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https://read.qxmd.com/read/30732624/carer-administration-of-as-needed-subcutaneous-medication-for-breakthrough-symptoms-in-homebased-dying-patients-cariad-study-protocol-for-a-uk-based-open-randomised-pilot-trial
#1
Marlise Poolman, Jessica Roberts, Anthony Byrne, Paul Perkins, Zoe Hoare, Annmarie Nelson, Julia Hiscock, Dyfrig Hughes, Betty Foster, Julie O'Connor, Liz Reymond, Sue Healy, Rossela Roberts, Bee Wee, Penney Lewis, Rosalynde Johnstone, Sian Roberts, Emily Holmes, Stella Wright, Annie Hendry, Clare Wilkinson
BACKGROUND: While the majority of seriously ill people wish to die at home, only half achieve this. The likelihood of someone dying at home often depends on the availability of able and willing lay carers to support them. Dying people are usually unable to take oral medication. When top-up symptom relief medication is required, a clinician travels to the home to administer injectable medication, with attendant delays. The administration of subcutaneous injections by lay carers, though not widespread practice in the UK, has proven key in achieving home deaths in other countries...
February 7, 2019: Trials
https://read.qxmd.com/read/30708335/are-sexual-minority-youth-overrepresented-in-foster-care-child-welfare-and-out-of-home-placement-findings-from-nationally-representative-data
#2
Jessica N Fish, Laura Baams, Armeda Stevenson Wojciak, Stephen T Russell
BACKGROUND: Preliminary evidence suggests that sexual minority (e.g. lesbian, gay, bisexual, and same-sex attracted) youth are overrepresented in child welfare services. Yet, no study to date has been able to test this hypothesis with national data. OBJECTIVE: Using a two-study design, we test whether sexual minority youth are overrepresented in child welfare, foster care, and out-of-home placement using nationally representative data from the United States. PARTICIPANTS AND SETTING: Study 1 data are from the National Longitudinal Study of Adolescent to Adult Health (n = 14,154; Mean age = 15...
January 29, 2019: Child Abuse & Neglect
https://read.qxmd.com/read/30652930/exercise-adherence-beliefs-of-adults-with-knee-osteoarthritis-over-2-years
#3
Aileen Ledingham, Ellen S Cohn, Kristin R Baker, Julie J Keysor
Exercise is an established treatment to alleviate pain and improve function among adults with knee osteoarthritis (KOA). However, long-term adherence to exercise is poor and effective approaches to support adherence are limited. Here, we report on an ancillary study to a randomized controlled trial (RCT) where the primary outcome was 2-year adherence to a home based strength-training program. The aims of this current study were to (i) explore experiences, feelings, and perspectives related to long-term adherence to exercise among adults with painful KOA participating in a 2-year RCT, and (ii) identify factors that influenced long-term adherence to exercise...
January 17, 2019: Physiotherapy Theory and Practice
https://read.qxmd.com/read/30640500/the-important-but-neglected-developmental-value-of-roles-findings-from-youth-programs
#4
Reed W Larson, Marcela Raffaelli, Sandy Guzman, Ida Salusky, Carolyn N Orson, Andrea Kenzer
Developmental theory historically viewed demanding roles (at home, job) as important developmental contexts. However, adolescents' participation in these roles has fallen. This qualitative research examined role experiences in United States youth development programs. A central question among others was, "How can youth experience internal motivation fulfilling externally imposed role obligations?" We interviewed 73 youth with substantive work roles (e.g., Leader, Reporter, and Teacher) in 13 arts, science-technology, and leadership programs...
January 14, 2019: Developmental Psychology
https://read.qxmd.com/read/30485663/severe-conduct-problems-in-adolescence-and-risk-of-schizophrenia-in-early-adulthood
#5
Marko Manninen, Reetta Latvala, Minna Torniainen-Holm, Jaana Suvisaari, Maija Lindgren
AIM: Reform school (RS) is a foster care institution for adolescents with severe conduct problems. Both instability of early rearing environment and severe conduct problems in adolescence may associate with later psychotic disorders. We studied whether the risk of schizophrenia in adulthood is elevated in RS adolescents, and whether it is related to the age at first foster care placement or placement instability. METHODS: Adult age schizophrenia spectrum disorder data from RS subjects (N = 1099) were compared to a comparison group matched by age, sex, and place of birth (N = 5437) in a register based follow-up study, with up to 23 years follow-up time...
November 28, 2018: Early Intervention in Psychiatry
https://read.qxmd.com/read/30482090/facilitators-and-barriers-to-optimizing-eating-performance-among-cognitively-impaired-older-adults-a-qualitative-study-of-nursing-assistants-perspectives
#6
Wen Liu, Toni Tripp-Reimer, Kristine Williams, Claire Shaw
BACKGROUND AND OBJECTIVES: Cognitively impaired individuals are at increased risk for functional and behavioral difficulties at mealtimes, leading to compromised eating performance, low food and fluid intake, and negative functional and nutritional outcomes. Nursing assistants are the most critical front-line care staff and best positioned to manage the personal and environmental factors that influence resident eating performance. Identifying nursing assistants' perceptions of barriers and facilitators to engaging residents in eating will provide important experientially based foundation for developing and testing evidence-driven interventions to promote mealtime care...
November 27, 2018: Dementia
https://read.qxmd.com/read/30444890/restoring-oysters-to-urban-estuaries-redefining-habitat-quality-for-eastern-oyster-performance-near-new-york-city
#7
Katherine McFarland, Matthew P Hare
Restoring and conserving coastal resilience faces increasing challenges under current climate change predictions. Oyster restoration, in particular, faces threats from alterations in precipitation, warming water temperatures, and urbanization of coastlines that dramatically change salinity patterns, foster the proliferation and spread disease, and disrupt habitat connectivity, respectively. New York City (NYC) coastal waters, once home to a booming oyster fishery for eastern oysters (Crassostrea virginica), are now nearly devoid of live oyster reefs...
2018: PloS One
https://read.qxmd.com/read/30260872/an-alternative-to-assisted-living-and-nursing-homes-for-adults-foster-care
#8
Gail M Pfeifer
Foster care programs offer home-like care settings.
October 2018: American Journal of Nursing
https://read.qxmd.com/read/30195124/tai-chi-exercise-is-more-effective-than-brisk-walking-in-reducing-cardiovascular-disease-risk-factors-among-adults-with-hypertension-a-randomised-controlled-trial
#9
Aileen Wai Kiu Chan, Sek Ying Chair, Diana Tze Fan Lee, Doris Yin Ping Leung, Janet Wing Hung Sit, Ho Yu Cheng, Ruth E Taylor-Piliae
BACKGROUND: Physical inactivity is a major modifiable lifestyle risk factor associated with cardiovascular disease. Tai Chi is a safe and popular form of physical activity among older adults, yet direct comparisons are lacking between Tai Chi and brisk walking in their ability to reduce cardiovascular disease risk factors and improve psychosocial well-being. METHODS: 246 adults (mean age = 64.4 ± 9.8 years, age range = 30-91 years, 45.5% men) with hypertension and at least two but not more than three modifiable cardiovascular disease risk factors (diabetes, dyslipidaemia, overweight, physical inactivity and smoking) were randomly assigned to either Tai Chi (n = 82), brisk walking (n = 82) or control (n = 82) groups...
August 24, 2018: International Journal of Nursing Studies
https://read.qxmd.com/read/30135780/patient-s-experience-with-blended-video-and-internet-based-cognitive-behavioural-therapy-service-in-routine-care
#10
Anne Etzelmueller, Anna Radkovsky, Wiebke Hannig, Matthias Berking, David Daniel Ebert
Introduction: Internet-based guided self-help and face-to-face CBT have shown to be effective in the treatment of depression, but both approaches might not be an available treatment option for all patients. A treatment which blends internet-based guided self-help with video-based psychotherapy might reduce potential disadvantages of both approaches, while maintaining major advantages such as being location-independent. Additionally, it could provide a stronger focus on patient empowerment and lower resource use compared to traditional face-to-face treatment...
June 2018: Internet Interventions: the Application of Information Technology in Mental and Behavioural Health
https://read.qxmd.com/read/30123525/a-cluster-randomised-feasibility-pilot-trial-evaluating-involving-community-dwelling-older-adults-in-activities-in-relation-to-meals-in-a-rehabilitation-program-recruitment-data-collection-and-protocol
#11
M M Husted, A M Beck, L K Ulrikkeholm
Background: Community-dwelling older adults receiving support at home such as meals-on-wheels may lose the ability to preserve social, cognitive, and functional abilities, when becoming accustomed to and dependent of community aged care. When still able to cook older adults often hold some control over the foods that are prepared and which they eat, and which helps to foster identity. The purpose of this study is to assess feasibility of outcome measurements and sample size when conducting a pilot cluster randomized trial to evaluate community-dwelling older adults being involved in activities in relation to meals in a rehabilitation program...
2018: Pilot and Feasibility Studies
https://read.qxmd.com/read/30119758/out-of-home-placement-in-early-childhood-and-psychiatric-diagnoses-and-criminal-convictions-in-young-adulthood-a-population-based-propensity-score-matched-study
#12
Sylvana M Côté, Massimiliano Orri, Mikko Marttila, Tiina Ristikari
BACKGROUND: To ensure their protection and healthy development, children exposed to adverse family circumstances might be placed in foster homes, institutions, or kinship care (out-of-home placement). We aimed to compare the rates of psychiatric diagnoses and criminal convictions in young adulthood (ages 18-25 years) among children who were first placed at ages 2-6 years with those of children who were not placed and who had similar sociodemographic and family characteristics. METHOD: We did a population-wide cohort study using the 1987 Finnish Birth Cohort, which collects longitudinal data linking nationwide child welfare, medical, and criminal registers for all 59 476 livebirths in Finland in 1987...
September 2018: Lancet Child & Adolescent Health
https://read.qxmd.com/read/30072587/home-and-car-based-rules-in-foster-care-settings-to-reduce-exposure-to-secondhand-smoke-before-and-after-romanian-national-clean-air-legislation
#13
Kristie Foley, Lorand Ferencz, Cristian Meghea, Zoltan Abram, Melinda Pénzes, Andrea Fogarasi-Grenczer, Peter Balazs, Lorand Schmidt
Background : To evaluate changes in smoke free rules in the foster care system after the implementation of the Romanian national clean air law. Methods : A repeated cross-sectional, self-administered questionnaire among foster care employees ( n = 599) was conducted in 58 foster care homes during 2014 ( n = 295) and 51 homes during 2016 ( n = 304). We estimated the absolute difference in the proportion of employees who stated that smoke free rules existed before and after national clean air legislation. Results : There was an absolute increase in 4 of 5 smoke free measures after the law: bans on non-cigarette tobacco products ( n = 169 to 206, +10...
August 2, 2018: International Journal of Environmental Research and Public Health
https://read.qxmd.com/read/30059815/effectiveness-of-a-strength-oriented-psychoeducation-on-caregiving-competence-problem-solving-abilities-psychosocial-outcomes-and-physical-health-among-family-caregiver-of-stroke-survivors-a-randomised-controlled-trial
#14
Ho Yu Cheng, Sek Ying Chair, Janita Pak Chun Chau
BACKGROUND: Family caregivers provide the foundation for long-term home care of stroke survivors. The overwhelming stress associated with caregiving hinders the ability of family caregivers to utilise their internal and external resources to cope with this situation, thereby placing their own health at risk. We conducted a randomised controlled trial of a strength-oriented psychoeducational programme on conventional stroke rehabilitation for family caregivers. OBJECTIVES: To evaluate the effectiveness of a strength-oriented psychoeducational programme on the caregiving competence, problem-solving coping abilities, caregiver's depressive symptoms, caregiving burden and resources (family functioning, social support) and physical health (such as caregiving-related injury), as well as potential placement of stroke survivors...
November 2018: International Journal of Nursing Studies
https://read.qxmd.com/read/30055423/adaptations-of-the-evidence-based-transitional-care-model-in-the-u-s
#15
Mary D Naylor, Karen B Hirschman, Mark P Toles, Olga F Jarrín, Elizabeth Shaid, Mark V Pauly
Despite a growing body of evidence that adaptations of evidence-based interventions (EBI) are ubiquitous, few studies have examined the nature and rationale for modifications to the components of these interventions. The primary aim of this study was to describe and classify common local adaptations of the Transitional Care Model (TCM), an EBI comprised of 10 components that has been proven in multiple clinical trials to improve the care and outcomes of chronically ill older adults transitioning from hospitals to home...
September 2018: Social Science & Medicine
https://read.qxmd.com/read/29913358/associations-between-proposed-local-government-liquor-store-size-classifications-and-alcohol-consumption-in-young-adults
#16
Sarah Foster, Paula Hooper, Matthew Knuiman, Leanne Lester, Georgina Trapp
The prevalence of warehouse-style liquor stores has prompted alarm from local communities and public health advocates. To increase local government control over liquor stores, one proposed planning response is to distinguish between 'small' (i.e., ≤ 300 m2 ) and 'large' (i.e., > 300 m2 ) liquor stores. We mapped the size and location of liquor stores in Perth, Western Australia, and tested associations between liquor store exposure and alcohol consumption (grams ethanol/day) in young adults (n = 990)...
July 2018: Health & Place
https://read.qxmd.com/read/29846347/home-care-case-managers-integrated-care-of-older-adults-with-multiple-chronic-conditions-a-scoping-review
#17
Lisa Garland Baird, Kimberly Fraser
PURPOSE OF STUDY: The purpose of this scoping review was to explore peer-reviewed research and gray literature to examine the extent, range, and nature of available research that describes how home care case managers (HCCMs) provide integrated care for older adults with multiple chronic conditions (MCCs); identify how case management standards of practice correspond with functions of integrated care; identify facilitators and barriers to case management and integrated care delivery; and propose a framework to describe how HCCMs can use case management standards to provide integrated care to older adults with MCCs...
July 2018: Professional Case Management
https://read.qxmd.com/read/29502430/anxiety-and-depression-symptoms-in-young-people-with-perinatally-acquired-hiv-and-hiv-affected-young-people-in-england
#18
Marthe Le Prevost, Alejandro Arenas-Pinto, Diane Melvin, Francesca Parrott, Caroline Foster, Deborah Ford, Michael Evangeli, Alan Winston, Kate Sturgeon, Katie Rowson, Diana M Gibb, Ali Judd
Adolescents with perinatal HIV (PHIV) may be at higher risk of anxiety and depression than HIV negative young people. We investigated prevalence of anxiety and depression symptoms in 283 PHIV and 96 HIV-affected (HIV-negative) young people in England recruited into the Adolescents and Adults Living with Perinatal HIV (AALPHI) cohort. We used Hospital Anxiety and Depression Scale (HADS) scores and linear regression investigated predictors of higher (worse) scores.115 (41%) and 29 (30%) PHIV and HIV-affected young people were male, median age was 16 [interquartile range 15,18] and 16 [14,18] years and 241 (85%) and 71 (74%) were black African, respectively...
August 2018: AIDS Care
https://read.qxmd.com/read/29455580/from-family-involvement-to-family-inclusion-in-nursing-home-settings-a-critical-interpretive-synthesis
#19
Gloria Puurveen, Jennifer Baumbusch, Preet Gandhi
The provision of care work by families plays an integral role in the quality of life of older adults living in a nursing home setting. This critical interpretive synthesis examines family members' perceptions of their roles and responsibilities in nursing home settings and interrogates the structural and relational barriers and enablers to family involvement as they relate to fostering an inclusive environment. Electronic databases and published literature were searched for empirical studies that were conducted in a nursing home setting and described involvement from the perspective of family members...
February 2018: Journal of Family Nursing
https://read.qxmd.com/read/29407856/suggestibility-in-neglected-children-the-influence-of-intelligence-language-and-social-skills
#20
Laura Benedan, Martine B Powell, Rachel Zajac, Jarrad A G Lum, Pamela Snow
We administered the GSS-2, a standardised measure of suggestibility, to 5- to 12-year-old children to ascertain whether neglected children's responses to leading questions distinguish them from those of their non-neglected counterparts. Neglected children (n = 75) were more likely than an age-matched sample of non-neglected children (n = 75) to yield to leading questions, despite no difference in their ability to recall the test stimuli. Subsequent collection of individual difference data from the neglected sample revealed that this effect could not be attributed to intelligence, language ability, problem behaviours, age at onset of neglect, or time spent in out-of-home care...
May 2018: Child Abuse & Neglect
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