of evidence-based practice a desired competency and professional responsibility. Despite the increasing emphasis on evidence-based practice for improving patient outcomes, there are numerous research-practice gaps in the health professions. In addition to efforts aimed at promoting evidence-based practice with clinicians, there is a strong impetus for university programs to design curricula that will support the development of the knowledge, attitudes, skills and behaviours associated with evidence-based practice...
March 27, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28340123/rapid-ascent-from-zero-quality-to-international-organization-for-standardization-accreditation-a-case-study-of-hai-duong-preventive-medicine-center-in-vietnam-2012-2013
#9
Cuong Ngoc Duong, Kyle B Bond, Humberto Carvalho, Hien Bui Thi Thu, Thuong Nguyen, Thomas Rush
Objectives: In 2012, the Vietnam Ministry of Health sought to improve the quality of health laboratories by introducing international quality standards. Methods: Strengthening Laboratory Management Toward Accreditation (SLMTA), a year-long, structured, quality improvement curriculum (including projects and mentorship) was piloted in 12 laboratories. Progress was measured using a standardized audit tool (Stepwise Laboratory Quality Improvement Process Towards Accreditation)...
April 1, 2017: American Journal of Clinical Pathology
https://www.readbyqxmd.com/read/28334786/lessons-learned-from-community-based-participatory-research-establishing-a-partnership-to-support-lesbian-gay-bisexual-and-transgender-ageing-in-place
#10
Leslie A Wright, Diane K King, Jessica H Retrum, Kenneth Helander, Shari Wilkins, Jennifer M Boggs, Jennifer Dickman Portz, Kathryn Nearing, Wendolyn S Gozansky
Background.: Due to a history of oppression and lack of culturally competent services, lesbian, gay, bisexual and transgender (LGBT) seniors experience barriers to accessing social services. Tailoring an evidence-based ageing in place intervention to address the unique needs of LGBT seniors may decrease the isolation often faced by this population. Objective.: To describe practices used in the formation of a community-based participatory research (CBPR), partnership involving social workers, health services providers, researchers and community members who engaged to establish a LGBT ageing in place model called Seniors Using Supports To Age In Neighborhoods (SUSTAIN)...
February 21, 2017: Family Practice
https://www.readbyqxmd.com/read/28329844/the-influence-of-exercise-on-cognitive-function-in-older-hispanic-latino-adults-results-from-the-%C3%A2-caminemos-study
#11
Lissette M Piedra, Flavia C D Andrade, Rosalba Hernandez, Seth William Boughton, Laura Trejo, Catherine A Sarkisian
Purpose of the Study: We examined the prospective effect of an evidence-based exercise intervention (¡Caminemos!) on cognitive function among older Hispanic/Latino adults and the potential synergistic effects (if any) of an attribution-retraining intervention given to a random sample to counter negative ascriptions of the aging process. Design and Methods: We analyzed baseline and follow-up (1- and 2-year) data collected from Hispanics/Latinos ≥60 years (N = 571) who participated in ¡Caminemos! across 27 senior centers...
March 15, 2017: Gerontologist
https://www.readbyqxmd.com/read/28322667/facilitating-self-transcendence
#12
Valerie Lander McCarthy, Lynne A Hall, Timothy N Crawford, Jennifer Connelly
This randomized controlled pilot study evaluated the effects of the Psychoeducational Approach to Transcendence and Health (PATH) Program, an 8-week intervention hypothesized to increase self-transcendence and improve well-being in community-dwelling women aged 60 years and older ( N = 20). The PATH combined mindfulness exercises, group processes, creative activities, and at-home practice using community engaged research methods. Findings provided some support for the effectiveness of PATH. Although there was no significant Group × Time interaction, self-transcendence, psychological well-being, and life satisfaction differed significantly pre- and postintervention in the wait-listed control group, which received a revised version of the program...
February 1, 2017: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28288956/home-based-intervention-program-to-reduce-food-insecurity-in-elderly-populations-using-a-tv-app-study-protocol-of-the-randomized-controlled-trial-sa%C3%A3%C2%BAde-come-senior
#13
Ana Maria Rodrigues, Maria João Gregório, Pierre Gein, Mónica Eusébio, Maria José Santos, Rute Dinis de Sousa, Pedro S Coelho, Jorge M Mendes, Pedro Graça, Pedro Oliveira, Jaime C Branco, Helena Canhão
BACKGROUND: The limited or uncertain access to adequate food in elderly people includes not only economic restrictions but also inability of food utilization due to functional or cognitive impairment, health problems, and illiteracy. OBJECTIVE: The aim of this work is to present the protocol of the randomized controlled trial Saúde.Come Senior, an educational and motivational television (TV)-based intervention to promote healthy lifestyles and decrease food insecurity in elderly people...
March 13, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28283117/mapping-international-university-partnerships-identified-by-east-african-universities-as-strengthening-their-medicine-nursing-and-public-health-programs
#14
Aaron N Yarmoshuk, Anastasia Nkatha Guantai, Mughwira Mwangu, Donald C Cole, Christina Zarowsky
BACKGROUND: International university partnerships are recommended for increasing the capacity of sub-Saharan African universities. Many publications describe individual partnerships and projects, and tools are available for guiding collaborations, but systematic mappings of the basic, common characteristics of partnerships are scarce. OBJECTIVE: To document and categorize the international interuniversity partnerships deemed significant to building the capacity of medicine, nursing, and public health programs of 4 East African universities...
September 2016: Annals of Global Health
https://www.readbyqxmd.com/read/28274221/effectiveness-of-a-community-paramedic-led-health-assessment-and-education-initiative-in-a-seniors-residence-building-the-community-health-assessment-program-through-emergency-medical-services-chap-ems
#15
G Agarwal, R Angeles, M Pirrie, F Marzanek, B McLeod, J Parascandalo, L Dolovich
BACKGROUND: Seniors living in subsidized housing have lower income, poorer health, and increased risk for cardiometabolic diseases and falls. Seniors also account for more than one third of calls to Emergency Medical Services (EMS). This study examines the effectiveness of the Community Health Assessment Program through EMS (CHAP-EMS) in reducing blood pressure, diabetes risk, and EMS calls. METHODS: Paramedics on modified duty (e.g. injured) conducted weekly, one-on-one drop-in sessions in a common area of one subsidized senior's apartment building in Hamilton, Ontario...
March 9, 2017: BMC Emergency Medicine
https://www.readbyqxmd.com/read/28272594/hospital-medicine-resident-training-tracks-developing-the-hospital-medicine-pipeline
#16
Joseph R Sweigart, Darlene Tad-Y, Patrick Kneeland, Mark V Williams, Jeffrey J Glasheen
BACKGROUND: Hospital medicine (HM) is rapidly evolving into new clinical and nonclinical roles. Traditional internal medicine (IM) residency training likely does not optimally prepare residents for success in HM. Hospital medicine residency training tracks may offer a preferred method for specialized HM education. METHODS: Internet searches and professional networks were used to identify HM training tracks. Information was gathered from program websites and discussions with track directors...
March 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28272119/obesity-moderates-the-effects-of-motivational-interviewing-treatment-outcomes-in-fibromyalgia
#17
Anthony S Kaleth, James E Slaven, Dennis C Ang
OBJECTIVE: Obesity is a common comorbid condition among patients with fibromyalgia (FM). Our objective was to assess if obesity moderates the treatment benefits of exercise-based motivational interviewing (MI) for FM. METHODS: This is a secondary data analysis of a completed clinical trial of 198 FM patients who were randomized to receive either MI or attention control (AC). Using body mass index (BMI) to divide participants into obese (BMI ≥30 kg/m) and non-obese (BMI <30 kg m) groups, mixed linear models were used to determine interaction between treatment arms and obesity status with regards to the primary outcome of global FM symptom severity (Fibromyalgia Impact Questionnaire, FIQ)...
March 7, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28272113/multidisciplinary-mentoring-programs-to-enhance-junior-faculty-research-grant-success
#18
Stephanie A Freel, Paige C Smith, Ebony N Burns, Joanna B Downer, Ann J Brown, Mark W Dewhirst
PROBLEM: Junior faculty face challenges in establishing independent research careers. Declining funding combined with a shift to multidisciplinary, collaborative science necessitates new mentorship models and enhanced institutional support. APPROACH: Two multidisciplinary mentorship programs to promote grant success for junior faculty were established at the Duke University School of Medicine beginning in 2011. These four-month programs-the Path to Independence Program (PtIP) for National Institutes of Health (NIH) R applicants and the K Club for NIH K applicants-use multiple senior faculty mentors and professional grant-writing staff to provide a 20-hour joint curriculum comprising a series of lectures, hands-on workshops, career development counseling, peer groups, and an internal study section...
March 7, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28257397/translating-comparative-effectiveness-research-into-practice-effects-of-interventions-on-lifestyle-medication-adherence-and-self-care-for-type-2-diabetes-hypertension-and-obesity-among-black-hispanic-and-asian-residents-of-chicago-and-houston-2010-to-2013
#19
Jamila R Rashid, Brenda A Leath, Benedict I Truman, Donna Durant Atkinson, Lisa C Gary, Nanmathi Manian
CONTEXT: In the United States, racial/ethnic minorities account for disproportionate disease and death from type 2 diabetes, hypertension, and obesity; however, interventions with measured efficacy in comparative effectiveness research are often not adopted or used widely in those communities. OBJECTIVE: To assess implementation and effects of comparative effectiveness research-proven interventions translated for minority communities. DESIGN: Mixed-method assessment with pretest-posttest single-group evaluation design...
March 1, 2017: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/28230451/positive-medication-changes-resulting-from-comprehensive-and-noncomprehensive-medication-reviews-in-a-medicare-part-d-population
#20
Allison Buhl, Jill Augustine, Ann M Taylor, Rose Martin, Terri L Warholak
BACKGROUND: Health care organizations face the challenge of reducing costs while improving health outcomes. Currently, more than 39 million seniors are enrolled in a Medicare Part D prescription benefit plan, many of whom also qualify for medication therapy management (MTM) services. MTM programs provide valuable services designed to prevent or resolve medication-related problems (MRPs). Two core components of all MTM programs include comprehensive medication reviews (CMRs) with followup interventions and focused non-CMR interventions...
March 2017: Journal of Managed Care & Specialty Pharmacy
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