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https://www.readbyqxmd.com/read/29138363/primary-care-interventions-for-early-childhood-development-a-systematic-review
#1
REVIEW
Elizabeth Peacock-Chambers, Kathryn Ivy, Megan Bair-Merritt
CONTEXT: The pediatric primary care setting offers a platform to promote positive parenting behaviors and the optimal development of young children. Many new interventions have been developed and tested in this setting over the past 2 decades. OBJECTIVE: To summarize the recent published evidence regarding the impact of primary care-based interventions on parenting behaviors and child development outcomes; to provide recommendations for incorporation of effective interventions into pediatric clinics...
November 14, 2017: Pediatrics
https://www.readbyqxmd.com/read/29137666/utilization-of-the-behavior-change-wheel-framework-to-develop-a-model-to-improve-cardiometabolic-screening-for-people-with-severe-mental-illness
#2
Christina Mangurian, Grace C Niu, Dean Schillinger, John W Newcomer, James Dilley, Margaret A Handley
BACKGROUND: Individuals with severe mental illness (e.g., schizophrenia, bipolar disorder) die 10-25 years earlier than the general population, primarily from premature cardiovascular disease (CVD). Contributing factors are complex, but include systemic-related factors of poorly integrated primary care and mental health services. Although evidence-based models exist for integrating mental health care into primary care settings, the evidence base for integrating medical care into specialty mental health settings is limited...
November 14, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/29133110/provision-of-medical-abortion-by-mid-level-healthcare-providers-in-kyrgyzstan-testing-an-intervention-to-expand-safe-abortion-services-to-under-served-rural-and-peri-urban-areas
#3
Brooke Ronald Johnson, Elmira Maksutova, Aigull Boobekova, Ainura Davletova, Chinara Kazakbaeva, Yelena Kondrateva, Sihem Landoulsi, Gunta Lazdane, Kubanychbek Monolbaev, Armando H Seuc Jo
OBJECTIVE: To demonstrate the feasibility and safety of training mid-level healthcare providers (midwives and family nurses) to provide medical abortion and post-abortion contraception in under-served areas in Kyrgyzstan. STUDY DESIGN: This was an implementation study at four referral facilities and 28 Felsher Obstetric Points in two districts to train their midwives and family nurses to deliver safe and effective abortion care with co-packaged mifepristone-misoprostol and provide contraceptives post-abortion...
November 10, 2017: Contraception
https://www.readbyqxmd.com/read/29131385/rural-community-birth-maternal-and-neonatal-outcomes-for-planned-community-births-among-rural-women-in-the-united-states-2004-2009
#4
Elizabeth Nethery, Wendy Gordon, Marit L Bovbjerg, Melissa Cheyney
BACKGROUND: Approximately 22% of women in the United States live in rural areas with limited access to obstetric care. Despite declines in hospital-based obstetric services in many rural communities, midwifery care at home and in free standing birth centers is available in many rural communities. This study examines maternal and neonatal outcomes among planned home and birth center births attended by midwives, comparing outcomes for rural and nonrural women. METHODS: Using the Midwives Alliance of North America Statistics Project 2...
November 13, 2017: Birth
https://www.readbyqxmd.com/read/29129193/experiences-of-three-states-implementing-the-medicaid-health-home-model-to-address-opioid-use-disorder-case-studies-in-maryland-rhode-island-and-vermont
#5
Lisa Clemans-Cope, Jane B Wishner, Eva H Allen, Nicole Lallemand, Marni Epstein, Brenda C Spillman
PURPOSE: The United States is facing an unprecedented opioid epidemic. The Affordable Care Act (ACA) included several provisions designed to increase care coordination in state Medicaid programs and improve outcomes for those with chronic conditions, including substance use disorders. Three states-Maryland, Rhode Island, and Vermont - adopted the ACA's optional Medicaid health home model for individuals with opioid use disorder. The model coordinates opioid use disorder treatment that features opioid agonist therapy provided at opioid treatment programs (OTPs) and Office-based Opioid Treatment (OBOT) with medical and behavioral health care and other services, including those addressing social determinants of health...
December 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/29113956/rationale-and-design-of-the-home-trial-a-pragmatic-randomized-controlled-trial-of-home-based-human-papillomavirus-hpv-self-sampling-for-increasing-cervical-cancer-screening-uptake-and-effectiveness-in-a-u-s-healthcare-system
#6
Rachel L Winer, Jasmin A Tiro, Diana L Miglioretti, Chris Thayer, Tara Beatty, John Lin, Hongyuan Gao, Kilian Kimbel, Diana S M Buist
Women who delay or do not attend Papanicolaou (Pap) screening are at increased risk for cervical cancer. Trials in countries with organized screening programs have demonstrated that mailing high-risk (hr) human papillomavirus (HPV) self-sampling kits to under-screened women increases participation, but U.S. data are lacking. HOME is a pragmatic randomized controlled trial set within a U.S. integrated healthcare delivery system to compare two programmatic approaches for increasing cervical cancer screening uptake and effectiveness in under-screened women (≥3...
November 4, 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/29110907/what-is-the-impact-of-professional-nursing-on-patients-outcomes-globally-an-overview-of-research-evidence
#7
REVIEW
Samantha Coster, Mary Watkins, Ian J Norman
BACKGROUND: Nursing is an integral part of all healthcare services, and has the potential of having a wide and enduring impact on health outcomes for a global ageing population. Over time nurses have developed new roles and assumed greater responsibilities. It is increasingly important to demonstrate the safety and overall impact of nurses' practice through research, to support the case for greater investment and development of nursing services around the world. OBJECTIVE: To provide an overview of existing research evidence on the impact of nursing on patient outcomes, identify gaps in evidence, and point to future priorities for global research...
October 19, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29109015/factors-associated-with-participation-in-colorectal-cancer-screening-in-australia-results-from-the-45-and-up-study-cohort
#8
Emily He, Jie-Bin Lew, Sam Egger, Emily Banks, Robyn L Ward, Valerie Beral, Karen Canfell
The Australian Government's National Bowel Cancer Screening Program (NBCSP) was introduced in 2006 to provide free home-based immunochemical faecal occult blood test (iFOBT) to eligible Australians turning 55 and 65years in that year. With the gradual inclusion of additional age cohorts, the rollout of the NBCSP is being implemented in the context of a degree of opportunistic screening being provided through primary care physicians. This study investigated factors associated with ever-uptake of the NBCSP and of any CRC screening using questionnaire data from Australians aged ≥45years enrolled in the 45 and Up Study...
November 3, 2017: Preventive Medicine
https://www.readbyqxmd.com/read/29105149/a-pilot-study-investigating-the-feasibility-of-symptom-assessment-manager-sam-a-web-based-real-time-tool-for-monitoring-challenging-behaviors
#9
Samantha M Loi, Sangeeth Wanasinghage, Anita Goh, Nicola T Lautenschlager, David G Darby, Dennis Velakoulis
OBJECTIVE: Improving and minimizing challenging behaviors seen in psychiatric conditions, including behavioral and psychological symptoms of dementia are important in the care of people with these conditions. Yet there is a lack of systematic evaluation of these as a part of routine clinical care. The Neuropsychiatric Inventory is a validated and reliable tool for rating the severity and disruptiveness of challenging behaviors. We report on the evaluation of a Web-based symptom assessment manager (SAM), designed to address the limitation of previous tools using some of the Neuropsychiatric Inventory functions, to monitor behaviors by staff caring for people with dementia and other psychiatric conditions in inpatient and residential care settings...
November 3, 2017: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29095335/teaching-home-based-primary-care
#10
Jennifer M Reckrey, Katherine A Ornstein, Ania Wajnberg, M Victoria Kopke, Linda V DeCherrie
Despite the growing homebound population and the development of innovative models of care that work to bring care to people in their homes, home visits are not a routine part of education for many healthcare providers. This manuscript describes the experience of Mount Sinai Visiting Doctors teaching home-based primary care to learners of various disciplines and reports the results of a survey performed to assess trainee experience. Mount Sinai Visiting Doctors is the largest academic home-based primary care program in the country and trainees of various disciplines have nearly 1,700 contact days annually of directly supervised clinical teaching...
November 2017: Home Healthcare Now
https://www.readbyqxmd.com/read/29094475/a-possibility-for-strengthening-family-life-and-health-family-members-lived-experience-when-a-sick-child-receives-home-care-in-sweden
#11
Charlotte Castor, Kajsa Landgren, Helena Hansson, Inger Kristensson Hallström
Families often prefer home care to hospital care, and home-care services for ill children are increasing worldwide with limited knowledge of families' needs during curative and palliative home care. The aim of this study was to elucidate family members' lived experience when a sick child received home care from county-based primary healthcare services. A descriptive qualitative design was chosen and 12 families including sick children receiving home care and their mothers, fathers and siblings in the south of Sweden were interviewed between December 2015 and January 2017...
November 2, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/29083443/health-promotion-and-preventive-care-intervention-for-older-community-dwelling-people-long-term-effects-of-a-randomised-controlled-trial-rct-within-the-lucas-cohort
#12
L Neumann, U Dapp, W von Renteln-Kruse, C E Minder
OBJECTIVES: An RCT of a health promotion and preventive care intervention was done in 2001-2002. Here, long-term analyses based on 12 years of follow-up of survival and of change in functional competence between intervention and control group are presented. Positive 1-year results (significantly higher use of preventive services and better health behaviour) were presented earlier. DESIGN: Parallel group randomised controlled trial (RCT) with 878 participants in the intervention and 1,702 participants in the control group...
2017: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/29083091/using-the-socioecological-model-to-explore-factors-affecting-health-seeking-behaviours-of-older-korean-immigrants
#13
Jane Chung, Jin Young Seo, Jongwon Lee
AIMS AND OBJECTIVES: The purpose of this study was to explore multilevel factors affecting older Korean immigrants' health-seeking behaviours. BACKGROUND: Although studies have documented significant issues related to healthcare access and utilisation issues among older immigrants, a noted limitation of current research is its failure to explore multiple factors related to their health-seeking behaviours. DESIGN: A qualitative study using interview data from two previous studies...
October 30, 2017: International Journal of Older People Nursing
https://www.readbyqxmd.com/read/29079871/-cognitive-interventions-in-nursing-homes-systematic-review-of-the-preventive-effectiveness-on-cognitive-performance-in-persons-in-need-of-care
#14
REVIEW
C Wöhl, S Richter, B Blättner
BACKGROUND: The strengthening of cognitive resources is considered to be a preventive field of action within inpatient care. The aim is to evaluate the effectiveness of such interventions on cognitive performance in nursing home residents. METHODS: A systematic literature search was carried out in the databases MEDLINE, the Cochrane Library, EMBASE, CINAHL and PsycINFO, as well as searches in trial registries and a screening of reference lists. The combined results were based on meta-analyses in random-effects models...
October 27, 2017: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/29070636/correlates-of-mobile-screen-media-use-among-children-aged-0-8-a-systematic-review
#15
Susan Paudel, Jonine Jancey, Narayan Subedi, Justine Leavy
OBJECTIVE: This study is a systematic review of the peer-reviewed literature to identify the correlates of mobile screen media use among children aged 8 years and less. SETTING: Home or community-based studies were included in this review while child care or school-based studies were excluded. PARTICIPANTS: Children aged 8 years or less were the study population. Studies that included larger age groups without subgroup analysis specific to the 0-8 years category were excluded...
October 24, 2017: BMJ Open
https://www.readbyqxmd.com/read/29058625/the-impact-of-patient-advisors-on-healthcare-outcomes-a-systematic-review
#16
Anjana E Sharma, Margae Knox, Victor L Mleczko, J Nwando Olayiwola
BACKGROUND: Patient advisory councils are a way for healthcare organizations to promote patient engagement. Despite mandates to implement patient advisory councils through programs like the Patient-Centered Medical Home (PCMH), there is a paucity of data measuring the impact of patients functioning in advisory roles. Our objective is to investigate whether patient engagement in patient advisory councils is linked to improvements in clinical quality, patient safety or patient satisfaction...
October 23, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29055899/are-quality-improvement-collaboratives-effective-a-systematic-review
#17
REVIEW
Susan Wells, Orly Tamir, Jonathon Gray, Dhevaksha Naidoo, Mark Bekhit, Don Goldmann
BACKGROUND: Quality improvement collaboratives (QIC) have proliferated internationally, but there is little empirical evidence for their effectiveness. METHOD: We searched Medline, Embase, CINAHL, PsycINFO and the Cochrane Library databases from January 1995 to December 2014. Studies were included if they met the criteria for a QIC intervention and the Cochrane Effective Practice and Organisation of Care (EPOC) minimum study design characteristics for inclusion in a review...
October 21, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/29052529/evaluating-a-multi-component-community-based-program-to-improve-adherence-and-retention-in-care-among-adolescents-living-with-hiv-in-zimbabwe-study-protocol-for-a-cluster-randomized-controlled-trial
#18
Webster Mavhu, Nicola Willis, Juliet Mufuka, Collin Mangenah, Kudzanayi Mvududu, Sarah Bernays, Walter Mangezi, Tsitsi Apollo, Ricardo Araya, Helen A Weiss, Frances M Cowan
BACKGROUND: World Health Organization (WHO) adolescent HIV-testing and treatment guidelines recommend community-based interventions to support antiretroviral therapy (ART) adherence and retention in care, while acknowledging that the evidence to support this recommendation is weak. This cluster randomized controlled trial aims to evaluate the effectiveness and cost-effectiveness of a psychosocial, community-based intervention on HIV-related and psychosocial outcomes. METHODS/DESIGN: We are conducting the trial in two districts...
October 20, 2017: Trials
https://www.readbyqxmd.com/read/29052344/brief-counselling-after-home-based-hiv-counselling-and-testing-strongly-increases-linkage-to-care-a-cluster-randomized-trial-in-uganda
#19
Eugene Ruzagira, Heiner Grosskurth, Anatoli Kamali, Kathy Baisley
INTRODUCTION: The aim of this study was to determine whether counselling provided subsequent to HIV testing and referral for care increases linkage to care among HIV-positive persons identified through home-based HIV counselling and testing (HBHCT) in Masaka, Uganda. METHODS: The study was an open-label cluster-randomized trial. 28 rural communities were randomly allocated (1:1) to intervention (HBHCT, referral and counselling at one and two months) or control (HBHCT and referral only)...
October 2017: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/29052117/clinical-impact-of-an-interdisciplinary-patient-safety-program-for-managing-drug-related-problems-in-a-long-term-care-hospital
#20
Oreto Ruiz-Millo, Mónica Climente-Martí, Ana María Galbis-Bernácer, José Ramón Navarro-Sanz
Background Medication reviews intended to identify drug-related problems (DRPs) have been researched in primary care, acute care and nursing homes rather than in long-term care hospitals (LTCHs). Objectives To assess the clinical impact of an interdisciplinary pharmacotherapy quality improvement and patient safety program in elderly patients with polypharmacy admitted to an LTCH. Setting An interventional, longitudinal, prospective study was conducted in a Spanish LTCH Method A total of 162 elderly (≥ 70 years) patients with polypharmacy (≥ 5 medications) were included...
October 19, 2017: International Journal of Clinical Pharmacy
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