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The Literature Collection contains over 11,000 references for published and grey literature on the integration of behavioral health and primary care. Learn More
Use the Search feature below to find references for your terms across the entire Literature Collection, or limit your searches by Authors, Keywords, or Titles and by Year, Type, or Topic. View your search results as displayed, or use the options to: Show more references per page; Sort references by Title or Date; and Refine your search criteria. Expand an individual reference to View Details. Full-text access to the literature may be available through a link to PubMed, a DOI, or a URL. References may also be exported for use in bibliographic software (e.g., EndNote, RefWorks, Zotero).
11231 Results
661
A telephone-delivered physical activity and dietary intervention for type 2 diabetes and hypertension: does intervention dose influence outcomes?
Type: Journal Article
Year: 2011
Publication Place: United States
Abstract: PURPOSE: To examine associations of intervention dose with behavior change outcomes in a telephone counseling intervention for physical activity and dietary change. DESIGN: Secondary analysis of intervention participants from a cluster-randomized controlled trial. SETTING: Primary care practices in a disadvantaged community in Queensland, Australia. SUBJECTS: Adult patients with type 2 diabetes or hypertension. INTERVENTION: Patients (n = 228) received telephone counseling over a 12-month period. The initiation phase (1-4 months) consisted of up to 10 weekly or fortnightly calls; the maintenance-enhancement phase (5-12 months) consisted of up to eight monthly calls. MEASURES: Intervention dose was defined as the number of calls completed in total and during each phase and was categorized into tertiles. Diet and physical activity were measured using validated self-report instruments. ANALYSIS: Multivariate analyses of call completion and change in health behaviors. RESULTS: Those completing a high number of calls were more likely to be female, white, older than 60 years, retired, and earning less than an average weekly Australian wage. Relative to low call completion, high completion during the maintenance-enhancement phase was associated with significantly greater (least squares mean [SE]) behavioral improvement for the following: total fat intake as percentage of calories (-3.58% [.74%]), saturated fat intake (-2.51% [.51%]), fiber intake (4.23 [1.20] g), and moderate-to-vigorous physical activity (187.82 [44.78] minutes). CONCLUSION: Interventions of longer duration may be required to influence complex behaviors such as physical activity and fat and fiber intake.
Topic(s):
HIT & Telehealth
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663
A tiered multidisciplinary approach to the psychosocial care of adult cancer patients integrated into routine care: the PROMPT study (a cluster-randomised controlled trial)
Type: Journal Article
Year: 2017
Publication Place: Germany
Abstract: PURPOSE: A stepped-wedge cluster-randomised controlled trial was conducted to evaluate the feasibility and effectiveness of a brief psychosocial intervention for depressed cancer patients, delivered by trained front-line health professionals in routine clinical care. METHODS: Nine hundred two patients were assessed across four treatment centres which were allocated in random order from control epoch to intervention epoch. Eligible patients had Hospital Anxiety and Depression Scale (HADS) scores of 8 or greater. Of eligible patients, 222 were recruited in control epoch and 247 in intervention epoch. Twenty-seven health professionals (HPs) were trained to deliver the psychosocial intervention consisting of up to four sessions, tailored to patient symptoms and distress. HPs participated in group supervision with a psychiatrist. The primary outcome, analysed by intention to treat, was depression measured with the HADS at 10 weeks after receiving the intervention. RESULTS: At 10-week follow-up, there were no significant differences in HADS score for the 181 patients in control epoch and 177 in intervention epoch (adjusted difference -1.23, 95 % CI -3.81--1.35, p = 0.35). Patients with disease progression who received the intervention experienced significant benefits in unmet practical support needs including care and support, information, and physical and daily living. CONCLUSION: A brief psychosocial intervention delivered by front-line oncology health professionals is feasible to deliver but is insufficient as a stand-alone treatment for depression in cancer patients. Psychosocial interventions should be targeted to populations most likely to experience benefit.
Topic(s):
Healthcare Disparities
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668
A Troubled Asset Relief Program for the Patient-Centered Medical Home
Type: Journal Article
Year: 2017
Publication Place: United States
Abstract: The patient-centered medical home (PCMH) costs a lot to build and maintain. Deficiencies have become apparent: it has provided few of its advertised benefits and is becoming a troubled asset. A troubled asset relief program for the PCHM is needed (PCMH-TARP). This report presents a PCMH-TARP that places patients' interests first. The PCMH-TARP addresses regulatory barriers and greatly simplifies the complexity of the PCMH blueprint. A disruptively renovated PCMH will stand on a foundation of measures that matter to patients.
Topic(s):
Medical Home
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Reference Links: 
View the DOI record for A Troubled Asset Relief Program for the Patient-Centered Medical Home
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View the PubMed citation for A Troubled Asset Relief Program for the Patient-Centered Medical Home672
A virtual, pilot randomized trial of a brief intervention to prevent suicide in an integrated healthcare setting
Type: Journal Article
Year: 2022
Abstract:
OBJECTIVE: Patients who die by suicide are often seen in primary care settings in the weeks leading to their death. There has been little study of brief interventions to prevent suicide in these settings. METHOD: We conducted a virtual, pilot, randomized controlled trial of a brief suicide prevention strategy called Veterans Affairs Brief Intervention and Contact Program (VA BIC) in patients who presented to a primary care mental health walk-in clinic for a new mental health intake appointment and were at risk for suicide. Our primary aim was to assess feasibility. We measured our ability to recruit 20 patients. We measured the proportion of enrolled patients who completed all study assessments. We assessed adherence among patients assigned to VA BIC. RESULTS: Twenty patients were enrolled and 95% (N = 19) completed all study assessments. Among the 10 patients assigned to VA BIC, 90% (N = 9) of patients completed all required intervention visits, and 100% (N = 10) completed ≥70% of the required interventions visits. CONCLUSION: It is feasible to conduct a virtual trial of VA BIC in an integrated care setting. Future research should clarify the role of VA BIC as a suicide prevention strategy in integrated care settings using an adequately powered design. CLINICAL TRIAL REGISTRATION: NCT04054947.
Topic(s):
Healthcare Disparities
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Reference Links:
View the DOI record for A virtual, pilot randomized trial of a brief intervention to prevent suicide in an integrated healthcare setting
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View the PubMed citation for A virtual, pilot randomized trial of a brief intervention to prevent suicide in an integrated healthcare setting673
A vision for patient-centered health information systems
Type: Journal Article
Year: 2011
Publication Place: United States
Topic(s):
HIT & Telehealth
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Reference Links: View the PubMed citation for A vision for patient-centered health information systems
675
A Way through the woods: Development of an integrated care pathway for adolescents with depression
Type: Journal Article
Year: 2020
Publication Place: Australia
Topic(s):
Education & Workforce
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, Healthcare Disparities
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Reference Links:
View the DOI record for A Way through the woods: Development of an integrated care pathway for adolescents with depression
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View the PubMed citation for A Way through the woods: Development of an integrated care pathway for adolescents with depression678
A web-delivered care management and patient self-management program for recurrent depression: a randomized trial
Type: Journal Article
Year: 2012
Publication Place: United States
Abstract: OBJECTIVE This study assessed the impact of an Internet-delivered care management and patient self-management program, eCare for Moods, on patients treated for recurrent or chronic depression. METHODS Patients with recurrent or chronic depression were randomly assigned to eCare (N=51) or usual specialty mental health care (N=52). The 12-month eCare program integrates with ongoing depression care, links to patients' electronic medical records, and provides clinicians with panel management and decision support. Participants were interviewed at baseline and six, 12, 18, and 24 months after enrollment. Telephone interviewers blind to treatment used a timeline follow-back method to estimate depression severity on a 6-point scale for each of the 105 study weeks (including the baseline). Differences between groups in weekly severity over two years were examined by generalized estimating equations. RESULTS Participants in eCare experienced more reduction in depressive symptoms (estimate=-.74 on the 6-point scale over two years; 95% confidence interval [CI]=-1.38 to -.09, p=.025) and were less often depressed (-.24 over two years; CI=-.46 to -.03, p=.026). At 24 months, 43% of eCare and 30% of usual-care participants were depression free; the number needed to treat to attain one additional depression-free participant was 8. eCare participants had other favorable outcomes: improved general mental health (p=.002), greater satisfaction with specialty care (p=.003) and with learning new coping skills (p<.001), and more confidence in managing depression (p=.006). CONCLUSIONS Internet-delivered care management can help improve outcomes of patients treated for recurrent or chronic depression.
Topic(s):
HIT & Telehealth
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Reference Links:
View the DOI record for A web-delivered care management and patient self-management program for recurrent depression: a randomized trial
View DOI Record
View the PubMed citation for A web-delivered care management and patient self-management program for recurrent depression: a randomized trial