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Implementation intentions

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https://www.readbyqxmd.com/read/28938078/online-lactation-education-for-healthcare-providers-a-theoretical-approach-to-understanding-learning-outcomes
#1
Amanda L Watkins, Joan E Dodgson, Darya Bonds McClain
BACKGROUND: Breastfeeding competencies are not standardized in healthcare education for any of the health professions. A few continuing education/professional development programs have been implemented, but research regarding the efficacy of these programs is scarce. Research aim: After a 45-hour lactation course, (a) Does breastfeeding knowledge increase? (b) Do beliefs and attitudes about infant feeding improve? (c) Does perceived behavioral control over performance of evidence-based lactation support practices increase? and (d) Do intentions to carry out evidence-based lactation support practices increase? METHODS: A nonexperimental pretest-posttest self-report survey design was conducted with a nonprobability sample of participants ( N = 71) in a lactation course...
September 1, 2017: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
https://www.readbyqxmd.com/read/28935620/a-lifestyle-intervention-via-email-in-minority-breast-cancer-survivors-randomized-parallel-group-feasibility-study
#2
Raheem J Paxton, Richard Hajek, Patricia Newcomb, Megha Dobhal, Sujana Borra, Wendell C Taylor, Deborah Parra-Medina, Shine Chang, Kerry S Courneya, Gladys Block, Torin Block, Lovell A Jones
BACKGROUND: Our data have indicated that minority breast cancer survivors are receptive to participating in lifestyle interventions delivered via email or the Web, yet few Web-based studies exist in this population. OBJECTIVE: The aim of this study was to examine the feasibility and preliminary results of an email-delivered diet and activity intervention program, "A Lifestyle Intervention Via Email (ALIVE)," delivered to a sample of racial and ethnic minority breast cancer survivors...
September 21, 2017: JMIR Cancer
https://www.readbyqxmd.com/read/28935515/template-for-an-antibiotic-stewardship-policy-for-post-acute-and%C3%A2-long-term-care-settings
#3
Robin L P Jump, Swati Gaur, Morgan J Katz, Christopher J Crnich, Ghinwa Dumyati, Muhammad S Ashraf, Elizabeth Frentzel, Steven J Schweon, Philip Sloane, David Nace
In response to a rising concern for multidrug resistance and Clostridium difficile infections, the Centers for Medicare and Medicaid services (CMS) will require all long-term care (LTC) facilities to establish an antibiotic stewardship program by November 2017. Thus far, limited evidence describes implementation of antibiotic stewardship in LTC facilities, mostly in academic- or hospital-affiliated settings. To support compliance with CMS requirements and aid facilities in establishing a stewardship program, the Infection Advisory Committee at AMDA-The Society for Post-Acute and Long-Term Care Medicine, has developed an antibiotic stewardship policy template tailored to the LTC setting...
September 18, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28934159/rosa-resource-oriented-service-management-schemes-for-web-of-things-in-a-smart-home
#4
Chun-Feng Liao, Peng-Yu Chen
A Pervasive-computing-enriched smart home environment, which contains many embedded and tiny intelligent devices and sensors coordinated by service management mechanisms, is capable of anticipating intentions of occupants and providing appropriate services accordingly. Although there are a wealth of research achievements in recent years, the degree of market acceptance is still low. The main reason is that most of the devices and services in such environments depend on particular platform or technology, making it hard to develop an application by composing the devices or services...
September 21, 2017: Sensors
https://www.readbyqxmd.com/read/28926610/image-similarity-evaluation-of-the-bulk-density-assigned-synthetic-ct-derived-from-mri-of-intracranial-regions-for-radiation-treatment
#5
Shin-Wook Kim, Hun-Joo Shin, Jin-Ho Hwang, Jin-Sol Shin, Sung-Kwang Park, Jin-Young Kim, Ki-Jun Kim, Chul-Seung Kay, Young-Nam Kang
OBJECTIVE: Various methods for radiation-dose calculation have been investigated over previous decades, focusing on the use of magnetic resonance imaging (MRI) only. The bulk-density-assignment method based on manual segmentation has exhibited promising results compared to dose-calculation with computed tomography (CT). However, this method cannot be easily implemented in clinical practice due to its time-consuming nature. Therefore, we investigated an automatic anatomy segmentation method with the intention of providing the proper methodology to evaluate synthetic CT images for a radiation-dose calculation based on MR images...
2017: PloS One
https://www.readbyqxmd.com/read/28926579/cervical-screening-with-primary-hpv-testing-or-cytology-in-a-population-of-women-in-which-those-aged-33-years-or-younger-had-previously-been-offered-hpv-vaccination-results-of-the-compass-pilot-randomised-trial
#6
Karen Canfell, Michael Caruana, Val Gebski, Jessica Darlington-Brown, Stella Heley, Julia Brotherton, Dorota Gertig, Chloe J Jennett, Annabelle Farnsworth, Jeffrey Tan, C David Wrede, Philip E Castle, Marion Saville
BACKGROUND: Using primary human papillomavirus (HPV) testing for cervical screening increases detection of high-grade cervical intraepithelial neoplastic lesions and invasive cancer (cervical intraepithelial neoplasia grade 2+ [CIN2+]) compared to cytology, but no evaluation has been conducted in a population previously offered HPV vaccination. We aimed to assess colposcopy referral and CIN2+ detection rates for HPV-screened versus cytology-screened women in Australia's HPV-vaccinated population (by 2014, resident women ≤33 years had been age-eligible for HPV vaccination, with 3-dose uptake across age cohorts being about 50%-77%)...
September 2017: PLoS Medicine
https://www.readbyqxmd.com/read/28923154/activity-during-learning-and-the-nonlinear-differentiation-of-experience
#7
Yuri I Alexandrov, Andrei K Krylov, Karina R Arutyunova
Walter Freeman's work emphasises the role of individual activity and intentionality as opposed to the traditional stimulus-reaction view and the machine metaphor. The results of our computer modeling studies suggest the nonlinear dynamics of experience emerging from perception-action cycles. We consider the perception-action cycle as a behavioral continuum of anticipated outcomes of actions. Neuroscientific research shows that each behavioral act is based on the activity of behaviorally specialized neurons distributed across the brain...
October 2017: Nonlinear Dynamics, Psychology, and Life Sciences
https://www.readbyqxmd.com/read/28923110/development-of-an-arabic-inpatient-satisfaction-survey-application-in-acute-medical-rehabilitation-setting-in-saudi-arabia
#8
Ahmed Aboabat, Hazem Qannam
BACKGROUND: In the management of chronic disease, evidence suggests that satisfied patients exhibit more loyalty to treatment providers and greater adherence to treatment regimens. This is particularly so in the rehabilitation setting. We aimed to develop a reliable and valid Arabic-language survey to objectively measure inpatient satisfaction in medical rehabilitation settings in Saudi Arabia. METHODS: The King Fahad Medical City Rehabilitation Hospital Patient Satisfaction Survey (RH PSS) is a self-administered survey that addresses four domains of rehabilitation care: access, structure, process, and outcomes...
September 18, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28918498/modeling-the-decision-of-mental-health-providers-to-implement-evidence-based-children-s-mental-health-services-a-discrete-choice-conjoint-experiment
#9
Charles E Cunningham, Melanie Barwick, Heather Rimas, Stephanie Mielko, Raluca Barac
Using an online, cross sectional discrete choice experiment, we modeled the influence of 14 implementation attributes on the intention of 563 providers to adopt hypothetical evidence-based children's mental health practices (EBPs). Latent class analysis identified two segments. Segment 1 (12%) would complete 100% of initial training online, devote more time to training, make greater changes to their practices, and introduce only minor modifications to EBPs. Segment 2 (88%) preferred fewer changes, more modifications, less training, but more follow-up...
September 16, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28916443/aq-13-an-investigational-antimalarial-versus-artemether-plus-lumefantrine-for-the-treatment-of-uncomplicated-plasmodium-falciparum-malaria-a-randomised-phase-2-non-inferiority-clinical-trial
#10
Ousmane A Koita, Lansana Sangaré, Haiyan D Miller, Aliou Sissako, Moctar Coulibaly, Trevor A Thompson, Saharé Fongoro, Youssouf Diarra, Mamadou Ba, Ababacar Maiga, Boubakar Diallo, David M Mushatt, Frances J Mather, Jeffrey G Shaffer, Asif H Anwar, Donald J Krogstad
BACKGROUND: Chloroquine was used for malaria treatment until resistant Plasmodium falciparum was identified. Because 4-aminoquinolines with modified side chains, such as AQ-13, are active against resistant parasites, we compared AQ-13 against artemether plus lumefantrine for treatment of uncomplicated P falciparum malaria. METHODS: We did a randomised, non-inferiority trial. We screened men (≥18 years) with uncomplicated malaria in Missira (northeast Mali) and Bamako (capital of Mali) for eligibility (≥2000 asexual P falciparum parasites per μL of blood)...
September 12, 2017: Lancet Infectious Diseases
https://www.readbyqxmd.com/read/28914187/improving-quality-and-outcomes-of-stroke-care-in-hospitals-protocol-and-statistical-analysis-plan-for-the-stroke123-implementation-study
#11
Dominique A Cadilhac, Nadine E Andrew, Monique F Kilkenny, Kelvin Hill, Brenda Grabsch, Natasha A Lannin, Amanda G Thrift, Craig S Anderson, Geoffrey A Donnan, Sandy Middleton, Rohan Grimley
Rationale The effectiveness of clinician-focused interventions to improve stroke care is uncertain. Aims To determine whether an organizational intervention can improve the quality of stroke care over usual care. Sample size estimates To detect an absolute 10% difference in overall performance (composite outcome), a minimum of 21 hospitals and 843 patients per group was determined. Methods and design Before and after controlled design in hospitals in Queensland, Australia. Intervention Externally facilitated program (StrokeLink) using outreach workshops incorporating clinical performance feedback, patient outcomes (survival, quality of life at 90-180 days), local barrier assessments to best practice care, action planning, and ongoing support...
January 1, 2017: International Journal of Stroke: Official Journal of the International Stroke Society
https://www.readbyqxmd.com/read/28910255/better-strength-better-balance-partnering-to-deliver-a-fall-prevention-program-for-older-adults
#12
Darcie Taing, Kelly McKay
SETTING: Falls incur significant health and economic costs, particularly among older adults. Physical activity has been found to be the single most important fall prevention behaviour an older adult can do. This manuscript describes Ottawa Public Health's (OPH) experience implementing the Better Strength, Better Balance! (BSBB) program, a fall prevention exercise program for older adults, through an innovative partnership with the local Recreation, Cultural & Facility Services (RCFS) Department...
September 14, 2017: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/28900801/time-for-action-key-considerations-for-implementing-social-accountability-in-the-education-of-health-professionals
#13
William Ventres, Charles Boelen, Cynthia Haq
Within health professional education around the world, there exists a growing awareness of the professional duty to be socially responsible, being attentive to the needs of all members of communities, regions, and nations, especially those who disproportionately suffer from the adverse influence of social determinants. However, much work still remains to progress beyond such good intentions. Moving from contemplation to action means embracing social accountability as a key guiding principle for change. Social accountability means that health institutions attend to improving the performance of individual practitioners and health systems by directing educational and practice interventions to promote the health of all the public and assessing the systemic effects of these interventions...
September 12, 2017: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/28895087/benefit-of-adjuvant-radiotherapy-for-local-control-distant-metastasis-and-survival-outcomes-in-patients-with-localized-soft-tissue-sarcoma-comparative-effectiveness-analysis-of-an-observational-cohort-study
#14
Florian Posch, Richard Partl, Carmen Döller, Jakob M Riedl, Maria Smolle, Lukas Leitner, Marko Bergovec, Bernadette Liegl-Atzwanger, Michael Stotz, Angelika Bezan, Armin Gerger, Martin Pichler, Karin S Kapp, Herbert Stöger, Andreas Leithner, Joanna Szkandera
BACKGROUND: This study aimed to quantify the benefit of adjuvant radiotherapy (AXRT) for local control, distant metastasis, and long-term survival outcomes in patients with localized soft tissue sarcoma (STS). METHODS: This single-center retrospective observational study enrolled 433 STS patients who underwent surgery with curative intent. An inverse probability of treatment-weighted (IPTW) analysis was implemented to account rigorously for imbalances in prognostic variables between the adjuvant treatment groups...
September 11, 2017: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/28889345/knowledge-about-the-relation-between-tobacco-and-disease-and-the-attitude-toward-advising-the-cessation-of-its-consumption-among-a-group-of-spanish-dental-students
#15
Alejandro Ismael Lorenzo-Pouso, Mario Pérez-Sayáns, Daniel Pérez-López, Eva María Otero-Rey, Abel García-García, Andrés Blanco-Carrión
Tobacco is one of the leading causes of preventable death in the developed world. Smoking is associated with a large number of oral pathologies, such as cancer and periodontitis. Dental professionals can play a key role in preventing these health problems. The objectives of this study were (1) to analyze tobacco consumption habits among a group of Spanish dental students, and (2) to assess their knowledge, perceptions, and attitudes regarding procedures to help patients quit smoking. A cross-sectional descriptive study was carried out at the Faculty of Medicine and Dentistry of Santiago de Compostela (Galicia, Spain)...
September 9, 2017: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/28888503/adolescent-smoking-prevention-feasibility-and-effect-of-participatory-video-production
#16
Eunhee Park, Pamela A Kulbok, Jessica Keim-Malpass, Emily Drake, Michael J Kennedy
PURPOSE: This study tested whether a youth participatory video production program for smoking prevention is feasible and effective. DESIGN AND METHODS: A participatory video production program was implemented in eight twice-weekly sessions at a youth summer camp in a community center in a low-income neighborhood. Twenty-three youths participated. Descriptive statistics and a qualitative analysis were conducted to test the feasibility of the program by assessing attendance rates, the time and resources required, reasons for participation, and program satisfaction using checklists and interviews...
September 2017: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/28887192/integrating-smartphone-technology-social-support-and-the-outdoor-physical-environment-to-improve-fitness-among-adults-at-risk-of-or-diagnosed-with-type-2-diabetes-findings-from-the-ecofit-randomized-controlled-trial
#17
Ronald C Plotnikoff, Magdalena Wilczynska, Kristen E Cohen, Jordan J Smith, David R Lubans
The risk and prevalence of Type 2 Diabetes (T2D) has dramatically increased over the past decade. The aim of this study was to develop, implement and evaluate a physical activity intervention to improve aerobic and muscular fitness among adults at risk of, or diagnosed with T2D. A 20-week, assessor blinded, parallel-group randomized controlled trial (RCT) was conducted at the University of Newcastle (June-December 2015). Adults were randomized to the intervention (n=42) or wait-list control group (n=42). The theory-based intervention included: Phase 1 (weeks 1-10) integrated group sessions (outdoor physical activity and cognitive mentoring), and the eCoFit smartphone application (app)...
September 5, 2017: Preventive Medicine
https://www.readbyqxmd.com/read/28886709/improving-the-production-of-applied-health-research-findings-insights-from-a-qualitative-study-of-operational-research
#18
Sonya Crowe, Simon Turner, Martin Utley, Naomi J Fulop
BACKGROUND: Knowledge produced through applied health research is often of a form not readily accessible to or actionable by policymakers and practitioners, which hinders its implementation. Our aim was to identify research activities that can support the production of knowledge tailored to inform policy and practice. To do this, we studied an operational research approach to improving the production of applied health research findings. METHODS: A 2-year qualitative study was conducted of the operational research contribution to a multidisciplinary applied health research project that was successful in rapidly informing national policy...
September 8, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28886088/an-empirical-research-on-relationships-between-subjective-judgement-technology-acceptance-tendency-and-knowledge-transfer
#19
Yu-Hsi Yuan, Sang-Bing Tsai, Chien-Yun Dai, Hsiao-Ming Chen, Wan-Fei Chen, Chia-Huei Wu, Guodong Li, Jiangtao Wang
The purpose of this study was to explore the relationships among employees' usage intention pertaining to mobile information devices, focusing on subjective judgement, technology acceptance tendency, information sharing behavior and information transfer. A research model was established to verify several hypotheses. The research model based on integrated concepts of knowledge management and technology acceptance modeling. Participants were employees of enterprises in Taiwan, selected by combining snowball and convenience sampling...
2017: PloS One
https://www.readbyqxmd.com/read/28883497/spatiotemporal-brain-dynamics-supporting-the-immediate-automatization-of-inhibitory-control-by-implementation-intentions
#20
Michael De Pretto, Lucien Rochat, Lucas Spierer
While cognitive interventions aiming at reinforcing intentional executive control of unwanted response showed only modest effects on impulse control disorders, the establishment of fast automatic, stimulus-driven inhibition of responses to specific events with implementation intention self-regulation strategies has proven to be an effective remediation approach. However, the neurocognitive mechanisms underlying implementation intentions remain largely unresolved. We addressed this question by comparing electrical neuroimaging analyses of event-related potentials recorded during a Go/NoGo task between groups of healthy participants receiving either standard or implementation intentions instructions on the inhibition stimuli...
September 7, 2017: Scientific Reports
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