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Defining Patient-Oriented Research For The Average Person (And Potential Research Partner), Dennis J. Baumgardner 2019 Aurora UW Medical Group, Aurora Health Care

Defining Patient-Oriented Research For The Average Person (And Potential Research Partner), Dennis J. Baumgardner

Dennis J. Baumgardner. MD

In this introduction to the first issue of 2019, the editor-in-chief of Journal of Patient-Centered Research and Reviews offers additional context to the findings of Kaur and Pluye (p. 7), who methodically formalized an operational definition of patient-oriented research for the purposes of searching bibliographic databases. A possible succinct, lay definition of patient-oriented research for the average “person on the street” is proposed.


Essential Skills For Family Medicine Residents Practicing Integrated Behavioral Health: A Delphi Study, Matt Martin, Leslie Allison, Elizabeth Banks, David Bauman, Jennifer Harsh, Amber L. Hewitt, Linda Myerholtz, Max Zubatsky, Larry Mauksch 2019 Arizona State University

Essential Skills For Family Medicine Residents Practicing Integrated Behavioral Health: A Delphi Study, Matt Martin, Leslie Allison, Elizabeth Banks, David Bauman, Jennifer Harsh, Amber L. Hewitt, Linda Myerholtz, Max Zubatsky, Larry Mauksch

Center for Integrated Primary Care Publications

BACKGROUND AND OBJECTIVES: There are several trends compelling physicians to acquire team-based skills for interprofessional care. One underdeveloped area of team-based skills for physicians is integrated behavioral health (IBH) in primary care. We used a Delphi method to explore what skills were needed for residents to practice integrated behavioral health.

METHODS: We conducted a literature review of IBH competencies and found 41 competencies across seven domains unique to physicians. Using a modified Delphi technique, we recruited family medicine educators to rate each competency as "essential," "compatible," or "irrelevant." We also shared findings from the Delphi study with a focus group ...


“Build A Bridge So You Can Cross It:” A Photo-Elicitation Study Of Health And Wellness Among Homeless And Marginally Housed Veterans, Keri L. Rodriguez, Lauren M. Broyles, Michael A. Mitchell, Melissa E. Wieland, Gala True, Adam J. Gordon 2019 Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA; Division of General Internal Medicine, Department of Medicine, School of Medicine, University of Pittsburgh, PA, USA

“Build A Bridge So You Can Cross It:” A Photo-Elicitation Study Of Health And Wellness Among Homeless And Marginally Housed Veterans, Keri L. Rodriguez, Lauren M. Broyles, Michael A. Mitchell, Melissa E. Wieland, Gala True, Adam J. Gordon

The Qualitative Report

As part of a photo-elicitation interview study, we aimed to describe homeless and marginally housed Veterans’ experiences with health and wellness, health decisions, and health-related behaviors. Twenty Veterans receiving Veterans Affairs Homeless Patient-Aligned Care Team care took photographs depicting health and wellness, then used their photographs to discuss the same topics in 30-60 minute audio-recorded, semi-structured photo-elicitation interviews. Transcripts were analyzed using template analysis. Veterans described eight dimensions related to their health and wellness; physical, social, and environmental were most commonly discussed, followed by emotional, intellectual, spiritual, occupational, and financial wellness. Photographs contained literal and metaphorical depictions that were positively-oriented ...


Susceptibility To Type 2 Diabetes Mellitus In Hepatitis C Patients: A Systematic Review, Jiani Yu 2019 University of Lynchburg

Susceptibility To Type 2 Diabetes Mellitus In Hepatitis C Patients: A Systematic Review, Jiani Yu

Lynchburg Journal of Medical Science

Importance: Hepatitis C is a disease that leads to many chronic extrahepatic conditions. The establishment of the connection between hepatitis C infection and diabetes mellitus may help to change the current practice protocol and better manage both conditions.

Objective: To investigate the relationship between hepatitis C and diabetes mellitus to establish a correlation to change clinical practice.

Evidence Review: a systematic review of English-language literature on Pub-Med published in the last five years to identify articles related to hepatitis C and diabetes mellitus in adults.

Conclusion and Relevance: Multiple pieces of researches support the linkage between hepatitis C infection and ...


“Was It Something I Said?” Patient Adherence And Outcomes Improvement Through Enhancement Of The Patient-Provider Interaction, Veronica Rigler 2019 Lynchburg

“Was It Something I Said?” Patient Adherence And Outcomes Improvement Through Enhancement Of The Patient-Provider Interaction, Veronica Rigler

Lynchburg Journal of Medical Science

Implications of medical nonadherence are far reaching and impact all facets of the health care system. Consequences of nonadherence affect features of financial burden, psychological burden, psychosocial disadvantage, and physical detriment. Patient, provider, and cost should be considered during the development and execution of medical planning on the individual patient level as well as on the grand-scale healthcare performance level. This article is a review of available literature pertaining to initiating improvement aimed at provider dependent barriers to patient adherence. Through gaining an understanding of how a provider could negatively influence the adherence of a patient to a prescribed plan ...


Diet And Addiction: Interview With A Former Food, Pornography, And Alcohol Addict, Tro Kalayjian, Brian Lenzkes 2019 University of Rhode Island

Diet And Addiction: Interview With A Former Food, Pornography, And Alcohol Addict, Tro Kalayjian, Brian Lenzkes

Dignity: A Journal on Sexual Exploitation and Violence

Drs. Tro Kalayjian (Tapan, New York) and Brian Lenzkes (Santee, California) talk to Matt about his struggles with food, pornography, and alcohol addiction, and how changing his diet contributed to his recovery from his addictions. This report is excerpted from the audio podcast LowCarbMD, Episode 13 (https://itunes.apple.com/us/podcast/low-carb-md-podcast/ ), January 30, 2019). This podcast has filled us with immense hope for those struggling with addiction.


Defining Patient-Oriented Research For The Average Person (And Potential Research Partner), Dennis J. Baumgardner 2019 Aurora UW Medical Group, Aurora Health Care

Defining Patient-Oriented Research For The Average Person (And Potential Research Partner), Dennis J. Baumgardner

Journal of Patient-Centered Research and Reviews

In this introduction to the first issue of 2019, the editor-in-chief of Journal of Patient-Centered Research and Reviews offers additional context to the findings of Kaur and Pluye (p. 7), who methodically formalized an operational definition of patient-oriented research for the purposes of searching bibliographic databases. A possible succinct, lay definition of patient-oriented research for the average “person on the street” is proposed.


Confidential Care For Adolescents In The U.S. Health Care System, Priya R. Pathak, Adriana Chou 2019 Harvard T.H. Chan School of Public Health

Confidential Care For Adolescents In The U.S. Health Care System, Priya R. Pathak, Adriana Chou

Journal of Patient-Centered Research and Reviews

In providing care for adolescents, maintaining confidentiality should be considered a human right and an evidence-based component of quality care. Unfortunately, complexities in the U.S. legal and health care systems have created a setting in which confidential care is inaccessible to many adolescent patients. Federal laws provide a minimum standard for confidentiality protections, but variations in state legislation relating to minor consent, special health care services, and confidentiality exemptions create large variability in adolescent confidentiality rights across the country. In certain contexts, such as consensual sexual activity, legal provisions may not align with professional ethical standards in adolescent care ...


Reducing Benzodiazepine Use For The Treatment Of Insomnia And Supporting Nonpharmacological Therapies, UnChan Pyon 2019 University of Vermont

Reducing Benzodiazepine Use For The Treatment Of Insomnia And Supporting Nonpharmacological Therapies, Unchan Pyon

Family Medicine Clerkship Student Projects

Most medical organizations recommend against the use of benzodiazepine use for the treatment of insomnia, especially in the elderly. However, the percentage of the adult population on benzos increase with age: 7.5% in adults ages 51-64; 9% in adults over 65. Alternative therapies for insomnia, including online CBT, require more commitment than taking a medication so many patients opt for medication. This project aims to increase awareness of benzodiazepine use for insomnia and provide support for nonpharmacological therapies.


Increasing Advance Directive Utilization In Hardwick, Vt, Maeve Lauren Donnelly 2019 University of Vermont

Increasing Advance Directive Utilization In Hardwick, Vt, Maeve Lauren Donnelly

Family Medicine Clerkship Student Projects

This project was created to increase advance directive use at the Hardwick Area Health Center in Hardwick, VT. The project was aimed at creating awareness of the lack of advance directive use both to the providers and patients, so persuasive educational flyers were made to hang around the office. This project helped increase the attitude and awareness of the importance of advance directive planning.


Substance Use Disorder Treatment Decision Aid For Adults In Chittenden County Vermont, Elizabeth V. McLeod 2019 University of Vermont

Substance Use Disorder Treatment Decision Aid For Adults In Chittenden County Vermont, Elizabeth V. Mcleod

Family Medicine Clerkship Student Projects

Substance Abuse Disorders (SUDs) are a prevalent public health concern in both the national and local arena resulting in millions of dollars in pubic health costs and loss of life. Navigating the treatment options available in Chittenden County can be time consuming, difficult, and delay treatment. In order to help guide adult patients and their families in Chittenden County along their journey towards recovery from SUDs, a treatment decision aid was developed for choosing the right level of care.


Improving Patient Knowledge Of Antimicrobial Resistance And Appropriate Antibiotic Use In A Rutland County Acute Care Center, Stephen D. Daniels 2019 Larner COM at UVM

Improving Patient Knowledge Of Antimicrobial Resistance And Appropriate Antibiotic Use In A Rutland County Acute Care Center, Stephen D. Daniels

Family Medicine Clerkship Student Projects

Antimicrobial resistant infections are one of the most prevalent global health concerns of our time. It is paramount that action be taken to do all we can to reduce the burden that these “superbug” infections bring in the form of both serious illness and financial strain on healthcare systems. As healthcare professionals, the onus falls on us to educate the public on basic knowledge regarding bacterial/viral illness, as well as proper antibiotic utilization, so that we can all work in coercion with one another to combat this global health concern. The here-in project describes an educational piece with this ...


Promoting Tia Awareness: Decreasing Stroke Mortality In Vermont, Nicole Becher 2019 University of Vermont

Promoting Tia Awareness: Decreasing Stroke Mortality In Vermont, Nicole Becher

Family Medicine Clerkship Student Projects

The death rate from stroke in Washington County, VT was nearly twice that of the state in 2015. Risk of death from stroke can be decreased by timely intervention, however many patients are unaware as to signs and symptoms of stroke, and when to seek medical attention. A brochure was developed and distributed, aiming to shorten the time between experiencing TIA symptoms and point of contact with medical professionals.


Improving Cardiac Arrest Outcomes With Hands-Only Cpr, Ethan Witt 2019 University of Vermont

Improving Cardiac Arrest Outcomes With Hands-Only Cpr, Ethan Witt

Family Medicine Clerkship Student Projects

Bystander CPR is one of the most effective and necessary components of cardiac arrest management, increasing survival rates by two to three times. However, rates of bystander CPR are inadequately low. Hands-only CPR has been found to be an effective intervention in the management of cardiac arrest and addresses many of the barriers to bystander CPR.


Educating Patients On Screening Guidelines And Expectations For Well-Woman Examinations, Cyrus Maxim Jalai 2019 University of Vermont

Educating Patients On Screening Guidelines And Expectations For Well-Woman Examinations, Cyrus Maxim Jalai

Family Medicine Clerkship Student Projects

Female patients seeing primary care in rural settings often do not seek out specialized care from a practicing OB/GYN, favoring instead to utilize their family practitioner to respond to their complaints. As such, it would be effective to work to educate these patients at their well-women examinations on routine screenings, immunizations, and health maintenance methods they should expect based on their presenting age. A handout simplifying and synthesizing the main screening and general health guidelines for annual well-women examinations may be helpful for female patients using primary care practitioners as their source for obstetric and gynecologic care.


Barriers To Smoking Cessation In Patients Enrolled In Suboxone Treatment Programs, Thomas L. Arnell 2019 University of Vermont

Barriers To Smoking Cessation In Patients Enrolled In Suboxone Treatment Programs, Thomas L. Arnell

Family Medicine Clerkship Student Projects

Cigarette smoking is the leading cause of preventable death and disease in the United States, accounting for more than 480,000 deaths every year. The prevalence of tobacco use among substance abuse treatment program enrollees is substantially higher than that of the general population, with recent estimates ranging between 75-97%. The aim of this project was to identify specific barriers to smoking cessation in patients enrolled in suboxone treatment programs in Franklin County, VT. The most commonly cited barriers among survey responders were related to fear of the effects of tobacco withdrawl, while the most important barrier was related to ...


An Educational Module For Adolescents On Cannabis Following Its Legalization, Anna Lidofsky 2019 University of Vermont

An Educational Module For Adolescents On Cannabis Following Its Legalization, Anna Lidofsky

Family Medicine Clerkship Student Projects

Recreational use of cannabis has been recently legalized in Vermont. One year prior to its legalization, 42% of high school students in Washington County reported at least one-time use of cannabis. An educational module for adolescents was developed to address the increasing potency of cannabis and health risks associated with its use.


Cyberbullying: A Resource For School-Aged Children, Adolescents, And Parents In Milton, Vermont, James K. Rohwer 2019 The Robert Larner, M.D. College of Medicine at The University of Vermont

Cyberbullying: A Resource For School-Aged Children, Adolescents, And Parents In Milton, Vermont, James K. Rohwer

Family Medicine Clerkship Student Projects

Cyberbullying occurs when harmful words or actions by one or more persons are intentionally and repeatedly directed against another person in the digital world through text message, social media, e-mail, apps, online video games, forums, etc. Today, more children and adolescents are connected to the internet than ever before, which puts them at risk of becoming victims of cyberbullying. Many victims, as well as parents of victims, may not be familiar with the resources that are available to them in the areas in which they live when concerns of cyberbullying arise. Therefore, the goal of this project was to create ...


Patient Guide To Access Quality Health Information Online, Danielle Wall 2019 University of Vermont

Patient Guide To Access Quality Health Information Online, Danielle Wall

Family Medicine Clerkship Student Projects

A large percentage of patients use online search engines to access health information. However, there is a large amount of health information online that is unregulated and not evidence-based. As a result patients may acquire health information that is incorrect which may negatively affect patient-provider relationships and patient's healthcare. A brochure was created to highlight safe practices for accessing health information online.


Patient Education On The Association Of Hormonal Contraception With Depression, Julia E. Hannigan 2019 University of Vermont

Patient Education On The Association Of Hormonal Contraception With Depression, Julia E. Hannigan

Family Medicine Clerkship Student Projects

Hormonal contraceptive agents are widely used by women during their reproductive years. In recent years, research has been released linking hormonal contraception with the initiation of antidepressant medication and a first diagnosis of depression. More research is still warranted in order to further elucidate the relationship between hormonal contraception and depression, but current evidence prompts the necessity for shared decision making between clinicians and women considering treatment with hormonal contraceptive agents. The goal of this project is to give providers easily accessible patient educational materials in the form of epic smart phrases to aid in informed decision making.


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