11,911 results match your criteria self-reported adherence

Methodology for altering omega-3 EPA+DHA and omega-6 linoleic acid as controlled variables in a dietary trial.

Clin Nutr 2021 May 12;40(6):3859-3867. Epub 2021 May 12.

Department of Neurology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Background & Aims: Increasing dietary intake of n-3 EPA+DHA and lowering dietary n-6 LA is under investigation as a therapeutic diet for improving chronic pain syndromes as well as other health outcomes. Herein we describe the diet methodology used to modulate intake of n-3 and n-6 PUFA in a free living migraine headache population and report on nutrient intake, BMI and diet acceptability achieved at week 16 of the intensive diet intervention and week 22 follow-up time-point.

Methods: A total of 178 participants were randomized and began one of three diet interventions: 1) a high n-3 PUFA, average n-6 PUFA (H3) diet targeting 1500 mg EPA+DHA/day and 7% of energy (en%) from n-6 linoleic acid (LA), 2) a high-n-3 PUFA, low-n-6 PUFA (H3L6) targeting 1500 mg EPA+DHA/day and <1. Read More

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How do patients with borderline personality disorder experience Distress Tolerance Skills in the context of dialectical behavioral therapy?-A qualitative study.

PLoS One 2021 15;16(6):e0252403. Epub 2021 Jun 15.

Department of Psychiatry and Psychotherapy, University of Lübeck, Lübeck, Germany.

Distress Tolerance Skills (DTS) are an important component of Dialectical Behavioral Therapy (DBT), a therapy method frequently used for treating patients with Borderline Personality Disorder (BPD). However, little is known about how DTS-training is experienced by individuals with BPD. The aim of this study was to explore BPD patients' experiences with receiving DTS-training. Read More

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Adherence to preventive behaviors among college students during COVID-19 pandemic in China: The role of health beliefs and COVID-19 stressors.

Curr Psychol 2021 Jun 9:1-11. Epub 2021 Jun 9.

Institute of Developmental Psychology, Beijing Normal University, Beijing, People's Republic of China.

Before herd immunity is reached, preventive practices still play an important role in controlling the COVID-19 pandemic. Adherence to preventive behaviors could be determined by individuals' health beliefs, which would be influenced by antecedent factors such as previous exposure to pandemic stressors. Applying the health belief model (HBM), this study aims to examine the mediation association among COVID-19 stressors, HBM constructs, and preventive behaviors. Read More

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Emtricitabine triphosphate in dried blood spots predicts future viremia in persons with HIV and identifies mismatch with self-reported adherence.

AIDS 2021 Jun 14. Epub 2021 Jun 14.

Department of Biostatistics and Bioinformatics, Colorado School of Public Health, Aurora, Colorado Division of Infectious Diseases, School of Medicine, University of Colorado-AMC, Aurora, Colorado University of Colorado Hospital, Aurora, Colorado Colorado Antiviral Pharmacology Laboratory and Department of Pharmaceutical Sciences, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado-AMC, Aurora, Colorado.

Objective: Emtricitabine triphosphate (FTC-TP) in dried blood spots (DBS), a measure of short-term ART adherence, is associated with viral suppression in persons with HIV (PWH). However, its ability to predict future viremia remains unknown.

Design: Prospective, observational cohort (up to 3 visits in 48 weeks). Read More

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A review of AI and Data Science support for cancer management.

Artif Intell Med 2021 Jul 24;117:102111. Epub 2021 May 24.

University of Haifa, Israel.

Introduction: Thanks to improvement of care, cancer has become a chronic condition. But due to the toxicity of treatment, the importance of supporting the quality of life (QoL) of cancer patients increases. Monitoring and managing QoL relies on data collected by the patient in his/her home environment, its integration, and its analysis, which supports personalization of cancer management recommendations. Read More

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Concerns from Community Mental Health Center (CMHC) Patients Regarding Drug-Induced Movement Disorders: Impact on Functioning and Treatment Beliefs.

CNS Spectr 2021 Apr;26(2):152

Neurocrine Biosciences, Inc., San Diego, CA, USA.

Objective: Drug-induced movement disorders (DIMDs) may occur in patients treated with antipsychotics. The CommonGround Program supports the recovery and healing of psychiatric outpatients through tools which facilitate better patient-doctor communication regarding psychiatric symptoms, DIMDs, and the effectiveness of treatment.

Methods: Patients responses to CommonGround's web-based waiting-room questionnaire were analyzed in patients who responded yes to having concerns about developing DIMDs (MD-YES) and those who responded no to this question (MD-NO). Read More

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Psychiatric Prescriber Attitudes, Experiences, and Proclivities Toward Digital Medicine and How They Influence Adoption of Digital Medicine Platforms.

CNS Spectr 2021 Apr;26(2):144-145

Otsuka Pharmaceutical Development & Commercialization, Inc., Princeton, NJ, USA.

Background: Psychiatric prescribers typically assess adherence by patient or caregiver self-report. A new digital medicine (DM) technology provides objective data on adherence by using an ingestible event monitoring (IEM) sensor embedded within oral medication to track ingestion. Despite likely clinical benefit, adoption by prescribers will in part depend on attitudes toward and experience with digital health technology, learning style preference (LSP), and how the technology s utility and value are described. Read More

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What Makes Individuals Stick to Their Exercise Regime? A One-Year Follow-Up Study Among Novice Exercisers in a Fitness Club Setting.

Front Psychol 2021 28;12:638928. Epub 2021 May 28.

Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway.

Objectives: A fitness club may be an important arena to promote regular exercise. However, authors have reported low attendance rates (10 to 37%) the first months after individuals sign up for membership. It is therefore important to understand the reasons for poor exercise adherence. Read More

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Social Determinants of Health Challenges Are Prevalent Among Commercially Insured Populations.

J Prim Care Community Health 2021 Jan-Dec;12:21501327211025162

Castlight Health, San Francisco, CA, USA.

Objectives: To evaluate the prevalence of social determinants of health (SDoH) factors in a large commercially-insured population and to characterize the prevalence of common conditions (eg, diabetes, behavioral health issues) and addressable health services utilization concerns (eg, lack of preventive care) for which employers offer no- and low-cost benefit programs.

Methods: We identified groups with SDoH challenges within a commercially-insured population of 5.1 M through administrative data and self-report. Read More

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Extended-release naltrexone for youth with opioid use disorder.

J Subst Abuse Treat 2021 Apr 15;130:108407. Epub 2021 Apr 15.

Friends Research Institute, 1040 Park Avenue, Suite, 103 Baltimore, MD, USA. Electronic address:

Background: Few published research studies have examined the effectiveness of extended-release naltrexone (XR-NTX) for the treatment of opioid use disorder (OUD) among adolescents and young adults.

Methods: This two-group randomized controlled trial recruited 288 youth, ages 15-21, with moderate/severe OUD from a residential addiction treatment program in Baltimore, Maryland. The study randomized the youth within the first week of treatment entry to receive either XR-NTX or treatment-as-usual (TAU; either buprenorphine maintenance treatment or treatment without OUD medication following medically managed withdrawal) prior to discharge, with continued treatment in the community for 6 months. Read More

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Ritonavir concentrations in hair predict virologic outcomes in HIV-infected adolescents with virologic failure on atazanavir/ritonavir-based second-line treatment.

J Acquir Immune Defic Syndr 2021 Jun 8. Epub 2021 Jun 8.

Department of Clinical Pharmacology, University of Zimbabwe; Department of Paediatrics, University of Zimbabwe; Department of Community Medicine, University of Zimbabwe; Department of Medicine, Division of HIV, Infectious Diseases, and Global Medicine, University of California San Francisco; Department of Medicine, Division of Infectious Diseases, Stanford University and Department of Medicine, Division of Pulmonary and Critical Care, University of California San Francisco.

Background: Sub-optimal adherence to antiretroviral therapy (ART) is responsible for most virologic failure among adolescents with HIV. Methods for objectively measuring adherence to ART are limited. This study assessed the association between ritonavir concentrations in hair, self-reported adherence and modified directly administered antiretroviral therapy on virologic outcomes among HIV-infected adolescents who were virologically failing second-line ART in Harare, Zimbabwe. Read More

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Self-Paced Online Training on Healthy Beverage Policy for Child Care Providers.

J Nutr Educ Behav 2021 Jun;53(6):457-470

Division of Agriculture and Natural Resources, Nutrition Policy Institute, University of California, Oakland, CA.

Objective: Determine if online training for child care providers increases knowledge and awareness of and adherence to California's Healthy Beverages in Child Care Act (AB2084) policy.

Design: Cluster, randomized controlled trial with 2 intervention groups and 1 control group.

Setting: Licensed child care centers and family child care homes. Read More

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Adjuvant endocrine therapy for premenopausal women with breast cancer: Patient adherence and physician prescribing practices in Mexico.

Breast 2021 Jun 1;59:8-15. Epub 2021 Jun 1.

Departamento de Tumores Mamarios e Investigacion, Instituto Nacional de Cancerologia, San Fernando 22, Belisario Dominguez Secc 16, Tlalpan, Mexico City, 14080, Mexico.

Background: In resource-constrained settings, data regarding breast cancer patients' adherence to endocrine therapy (ET) and physicians' prescribing practices is limited. This study aims to decrease this knowledge gap in a real-world clinical practice.

Methods: Premenopausal women with stage 0-III hormone-sensitive breast cancer and receiving adjuvant ET during the past 1-5 years were identified in three Mexican referral centers. Read More

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An adaptive text message intervention to promote well-being and health behavior adherence for patients with cardiovascular disease: intervention design and preliminary results.

J Acad Consult Liaison Psychiatry 2021 Jun 8. Epub 2021 Jun 8.

Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA. Electronic address:

Background: Most individuals with heart disease struggle to adhere to cardiovascular health behaviors, despite their known health benefits. Text message interventions (TMIs) are a promising treatment modality for health behavior promotion, but existing TMIs typically deliver a fixed set of messages and do not target well-being constructs associated with adherence and cardiovascular health.

Methods: A four-week TMI, which delivers daily messages to promote well-being and adherence to health behaviors and dynamically adapts based on participant feedback to deliver increasingly customized messages, was developed by the study team. Read More

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Stigma Experiences in People with Chronic Obstructive Pulmonary Disease: An Integrative Review.

Int J Chron Obstruct Pulmon Dis 2021 4;16:1647-1659. Epub 2021 Jun 4.

University of Michigan, School of Nursing, Ann Arbor, MI, 48109, USA.

Background: People with chronic obstructive pulmonary disease (COPD) are stigmatized by smoking history. Although little is known about COPD-related stigma, it can adversely affect self-management and quality of life.

Objective: To synthesize relevant scientific literature exploring stigma experiences and their impacts on people with COPD. Read More

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Feasibility of a 6-Month Home-Based Fall Prevention Exercise Program in Older Adults with COPD.

Int J Chron Obstruct Pulmon Dis 2021 3;16:1569-1579. Epub 2021 Jun 3.

Firestone Institute for Respiratory Health, St. Joseph's Healthcare, Hamilton, ON, Canada.

Purpose: Older adults with chronic obstructive pulmonary disease (COPD) have a high risk and rate of falls. Home-based fall prevention exercise programs reduce falls in older adults and may be an alternative approach for people with COPD without access to hospital-based rehabilitation. Therefore, we aimed to determine the feasibility of a home-based fall prevention exercise program in older adults with COPD and to examine the effect of the program on fall-related outcomes at baseline, 3 and 6 months. Read More

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Mental health symptoms and inflammatory markers among HIV infected patients in Tanzania.

BMC Public Health 2021 Jun 10;21(1):1113. Epub 2021 Jun 10.

Institute of Primate Research, Nairobi, Kenya.

Background: HIV and mental disorders are predicted to be the leading causes of illness worldwide by the year 2030. HIV-infected patients are at increased risk of developing mental disorders which are significantly associated with negative clinical outcomes and propagation of new HIV infections. There is little evidence that links inflammation to development of mental disorders among HIV patients. Read More

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Belief and adherence to COVID 19-lockdown restrictions in patients with asthma versus other chronic diseases: results from a cross-sectional survey nested in the ComPaRe e-cohort, in France.

J Asthma 2021 Jun 10:1-11. Epub 2021 Jun 10.

Center for Clinical Investigation CIC-1425, Inserm, AP-HP Hôpital Bichat, F-75018 Paris, France.

Asthma patients are under-represented among patients with COVID-19. Their behavior during lockdown and associated restrictions is unknown, as well as whether it was influenced by coexistent cardiovascular conditions. We conducted a cross-sectional survey in May 2020, in France, nested in ComPaRe, an e-cohort of adults with chronic diseases. Read More

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Perceived Adequacy of Tangible Support during Stay-at-Home Orders in Chicago and New York.

J Prim Care Community Health 2021 Jan-Dec;12:21501327211024411

Division of General Internal Medicine & Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Objectives: Physical distancing precautions during the COVID-19 pandemic may challenge the provision of tangible support many middle age and older adults receive in managing their health. We examined the association between unmet tangible support needs and self-management behaviors and mental health status during the stay-at-home orders in Chicago and New York.

Methods: We used data from the COVID-19 & Chronic Conditions study collected between May 1st and May 22nd, 2020. Read More

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Racial and ethnic disparities in post-traumatic stress and illness coherence in breast cancer survivors with comorbid diabetes.

Psychooncology 2021 Jun 9. Epub 2021 Jun 9.

Division of Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Context: Breast cancer survivors (BCS) with comorbid diabetes mellitus (DM) and of racial and ethnic minority status are at higher risk of cancer-related post-traumatic stress (PTS) and severe illness beliefs. These affective and cognitive outcomes influence self-management and treatment adherence in patients with chronic conditions, yet little is known regarding the interplay of these processes in diverse BCS with comorbid DM.

Objectives: The purposes of this study were to (1) describe racial and ethnic differences in cancer-related PTS and illness perceptions; and (2) examine the relationship between PTS and illness perceptions in BCS with comorbid DM. Read More

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Determinants of Social Distancing Among South Africans From 12 Days Into the COVID-19 Lockdown: A Cross Sectional Study.

Front Public Health 2021 24;9:632619. Epub 2021 May 24.

Human and Social Capabilities Division, Human Sciences Research Council, Pretoria, South Africa.

Social or physical distancing has been an effective measure for reducing the spread of COVID-19 infections. Investigating the determinants of adherence to social distancing can inform public health strategies to improve the behaviour. However, there is a lack of data in various populations. Read More

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Adults' Adherence to Growth Hormone Replacement in Relation to Medication-Related Beliefs, Coping and Quality of Life - An Exploratory Analysis.

Front Endocrinol (Lausanne) 2021 24;12:680964. Epub 2021 May 24.

Department of Neurosurgery and Spine Surgery, University of Duisburg-Essen, Essen, Germany.

Introduction: Little is known about psychological reasons associated with adherence to growth hormone (GH) replacement therapy (GHRx) in adults. As in other chronic diseases, medication-related beliefs, coping strategies and disease impact on quality of life (QoL) might play an important role. We thus explored these psychological factors in relation to adherence in patients with GH deficiency (GHD) in order to find leverage points for the improvement of adherence. Read More

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Lifestyle mediates the relationship between self-esteem and health-related quality of life in Chilean schoolchildren.

Psychol Health Med 2021 Jun 9:1-11. Epub 2021 Jun 9.

Department of Physical Education, Sport and Recreation, Universidad De La Frontera, Temuco, Chile.

A healthy lifestyle, including food habits, physical activity (PA) and screen time (ST), is an important factor for well-being. The main purpose of this study was to analyze the association between lifestyle (i.e. Read More

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Wireless Home Blood Pressure Monitoring System With Automatic Outcome-Based Feedback and Financial Incentives to Improve Blood Pressure in People With Hypertension: Protocol for a Randomized Controlled Trial.

JMIR Res Protoc 2021 Jun 9;10(6):e27496. Epub 2021 Jun 9.

Heath Services and Systems Research, Duke-NUS Medical School, Singapore, Singapore.

Background: Hypertension is prevalent in Singapore and is a major risk factor for cardiovascular morbidity and mortality and increased health care costs. Strategies to lower blood pressure include lifestyle modifications and home blood pressure monitoring. Nonetheless, adherence to home blood pressure monitoring remains low. Read More

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An Intervention to Improve Medication Adherence in People With Heart Disease (Text4HeartII): Randomized Controlled Trial.

JMIR Mhealth Uhealth 2021 Jun 9;9(6):e24952. Epub 2021 Jun 9.

National Institute for Health Innovation, University of Auckland, Auckland, New Zealand.

Background: Mobile health technologies have the potential to improve the reach and delivery of interventions for promoting long-term secondary prevention of coronary heart disease.

Objective: This study aims to determine the effectiveness of an SMS text messaging intervention (Text4HeartII) for improving adherence to medication and lifestyle changes over and above usual care in people with coronary heart disease at 24 and 52 weeks.

Methods: A two-arm, parallel, randomized controlled trial was conducted in New Zealand. Read More

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Chronic non-communicable diseases and COVID-19: EPICOVID-19 Brazil results.

Rev Saude Publica 2021 2;55:38. Epub 2021 Jun 2.

Universidade Federal de Pelotas. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasil.

Objective: Describing the prevalence of chronic diseases and associated socioeconomic and demographic factors, evaluating the patterns of social distancing and the antibodies prevalence against SARS-CoV-2 and COVID-19 symptoms in carriers and non-carriers of chronic diseases.

Methods: Data from 77,075 individuals aged 20 to 59 from three steps of the EPICOVID-19 Brazil (a nationwide serological survey conducted between May and June, 2021) were assessed. The presence of antibodies against SARS-CoV-2 was examined by rapid tests. Read More

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Feasibility and pilot study of a brief self-compassion intervention addressing body image distress in breast cancer survivors.

Health Psychol Behav Med 2021 May 21;9(1):498-526. Epub 2021 May 21.

Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, Australia.

Background: The majority of breast cancer survivors (BCSs) experience body image concerns following treatment. Body Image distress (BID) is associated with psychological distress and diminished quality of life. A web-based self-compassion focused writing activity (My Changed Body - MyCB) reduces BID in BCSs, yet limited research exists on participant characteristics associated with such intervention adherence. Read More

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Elaboration and refinement of a motivational communication training program for healthcare professionals in pediatric oncology: a feasibility and acceptability study.

Health Psychol Behav Med 2021 Mar 24;9(1):220-238. Epub 2021 Mar 24.

Department of Psychology, Université de Montréal, Montréal, Canada.

Introduction: A healthy lifestyle could have a positive impact in reducing the incidence of some long-term sequelae secondary to pediatric cancer treatments. Motivational communication (MC) is effective at improving healthy lifestyle habits, especially when patients experience change as a challenge. To date, there is no available intervention program using MC that promotes healthy lifestyles in pediatric oncology. Read More

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Keep on running - a randomized controlled trial to test a digital evidence-based intervention for sustained adoption of recreational running: rationale, design and pilot feasibility study.

Health Psychol Behav Med 2021 Mar 1;9(1):149-164. Epub 2021 Mar 1.

Centro de Investigação em Desporto, Educação Física, Exercício e Saúde (CIDEFES), Universidade Lusófona, Lisboa, Portugal.

Background: This paper describes the rationale, intervention development, study design and results from the pilot feasibility study of the Keep On Running (KOR) trial. KOR aims to test a web-based brief theory-based intervention, targeting maintenance of recreational running behavior over time (i.e. Read More

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Patient Preferences for Treating "OFF" Episodes in Parkinson's Disease: A Discrete Choice Experiment.

Patient Prefer Adherence 2021 1;15:1187-1196. Epub 2021 Jun 1.

Health Preference Assessment, RTI Health Solutions, Research Triangle Park, NC, USA.

Introduction: Several on-demand treatments are available for management of "OFF" episodes in patients with Parkinson's disease (PD). We evaluated patients' preferences for features of theoretical on-demand treatment options.

Methods: In a discrete choice experiment, US adults with self-reported PD of ≥5 years, or <5 years with "OFF" episodes, taking oral carbidopa/levodopa, selected between pairs of theoretical on-demand treatments that varied by mode of administration (with and without mode-specific adverse events [AEs]), time to FULL "ON," duration of "ON," and out-of-pocket cost for a 30-day supply. Read More

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