Literature Collection

5861

Influence of psychotherapy attendance on buprenorphine treatment outcome.

Type: Journal Article

Authors: Iv?D. Montoya, Jennifer R. Schroeder, Kenzie L. Preston, Lino Covi, Annie Umbricht, Carlo Contoreggi, Paul J. Fudala, Rolley E. Johnson, David A. Gorelick

Year: 2005

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5862

Influence of Site Differences between Urban and Rural American and Central European Opioid-Dependent Pregnant Women and Neonatal Outcome Characteristics

Type: Journal Article

Authors: A. Baewert, R. Jagsch, B. Winklbaur, G. Kaiser, K. Thau, A. Unger, C. Aschauer, M. Weninger, V. Metz

Year: 2012

Abstract: Background: Multi-center trials enable the recruitment of larger study samples, although results might be influenced by site-specific factors. Methods: Site differences of a multi-center prospective double-blind, double-dummy randomized controlled trial (7 centers: Central Europe (Vienna)/USA (3 urban/3 rural centers)) comparing safety and efficacy of methadone and buprenorphine in pregnant opioid-dependent women and their neonates. Results: Urban US women had the highest rate of concomitant opioid (p = 0.050) and cocaine consumption (p = 0.003), the highest dropout rate (p = 0.001), and received the lowest voucher sums (p = 0.001). Viennese neonates had significantly higher Apgar scores 1 min (p = 0.001) and 5 min after birth (p < 0.001) and were more often born by cesarean section (p = 0.024). Rural US newborns had a significantly shorter neonatal abstinence syndrome treatment duration compared to Viennese and urban US sites (p = 0.006), in addition to other site-specific differences, suggesting a more severely affected group of women in the urban US sites. Conclusion: This clinical trial represents a role model for pharmacological treatment in this unique sample of pregnant women and demonstrates the clinical importance of considering site-specific factors in research and clinical practice.

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5863

INFORM: A Pediatrician's Communication Curriculum About Diagnostic Conversations in Somatic Symptom and Related Disorders

Type: Journal Article

Authors: F. Lambert-Fliszar, C. Sullivan, C. Giudice, H. Person

Year: 2025

Abstract:

INTRODUCTION: Somatic symptom and related disorders (SSRDs) is an umbrella term for physical symptoms related to or amplified by psychosocial factors. Clinicians find difficulty in delivering SSRD diagnoses to families. Caregiver buy-in of an SSRD diagnosis is strongly associated with better outcomes. Curricula addressing gaps in this communication skill are lacking, indicating a need for effective educational innovations to increase pediatricians' confidence and efficacy in SSRD diagnostic conversations with caregivers. METHODS: A 90-minute curriculum composed of didactic and experiential components, including role-play, was designed using Kern's six steps to curriculum development and the INFORM framework (Introduce, Name and Narrate, Feedback, Orient to diagnosis, Reframe, Management principles). We evaluated and improved the curriculum over multiple iterations using the CIPP (Context-Input-Process-Product) model, in which acceptability and feasibility data were collected from participants via quantitative surveys. These surveys also assessed attainment of educational objectives. RESULTS: A total of 85 responses (of 97 total participants; 88%) were obtained from pediatric residents, pediatric hospital medicine fellows, and pediatric hospitalist attendings. Based on survey responses to two of three true/false questions, participants demonstrated significantly improved knowledge postcurriculum. The proportion of learners reporting feeling confident in SSRD diagnostic conversations increased, from 32% before to 86% after the curriculum. A total of 95% of respondents would recommend this curriculum to a colleague, and 98% reported they would use their skills in future clinical practice. DISCUSSION: We created a novel, well-received SSRD diagnostic communication curriculum via an iterative process, with demonstration of achieved educational objectives.

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5864

Information on Medicare Telehealth

Type: Government Report

Authors: Center for Medicare and Medicaid Services

Year: 2018

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Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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5865

Information-Seeking and Use of Primary Care Mental Health Services Among Gulf Coast Survivors of Natural Disasters

Type: Journal Article

Authors: N. F. Mason, D. B. Francis

Year: 2021

Abstract:

OBJECTIVES: This study sought to understand factors related to weather-related disaster survivors' health information and mental health-care-seeking behaviors. METHODS: In November 2017, we conducted a quantitative survey of 170 Gulf Coast residents who experienced weather-related disasters. The survey assessed how individual and psychosocial factors affect health-care-seeking behavior. RESULTS: Nearly 66% of participants reported a high frequency of depression and/or anxiety symptoms, yet only 39% saw a medical professional. Of participants who visited a medical professional, 76% sought information from nonmedical sources. Seeking medical care was strongly correlated with seeking information from nonmedical sources and previous healthcare experiences, but not with fear and stigma. CONCLUSIONS: Positive communication and strong support systems have the potential to mitigate the reluctance people have in seeking help for mental health problems. Although it is discouraging that few people seek professional care, it is promising that participants were not avoiding care due to fear of being stigmatized. Less opposition to mental health care by survivors offers opportunity for mental health professionals to treat the psychological problems survivors experience. Providing necessary information may make headway to mental health care where it is greatly needed.

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5866

Informed and patient-centered decision-making in the primary care visits of African Americans with depression

Type: Journal Article

Authors: Anika L. Hines, Debra Roter, Bri K. Ghods Dinoso, Kathryn A. Carson, Gail L. Daumit, Lisa A. Cooper

Year: 2018

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5867

Informed consent to opioid agonist maintenance treatment: Recommended ethical guidelines

Type: Journal Article

Authors: Adrian Carter, Wayne Hall

Year: 2008

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5868

Informing a collaborative-care model for delivering medication assisted treatment for opioid dependence (MATOD): An analysis of pharmacist, prescriber and patient perceptions

Type: Journal Article

Authors: A. Cheetham, K. Morgan, J. Jackson, S. Lord, S. Nielsen

Year: 2023

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5869

Informing implementation and dissemination of a specialized primary care medical home for patients with serious mental illness: Clinician and administrator perspectives

Type: Journal Article

Authors: Melissa Chinchilla, Jared M. Greenberg, Stephanie Chassman, Rebecca S. Oberman, Alicia A. Bergman, Evelyn T. Chang, Amy N. Cohen, Alison B. Hamilton, Sona Hovsepian, Sonya E. Gabrielian, Alexander S. Young

Year: 2024

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5870

Informing Proactive integrated virtual healthcare resource use in primary care

Type: Journal Article

Authors: J. N. Haun, B. A. Cotner, C. Melillo, V. Panaite, W. Messina, S. Patel-Teague, B. Zilka

Year: 2021

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5871

Informing use of the patient health questionnaire-2 to detect moderate or greater depression symptoms in adolescents and young adults in outpatient primary care

Type: Journal Article

Authors: Brian H. Pitts, Jeanelle Sheeder, Eric Sigel, Kathryn Love-Osborne, Jennifer Woods

Year: 2023

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5872

Informing youth-centred opioid agonist treatment: Findings from a retrospective chart review of youths' characteristics and patterns of opioid agonist treatment engagement in a novel integrated youth services program

Type: Journal Article

Authors: K. McInerney, K. Marchand, J. Buckley, C. Gao, A. Kestler, S. Mathias, A. Argyle, S. Barbic

Year: 2023

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5873

Infrequent attendance in general practice after a major disaster: a problem? A longitudinal study using medical records and self-reported distress and functioning

Type: Journal Article

Authors: G. A. Donker, P. G. van der Velden, J. J. Kerssens, C. J. Yzermans

Year: 2008

Publication Place: England

Abstract: OBJECTIVE: To assess the characteristics and implications for care of infrequent attendance in general practice in the aftermath of disaster. METHODS: A study of the content of electronic medical records (EMRs) in pre- and post-disaster periods linked to an enquiry using self-reported questionnaires administered 3 weeks and 18 months post-disaster. The disaster (explosion of a firework depot in Enschede, The Netherlands) caused 23 deaths, about 1000 people injured and 1200 people who had to relocate. Sample included survivors (N = 922) who participated in two surveys and whose data could be linked to EMRs of GPs. A comparison of reported morbidity in 'infrequent' (a maximum of three times in men and four times in women in the first two post-disaster years) and 'more frequent attenders' (frequency determined post-disaster) in general practice examined in relation to health status (measured by diagnoses in EMRs, symptom checklist and quality of life instrument) was the MAIN OUTCOME MEASURE: RESULTS: Infrequent attenders reported approximately three times as few contacts as more frequent attenders in the pre-disaster year (P < 0.001). Multivariate logistic regression analyses revealed that infrequent attenders were likely to be younger, less depressed, have better subjective health and physical functioning and exhibited more hostile behaviour (measured by questionnaire). Infrequent attenders were less often personally bereaved by the disaster, but more often relocated, and had a lower prevalence of psychological problems pre- and post-disaster although this increased stronger (by 10-fold). CONCLUSIONS: Both groups showed the same type of psychological problems post-disaster, but differed in the frequency of contacting the GP.

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5874

Infusing Mental Health Services Into Primary Care for Very Young Children and Their Families

Type: Journal Article

Authors: Margot Kaplan-Sanoff, Ayelet Talmi, Marilyn Augustyn

Year: 2012

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5875

Ingenuity and resiliency of syringe service programs on the front lines of the opioid overdose and COVID-19 crises

Type: Journal Article

Authors: L. D. Wenger, A. H. Kral, R. N. Bluthenthal, T. Morris, L. Ongais, B. H. Lambdin

Year: 2021

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5876

Inhalant use among incarcerated adolescents in the United States: Prevalence, characteristics, and correlates of use (Volatile Solvent Screening Inventory)

Type: Journal Article

Authors: M. O. Howard, L. B. Cottler, L. T. Wu, M. G. Vaughn

Year: 2008

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5877

Inhibitory-control training for cocaine use disorder and contingency management for clinic attendance: A randomized pilot study of feasibility, acceptability and initial efficacy

Type: Journal Article

Authors: Craig R. Rush, Justin C. Strickland, Erika Pike, Christina R. Studts, William W. Stoops

Year: 2020

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5878

Initial and Follow-Up Evaluations of Integrated Psychological Services for Anxiety and Depression in a Safety Net Primary Care Clinic

Type: Journal Article

Authors: E. Sadock, P. B. Perrin, R. M. Grinnell, B. Rybarczyk, S. M. Auerbach

Year: 2017

Publication Place: United States

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5879

Initial development of a survey tool to detect issues of chemical coping in chronic pain patients

Type: Journal Article

Authors: K. L. Kirsh, C. Jass, D. S. Bennett, J. E. Hagen, S. D. Passik

Year: 2007

Publication Place: England

Abstract: OBJECTIVE: Completely compliant drug-taking behavior is associated with opioid therapy that is usually highly beneficial to the pain patient, whereas frequent and severe aberrant behavior is generally associated with therapy that is potentially harmful to the patient and borders on addiction. There is a large group of patients in the middle between these two extremes: those who display aberrant behaviors periodically, who may additionally have a mixed response to opioid therapy, the overall results of which are less than satisfying (often in the domain of functionality) to the clinician. We have used the term chemical coping to describe this vast middle ground and seek to begin a line of research starting with the development of a clinically useful tool to identify this subset of patients. METHODS: A background review is provided to highlight the need for better understanding of chemical coping. In addition, the first steps in creating a chemical coping tool are discussed, including the results of focus group interviews to determine the clarity, understandability of the items, and to assure that they are not objectionable or offensive. A total of 15 patients and 15 professionals completed this phase of the project. RESULTS: Both the professionals and patients reported that the items were generally clear and understandable. In addition, although the items cover potentially sensitive topics and some were designed with a provocative edge, the respondents had few requested changes. The researchers are moving forward with the next phase of research. SIGNIFICANCE OF RESULTS: The middle ground between compliant medication use and addiction, which we call chemical coping, is poorly understood and woefully underresearched. Despite this gap in our knowledge base, it is an often observed phenomenon. Creating a tool to identify these characteristics can lead to better treatment outcomes and earlier interventions to help improve compliance with medication regimens.

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5880

Initial evaluation, diagnosis, and treatment of anorexia nervosa and bulimia nervosa

Type: Journal Article

Authors: B. C. Harrington, M. Jimerson, C. Haxton, D. C. Jimerson

Year: 2015

Publication Place: United States

Abstract: Eating disorders are life-threatening conditions that are challenging to address; however, the primary care setting provides an important opportunity for critical medical and psychosocial intervention. The recently published Diagnostic and Statistical Manual of Mental Disorders, 5th ed., includes updated diagnostic criteria for anorexia nervosa (e.g., elimination of amenorrhea as a diagnostic criterion) and for bulimia nervosa (e.g., criterion for frequency of binge episodes decreased to an average of once per week). In addition to the role of environmental triggers and societal expectations of body size and shape, research has suggested that genes and discrete biochemical signals contribute to the development of eating disorders. Anorexia nervosa and bulimia nervosa occur most often in adolescent females and are often accompanied by depression and other comorbid psychiatric disorders. For low-weight patients with anorexia nervosa, virtually all physiologic systems are affected, ranging from hypotension and osteopenia to life-threatening arrhythmias, often requiring emergent assessment and hospitalization for metabolic stabilization. In patients with frequent purging or laxative abuse, the presence of electrolyte abnormalities requires prompt intervention. Family-based treatment is helpful for adolescents with anorexia nervosa, whereas short-term psychotherapy, such as cognitive behavior therapy, is effective for most patients with bulimia nervosa. The use of psychotropic medications is limited for anorexia nervosa, whereas treatment studies have shown a benefit of antidepressant medications for patients with bulimia nervosa. Treatment is most effective when it includes a multidisciplinary, teambased approach.

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