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https://www.readbyqxmd.com/read/28331454/family-based-behavioral-treatment-for-childhood-obesity-caretaker-reported-barriers-and-facilitators
#1
Amanda E Staiano, Arwen M Marker, James Comeaux, Johannah M Frelier, Daniel S Hsia, Stephanie T Broyles
BACKGROUND: Family-based behavioral treatments are effective ways to promote children's weight management through healthy eating and exercise. However, programs typically have high attrition and low attendance. The aim of this study was to obtain in-depth caregiver input on barriers and facilitators to participate in a family-based, behavioral childhood obesity treatment program. METHODS: Three focus groups were facilitated among 21 parents/guardians at 2 school-based health centers and 1 federally qualified health center...
2017: Ochsner Journal
https://www.readbyqxmd.com/read/28275965/increasing-routine-cancer-screening-among-underserved-populations-through-effective-communication-strategies-application-of-a-health-literacy-framework
#2
Alicia L Best, Cheryl Vamos, Seul Ki Choi, Erika L Thompson, Ellen Daley, Daniela B Friedman
Cancer prevention and control efforts serve as national priorities, as cancer is the second leading cause of death in the USA. In addition, cancer disparities exist, with racial/ethnic minority, low-income, and uninsured populations suffering the greatest burden. The goal of this paper is to describe the role that effective health communication can play in increasing routine cancer screening among medically underserved populations, thus decreasing persistent health disparities. For this paper, we applied Sorenson's integrated model of health literacy as a framework for identifying communication gaps and opportunities that can help improve cancer screening specifically at federally qualified health centers (FQHCs)...
March 8, 2017: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
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
#3
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/28243868/sexual-identity-stigma-and-depression-the-role-of-the-anti-gay-propaganda-law-in-mental-health-among-men-who-have-sex-with-men-in-moscow-russia
#4
Emily Hylton, Andrea L Wirtz, Carla E Zelaya, Carl Latkin, Alena Peryshkina, Vladmir Mogilnyi, Petr Dzhigun, Irina Kostetskaya, Noya Galai, Chris Beyrer
Depression is a major public health problem in the Russian Federation and is particularly of concern for men who have sex with men (MSM). MSM living in Moscow City were recruited via respondent-driven sampling and participated in a cross-sectional survey from October 2010 to April 2013. Multiple logistic regression models compared the relationship between sexual identity, recent stigma, and probable depression, defined as a score of ≥23 on the Center for Epidemiological Studies Depression scale. We investigated the interactive effect of stigma and participation in the study after the passage of multiple "anti-gay propaganda laws" in Russian provinces, municipalities, and in neighboring Ukraine on depression among MSM...
February 27, 2017: Journal of Urban Health: Bulletin of the New York Academy of Medicine
https://www.readbyqxmd.com/read/28239021/needs-assessment-of-hcv-infected-individuals-experiencing-homelessness-and-implications
#5
Marguerite Beiser, Casey Leon, Jessie M Gaeta
The advent of tolerable, efficacious therapies for hepatitis C virus (HCV) creates an opportunity to provide HCV treatment for individuals experiencing homelessness. A federally-qualified community health center serving individuals experiencing homelessness in Boston conducted an anonymous needs assessment survey of a sample of HCV-infected patients in order to inform development of an HCV treatment program (N = 240). Primary care providers (PCPs) were identified as the chief source of HCV education. Main motivators to consider HCV treatment were identified as "taking care of your health" (73...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28239016/discrepancy-between-actual-and-perceived-weight-status-in-rural-patients-variations-by-race-and-gender
#6
K Bryant Smalley, Jacob C Warren, B David Morrissey
The study's goal was to determine if differences in weight misperception by race and/or gender occur within a sample of economically disadvantaged rural patients with diabetes and/or hypertension. Diabetic and hypertensive patients were enrolled in the study from a network of federally qualified health centers (FQHCs) in the rural South. Multivari-ate logistic regression analysis suggests that, even when controlling for age, education level, employment status, and poverty, rural African American patients with chronic disease are more likely than their White counterparts to misperceive their weight status (OR = 1...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28239007/inadequate-cancer-screening-lack-of-provider-continuity-is-a-greater-obstacle-than-medical-mistrust
#7
Lauren D Arnold, Martha M McGilvray, J Kyle Cooper, Aimee S James
BACKGROUND: Racial minorities and low-income individuals are generally less likely to have adequate cancer screening than Whites or higher-income individuals. PURPOSE: To examine the roles of medical mistrust and lack of provider continuity in cancer screening in a low-income minority population. METHODS: A total of 144 urban federally qualified health center patients completed a cross-sectional survey that included the Group Based Medical Mistrust Scale and questions on provider continuity and cancer-screening-history...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28238992/characteristics-of-effective-colorectal-cancer-screening-navigation-programs-in-federally-qualified-health-centers-a-systematic-review
#8
Jermy-Leigh B Domingo, Kathryn L Braun
In the U.S., colorectal cancer (CRC) incidence and mortality have declined due to screening and improvements in early detection; however, racial/ethnic disparities in screening and mortality persist. Patient navigation has been shown to be effective in increasing CRC screening prevalence. This systematic review answered three questions about navigation in federally qualified community health centers (FQHCs): 1) Which navigation activities increased CRC screening prevalence? 2) What were the challenges to implementing these programs in FQHCs? 3) Which clinic protocols supported screening completion? Findings suggest that navigation services must be tailored to the specific screening test provided...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28238989/examining-the-influence-of-cost-concern-and-awareness-of-low-cost-health-care-on-cancer-screening-among-the-medically-underserved
#9
Alicia L Best, Alcha Strane, Omari Christie, Shalanda Bynum, Jaqueline Wiltshire
African Americans suffer a greater burden of mortality from breast, cervical, and colorectal cancers than other groups in the United States. Early detection through timely screening can improve survival outcomes; however, cost is frequently reported as a barrier to screening. Federally qualified health centers (FQHCs) provide preventive and primary care to underserved populations regardless of ability to pay, positioning them to improve cancer screening rates. The purpose of this study was to examine the influence of concern about health care cost (cost concern) and awareness of low-cost health care (awareness) on cancer screening among 236 African Americans within an FQHC service area using self-report surveys...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28218582/primary-care-for-underserved-populations-navigating-policy-to-incorporate-occupational-therapy-into-federally-qualified-health-centers
#10
Aileen D Murphy, Vanessa M Griffith, Tracy M Mroz, Tracy L Jirikowic
Federally qualified health centers (FQHCs) provide low- or no-cost primary care to medically underserved populations such as homeless or low-income people, migrant workers, and members of marginalized cultural groups. Occupational therapy services have the potential to help improve the health and functioning of FQHC patients. Using a FQHC serving American Indian/Alaska Native populations as a case example, we describe how occupational therapy is well suited to help meet the needs of medically underserved populations...
March 2017: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/28215371/impact-of-the-cancer-prevention-and-control-research-network-accelerating-the-translation-of-research-into-practice
#11
EDITORIAL
Kurt M Ribisl, Maria E Fernandez, Daniela B Friedman, Peggy A Hannon, Jennifer Leeman, Alexis Moore, Lindsay Olson, Marcia Ory, Betsy Risendal, Laura Sheble, Vicky M Taylor, Rebecca S Williams, Bryan J Weiner
The Cancer Prevention and Control Research Network (CPCRN) is a thematic network dedicated to accelerating the adoption of evidence-based cancer prevention and control practices in communities by advancing dissemination and implementation science. Funded by the Centers for Disease Control and Prevention and National Cancer Institute, CPCRN has operated at two levels: Each participating network center conducts research projects with primarily local partners as well as multicenter collaborative research projects with state and national partners...
March 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/28199776/understanding-patient-perceptions-and-risk-for-hepatitis-c-screening
#12
Sheriedan Grannan
OBJECTIVES: The specific aims were to identify specific themes and barriers to HCV testing and to determine if testing rates increased when patients self-identify their risk factors and were offered testing. SETTING: The study was conducted at a Federally Qualified Health Center (FQHC) in an underserved neighborhood located in the Mountain West. METHODS: This descriptive study used survey and group-level electronic health record (EHR) data...
February 15, 2017: Journal of Viral Hepatitis
https://www.readbyqxmd.com/read/28168538/price-transparency-in-primary-care-can-patients-learn-about-costs-when-scheduling-an-appointment
#13
Brendan Saloner, Lisa Clemans Cope, Katherine Hempstead, Karin V Rhodes, Daniel Polsky, Genevieve M Kenney
BACKGROUND: Cost-sharing in health insurance plans creates incentives for patients to shop for lower prices, but it is unknown what price information patients can obtain when scheduling office visits. OBJECTIVE: To determine whether new patients can obtain price information for a primary care visit and identify variation across insurance types, offices, and geographic areas. DESIGN: Simulated patient methodology in which trained interviewers posed as non-elderly adults seeking new patient primary care appointments...
February 6, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28158514/an-examination-of-cultural-values-and-pain-management-in-foreign-born-spanish-speaking-hispanics-seeking-care-at-a-federally-qualified-health-center
#14
Calia A Torres, Beverly E Thorn, Shweta Kapoor, Colette DeMonte
No abstract text is available yet for this article.
February 2, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/28110549/description-of-tobacco-use-and-cessation-among-bhutanese-refugees-participating-in-a-tobacco-cessation-program
#15
Brody Maack, Robert Willborn
OBJECTIVES: To compare the tobacco use, exposure, and cessation differences between Bhutanese refugee and non-Hispanic Caucasian tobacco users in a US federally qualified health center tobacco cessation program. DESIGN: A retrospective cohort study reviewing data from 374 patients counseled on tobacco cessation was performed. Demographic information, tobacco use history, exposure to tobacco, and type of tobacco used characterized baseline assessments. The patient record was followed forward in time to evaluate tobacco cessation outcomes as the dependent variable...
January 21, 2017: Ethnicity & Health
https://www.readbyqxmd.com/read/28096051/transitions-of-care-medication-related-barriers-identified-by-low-socioeconomic-patients-of-a-federally-qualified-health-center-following-hospital-discharge
#16
Rebecca Cope, Lauren Jonkman, Karen Quach, John Ahlborg, Sharon Connor
This article describes a qualitative research study using a semi-structured interview process to describe barriers surrounding medication access, use, and adherence for recently discharged patients of a federally qualified health center. Common themes which emerged were: 1) Team assumptions regarding patient plans to access or appropriately use discharge medications negatively impact adherence; 2) Unmet expectation for care coordination between primary care physician (PCP) and hospital; 3) Disconnect between patients and health care workers leads to disengagement; and 4) Lack of personal contact hinders access to services...
January 6, 2017: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/28093689/characterizing-a-big-data-cohort-of-over-200-000-low-income-u-s-infants-and-children-for-obesity-research-the-advance-early-life-cohort
#17
J Boone-Heinonen, C J Tillotson, J P O'Malley, E K Cottrell, J A Gaudino, A Amofah, M L Rivo, A Brickman, K Mayer, M A McBurnie, R Gold, J E DeVoe
Introduction Low-income populations have elevated exposure to early life risk factors for obesity, but are understudied in longitudinal research. Our objective was to assess the utility of a cohort derived from electronic health record data from safety net clinics for investigation of obesity emerging in early life. Methods We examined data from the PCORNet ADVANCE Clinical Data Research Network, a national network of Federally-Qualified Health Centers serving >1.7 million safety net patients across the US...
January 16, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28075696/dual-eligibles-experience-of-care-with-north-carolina-s-patient-centered-medical-home
#18
Sarah Grantham, Debora Goetz Goldberg, Donna Lind Infeld
Although individuals enrolled in both Medicare and Medicaid (dual eligibles) are among those with the nation's greatest need, at $300 billion per year, their care is also expensive and beset by quality problems. Previous research found problems associated with inadequate coordination of benefits and services; however, these studies have largely used quantitative approaches and focused on providers-few studies have explored the perspective of dual eligible patients. In an effort to improve care and reduce costs, North Carolina (NC) developed a Patient-Centered Medical Home (PCMH) model centered on a continuous relationship with a primary care provider who is responsible for coordination of services and addressing patients' health care needs by providing direct services or arranging care with other qualified professionals...
January 11, 2017: Population Health Management
https://www.readbyqxmd.com/read/28074444/effects-of-an-education-intervention-about-hpv-self-testing-for-healthcare-providers-and-staff
#19
Brynne E Presser, Mira L Katz, Abigail B Shoben, Deborah Moore, Mack T Ruffin, Electra D Paskett, Paul L Reiter
Human papillomavirus (HPV) self-testing is an emerging cervical cancer screening strategy, yet efforts to educate healthcare providers and staff about HPV self-testing are lacking. We report the findings of a brief education intervention about HPV self-testing for healthcare providers and staff. We conducted education sessions during 2015 with healthcare providers and staff (n = 33) from five federally qualified health centers located in Appalachian Ohio. Participants attended a one-time session and completed pre- and post-intervention surveys...
January 10, 2017: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/28070476/evaluating-screening-colonoscopy-quality-in-an-uninsured-urban-population-following-patient-navigation
#20
Keith Naylor, Cassandra Fritz, Blase Polite, Karen Kim
Patient navigation (PN) increases screening colonoscopy completion in minority and uninsured populations. However, colonoscopy quality is under-reported in the setting of PN and quality indicators have often failed to meet benchmark standards. This study investigated screening colonoscopy quality indicators after year-one of a PN initiative targeting the medically uninsured. This was a retrospective analysis of 296 outpatient screening colonoscopies. Patients were 45 to 75 years of age with no history of bowel cancer, inflammatory bowel disease, or colorectal surgery...
March 2017: Preventive Medicine Reports
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