4,146 results match your criteria participants integrating

Integrating community health volunteers into non-communicable disease management among Syrian refugees in Jordan: a causal loop analysis.

BMJ Open 2021 Apr 20;11(4):e045455. Epub 2021 Apr 20.

International Rescue Committee, New York, New York, USA.

Objectives: Globally, there is emerging evidence on the use of community health workers and volunteers in low-income and middle-income settings for the management of non-communicable diseases (NCDs), provision of out-of-clinic screening, linkage with health services, promotion of adherence, and counselling on lifestyle and dietary changes. Little guidance exists on the role of this workforce in supporting NCD care for refugees who lack access to continuous care in their host country. The goals of this work were to evaluate the current roles of community health volunteers (CHVs) in the management of diabetes and hypertension (HTN) among Syrian refugees and to suggest improvements to the current primary care model using community health strategies. Read More

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Integrating theory-based and data-driven methods to case conceptualization: A functional analysis approach with ecological momentary assessment.

Psychother Res 2021 Apr 20:1-13. Epub 2021 Apr 20.

Pain and Psychotherapy Research Lab, Universität Koblenz-Landau, Landau in der Pfalz, Germany.

Ecological momentary assessment (EMA) and network analysis are promising empirical developments for psychotherapy research and practice, but they lack a therapeutic rationale that could guide case conceptualization and treatment planning. We developed an assessment strategy that aims to assess functional analysis with EMA. The assessment strategy was applied to a series of three N-of-1 assessments in a proof-of-concept study. Read More

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Protocol for building a cognitive map of structural knowledge in humans by integrating abstract relationships from separate experiences.

STAR Protoc 2021 Jun 30;2(2):100423. Epub 2021 Mar 30.

Center for Mind and Brain, University of California, Davis, Davis, CA, USA.

Humans are adept at learning the latent structure of the relationship between abstract concepts and can build a cognitive map from limited experiences. However, examining internal representations of the cognitive map is challenging because they are unobservable and differ across individuals. Here, we introduce a behavioral training protocol designed for human participants to implicitly build a map of two-dimensional social hierarchies while making a series of binary choices and analytic tools for measuring the internal representation of this structural knowledge. Read More

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Warning Messages in Crisis Communication: Risk Appraisal and Warning Compliance in Severe Weather, Violent Acts, and the COVID-19 Pandemic.

Front Psychol 2021 1;12:557178. Epub 2021 Apr 1.

Department of Health and Prevention, University of Greifswald, Greifswald, Germany.

Background: In crisis communication, warning messages are key to informing and galvanizing the public to prevent or mitigate damage. Therefore, this study examines how risk appraisal and individual characteristics influence the intention to comply with behavioral recommendations of a warning message regarding three hazard types: the COVID-19 pandemic, violent acts, and severe weather.

Methods: A cross-sectional survey examined 403 German participants from 18 to 89 years ( = 29. Read More

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Integration of predictions and afferent signals in body ownership.

Cognition 2021 Apr 14;212:104722. Epub 2021 Apr 14.

Department of Neuroscience, Brain, Body and Self Laboratory, Karolinska Institutet, Sweden.

We aimed at investigating the contribution of sensory predictions triggered by the sight of an object moving towards the body for the sense of body ownership. We used a recently developed psychophysical discrimination task to assess body ownership in the rubber hand illusion. In this task, the participants had to choose which of the two right rubber hands in view felt most like their own, and the ownership discriminations were fitted to psychometric curves. Read More

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Recent Trends in Patient Registries for Health Services Research.

Methods Inf Med 2021 Apr 16. Epub 2021 Apr 16.

TMF Technology, Methods, and Infrastructure for Networked Medical Research, Berlin, Germany.

Background:  Patient registries are an established methodology in health services research. Since more than 150 years, registries collect information concerning groups of similar patients to answer research questions. Elaborated recommendations about an appropriate development and an efficient operation of registries are available. Read More

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Dividing attention influences contextual facilitation and revision during language comprehension.

Brain Res 2021 Apr 13:147466. Epub 2021 Apr 13.

Beckman Institute for Advanced Science and Technology, University of Illinois Urbana-Champaign, USA; Department of Psychology, University of Illinois Urbana-Champaign, USA; Program in Neuroscience, University of Illinois Urbana-Champaign, USA.

Although we often seem to successfully comprehend language in the face of distraction, few studies have examined the role of sustained attention in critical components of sentence processing, such as integrating information over a sentence and revising predictions when unexpected information is encountered. The current study investigated the impact of attention on sentence processing using a novel dual-task paradigm. Participants read weakly and strongly constraining sentences with expected or unexpected endings while also tracking the motion of dots in the background, and their EEG was recorded. Read More

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Sleep strengthens integration of spatial memory systems.

Learn Mem 2021 May 15;28(5):162-170. Epub 2021 Apr 15.

Institute for Medical Psychology and Behavioral Neurobiology, University Tübingen, 72076 Tübingen, Germany.

Spatial memory comprises different representational systems that are sensitive to different environmental cues, like proximal landmarks or local boundaries. Here we examined how sleep affects the formation of a spatial representation integrating landmark-referenced and boundary-referenced representations. To this end, participants ( = 42) were familiarized with an environment featuring both a proximal landmark and a local boundary. Read More

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Differential age trajectories of white matter changes between sexes correlate with cognitive performances.

Brain Connect 2021 Apr 15. Epub 2021 Apr 15.

National Yang Ming Chiao Tung University, Institute of Neuroscience, Taipei, Taiwan.

Background: Aging is accompanied by a gradual deterioration in multiple cognitive abilities and brain structures. Both cognitive function and white matter (WM) structure are found to be associated with neurodegeneration diseases and correlated with sex during aging. However, it is still unclear whether the brain structural change could be attributable to sex, and how sex would affect cognitive performances during aging. Read More

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Land-use Decisions in Complex Commons: Engaging Multiple Stakeholders through Foresight and Scenario Building in Indonesia.

Environ Manage 2021 Apr 14. Epub 2021 Apr 14.

Center for International Forestry Research (CIFOR), Bogor, Indonesia.

In the midst of global change uncertainties, Indonesian spatial planning authorities are developing 20-year strategies. However, the lack of collaborative engagement of stakeholders and unclear methodology around using futures studies in addressing land management undermine such plans and affect environmental governance. A crucial question is how to link a future-oriented process with governance transformation processes, particularly related to land-use planning and management. Read More

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Developing a Decision Aid to Facilitate Informed Decision Making About Invasive Mechanical Ventilation and Lung Transplantation Among Adults With Cystic Fibrosis: Usability Testing.

JMIR Hum Factors 2021 Apr 14;8(2):e21270. Epub 2021 Apr 14.

Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Feinstein Institutes for Medical Research, Center for Health Innovations and Outcomes Research, Manhasset, NY, United States.

Background: Cystic fibrosis (CF) is a life-limiting genetic disease that causes chronic lung infections. We developed an internet-based decision aid (DA) to help patients with CF make better informed decisions regarding treatments and advance care planning. We built the DA around two major treatment decisions: whether to have a lung transplant and whether to agree to invasive mechanical ventilation (intubation). Read More

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Children's perceptions of a Centrally Procured School Food Program in southwestern Ontario, Canada.

Health Promot Chronic Dis Prev Can 2021 Apr;41(4):131-137

Western University, London, Ontario, Canada.

Introduction: This qualitative study investigates children's perceptions of the influences of a Centrally Procured School Food Program on their dietary behaviours and their recommendations on how to improve the program.

Methods: The observations of 208 students aged 9 to 14 years (Grades 5-8) at 21 elementary schools were collected through focus groups in 2017/18. The larger intervention consisted of a 10-week program offering daily snacks (i. Read More

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Building consensus on inpatient discharge pathway components in the management of blunt thoracic injuries: An e-Delphi study amongst an international professional expert panel.

Injury 2021 Apr 5. Epub 2021 Apr 5.

Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, James Clerk Maxwell Building, 57 Waterloo Road, London SE1 8WA, UK. Electronic address:

Introduction: Access to a standardised and evidence informed approach to blunt thoracic injury (BTI) management remains challenging across organised trauma systems globally. It remains important to optimise recovery through pathway-based interventions. The aim of this study was to identify components of care that are important in the effective discharge process for patients with BTI and pinpoint core and optional components for a patient pathway-based intervention. Read More

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Integration of In Situ Simulation Into an Emergency Department Code Orange Exercise in a Tertiary Care Trauma Referral Center.

AEM Educ Train 2021 Apr 17;5(2):e10485. Epub 2020 Jun 17.

and the Department of Obstetrics & Gynecology Department of Innovation in Medical Education University of Ottawa Ottawa Ontario Canada.

Objectives: Disaster-preparedness and response are a commonly overlooked aspect of hospital policy and can frequently be outdated and undertested. Simulation-based education has become a core education modality within Canadian medical training programs. We hypothesized that integrating in situ simulation (ISS) into a hospital-wide, mass-casualty response exercise would enhance realism and our ability to identify latent safety threats (LSTs). Read More

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"Far More than Just a Prescription": Focus Groups With U.S. Family Planning Providers and Staff About Integrating PrEP for HIV Prevention Into Their Work.

Womens Health Issues 2021 Apr 7. Epub 2021 Apr 7.

Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Francisco, San Francisco, California.

Background: Cisgender women in the United States use pre-exposure prophylaxis (PrEP) for HIV prevention at lower rates relative to other groups. Advocacy groups and patients identify family planning clinics as the preferred sites to lead PrEP implementation for women in the United States. However, limited qualitative exploration exists of U. Read More

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A survey of nurses' experience integrating oncology clinical and academic worlds.

Nurs Open 2021 Apr 9. Epub 2021 Apr 9.

School of Nursing and Midwifery, Mount Royal University, Calgary, AB, Canada.

Aim: To better understand how oncology nurses (a) navigate graduate studies; (b) perceive the impact of their academic work on their clinical practice, and vice versa; and (c) engage with clinical settings following graduate work.

Design: Interpretive descriptive cross-sectional survey.

Methods: A qualitative exploratory web-based survey exploring integration of graduate studies and clinical nursing practice. Read More

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We Speak a Different Language: End-of-Life and Bereavement Experiences of Older Lesbian, Gay, and Bisexual Women Who Have Lost a Spouse or Partner.

Qual Health Res 2021 Apr 9:10497323211002823. Epub 2021 Apr 9.

Miami University, Oxford, Ohio, USA.

We examine the end-of-life (EOL) experiences, communications, and grief support during and after their loved one's death of older lesbian, gay, and bisexual women (LGB) ages 60 to 85 who have lost a spouse or partner. Queer gerontology was used as a theoretical framework, and descriptive qualitative analytical methods were used to discern themes. Through semi-structured interviews with a purposive sample of 16 participants, we identified two main themes: Gathering the Women and Compassionate Care. Read More

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Improving Individual Brain Age Prediction Using an Ensemble Deep Learning Framework.

Front Psychiatry 2021 23;12:626677. Epub 2021 Mar 23.

Aging and Health Research Center, National Yang Ming Chiao Tung University, Taipei, Taiwan.

Brain age is an imaging-based biomarker with excellent feasibility for characterizing individual brain health and may serve as a single quantitative index for clinical and domain-specific usage. Brain age has been successfully estimated using extensive neuroimaging data from healthy participants with various feature extraction and conventional machine learning (ML) approaches. Recently, several end-to-end deep learning (DL) analytical frameworks have been proposed as alternative approaches to predict individual brain age with higher accuracy. Read More

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High Perceived Stigma Among People Living with HIV/AIDS in a Resource Limited Setting in Western Ethiopia: The Effect of Depression and Low Social Support.

HIV AIDS (Auckl) 2021 1;13:389-397. Epub 2021 Apr 1.

Maternal and Child Wellbeing Unit, African Population and Health Research Centre, Nairobi, Kenya.

Background: Antiretroviral therapy (ART) is only one part of a successful range of care among people living with HIV/AIDS (PLWHA). Stigma and low social support are emerging issues worsening the success of ART for PLWHA. This study thus aimed to investigate the level of perceived stigma among PLWHA. Read More

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Add on yoga treatment for negative symptoms of schizophrenia: A multi-centric, randomized controlled trial.

Schizophr Res 2021 Apr 5;231:90-97. Epub 2021 Apr 5.

National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India.

The efficacy of antipsychotic medications in the treatment of negative symptoms of schizophrenia is modest at best. Preliminary studies suggest the beneficial effects of add on Yoga, a traditional Indian practice, in the treatment of schizophrenia. Hence, in this study, we examined the efficacy of yoga as an add-on treatment for negative symptoms of schizophrenia in a randomized, wait-list controlled design from two clinical institutes in south India. Read More

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Assess, Plan, Do, Evaluate, and Report: Iterative Cycle to Remove Academic Control of a Community-Based Physical Activity Program.

Prev Chronic Dis 2021 Apr 8;18:E32. Epub 2021 Apr 8.

Bluefield College, Department of Biology, Bluefield, Virginia.

Purpose And Objectives: Responsive methods and measures are needed to bridge research to practice and address public health issues, such as older adults' need for multicomponent physical activity. The objective of this study was to detail the longitudinal, quasi-experimental work that spans 5 years to describe outcomes across RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) dimensions of integrating a physical activity intervention for older adults into the Cooperative Extension System through the assess, plan, do, evaluate, report (APDER) cycle.

Intervention Approach: The participant-level intervention is Lifelong Improvements through Fitness Together (LIFT), an 8-week, group dynamics-based, strength-training program with 16 in-person sessions. Read More

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Fit for work and life: an innovative concept to improve health and work ability of employees, integrating prevention, therapy and rehabilitation.

J Rehabil Med 2021 03 30. Epub 2021 Mar 30.

Department of Rehabilitation Medicine, Coordination Centre for Rehabilitation Research, Hannover Medical School, Carl-Neuberg-Str. 1, DE-30625 Hannover, Germany.

Objectives: To set up a comprehensive health programme for employees, with needs-based allocation to preventive and rehabilitative measures; and to evaluate the effects of the programme on work ability and sick leave.

Design: Prospective single-group observational study.

Methods: Employees of a university hospital were invited to participate in needs-based interventions of preventive or rehabilitative character. Read More

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eHealth Literacy of Medical and Health Science Students and Factors Affecting eHealth Literacy in an Ethiopian University: A Cross-Sectional Study.

Appl Clin Inform 2021 Mar 7;12(2):301-309. Epub 2021 Apr 7.

Department of Epidemiology and Biostatistics, Institute of Public Health, University of Gondar, Gondar, Ethiopia.

Background:  eHealth literacy is individual's ability to look for, understand, and evaluate health information from electronic sources. Integrating eHealth literacy to the health system could help lower health care costs and ensure health equity. Despite its importance, the eHealth literacy level in Ethiopia has not been studied on medical and health science students, who are important parties in the health system. Read More

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Acceptability and Feasibility of Pharmacy-Based Delivery of Pre-Exposure Prophylaxis in Kenya: A Qualitative Study of Client and Provider Perspectives.

AIDS Behav 2021 Apr 7. Epub 2021 Apr 7.

Department of Global Health, University of Washington, 325 Ninth Avenue, Seattle, Washington, 98104, USA.

As countries scale up pre-exposure prophylaxis (PrEP) for HIV prevention, diverse PrEP delivery models are needed to expand access to populations at HIV risk that are unwilling or unable to access clinic-based PrEP care. To identify factors that may influence implementation of retail pharmacy-based PrEP delivery in Kenya, we conducted in-depth interviews with 40 pharmacy clients, 16 pharmacy providers, 16 PrEP clients, and 10 PrEP providers from two provinces. Most participants expressed strong support for expanding PrEP to retail pharmacies, though conditioned their acceptance on assurances that care would be private, respectful, safe, and affordable. Read More

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Exploring patient centredness, communication and shared decision-making under a new model of care: Community rehabilitation in canada.

Health Soc Care Community 2021 Apr 6. Epub 2021 Apr 6.

Alberta Health Services, Calgary, Canada.

Patient-centred care and patient engagement in healthcare and health research are widely mandated by funders, health systems and institutions. Increasingly, shared decision-making (SDM) is recognised as promoting patient-centred care. We explore this relationship by studying SDM in the context of integrating novel patient-centred policies in community rehabilitation. Read More

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Family Medicine Physicians' Perspectives Regarding Rural Behavioral Health Care: Informing Ideas for Increasing Access to High-Quality Services.

J Behav Health Serv Res 2021 Apr 6. Epub 2021 Apr 6.

Department of Family Social Science, University of Minnesota, 290 McNeal Hall, 1985 Buford Ave., Saint Paul, MN, 55108, USA.

Primary care settings often function as the front lines for behavioral health services in rural areas. The lack of formal behavioral health care in rural areas is also well documented. Rural family practice physicians were interviewed regarding the state of behavioral health care in their communities and their ideas for increasing access to quality care. Read More

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Framework for interprofessional case conferences - empirically sound and competence-oriented communication concept for interprofessional teaching.

GMS J Med Educ 2021 15;38(3):Doc65. Epub 2021 Feb 15.

Hsg Bochum - Hochschule für Gesundheit, Bochum, Germany.

Interprofessional case conferences support future team-based approaches to healthcare, and inevitably require targeted communication between the various participants. However, the success of communication during a case conference must be learnt explicitly. The subject of conversation is often the only outcome of the case conference that is discussed in plenary or small groups. Read More

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February 2021

Costs of integrating hypertension care into HIV care in rural East African clinics.

AIDS 2021 05;35(6):911-919

Division of HIV, Infectious Diseases & Global Medicine, University of California, San Francisco, California, USA.

Objective: Sub-Saharan Africa faces twin epidemics of HIV and noncommunicable diseases including hypertension. Integrating hypertension care into chronic HIV care is a global priority, but cost estimates are lacking. In the SEARCH Study, we performed population-level HIV/hypertension testing, and offered integrated streamlined chronic care. Read More

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Reduced heart rate variability is associated with higher illness burden in bipolar disorder.

J Psychosom Res 2021 Mar 30:110478. Epub 2021 Mar 30.

Department of Psychiatry, University of Toronto, Toronto, ON, Canada; Centre for Addiction and Mental Health, Toronto, ON, Canada.

Background: Bipolar disorder (BD) is associated with premature death and ischemic heart disease is the main cause of excess mortality. Heart rate variability (HRV) predicts mortality in patients with or without cardiovascular disease. While several studies have analyzed the association between HRV and BD, none has analyzed the association of HRV with illness burden in BD. Read More

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An application of Systematic Anomalous Case Analysis to improve models predicting contraceptive use in the Philippines.

J Biosoc Sci 2021 Apr 5:1-14. Epub 2021 Apr 5.

Department of Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles, CA, USA.

Amidst persistently high unintended pregnancy rates and lags in contraceptive use, novel methodological approaches may prove useful in investigating sexual and reproductive health outcomes in the Philippines. Systematic Anomalous Case Analysis (SACA) - a mixed-methods technique - was employed to examine predictors of women's lifetime contraceptive use. First, multivariable, longitudinal Poisson regression models predicted fertility and sexual debut using the 1998-2009 Cebu Longitudinal Health and Nutrition Surveys (CLHNS), then regression outliers and normative cases were used to identify 48 participants for in-depth interviews (2013-2014) for further examination. Read More

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