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https://www.readbyqxmd.com/read/28188156/feasibility-of-peer-assessment-and-clinical-audit-to-self-regulate-the-quality-of-physiotherapy-services-a-mixed-methods-study
#1
Marjo J M Maas, Maria W G Nijhuis-van der Sanden, Femke Driehuis, Yvonne F Heerkens, Cees P M van der Vleuten, Philip J van der Wees
OBJECTIVES: To evaluate the feasibility of a quality improvement programme aimed to enhance the client-centeredness, effectiveness and transparency of physiotherapy services by addressing three feasibility domains: (1) acceptability of the programme design, (2) appropriateness of the implementation strategy and (3) impact on quality improvement. DESIGN: Mixed methods study. PARTICIPANTS AND SETTING: 64 physiotherapists working in primary care, organised in a network of communities of practice in the Netherlands...
February 10, 2017: BMJ Open
https://www.readbyqxmd.com/read/28168608/barriers-facilitators-and-benefits-of-implementation-of-dialectical-behavior-therapy-in-routine-care-results-from-a-national-program-evaluation-survey-in-the-veterans-health-administration
#2
Sara J Landes, Allison L Rodriguez, Brandy N Smith, Monica M Matthieu, Lindsay R Trent, Janet Kemp, Caitlin Thompson
National implementation of evidence-based psychotherapies (EBPs) in the Veterans Health Administration (VHA) provides important lessons on the barriers and facilitators to implementation in a large healthcare system. Little is known about barriers and facilitators to the implementation of a complex EBP for emotional and behavioral dysregulation-dialectical behavioral therapy (DBT). The purpose of this study was to understand VHA clinicians' experiences with barriers, facilitators, and benefits from implementing DBT into routine care...
February 6, 2017: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/28121534/a-strategy-for-identifying-and-disseminating-best-practice-innovations-in-the-care-of-patients-with-multiple-chronic-conditions-or-end-of-life-care-needs
#3
Daphna Gans, David A Ganz, Wendy Senelick, Heather E Mccreath, Jessica Jew, Dan Osterweil, Romilla A Batra, Zaldy Tan, Lee A Jennings, David B Reuben
Patients with multiple chronic conditions and those with end-of-life care needs experience high health care costs and needs for skilled coordination and well-trained staff. Focusing on these populations presents an opportunity to improve the patient experience toward the goal of more patient-centered care and reduced costs. Although innovative programs that provide better care to these patient populations have been developed, these innovations are often localized and not actively disseminated to other settings...
July 2016: Managed Care
https://www.readbyqxmd.com/read/28057609/intellicare-an-eclectic-skills-based-app-suite-for-the-treatment-of-depression-and-anxiety
#4
David C Mohr, Kathryn Noth Tomasino, Emily G Lattie, Hannah L Palac, Mary J Kwasny, Kenneth Weingardt, Chris J Karr, Susan M Kaiser, Rebecca C Rossom, Leland R Bardsley, Lauren Caccamo, Colleen Stiles-Shields, Stephen M Schueller
BACKGROUND: Digital mental health tools have tended to use psychoeducational strategies based on treatment orientations developed and validated outside of digital health. These features do not map well to the brief but frequent ways that people use mobile phones and mobile phone apps today. To address these challenges, we developed a suite of apps for depression and anxiety called IntelliCare, each developed with a focused goal and interactional style. IntelliCare apps prioritize interactive skills training over education and are designed for frequent but short interactions...
January 5, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28032558/early-learners-as-health-coaches-for-older-adults-preparing-for-surgery
#5
Jennifer A Kaplan, Zabecca Brinson, Rebecca Hofer, Patricia O'Sullivan, Anna Chang, Helen Horvath, George J Chang, Emily Finlayson
BACKGROUND: Few opportunities exist for early learners to engage in authentic roles on health care teams. In a geriatric optimization clinic for frail high-risk surgical patients, first-year medical and nurse practitioner students were integrated into an interprofessional team as health coaches. MATERIALS AND METHODS: Frail surgical patients with planned operations were referred to a new preoperative optimization clinic to see a geriatrician, occupational, and physical therapists and a nutritionist...
October 20, 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/28028738/risk-and-resilience-factors-associated-with-resident-burnout
#6
Deanna Chaukos, Emma Chad-Friedman, Darshan H Mehta, Laura Byerly, Alper Celik, Thomas H McCoy, John W Denninger
OBJECTIVE: We investigated hypothesized risk and resilience factors and their association with burnout in first year medicine and psychiatry residents at an urban teaching hospital in order to help guide the development of interventions targeted at reducing burnout. METHODS: We administered the Maslach Burnout Inventory (MBI), Perceived Stress Scale-10, Functional Assessment of Chronic Illness Therapy-Fatigue Scale, Penn State Worry Questionnaire, Patient Health Questionnaire-9 (depression symptoms), Revised Life Orientation Test (optimism), Self-Efficacy Questionnaire, Cognitive and Affective Mindfulness Scale, Interpersonal Reactivity Index Perspective-Taking Scale (empathy), and Measure of Current Status-Part A to first year medicine and psychiatry residents prior to initiation of clinical rotations in June...
December 27, 2016: Academic Psychiatry
https://www.readbyqxmd.com/read/27993961/support-and-performance-improvement-for-primary-health-care-workers-in-low-and-middle-income-countries-a-scoping-review-of-intervention-design-and-methods
#7
REVIEW
Ashwin Vasan, David C Mabey, Simran Chaudhri, Helen-Ann Brown Epstein, Stephen D Lawn
Primary health care workers (HCWs) in low- and middle-income settings (LMIC) often work in challenging conditions in remote, rural areas, in isolation from the rest of the health system and particularly specialist care. Much attention has been given to implementation of interventions to support quality and performance improvement for workers in such settings. However, little is known about the design of such initiatives and which approaches predominate, let alone those that are most effective. We aimed for a broad understanding of what distinguishes different approaches to primary HCW support and performance improvement and to clarify the existing evidence as well as gaps in evidence in order to inform decision-making and design of programs intended to support and improve the performance of health workers in these settings...
December 19, 2016: Health Policy and Planning
https://www.readbyqxmd.com/read/27955680/-walk-this-way-a-pilot-of-a-health-coaching-intervention-to-reduce-sedentary-behaviour-and-increase-low-intensity-exercise-in-people-with-serious-mental-illness-study-protocol-for-a-randomised-controlled-trial
#8
Julie Williams, Brendon Stubbs, Fiona Gaughran, Tom Craig
BACKGROUND: People with serious mental illness (SMI) (psychosis, bipolar disorder and major depressive disorder) experience a considerable risk of premature mortality because of cardiovascular disease. Recent research has demonstrated that this population spends almost 13 h per day being sedentary. Sedentary behaviour is an independent risk factor for cardiovascular disease and mortality. Given the potential for physical activity to improve health and well-being in people with SMI, we developed a pilot randomised controlled trial (RCT) to evaluate a coaching intervention aimed at reducing sedentary behaviour and increasing physical activity in people with SMI...
December 12, 2016: Trials
https://www.readbyqxmd.com/read/27900669/disruptive-behaviour-in-the-perioperative-setting-a-contemporary-review
#9
Alexander Villafranca, Colin Hamlin, Stephanie Enns, Eric Jacobsohn
PURPOSE: Disruptive behaviour, which we define as behaviour that does not show others an adequate level of respect and causes victims or witnesses to feel threatened, is a concern in the operating room. This review summarizes the current literature on disruptive behaviour as it applies to the perioperative domain. SOURCE: Searches of MEDLINE(®), Scopus™, and Google books identified articles and monographs of interest, with backreferencing used as a supplemental strategy...
February 2017: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/27821160/a-pilot-study-of-health-and-wellness-coaching-for-fibromyalgia
#10
Kevin V Hackshaw, Marcal Plans-Pujolras, Luis E Rodriguez-Saona, Margaret A Moore, Erika K Jackson, Gary A Sforzo, C A Tony Buffington
BACKGROUND: The purpose of this study was to test the hypothesis that a health and wellness coaching (HWC)-based intervention for fibromyalgia (FM) would result in sustained improvements in health and quality of life, and reductions in health care utilization. METHODS: Nine female subjects meeting American College of Rheumatology criteria for a diagnosis of primary FM were studied. The HWC protocol had two components, which were delivered telephonically over a twelve-month period...
November 8, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27797571/the-dbt-coach-mobile-application-as-an-adjunct-to-treatment-for-suicidal-and-self-injuring-individuals-with-borderline-personality-disorder-a-preliminary-evaluation-and-challenges-to-client-utilization
#11
Shireen L Rizvi, Christopher D Hughes, Marget C Thomas
Acquisition and generalization of specific behavioral skills is a key component of dialectical behavior therapy (DBT) for individuals with borderline personality disorder (BPD). We examined the feasibility, acceptability, usability, and immediate effects of the DBT Coach, a mobile phone application (app) designed specifically to augment skills generalization through interactive coaching in DBT skills. In this pilot study, we provided the DBT Coach installed on a mobile device as an adjunct to 6 months of standard DBT, among a sample of 16 individuals with BPD and a recent history of attempted suicide and/or nonsuicidal self-injury (NSSI)...
November 2016: Psychological Services
https://www.readbyqxmd.com/read/27720404/video-coaching-as-an-efficient-teaching-method-for-surgical-residents-a-randomized-controlled-trial
#12
Mikael L Soucisse, Kerianne Boulva, Lucas Sideris, Pierre Drolet, Michel Morin, Pierre Dubé
BACKGROUND: As surgical training is evolving and operative exposure is decreasing, new, effective, and experiential learning methods are needed to ensure surgical competency and patient safety. Video coaching is an emerging concept in surgery that needs further investigation. DESIGN: In this randomized controlled trial conducted at a single teaching hospital, participating residents were filmed performing a side-to-side intestinal anastomosis on cadaveric dog bowel for baseline assessment...
October 5, 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/27707686/effects-of-the-web-behavior-change-program-for-activity-and-multimodal-pain-rehabilitation-randomized-controlled-trial
#13
Catharina A Nordin, Peter Michaelson, Gunvor Gard, Margareta K Eriksson
BACKGROUND: Web-based interventions with a focus on behavior change have been used for pain management, but studies of Web-based interventions integrated in clinical practice are lacking. To emphasize the development of cognitive skills and behavior, and to increase activity and self-care in rehabilitation, the Web Behavior Change Program for Activity (Web-BCPA) was developed and added to multimodal pain rehabilitation (MMR). OBJECTIVE: The objective of our study was to evaluate the effects of MMR in combination with the Web-BCPA compared with MMR among persons with persistent musculoskeletal pain in primary health care on pain intensity, self-efficacy, and copying, as part of a larger collection of data...
October 5, 2016: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/27689608/enhanced-medical-rehabilitation-effectiveness-of-a-clinical-training-model
#14
Marghuretta D Bland, Rebecca L Birkenmeier, Peggy Barco, Emily Lenard, Catherine E Lang, Eric J Lenze
BACKGROUND: Patient engagement in medical rehabilitation can be greatly influenced by their provider during therapy sessions. We developed Enhanced Medical Rehabilitation (EMR), a set of provider skills grounded in theories of behavior change. EMR utilizes 18 motivational techniques focused on providing frequent feedback to patients on their effort and progress and linking these to patient goals. OBJECTIVE: To examine the effectiveness of a clinical training protocol for clinicians to do EMR, as measured by clinician adherence...
October 14, 2016: NeuroRehabilitation
https://www.readbyqxmd.com/read/27688249/implementation-evaluation-of-the-telephone-lifestyle-coaching-tlc-program-organizational-factors-associated-with-successful-implementation
#15
Laura J Damschroder, Caitlin M Reardon, Nina Sperber, Claire H Robinson, Jacqueline J Fickel, Eugene Z Oddone
The Telephone Lifestyle Coaching (TLC) program provided telephone-based coaching for six lifestyle behaviors to 5321 Veterans at 24 Veterans Health Administration (VHA) medical facilities. The purpose of the study was to conduct an evaluation of the TLC program to identify factors associated with successful implementation. A mixed-methods study design was used. Quantitative measures of organizational readiness for implementation and facility complexity were used to purposively select a subset of facilities for in-depth evaluation...
September 29, 2016: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/27603746/clinical-observations-about-the-potential-benefits-and-pitfalls-of-between-session-contacts-with-borderline-patients
#16
Karen L Jacob
Borderline Personality Disorder (BPD) has a reputation for being a challenging disorder to treat due to the nature of the illness. With the development of evidence-based treatments, therapists are becoming more skilled at successfully helping this cohort of patients. A common factor associated with all validated treatments for BPD is the active involvement of therapists. For example, DBT is one treatment where therapists are expected to be available to patients for coaching outside of sessions. However, understanding the benefits and pitfalls associated with therapists' accessibility in between sessions is relevant to any treatment with intersession contact...
September 2016: Harvard Review of Psychiatry
https://www.readbyqxmd.com/read/27560117/pursuing-improvement-in-clinical-reasoning-development-of-the-clinical-coaching-interactions-inventory
#17
Mary Ann Jessee, Christine A Tanner
BACKGROUND: Clinical coaching has been identified as a signature pedagogy in nursing education. Recent findings indicate that clinical coaching interactions in the clinical learning environment fail to engage students in the higher order thinking skills believed to promote clinical reasoning. METHOD: The Clinical Coaching Interactions Inventory (CCII) was based on evidence of supervisor questioning techniques, the Tanner clinical judgment model, Bloom's Taxonomy, and simulation evaluation tools...
September 1, 2016: Journal of Nursing Education
https://www.readbyqxmd.com/read/27556421/determinants-of-using-non-fluoroscopy-guided-positioning-for-radiographs-a-case-study-research
#18
Sofie Germonpré, Paul Gemmel, Dimitri Beeckman, Jeroen Trybou
This study examines the determinants of using (non-)fluoroscopy-guided positioning (FGP) for radiographs, in order to improve the use of non-FGP imaging techniques. We focused on knowledge and attitudes of radiographers and radiologists with respect to applying non-FGP in radiography and organizational factors. We analyzed data from an in-depth multiple case study that includes observations and field notes, interviews, documents and images collected from the radiology departments of four hospitals. The unified theory of acceptance and use of technology (UTAUT) was used to frame the findings...
September 2016: Journal of Radiological Protection: Official Journal of the Society for Radiological Protection
https://www.readbyqxmd.com/read/27540123/mentoring-task-sharing-and-community-outreach-through-the-tutoratplus-approach-increasing-use-of-long-acting-reversible-contraceptives-in-senegal
#19
Babacar Gueye, Jennifer Wesson, Djimadoum Koumtingue, Sara Stratton, Claire Viadro, Hawa Talla, Etienne Dioh, Carol Cissé, Boniface Sebikali, Bocar Mamadou Daff
BACKGROUND: To broaden access to family planning in rural areas and improve contraceptive prevalence, Senegal, in the context of wide method choice, is promoting implants and the intrauterine device, currently used throughout the country by only 5.6% of women of reproductive age who are in union, primarily urban women. METHODS: The TutoratPlus performance improvement approach strengthens family planning clinical skills, particularly for long-acting reversible contraceptives (LARCs), through mentoring, task sharing, and community outreach...
August 11, 2016: Global Health, Science and Practice
https://www.readbyqxmd.com/read/27502199/advancing-mch-interdisciplinary-interprofessional-leadership-training-and-practice-through-a-learning-collaborative
#20
Meaghan C McHugh, Lewis H Margolis, Angela Rosenberg, Elizabeth Humphreys
Purpose The Interdisciplinary Leadership Learning Collaborative (ILLC), under the sponsorship of AUCD and the Maternal and Child Health Bureau, brought together six teams, composed of 14 MCHB and UCEDD training programs to enhance their leadership training. Description Using adult learning principles, interactive training methods, and skill-focused learning, the ILLC built upon the evidence-based Interdisciplinary Leadership Development Program of the University of North Carolina at Chapel Hill. The program began with a 4-day on-site intensive and then continued through monthly conference calls, a mid-term on-site workshop, and a summary virtual workshop to present programmatic accomplishments and share plans for sustainability...
August 9, 2016: Maternal and Child Health Journal
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