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https://www.readbyqxmd.com/read/29027606/positive-and-negative-peer-influence-in-residential-care
#1
Jonathan C Huefner, Gail L Smith, Amy L Stevens
The potential for negative peer influence has been well established in research, and there is a growing interest in how positive peer influence also impacts youth. No research, however, has concurrently examined positive and negative peer influence in the context of residential care. Clinical records for 886 residential care youth were used in a Hierarchical Linear Model analysis to examine the impact of negative and positive peer influence on naturally occurring patterns of serious problem behavior over time...
October 13, 2017: Journal of Abnormal Child Psychology
https://www.readbyqxmd.com/read/29027313/patient-experiences-with-care-across-various-types-of-mental-health-care-questionnaire-development-measurement-invariance-and-patients-reports
#2
Luk Bruyneel, Sabine Van Houdt, Ellen Coeckelberghs, Walter Sermeus, Else Tambuyzer, Peter Cosemans, Gert Peeters, Kris Van den Broeck, Ilse Weeghmans, Kris Vanhaecht
To describe the development, validation, and findings of a patient experience questionnaire across 7 types of residential and ambulatory mental health care services. Thirty-five items were hypothesized to cover information, participation, therapeutic relationship, personalized care, organization and collaboration, safety, patient rights, outcomes of care, and discharge preparation and after-care. Also included were 2 overall rating items (scoring and recommending the organization). This Dutch questionnaire was applied in 79 organizations in Belgium (N patients = 5,168)...
October 13, 2017: International Journal of Methods in Psychiatric Research
https://www.readbyqxmd.com/read/29027297/factors-associated-with-ambulatory-care-sensitive-emergency-department-visits-for-south-carolina-medicaid-members-with-intellectual-disability
#3
S McDermott, J Royer, J R Mann, B S Armour
INTRODUCTION: Ambulatory care sensitive conditions (ACSCs) can be seen as failure of access or management in primary care settings. Identifying factors associated with ACSCs for individuals with an Intellectual Disability (ID) provide insight into potential interventions. METHOD: To assess the association between emergency department (ED) ACSC visits and a number of demographic and health characteristics of South Carolina Medicaid members with ID. A retrospective cohort of adults with ID was followed from 2001 to 2011...
October 13, 2017: Journal of Intellectual Disability Research: JIDR
https://www.readbyqxmd.com/read/29026483/hospital-charges-and-continuity-of-care-for-outpatients-with-hypertension-in-south-korea-a-nationwide-population-based-cohort-study-from-2002-to-2013
#4
Jae-Hyun Kim, Eun-Cheol Park, Tae Hyun Kim, Yunhwan Lee
BACKGROUND: Continuity of care (COC) has received attention over the past decade. COC has also become increasingly important for hospital managers and policy makers because of competitive health care market conditions. The purpose of this study was to assess the association between hospital charges and patients' continuity of care-assessed by three indices of continuity of care-among outpatients with hypertension in South Korea. METHODS: This study used the National Health Insurance Service-Cohort Sample Database from 2002 to 2013...
September 2017: Korean Journal of Family Medicine
https://www.readbyqxmd.com/read/29025025/the-importance-of-historical-residential-address-information-in-longitudinal-studies-using-administrative-health-data
#5
David Youens, David B Preen, Mark N Harris, Rachael E Moorin
Background: When information on changes in address or migration of people to or from a study jurisdiction is unavailable in longitudinal studies, issues relating to loss-to-follow-up and misclassification bias may result. This study investigated how estimations of associations between general practitioner (GP) contact and hospital use were affected by incomplete address and migration data. Methods: This was a retrospective population-based cohort study of Western Australians from 1990 to 2004...
August 18, 2017: International Journal of Epidemiology
https://www.readbyqxmd.com/read/29023452/functional-imaging-of-cognition-in-an-old-old-population-a-case-for-portable-functional-near-infrared-spectroscopy
#6
Theodore J Huppert, Helmet Karim, Chia-Cheng Lin, Bader A Alqahtani, Susan L Greenspan, Patrick J Sparto
In this study, functional near-infrared spectroscopy (fNIRS) was used to record brain activation during cognitive testing in older individuals (88±6yo; N = 19) living in residential care communities. This population, which is often associated with loss of personal independence due to physical or cognitive decline associated with aging, is also often under-represented in neuroscience research because of a limited means to participate in studies which often take place in large urban or university centers. In this study, we demonstrate the feasibility and initial results using a portable 8-source by 4-detector fNIRS system to measure brain activity from participants within residential care community centers...
2017: PloS One
https://www.readbyqxmd.com/read/29021109/design-and-impact-of-bundled-payment-for-detox-and-follow-up-care
#7
Amity E Quinn, Dominic Hodgkin, Jennifer N Perloff, Maureen T Stewart, Mary Brolin, Nancy Lane, Constance M Horgan
INTRODUCTION: Recent payment reforms promote movement from fee-for-service to alternative payment models that shift financial risk from payers to providers, incentivizing providers to manage patients' utilization. Bundled payment, an episode-based fixed payment that includes the prices of a group of services that would typically treat an episode of care, is expanding in the United States. Bundled payment has been recommended as a way to pay for comprehensive SUD treatment and has the potential to improve treatment engagement after detox, which could reduce detox readmissions, improve health outcomes, and reduce medical care costs...
November 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/29019274/effects-of-whole-body-vibration-on-balance-and-mobility-in-institutionalized-older-adults-a-randomized-controlled-trial
#8
Freddy Mh Lam, Philip Fl Chan, L R Liao, Jean Woo, Elsie Hui, Charles Wk Lai, Timothy Cy Kwok, Marco Yc Pang
OBJECTIVE: To investigate whether a comprehensive exercise program was effective in improving physical function among institutionalized older adults and whether adding whole-body vibration to the program conferred additional therapeutic benefits. DESIGN: A single-blinded randomized controlled trial was conducted. SETTING: This study was carried out in residential care units. PARTICIPANTS: In total, 73 older adults (40 women, mean age: 82...
October 1, 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29016153/the-implementation-and-effect-of-trauma-informed-care-within-residential-youth-services-in-rural-canada-a-mixed-methods-case-study
#9
Courtney N Baker, Steven M Brown, Patricia Wilcox, Jorge M Verlenden, Corey L Black, Billie-Jo E Grant
OBJECTIVE: The prevalence and associated risks of trauma have led youth-serving institutions to adopt trauma-informed care (TIC). A limited research base has linked TIC with improved outcomes. Associations between TIC and vicarious traumatization (VT) are even less commonly studied. The purpose of this case study is to evaluate the implementation and effect of TIC within 1 residential youth services division in rural Canada using the curriculum-based Risking Connection (RC; Saakvitne et al...
October 9, 2017: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/28993099/recognising-older-frail-patients-near-the-end-of-life-what-next
#10
Magnolia Cardona-Morrell, Ebony Lewis, Sanjay Suman, Cilla Haywood, Marcella Williams, Audrey-Anne Brousseau, Sally Greenaway, Ken Hillman, Elsa Dent
Frailty is a state of vulnerability resulting from cumulative decline in many physiological systems during a lifetime. It is progressive and considered largely irreversible, but its progression may be controlled and can be slowed down and its precursor -pre-frailty- can be treated with multidisciplinary intervention. The aim of this narrative review is to provide an overview of the different ways of measuring frailty in community settings, hospital, emergency, general practice and residential aged care; suggest occupational groups who can assess frailty in various services; discuss the feasibility of comprehensive geriatric assessments; and summarise current evidence of its management guidelines...
October 6, 2017: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/28990408/a-systematic-review-of-electronic-assistive-technology-within-supporting-living-environments-for-people-with-dementia
#11
Jean Daly Lynn, Janeet Rondón-Sulbarán, Eamon Quinn, Assumpta Ryan, Brendan McCormack, Suzanne Martin
Health and social care provision needs to change in order to meet the needs of an increase in the number of people living with dementia. Environmental design, technology and assistive devices have the potential to complement care, help address some of the challenges presented by this growing need and impact on the lived experience of this vulnerable population. This systematic review was undertaken to identify the research on the use of electronic assistive technology within long-term residential care settings...
January 1, 2017: Dementia
https://www.readbyqxmd.com/read/28986601/microbiome-health-interactions-in-older-people
#12
REVIEW
Paul W O'Toole, Ian B Jeffery
Alterations in the composition and function of the gut microbiome have been implicated in a range of conditions and diseases. Culture-dependent and culture-independent studies both showed that older people harbour a gut microbiome that differs in composition from that of younger adults. Detailed analyses have identified discrete microbiota subtypes that characterize intermediates between a high diversity microbiota found in healthy community-dwelling subjects and a low diversity microbiota typical for elderly living in long-term residential care...
October 6, 2017: Cellular and Molecular Life Sciences: CMLS
https://www.readbyqxmd.com/read/28985156/barriers-to-accessing-detox-facilities-substance-use-treatment-and-residential-services-among-women-impacted-by-commercial-sexual-exploitation-trafficking
#13
Lara B Gerassi
More than 50% of women entering substance use treatment in the U.S. reported having traded sex for money or drugs. Women's participation in addiction treatment and related services is essential to their recovery and increased safety, stabilization, and quality of life. This paper's aim is to explore the barriers related to accessing detox facilities and essential services including substance use treatment and residential services for women impacted by commercial sexual exploitation (CSE). Data are drawn from a larger, community-based, grounded theory study...
October 6, 2017: Behavioral Medicine
https://www.readbyqxmd.com/read/28984907/prader-willi-syndrome-genetic-subtypes-and-clinical-neuropsychiatric-diagnoses-in-residential-care-adults
#14
Ann M Manzardo, Nicolette Weisensel, Sheryl Ayala, Waheeda Hossain, Merlin G Butler
The historical diagnosis of Prader-Willi syndrome (PWS), a complex genetic disorder, in adults by clinical presentation rather than genetic testing has limited genetic subtype-specific psychometric investigations and treatment. Genetic testing and clinical psychiatric evaluation using DSM-IV-TR criteria were undertaken on 72 adult residents (34M; 38F) from the Prader-Willi Homes of Oconomowoc (PWHO), a specialty PWS group home system. Methylation specific-multiplex ligation probe amplification and high-resolution microarrays were analyzed for methylation status, 15q11-q13 deletions and maternal uniparental disomy 15 (mUPD15)...
October 6, 2017: Clinical Genetics
https://www.readbyqxmd.com/read/28983064/maternal-health-and-social-outcomes-after-having-a-child-taken-into-care-population-based-longitudinal-cohort-study-using-linkable-administrative-data
#15
Elizabeth Wall-Wieler, Leslie L Roos, James Bolton, Marni Brownell, Nathan C Nickel, Dan Chateau
BACKGROUND: We investigated whether mothers experience changes to their health and social situation after having a child taken into care by child protection services, then compared these outcomes with those found in mothers whose children were not taken into care. METHODS: The cohort includes mothers whose first child was born in Manitoba between 1 April 1998 and 31 March 2011. Mothers whose children were taken into care after age 2 (n=1591) were compared with a matched group of women whose children were not taken into care (n=1591)...
October 5, 2017: Journal of Epidemiology and Community Health
https://www.readbyqxmd.com/read/28982656/changing-the-obesogenic-environment-to-improve-cardiometabolic-health-in-residential-patients-with-a-severe-mental-illness-cluster-randomised-controlled-trial
#16
Anne Looijmans, Annemarie P M Stiekema, Richard Bruggeman, Lisette van der Meer, Ronald P Stolk, Robert A Schoevers, Frederike Jörg, Eva Corpeleijn
BackgroundFor patients with severe mental illness (SMI) in residential facilities, adopting a healthy lifestyle is hampered by the obesity promoting (obesogenic) environment.AimsTo determine the effectiveness of a 12-month lifestyle intervention addressing the obesogenic environment with respect to diet and physical activity to improve waist circumference and cardiometabolic risk factors v. care as usual (Dutch Trial Registry: NTR2720).MethodIn a multisite cluster randomised controlled pragmatic trial, 29 care teams were randomised into 15 intervention (365 patients) and 14 control teams (371 patients)...
October 5, 2017: British Journal of Psychiatry: the Journal of Mental Science
https://www.readbyqxmd.com/read/28982380/effectiveness-of-the-who-s-challenging-who-support-staff-training-intervention-to-improve-attitudes-and-empathy-towards-adults-with-intellectual-disability-and-challenging-behaviours-study-protocol-for-a-cluster-randomised-controlled-trial
#17
Elizabeth Randell, Richard P Hastings, Rachel McNamara, Roseanna Knight, David Gillespie, Zachary Taylor
BACKGROUND: Findings suggest approximately one in six people with intellectual disability engage in 'challenging behaviours', which include aggression towards others/property and self-injurious actions. In residential settings, actions of staff members can make challenging behaviours more likely to occur, or make these behaviours worse. In particular, negative attitudes from members of staff and lack of understanding about the reasons for challenging behaviour are contributory factors...
October 5, 2017: Trials
https://www.readbyqxmd.com/read/28974462/quality-hospice-care-in-adult-family-homes-barriers-and-facilitators
#18
Karla T Washington, George Demiris, Debra Parker Oliver, Gemille Purnell, Paul Tatum
OBJECTIVES: Older adults in need of residential services are increasingly spending their final days in small, domestic-style care settings such as adult family homes. In this study, we sought to identify processes that facilitated the provision of quality hospice care to seriously ill residents of adult family homes and their family members. DESIGN: We conducted a secondary analysis of qualitative data collected as part of a randomized clinical trial of a problem-solving intervention for family members of hospice patients...
September 30, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28972239/interventions-to-improve-the-oral-health-of-people-with-dementia-or-cognitive-impairment-a-review-of-the-literature
#19
E Siegel, M Cations, C Wright, V Naganathan, A Deutsch, L Aerts, H Brodaty
OBJECTIVE: Oral diseases and conditions are prevalent among older people with dementia and cognitive impairment. While many interventions have been advocated for use in this population, evidence for their effectiveness is unclear. Our objective was to review systematically the content and effectiveness of interventions and implementation strategies used to improve or maintain the oral health of people with dementia or cognitive impairment. METHODS: Original studies published in English at any time until January 2015 were identified through electronic searches of the Medline, Embase, CINAHL, Scopus and Cochrane databases and hand searches of eligible studies and relevant reviews...
2017: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/28971588/optimising-mobility-through-the-sit-to-stand-activity-for-older-people-living-in-residential-care-facilities-a-qualitative-interview-study-of-healthcare-aide-experiences
#20
Sharon A Kagwa, Anne-Marie Boström, Carla Ickert, Susan E Slaughter
AIMS AND OBJECTIVES: To explore the experience of HCAs encouraging residents living in residential care to complete the sit-to-stand activity and to identify the strategies HCAs used to integrate the activity into their daily work routines. BACKGROUND: Decreased mobility in advanced ageing is further reduced when entering a residential care facility. Interventions such as the sit-to-stand activity have been shown to have a positive effect on the mobility of older people...
October 3, 2017: International Journal of Older People Nursing
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