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https://www.readbyqxmd.com/read/28079592/implementation-science-the-laboratory-as-a-command-centre
#1
Debrah I Boeras, John N Nkengasong, Rosanna W Peeling
PURPOSE OF REVIEW: Recent advances in point-of-care technologies to ensure universal access to affordable quality-assured diagnostics have the potential to transform patient management, surveillance programmes, and control of infectious diseases. Decentralization of testing can put tremendous stresses on fragile health systems if the laboratory is not involved in the planning, introduction, and scale-up strategies. RECENT FINDINGS: The impact of investments in novel technologies can only be realized if these tests are evaluated, adopted, and scaled up within the healthcare system with appropriate planning and understanding of the local contexts in which these technologies will be used...
January 11, 2017: Current Opinion in HIV and AIDS
https://www.readbyqxmd.com/read/28078477/information-sharing-challenges-between-adolescents-with-cancer-their-parents-and-health-care-providers-a-qualitative-study
#2
Masoud Bahrami, Mahboobeh Namnabati, Fariborz Mokarian, Parastoo Oujian, Paul Arbon
PURPOSE: We aimed to assess the viewpoints, experiences, and preferences within the clinical communication triangle (parent, adolescent, health care team) concerning the information-sharing process for adolescents with cancer. METHODS: This is a qualitative descriptive-exploratory study. Overall, 33 participants were recruited (adolescents diagnosed with cancer aged 15-20 years, their parents, oncologists, and nurses). In-depth semi-structured interviews were conducted and data were analyzed using constant comparative analysis...
January 11, 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/28063879/the-effect-of-vishram-a-grass-roots-community-based-mental-health-programme-on-the-treatment-gap-for-depression-in-rural-communities-in-india-a-population-based-study
#3
Rahul Shidhaye, Vaibhav Murhar, Siddharth Gangale, Luke Aldridge, Rahul Shastri, Rachana Parikh, Ritu Shrivastava, Suvarna Damle, Tasneem Raja, Abhijit Nadkarni, Vikram Patel
BACKGROUND: VISHRAM was a community-based mental health programme with the goal of addressing the mental health risk factors for suicide in people from 30 villages in the Amravati district in Vidarbha, central India. We aimed to assess whether implementation of VISHRAM was associated with an increase in the proportion of people with depression who sought treatment (contact coverage). METHODS: A core strategy of VISHRAM was to increase the demand for care by enhancing mental health literacy and to improve the supply of evidence-based interventions for depression and alcohol-use disorders...
January 4, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28059698/uk-national-data-guardian-for-health-and-care-s-review-of-data-security-trust-better-security-and-opt-outs
#4
Tom Chan, Concetta Tania Di Iorio, Simon De Lusignan, Daniel Lo Russo, Craig Kuziemsky, Siaw-Teng Liaw
Sharing health and social care data is essential to the delivery of high quality health care as well as disease surveillance, public health, and for conducting research. However, these societal benefits may be constrained by privacy and data protection principles. Hence, societies are striving to find a balance between the two competing public interests. Whilst the spread of IT advancements in recent decades has increased the demand for an increased privacy and data protection in many ways health is a special case...
December 20, 2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/28052843/trust-me-i-m-a-doctor-examining-changes-in-how-privacy-concerns-affect-patient-withholding-behavior
#5
Daniel M Walker, Tyler Johnson, Eric W Ford, Timothy R Huerta
BACKGROUND: As electronic health records (EHRs) become ubiquitous in the health care industry, privacy breaches are increasing and being made public. These breaches may make consumers wary of the technology, undermining its potential to improve care coordination and research. OBJECTIVE: Given the developing concerns around privacy of personal health information stored in digital format, it is important for providers to understand how views on privacy and security may be associated with patient disclosure of health information...
January 4, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28052482/an-extra-care-community-s-perceived-priorities-for-whole-system-relationships-a-q-methodological-study
#6
Paul Grimshaw, Linda McGowan, Elaine McNichol
Health and social care settings worldwide need to sustainably improve the quality of relationships across communities or 'whole systems'. This research informs the development of a relational framework based on stakeholder perspectives. It is grounded in an action research project with practitioners, and draws on a previous literature review, to present the underpinning elements of quality relationships as statements, organised under the headings of integrity, respect, fairness, compassion and trust. Using Q methodology, 27 participants, comprising a range of stakeholders (staff, residents, family and service providers), rank-ordered 48 statements based on perceptions of the importance of differing aspects of relationships...
January 3, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28049620/how-do-people-experiencing-schizophrenia-spectrum-disorders-or-other-psychotic-disorders-use-the-internet-to-get-information-on-their-mental-health-literature-review-and-recommendations
#7
Murielle Villani, Viviane Kovess-Masfety
BACKGROUND: Studies show that the Internet has become an influential source of information for people experiencing serious psychiatric conditions such as schizophrenia spectrum disorders or other psychotic disorders, among which the rate of Internet users is growing, with rates ranging from 33.3% to 79.5% given the country. Between 20.5% and 56.4% of these Internet users seek mental health information. OBJECTIVE: Focusing on this population's Web searches about their mental health, this paper examines what type of content they look for and what could be the benefits and disadvantages of this navigation...
January 3, 2017: JMIR Mental Health
https://www.readbyqxmd.com/read/28043961/stakeholder-engagement-in-diabetes-self-management-patient-preference-for-peer-support-and-other-insights
#8
Bethany M Kwan, Bonnie Jortberg, Meredith K Warman, Ilima Kane, Robyn Wearner, Romona Koren, Thomas Carrigan, Vincent Martinez, Donald E Nease
BACKGROUND: Self-management support (SMS) for patients with diabetes can improve adherence to treatment, mitigate disease-related distress, and improve health outcomes. Translating this evidence into real-world practice is needed, as it is not clear which SMS models are acceptable to patients, and feasible and sustainable for primary care practices. OBJECTIVE: To use the Boot Camp Translation (BCT) method to engage patient, practice, community resource and research stakeholders in translation of evidence about SMS and diabetes distress into mutually acceptable care models and to inform patient-centred outcomes research (PCOR)...
January 1, 2017: Family Practice
https://www.readbyqxmd.com/read/28032071/exploring-nurse-s-communicative-role-in-nurse-patient-relations-a-qualitative-study
#9
Ali Fakhr-Movahedi, Zahra Rahnavard, Mahvash Salsali, Reza Negarandeh
Introduction: Recognition the nurses' communicative roles can influence quality of patient's care. Therefore, this study was aimed to explore nurse's role in nurse-patient relations. Methods: This study was a qualitative research in which collected data was analyzed by content analysis method. The participants were 23 nurses, patients and their families in medical and surgical wards of a referral hospital in Tehran, Iran. Data were collected by semi-structured interview and observation. Results: Data analysis was led to the emergence of a main conceptual category: The patient's need-based communication...
December 2016: Journal of Caring Sciences
https://www.readbyqxmd.com/read/28027664/barriers-and-facilitators-to-hiv-and-sexually-transmitted-infections-testing-for-gay-bisexual-and-other-transgender-men-who-have-sex-with-men
#10
Ayden I Scheim, Robb Travers
Transgender men who have sex with men (trans MSM) may be at elevated risk for HIV and other sexually transmitted infections (STI), and therefore require access to HIV and STI testing services. However, trans people often face stigma, discrimination, and gaps in provider competence when attempting to access health care and may therefore postpone, avoid, or be refused care. In this context, quantitative data have indicated low access to, and uptake of, HIV testing among trans MSM. The present manuscript aimed to identify trans MSM's perspectives on barriers and facilitators to HIV and STI testing...
December 27, 2016: AIDS Care
https://www.readbyqxmd.com/read/28012799/clinic-personnel-facilitator-and-parent-perspectives-of-ehealth-familias-unidas-in-primary-care
#11
Lourdes Molleda, Monica Bahamon, Sara M St George, Tatiana Perrino, Yannine Estrada, Deborah Correa Herrera, Hilda Pantin, Guillermo Prado
INTRODUCTION: The purpose of this qualitative study was to understand the feasibility and acceptability of implementing eHealth Familias Unidas, an Internet-based, family-based, preventive intervention for Hispanic adolescents, in primary care. METHODS: Semistructured individual interviews with clinic personnel and facilitators (i.e., physicians, nurse practitioners, administrators, and mental health workers; n = 9) and one focus group with parents (n = 6) were audiorecorded, transcribed verbatim, and analyzed using a general inductive approach...
December 21, 2016: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/28011594/anonymization-for-outputs-of-population-health-and-health-services-research-conducted-via-an-online-data-center
#12
Christine M O'Keefe, Mark Westcott, Maree O'Sullivan, Adrien Ickowicz, Tim Churches
OBJECTIVE: Online data centers (ODCs) are becoming increasingly popular for making health-related data available for research. Such centers provide good privacy protection during analysis by trusted researchers, but privacy concerns may still remain if the system outputs are not sufficiently anonymized. In this article, we propose a method for anonymizing analysis outputs from ODCs for publication in academic literature. METHODS: We use as a model system the Secure Unified Research Environment, an online computing system that allows researchers to access and analyze linked health-related data for approved studies in Australia...
December 23, 2016: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/27988143/the-healthy-activity-program-hap-a-lay-counsellor-delivered-brief-psychological-treatment-for-severe-depression-in-primary-care-in-india-a-randomised-controlled-trial
#13
Vikram Patel, Benedict Weobong, Helen A Weiss, Arpita Anand, Bhargav Bhat, Basavraj Katti, Sona Dimidjian, Ricardo Araya, Steve D Hollon, Michael King, Lakshmi Vijayakumar, A-La Park, David McDaid, Terry Wilson, Richard Velleman, Betty R Kirkwood, Christopher G Fairburn
BACKGROUND: Although structured psychological treatments are recommended as first-line interventions for depression, only a small fraction of people globally receive these treatments because of poor access in routine primary care. We assessed the effectiveness and cost-effectiveness of a brief psychological treatment (Healthy Activity Program [HAP]) for delivery by lay counsellors to patients with moderately severe to severe depression in primary health-care settings. METHODS: In this randomised controlled trial, we recruited participants aged 18-65 years scoring more than 14 on the Patient Health Questionnaire 9 (PHQ-9) indicating moderately severe to severe depression from ten primary health centres in Goa, India...
December 14, 2016: Lancet
https://www.readbyqxmd.com/read/27986354/lived-experiences-of-routine-antenatal-dietetic-services-among-women-with-obesity-a-qualitative-phenomenological-study
#14
Nicola Heslehurst, Sarah Dinsdale, Helene Brandon, Camilla Johnston, Carolyn Summerbell, Judith Rankin
OBJECTIVE: to understand the lived experiences and views of being referred to an antenatal dietetic service from the perspective of pregnant women with obesity. DESIGN: a qualitative, interpretive approach using one-to-one in-depth interviews to explore the lived experience of pregnant women with obesity following referral to an antenatal dietetics service. Thematic content analysis was carried out by two researchers independently to develop data-driven themes. SETTING: one NHS Trust maternity and dietetic services, North East England, UK...
November 18, 2016: Midwifery
https://www.readbyqxmd.com/read/27979467/factors-influencing-delayed-hospital-presentation-in-patients-with-appendicitis-the-appe-survey
#15
(no author information available yet)
BACKGROUND: Among patients with acute appendicitis (AA), perforation is thought to be associated with symptom duration before treatment. Perforation rates vary between hospitals raising the possibility that some perforations are preventable. The factors that compel patients to present earlier or later are unknown but are critical in developing quality improvement interventions aimed at reducing perforation rates. MATERIALS AND METHODS: The Appendicitis Patient Pre-Hospital Experience (APPE) Survey is a prospective study of adults and parents of children with AA in six hospitals participating in Washington State's Comparative Effectiveness Research Translation Network (CERTAIN)...
January 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/27976983/community-health-workers-improving-diabetes-outcomes-in-a-rural-appalachian-population
#16
Frances Feltner, Sydney Thompson, William Baker, Melissa Slone
Community health workers (CHWs) play a key role in the emerging health infrastructure. They are successful in identifying individual or family needs and matching resources to help overcome the social determinants of health, and the lack of trust in the health care system. This study captures the CHW experience as research assistants and evaluates the effectiveness of CHWs' health coaching and support in improving diabetes health outcomes. By being immersed in the culture and values of the population, CHWs offer research support to assure more representative client samples, increased adherence to study protocols, and in reducing attrition rates...
December 15, 2016: Social Work in Health Care
https://www.readbyqxmd.com/read/27968864/hiv-testing-campaigns-and-treatment-interventions-for-control-of-epidemic-hiv-growth-among-heterosexuals-a-mathematical-modelling-study
#17
Ngai Sze Wong, Ka Hing Wong, Owen T Y Tsang, Man Po Lee, Shui Shan Lee
BACKGROUND: In 2015, WHO recommended universal antiretroviral treatment for HIV irrespective of CD4 cell count. The impact of this recommendation on heterosexual HIV transmission, especially in low prevalence countries, has not been well-characterised. In Hong Kong, 38% of reported HIV cases are heterosexually acquired. We aimed to model the impacts of enhanced HIV testing and immediate treatment to provide a reference to other provinces in China. METHODS: We developed deterministic compartmental models (sexually active heterosexual males and females) for simulation of HIV epidemiology for 1983-2011 in Hong Kong, with data projected to 2012-20...
October 2016: Lancet
https://www.readbyqxmd.com/read/27968863/effects-of-hiv-diagnosis-and-enrolment-in-care-on-transmission-risk-of-hiv-infected-men-who-have-sex-with-men-in-hong-kong-a-cross-sectional-study
#18
Tsz Ho Kwan, Chin Man Poon, Ka Hing Wong, Shui Shan Lee
BACKGROUND: The HIV continuum of care is a framework for monitoring of health-care service targets. From a public health perspective, little is known about the changes of transmission risks of HIV-positive men who have sex with men (MSM) at different stages in the continuum. In this study we aimed to assess the effects of HIV diagnosis and enrolment in care on the transmission risk of HIV-infected MSM in Hong Kong. METHODS: A questionnaire was administered to HIV-positive MSM attending the largest HIV specialist clinic in Hong Kong between October and December, 2014...
October 2016: Lancet
https://www.readbyqxmd.com/read/27965871/using-specialist-screening-practitioners-ssps-to-increase-uptake-of-the-bowel-scope-flexible-sigmoidoscopy-screening-programme-a-study-protocol-for-a-feasibility-single-stage-phase-ii-trial
#19
Lesley M McGregor, Hanna Skrobanski, Hayley Miller, Mary Ritchie, Lindy Berkman, Stephen Morris, Colin Rees, Christian von Wagner
BACKGROUND: The NHS Bowel Scope Screening (BSS) programme offers men and women aged 55 years a once-only flexible sigmoidoscopy (FS), a test that can help reduce colorectal cancer (CRC) incidence and mortality. However, the benefits of BSS are contingent on uptake. This National Institute for Health Research-funded single-stage phase II trial will test the feasibility of using patient navigation (PN), an intervention that offers support to patients to overcome barriers to healthcare, to increase BSS uptake within a socially deprived area of England...
2016: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/27956674/patient-reported-outcome-of-adult-perioperative-anaesthesia-in-the-united-kingdom-a-cross-sectional-observational-study
#20
E M K Walker, M Bell, T M Cook, M P W Grocott, S R Moonesinghe
BACKGROUND: Understanding the patient perspective on healthcare is central to the evaluation of quality. This study measured selected patient-reported outcomes after anaesthesia in order to identify targets for research and quality improvement. METHODS: This cross-sectional observational study in UK National Health Service hospitals, recruited adults undergoing non-obstetric surgery requiring anaesthesia care over a 48 h period. Within 24 h of surgery, patients completed the Bauer questionnaire (measuring postoperative discomfort and satisfaction with anaesthesia care), and a modified Brice questionnaire to elicit symptoms suggestive of accidental awareness during general anaesthesia (AAGA)...
December 2016: British Journal of Anaesthesia
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