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https://www.readbyqxmd.com/read/29748165/using-mobile-health-gamification-to-facilitate-cognitive-behavioral-therapy-skills-practice-in-child-anxiety-treatment-open-clinical-trial
#1
Gede Pramana, Bambang Parmanto, James Lomas, Oliver Lindhiem, Philip C Kendall, Jennifer Silk
BACKGROUND: Cognitive behavioral therapy is an efficacious treatment for child anxiety disorders. Although efficacious, many children (40%-50%) do not show a significant reduction in symptoms or full recovery from primary anxiety diagnoses. One possibility is that they are unwilling to learn and practice cognitive behavioral therapy skills beyond therapy sessions. This can occur for a variety of reasons, including a lack of motivation, forgetfulness, and a lack of cognitive behavioral therapy skills understanding...
May 10, 2018: JMIR Serious Games
https://www.readbyqxmd.com/read/29722578/a-review-of-prevention-diagnosis-and-treatment-of-relative-energy-deficiency-in-sport-red-s-in-artistic-synchronized-swimming
#2
Sherry Robertson, Margo Mountjoy
The syndrome Relative Energy Deficiency in Sport (RED-S) is a clinical entity characterized by low energy availability (LEA), which can negatively affect the health and performance of both male and female athletes. The underlying mechanism of RED-S is an inadequacy of dietary energy to support optimal health and performance. This syndrome refers to impaired physiological function including metabolic rate, menstrual function, bone health, immunity, protein synthesis, and cardiovascular health, with psychological consequences which can either precede (through restrictive dietary habits) or result from RED-S...
May 3, 2018: International Journal of Sport Nutrition and Exercise Metabolism
https://www.readbyqxmd.com/read/29677663/haptic-based-perception-empathy-biofeedback-system-for-balance-rehabilitation-in-patients-with-chronic-stroke-concepts-and-initial-feasibility-study
#3
Kazuhiro Yasuda, Kenta Saichi, Naomi Kaibuki, Hiroaki Harashima, Hiroyasu Iwata
BACKGROUND: Most individuals have sensory disturbances post stroke, and these deficits contribute to post-stroke balance impairment. The haptic-based biofeedback (BF) system appears to be one of the promising tools for balance rehabilitation in patients with stroke, and the BF system can increase the objectivity of feedback and encouragement than that provided by a therapist. RESEARCH QUESTION: Studies in skill science indicated that feedback or encouragement from a coach or trainer enhances motor learning effect...
April 14, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29621796/laying-a-firm-foundation-embedding-evidence-based-emergent-literacy-practices-into-early-intervention-and-preschool-environments
#4
Pamela Terrell, Maggie Watson
Purpose: As part of this clinical forum on curriculum-based intervention, the goal of this tutorial is to share research about the importance of language and literacy foundations in natural environments during emergent literacy skill development, from infancy through preschool. Following an overview of intervention models in schools by Powell (2018), best practices at home, in child care, and in preschool settings are discussed. Speech-language pathologists in these settings will be provided a toolbox of best emergent literacy practices...
April 5, 2018: Language, Speech, and Hearing Services in Schools
https://www.readbyqxmd.com/read/29602870/using-program-data-to-improve-access-to-family-planning-and-enhance-the-method-mix-in-conflict-affected-areas-of-the-democratic-republic-of-the-congo
#5
Lara S Ho, Erin Wheeler
Unmet need for family planning in the conflict-affected area of eastern Democratic Republic of the Congo (DRC) has been reported to be as high as 38%, and women in such conflict settings are often the most at risk for maternal mortality. The International Rescue Committee implements the Family Planning and Post-Abortion Care in Emergencies program in 3 provinces of eastern DRC to provide women and couples access to family planning, including long-acting reversible contraceptives (LARCs). This article presents routine program data from June 2011 through December 2013 from 2 health zones as well as results from a qualitative assessment of family planning clients and of male and female non-users, conducted in 2013...
March 21, 2018: Global Health, Science and Practice
https://www.readbyqxmd.com/read/29596268/characteristics-of-volunteer-coaches-in-a-clinical-process-improvement-program
#6
Katharine E Morley, Constance M Barysauskas, Victoria Carballo, Orinta Kalibatas, Sandhya K Rao, Joseph O Jacobson, Brian M Cummings
INTRODUCTION: The Partners Clinical Process Improvement Leadership Program provides quality improvement training for clinicians and administrators, utilizing graduates as volunteer peer coaches for mentorship. We sought to understand the factors associated with volunteer coach participation and gain insight into how to improve and sustain this program. METHODS: Review of coach characteristics from course database and survey of frequent coaches. RESULTS: Out of 516 Partners Clinical Process Improvement Leadership Program graduates from March 2010 to June 2015, 117 (23%) individuals volunteered as coaches...
April 2018: Quality Management in Health Care
https://www.readbyqxmd.com/read/29568715/not-your-typical-simulation-workshop-using-legos-to-train-medical-students-on-the-practice-of-effective-communication
#7
Dimitrios Papanagnou, Hyunjoo Lee, Carlos Rodriguez, Xiao Chi C Zhang, Joshua Rudner
As students in the health professions transition from the classroom into the clinical environment, they will be expected to effectively communicate with their team members and their patients. Effective communication skills are essential to their ability to effectively contribute to their clinical team and the patient care they deliver. The authors propose an interactive workshop that can support students' deliberate practice of communication skills. The authors designed a simulation workshop that affords students the opportunity to practice their communication and peer-to-peer coaching skills...
January 21, 2018: Curēus
https://www.readbyqxmd.com/read/29516341/distance-delivered-parent-training-for-childhood-disruptive-behavior-strongest-families%C3%A2-a-randomized-controlled-trial-and-economic-analysis
#8
Janine V Olthuis, Patrick J McGrath, Charles E Cunningham, Michael H Boyle, Patricia Lingley-Pottie, Graham J Reid, Alexa Bagnell, Ellen L Lipman, Karen Turner, Penny Corkum, Sherry H Stewart, Patrick Berrigan, Kathy Sdao-Jarvie
Disruptive behavior disorders are prevalent in youth, yet most children with disruptive behavior do not have access to timely, effective treatment. Distance-delivered service (e.g., via telephone, Internet) can overcome several barriers to care. This study tested the effectiveness of a 12-week parent training program, Strongest Families™ Parenting the Active Child, delivered via written material, skill-based videos, and telephone coaching sessions, as compared to usual care in reducing child externalizing behavior...
March 8, 2018: Journal of Abnormal Child Psychology
https://www.readbyqxmd.com/read/29468093/integration-of-health-coaching-concepts-and-skills-into-clinical-practice-among-vha-providers-a-qualitative-study
#9
David A Collins, Kirsten Thompson, Katharine A Atwood, Melissa H Abadi, David L Rychener, Leigh Ann Simmons
Background: Although studies of health coaching for behavior change in chronic disease prevention and management are increasing, to date no studies have reported on what concepts and skills providers integrate into their clinical practice following participation in health coaching courses. The purpose of this qualitative study was to assess Veterans Health Administration (VHA) providers' perceptions of the individual-level and system-level changes they observed after participating with colleagues in a 6-day Whole Health Coaching course held in 8 VHA medical centers nationwide...
2018: Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide
https://www.readbyqxmd.com/read/29456906/health-communication-experiences-of-emerging-adults-with-type-1-diabetes
#10
MaryJane Simms, Katherine Baumann, Maureen Monaghan
Objective: In an effort to refine a model of clinical care identifying effective communication with health care providers (HCPs) as a key skill for successful transition to adult medical care, this study explored the perspectives of emerging adults with type 1 diabetes (T1D) about factors that impact the quality and content of communication with their HCPs. Methods: Twenty emerging adults with T1D were interviewed about health communication experiences with their pediatric HCP and readiness for transition to adult diabetes care...
December 2017: Clinical Practice in Pediatric Psychology
https://www.readbyqxmd.com/read/29393688/systematic-review-of-high-level-mobility-training-in-people-with-a-neurological-impairment
#11
Tanja Spencer, Sara Aldous, Gavin Williams, Michael Fahey
AIM: The objective of this paper was to systematically review the efficacy of interventions targeting high-level mobility skills in people with a neurological impairment. METHODS: A comprehensive electronic database search was conducted. Study designs were graded using the American Academy of Cerebral Palsy and Developmental Medicine (AACPDM) system and methodological quality was described using the Physiotherapy Evidence Database (PEDro) scale. RESULTS: Twelve exploratory studies (AACPDM levels IV/V), of limited methodological quality (PEDro scores of 2-3 out of 10), were included...
2018: Brain Injury: [BI]
https://www.readbyqxmd.com/read/29289636/development-and-validation-of-dutch-version-of-lasater-clinical-judgment-rubric-in-hospital-practice-an-instrument-design-study
#12
Jettie Vreugdenhil, Bea Spek
BACKGROUND: Clinical reasoning in patient care is a skill that cannot be observed directly. So far, no reliable, valid instrument exists for the assessment of nursing students' clinical reasoning skills in hospital practice. Lasater's clinical judgment rubric (LCJR), based on Tanner's model "Thinking like a nurse" has been tested, mainly in academic simulation settings. OBJECTIVES: The aim is to develop a Dutch version of the LCJR (D-LCJR) and to test its psychometric properties when used in a hospital traineeship context...
March 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29206357/understanding-uptake-of-an-intervention-to-accelerate-antiretroviral-therapy-initiation-in-uganda-via-qualitative-inquiry
#13
Fred C Semitala, Carol S Camlin, Jeanna Wallenta, Leatitia Kampiire, Richard Katuramu, Gideon Amanyire, Jennifer Namusobya, Wei Chang, James G Kahn, Edwin D Charlebois, Diane V Havlir, Moses R Kamya, Elvin H Geng
INTRODUCTION: The Streamlined Antiretroviral Therapy Initiation Strategy (START-ART) study found that a theory-based intervention using opinion leaders to inform and coach health care providers about the risks of treatment delay, provision of point of care (POC) CD4 testing machines (PIMA) and reputational incentives, led to rapid rise in ART initiation. We used qualitative research methods to explore mechanisms of provider behaviour change. METHODS: We conducted in-depth interviews (IDIs) with 24 health care providers and nine study staff to understand perceptions, attitudes and the context of changes in ART initiation practices...
December 2017: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/29194305/impact-of-a-simulated-clinical-day-with-peer-coaching-and-deliberate-practice-promoting-a-culture-of-safety
#14
Donna M Badowski, Kimberly J Oosterhouse
Nursing education is challenged to shift from task-based proficiencies to higher level competencies with patient safety as a priority. Using a quasi-experimental pretest/posttest design, a simulation-based, peer-coached, deliberate practice clinical substitution was implemented to compare nursing students' knowledge, skills, and attitudes for promoting safety. Our findings demonstrated improved knowledge and skill acquisition in the intervention and control groups. The former trended toward improved team communication attitudes and enteral medication skill performance...
March 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29145626/twelve-month-outcomes-of-a-group-randomized-community-health-advocate-led-smoking-cessation-intervention-in-public-housing
#15
Daniel R Brooks, Joanna L Burtner, Belinda Borrelli, Timothy C Heeren, Tegan Evans, Jessica A Davine, Jonathan Greenbaum, Matthew Scarpaci, John Kane, Vaughan W Rees, Alan C Geller
Background: Lower rates of smoking cessation are a major reason for the higher prevalence of smoking among socioeconomically disadvantaged adults. Because barriers to quitting are both more numerous and severe, socioeconomically disadvantaged smokers may benefit from more intensive intervention. We sought to determine whether a smoking cessation intervention delivered by public housing residents trained as Tobacco Treatment Advocates (TTAs) could increase utilization of cessation resources and increase abstinence...
November 14, 2017: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
https://www.readbyqxmd.com/read/29137836/how-participatory-action-research-changed-our-view-of-the-challenges-of-shared-decision-making-training
#16
Jette Ammentorp, Maiken Wolderslund, Connie Timmermann, Henry Larsen, Karina Dahl Steffensen, Annegrethe Nielsen, Marianne E Lau, Bodil Winther, Lars Henrik Jensen, Elisabeth Assing Hvidt, Niels Christian Hvidt, Pål Gulbrandsen
OBJECTIVE: This paper aims to demonstrate how the use of participatory action research (PAR) helped us identify ways to respond to communication challenges associated with shared decision-making (SDM) training. METHODS: Patients, relatives, researchers, and health professionals were involved in a PAR process that included: (1) two theatre workshops, (2) a pilot study of an SDM training module involving questionnaires and evaluation meetings, and (3) three reflection workshops...
November 9, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/29120891/clinicians-ability-motivation-and-opportunity-to-acquire-and-transfer-knowledge-an-age-driven-perspective
#17
Silvia Profili, Alessia Sammarra, Roberto Dandi, Daniele Mascia
BACKGROUND: Many countries are seeing a dramatic increase in the average age of their clinicians. The literature often highlights the challenges of high replacement costs and the need for strategies to retain older personnel. Less discussed are the potential pitfalls of knowledge acquisition and transfer that accompany this aging issue. PURPOSE: We propose a conceptual framework for understanding how clinicians' age interact with ability, motivation, and opportunity to predict clinical knowledge transfer and acquisition in health care organizations...
November 8, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/29096775/randomized-clinical-trial-of-online-parent-training-for-behavior-problems-after-early-brain-injury
#18
Shari L Wade, Amy E Cassedy, Emily L Shultz, Huaiyu Zang, Nanhua Zhang, Michael W Kirkwood, Terry Stancin, Keith O Yeates, H Gerry Taylor
OBJECTIVE: To evaluate the effectiveness of Internet-based Interacting Together Everyday: Recovery After Childhood TBI (I-InTERACT) versus abbreviated parent training (Express) or access to online resources (internet resources comparison [IRC]) in improving parenting skills and decreasing behavior problems after early traumatic brain injury (TBI). METHOD: In this randomized, controlled, clinical trial, 113 children 3 to 9 years old previously hospitalized for moderate to severe TBI were randomly assigned to receive Express (n = 36), I-InTERACT (n = 39), or IRC (n = 38)...
November 2017: Journal of the American Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/28953296/effective-learning-in-an-ambulatory-family-medicine-clerkship-a-qualitative-study-of-medical-student-midpoint-feedback
#19
Melissa K Bradner, Sharon Kaufer Flores, Judy S Gary, Sharon Zumbrunn
BACKGROUND AND OBJECTIVES: There is substantial research on the effectiveness of ambulatory medical preceptors' teaching skills, but less is known about the student perspective on what contributes most to effective learning in a busy clinical practice. METHODS: As part of a formative midpoint assessment during the third-year clerkship in family medicine, students were asked to respond to the following open-ended reflective prompt: "My preceptor contributed to my learning by...
September 2017: Family Medicine
https://www.readbyqxmd.com/read/28936475/surgical-data-science-the-new-knowledge-domain
#20
S Swaroop Vedula, Gregory D Hager
Healthcare in general, and surgery/interventional care in particular, is evolving through rapid advances in technology and increasing complexity of care with the goal of maximizing quality and value of care. While innovations in diagnostic and therapeutic technologies have driven past improvements in quality of surgical care, future transformation in care will be enabled by data. Conventional methodologies, such as registry studies, are limited in their scope for discovery and research, extent and complexity of data, breadth of analytic techniques, and translation or integration of research findings into patient care...
April 2017: Innovative surgical sciences
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