Family Medicine and Medical Science Research最新文献

{"title":"Prospective Studies on Diagnosis, Prevention, and Management of Deep Vein Thrombosis (DVT), DVT Recurrence and the Post-Thrombotic Syndrome (PTS): From Concept to Study Design in the Primary Care Setting","authors":"J. Michiels, J. Michiels, W. Moosdorff, Hannie Maasl, M. Lao, A. Markel, M. Neumann","doi":"10.4172/2327-4972.1000138","DOIUrl":"https://doi.org/10.4172/2327-4972.1000138","url":null,"abstract":"The requirement for a safe diagnostic strategy of deep vein thrombosis (DVT) should be based on an overall objective post incidence of venous thromboembolism (VTE) of less than 1% during 3 months follow-up. Compression ultrasonography (CUS) of the leg veins has a negative predictive value (NPV) of 97% to 98% indicating the need of repeated CUS testing within one week. A sensitive ELISA VIDAS safely excludes DVT and VTE with a NPV between 99 and 100% when the clinical score is low to zero. The combination of low clinical score and a less sensitive D-dimer test (Simply Red or Simplify) is not sensitive enough to exclude DVT and VTE in routine daily practice. From prospective clinical research studies it may be concluded that complete recanalization within 3 months and no reflux is associated with a low or no risk of PTS obviating the need of MECS 6 months after DVT. Partial and complete recanalization after 3 to more than 12 months is usually complicated by reflux due to valve destruction and symptomatic PTS. Reflux seems to be a main determinant for not only for PTS and but also for DVT recurrence, the latter as a main contributing factor in worsening PTS. This hypothesis is supported by the relation between the persistent residual vein thrombosis (RVT=partial recanalization) and the risk of VTE recurrence in prospective studies. Absence of RVT at 3 months post-DVT and no reflux is predicted to be associated with no recurrence of DVT (1.2%) during follow-up obviating the need of wearing medical elastic stockings and anticoagulation at 6 months post-DVT. The presence of RVT at 3 months post-DVT with reflux after 6 months post-DVT is associated with both symptomatic PTS and an increased risk of VTE recurrence in about one third in the post-DVT period after regular discontinuation of anticoagulant treatment. To test this hypothesis we designed a prospective DVT and PTS Bridging the Gap Study by addressing at least four unanswered questions in the treatment of DVT and PTS. Which DVT patient has a clear indication for long-term compression stocking therapy to prevent PTS after the initial anticoagulant treatment in the acute phase of DVT? Is 3 months the appropriate point in time to determine candidates at risk to develop DVT recurrence and PTS? Which high risk symptomatic PTS patients need extended anticoagulant treatment? Patients with acute ileo femora DVT are at very high risk of PTS and candidate for cather-directed thrombolysis followed by anticoagulation.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128745615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Male Partner Involvement on Mother's Adherence to PMTCT Care and Support, Tigray, Northern Ethiopia","authors":"M. Alemayehu, Belachew Etana, Girmatsion Fisseha, K. Haileslassie, Henock G. Yebyo, Yibrah Berhe, F. Ashebir","doi":"10.4172/2327-4972.1000137","DOIUrl":"https://doi.org/10.4172/2327-4972.1000137","url":null,"abstract":"Background: Ethiopia is one of the top 20 countries affected by HIV in the world. Not only a proportion of women receiving antiretroviral prophylaxis in PMTCT program are small, but also adherence among the users is poor. The utilization and adherence of PMTCT services by the pregnant women may be influenced both by factors related to health system and individual factors. This study aimed to point out the role of male-partner involvement on mother’s adherence to PMTCT care and support in Tigray, northern Ethiopia. \u0000Method: Cross-sectional study was conducted in Tigray region from May to June, 2013 among 315 HIV positive pregnant women who had been taking antiretroviral drugs in the PMTCT program. We selected the study participants using systematic random sampling using medical registration number. Descriptive and multivariate logistic regression analyses were performed to estimate the predictors that affect the level of adherence to PMTCT using SPSS 20 for windows. \u0000Result: The adherence rate of mothers towards PMTCT care and support was 84.9%. HIV positive pregnant mothers with better male involvement had 8 times more odds to adhere to PMTCT care and support as compared to their counterpart (AOR=8.4; 95% CI:4.2, 12.9). Similarly, mothers with higher knowledge on PMTCT care and support (AOR=6.20, 95% CI of (3.10, 9.30), positive attitude (AOR=8.2; 95% CI: 4.3, 12.6), who had preferred birth spacing (AOR=8.2, 95% CI: 3.8, 14.1) and those who had prior discussion on HIV test with their partners (AOR=12.0; 95% CI: 6.2, 15.3) were more likely to adhere to PMTCT care and support. \u0000Conclusion: The adherence rate of mothers towards PMTCT care and support was fair. Attitude towards to and knowledge on PMTCT, discussion with husband on an HIV test, male partner involvement, access to information through radio and sufficient birth space were significant predictors of adherence to PMTCT.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128370071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Press-through-Package Detected by Reconstructed Computed Tomography","authors":"Y. Sasaki, Hideaki Suzuki","doi":"10.4172/2327-4972.1000.I101","DOIUrl":"https://doi.org/10.4172/2327-4972.1000.I101","url":null,"abstract":"A 91-year-old woman was evaluated for epigastric discomfort following the unintentional ingestion of a press-through-package (PTP) sheet of two laxative pills. Emergent endoscopy and computed tomography (CT) scan of the esophagus and the stomach failed to detect the sheet because of massive residue in the stomach. Reconstructed imaging of the CT scan clearly revealed the sheet (Figures 1 and 2). Her symptoms subsided on their own without any interventions and she refused repeated endoscopy; she developed no further symptoms. Accidental ingestion of the PTP sheet is common in the elderly [1]. Considering its potential risk for oropharyngeal or gastrointestinal injury, endoscopic removal is the standard management [2]. This imaging suggests that reconstruction of the CT scan has a higher sensitivity than the conventional CT scan and is a promising alternative modality to endoscopy or conventional CT scan, especially when they fail to detect the sheet.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130396335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contraceptive Choice and Switching Pattern among Married Women in Rural Community of South East Ethiopia","authors":"T. Bekele, Alem Gebremariam, Papelon Tura","doi":"10.4172/2327-4972.1000133","DOIUrl":"https://doi.org/10.4172/2327-4972.1000133","url":null,"abstract":"Background: Expanding access to long acting and permanent contraceptive methods has multiple benefits. They give women greater choice in selecting a contraceptive that meets their needs for delaying, spacing, or limiting pregnancy. They have the highest continuation rates of all family planning methods, and are more effective in actual use than short-acting methods for preventing unintended or closely spaced pregnancy. The study assessed the contraceptive knowledge, choice and switching pattern of married women in Agarfa District, Oromia, 2014. \u0000Method: A community based cross-sectional study was conducted in Agarfa district. A total of 788 married women aged 15-49 years were involved in the survey. They were selected through systematic random sampling technique. The data were collected by using structured interviewer administered questionnaire, and analyzed by using SPSS version 21. \u0000Result: The most ever known (98.5%) and ever used (81.5%) type of modern contraceptive was Depo-provera. Permanent methods were rarely recognized as contraceptive method. Three forth (75.9%) of the participants were on modern contraceptive during the interview time. Twenty nine percent of those who want to limit their birth were not taking any modern contraceptive (MC). Nearly half (45%) of the participants stated fear of side effect was their main reason for non use of MC. Thirty percent (29.4%) of the participants had history of method shift from one MC to other MC method. The highest shift was observed from pill to depo-provera (49.1%), followed by depo-provera to implants (26.7%). \u0000Conclusion: Women’s awareness and choice of contraceptives is limited to short acting methods. There is perceived fear of side effects of modern contraceptive. Women desiring no more children were not using any method. Therefore, strengthening the FP counseling to address fears of side effects and increase client awareness of expected and unexpected side-effects of all methods is essential.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115460381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical Decision Support Technology for Better Antenatal Care of the Mother, Under-Five Child Survival and Child Health in Rural India","authors":"P. Seenivasan, Sujatha Shritharan, K. CarolinePriya, Saurav Das, R. Srinivasan, Satyajeet Parija, G. S. Grewal","doi":"10.4172/2327-4972.1000136","DOIUrl":"https://doi.org/10.4172/2327-4972.1000136","url":null,"abstract":"Aim: To develop a decision support technology that can be used by the primary health care providers to take appropriate decisions while rendering health services to Mothers in antenatal Period, Mothers in Postnatal Period, Children below the age of 5 years. \u0000Materials and Methods: “Integrated Management of Childhood and Neonatal Illness” was chosen for prototyping for implementation as it was readily available. The developed software prototype was given to the protocol development unit and field trial unit for the initial feedback. We tested our decision support system (DSS) for maternal and childcare in two phases. The first phase involved live testing of the DSS in the urban hospital and in second phase it was given to Village Health workers (VHWs) in two rural Primary Health Centers. \u0000Result: We achieved nearly nil mismatches in the 0-2 months category and maternal care. The software for 2months-5years category found some mismatch in diagnosis. Apart from “acute severe malnutrition”; other disease classification found Kappa value to be above 0.9 \u0000Conclusion: Village Health worker together with clinical Decision Support System as one unit perform almost as good as a clinician in primary health care. The Decision Support System model may prove to be a highly replicable model.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114868767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Intestinal Parasitic Infections among Patients with Diarrhea at Bereka Medical Center, Southeast Ethiopia: A Retrospective Study","authors":"Solomon Taye, A. Abdulkerim","doi":"10.4172/2327-4972.1000131","DOIUrl":"https://doi.org/10.4172/2327-4972.1000131","url":null,"abstract":"Background: Intestinal parasitic infections are among the most common infections worldwide. High prevalence is found in people with low socio-economic status, poor living condition, overcrowded areas, poor environmental sanitation, improper garbage disposal, unsafe water supply and unhygienic personal habits. Thus, the objective of this retrospective study was to determine the prevalence intestinal parasitosis among patients with diarrhoea who visited Bereka Medical Center, south east Ethiopia. \u0000Methodology: Institution based retrospective study design was employed. Stool examination records of all patients with diarrhea who visited Bereka Medical Center from November 2012 to November 2013 were included. A total of 5347 stool examination results of those diarrheic patients were analyzed for this study. Samples were examined using direct saline wet mount technique. Statistical analysis was done by SPSS version 16 and results were shown in percent and prevalence rates. \u0000Results: The overall prevalence of intestinal parasite for at least one parasite in this retrospective study was 888/5347(16.6%). Furthermore, 5.7% of those positive patients were infected by two species of parasites and 2.3% of patients had triple infections. The most prevalent parasites were E. histolytica/dispar 478/888(53.8%) followed by G. lamblia 210/888(23.7%) and Taenia species 70/888(7.9%) respectively. \u0000Conclusion: Intestinal parasitosis is highly prevalent in varying magnitude among diarrheic patients who visited Bereka Medical Center, southeast Ethiopia. E. histolytica/dispar was the most prevalent parasite infecting patients followed by, G. lamblia, Taenia species and H. nana. Because of absence of molecular diagnosis for E. histolytica, over diagnosis might be possible for the high prevalence of amoebiasis.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"235 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114544849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Associated Factors of Art Adverse Effect among PLWH on Art in Debre Markose Referal Hospital, North East Ethiopia, 2013","authors":"M. Asrat, Getachew Hailu, Molla Gedefaw, Mulugeta Tesfa","doi":"10.4172/2327-4972.1000130","DOIUrl":"https://doi.org/10.4172/2327-4972.1000130","url":null,"abstract":"Antiretroviral treatments adverse effect is one of the challenges in HIV/AIDS prevention and control programs. The major objective of this study was assessment of the level of ART adverse effect and its associated factors among people living with HIV (PLWH) on ART in Debre Markos Referral Hospital from October 2 to November 30/2013. Institutional based cross-sectional quantitative type of study design was conducted to determine the level of ART adverse effect among randomly selected 373 adult PLWH on ART in Debre Markos referral hospital. The study participants were selected using systematic random sampling technique. Both primary and secondary data were gathered using a structured questionnaire. The collected data were entered, processed and analyzed in STATA V.11. The period prevalence of ART adverse effect was 51. 4%. The most common type of adverse effect was lipoathrophy (37.5%, n=72) and the least was Hepathotoxicity (0.52 %, n=1). The odds of ART adverse effect were 0. 523 times less likely among those who were literate compared to illiterate [AOR=0.477, 95% CI=0.28-0.812]. similarly, it was 0.44 times less likely among the study par-ticipants with preparatory school level of educational status compared to those with primary school [AOR=0.56, 95% CI=0.443-0.953]. The odds of ART adverse effect were 0.725 times less likely among those had a monthly income of ≥ 3551 Ethiopian Birr compared to those had no a regular monthly income [AOR=0.275,95%CI=0.098-0.773] and were 0.546 times less likely among substance non-abusers than abusers [AOR=0.454,95%CI=0.253-0.817]. The prevalence of ART adverse effect in Debre Markos referral Hospital was found. The leading adverse effect was Lipoathrophy. Factors such as educational status, income and substance abuse were identified independent determinants of ART adverse effect. The program managers, implementers and service providers need to take in to consideration the emerging need of adult education, health education and creation of income generating activities for adult PLWHs on ART in Debre Markos Referral Hospital. Furthermore it is better to disseminate information on the possible Antiretro-viral therapy adverse effects using leaflets and patient- physician regular education program.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130622725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Risk of Hepatotoxicity Associated with HAART/Anti-Tb Co-Treatment: A Case Control Study in a Central Ethiopian Referral Hospital","authors":"M. Woldu, H. Getaneh, J. Lenjisa, Gobezie Temesgen Tegegn, G. Umeta, Hunduma Dinsa Ayano","doi":"10.4172/2327-4972.1000129","DOIUrl":"https://doi.org/10.4172/2327-4972.1000129","url":null,"abstract":"Background: Hepatotoxicity is historically the 3rd most common reason for ART toxicity related discontinuation. Liver toxicity leads to medical visit, work plan exams, and frequent hospital admissions all of which increases expenses. The objective of this study was to determine the risk of hepatotoxicity and identify the major predictors that may cause hepatotoxicity in the study place. \u0000Methods: A case-control study was done by reviewing a total of 105 TB/HIV co- infected patients' charts. Results: Of the total 105 patients included in the study, 21 (20%) developed hepatotoxicity. Fifty four (51.43%) of the participants were females. The mean CD4 count of the patients was 205.1 + 96.18 cells/μL and ranged from the lowest count of 51cells/μl to the highest recorded count of 559cells/μl. The most frequent anti-TB regimen prescribed was 2(INH, RIF, ETM, PZA)/4(INH, RIF). Ninety five (90.5%) of the participants were on the primarily prophylactic drugs. Of this figure, 49 (46.7%) were on cotrimoxazole. Number of female patients developed hepatotoxicity were 12 (57.1%). Most of the patients who had developed hepatotoxicity were in stage 3 of HIV/AIDS progression. Social drug use was significantly associated with development of hepatotoxicity (P=.005) with a 95% CI (0.01-311). Patients on TDF/3TC/EFV (OR= 121.7, P=.010) and D4T/3TC/NVP (OR= 47.4, P=.009) ART regimen were found to be more likely to develop hepatotoxicity compared to patients on D4T/3TC/EFV regimen. Similarly patients on 2(ERHZ)/4(RH) anti-TB regimen (OR= 575.96, P=.002) with a 95% CI (0.02-3.8), was found to be more likely to develop hepatotoxicity compared to the other types anti-Tb regimens. \u0000Conclusions: The risk of hepatotoxicity in TB/HIV coinfected patients can be due to a number of factors among which sex, the WHO clinical staging, use of Social drugs, type of ART regimen and type of anti-TB regimen are the major, according to the findings of this study.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133676523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Steroid Use, Health Risk Behaviors and Adverse Health Indicators among U.S. High School Students","authors":"R. DiClemente, J. Jackson, V. Hertzberg, P. Seth","doi":"10.4172/2327-4972.1000127","DOIUrl":"https://doi.org/10.4172/2327-4972.1000127","url":null,"abstract":"Background: Despite recent national attention focusing on steroid use, few studies have assessed the association between steroid use and adverse health indicators among both male and female adolescents. The primary aim is to assess the prevalence of lifetime steroid use and to examine associations between steroid use and health risk behaviors and adverse health indicators among U.S. high school students. \u0000Methods: A cross-sectional study examined associations between history of steroid use and aggressive behavior, substance use, mental health status and HIV/STI-associated sexual risk behaviors among a nationally representative sample of 15,425 male and female U.S. high-school students. \u0000Results: Overall, 3.5% of adolescents reported a history of steroid use. Males were more likely to report steroid use than females (4.1% vs. 2.9%, p=0.005). Steroid use was associated with team sports participation among males (31.1% non-users vs. 36.2% users, p=0.04) but not among females (49.0% users vs. 47.3% non-users, p=0.71). Males also were more likely than females to report using steroids ≥10 times (49.4% vs. 31.3%, p=0.001). Relative to nonsteroid users, both male and female steroid users were significantly more likely to self-report aggression, victimization, sexual behaviors, other substance use and poor mental health. Among males, marked differences were observed with respect to frequency of steroid use and health risk behaviors and adverse health indicators. \u0000Conclusions: Steroid use is a risk behavior that may co-occur with other adverse health behaviors, varies by gender, and may be a marker for identifying a diverse array of health risk behaviors and adverse health indicators among adolescents. Screening and recognition of factors associated with steroid use may be beneficial to help address and curb use among adolescents.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125769878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What Affects Family Physicians’ Participation in Research: Outcomes from a Depression Self-Care Study","authors":"D. Şahin, M. Yaffe, J. McCusker, T. Sussman, E. Strumpf, M. Sewitch","doi":"10.4172/2327-4972.1000128","DOIUrl":"https://doi.org/10.4172/2327-4972.1000128","url":null,"abstract":"Background: To describe factors associated with family physicians (FPs) recruitment and participation in a mental health research project. \u0000Methods: 400 FPs were randomly approached for a feasibility study of telephone-supported self-care for depression in adults with chronic physical diseases. FP participation included (1) completing questionnaires at study enrolment and termination to identify personal characteristics, attitudes to patient self-care, and aspects of study implementation; and (2) encouraging patient self-completion of screening forms on depression and comorbid chronic disease in order to assess study eligibility. Outcome measures were the number of FPs who adhered to these tasks, as well as the number of eligible patients recruited from each practice. Chi square and Fisher’s Exact Tests permitted comparison of binary or categorical values, while the Kruskal-Wallis non-parametric test was used for continuous scales. \u0000Results: Of the 400 FPs randomly selected, 29.8% (119/400) were not reachable by telephone; 42.8% (171/400) were assessed as not meeting eligibility criteria; and 59 (53.6%) of the remaining 110 met eligibility criteria, consented, and participated. Predominant reasons for participation were past experience with research projects, interest in the specific topic of mental health care, enthusiasm about self-care, and sense of collegiality. 86.4% (51/59) completed the study entry questionnaire, and 62.7% (37/59) the end of study questionnaire. 66.1% (39/59) submitted at least one positive screening form (range 1-43), with such participation occurring more often amongst FPs in solo practice or with previous research experience. \u0000Conclusion: Recruiting FPs to participate in mental health research and adhere to protocols is challenging and time intensive. To optimize such involvement researchers may need to employ creative strategies unique to study sites, idiosyncrasies of the doctors, and the nature of the topic undergoing study.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133456862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}