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health professionals follow-up study

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https://www.readbyqxmd.com/read/29222704/healthcare-system-barriers-to-long-term-follow-up-for-adult-survivors-of-childhood-cancer-in-british-columbia-canada-a-qualitative-study
#1
A Fuchsia Howard, Arminee Kazanjian, Sheila Pritchard, Rob Olson, Haroon Hasan, Kelly Newton, Karen Goddard
PURPOSE: Risk-stratified life-long follow-up care is recommended for adult childhood cancer survivors (CCS) to ensure appropriate prevention, screening, and management of late effects. The identification of barriers to long-term follow-up (LTFU), particularly in varying healthcare service contexts, is essential to develop and refine services that are responsive to survivor needs. We aimed to explore CCS and healthcare professionals (HCP) perspectives of healthcare system factors that function as barriers to LTFU in British Columbia, Canada...
December 8, 2017: Journal of Cancer Survivorship: Research and Practice
https://www.readbyqxmd.com/read/29215904/practice-procedures-in-models-of-primary-care-collaboration-for-children-with-adhd
#2
Jessica A Moore, Kathryn Karch, Valeriia Sherina, Aubree Guiffre, Sandra Jee, Lynn C Garfunkel
INTRODUCTION: With nationwide movement toward an integrated medical home, evidence to support, compare, and specify effective models for collaboration between primary care and behavioral health professionals is essential. This study compared 2 models of primary care with behavioral health integration on American Academy of Pediatrics guideline adherence for attention-deficit/hyperactivity disorder (ADHD) assessment and treatment. METHOD: We conducted a retrospective chart review of a random sample of children aged 6-13 years, seen for ADHD services in 2 primary care offices, 1 fully integrated model and 1 co-located service only model, comparing ADHD assessment and treatment practices...
December 7, 2017: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29214222/reasons-to-pursue-a-career-in-medicine-a-qualitative-study-in-sierra-leone
#3
Aniek Woodward, Suzanne Thomas, Mohamed Bella Jalloh, John Rees, Andrew Leather
Background: Many low-income and crises-affected countries like Sierra Leone struggle with the recruitment and retention of their health professionals, particularly nurses and doctors. There are multiple factors that influence the 'recruitment to retention' pipeline. The first stage of an exploration into the issues influencing the availability of qualified health care workers may focus on the aspects which influence their entry into relevant educational programmes. This paper explores the reasons given by junior doctors in Sierra Leone for wanting to become a doctor...
2017: Global Health Research and Policy
https://www.readbyqxmd.com/read/29211904/associations-between-genetic-variants-associated-with-body-mass-index-and-trajectories-of-body-fatness-across-the-life-course-a-longitudinal-analysis
#4
Mingyang Song, Yan Zheng, Lu Qi, Frank B Hu, Andrew T Chan, Edward L Giovannucci
Background: The genetic associations with trajectories of body fatness over the life course remain unknown. Methods: We used a group-based modelling approach to identify trajectories of body fatness from age 5 years up to 65 for 7277 women from the Nurses' Health Study and 4645 men from the Health Professionals Follow-up Study. We created a genetic risk score (GRS) based on 97 variants associated with adulthood body mass index (BMI) and estimated its association with trajectories using logistic regression...
December 2, 2017: International Journal of Epidemiology
https://www.readbyqxmd.com/read/29208416/statin-use-and-risk-of-skin-cancer
#5
Brian M Lin, Wen-Qing Li, Eunyoung Cho, Gary C Curhan, Abrar A Qureshi
BACKGROUND: Statins are among the most commonly used medications in the United States, and statin use is associated with increased risk of basal cell carcinoma (BCC) and squamous cell carcinoma (SCC). However, previous studies are limited by lack of adjustment for important confounders. OBJECTIVE: Examine the relation between statins and skin cancer risk in the Nurses' Health Study and Health Professionals Follow-up Study. METHODS: Cox proportional hazards regression was used to evaluate associations...
December 2, 2017: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/29206988/group-based-trajectory-of-body-shape-from-ages-5-to-55-years-and-cardiometabolic-disease-risk-in-2-us-cohorts
#6
Yan Zheng, Mingyang Song, JoAnn E Manson, Edward L Giovannucci, Frank B Hu
The association of adiposity across the life span with cardiometabolic risk is not completely delineated. We used a group-based modeling approach to identify distinct trajectories of body shape from ages 5 years to 55 years among 84,792 women from the Nurses' Health Study (1976-2010) and 37,706 men from the Health Professionals Follow-up Study (1986-2010) and assessed the associations between these trajectories and incidence of type 2 diabetes and cardiovascular disease (CVD) during a 17-year follow-up period...
December 1, 2017: American Journal of Epidemiology
https://www.readbyqxmd.com/read/29204183/evaluation-of-outcomes-for-psychosis-and-epilepsy-treatment-delivered-by-primary-health-care-workers-in-nepal-a-cohort-study
#7
M J D Jordans, L Aldridge, N P Luitel, F Baingana, B A Kohrt
Background: Most evaluations of task-shifting have focused on common mental disorders. Much less work has been done on severe mental neurological and substance use (MNS) disorders, such as chronic psychosis and epilepsy. Given the high burden associated with severe MNS and the lack of mental health professionals in low and middle income countries, evaluations on the impact of task-shifting for these disorders are important. Methods: In a rural district of Nepal, a community mental health program, based on World Health Organization's Mental Health Gap Action Programme guidelines, was evaluated using a cohort study design...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/29198641/hemodialysis-self-management-intervention-randomized-trial-hed-smart-a-practical-low-intensity-intervention-to-improve-adherence-and-clinical-markers-in-patients-receiving-hemodialysis
#8
Konstadina Griva, Mooppil Nandakumar, Jo-An H Ng, Kevin F Y Lam, Hayley McBain, Stanton P Newman
BACKGROUND: Poor adherence to treatment is common in hemodialysis patients. However, effective interventions for adherence in this population are lacking. Small studies of behavioral interventions have yielded improvements, but clinical effectiveness and long-term effects are unclear. STUDY DESIGN: Multicenter parallel (1:1) design, blinded cluster-randomized controlled trial. SETTING & PARTICIPANTS: Patients undergoing maintenance hemodialysis enrolled in 14 dialysis centers...
November 30, 2017: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/29197431/measuring-adherence-to-evidence-based-clinical-practice-guidelines
#9
Richard Clark, Utsana Tonmukayakul, Yvonne Mangan, Michael Smith, Mark Gussy, David Manton, Denise Bailey, Hanny Calache
OBJECTIVES: Dental Health Services Victoria publishes evidence-based clinical practice guidelines (CPGs) to assist public oral health practitioners to provide high-quality dental care. How well these CPGs are implemented into practice is unknown. The aim of this study was to assess adherence to selected CPGs. METHODS: An electronic auditing tool was developed using clinical indicators derived for "stainless steel crown (SSC)," "restorative care for children under general anesthetic (GA)," and "direct restorative materials" CPG...
December 2017: Journal of Evidence-based Dental Practice
https://www.readbyqxmd.com/read/29197201/negative-and-helpful-statements-in-a-patient-only-or-therapist-guided-internet-forum-in-the-aftercare-for-psychosomatic-inpatients
#10
Michael Linden, Carolin Pirsich
BACKGROUND: The aftercare of patients in the wake of inpatient treatment is a therapeutic challenge. Aim of the present study was to investigate the utilization, and positive or negative interactions in a patient only (PF) and a therapist guided internet forum (TF) in the follow up of psychosomatic inpatient treatment. SUBJECTS AND METHODS: After discharge from hospital, patients were offered to participate in a PF or TF. The rate and duration of participation was monitored and the content of communication classified by content analysis...
December 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/29195011/experiences-with-tele-health-follow-up-in-patients-with-rheumatoid-arthritis-a-qualitative-interview-study
#11
Line R Knudsen, Annette de Thurah, Kirsten Lomborg
OBJECTIVE: The aim was to explore the experiences of a patient-reported outcome (PRO)-based tele-health follow-up from the perspective of patients with rheumatoid arthritis (RA) and their experiences of increasing their active role and responsibility for disease control in particular. METHODS: Adopting a strategy of interpretive description, we conducted individual, semi-structured interviews with 15 RA patients participating in a tele-health follow-up. Participants were selected purposively and consecutive from both genders and with various ages, disease durations and disease severity...
December 1, 2017: Arthritis Care & Research
https://www.readbyqxmd.com/read/29195001/the-foot-as-a-barrier-in-patients-with-early-rheumatoid-arthritis-an-interview-study-among-swedish-women-and-men
#12
Mathilda Björk, Ingrid Thyberg, Eva Valtersson, Gunnel Östlund, Birgitta Stenström, Annette Sverker
OBJECTIVE: Foot impairments are related to reduced mobility and participation restrictions in daily activities in patients with established rheumatoid arthritis (RA). The new biological medications are effective and reduce disease activity, but not disability to the same extent. Foot impairments are assumed to be related to participation restrictions also in patients with early RA, diagnosed after the introduction of biological medications. The knowledge of foot impairments needs to be more explored after the introduction of biological disease-modifying drugs (bDMARDs)...
December 1, 2017: Arthritis Care & Research
https://www.readbyqxmd.com/read/29194691/mediterranean-diet-after-prostate-cancer-diagnosis-and-urinary-and-sexual-functioning-the-health-professionals-follow-up-study
#13
Scott R Bauer, Erin L Van Blarigan, Meir J Stampfer, June M Chan, Stacey A Kenfield
BACKGROUND: Men with prostate cancer often experience urinary and sexual dysfunction after treatment. Previous studies have demonstrated a relationship between dietary factors and these symptoms among men with diabetes or metabolic syndrome. However, there are limited data on whether diet after prostate cancer diagnosis, including a Mediterranean dietary pattern, affects urinary and sexual function among prostate cancer survivors. METHODS: Men diagnosed with non-metastatic prostate cancer in the Health Professionals Follow-up Study (n = 2960) from 1986 to 2012 were prospectively followed for a median of 8...
December 1, 2017: Prostate
https://www.readbyqxmd.com/read/29193527/telemedicine-follow-up-facilitates-more-comprehensive-diabetes-foot-ulcer-care-a-qualitative-study-in-home-based-and-specialist-health-care
#14
Beate-Christin Hope Kolltveit, Sally Thorne, Marit Graue, Eva Gjengedal, Marjolein M Iversen, Marit Kirkevold
AIMS AND OBJECTIVES: To investigate the application of a telemedicine intervention in diabetes foot ulcer care, and its implications for the health care professionals in the clinical field. BACKGROUND: Contextual factors are found to be important when applying technology in health care and applying telemedicine in home-based care has been identified as particularly complex. DESIGN AND METHODS: We conducted field observations and individual interviews among health care professionals in home-based care and specialist health care in a diabetes foot care telemedicine RCT (Clin...
November 29, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29191230/implementation-fidelity-trajectories-of-a-health-promotion-program-in-multidisciplinary-settings-managing-tensions-in-rehabilitation-care
#15
Femke Hoekstra, Marjolein A G van Offenbeek, Rienk Dekker, Florentina J Hettinga, Trynke Hoekstra, Lucas H V van der Woude, Cees P van der Schans
BACKGROUND: Although the importance of evaluating implementation fidelity is acknowledged, little is known about heterogeneity in fidelity over time. This study aims to generate insight into the heterogeneity in implementation fidelity trajectories of a health promotion program in multidisciplinary settings and the relationship with changes in patients' health behavior. METHODS: This study used longitudinal data from the nationwide implementation of an evidence-informed physical activity promotion program in Dutch rehabilitation care...
December 1, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/29190418/interventions-to-change-the-behaviour-of-health-professionals-and-the-organisation-of-care-to-promote-weight-reduction-in-children-and-adults-with-overweight-or-obesity
#16
REVIEW
Gerd Flodgren, Daniela C Gonçalves-Bradley, Carolyn D Summerbell
BACKGROUND: The prevalence of overweight and obesity is increasing globally, an increase which has major implications for both population health and costs to health services. This is an update of a Cochrane Review. OBJECTIVES: To assess the effects of strategies to change the behaviour of health professionals or the organisation of care compared to standard care, to promote weight reduction in children and adults with overweight or obesity. SEARCH METHODS: We searched the following databases for primary studies up to September 2016: CENTRAL, MEDLINE, Embase, CINAHL, DARE and PsycINFO...
November 30, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29189701/expressive-writing-a-tool-to-help-health-workers-research-project-on-the-benefits-of-expressive-writing
#17
Annalisa Tonarelli, Chiara Cosentino, Diletta Artioli, Stefania Borciani, Elena Camurri, Barbara Colombo, Antonio D'Errico, Liana Lelli, Laura Lodini, Giovanna Artioli
BACKGROUND AND AIMS: Numerous studies in the international literature hold that expressive writing is a useful tool to take care of the person as a whole. It gives voice to emotions, moods and intimate thoughts of patients, as well as caregivers and family members. The reference model is based on Pennebaker's theory (2004), which posits that expressing our deeper thoughts and feelings can result in significant health benefits in the short and long term. Studies over the past 25 years have shown that expressive writing, that is, simple writing on deeper thoughts and emotional sensations, is a useful tool to alleviate both physical and psychological symptoms...
November 30, 2017: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/29189647/the-use-of-simulation-in-physician-assistant-programs-a-national-survey
#18
Donald Coerver, Nina Multak, Ashley Marquardt, Eric H Larson
PURPOSE: The purpose of this study was to develop a national-level description of the current use of simulation activities in physician assistant (PA) education and to assess the degree to which the use of simulation varies by PA program size and institutional type. METHODS: An electronic survey on medical simulation was sent to 177 PA program directors or to a designated simulation activities coordinator, using the directory on the Physician Assistant Education Association website...
December 2017: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/29184837/effectiveness-of-an-oral-health-education-program-for-obstetrician-gynecologist-residents-at-tufts-medical-center
#19
Devina Shah, Lily Parsi, Sara Bagher, Matthew Finkelman, Cheen Loo
Aim and Objectives: To assess Tufts Medical Center obstetrician/gynecologist (OB/GYN) residents' knowledge, beliefs, and previous training in oral health and to assess the effect of an oral health educational seminar on their knowledge and beliefs. Materials and Methods: A preseminar questionnaire was distributed to the residents. The same questionnaire was distributed immediately after the seminar and 3 months later. SPSS Version 21 was used for the data analysis...
October 2017: Journal of International Society of Preventive & Community Dentistry
https://www.readbyqxmd.com/read/29183240/enhanced-train-and-hope-for%C3%A2-scalable-cost-effective-professional-development-in-youth-suicide-prevention
#20
Molly Adrian, Aaron R Lyon, Semret Nicodimos, Michael D Pullmann, Elizabeth McCauley
BACKGROUND: The knowledge base surrounding how to most effectively prepare and sustain practitioner knowledge and skills for suicide risk assessment and management is limited. AIMS: This study examined the impact of a 6-hr continuing education training, and the effect of a posttraining reminder system, on mental health practitioners' knowledge, attitudes, and behavior surrounding suicide assessment and intervention. METHOD: Data were obtained prior to the training, immediately after the training, and at the 3-month follow-up...
November 29, 2017: Crisis
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