7,639 results match your criteria coded interviews

Initiating gender-affirming hormones for transgender and non-binary people: A qualitative study of providers' perspectives on requiring mental health evaluations.

PLoS One 2022 18;17(8):e0271785. Epub 2022 Aug 18.

Institute for Healthcare Policy & Innovation, University of Michigan, Ann Arbor, Michigan, United States of America.

Objective: Gender-affirming hormones (GAH)-the use of sex hormones to induce desired secondary sex characteristics in transgender individuals-is vital healthcare for many transgender people. Among prescribers of GAH, there is debate regarding the value of a universal requirement for an evaluation by a mental health provider prior to GAH initiation. The purpose of this qualitative study was to describe the range of attitudes and approaches to mental health evaluation among GAH providers in the United States. Read More

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A Qualitative Study of "What Matters" to Older Adults in the Emergency Department.

West J Emerg Med 2022 Jul 1;23(4):579-588. Epub 2022 Jul 1.

Yale School of Medicine, Department of Internal Medicine, New Haven, Connecticut.

Introduction: The "4Ms" model - What Matters, Medication, Mentation, and Mobility - is increasingly gaining attention in age-friendly health systems, yet a feasible approach to identifying what matters to older adults in the emergency department (ED) is lacking. Adapting the "What Matters" questions to the ED setting, we sought to describe the concerns and desired outcomes of both older adult patients seeking ED care and their treating clinicians.

Methods: We conducted 46 dyadic semi-structured interviews of cognitively intact older adults and their treating clinicians. Read More

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Exploring the impacts of a fresh produce market program: a realist economic evaluation.

Aust N Z J Public Health 2022 Aug 18. Epub 2022 Aug 18.

Department of Nutrition, Dietetics and Food, School of Clinical Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Victoria.

Objective: To determine the contexts under which a fresh food market program is cost-effective in improving dignified access to nutritious food for food-insecure individuals.

Methods: A realist economic evaluation was employed. Purported cost related theories about how the program may function, known as context-mechanism-outcome configurations were developed. Read More

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Integrated parent-child music classes for preschoolers with and without autism: Parent expectations and experiences.

Ann N Y Acad Sci 2022 Aug 18. Epub 2022 Aug 18.

Department of Psychology, Randolph College, Lynchburg, Virginia, USA.

Integrated recreational programs designed to support neurodiverse children and their families are important vehicles for community participation. In this mixed-methods study, we investigated the mechanisms by which parent-child music classes for autistic and neurotypical children can support community participation. Parents of autistic (n = 33) and typically developing (TD; n = 28) preschoolers were interviewed about their expectations for and experiences of participating in a 12-week psychoeducational parent-child music program. Read More

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Exploring awareness of obstetric fistula in Eastern and Northern Nigeria: perceived causes, symptoms, and availability of treatment services.

Glob Health Res Policy 2022 Aug 18;7(1):29. Epub 2022 Aug 18.

Maternal, Newborn and Child Health, Population Council, Nigeria, House 4, No 16 Mafemi Crescent, Off Solomon Lar Way, Utako, Abuja, Nigeria.

Background: Evidence suggests that there are approximately two female genital fistula cases per 1000 women of reproductive age in sub-Saharan Africa. It is estimated that more than 200,000 women are affected by fistula in Nigeria, primarily due to obstetric causes. Awareness has been indicated as a risk factor for the development of obstetric fistula. Read More

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Identifying barriers and facilitators to routine preoperative frailty assessment: a qualitative interview study.

Can J Anaesth 2022 Aug 17. Epub 2022 Aug 17.

Department of Anesthesiology and Pain Medicine, The Ottawa Hospital, Ottawa, ON, Canada.

Purpose: Preoperative frailty assessment is recommended by multiple practice guidelines and may improve outcomes, but it is not routinely performed. The barriers and facilitators of routine preoperative frailty assessment have not been formally assessed. Our objective was to perform a theory-guided evaluation of barriers and facilitators to preoperative frailty assessment. Read More

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Patients and healthcare professionals perspectives on creating a chronic pain support line in Portugal: A qualitative study protocol.

PLoS One 2022 17;17(8):e0273213. Epub 2022 Aug 17.

Department of Biomedicine, Faculty of Medicine of University of Porto, Porto, Portugal.

Chronic pain affects almost 38% of the Portuguese adult population, with high costs for both patients and society. Those who suffer with chronic pain frequently complain of feeling misunderstood and of lack of support. These complaints are the main reason why support telephone lines for chronic pain were created in some countries. Read More

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Community voices around COVID-19 vaccine in Chennai, India: A qualitative exploration during early phase of vaccine rollout.

Indian J Med Res 2022 Aug 17. Epub 2022 Aug 17.

Division of Epidemiology & Communicable Diseases, Indian Council of Medical Research, New Delhi, India.

Background & Objectives: Globally, vaccination is considered as an important public health strategy to mitigate the impact of the COVID-19 pandemic. The purpose of the current study was to conduct an in-depth inquiry to explore perceptions of community members around COVID-19 vaccines in the southern city of Chennai, Tamil Nadu. This was conducted during the early phase of the vaccine rollout programme in India. Read More

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How gender norms and 'good girl' notions prevent adolescent girls and young women from engaging with PrEP: qualitative insights from Zimbabwe.

BMC Womens Health 2022 Aug 16;22(1):344. Epub 2022 Aug 16.

Manicaland Centre for Public Health Research, Biomedical Research and Training Institute, Harare, Zimbabwe.

Background: Pre-exposure prophylaxis, or PrEP, has been hailed for its promise to provide women with user-control. However, gender-specific challenges undermining PrEP use are beginning to emerge. We explore the role of gender norms in shaping adolescent girls and young women's (AGYW) engagement with PrEP. Read More

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Barriers to abortion provision in primary care in New England, 2019-2020: A qualitative study.

Contraception 2022 Aug 12. Epub 2022 Aug 12.

Brigham and Women's Hospital, Department of Obstetrics and Gynecology, 75 Francis St., Boston, MA, USA, 02115; Harvard Medical School, 25 Shattuck St, Boston, MA, USA, 02115.

Objective: To assess barriers to and facilitators of abortion provision among abortion-trained primary care providers.

Methods: We conducted 21 qualitative in-depth interviews with 20 abortion-trained family physicians and one internal medicine physician in five New England states. We dual-coded interviews, using a consensus method to agree upon final coding schema. Read More

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Exploring healthcare providers' experiences with specialty medication and limited distribution networks.

PLoS One 2022 15;17(8):e0273040. Epub 2022 Aug 15.

Department of Pharmaceutical Services, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America.

Integrated health-system specialty pharmacies (IHSSP) have shown high medication access, adherence, and provider satisfaction. The goal of this study was to explore healthcare providers' experiences with specialty medications distributed via Limited Distribution Networks (LDN) that do not include IHSSPs. We investigated healthcare providers' perceived impact of LDNs on clinic workflow, clinical practice, and patient outcomes. Read More

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Design and Formative Evaluation of a Virtual Voice-Based Coach for Problem-solving Treatment: Observational Study.

JMIR Form Res 2022 Aug 12;6(8):e38092. Epub 2022 Aug 12.

University of Illinois at Chicago, Chicago, IL, United States.

Background: Artificial intelligence has provided new opportunities for human interactions with technology for the practice of medicine. Among the recent artificial intelligence innovations, personal voice assistants have been broadly adopted. This highlights their potential for health care-related applications such as behavioral counseling to promote healthy lifestyle habits and emotional well-being. Read More

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A qualitative research study of primary care physicians' views of telehealth in delivering postnatal care to women.

BMC Prim Care 2022 Aug 13;23(1):206. Epub 2022 Aug 13.

SingHealth Polyclinics, 167, Jalan Bukit Merah, Connection One, Tower 5, #15-10, Singapore, 150167, Singapore.

Background: The postpartum period is a critical time for women to optimise their physical and mental health. Primary care physicians (PCP) often manage postpartum women in the community setting after uneventful births. However, women encounter difficulties accessing care before and after their conventional 6-week physical review. Read More

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The perceived quality of video consultations in geriatric outpatient care by early adopters.

Eur Geriatr Med 2022 Aug 13. Epub 2022 Aug 13.

University of Groningen, University Center for Geriatric Medicine, University Medical Center Groningen, PO Box 30.001, HPC AA-43, Groningen, The Netherlands.

Purpose: The COVID-19 pandemic caused rapid implementation and upscaling of video consulting. This study examined the perceived quality of care delivered through video consulting at a geriatric outpatient clinic, and how this related to adoption issues and barriers early adopting professionals found themselves confronted with.

Methods: We performed a qualitative study using semi-structured interviews with healthcare professionals complemented by the views of geriatric patients, family caregivers and medical secretaries. Read More

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The role of community health workers in influencing social connectedness using the household model: a qualitative case study from Malawi.

Glob Health Action 2022 Dec;15(1):2090123

Community Health Department, Partners In Health/Abwenzi Pa Za Umoyo, Neno, Malawi.

Background: Community health workers (CHWs) play a vital role in facilitating social connectedness, building trust, decrease stigma, and link communities to essential healthcare and social support services. More studies are needed to understand the factors facilitating these interactions among CHWs, clients, and community members.

Objective: This study examined the CHW role and relationships between CHWs, communities, and health facilities that promote trust, positive relationships, and social connectedness. Read More

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December 2022

'Tipping the balance' - an evaluation of COVID-19 parenting resources developed and adapted for child protection during global emergency responses.

Health Psychol Behav Med 2022 4;10(1):676-694. Epub 2022 Aug 4.

Department of Social Policy & Intervention, University of Oxford, Oxford, UK.

Parenting was severely affected by lockdown, school closure, illness, movement restrictions and the many sudden changes wrought by the global emergence of COVID-19. Responding to the need for a rapid emergency response to support parents and caregivers, a consortium of providers developed a suite of COVID-19 parenting resources based on evidence-based parenting interventions. Launched in March 2020, these were adapted for online use, with versions in over 100 languages, and the possibility for downloading, radio, and oral provision. Read More

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Uncovering the Model and Philosophy of Care of a Psychiatric Inpatient Mother-Baby Unit in a Qualitative Study with Staff.

Int J Environ Res Public Health 2022 Aug 7;19(15). Epub 2022 Aug 7.

School of Nursing & Midwifery, Griffith University, Logan, QLD 4114, Australia.

The postnatal period is high-risk time for the first onset and recurrence of maternal mental health disorders. Untreated maternal mental illness can have significant adverse impacts on a woman, her baby, and the wider family unit. For women with mental illnesses that cannot be managed in the community, psychiatric inpatient mother-baby units are the gold standard treatment whereby mothers are co-admitted with their infant for specialist perinatal and infant mental health assessment and treatment. Read More

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What Do Adolescents and Their Parents Need From Mental Health Integration in Primary Care? A Qualitative Exploration of Design Insights.

J Pediatr Health Care 2022 Aug 8. Epub 2022 Aug 8.

Assistant Investigator, Kaiser Permanente Washington Health Research Institute, and Department of Health Systems and Population Health, University of Washington, Seattle, WA.

Introduction: The design of integrated adolescent mental health care design should address needs and preferences of patients and parents/guardians.

Method: We conducted interviews and focus groups with adolescents aged 13-17 years who received care at Kaiser Permanente Washington in 2020 and interviews with parents of such adolescents. We sought to (1) understand the challenges of primary care-based mental health and substance use screening and care for adolescents and (2) identify program design solutions. Read More

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It Takes a Village: Interpersonal Factors That Enhance Management of Heart Failure.

J Cardiovasc Nurs 2022 Sep-Oct 01;37(5):E160-E168

Background: Heart failure (HF) management can be improved by involving framily (family and friends) who provide valuable support. Less is known about how dyadic interactions or interactions between dyads and their extended care networks positively impact life with HF.

Objectives: This study aimed to understand the positive behavioral, cognitive, and social factors through which patient-framily dyads manage health together. Read More

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A Qualitative Longitudinal Study of Injuries and Medical Care, Assistance, and Losses Recounted by Oklahoma City Bombing Survivors after Nearly a Quarter Century.

Prehosp Disaster Med 2022 Aug 11:1-9. Epub 2022 Aug 11.

Department of Psychiatry at the University of Texas Southwestern Medical Center, Dallas, TexasUSA.

Introduction: Terrorist incidents occur with alarming frequency. Much is known about acute injuries and psychopathology arising from terrorism, as well as medical care and functional status assessed in early post-disaster periods. Survivors' memories of these experiences may change over subsequent decades, and their perspectives may evolve. Read More

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'I'm not perfect': Navigating screen time among parents of young children during COVID-19.

Child Care Health Dev 2022 Aug 10. Epub 2022 Aug 10.

The University of Texas at Arlington School of Social Work.

Background: The use of screen time for young children has been hotly debated among experts. This study explored the utilization of screen time among mothers with young children during the COVID-19 pandemic. The objective of this study was to understand maternal motivation for utilizing screen time and how mothers have engaged in screen time since the beginning of the pandemic. Read More

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Characterizing the patient experience during neoadjuvant therapy for pancreatic ductal adenocarcinoma: A qualitative study.

World J Gastrointest Oncol 2022 Jun;14(6):1175-1186

Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH 43210, United States.

Background: Neoadjuvant therapy (NT) has increasingly been utilized for patients with localized pancreatic ductal adenocarcinoma (PDAC). It is the recommended approach for borderline resectable (BR) and locally advanced (LA) cancers and an increasingly utilized option for potentially resectable (PR) disease. Despite its increased use, little research has focused on patient-centered metrics among patients undergoing NT, including patient experiences, preferences, and recommendations. Read More

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Assessing the time use and payments of multipurpose community health workers for the various roles they play-a quantitative study of the Mitanin programme in India.

BMC Health Serv Res 2022 Aug 10;22(1):1018. Epub 2022 Aug 10.

State Health Resource Centre, Chhattisgarh, Raipur, India.

Background: Community health workers (CHWs) are crucial human resources for health. While specialist CHWs focus on a single disease vertically, the generalist or multipurpose CHWs perform wider functions. The current study was aimed at examining the time multipurpose CHWs spend on performing their different roles. Read More

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How Program Directors Understand General Surgery Resident Wellness.

J Surg Educ 2022 Aug 7. Epub 2022 Aug 7.

Michigan Medicine, Department of Surgery, Ann Arbor, Michigan. Electronic address:

Objective: Burnout among general surgery residents is prevalent. Guidance on how program directors (PDs) can effectively intervene on general surgery resident wellness is lacking. In this study, we explore how PDs learn about burnout among their residents and support their well-being. Read More

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Self-Assessment in Feedback Conversations: A Complicated Balance.

Acad Med 2022 Aug 9. Epub 2022 Aug 9.

J.L. Miller is clinical associate professor, Department of Family Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa; ORCID: http://orcid.org/0000-0001-9518-3396.

Purpose: Learner-centered feedback models encourage educators to ask learners to self-assess at the start of feedback conversations. This study examines how learners perceive and respond to self-assessment prompts during feedback conversations and assesses medical students' perceptions of and approach to self-assessment used as the basis for these conversations.

Method: All rising second-, third-, and fourth-year medical students at a midwestern U. Read More

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Understanding culturally tailored approaches in males of punjabi ancestry with alcohol use disorder at Roshni Clinic.

Ann Fam Med 2022 04 1;20(20 Suppl 1). Epub 2022 Apr 1.

Learning Objectives: 1. Identify and describe factors that are important to the care of patients of Punjabi ancestry suffering from AUD. 2. Read More

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["Feeling secure at home" starts in the hospital: A qualitative study about the experience of patients with a APN hematology].

Pflege 2022 Aug 10. Epub 2022 Aug 10.

Abteilung Praxisentwicklung und Forschung, Medizinische Direktion Pflege/MTT, Universitätsspital Basel, Schweiz.

"Feeling secure at home" starts in the hospital: A qualitative study about the experience of patients with a APN hematology High dose chemotherapy (HDC) and hematopoietic stem cell transplantation (HSCT) are complex procedures bringing about physical and mental stress for the persons affected. In preparation for the time after their stay in the hospital, patients need individual support and education already during their hospital stay. The study investigated how patients after HDC with or without HSCT experienced the preparations by a hematology Advanced Practice Nurse (APN) for the post hospitalization phase and how they experienced managing their day-to-day life back at home. Read More

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(My First Teeth): Oral Health Digital Stories from Urban Indigenous Parents.

JDR Clin Trans Res 2022 Aug 9:23800844221117143. Epub 2022 Aug 9.

Discipline of Dental Public Health, Faculty of Dentistry, University of Toronto, Toronto, Canada.

Purpose: To develop oral health-related digital story videos through interviews with Indigenous parents who shared their experiences in dealing with early childhood caries (ECC) in their children.

Methods: Indigenous parents in Winnipeg, Manitoba, Canada, were recruited from community programs from October to December 2019 as part of the Nishtam Niwiipitan (My First Teeth), a community-based participatory research study that builds on an ECC intervention. A twofold qualitative narrative approach to data collection was used: 1) interviewing participants and creating digital stories and 2) taking part in the postfilming feedback interviews. Read More

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Recruitment and retention of the rural podiatry workforce in Aotearoa New Zealand: a qualitative descriptive study of podiatrist perceptions.

J Foot Ankle Res 2022 Aug 9;15(1):58. Epub 2022 Aug 9.

Department of Podiatry, School of Clinical Sciences, Faculty of Health & Environmental Sciences, Auckland University of Technology, Private Bag 92006, Auckland, 1142, New Zealand.

Background: Past research into the Aotearoa New Zealand (NZ) podiatry workforce has indicated a shortage of podiatrists, particularly in rural NZ. However, there has been no research investigating the characteristics of the NZ rural podiatry workforce. This study aimed to explore the factors which contribute to recruitment and retention of primary care podiatrists in rural NZ. Read More

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Relationships and Resources Supporting Children With Serious Illness and Their Parents.

Hosp Pediatr 2022 Aug 10. Epub 2022 Aug 10.

Harvard Medical School, Boston, Massachusetts.

Objective: Children with complex chronic conditions (CCCs) and their parents benefit from supportive serious illness care when their conditions are severe and impact their quality of life and stress. This includes not only expert medical care but also effective relationships with the clinical team. Existing data suggest that there are opportunities for improvement. Read More

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