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https://www.readbyqxmd.com/read/28544704/a-cluster-randomized-trial-of-a-behavioral-intervention-to-incorporate-a-treat-to-target-approach-to-care-of-us-patients-with-rheumatoid-arthritis
#1
Leslie R Harrold, George W Reed, Ani John, Christine J Barr, Kevin Soe, Robert Magner, Katherine C Saunders, Eric M Ruderman, Tmirah Haselkorn, Jeffrey D Greenberg, Allan Gibofsky, J Timothy Harrington, Joel M Kremer
OBJECTIVE: To assess the feasibility and efficacy of implementing a treat-to-target (T2T) approach vs usual care (UC) in a US-based cohort of rheumatoid arthritis (RA) patients. METHODS: In this behavioral intervention trial, rheumatology practices were cluster-randomized to provide T2T care or UC. Eligible patients with moderate/high disease activity (Clinical Disease Activity Index [CDAI] > 10) were followed for 12 months. Both T2T and UC patients were seen every 3 months...
May 23, 2017: Arthritis Care & Research
https://www.readbyqxmd.com/read/28543428/health-workforce-characteristics-quality-of-life-and-intention-to-leave-the-fit-for-the-future-survey-of-australian-nurses-and-midwives
#2
Lin Perry, Xiaoyue Xu, Christine Duffield, Robyn Gallagher, Rachel Nicholls, David Sibbritt
AIM: To examine the quality of life of nurses and midwives in New South Wales, Australia and compare values with those of the Australian general population; to determine the influence of workforce, health and work life characteristics on quality of life and its effect on workforce intention to leave. BACKGROUND: Few studies have examined nurses' and midwives' quality of life and little is known of its effects on workforce longevity. DESIGN: This was a cross-sectional survey conducted in 2014-2015...
May 24, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28537211/a-study-on-students-acceptance-of-mobile-phone-use-to-seek-health-information-in-south-africa
#3
Liezel Cilliers, Kim Lee-Anne Viljoen, Willie Tafadzwa Chinyamurindi
BACKGROUND: In South Africa, inequitable access to healthcare information has made many young people with limited resources more vulnerable to health risks. Mobile phones present a unique opportunity to address this problem due to the high penetration of mobile phones in South Africa and the popularity of these devices among young adults. OBJECTIVE: This research sought to examine the adoption of mobile phones to access health information among students at a traditional university in the Eastern Cape, South Africa...
January 1, 2017: HIM Journal
https://www.readbyqxmd.com/read/28534785/efficient-hardware-implementation-of-real-time-low-power-movement-intention-detector-system-using-fft-and-adaptive-wavelet-transform
#4
Alireza Chamanzar, Mahdi Shabany, Alireza Malekmohammadi, Sara Mohammadinejad
The brain-computer interfacing (BCI), a platform to extract features and classify different motor movement tasks from noisy and highly correlated electroencephalogram signals, is limited mostly by the complex and power-hungry algorithms. Among different techniques recently devised to tackle this issue, real-time onset detection, due to its negligible delay and minimal power overhead, is the most efficient one. Here, we propose a novel algorithm that outperforms the state-of-the-art design by sixfold in terms of speed, without sacrificing the accuracy for a real-time, hand movement intention detection based on the adaptive wavelet transform with only 1 s detection delay and maximum sensitivity of 88% and selectivity of 78% (only 7% loss of sensitivity)...
June 2017: IEEE Transactions on Biomedical Circuits and Systems
https://www.readbyqxmd.com/read/28534434/effects-of-a-statewide-tobacco-cessation-program-among-individuals-involved-with-arkansas-community-correction
#5
Christine Garver-Apgar, Susan Young, Brenda Howard, Ben Udochi, Chad Morris
In response to a critical need for tobacco cessation services among justice-involved populations, Arkansas Community Correction (ACC) partnered with the University of Colorado's Behavioral Health & Wellness Program in 2013 to implement the DIMENSIONS: Tobacco Free Program within all probation, parole, and drug court units. In the first 2 years of this statewide, evidence-based program, more than 1,100 individuals from 33 ACC area office locations attended tobacco-free group sessions and provided data on tobacco use and readiness to quit...
January 1, 2017: Journal of Correctional Health Care
https://www.readbyqxmd.com/read/28532509/barriers-and-facilitators-to-healthcare-professional-behaviour-change-in-clinical-trials-using-the-theoretical-domains-framework-a-case-study-of-a-trial-of-individualized-temperature-reduced-haemodialysis
#6
Justin Presseau, Brittany Mutsaers, Ahmed A Al-Jaishi, Janet Squires, Christopher W McIntyre, Amit X Garg, Manish M Sood, Jeremy M Grimshaw
BACKGROUND: Implementing the treatment arm of a clinical trial often requires changes to healthcare practices. Barriers to such changes may undermine the delivery of the treatment making it more likely that the trial will demonstrate no treatment effect. The 'Major outcomes with personalized dialysate temperature' (MyTEMP) is a cluster-randomised trial to be conducted in 84 haemodialysis centres across Ontario, Canada to investigate whether there is a difference in major outcomes with an individualized dialysis temperature (IDT) of 0...
May 22, 2017: Trials
https://www.readbyqxmd.com/read/28529021/frail-older-adults-perceptions-of-an-in-hospital-structured-exercise-intervention
#7
Louise O'Hare, Eileen Savage, Ruth McCullagh, Eleanor Bantry White, Eilis Fitzgerald, Suzanne Timmons
BACKGROUND: Exercise interventions need to be assessed qualitatively to establish how people participate in and perceive the intervention and how interventions should be delivered for maximal effect. OBJECTIVES: To explore how frail older inpatients perceived the effects of a pilot augmented prescribed exercise programme (APEP). DESIGN: An interpretive phenomenological design using open-ended semi-structured interviews. Data were analysed using thematic content analysis...
April 24, 2017: Physiotherapy
https://www.readbyqxmd.com/read/28526493/improving-comfort-around-dying-in-elderly-people-a-cluster-randomised-controlled-trial
#8
Kim Beernaert, Tinne Smets, Joachim Cohen, Rebecca Verhofstede, Massimo Costantini, Kim Eecloo, Nele Van Den Noortgate, Luc Deliens
BACKGROUND: Over 50% of elderly people die in acute hospital settings, where the quality of end-of-life care is often suboptimum. We aimed to assess the effectiveness of the Care Programme for the Last Days of Life (CAREFuL) at improving comfort and quality of care in the dying phase in elderly people. METHODS: We did a cluster randomised controlled trial in acute geriatric wards in ten hospitals in Flemish Region, Belgium, between Oct 1, 2012, and March 31, 2015...
May 16, 2017: Lancet
https://www.readbyqxmd.com/read/28526477/increasing-intention-to-cook-from-basic-ingredients-a-randomised-controlled-study
#9
Fiona Lavelle, Lynsey Hollywood, Martin Caraher, Laura McGowan, Michelle Spence, Dawn Surgenor, Amanda McCloat, Elaine Mooney, Monique Raats, Moira Dean
The promotion of home cooking is a strategy used to improve diet quality and health. However, modern home cooking typically includes the use of processed food which can lead to negative outcomes including weight gain. In addition, interventions to improve cooking skills do not always explain how theory informed their design and implementation. The Behaviour Change Technique (BCT) taxonomy successfully employed in other areas has identified essential elements for interventions. This study investigated the effectiveness of different instructional modes for learning to cook a meal, designed using an accumulating number of BCTs, on participant's perceived difficulty, enjoyment, confidence and intention to cook from basic ingredients...
May 16, 2017: Appetite
https://www.readbyqxmd.com/read/28526041/implementation-of-enhanced-recovery-after-surgery-a-strategy-to-transform-surgical-care-across-a-health-system
#10
Leah M Gramlich, Caroline E Sheppard, Tracy Wasylak, Loreen E Gilmour, Olle Ljungqvist, Carlota Basualdo-Hammond, Gregg Nelson
BACKGROUND: Enhanced Recovery After Surgery (ERAS) programs have been shown to have a positive impact on outcome. The ERAS care system includes an evidence-based guideline, an implementation program, and an interactive audit system to support practice change. The purpose of this study is to describe the use of the Theoretic Domains Framework (TDF) in changing surgical care and application of the Quality Enhancement Research Initiative (QUERI) model to analyze end-to-end implementation of ERAS in colorectal surgery across multiple sites within a single health system...
May 19, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28523795/efficacy-of-an-oral-health-literacy-intervention-among-indigenous-australian-adults
#11
Xiangqun Ju, David Brennan, Eleanor Parker, Helen Mills, Kostas Kapellas, Lisa Jamieson
OBJECTIVE: To determine the effect of an oral health literacy intervention on oral health literacy-related outcomes among rural-dwelling Indigenous Australian adults. METHODS: A total of 400 Indigenous adults (203 intervention and 197 control participants) were recruited into a randomized controlled trial; a functional, context-specific oral health literacy interventions were developed and implemented by Indigenous staff. The intervention comprised five sessions, each lasting 1...
May 19, 2017: Community Dentistry and Oral Epidemiology
https://www.readbyqxmd.com/read/28522533/a-dedicated-network-for-social-interaction-processing-in-the-primate-brain
#12
J Sliwa, W A Freiwald
Primate cognition requires interaction processing. Interactions can reveal otherwise hidden properties of intentional agents, such as thoughts and feelings, and of inanimate objects, such as mass and material. Where and how interaction analyses are implemented in the brain is unknown. Using whole-brain functional magnetic resonance imaging in macaque monkeys, we discovered a network centered in the medial and ventrolateral prefrontal cortex that is exclusively engaged in social interaction analysis. Exclusivity of specialization was found for no other function anywhere in the brain...
May 19, 2017: Science
https://www.readbyqxmd.com/read/28522311/effect-of-second-timed-appointments-for-non-attenders-of-breast-cancer-screening-in-england-a-randomised-controlled-trial
#13
Prue C Allgood, Roberta Maroni, Sue Hudson, Judith Offman, Anne E Turnbull, Lesley Peacock, Jim Steel, Geraldine Kirby, Christine E Ingram, Julie Somers, Clare Fuller, Anthony G Threlfall, Rhian Gabe, Anthony J Maxwell, Julietta Patnick, Stephen W Duffy
BACKGROUND: In England, participation in breast cancer screening has been decreasing in the past 10 years, approaching the national minimum standard of 70%. Interventions aimed at improving participation need to be investigated and put into practice to stop this downward trend. We assessed the effect on participation of sending invitations for breast screening with a timed appointment to women who did not attend their first offered appointment within the NHS Breast Screening Programme (NHSBSP)...
May 15, 2017: Lancet Oncology
https://www.readbyqxmd.com/read/28521831/the-sitless-project-exercise-referral-schemes-enhanced-by-self-management-strategies-to-battle-sedentary-behaviour-in-older-adults-study-protocol-for-a-randomised-controlled-trial
#14
Maria Giné-Garriga, Laura Coll-Planas, Míriam Guerra, Àlex Domingo, Marta Roqué, Paolo Caserotti, Michael Denkinger, Dietrich Rothenbacher, Mark A Tully, Frank Kee, Emma McIntosh, Carme Martín-Borràs, Guillermo R Oviedo, Javier Jerez-Roig, Marta Santiago, Oriol Sansano, Guillermo Varela, Mathias Skjødt, Katharina Wirth, Dhayana Dallmeier, Jochen Klenk, Jason J Wilson, Nicole E Blackburn, Manuela Deidda, Guillaume Lefebvre, Denise González, Antoni Salvà
BACKGROUND: Older adults are the fastest growing segment of the world's population. Recent evidence indicates that excessive sitting time is harmful to health, independent of meeting the recommended moderate to vigorous physical activity (PA) guidelines. The SITLESS project aims to determine whether exercise referral schemes (ERS) can be enhanced by self-management strategies (SMSs) to reduce sedentary behaviour (SB), increase PA and improve health, quality of life and function in the long term, as well as psychosocial outcomes in community-dwelling older European citizens from four countries, within a three-armed pragmatic randomised controlled trial, compared with ERS alone and also with general recommendations about PA...
May 18, 2017: Trials
https://www.readbyqxmd.com/read/28515799/implementing-mindfulness-in-the-mainstream-making-the-path-by-walking-it
#15
Rebecca S Crane
There is expanding interest in mindfulness-based programs (MBPs) within the mainstream. While there are research gaps, there is empirical evidence for these developments. Implementing new evidence into practice is always complex and difficult. Particular complexities and tensions arise when implementing MBPs in the mainstream. MBPs are emerging out of the confluence of different epistemologies-contemplative teaching and practice, and contemporary Western empiricism and culture. In the process of navigating implementation and integrity, and developing a professional practice context for this emerging field, the diverse influences within this confluence need careful attention and thought...
2017: Mindfulness
https://www.readbyqxmd.com/read/28511791/-usefulness-of-the-budget-and-the-balanced-scorecard-in-managing-primary-care-centres-impact-on-staff-motivation
#16
Juan Manuel Ramón-Jerónimo, Raquel Flórez-López, Natalia Domínguez-Lario
OBJECTIVE: To analyse the utility perceived by managers of centers of primary care about management tools (budget and balanced scorecard), together their impact on human resources motivation. DESIGN: Qualitative study (case study) based on grounded theory performed between January and June 2014. LOCATION: Units of Clinical Management of Primary Health (UGCAP) in Metropolitan Health Area of Seville, Spain. PARTICIPANTS: UGCAP managers and Health Area (CEO) managers...
May 13, 2017: Atencion Primaria
https://www.readbyqxmd.com/read/28509443/hemodynamically-stimulated-and-in-vivo-generated-axially-vascularized-soft-tissue-free-flaps-for-closure-of-complex-defects-evaluation-in-a-small-animal-model
#17
Volker J Schmidt, Johanna O Wietbrock, Nico Leibig, Jochen F Hernekamp, Dominic Henn, Christian A Radu, Ulrich Kneser
The arteriovenous (AV) loop model permits the creation of significant volumes of axially vascularized tissue that represents an alternative to conventional free flaps, circumventing their common limitations. However, such AV-loop-based flaps have never before been examined in standardized animal models with respect to their suitability for reconstruction of critical bone exposing defects. In the course of our preliminary studies, we implemented a novel defect model in rats that provides standardized and critical wound conditions and evaluated whether AV-loop-generated flaps are suitable for free microsurgical transfer and closure of composite defects...
May 16, 2017: Journal of Tissue Engineering and Regenerative Medicine
https://www.readbyqxmd.com/read/28499001/is-pelvic-floor-muscle-training-a-physical-therapy-or-a-behavioral-therapy-a-call-to-name-and-report-the-physical-cognitive-and-behavioral-elements
#18
Helena C Frawley, Sarah G Dean, Susan C Slade, E Jean C Hay-Smith
This perspective article explores whether pelvic-floor muscle training (PFMT) for the management of female urinary incontinence and prolapse is a physical therapy or a behavioral therapy. The primary aim is to demonstrate that it is both. A secondary aim is to show that the plethora of terms used for PFMT is potentially confusing and that current terminology inadequately represents the full intent, content, and delivery of this complex intervention. While physical therapists may be familiar with exercise terms, the details are often incompletely reported; furthermore, physical therapists are less familiar with the terminology used in accurately representing cognitive and behavioral therapy interventions, which results in these elements being even less well reported...
April 1, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28498143/the-crucible-simulation-behavioral-simulation-improves-clinical-leadership-skills-and-understanding-of-complex-health-policy-change
#19
Daniel Cohen, Ivo Vlaev, Laurie McMahon, Sarah Harvey, Andy Mitchell, Leah Borovoi, Ara Darzi
BACKGROUND: The Health and Social Care Act 2012 represents the most complex National Health Service reforms in history. High-quality clinical leadership is important for successful implementation of health service reform. However, little is known about the effectiveness of current leadership training. PURPOSE: This study describes the use of a behavioral simulation to improve the knowledge and leadership of a cohort of medical doctors expected to take leadership roles in the National Health Service...
May 11, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28497703/association-between-media-doses-of-the-tips-from-former-smokers-campaign-and-cessation-behaviors-and-intentions-to-quit-among-cigarette-smokers-2012-2015
#20
Kevin C Davis, Deesha Patel, Paul Shafer, Jennifer Duke, Rebecca Glover-Kudon, William Ridgeway, Shanna Cox
BACKGROUND: Since 2012, the Centers for Disease Control and Prevention (CDC) has implemented Tips From Former Smokers ( Tips), the first federally funded tobacco education campaign in the United States. To date, there are no evaluations of its long-term impact. AIMS: To assess the impact of varied doses of the Tips campaign from 2012 through 2015 on cessation-related behaviors and intentions among U.S. smokers. METHOD: We used a national probability-based online survey of cigarette smokers ( n = 22,189) and recent quitters ( n = 776) to examine associations between doses of Tips advertising, measured by gross rating points (GRPs), and intentions to quit smoking in the next 30 days and quit attempts within the past 3 months...
May 1, 2017: Health Education & Behavior: the Official Publication of the Society for Public Health Education
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