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https://www.readbyqxmd.com/read/29454389/recruitment-of-racial-and-ethnic-minorities-to-clinical-trials-conducted-within-specialty-clinics-an-intervention-mapping-approach
#1
Rossybelle P Amorrortu, Mariana Arevalo, Sally W Vernon, Arch G Mainous, Vanessa Diaz, M Diane McKee, Marvella E Ford, Barbara C Tilley
BACKGROUND: Despite efforts to increase diversity in clinical trials, racial/ethnic minority groups generally remain underrepresented, limiting researchers' ability to test the efficacy and safety of new interventions across diverse populations. We describe the use of a systematic framework, intervention mapping (IM), to develop an intervention to modify recruitment behaviors of coordinators and specialist investigators with the goal of increasing diversity in trials conducted within specialty clinics...
February 17, 2018: Trials
https://www.readbyqxmd.com/read/29454293/health-professions-faculty-beliefs-confidence-use-and-perceptions-of-organizational-culture-and-readiness-for-ebp-a-cross-sectional-descriptive-survey
#2
Kerry A Milner, Holly B Bradley, Tammy Lampley
BACKGROUND: Evidence-based practice (EBP) is an essential skill and ethical obligation for all practicing health professions clinicians because of its strong association with improved health outcomes. Emerging evidence suggests that faculty who prepare these clinicians lack proficiency to teach EBP. OBJECTIVES: The purpose of this study was to describe; 1) health profession faculty beliefs about and confidence in their ability to teach and implement EBP, 2) use of EBP for education, 3) organizational culture and readiness for EBP; and to determine whether relationships exist among these variables...
February 8, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29453504/financing-the-primary-care-behavioral-health-model
#3
Dennis S Freeman, Lesley Manson, Jeff Howard, Joel Hornberger
The PCBH model of integrated care blends behavioral health professionals into the primary care team, thereby enhancing the scope of primary care and expanding the range of services provided to the patient. Despite promising evidence in support of the model and a growing number of advocates and practitioners of PCBH integration, current reimbursement policies are not always favorable. As the nation's healthcare system transitions to value-based payment models, new financing strategies are emerging which will further support the viability of PCBH integration...
February 16, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29452702/the-value-proposition-of-simulation-based-education
#4
David A Cook, Dana K Andersen, John R Combes, David L Feldman, Ajit K Sachdeva
Simulation has become an integral part of physician education, and abundant evidence confirms that simulation-based education improves learners' skills and behaviors and is associated with improved patient outcomes. The resources required to implement simulation-based education, however, have led some stakeholders to question the overall value proposition of simulation-based education. This paper summarizes the information from a special panel on this topic and defines research priorities for the field. Future work should focus on both outcomes and costs, with robust measurement of resource investments, provider performance (in both simulation and real settings), patient outcomes, and impact on the health care organization...
February 13, 2018: Surgery
https://www.readbyqxmd.com/read/29450797/cultural-considerations-for-psychologists-in-primary-care
#5
Adeya Richmond, Jessica Jackson
Many health concerns in the United States (e.g., diabetes) are routinely managed in primary care settings. Regardless of the medical condition, patients' health is directly influenced by factors such as healthcare providers and cultural background. Training related to how behaviors influence health, coupled with training on how cultural diversity intersects with mental health, allows psychologists to have the relevant expertise to assist in the development of primary care behavioral health interventions. However, many psychologists in primary care struggle with how to integrate a culture-centered paradigm into their roles as behavioral health providers...
February 15, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29450599/a-typology-of-satisfaction-with-mental-health-services-based-on-andersen-s-behavioral-model
#6
Marilyn Fortin, Zhirong Cao, Marie-Josée Fleury
OBJECTIVE: Patients with mental disorders (MDs) form a highly heterogeneous group, whose satisfaction with mental health services (MHS) may vary according to different variables. Identifying patient subgroups with similar levels of satisfaction may help identify variables that contribute to satisfaction or dissatisfaction with services. This study established a typology of patient satisfaction with MHS that revealed variables specific to each group. METHODS: The study included 325 patients with MDs across four health service networks offering integrated and diversified services...
February 15, 2018: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/29449200/mhealth-technology-and-nurse-health-coaching-to-improve-health-in-diabetes-protocol-for-a-randomized-controlled-trial
#7
Sheridan Miyamoto, Madan Dharmar, Sarina Fazio, Yajarayma Tang-Feldman, Heather M Young
BACKGROUND: Chronic diseases, including diabetes mellitus, are the leading cause of mortality and disability in the United States. Current solutions focus primarily on diagnosis and pharmacological treatment, yet there is increasing evidence that patient-centered models of care are more successful in improving and addressing chronic disease outcomes. OBJECTIVE: The objective of this clinical trial is to evaluate the impact of a mobile health (mHealth) enabled nurse health coaching intervention on self-efficacy among adults with type-2 diabetes mellitus...
February 15, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29448136/improving-functional-outcomes-in-women-with-borderline-personality-disorder-and-ptsd-by-changing-ptsd-severity-and-post-traumatic-cognitions
#8
Melanie S Harned, Chelsey R Wilks, Sara C Schmidt, Trevor N Coyle
Although functional impairment typically improves during evidence-based psychotherapies (EBPs) for borderline personality disorder (BPD), functional levels often remain suboptimal after treatment. The present pilot study evaluated whether and how integrating PTSD treatment into an EBP for BPD would improve functional outcomes. Participants were 26 women with BPD, PTSD, and recent suicidal and/or self-injurious behavior who were randomized to receive one year of Dialectical Behavior Therapy (DBT) or DBT with the DBT Prolonged Exposure (DBT PE) protocol for PTSD...
February 6, 2018: Behaviour Research and Therapy
https://www.readbyqxmd.com/read/29447585/service-seeking-experiences-of-college-aged-sexual-and-intimate-partner-violence-victims-with-a-mental-health-and-or-behavioral-disability
#9
Emily M Nichols, Amy Bonomi, Rebecca Kammes, Elizabeth Miller
OBJECTIVE: To examine mental health service experiences following sexual violence (SV) and intimate partner violence (IPV) victimization among college women with a disability. PARTICIPANTS: College women (n = 27, ages 19 to 24) with a disability who experienced at least one SV/IPV occurrence; interviewed July/August 2016. METHODS: Qualitative study using in-depth interviews, with thematic analysis. RESULTS: Women tended to wait several months (or did not seek care at all) following SV/IPV, because they downplayed their experience (e...
February 15, 2018: Journal of American College Health: J of ACH
https://www.readbyqxmd.com/read/29447259/medical-professionalism-of-foreign-born-and-foreign-trained-physicians-under-close-scrutiny-a-qualitative-study-with-stakeholders-in-germany
#10
Corinna Klingler, Fatiha Ismail, Georg Marckmann, Katja Kuehlmeyer
Hospitals in Germany employ increasing numbers of foreign-born and foreign-trained (FB&FT) physicians. Studies have investigated how FB&FT physicians experience their professional integration into the German healthcare system, however, the perspectives of stakeholders working with and shaping the work experiences of FB&FT physicians in German hospitals have so far been neglected. This study explores relevant stakeholders' opinions and attitudes towards FB&FT physicians-which likely influence how these physicians settle in-and how these opinions were formed...
2018: PloS One
https://www.readbyqxmd.com/read/29446965/associations-between-coherent-neural-activity-in-the-brain-s-value-system-during-antismoking-messages-and-reductions-in-smoking
#11
Nicole Cooper, Steven Tompson, Matthew B O'Donnell, Jean M Vettel, Danielle S Bassett, Emily B Falk
OBJECTIVE: Worldwide, tobacco use is the leading cause of preventable death and illness. One common strategy for reducing the prevalence of cigarette smoking and other health risk behaviors is the use of graphic warning labels (GWLs). This has led to widespread interest from the perspective of health psychology in understanding the mechanisms of GWL effectiveness. Here we investigated differences in how the brain responds to negative, graphic warning label-inspired antismoking ads and neutral control ads, and we probed how this response related to future behavior...
February 15, 2018: Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association
https://www.readbyqxmd.com/read/29446334/leveraging-behavioral-health-expertise-practices-and-potential-of-the-project-echo-approach-to-virtually-integrating-care-in-underserved-areas
#12
Brant Hager, Michael Hasselberg, Eric Arzubi, Jonathan Betlinski, Mark Duncan, Jennifer Richman, Lori E Raney
This column describes Project ECHO (Extension for Community Healthcare Outcomes), a teleconsultation, tele-education, telementoring model for enhancing primary care treatment of underserved patients with complex medical conditions. Numerous centers have adapted ECHO to support primary care treatment of behavioral health disorders. Preliminary evidence for behavioral health ECHO programs suggests positive impacts on providers, treatment planning, and emergency department costs. ECHO has the potential to improve access to effective and cost-effective behavioral health care by virtually integrating behavioral health knowledge and support in sites where specialty providers are not available...
February 15, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29444602/evaluating-integrative-cancer-clinics-with-the-claim-assessment-profile-an-example-with-the-inspirehealth-clinic
#13
Lara Hilton, Pamela Elfenbaum, Shamini Jain, Meredith Sprengel, Wayne B Jonas
BACKGROUND: The evaluation of freestanding integrative cancer clinical programs is challenging and is rarely done. We have developed an approach called the Claim Assessment Profile (CAP) to identify whether evaluation of a practice is justified, feasible, and likely to provide useful information. OBJECTIVES: A CAP was performed in order to (1) clarify the healing claims at InspireHealth, an integrative oncology treatment program, by defining the most important impacts on its clients; (2) gather information about current research capacity at the clinic; and (3) create a program theory and path model for use in prospective research...
March 2018: Integrative Cancer Therapies
https://www.readbyqxmd.com/read/29444451/risk-factors-for-neonatal-death-in-the-capital-city-with-the-lowest-infant-mortality-rate-in-brazil
#14
Leandro Pereira Garcia, Camila Mariano Fernandes, Jefferson Traebert
OBJECTIVES: To analyze the risk factors for neonatal death in Florianópolis, the Brazilian city capital with the lowest infant mortality rate. METHOD: Data were extracted from a historical cohort with 15,879 live births. A model was used that included socioeconomic, behavioral, and health service use risk factors, as well as the Apgar score and biological factors. Risk factors were analyzed by hierarchical logistic regression. RESULTS: Based on the multivariate analysis, socioeconomic factors showed no association with death...
February 11, 2018: Jornal de Pediatria
https://www.readbyqxmd.com/read/29444289/knowledge-attitude-and-behaviors-of-health-professionals-towards-smoking-cessation-in-primary-healthcare-settings
#15
Abdullah Matouq, Yousef Khader, Albaraa Khader, Anas Al-Rabadi, Mousa Al Omari, Ibrahim Iblan, Nihaya Al-Sheyab
This study aimed to assess the behaviors of multiple health professionals in primary healthcare settings in Jordan towards smoking cessation counseling and to determine the barriers to effective smoking cessation behaviors. A survey of 456 health professionals in primary healthcare settings was conducted. A self-administrated questionnaire was used to collect the data. About half of health professionals reported that they usually ask patients about smoking status and advise them to stop smoking (51.4% and 50...
February 10, 2018: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/29432572/the-role-of-cognitive-control-in-the-self-regulation-and-reinforcement-of-smoking-behavior
#16
David E Evans, Chan N To, Rebecca L Ashare
Cognitive control (CC) - the ability to regulate attention and memory - plays an important role in a variety of health behaviors, including smoking behavior. In this theoretical review of the literature, we propose a CC and smoking behavior framework that includes 1) the positive influence of CC on the self-regulation of smoking; 2) nicotine-induced improvements in CC that may indirectly reinforce smoking (including withdrawal reversal effects); and 3) the long-term effects of smoking on the brain that may result in reduced CC...
February 8, 2018: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
https://www.readbyqxmd.com/read/29429427/moving-beyond-depression-screening-integrating-perinatal-depression-treatment-into-ob-gyn-practices
#17
Christina Terrazas, Lisa S Segre, Cheryl Wolfe
In 2015, the American College of Obstetricians and Gynecologists issued a recommendation to screen women for depression and anxiety symptoms at least once during the perinatal period. Nevertheless, many identified women will not receive care from a behavioral health specialist. Listening Visits (LV), developed for delivery by nurses and validated in the United Kingdom, have recently been evaluated in a US-based randomized controlled trial (RCT) which recruited research participants from three home-visiting programs and an urban OB/GYN practice...
February 12, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29429198/-effectiveness-of-integrated-early-childhood-development-intervention-on-nurturing-care-for-children-aged-0-35-months-in-rural-china
#18
H F Shi, J X Zhang, X L Wang, Y Y Xu, S L Dong, C X Zhao, X N Huang, Q Zhao, X F Chen, Y Zhou, Margo O'Sullivan, Ron Pouwels, Robert W Scherpbier
Objective: To explore whether Integrated Early Childhood Development (IECD) program has effectively improved the nurturing care for children aged 0-35 months in rural China. Methods: IECD has been implemented by the government of China with support from the United Nations Children's Fund (UNICEF) in four poverty-stricken rural counties since 2014. The interventions targeting the five key components of nurturing care (i.e. child and caregiver health, child nutrition, early learning support, child protection and social security) were delivered through the IECD program to children aged 0 to 35 months and their caregivers...
February 2, 2018: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
https://www.readbyqxmd.com/read/29427898/psychological-interventions-for-anxiety-in-adult-primary-care-patients-a-review-and-recommendations-for-future-research
#19
REVIEW
Robyn L Shepardson, Laura J Buchholz, Risa B Weisberg, Jennifer S Funderburk
Anxiety symptoms are prevalent in primary care, yet treatment rates are low. The integration of behavioral health providers into primary care via the Primary Care Behavioral Health (PCBH) model offers a promising way to improve treatment options by adding a team member with the necessary skillset to deliver evidence-based psychological interventions for anxiety. We conducted a narrative review of psychological interventions for anxiety applied within adult primary care settings (k = 44) to update the literature and evaluate the fit of existing interventions with the PCBH model...
January 2, 2018: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/29425354/a-qualitative-study-of-patient-experiences-of-care-in-integrated-behavioral-health-and-primary-care-settings-more-similar-than-different
#20
Melinda M Davis, Rose Gunn, L Kris Gowen, Benjamin F Miller, Larry A Green, Deborah J Cohen
Integrated behavioral health and primary care is a patient-centered approach designed to address a person's physical, emotional, and social healthcare needs. Increasingly, practices are integrating care to help achieve the Quadruple Aim, yet no studies have examined, using qualitative methods, patients' experiences of care in integrated settings. The purpose of this study was to examine patients' experiences of care in community-based settings integrating behavioral health and primary care. This is a qualitative study of 24 patients receiving care across five practices participating in Advancing Care Together (ACT)...
February 7, 2018: Translational Behavioral Medicine
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