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https://www.readbyqxmd.com/read/29765209/using-the-frailty-assessment-for-care-planning-tool-fact-to-screen-elderly-chronic-kidney-disease-patients-for-frailty-the-nurse-experience
#1
Heather Moffatt, Paige Moorhouse, Laurie Mallery, David Landry, Karthik Tennankore
Purpose: Recent evidence supports the prognostic significance of frailty for functional decline and poor health outcomes in patients with chronic kidney disease. Yet, despite the development of clinical tools to screen for frailty, little is known about the experiential impact of screening for frailty in this setting. The Frailty Assessment for Care Planning Tool (FACT) evaluates frailty across 4 domains: mobility, function, social circumstances, and cognition. The purpose of this qualitative study was as follows: 1) explore the nurse experience of screening for frailty using the FACT tool in a specialized outpatient renal clinic; 2) determine how, if at all, provider perceptions of frailty changed after implementation of the frailty screening tool; and 3) determine the perceived factors that influence uptake and administration of the FACT screening tool in a specialized clinical setting...
2018: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29764425/mobility-patterns-and-associated-factors-among-pregnant-internal-migrant-women-in-china-a-cross-sectional-study-from-a-national-monitoring-survey
#2
Ying Ji, Xiaoping Zhao, Zhili Wang, Shenglan Liu, Yang Shen, Chun Chang
BACKGROUND: Residential instability during pregnancy has been linked to poor health outcomes. As a first step toward providing better health care to pregnant migrant women, the size and characteristics of this population and factors associated with mobility during pregnancy should be studied. METHODS: Using the "Monitoring Data of Chinese Migrants" for 2012, from the Chinese National Population and Family Planning Commission, this study explored mobility patterns during pregnancy and associated factors among migrants within China...
May 15, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29763990/mobile-applications-for-women-s-health-and-midwifery-care-a-pocket-reference-for-the-21st-century
#3
Megan W Arbour, Melissa A Stec
Midwives and other women's health care providers are charged with providing high-quality care to women based on the most current available evidence. Quick, reliable, and accurate access to evidence-based information is essential. Numerous smartphone and mobile device applications (apps) are available to assist clinicians in providing care for women. This article discusses clinical reference apps, including those for evidence-based care guidelines, women's health care, pharmacologic reference, laboratory and diagnostic guides, as well as apps for information storage and management, electronic health records, and client education...
May 15, 2018: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/29739742/user-needs-in-the-development-of-a-health-app-ecosystem-for-self-management-of-cystic-fibrosis-user-centered-development-approach
#4
Jacqueline Floch, Annabel Zettl, Lena Fricke, Tina Weisser, Lisbet Grut, Thomas Vilarinho, Erlend Stav, Antonio Ascolese, Cornelia Schauber
BACKGROUND: Digital self-management in cystic fibrosis (CF) is foreseen as a means toward better understanding of the disease and its treatment and better adherence to the treatment. Mobile apps hold the potential to provide access to information, motivate, and strengthen compliance. However, to deliver high-quality apps, the development should be based on thorough knowledge about user needs. Empirical research on the user-centered development of mobile apps for health care is, however, still limited...
May 8, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29739000/the-impact-of-a-statewide-trauma-informed-child-welfare-initiative-on-children-s-permanency-and-maltreatment-outcomes
#5
Beth Barto, Jessica Dym Bartlett, Adam Von Ende, Ruth Bodian, Carmen Rosa Noroña, Jessica Griffin, Jenifer Goldman Fraser, Kristine Kinniburgh, Joseph Spinazzola, Crystaltina Montagna, Marybeth Todd
This article presents findings of a state-wide trauma informed child-welfare initiative with the goal of improving well-being, permanency and maltreatment outcomes for traumatized children. The Massachuetts Child Trauma Project (MCTP), funded by the Administration of Children and Families, Children's Bureau was a multi-year project implementing trauma-informed care into child welfare service delivery. The project's implementation design included training and consultation for mental health providers in three evidence-based treatments and training of the child-welfare workforce in trauma-informed case work practice...
May 5, 2018: Child Abuse & Neglect
https://www.readbyqxmd.com/read/29734507/screening-in-toddlers-and-preschoolers-at-risk-for-autism-spectrum-disorder-evaluating-a-novel-mobile-health-screening-tool
#6
Stephen M Kanne, Laura Arnstein Carpenter, Zachary Warren
There are many available tools with varying levels of accuracy designed to screen for Autism Spectrum Disorder (ASD) in young children, both in the general population and specifically among those referred for developmental concerns. With burgeoning waitlists for comprehensive diagnostic ASD assessments, finding accurate methods and tools for advancing diagnostic triage becomes increasingly important. The current study compares the efficacy of four oft used paper and pencil measures, the Modified Checklist for Autism in Toddlers Revised with Follow-up, the Social Responsiveness Scale, Second Edition, and the Social Communication Questionnaire, and the Child Behavior Checklist to a novel mobile-health screening tool developed by Cognoa, Inc...
May 7, 2018: Autism Research: Official Journal of the International Society for Autism Research
https://www.readbyqxmd.com/read/29712631/social-media-as-a-new-vital-sign-commentary
#7
Sean D Young
Mobile technologies, such as wireless glucometers and mobile health apps, are increasingly being integrated into health and medical care. Because patients openly share real-time information about their health behaviors and outcomes on social media, social media data may also be used as a tool for monitoring patient care. This commentary describes how recent advances in computer science, psychology, and medicine enable social media data to become a new health "vital sign," as well as actionable steps that public health officials, health systems, and clinics can take to integrate social data into both public and population health as well as into individual patient care...
April 30, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29688391/evaluating-a-mobile-application-for-improving-clinical-laboratory-test-ordering-and-diagnosis
#8
Ashley N D Meyer, Pamela J Thompson, Arushi Khanna, Samir Desai, Benji K Mathews, Elham Yousef, Anita V Kusnoor, Hardeep Singh
Objective: Mobile applications for improving diagnostic decision making often lack clinical evaluation. We evaluated if a mobile application improves generalist physicians' appropriate laboratory test ordering and diagnosis decisions and assessed if physicians perceive it as useful for learning. Methods: In an experimental, vignette study, physicians diagnosed 8 patient vignettes with normal prothrombin times (PT) and abnormal partial thromboplastin times (PTT)...
April 20, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29686977/a-prototype-exercise-empowerment-mobile-video-game-for-children-with-cancer-and-its-usability-assessment-developing-digital-empowerment-interventions-for-pediatric-diseases
#9
Carol S Bruggers, Sabrina Baranowski, Mathew Beseris, Rachel Leonard, Derek Long, Elizabeth Schulte, Ashton Shorter, Rowan Stigner, Clinton C Mason, Alisa Bedrov, Ian Pascual, Grzegorz Bulaj
Background: Medical advances continue to improve morbidity and mortality of serious pediatric diseases, including cancer, driving research addressing diminished physical and psychological quality of life in children with these chronic conditions. Empowerment enhances resilience and positively influences health, disease, and therapy understanding. We describe the development and usability assessment of a prototype Empower Stars! mobile video game grounded in behavioral and exercise theories with the purpose of coupling physical exercise with empowerment over disease in children with cancer...
2018: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/29678065/making-the-care-comprehensive-geriatric-assessment-as-the-core-of-a-total-mobile-long-term-care-support-system-in-china
#10
Yanyan Cui, Dongwei Gong, Bo Yang, Hua Chen, Ming-Hsiang Tu, Chaonan Zhang, Huan Li, Naiwen Liang, Liping Jiang, Polun Chang
Comprehensive Geriatric Assessments (CGAs) have been recommended to be used for better monitoring the health status of elder residents and providing quality care. This study reported how our nurses perceived the usability of CGA component of a mobile integrated-care long term care support system developed in China. We used the Continuity Assessment Record and Evaluation (CARE), developed in the US, as the core CGA component of our Android-based support system, in which apps were designed for all key stakeholders for delivering quality long term care...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29671155/integration-of-peer-philosophy-into-a-standardized-self-management-mobile-health-intervention
#11
Karen L Fortuna, Marianne Storm, Kelly A Aschbrenner, Stephen J Bartels
Description of certified peer specialists integration of peer philosophy into the delivery of a self-management intervention enhanced with mobile health. Qualitative examination of peer case notes that were routinely entered on a peer care management electronic dashboard. This study included consumers with serious mental illness (N = 8) with a mean age of 68.8 years (SD = 4.9). Certified peer specialists (N = 3) were all female and aged 55 years or older. Peers entered 146 case notes on the peer care management notes dashboard...
April 19, 2018: Psychiatric Quarterly
https://www.readbyqxmd.com/read/29669705/diabetes-related-behavior-change-knowledge-transfer-to-primary-care-practitioners-and-patients-implementation-and-evaluation-of-a-digital-health-platform
#12
Samina Abidi, Michael Vallis, Helena Piccinini-Vallis, Syed Ali Imran, Syed Sibte Raza Abidi
BACKGROUND: Behavioral science is now being integrated into diabetes self-management interventions. However, the challenge that presents itself is how to translate these knowledge resources during care so that primary care practitioners can use them to offer evidence-informed behavior change support and diabetes management recommendations to patients with diabetes. OBJECTIVE: The aim of this study was to develop and evaluate a computerized decision support platform called "Diabetes Web-Centric Information and Support Environment" (DWISE) that assists primary care practitioners in applying standardized behavior change strategies and clinical practice guidelines-based recommendations to an individual patient and empower the patient with the skills and knowledge required to self-manage their diabetes through planned, personalized, and pervasive behavior change strategies...
April 18, 2018: JMIR Medical Informatics
https://www.readbyqxmd.com/read/29658139/evaluating-community-participation-a-comparison-of-participatory-approaches-in-the-planning-and-implementation-of-new-primary-health-care-services-in-northern-australia
#13
Karen Carlisle, Jane Farmer, Judy Taylor, Sarah Larkins, Rebecca Evans
Community participation is increasingly seen as a prerequisite for more acceptable and sustainable health services. It is difficult to evaluate the extent of participation in health planning and implementation of services, and there are limited tools available to assist in evaluating such processes. Our paper reports on community participation as part of the implementation of 2 primary health programs in regional north Queensland, Australia. We define community participation as collective involvement of people, including consultation, from a community of place or interest in aspects of health service development...
April 15, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29656488/importance-of-coverage-and-quality-for-impact-of-nutrition-interventions-delivered-through-an-existing-health-programme-in-bangladesh
#14
Phuong Hong Nguyen, Edward A Frongillo, Tina Sanghvi, Sunny S Kim, Silvia Alayon, Lan Mai Tran, Zeba Mahmud, Bachera Aktar, Purnima Menon
Understanding implementation of interventions is critical to illuminate if, how, and why the interventions achieve impact. Alive & Thrive integrated a nutrition intervention into an existing maternal, neonatal, and child health (MNCH) programme in Bangladesh, documenting improvements in women's micronutrient supplement intake and dietary diversity. Here, we examined how well the nutrition intervention was implemented and which elements of implementation explained intervention impact. Survey data were collected in 2015 and 2016 from frontline health workers (FLW) and households in areas randomized to nutrition-focused MNCH (intensified interpersonal counselling, community mobilization, distribution of free micronutrient supplements, and weight-gain monitoring) or standard MNCH (antenatal care with standard nutrition counselling)...
April 14, 2018: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/29625734/the-significance-of-digital-citizenship-in-the-well-being-of-older-migrants
#15
A Millard, L Baldassar, R Wilding
OBJECTIVES: To understand the increasingly important role of digital citizenship (the ability to participate in society online) in supporting the well-being of ageing migrants. STUDY DESIGN: Participant observation, social network mapping, ethnographic and life-history interviews. METHODS: Fifteen in-depth case studies examined the role of online participation in fostering the well-being and care of older migrants in Perth, Western Australia...
April 3, 2018: Public Health
https://www.readbyqxmd.com/read/29610111/connecting-smartphone-and-wearable-fitness-tracker-data-with-a-nationally-used-electronic-health-record-system-for-diabetes-education-to-facilitate-behavioral-goal-monitoring-in-diabetes-care-protocol-for-a-pragmatic-multi-site-randomized-trial
#16
Jing Wang, Deidra Carroll Coleman, Justin Kanter, Brad Ummer, Linda Siminerio
BACKGROUND: Mobile and wearable technology have been shown to be effective in improving diabetes self-management; however, integrating data from these technologies into clinical diabetes care to facilitate behavioral goal monitoring has not been explored. OBJECTIVE: The objective of this paper is to report on a study protocol for a pragmatic multi-site trial along with the intervention components, including the detailed connected health interface. This interface was developed to integrate patient self-monitoring data collected from a wearable fitness tracker and its companion smartphone app to an electronic health record system for diabetes self-management education and support (DSMES) to facilitate behavioral goal monitoring...
April 2, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29608616/factors-associated-with-linkage-to-hiv-care-and-tb-treatment-at-community-based-hiv-testing-services-in-cape-town-south-africa
#17
Sue-Ann Meehan, Rosa Sloot, Heather R Draper, Pren Naidoo, Ronelle Burger, Nulda Beyers
BACKGROUND: Diagnosing HIV and/or TB is not sufficient; linkage to care and treatment is conditional to reduce the burden of disease. This study aimed to determine factors associated with linkage to HIV care and TB treatment at community-based services in Cape Town, South Africa. METHODS: This retrospective cohort study utilized routinely collected data from clients who utilized stand-alone (fixed site not attached to a health facility) and mobile HIV testing services in eight communities in the City of Cape Town Metropolitan district, between January 2008 and June 2012...
2018: PloS One
https://www.readbyqxmd.com/read/29604043/optimizing-digital-integrated-care-via-micro-randomized-trials
#18
Ashley Walton, Billie Nahum-Shani, Lori Crosby, Predrag Klasnja, Susan Murphy
Mobile Health (mHealth) interventions are a promising tool in providing digitally mediated integrative care. They can extend care outside of the clinic by providing reminders to take medications, assisting in managing symptoms, and supporting healthy behaviors including physical activity, healthy eating and stress management. mHealth interventions can adapt the delivery of care across time in order to optimize treatment effectiveness. Yet there exists limited empirical evidence useful to the development of adaptive mHealth interventions...
March 31, 2018: Clinical Pharmacology and Therapeutics
https://www.readbyqxmd.com/read/29603674/an-ultra-low-cost-smartphone-octochannel-spectrometer-for-mobile-health-diagnostics
#19
Li-Ju Wang, Nicole Naudé, Yu-Chung Chang, Anne Crivaro, Malek Kamoun, Ping Wang, Lei Li
With the rapid development and proliferation of mobile devices with powerful computing power and the ability of integrating sensors into mobile devices, the potential impact of mobile health (mHealth) diagnostics on the public health is drawing researchers' attention. We developed a Smartphone Octo-channel Spectrometer (SOS) as a mHealth diagnostic tool. The SOS has nanoscale wavelength resolution, is self-illuminated from the smartphone itself, and is ultra-low cost (less than $20). A user interface controls the optical sensing parameters and precise alignment...
March 30, 2018: Journal of Biophotonics
https://www.readbyqxmd.com/read/29598824/an-integrated-community-health-worker-intervention-in-rural-nepal-a-type-2-hybrid-effectiveness-implementation-study-protocol
#20
Sheela Maru, Isha Nirola, Aradhana Thapa, Poshan Thapa, Lal Kunwar, Wan-Ju Wu, Scott Halliday, David Citrin, Ryan Schwarz, Indira Basnett, Naresh Kc, Khem Karki, Pushpa Chaudhari, Duncan Maru
BACKGROUND: Evidence-based medicines, technologies, and protocols exist to prevent many of the annual 300,000 maternal, 2.7 million neonatal, and 9 million child deaths, but they are not being effectively implemented and utilized in rural areas. Nepal, one of South Asia's poorest countries with over 80% of its population living in rural areas, exemplifies this challenge. Community health workers are an important cadre in low-income countries where human resources for health and health care infrastructure are limited...
March 29, 2018: Implementation Science: IS
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