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Increasing access to family planning services among women receiving medications for opioid use disorder: A pilot randomized trial examining a peer-led navigation intervention.

OBJECTIVE: High rates of unintended pregnancy occur among women with opioid use disorder (OUD). OUD treatment settings may provide an ideal … The study enrolled 119 women who were randomized to the Sexual Health Initiative for Navigation and Empowerment (SHINE) peer-led navigation intervention (n = 56) or usual care (n = 63). The average age was 32 (SD = 6.4); 76% were receiving methadone, 24% were receiving buprenorphine and 19% reported a treatment provider had ever discussed family planning with …

Investigating barriers and challenges to the integrated management of neglected tropical skin diseases in an endemic setting in Nigeria.

BACKGROUND: There is a dearth of experience in and evidence for cost-effective integrated community-based management of skin neglected tropi … c challenges to access and delivery of services were identified. Community and health care workers' empowerment and engagement through outreach and regular training, respectively may alleviate these challenges.

Dangerous practices in a hemodialysis unit in Vietnam identify from mixed methods.

BACKGROUND: Non-compliance with infection control practices poses a serious risk to patients receiving chronic hemodialysis. We aimed to ide … that are associated with non-compliance classified as serious risk of infection transmission. Nurse empowerment to resist unreasonable patient demands may also be pivotal to assisting their compliance with hand hygiene and single patient-centered care. An audit program to measure infection control resources and practices may facilitate enforcement of the guid …

Bridging the gap between pragmatic intervention design and theory: using behavioural science tools to modify an existing quality improvement programme to implement "Sepsis Six".

BACKGROUND: Sepsis has a mortality rate of 40 %, which can be halved if the evidence-based "Sepsis Six" care bundle is implemented within 1 … ), e.g. team collaboration acting as a lever versus doctor/nurse conflict acting as a barrier; (4) "empowerment and support" (beliefs about capabilities, social/professional role and identity, behavioural regulation, social influences), e.g. involving staff in intervention development acting as a lever versus lack of confidence to challenge colleagues' decisi …

Current management of diabetes mellitus and future directions in care.

The last 90 years have seen considerable advances in the management of type 1 and type 2 diabetes. Prof MacLean of Guy's Hospital wrote in t … ychological support are now well-established as essential for improving patient motivation and self-empowerment. Large multicentre randomised trials have confirmed the effectiveness of intensive glycaemic control on microvascular outcomes, but macrovascular outcomes and cardiovascular safety remain controversial with several glucose-lowering agents. Future di …

Effects of telephone-based peer support in patients with type 2 diabetes mellitus receiving integrated care: a randomized clinical trial.

IMPORTANCE: In type 2 diabetes mellitus (T2DM), team management using protocols with regular feedback improves clinical outcomes, although suboptimal self-management and psychological distress remain significant challenges. OBJECTIVE: To investigate if frequent contacts through a telephone-based peer support program (Peer Support, Empowerment, and Remote Communication Linked by Information Technology [PEARL]) would improve cardiometabolic risk and health outcomes by enhancing psychological well-being and self-care in patients receiving integrated care implemented through a web-based multicomp…

Effectiveness and Cultural Adaptation of Parenting Interventions for South Asian Families: A Mixed-Methods Systematic Review Using Bernal's Ecological Validity Model.

BACKGROUND: Although parenting interventions are effective in improving parenting practices and child development, most are developed within … cts for studies demonstrating deeper cultural adaptation. Qualitative findings highlighted maternal empowerment, improved mental wellbeing, and the importance of family support and culturally congruent facilitators for engagement. Overall certainty of evidence was rated as low due to high heterogeneity, risk of bias, and imprecision. DISCUSSION: Culturally a …

Development of cognitive remediation interventions for people living with HIV in South Africa: participant experiences of adapted CogSMART and BrainHQ© programs.

INTRODUCTION: Previous studies suggest that cognitive remediation training (CRT) programs can help address neurocognitive impairment (NCI) a … ent techniques, and by ensuring medication adherence) and indicated a sense of increased agency and empowerment in a stigmatizing society. Moreover, they perceived the interactive, group-based aspects of the interventions as a source of social support. Participants described a collaborative learning space that extended into the community, and reported that th …

Advancing Women's Performance in Fitness and Sports: An Exploratory Field Study on Hormonal Monitoring and Menstrual Cycle-Tailored Training Strategies.

BACKGROUND: Extensive research confirms that hormonal fluctuations during the menstrual cycle significantly influence female athletic perfor … ptimize training, promote equity in women's sports, and support public health strategies for female empowerment through sustained physical activity, addressing the limitations of male-centric training models. MATERIALS AND METHODS: This exploratory field study employed a multifaceted approach, beginning with a comprehensive meta-analysis via literature searc …

Nursing dying people in an acute hospital: A focused ethnography.

BACKGROUND: Hospitals are the most common place of death worldwide yet dying patients' needs are frequently unmet. Acute wards are oriented … ted nurses experienced heightened discomfort due to cultural differences. Supporting nurses through empowerment, support for a culturally diverse workforce and structures that prioritise person-centred care is essential to mitigating moral distress and improving the quality of hospital end-of-life care. Organisational cultures must reorient toward person-cent …

Просветительская работа с пациентами с помощью массового открытого онлайнового курса (МООК) для пациентов с множественными миеломами и лиц, обеспечивающих уход: описывающее исследование знаний, проведенное Французской ассоциацией пациентов с множественными миеломами (АФ3М) и французскоязычной межгруппой " Миэлома " (МФМ).

Множественная миелома (ММ) представляет собой хроническую гематологическую халатность, характеризующуюся сложными терапевтическими стратегиями, неоднократными рецидивами и существенными информационными и психосоциальными потребностями. Достижения в области пероральной терапии и амбулаторного лечения переложили бóльшую ответственность на пациентов и лиц, обеспечивающих уход, подчеркнув необходимость наличия доступных и высококачественных образовательных ресурсов. Терапевтическое просвещение пациентов (ТПЭ) направлено на то, чтобы помочь пациентам лучше понять свое состояние и более эффективно с

Совпадение в аннотации оригинала
BackgroundMultiple myeloma (MM) is a chronic hematologic malignancy characterized by complex therapeutic strategies, repeated relapses, and … designed with patients, caregivers, and health care professionals to improve knowledge, skills, and empowerment among patients living with MM and their relatives. Secondary objectives included assessing participant satisfaction, engagement, and the feasibility of this digital education model at a national scale.MethodsThe MOOC "Understanding and Living with M …

Cognitive frailty risk prediction models in patients with chronic kidney disease in China: a systematic review and meta-analysis.

BACKGROUND: Cognitive frailty, defined as the coexistence of physical frailty and cognitive impairment, is common among patients with chroni … ducation level, age, marital status, nutritional status, hemoglobin, emotional distress, and health empowerment (P < 0.05). CONCLUSION: Existing risk prediction models for cognitive frailty in patients with chronic kidney disease demonstrate generally good discriminatory ability but remain at an early stage of methodological development. Several aspects requi …

Impact of the Empower-DSD training program on the health-related quality of life in children, adolescents and young adults with differences of sex development and their parents.

BACKGROUND: Treatment of individuals with a difference of sex development (DSD) must respect ethical principles, human rights, and national … ngagement with DSD diagnosis. The exchange with other people with DSD or parents was experienced as empowerment. Further research should include long-term follow-ups to determine the sustainable effects of multidisciplinary training programs. CLINICAL TRIAL REGISTRATION: https://innovationsfonds.g-ba.de/projekte/empower-dsd.219, identifier DRKS00023096.

Perinatal mortality in eastern Africa: A systematic review and meta-analysis.

BACKGROUND: Every day, over 5000 stillbirths and more than 6000 newborn deaths are estimated to occur worldwide, the majority in sub-Saharan … tal care, obstetric complications), and maternal comorbidities. Protective factors included women's empowerment and supporting access to care through maternity waiting homes. CONCLUSION: Perinatal mortality remains high in East Africa. Many deaths were preventable through addressing modifiable risk factors and strengthening health systems to provide quality …

RISE for recovery after acute whiplash injury: protocol for a randomised feasibility trial of a clinician-supported SMS-based behavioural intervention.

INTRODUCTION: Whiplash-associated disorders (WADs) are the most common and costly consequence of road traffic injury (RTI). Providing early and effective treatment is a healthcare priority; however, current guideline-based care which focuses on education and physiotherapy-led exercise does not routinely address the psychosocial effects of trauma, and access to early integrated treatment is limited. This study aims to evaluate the feasibility of delivering and evaluating recovery, information, support and empowerment (RISE), a co-designed short message service-based intervention integrating psy…

Low awareness of medication-related osteonecrosis of the jaw among dentists: a systematic review with a medical and bioethical perspective.

INTRODUCTION: Medication-related osteonecrosis of the Jaw (MRONJ) is a serious adverse drug reaction that can seriously affect the quality o … engthening interprofessional training and teamwork is essential to improving prevention and patient empowerment. PROSPERO REGISTRATION CODE: CRD420251015032.

Enhanced community reintegration: the impact of participating in wheelchair basketball on reintegration of people living with a spinal cord injury.

INTRODUCTION: Spinal cord injury (SCI) is a life-altering condition with significant physical, psychological, and social consequences. In So … ite systemic barriers, the sport offered valuable opportunities for independence, peer support, and empowerment. The discrepancy between perceived and objective integration suggests wheelchair basketball may enhance subjective belonging even when structural barriers persist. Broader support from local and national stakeholders is needed to sustain these benef …

Educational frameworks for zoonotic malaria prevention: a narrative review integrating behavioural theory, participatory design, and instructional models for Plasmodium knowlesi in Southeast Asia.

BACKGROUND: While global malaria burden has declined over the past two decades, zoonotic malaria-particularly Plasmodium knowlesi in Southea … We propose "zoonotic literacy" -linking ecological awareness, behavioural adaptation, and community empowerment-that may support sustainable prevention of P. knowlesi malaria in Southeast Asia and similar settings.

In-Service Training of Stakeholders Working for Particularly Vulnerable Tribal Groups (PVTGs) in an Eastern State of India: A Pre and Post- Training Assessment.

BACKGROUND: Particularly vulnerable tribal groups (PVTGs) are among the most marginalized tribal communities in India. The uptake of governm … ation (NGO) personnel, and functionaries of the Odisha Livelihood Mission (OLM) and the Odisha PVTG Empowerment and Livelihood Programme (OPELIP). Three-day residential trainings covered six modules; knowledge was assessed across five domains-childhood malnutrition, adolescent health, antenatal and postnatal care, newborn care and immunization, and communicat …

Interventions to Reduce Mental Health Stigma in Young People: A Systematic Review and Meta-Analysis.

IMPORTANCE: Mental health stigma is a considerable barrier to help-seeking among young people. OBJECTIVE: To systematically review and meta … ategorized into attitudes, intentions, and behaviors. Secondary outcomes included self-efficacy and empowerment. RESULTS: A total of 97 studies were included in the systematic review, representing 43 852 young people (mean [IQR] age, 18.7 [15.8-21.3] years; mean [IQR] females, 59.2% [49.4%-72.0%]), and 74 studies were included in 3-level multivariate meta-an …