Medicine and Health Sciences Commons^™

Cost Of Eating Well, Jake Ermolovich

Larner College of Medicine Fourth Year Advanced Integration Teaching/Scholarly Projects

No abstract provided.

An Evaluation Of Hospital-Based Health Technology Assessment Processes In The United States., Scott Skinner

Electronic Theses and Dissertations

This research study explored the practices of hospital-based health technology assessment (HTA) in the U.S., as experienced by healthcare technology management (HTM) professionals. HTA can play an important role in helping to evaluate health technologies at both the macro (e.g., policy) level as well as at the micro (e.g., institutional) level of the public health ecosystem (C. S. Goodman, 2004). HTA seeks to broadly evaluate the effects, properties, and other impacts of various health technologies (C. S. Goodman, 2004). Common goals of HTA are to evaluate the safety, effectiveness, and cost-benefit of health technologies. A primarily phenomenological approach was used …

Reducing The Risk Of Fentanyl Related Overdose In Medication Assisted Treatment Programs Based On Principles Of Motivational Interviewing, Anna B. Snow, Chelsea Betsold

Doctor of Nursing Practice (DNP) Projects

Background: The increase in fentanyl exposure by individuals who use illicit drugs has risen causing a significant increase in the number of overdoses and overdose-related deaths. Drug checking for the presence of fentanyl can allow drug users to make more informed decisions especially when combined with motivational interviewing.

Purpose: The purpose of this project was to assess the effectiveness of an educational program for clinical staff regarding the use of fentanyl test strips based on the principles of motivational interviewing.

Methods: The project was completed at a Medication Assisted Treatment (MAT) program in an outpatient behavioral health facility in New …

Creating A Taxonomy Of Local Boards Of Health Based On Local Health Departments’ Perspectives, Gulzar H. Shah, Sergey Sotnikov, Carolyn J. Leep, Jiali Ye, Timothy W. Van-Wave

Department of Health Policy and Community Health Faculty Presentations

Objectives: To develop an LBoH classification scheme and empirical definitions to provide a coherent framework for describing variation in the LBoHs.

Data and Methods: This study is based on data from the 2015 Local Board of Health Survey, conducted among a nationally representative sample of LHD administrators, with 394 responses. The classification development consisted of the following steps: (a) theoretically guided initial domain development, (b) mapping of the survey variables to the proposed domains, (c) data reduction using principal component analysis and group consensus, and (d) scale development and testing for internal consistency.

Results: The final classification scheme included 60 …

"What's App?" Utilizing Evidence Based Medicine Apps In The Clinical Setting, Kathryn C. O'Donovan

BU Well

The medical community has utilized evidence-based medicine, or EBM, in practice for decades, and healthcare personnel are used to the idea of utilizing research and statistics to determine the treatment of patients. However, as technology advances, the use of electronics and EBM apps has increased in the clinical setting. While there are advantages to clinicians having resources at their fingertips as they talk with patients, there are also hurdles that could harm or offend patients. So as healthcare inevitably becomes more and more electronic, can providers strike the balance needed to effectively use EBM apps in practice to provide optimum …

Improving Emotional Intelligence: A Guide To Mindfulness Based Emotional Intelligence Training, John Blackledge, Joseph Ciarrochi, Linda Bilich-Erich, Virginia Bayliss

joseph Ciarrochi

No abstract provided.

Mindfulness-Based Emotional Intelligence Training: A New Approach To Reducing Human Suffering And Promoting Effectiveness, John Blackledge, Joseph Ciarrochi

joseph Ciarrochi

No abstract provided.

Mindfulness-Based Emotional Intelligence: Research And Training, Joseph Ciarrochi, Claire Godsell

joseph Ciarrochi

No abstract provided.

How We "Breathed Life" Into Problem-Based Learning Cases Using A Mobile Application, Michelle Mclean, Victoria Brazil, Patricia Johnson

Patricia Johnson

Background: Problem-based learning (PBL) has been widely adopted in medical education. Learners become bored with paper based cases as they progress through their studies. Aim: To breathe life (i.e. develop virtual patients) into paper-based PBL cases. Methods: The ‘‘patients’’ in paper-based PBL cases in one Year 2 were transformed into virtual patients by simulated patients roleplaying and the videos and associated patient data uploaded to Bond’s Virtual Hospital, a mobile Application. In unsupervised ‘‘clinical teams’’, second-year students undertook ‘‘ward rounds’’ twice a week, prompted by a virtual consultant and registered nurse. Immediately following the ‘‘ward rounds’’, they met with a …

A Randomised Controlled Trial Of A Blended Learning Education Intervention For Teaching Evidence-Based Medicine, Dragan Ilic, Rusli Bin Nordin, Paul Glasziou, Julie Tilson, Elmer Villanueva

Paul Glasziou

Background: Few studies have been performed to inform how best to teach evidence-based medicine (EBM) to medical trainees. Current evidence can only conclude that any form of teaching increases EBM competency, but cannot distinguish which form of teaching is most effective at increasing student competency in EBM. This study compared the effectiveness of a blended learning (BL) versus didactic learning (DL) approach of teaching EBM to medical students with respect to competency, self-efficacy, attitudes and behaviour toward EBM. Methods: A mixed methods study consisting of a randomised controlled trial (RCT) and qualitative case study was performed with medical students undertaking …

How We "Breathed Life" Into Problem-Based Learning Cases Using A Mobile Application, Michelle Mclean, Victoria Brazil, Patricia Johnson

Michelle McLean

Background: Problem-based learning (PBL) has been widely adopted in medical education. Learners become bored with paper based cases as they progress through their studies. Aim: To breathe life (i.e. develop virtual patients) into paper-based PBL cases. Methods: The ‘‘patients’’ in paper-based PBL cases in one Year 2 were transformed into virtual patients by simulated patients roleplaying and the videos and associated patient data uploaded to Bond’s Virtual Hospital, a mobile Application. In unsupervised ‘‘clinical teams’’, second-year students undertook ‘‘ward rounds’’ twice a week, prompted by a virtual consultant and registered nurse. Immediately following the ‘‘ward rounds’’, they met with a …

Predictors Of Persistence And Resurgence: Evaluation Of A Behavioral Momentum-Based Approach, Mary M. Sweeney

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Mary M. Sweeney, graduate student in the Experimental and Applied Psychological Sciences program at Utah State University, will complete this dissertation as part of the requirements of the degree of Doctor of Philosophy in Psychology.

One approach to reducing a behavior with a history of reward is to remove the reward for the target behavior to be reduced and introduce reward for an alternative behavior. When alternative reward is removed, though, relapse termed resurgence can occur. The broad purpose of this dissertation is to examine the variables that contribute to the persistence and resurgence of a behavior. The results of …

Improving Sun Protection Behaviour Through Evidence-Based Campaigns, Anita Tang, Lyn J. Phillipson, Sandra C. Jones, Keryn M. Johnson

Sandra Jones

No abstract provided.

Examining Universal Primary Healthcare Through Community-Based Initiatives, Donald E. Warden

Oglethorpe Journal of Undergraduate Research

This paper examines enacting community-based primary healthcare programs and initiatives. It looks at the weaknesses of past attempts, the successes of current attempts, and gives insight into ways everyday citizens can change the way the world does healthcare. There are social, economic, and political barriers as to why these programs are not enacted. Since 1978, Member states of the United Nations strive towards healthcare for all. The original 1978 Declaration of Alma-Ata sets the bar at achieving this goal by the year 2000. Now in the 21^st century, the world still battles inadequate healthcare. Nations continue to strive towards …

A Food-Based Dietary Strategy Lowers Blood Pressure In A Low Socio-Economic Setting: A Randomised Study In South Africa, Karen E. Charlton, Naomi Levitt, Krisela Steyn, Deborah Jonathan, Nomonde Gwebushe, Nasheeta Peer, Katja Rossouw, Theresa Gogela, Carl J. Lombard

Karen E. Charlton

Objective To assess the impact of a food-based intervention on blood pressure (BP) in free-living South African men and women aged 50–75 years, with drug-treated mild-to-moderate hypertension. Methods A double-blind controlled trial was undertaken in eighty drug-treated mild-to-moderate hypertensive subjects randomised to an intervention (n 40) or control (n 40) arm. The intervention was 8-week provision of six food items with a modified cation content (salt replacement (SOLO™), bread, margarine, stock cubes, soup mix and a flavour enhancer) and 500 ml of maas (fermented milk)/d. The control diet provided the same quantities of the targeted foods but of standard commercial …

Able - Assessment Based Learning, Elizabeth Farmer, D O'Halloran, Joachim Sturmberg

Elizabeth Farmer

No abstract provided.

A Model Of Clinical Problem-Based Learning For Clinical Attachments In Medicine, Elizabeth Farmer, P Mccrorie, Sandra Holmes, Derek Macallan, Andrew Kent

Elizabeth Farmer

CONTEXT Problem-based learning (PBL) has been widely adopted in medical curricula for early-years training, but its use during clinical attachments has not been extensively explored.OBJECTIVES This study aimed to develop and evaluate a new model, 'clinical problem-based learning' (CPBL), to promote learning skills, attitudes and knowledge during clinical attachments.METHODS The CPBL model takes the principles of PBL and applies them to learning during clinical attachments. Real patient encounters are guided by a list of broadly defined case types to ensure curriculum coverage. By discussing history taking and examination in the context of differential diagnosis and problem listing, students generate learning …

Faith-Based Substance Abuse Treatment: Is It Just About God? Exploring Treatment Providers' Attitudes Toward Spirituality, Forgiveness And Secular Components Of Treatment, Geoffrey Lyons, Frank Deane, Peter Kelly

Peter Kelly

Although spirituality and forgiveness components of substance abuse treatment programs ar'e viewed as important by faithbased substance abuse treatment providers researchers have not compared their relative importance to other treatment components. This study evaluated the perceived importance of spiritually and forgiveness-based treatment components in comparison to other secular psycho-educational components in faith-based treatment programs. A brief survey was completed by 99 Salvation Army drug and alcohol treatment providers employed within Australian residential rehabilitation programs. The survey examined the relative importance treatment providers' placed on spiritual and secular components of treatment. Attitudes towards spiritual components of treatment, such as Christian education …

A Food-Based Dietary Strategy Lowers Blood Pressure In A Low Socio-Economic Setting: A Randomised Study In South Africa, Karen E. Charlton, Naomi Levitt, Krisela Steyn, Deborah Jonathan, Nomonde Gwebushe, Nasheeta Peer, Katja Rossouw, Theresa Gogela, Carl J. Lombard

Faculty of Health and Behavioural Sciences - Papers (Archive)

Objective To assess the impact of a food-based intervention on blood pressure (BP) in free-living South African men and women aged 50–75 years, with drug-treated mild-to-moderate hypertension.

Methods A double-blind controlled trial was undertaken in eighty drug-treated mild-to-moderate hypertensive subjects randomised to an intervention (n 40) or control (n 40) arm. The intervention was 8-week provision of six food items with a modified cation content (salt replacement (SOLO™), bread, margarine, stock cubes, soup mix and a flavour enhancer) and 500 ml of maas (fermented milk)/d. The control diet provided the same quantities of the targeted foods but of …

Constructing A Research Based Pre-Care Model To Improve Mental Health Interventions For Young People, Lindsey Harrison, Sue Webster

Faculty of Health and Behavioural Sciences - Papers (Archive)

ObjectiveThis study had two aims. Firstly, to explore how young people experienced the onset of mental health problems and to investigate their initial interactions with the health system; and secondly, to use thesefindings to construct a pre-care model that can be used by nurses and other health care professionals todesign appropriate interventions.DesignGrounded theory method was used to develop a theory of young peoples experience of the pathway to mental health care. Data were obtained through in-depth semi-structured interviews.SettingParticipants were recruited through two community health centres in a Sydney metropolitan area healthservice.SubjectsThe purposive sample consisted of eight males and twelve females …

Developing The Accredited Postgraduate Assessment Program For Fellowship Of The Australian College Of Rural And Remote Medicine, Janie Smith, David Prideaux, C Wolfe, T Wilkinson, Tarun Sengupta, D Dewitt, Paul Worley, Richard Hays, Marita Cowie

Janie Smith

Introduction: Accreditation of the Australian College of Rural and Remote Medicine (ACRRM) as a standards and training provider, by the Australian Medical Council (AMC) in 2007, is the first time in the world that a peak professional organisation for rural and remote medical education has been formally recognised. As a consequence, the Australian Government provided rural and remote medicine with formal recognition under Medicare as a generalist discipline. This accreditation was based on the ability of ACRRM to meet the AMC’s guidelines for its training and assessment program. Methods: The methodology was a six-step process that included: developing an assessment …

Improving Sun Protection Behaviour Through Evidence-Based Campaigns, Anita Tang, Lyn J. Phillipson, Sandra C. Jones, Keryn M. Johnson

Faculty of Health and Behavioural Sciences - Papers (Archive)

No abstract provided.

Comparison Of The Effectiveness Of Lecture And Problem Based Learning Program, J. Boonhong

Chulalongkorn Medical Journal

No abstract provided.