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Social and Behavioral Sciences Commons

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Full-Text Articles in Social and Behavioral Sciences

Patient‐Defined Goals For The Treatment Of Severe Aortic Stenosis: A Qualitative Analysis, Megan Coylewright, Roseanne Palmer, Elizabeth S. O'Neill, John F. Robb, Terri Fried Jul 2016

Patient‐Defined Goals For The Treatment Of Severe Aortic Stenosis: A Qualitative Analysis, Megan Coylewright, Roseanne Palmer, Elizabeth S. O'Neill, John F. Robb, Terri Fried

Dartmouth Scholarship

Patients with severe aortic stenosis (AS) at high risk for aortic valve replacement are a unique population with multiple treatment options, including medical therapy, surgical aortic valve replacement and transcatheter aortic valve replacement (TAVR). Traditionally, in elderly populations, goals of treatment may favour quality of life over survival. Professional guidelines recommend that clinicians engage patients in shared decision making, a process that may lead to decisions more aligned with patient-defined goals of care. Goals of care for high-risk patients with AS are not well defined in the literature, and patient-reported barriers to shared decision making highlight the need for explicit …


Meditative Movement As A Treatment For Pulmonary Dysfunction In Flight Attendants Exposed To Second-Hand Cigarette Smoke: Study Protocol For A Randomized Trial, Peter Payne, David Zava, Steven Fiering, Mardi Crane-Godreau Mar 2016

Meditative Movement As A Treatment For Pulmonary Dysfunction In Flight Attendants Exposed To Second-Hand Cigarette Smoke: Study Protocol For A Randomized Trial, Peter Payne, David Zava, Steven Fiering, Mardi Crane-Godreau

Dartmouth Scholarship

A study protocol is presented for the investigation of meditative movement (MM) as a treatment for pulmonary dysfunction in ight attendants (FA) who were exposed to second-hand cigarette smoke while ying before the smoking ban. The study will have three parts, some of which will run concurrently. The rst is a data gathering and screen- ing phase, which will gather data on pulmonary and other aspects of the health of FA, and will also serve to screen participants for the other phases. Second is an exercise selection phase, in which a variety of MM exercises will be taught, over a …


Measurement Challenges In Shared Decision Making: Putting The ‘Patient’ In Patient‐Reported Measures, Paul J. Barr, Glyn Elwyn Jan 2016

Measurement Challenges In Shared Decision Making: Putting The ‘Patient’ In Patient‐Reported Measures, Paul J. Barr, Glyn Elwyn

Dartmouth Scholarship

Measuring clinicians' shared decision-making (SDM) performance is a key requirement given the intensity of policy interest in many developed countries - yet it remains one of the most difficult methodological challenges, which is a concern for many stakeholders. In this Viewpoint Article, we investigate the development of existing patient-reported measures (PRMs) of SDM identified in a recent review. We find that patients were involved in the development of only four of the 13 measures. This lack of patient involvement in PRM development is associated with two major threats to content validity, common to all 13 PRMs of SDM: (i) an …