648 results match your criteria interviewed elicit

Successful implementation of a trans-jurisdictional, primary care, anticipatory care planning intervention for older adults at risk of functional decline: interviews with key health professionals.

BMC Health Serv Res 2021 Aug 25;21(1):871. Epub 2021 Aug 25.

Centre for Evidence and Social Innovation, Queen's University Belfast, Belfast, Northern Ireland, UK.

Background: Aging populations present a challenge to health systems internationally, due to the increasing complexity of care for older adults living with functional decline. This study aimed to elicit expert views of key health professionals on effective and sustainable implementation of a nurse-led, person-centred anticipatory care planning (ACP) intervention for older adults at risk of functional decline in a primary care setting.

Methods: We examined the feasibility of an ACP intervention in a trans-jurisdictional feasibility cluster randomized controlled trial consisting of home visits by research nurses who assessed participants' health, discussed their health goals and devised an anticipatory care plan following consultation with participants' GPs and adjunct clinical pharmacist. Read More

View Article and Full-Text PDF

Perspectives of Australian GPs on tailoring fall risk management: a qualitative study.

Aust J Prim Health 2021 Aug 13. Epub 2021 Aug 13.

Falls among older people are highly prevalent, serious and costly, and translation of evidence about falls prevention needs to occur urgently. GPs can identify older people at risk of falling and put preventative measures in place before a fall. Because GPs are key to identifying older people at risk of falls and managing falls risk, this study explored how GPs adapted to the iSOLVE (Integrated SOLutions for sustainable falls preVEntion) process to embed evidence-based falls prevention strategies within primary care, and whether and how they changed their practice. Read More

View Article and Full-Text PDF

Willingness to report treatment-related symptoms of immunotherapy among patients with non-small cell lung cancer.

Qual Life Res 2021 Aug 12. Epub 2021 Aug 12.

AstraZeneca Gothenburg, Mölndal, Sweden.

Purpose: Immunotherapy is an evolving therapeutic approach for non-small cell lung cancer (NSCLC). This study explored factors involved in patients' perceptions about reporting or not reporting treatment-related symptoms experienced while undergoing immunotherapy.

Methods: Patients receiving immunotherapy for NSCLC were recruited in the USA and Europe. Read More

View Article and Full-Text PDF

Willingness to use a wearable device capable of detecting and reversing overdose among people who use opioids in Philadelphia.

Harm Reduct J 2021 07 23;18(1):75. Epub 2021 Jul 23.

Perelman School of Medicine, University of Pennsylvania, 3450 Hamilton Walk, Stemmler Building, Office #220, Philadelphia, PA, 19104, USA.

Background: The incidence of opioid-related overdose deaths has been rising for 30 years and has been further exacerbated amidst the COVID-19 pandemic. Naloxone can reverse opioid overdose, lower death rates, and enable a transition to medication for opioid use disorder. Though current formulations for community use of naloxone have been shown to be safe and effective public health interventions, they rely on bystander presence. Read More

View Article and Full-Text PDF

"Made Me Realize That Life Is Worth Living": A Qualitative Study of Patient Perceptions of a Primary Palliative Care Intervention.

J Palliat Med 2021 Jul 14. Epub 2021 Jul 14.

Division of General Internal Medicine, Department of Medicine, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, Colorado, USA.

Primary palliative care is needed to meet the complex needs of patients with serious illness and their families. However, patient perceptions of primary palliative care are not well understood and can inform subsequent primary palliative care interventions and implementation. Elicit the patient perspective on a primary palliative care intervention, Collaborative Care to Alleviate Symptoms and Adjust to Illness (CASA), from patient perspectives. Read More

View Article and Full-Text PDF

Pre-exposure prophylaxis use among HIV serodiscordant couples: a qualitative study in Mozambique.

Glob Health Action 2021 01;14(1):1940764

Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, TN, USA.

Background: Pre-exposure prophylaxis (PrEP) has the potential to reduce HIV transmission and stem the HIV epidemic. Unfortunately, PrEP uptake in rural sub-Saharan Africa has been slow and medication adherence has been suboptimal.

Objective: To explore the perspectives, attitudes, and experiences of HIV serodiscordant partners taking PrEP and develop a messaging campaign to improve PrEP uptake in rural Mozambique to reduce HIV transmission among serodiscordant partners. Read More

View Article and Full-Text PDF
January 2021

Culture-Related Health Disparities in Quality of Life: Assessment of Instrument Dimensions Among Chinese.

Front Public Health 2021 9;9:663904. Epub 2021 Jun 9.

Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.

Health-related quality of life (HRQoL) is one of the major focuses of primary care. However, HRQoL instruments used in China are mainly developed from Western countries. Such instruments may not cover all important health concepts valued by the Chinese as health is a culture-specific concept. Read More

View Article and Full-Text PDF

Participation in gardening activity and its association with improved mental health among family caregivers of people with dementia in rural Uganda.

Prev Med Rep 2021 Sep 30;23:101412. Epub 2021 May 30.

Mbarara University of Science and Technology, Mbarara, Uganda.

Evidence from high-income settings suggests that gardening is associated with reductions in depression, anxiety, and stress. The benefits of gardening are less well understood by mental health practitioners and researchers from low- and middle-income countries. Our study estimated the association between participation in gardening and symptoms of depression, anxiety, and stress among caregivers of people living with dementia in rural, southwestern Uganda. Read More

View Article and Full-Text PDF
September 2021

Positioning the National Health Insurance for financial sustainability and Universal Health Coverage in Ghana: A qualitative study among key stakeholders.

PLoS One 2021 15;16(6):e0253109. Epub 2021 Jun 15.

Department of Health Policy Planning and Management, School of Public Health, University of Ghana, Legon, Accra.

Introduction: The National Health Insurance Scheme (NHIS) was introduced in 2003 to reduce "out-of-pocket" payments for health care in Ghana. Over a decade of its implementation, issues about the financial sustainability of this pro-poor policy remains a crippling fact despite its critical role to go towards Universal Health Coverage. We therefore conducted this study to elicit stakeholders' views on ways to improve the financial sustainability of the operations of NHIS. Read More

View Article and Full-Text PDF

Beyond price and income: Preferences and food values in peri-urban Viet Nam.

Appetite 2021 11 19;166:105439. Epub 2021 Jun 19.

Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, 02144, United States.

Sub-optimal diets are one of the most important risk factors contributing to the global burden of disease. Developing a better understanding of the drivers of food choice, including the role of individual preferences, is important to address this issue. The objective of this mixed methods research was to identify the relative importance of preferences for different food quality attributes (e. Read More

View Article and Full-Text PDF
November 2021

Qualitative research methods in psychiatry in India: Landscaping the terrain.

Indian J Psychiatry 2021 Jan-Feb;63(1):5-14. Epub 2021 Feb 15.

Regional Medical Research Centre, Indian Council of Medical Research, Bhubaneswar, Odisha, India.

Background: Qualitative research methods (QRMs) bear a critical role in psychiatry as they explore the phenomenology of psychiatric illness and its sociocultural dimensions. However, there is limited evidence regarding its use in psychiatric research in India.

Aim: This study, under the aegis of mapping qualitative health research in India initiative, attempted to landscape the use of QRMs in psychiatry and elicited expert opinion on its potential, perceived quality, and scope for improvement. Read More

View Article and Full-Text PDF
February 2021

Exploring the challenges of women taking antiretroviral treatment during the COVID-19 pandemic lockdown in peri-urban Harare, Zimbabwe.

Int J Gynaecol Obstet 2021 Aug 14;154(2):220-226. Epub 2021 Jun 14.

Manchester Metropolitan University Faculty of Health, Manchester, UK.

Objective: To explore the challenges of women taking antiretroviral treatment (ART) during the COVID-19 pandemic lockdown in a peri-urban area.

Methods: An exploratory qualitative study approach was used. Semi-structured questions were devised and used to elicit data on the impact of the COVID-19 lockdown on women accessing treatment for HIV. Read More

View Article and Full-Text PDF

Eliciting primary care and oncology provider perspectives on diabetes management during active cancer treatment.

Support Care Cancer 2021 May 21. Epub 2021 May 21.

Division of General Internal Medicine, Department of Medicine, Weill Cornell Medicine, 420 East 70th Street, 3rd Floor (LH359), New York, NY, 10021, USA.

Purpose: We sought to elicit the perspectives of primary care providers (PCPs) and oncologists regarding their expectations on who should be responsible for diabetes management, as well as communication mode and frequency about diabetes care during cancer treatment.

Methods: In-depth interviews were conducted with PCPs (physicians and nurse practitioners) and oncologists who treat cancer patients with type 2 diabetes. Interviews were audio-recorded and professionally transcribed. Read More

View Article and Full-Text PDF

A comparative study of factors for interruption of antitubercular treatment among defaulters in urban and rural areas of Kamrup District, Assam.

J Family Med Prim Care 2021 Jan 30;10(1):127-131. Epub 2021 Jan 30.

Assistant Professor, Department of Community Medicine, Fakhruddin Ali Ahmed Medical College, Barpeta, Assam, India.

Background: Defaulting from treatment is an important challenge for tuberculosis (TB) control. As per the Revised National Tuberculosis Control Programme quarterly reports of Kamrup District (Assam), among the registered cases default rate was 13.3%(2008) & 13. Read More

View Article and Full-Text PDF
January 2021

Stated Preferences in Non-Small-Cell Lung Cancer: A Discrete Choice Experiment.

Patient Prefer Adherence 2021 30;15:911-917. Epub 2021 Apr 30.

Health Technology Assessment Unit, Instituto Nacional de Cardiologia, Rio de Janeiro, Rio de Janeiro, Brazil.

Introduction: The different alternatives for non-small-cell lung cancer (NSCLC) treatment can increase survival but cause important adverse events. Therefore, patients' preference can play a critical role in decision-making. Among stated preference methods, discrete choice experiment (DCE) is the most applied in health care to elicit preferences. Read More

View Article and Full-Text PDF

Caregiver and provider experiences of physical, occupational, and speech therapy for children with medical complexity.

J Pediatr Rehabil Med 2021 Apr 29. Epub 2021 Apr 29.

Department of Pediatrics, University of Washington, Seattle, WA, USA.

Purpose: Children with medical complexity (CMC) often use rehabilitative services ("therapy") to achieve optimal health outcomes. The study aims were to characterize caregiver and provider experiences with: 1) determining the suitability of therapy and 2) obtaining therapy for CMC.

Methods: Primary caregivers of CMC (n = 20) and providers (n = 14) were interviewed using semi-structured questions to elicit experiences of therapy. Read More

View Article and Full-Text PDF

Psychiatric morbidity in children and adolescents with dermatological disorders.

Scand J Child Adolesc Psychiatr Psychol 2021 29;9:1-8. Epub 2021 Jan 29.

Department of Dermatology, Sultan 1. Murat State Hospital, Edirne, Turkey.

Background: Understanding the existence of a cycle, where psychological disturbances cause skin diseases and in turn, skin diseases cause psychological disorders, provides the basis for good dermatological practice.

Objective: The aim of this case-control study is to examine the psychiatric morbidity of dermatological disorders in children and adolescents with no history of psychiatric disorders.

Method: In this study, 502 participants (251 patients and 251 healthy individuals) were evaluated according to DSM-IV criteria. Read More

View Article and Full-Text PDF
January 2021

Developing an Embedded Nursing Service within a Homeless Shelter: Client's Perspectives.

Int J Environ Res Public Health 2021 04 28;18(9). Epub 2021 Apr 28.

School of Nursing, Midwifery and Social Work, Canterbury Christ Church University, Canterbury CT1 1QU, UK.

This phenomenological case study of a newly developed nursing service, embedded within a homeless shelter in the South East of England, uses semi-structured to elicit experiences and perceptions of clients within the service. Participants ( = 6) were interviewed using a semi-structured approach and identified three broad themes: impact of previous healthcare experiences, benefits of embedding healthcare within the shelter, and future service development. The study illuminates the diversity and complexity of healthcare needs of homeless people, as well as offers a unique insight into the service user's perception of the service. Read More

View Article and Full-Text PDF

Palliative Medicine in Myelodysplastic Syndromes: Patients and Caregivers - A Qualitative Study.

BMJ Support Palliat Care 2021 Apr 26. Epub 2021 Apr 26.

Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.

Objectives: Evidence-based guidelines call for integration of palliative care within oncology from diagnosis. Misperceptions about palliative care have impeded implementation. Prior research has not examined perceptions about 'palliative care' versus 'supportive care' among patients and caregivers to whom this care is introduced routinely as part of comprehensive cancer care. Read More

View Article and Full-Text PDF

Chronic enteropathy in dogs - retrospective case analysis and results of an owner survey.

Tierarztl Prax Ausg K Kleintiere Heimtiere 2021 Apr 26;49(2):94-103. Epub 2021 Apr 26.

Small Animal Clinic, Veterinary University Hannover, Foundation.

Objective: Chronic gastrointestinal diseases in dogs are common and often require intensive diagnostic work-up and lifelong therapy. In this study, a survey of owners of affected dogs was conducted in parallel with a retrospective case analysis from the clinic's documentation system.

Material And Methods: The records of dogs with gastrointestinal symptomatology and exclusion of an extraintestinal cause, presented from January 2011 to October 2018, were acquired from the clinic's case system and analysed. Read More

View Article and Full-Text PDF

Factors Influencing Compliance with The Utilization of Effective Malaria Treatment and Preventive Measures in Wulu, South Sudan.

Ethiop J Health Sci 2020 Jul;30(4):501-512

Department of Public Health School of Public Health, Texila American University Georgetown, Guyana, South America.

Background: High incidence of malaria disease in South Sudan may be largely due to poor/non-compliance with effective treatment and preventive measures. This study examined factors limiting/enhancing compliance with the utilization of known and effective malaria treatment and preventive measures in Wulu, South Sudan.

Methods: A case-control study involving 396 respondents was conducted. Read More

View Article and Full-Text PDF

Psychotic symptoms associate inversely with social support, social autonomy and psychosocial functioning: A community-based study.

Int J Soc Psychiatry 2021 Apr 20:207640211011198. Epub 2021 Apr 20.

Department of Psychiatry, Faculty of Medicine, University of Granada, Granada, Spain.

Background: Population-based studies exploring psychotic symptoms (PS) show that their prevalence in the community is higher than previously thought. Psychosocial functioning and social support are poorer among people presenting clinical and subclinical PS.

Aims: We aimed to estimate the prevalence rate of PS in Andalusia and to explore the association between PS and psychosocial functioning, social support and social autonomy in a Southern European population. Read More

View Article and Full-Text PDF

Multimethods study comparing the experiences of medical clinical academics with nurses, midwives and allied health professionals pursuing a clinical academic career.

BMJ Open 2021 04 1;11(4):e043270. Epub 2021 Apr 1.

College of Life Sciences, University of Leicester, Leicester, UK.

Objectives: This study aimed to compare experiences of medical clinical academics (MCAs) with those of nurses, midwives and allied health professionals (NMAHPs) pursuing a clinical academic career.

Design: A multimethods approach was used to elicit qualitative data. Both sets of participants completed similar online surveys followed by in-depth interviews to explore emerging themes. Read More

View Article and Full-Text PDF

Experiences of peer support specialists supervised by nonpeer supervisors.

Psychiatr Rehabil J 2021 Apr 1. Epub 2021 Apr 1.

Department of Psychiatric Rehabilitation and Counseling Professions, School of Health Professions, Rutgers the State University.

Objective: This article reports on a qualitative study examining the experiences of peer support specialists (PSS) supervised by nonpeer supervisors (NPS) in adult community mental health settings.

Method: Potential participants completed a demographic survey designed to address inclusionary criteria. From those eligible, a random number generator selected participants to be interviewed using a semistructured interview guide. Read More

View Article and Full-Text PDF

Ethnobotany and diversity of medicinal plants used by the Buyi in eastern Yunnan, China.

Plant Divers 2020 Dec 7;42(6):401-414. Epub 2020 Oct 7.

College of Life and Environmental Sciences, Minzu University of China, Beijing, 100081, China.

The Buyi are a socio-linguistic group in Yunnan Province of southwest China that have a long history of using medicinal plants as part of their indigenous medical system. Given the limited written documentation of the Buyi indigenous medical system, the objective of this paper is to document the medicinal plants of the Buyi and associated traditional knowledge and transmission. Field research was conducted in four villages in Lubuge Township of Luoping County in Yunnan Province using ethnobotanical methodologies including participatory observation, semi-structured interviews, key informant interviews, and focus group discussions to elicit information on medicinal plants. Read More

View Article and Full-Text PDF
December 2020

Nurturing Grit among Medical Students.

Pak J Med Sci 2021 Mar-Apr;37(2):531-535

Dr. Usman Mahboob, MBBS, MPH, FHEA, DHPE, Fellow FAIMER Institute of Health Professions Education and Research, Khyber Medical University, Peshawar, Pakistan.

Objective: To identify the learning strategies used by the medical students with high Grit for design and implementation of a three months course, to assist the medical students having low Grit.

Methods: A mixed-method study with explanatory sequential design was followed by an intervention to improve Grit amongst first year students at Foundation University Medical College from March to August 2019. Non-probability convenience sampling was used in the Phase-I. Read More

View Article and Full-Text PDF

Qualitative exploration of factors influencing the plan selection process by Medicare beneficiaries.

J Manag Care Spec Pharm 2021 Mar;27(3):339-353

Department of Health Outcomes Research and Policy, Auburn University Harrison School of Pharmacy, Auburn, AL.

Because Medicare plan coverage and costs change annually and older adults, the major beneficiaries of Medicare, are faced with multiple health conditions and changing medical needs, Medicare beneficiaries should evaluate their options during open enrollment every year. However, because of the complexity of plan selection, it may be challenging for Medicare beneficiaries to make an appropriate decision from among competing options. To (a) identify factors that beneficiaries consider having influenced their plan selection decision and (b) describe the decision-making process according to the consumer decision-making model (CDM). Read More

View Article and Full-Text PDF

Developing pathways, a hope-enhancing intervention for metastatic lung cancer patients receiving cancer treatment.

Psychooncology 2021 Jun 26;30(6):863-873. Epub 2021 Feb 26.

Department of Social Sciences & Health Policy, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.

Objective: Between 40% and 65% of lung cancer patients report concern about maintaining valued activities and roles, yet few interventions address this concern. Hope, a patient's perceived ability to generate goals and identify ways to pursue them, may be a promising intervention target to support function among lung cancer patients. The goal of this study was to assess metastatic non-small cell lung cancer (mNSCLC) patient interest and preferences for a hope-enhancing intervention. Read More

View Article and Full-Text PDF

How individual ethical frameworks shape physician trainees' experiences providing end-of-life care: a qualitative study.

J Med Ethics 2021 Feb 16. Epub 2021 Feb 16.

Division of Hospital Medicine, Department of Medicine, University of California San Francisco, San Francisco, California, USA

Objectives: The end of life is an ethically challenging time requiring complex decision-making. This study describes ethical frameworks among physician trainees, explores how these frameworks manifest and relates these frameworks to experiences delivering end-of-life care.

Design: We conducted semistructured in-depth exploratory qualitative interviews with physician trainees about experiences of end-of-life care and moral distress. Read More

View Article and Full-Text PDF
February 2021