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https://www.readbyqxmd.com/read/29327162/explication-of-a-behavioral-health-primary-care-integration-learning-collaborative-and-its-quality-improvement-implications
#1
Martha Okafor, Victor Ede, Rosemary Kinuthia, David Satcher
In an effort to tackle fragmented care in the US healthcare delivery system, we explored the use of learning collaborative (LC) to advance integration of behavioral health and primary care as one of the potential solutions to a holistic approach to the delivery of quality healthcare to individuals with physical and mental illness. How a diverse group of primary care and behavioral health providers formed a Community of Practice (CoP) with a common purpose and shared vision to advance integrated care using a LC approach is described...
January 11, 2018: Community Mental Health Journal
https://www.readbyqxmd.com/read/29323412/microsystems-of-recovery-in-homeless-services-the-influence-of%C3%A2-service-provider-values-on-service-users-recovery-experiences
#2
Rachel M Manning, Ronni Michelle Greenwood
There is still much to learn about how aspects of the ecology of homelessness shape homeless adults' recovery experiences. In the present mixed-methods study, the relationship of service providers' work-related values to their service users' recovery experiences in the microsystem of homelessness were examined. Service providers completed semi-structured qualitative interviews about their service users, daily work activities, and work-related goals. At three time points, their service users completed quantitative measures of choice, mastery, and recovery in four life domains: physical health, psychiatric symptoms, substance use, and community integration...
January 11, 2018: American Journal of Community Psychology
https://www.readbyqxmd.com/read/29322357/community-peer-led-falls-prevention-presentations-what-do-the-experts-suggest
#3
Linda A M Khong, Richard G Berlach, Keith D Hill, Anne-Marie Hill
Falls among older adults are a major problem. Despite considerable progress in falls prevention research, older adults often show low motivation to engage in recommended preventive strategies. Peer-led falls prevention education for older adults may have potential for bridging the research evidence-practice gap, thereby promoting the uptake of falls prevention strategies. We evaluated peer educators' presentations of falls prevention education to community-dwelling older adults in regard to established criteria that were consistent with adult learning principles, the framework of health behaviour change, falls prevention guidelines, and recommendations for providing falls prevention information...
January 10, 2018: Journal of Primary Prevention
https://www.readbyqxmd.com/read/29316948/traditional-uses-of-medicinal-plants-practiced-by-the-indigenous-communities-at-mohmand-agency-fata-pakistan
#4
Muhammad Abdul Aziz, Muhammad Adnan, Amir Hasan Khan, Abdelaaty Abdelaziz Shahat, Mansour S Al-Said, Riaz Ullah
BACKGROUND: Plant-derived products have an imperative biological role against certain pathogenic organisms and were considered to be a major source of modern drugs. Rural people residing in developing countries are relying on traditional herbal medical system due to their strong believe and minimum access to allopathic medicines. Hence, ethnomedicinal knowledge is useful for the maintenance of community's based approaches under this medical system. Present study was carried out in an unexplored remote tribal area of Pakistan to investigate and document the existing ethnomedicinal knowledge on local flora...
January 9, 2018: Journal of Ethnobiology and Ethnomedicine
https://www.readbyqxmd.com/read/29307042/interpretations-of-resilience-and-change-and-the-catalytic-roles-of-media-a-case-of-canadian-daily-newspaper-discourse-on-natural-disasters
#5
Mahed-Ul-Islam Choudhury, C Emdad Haque
The varied interpretations of the concept of resilience in natural hazards research literature has attracted numerous criticisms. A common criticism centers around a poor understanding of the changes caused by natural disasters by the research stream. Considering resilience as a metaphor of change, and newspaper as a catalyst that often highlights post-disaster opportunities for "forward looking" (rather than bouncing back) changes, we examined some specific aspects of change in Canadian communities by analyzing coverage of natural disasters in daily newspapers...
January 6, 2018: Environmental Management
https://www.readbyqxmd.com/read/29306586/communication-skills-teaching-in-brazilian-medical-schools-what-lessons-can-be-learned
#6
Rafaela Liberali, Dennis Novack, Pamela Duke, Suely Grosseman
OBJECTIVE: To assess current practices in communication skills (CS) teaching in Brazilian medical schools (MS), looking for similarities and differences with other countries. METHODS: This study was performed with 162 out of the 237 accredited Brazilian MS (68.35%). The quantitative data were analyzed using descriptive statistics and qualitative data using content analysis. RESULTS: 104 MS (64.2%) reported formal CS training. CS were more commonly taught in the pre-clinical years, by physicians and psychologists...
December 28, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/29304869/improving-local-health-through-community-health-workers-in-cambodia-challenges-and-solutions
#7
Kim Ozano, Padam Simkhada, Khem Thann, Rose Khatri
BACKGROUND: Volunteer community health workers (CHWs) are an important link between the public health system and the community. The 'Community Participation Policy for Health' in Cambodia identifies CHWs as key to local health promotion and as a critical link between district health centres and the community. However, research on the challenges CHWs face and identifying what is required to optimise their performance is limited in the Cambodian context. This research explores the views of CHWs in rural Cambodia, on the challenges they face when implementing health initiatives...
January 6, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29304250/how-people-centred-health-systems-can-reach-the-grassroots-experiences-implementing-community-level-quality-improvement-in-rural-tanzania-and-uganda
#8
Tara Tancred, Rogers Mandu, Claudia Hanson, Monica Okuga, Fatuma Manzi, Stefan Peterson, Joanna Schellenberg, Peter Waiswa, Tanya Marchant
Background: Quality improvement (QI) methods engage stakeholders in identifying problems, creating strategies called change ideas to address those problems, testing those change ideas and scaling them up where successful. These methods have rarely been used at the community level in low-income country settings. Here we share experiences from rural Tanzania and Uganda, where QI was applied as part of the Expanded Quality Management Using Information Power (EQUIP) intervention with the aim of improving maternal and newborn health...
January 1, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29300100/randomized-clinical-trial-evaluating-the-preliminary-effectiveness-of-an-integrated-anxiety-disorder-treatment-in-substance-use-disorder-specialty-clinics
#9
Kate Wolitzky-Taylor, Jennifer Krull, Richard Rawson, Peter Roy-Byrne, Richard Ries, Michelle G Craske
OBJECTIVE: Anxiety and substance use disorders are highly comorbid and mutually maintain each other. Treatments for anxiety disorders that are well integrated into substance use disorder treatment have the potential to improve both anxiety and substance use outcomes. METHOD: Ninety-seven individuals seeking treatment at a community-based, evidence-based intensive outpatient program for substance use disorders who also had anxiety disorders were randomized to either (a) usual care (UC) at the intensive outpatient program; or (b) UC + coordinated anxiety learning and management for addiction recovery centers (CALM ARC), a 7-session, group-based, computer-assisted but therapist-directed treatment for anxiety disorders adapted for individuals with anxiety disorder and substance use disorder comorbidity...
January 2018: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29298519/adapting-a-technology-based-implementation-support-tool-for-community-mental-health-challenges-and-lessons-learned
#10
Melanie Livet, Amanda Fixsen
With mental health services shifting to community-based settings, community mental health (CMH) organizations are under increasing pressure to deliver effective services. Despite availability of evidence-based interventions, there is a gap between effective mental health practices and the care that is routinely delivered. Bridging this gap requires availability of easily tailorable implementation support tools to assist providers in implementing evidence-based intervention with quality, thereby increasing the likelihood of achieving the desired client outcomes...
January 1, 2018: Health Promotion Practice
https://www.readbyqxmd.com/read/29297934/assessment-of-the-conservation-measures-partnership-s-effort-to-improve-conservation-outcomes-through-adaptive-management
#11
Kent H Redford, Kristin B Hulvey, Matthew Williamson, Mark W Schwartz
Conservation practice has demonstrated an increasing desire for accountability of actions, particularly with respect to effectiveness, efficiency, and impact to specified objectives. This has been accompanied by increased attention to achieving adaptive management. In 2003 practitioners representing several prominent conservation non-governmental organizations (NGO's) launched a community of practice called the Conservation Measures Partnership (CMP). This organization has worked to establish standards of conservation practice to improve accountability of conservation actions through adaptive management...
January 3, 2018: Conservation Biology: the Journal of the Society for Conservation Biology
https://www.readbyqxmd.com/read/29297361/learning-by-doing-in-practice-a-roundtable-discussion-about-stakeholder-engagement-in-implementation-research
#12
Said Habib Arwal, Bhupinder Kaur Aulakh, Ahmed Bumba, Akshita Siddula
BACKGROUND: Researchers and policy-makers alike increasingly recognise the importance of engaging diverse perspectives in implementation research. This roundtable discussion presents the experiences and perspectives of three decision-makers regarding the benefits and challenges of their engagement in implementation research. DISCUSSION: The first perspective comes from a rural district medical officer from Uganda and touches on the success of using data as evidence in a low-resource setting...
December 28, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29297353/strengthening-scaling-up-through-learning-from-implementation-comparing-experiences-from-afghanistan-bangladesh-and-uganda
#13
Sara Bennett, Shehrin Shaila Mahmood, Anbrasi Edward, Moses Tetui, Elizabeth Ekirapa-Kiracho
BACKGROUND: Many effective innovations and interventions are never effectively scaled up. Implementation research (IR) has the promise of supporting scale-up through enabling rapid learning about the intervention and its fit with the context in which it is implemented. We integrate conceptual frameworks addressing different dimensions of scaling up (specifically, the attributes of the service or innovation being scaled, the actors involved, the context, and the scale-up strategy) and questions commonly addressed by IR (concerning acceptability, appropriateness, adoption, feasibility, fidelity to original design, implementation costs, coverage and sustainability) to explore how IR can support scale-up...
December 28, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29297333/health-system-strengthening-a-qualitative-evaluation-of-implementation-experience-and-lessons-learned-across-five-african-countries
#14
Felix Cyamatare Rwabukwisi, Ayaga A Bawah, Sarah Gimbel, James F Phillips, Wilbroad Mutale, Peter Drobac
BACKGROUND: Achieving the United Nations Sustainable Development Goals in sub-Saharan Africa will require substantial improvements in the coverage and performance of primary health care delivery systems. Projects supported by the Doris Duke Charitable Foundation's (DDCF) African Health Initiative (AHI) created public-private-academic and community partnerships in five African countries to implement and evaluate district-level health system strengthening interventions. In this study, we captured common implementation experiences and lessons learned to understand core elements of successful health systems interventions...
December 21, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29290339/encouraging-comprehensive-and-consistent-pharmacist-education-for-provision-of-contraception
#15
Lorinda Anderson, Laura M Borgelt, Paige Clark, Gina Moore
OBJECTIVES: To initiate a call to action for community pharmacists and key stakeholders to encourage comprehensive and consistent education and certification for contraception services, especially in states where laws have been enacted for pharmacist prescribing of hormonal contraceptives. DATE SOURCES: Websites for several boards of pharmacy that have implemented pharmacist training for contraceptive prescribing. SUMMARY: From the authors' perspective of helping to implement laws that allow pharmacist prescribing of contraception in Oregon and Colorado, lessons learned have shown that it is better to have 1 consistent resource for pharmacist certification for the following reasons: 1) Boards of pharmacy are able to ensure patient safety because all pharmacists are providing the same level of care to every patient; 2) retail chain pharmacies and pharmacy managers are assured that all their pharmacists, regardless of state, are trained in a similar and appropriate manner; and 3) pharmacists can be reimbursed through medical insurance for the patient encounter because payers are able to identify and credential pharmacists who pass an approved and accredited certification program...
January 2018: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29290259/radiomics-and-radiogenomics-in-lung-cancer-a-review-for-the-clinician
#16
REVIEW
Rajat Thawani, Michael McLane, Niha Beig, Soumya Ghose, Prateek Prasanna, Vamsidhar Velcheti, Anant Madabhushi
Lung cancer is responsible for a large proportion of cancer-related deaths across the globe, with delayed detection being perhaps the most significant factor for its high mortality rate. Though the National Lung Screening Trial argues for screening of certain at-risk populations, the practical implementation of these screening efforts has not yet been successful and remains in high demand. Radiomics refers to the computerized extraction of data from radiologic images, and provides unique potential for making lung cancer screening more rapid and accurate using machine learning algorithms...
January 2018: Lung Cancer: Journal of the International Association for the Study of Lung Cancer
https://www.readbyqxmd.com/read/29285834/evidence-for-increased-use-of-the-society-of-pediatric-anesthesia-critical-events-checklist-in-resource-limited-environments-a-retrospective-observational-study-of-app-data
#17
Vikas N O'Reilly-Shah, Jamie Kitzman, Craig S Jabaley, Grant C Lynde
BACKGROUND: Electronic decision support tools in anesthesiology practice have great value, including the potential for mobile applications to simplify delivery of best-practice guidelines. AIMS: We sought to combine demographics with usage information to elucidate important patterns in the rate of use of the Society of Pediatric Anesthesia Critical Events Checklist, as measured by in-app accesses of the checklist via the freely available anesthesia calculator app anesthesiologist...
December 28, 2017: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/29285793/application-of-a-modified-diabetes-prevention-program-with-adolescents
#18
Kimberly Geria, Janice M Beitz
OBJECTIVE: The purpose of this study was to increase type 2 diabetes (T2DM) awareness and decrease T2DM risk factors by examining effectiveness of a modified version of the Centers for Disease Control and Prevention (CDC) Diabetes Prevention Program (DPP) with adolescents. DESIGN AND SAMPLE: A quasi-experimental one-group, pretest/posttest design was used to determine impact of the modified DPP on adolescents. Study intervention was incorporated into the health education curriculum at a public charter school and implemented over 11 weeks...
December 29, 2017: Public Health Nursing
https://www.readbyqxmd.com/read/29284273/a-double-whammy-new-baccalaureate-registered-nurses-transitions-into-rural-acute-care
#19
Jean Smith, Virginia Vandall-Walker
INTRODUCTION: Transitioning into the Canadian rural acute care environment can be challenging for new RNs, and so retention is of concern. Currently, few seasoned registered nurses (RNs) are available to support new RNs during transition because (a) the Canadian RN workforce countrywide is aging and significant numbers are retiring, and (b) the number of Canadian RNs working rurally has plummeted in the past 10 years. Investigations into the phenomenon of new RNs\' transitions into the workforce have been conducted, but little is known about this phenomenon as it relates to Canadian rural acute care hospitals...
December 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/29283649/award-for-distinguished-contributions-of-applications-of-psychology-to-education-and-training
#20
(no author information available yet)
The Board of Educational Affairs is pleased to bestow the Award for Distinguished Contributions of Applications of Psychology to Education and Training. This award acknowledges psychologists who contribute to new teaching methods or solutions to learning problems through the use of research findings or evidence-based practices. Particular emphasis is placed on the use of psychological knowledge to improve learning in educational settings, including prekindergarten to Grade 12, or in communities. The 2017 recipients of the APA Education and Training Contributions Awards were selected by the 2016 Education and Training Awards Committee appointed by the Board of Educational Affairs (BEA)...
December 2017: American Psychologist
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