Journal of Primary Care and Community Health最新文献

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"An Act of Complete Care": Provider Perspectives on Linking Maternal Contraceptive Care With Well-Baby Visits in Community Health Centers. "全面护理":在社区医疗中心将孕产妇避孕护理与婴儿健康检查联系起来的医疗服务提供者观点。
IF 3
Journal of Primary Care and Community Health Pub Date : 2024-01-01 DOI: 10.1177/21501319241277421
Amanda Knepper, Alejandra Zocchi, Sadia Haider, Rachel Caskey
{"title":"\"An Act of Complete Care\": Provider Perspectives on Linking Maternal Contraceptive Care With Well-Baby Visits in Community Health Centers.","authors":"Amanda Knepper, Alejandra Zocchi, Sadia Haider, Rachel Caskey","doi":"10.1177/21501319241277421","DOIUrl":"10.1177/21501319241277421","url":null,"abstract":"<p><strong>Background: </strong>Short inter-pregnancy interval (IPI) is associated with adverse health outcomes for women and infants, and low-income women experience disproportionate rates of short IPI. An essential solution is providing postpartum (PP) women with timely contraceptive care. However, patient-centered approaches for facilitating care access are needed.</p><p><strong>Objective: </strong>To explore Community Health Center (CHC) staff and provider perspectives on the implementation of a clinical trial offering co-scheduled well-infant/maternal contraceptive care for women with infants 0 to 6 months at the Well-Baby Visit (WBV).</p><p><strong>Method: </strong>Eighteen participants (providers, staff, and administrators) representing 7 diverse CHC sites in 2 U.S. states completed semi-structured telephone interviews. Audio-recordings were transcribed and analyzed using hybrid thematic analysis.</p><p><strong>Results: </strong>Offering co-scheduled visits was perceived as beneficial for facilitating timely PP contraception, convenient care access, and encouraging family planning considerations during the PP period. However, provider and staff discomfort with initiating family planning and contraceptive care conversations at the WBV emerged as a salient barrier.</p><p><strong>Conclusion: </strong>Paired approaches to well-infant/maternal contraceptive care may promote increased access to timely contraception for PP women, possibly reducing unintended short IPI. Comprehensive training, ongoing support, and patient-centered implementation strategies tailored to context and developed with care team input are needed to ensure competency and comfortability with facilitating contraceptive care conversations at the WBV.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"15 ","pages":"21501319241277421"},"PeriodicalIF":3.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11382232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Percentage of Patients Experiencing Financial Strain Depends on the Screening Measure: Evidence From a Cross-Sectional Survey of Adult Members of an Integrated Healthcare Delivery System. 经历经济压力的患者比例取决于筛查措施:对综合医疗服务系统成年成员的横断面调查证据。
IF 3
Journal of Primary Care and Community Health Pub Date : 2024-01-01 DOI: 10.1177/21501319241277408
Emma L Tucher, Richard W Grant, Nancy P Gordon
{"title":"The Percentage of Patients Experiencing Financial Strain Depends on the Screening Measure: Evidence From a Cross-Sectional Survey of Adult Members of an Integrated Healthcare Delivery System.","authors":"Emma L Tucher, Richard W Grant, Nancy P Gordon","doi":"10.1177/21501319241277408","DOIUrl":"10.1177/21501319241277408","url":null,"abstract":"<p><strong>Objectives: </strong>Financial strain has important consequences for patients, providers, and health care systems. However, there is currently no gold standard measure to screen for financial strain. This study compared the performance of 3 single-item screeners using a composite measure of financial strain as a \"gold standard.\"</p><p><strong>Methods: </strong>We conducted a secondary analysis of unweighted data from a 2021 survey of Kaiser Permanente Northern California health plan members comparing the percentages of adults who experienced financial strain based on 3 general single-item screeners, a screener specific to medical and dental health care use, and a composite financial strain measure. The study sample was comprised of 2734 non-Medicaid insured adults who answered all financial strain questions. Kappa statistics evaluating agreement of the 3 general screeners with the composite measure were calculated for the sample overall, by age group, and within age group, by 4 levels of income and 4 racial/ethnic subgroups.</p><p><strong>Results: </strong>Among 947 adults aged 35 to 65, 30.7% had just enough money or not enough money to make ends meet, 23.3% had a somewhat hard or hard time paying for basics, 18.8% had trouble paying for ≥1 type of expense, 20.5% had delayed/used less medical/dental care, and 41.5% had experienced financial strain based on the composite measure. Among 1787 adults aged 66 to 85, the percentages who screened positive on these measures were 22.7%, 19.4%, 12.9%, 19.8%, and 34.4%, respectively. Across the sample, by income categories and racial/ethnic groups, the making ends meet screener identified higher percentages of adults experiencing financial strain and performed better when compared with the composite measure than the hard to pay for the very basics and trouble paying for expenses screeners. Overall, substantial decreases in the percentages of adults who screened positive on the financial strain measures were seen as level of income increased. Within income categories, middle-aged adults were more likely than older adults to have experienced financial strain based on the composite and general single-item screeners.</p><p><strong>Conclusions: </strong>As social risk screening becomes part of the standard of care, it will be important to assess how well different brief screeners for financial strain perform with diverse patient populations.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"15 ","pages":"21501319241277408"},"PeriodicalIF":3.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11382230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessing the Disruption Impact on Healthcare Delivery. 评估变革对医疗服务的影响。
IF 3
Journal of Primary Care and Community Health Pub Date : 2024-01-01 DOI: 10.1177/21501319241260351
Maymunah Fatani, Abdulrahim Shamayleh, Hussam Alshraideh
{"title":"Assessing the Disruption Impact on Healthcare Delivery.","authors":"Maymunah Fatani, Abdulrahim Shamayleh, Hussam Alshraideh","doi":"10.1177/21501319241260351","DOIUrl":"10.1177/21501319241260351","url":null,"abstract":"<p><p>Health emergency outbreaks such as the COVID-19 pandemic make it challenging for healthcare systems to ration medical resources and patient care. Such disastrous events have been increasing over the past years and are becoming inevitable, necessitating the need for healthcare to be well-prepared and resilient to unpredictable rises in demand. Quantitative and qualitative based decision support systems increase the effectiveness of planning, alleviating uncertainties associated with the crisis. This study aims to understand how the COVID-19 pandemic has affected the performance of healthcare systems in different areas and to address the associated disruption. A cross-sectional online survey was conducted in the Kingdom of Saudi Arabia and the United Arab Emirates among healthcare workers who worked during the pandemic. The pandemic-related disruption and its psychometric properties were assessed using Structural Equations Modeling (SEM) with 5 latent factors: Staff Mental Health, Communication Level, Planning and Readiness, Healthcare Supply Chain, and Telehealth. Responses from highly qualified participants with many years of experience in hospital settings were collected and analyzed. Results show that the model satisfactorily fits the data with a CLI of 0.91 and TLI of 0.88. The model indicates that enhancing supply chain management, planning, telehealth usage, and communication level across the healthcare system can mitigate the disruption. However, the lack of mental health management for healthcare workers can significantly disrupt the quality of delivered care. Staff mental health and healthcare supply chain, respectively, are the highest contributors to varying degrees of disruption in healthcare delivery. This study provides a direction for more research focusing on determinants of healthcare efficiency. It also provides decision-makers insights into the main factors leading to disruptions in healthcare systems, allowing them to shape their outbreak response and better prepare for future health emergencies.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"15 ","pages":"21501319241260351"},"PeriodicalIF":3.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11193933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141440969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patient Time Spent With Professional Medical Interpreters and the Care Experiences of Patients With Limited English Proficiency. 患者与专业医疗口译人员的接触时间以及英语水平有限的患者的护理体验。
IF 3
Journal of Primary Care and Community Health Pub Date : 2024-01-01 DOI: 10.1177/21501319241264168
Pamela Torresdey, Jacob Chen, Hector P Rodriguez
{"title":"Patient Time Spent With Professional Medical Interpreters and the Care Experiences of Patients With Limited English Proficiency.","authors":"Pamela Torresdey, Jacob Chen, Hector P Rodriguez","doi":"10.1177/21501319241264168","DOIUrl":"10.1177/21501319241264168","url":null,"abstract":"<p><strong>Introduction/objectives: </strong>More time spent with interpreters may support clinician-patient communication for patients with limited English proficiency (LEP), especially when interpreter support before and after clinical encounters is considered. We assessed whether more time spent with interpreters is associated with better patient-reported experiences of clinician-patient communication and interpreter support among patients with LEP.</p><p><strong>Methods: </strong>Patients with LEP (n = 338) were surveyed about their experiences with both the clinician and interpreter. Duration of interpreter support during the encounter (in min) and auxiliary time spent before and after encounters supporting patients (in min) were documented by interpreters. Multivariable linear regression models were estimated to assess the association of the time duration of interpreter support and patient experiences of (1) clinician-patient communication, and (2) interpreter support, controlling for patient and encounter characteristics.</p><p><strong>Results: </strong>The average encounter duration was 47.7 min (standard deviation, SD = 25.1), the average auxiliary time was 43.8 min (SD = 16.4), and the average total interpreter time was 91.1 min (SD = 28.6). LEP patients reported better experiences of interpreter support with a mean score of 97.4 out of 100 (SD = 6.99) compared to clinician-patient communication, with a mean score of 93.7 out of 100 (SD = 14.1). In adjusted analyses, total patient time spent with an interpreter was associated with better patient experiences of clinician-patient communication (β = 7.23, <i>P</i> < .01) when auxiliary time spent by interpreters supporting patients before and after the encounter was considered, but not when only the encounter time was considered.</p><p><strong>Conclusions: </strong>Longer duration of time spent with an interpreter was associated with better clinician-patient communication for patients with LEP when time spent with an interpreter before and after the clinician encounter is considered. Policymakers should consider reimbursing health care organizations for time interpreters spend providing patient navigation and other support beyond clinical encounters.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"15 ","pages":"21501319241264168"},"PeriodicalIF":3.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11265237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Randomized Trial to Address Food Insecurity and Promote Smoking Cessation Among Low-Income Adults. 解决粮食不安全问题并促进低收入成年人戒烟的随机试验。
IF 3.6
Journal of Primary Care and Community Health Pub Date : 2024-01-01 DOI: 10.1177/21501319241245275
Jin E Kim-Mozeleski, Madeline C Castele, Pooja Nambiar, Kevin M Chagin, Stephanie Pike Moore, Patricia Hardy, Karen Cook, Ashwini R Sehgal
{"title":"A Randomized Trial to Address Food Insecurity and Promote Smoking Cessation Among Low-Income Adults.","authors":"Jin E Kim-Mozeleski, Madeline C Castele, Pooja Nambiar, Kevin M Chagin, Stephanie Pike Moore, Patricia Hardy, Karen Cook, Ashwini R Sehgal","doi":"10.1177/21501319241245275","DOIUrl":"https://doi.org/10.1177/21501319241245275","url":null,"abstract":"<p><p>Many low-income adults who smoke also have unmet social needs, such as food insecurity, which can serve as a barrier to smoking cessation. We developed a novel intervention to jointly address smoking cessation and food insecurity and assessed its feasibility, acceptability, and preliminary outcomes. We enrolled participants who screened for food insecurity, reported smoking daily, and were ready to quit. All participants received 3 months of resources navigation from a community health worker through monthly telephone calls for referrals and check-ins for smoking cessation and food access resources. Participants randomized to the intervention group received an economic intervention equivalent to the cost of 1 week of groceries/month for 3 months. We randomized 55 participants who were smoking on average 13 cigarettes/day. The trial was feasible and acceptable based on 3-month retention rates (80%) and end-of-study qualitative feedback (91% would recommend the study to others). At 3 months, participants in the intervention versus control group reported a longer length of abstinence from smoking and had a higher proportion of serious quit attempts. Results from this pilot study suggest the importance of attending to social needs, particularly food insecurity, as a strategy to promote smoking cessation among low-income adults who smoke.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"15 ","pages":"21501319241245275"},"PeriodicalIF":3.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11003330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140855549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Primary Care Providers' Experiences Treating Opioid Use Disorder Using Telehealth in the Height of the COVID-19 Pandemic. 初级保健提供者在 COVID-19 大流行期间利用远程保健治疗阿片类药物使用障碍的经验。
IF 3.6
Journal of Primary Care and Community Health Pub Date : 2024-01-01 DOI: 10.1177/21501319241246359
Sarah Alexandra Marshall, Lachan E Siebenmorgen, Katherine Youngen, Tyrone Borders, Nickolas Zaller
{"title":"Primary Care Providers' Experiences Treating Opioid Use Disorder Using Telehealth in the Height of the COVID-19 Pandemic.","authors":"Sarah Alexandra Marshall, Lachan E Siebenmorgen, Katherine Youngen, Tyrone Borders, Nickolas Zaller","doi":"10.1177/21501319241246359","DOIUrl":"https://doi.org/10.1177/21501319241246359","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic catalyzed a rapid shift in healthcare delivery towards telehealth services, impacting patient care, including opioid use disorder (OUD) treatment. Regulatory changes eliminated the in-person evaluation requirement for buprenorphine treatment, encouraging adoption of telehealth. This study focused on understanding experiences of primary care providers in predominantly rural areas who used telehealth for OUD treatment during the pandemic.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with 22 primary care providers. Participants practiced in 13 rural and 9 urban counties in Kentucky and Arkansas. Data were analyzed using conventional content analysis.</p><p><strong>Results: </strong>The pandemic significantly impacted healthcare delivery. While telehealth was integrated for behavioral health counseling, in-person visits remained crucial, especially for urine drug screenings. Telehealth experiences varied, with some facing technology issues, while others found it efficient. Telehealth proved valuable for behavioral health counseling and sustaining relationships with established patients. Patients with OUD faced unique challenges, including housing, internet, transportation, and counseling needs. Stigma surrounding OUD affected clinical relationships. Building strong patient-provider relationships emerged as a central theme, emphasizing the value of face-to-face interactions. Regarding buprenorphine training, most found waiver training helpful but lacked formal education.</p><p><strong>Conclusion: </strong>This research offers vital guidance for improving OUD treatment services, especially in rural areas during crises like the COVID-19 pandemic. It highlights telehealth's value as a tool while acknowledging its limitations. The study underscores the significance of strong patient-provider relationships, the importance of reducing stigma, and the potential for training programs to elevate quality of care in OUD treatment.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"15 ","pages":"21501319241246359"},"PeriodicalIF":3.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11008087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140865421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adapting a Remotely Delivered Patient Navigation Program for Colorectal Cancer Screening in Primary Care: Important Considerations for Rural Contexts. 为基层医疗机构的结直肠癌筛查调整远程交付的患者导航计划:农村地区的重要考虑因素。
IF 3
Journal of Primary Care and Community Health Pub Date : 2024-01-01 DOI: 10.1177/21501319241288025
Brooke Ike, Gina A Keppel, Katie P Osterhage, Linda K Ko, Allison Cole
{"title":"Adapting a Remotely Delivered Patient Navigation Program for Colorectal Cancer Screening in Primary Care: Important Considerations for Rural Contexts.","authors":"Brooke Ike, Gina A Keppel, Katie P Osterhage, Linda K Ko, Allison Cole","doi":"10.1177/21501319241288025","DOIUrl":"10.1177/21501319241288025","url":null,"abstract":"<p><strong>Introduction: </strong>Colonoscopy is a critical component of colorectal cancer (CRC) screening and patient navigation (PN) improves colonoscopy completion. A lay navigator remotely providing navigation across rural primary care organizations (PCOs) could increase PN access. In preparation for the Colonoscopy Outreach for Rural Communities (CORC) study, we examined partners' perspectives on contextual factors that could influence CORC program implementation, and adaptations to mitigate potential barriers.</p><p><strong>Methods: </strong>We interviewed 29 individuals from 6 partner PCOs and the community-based organization (CBO) delivering the PN program. An analysis approach informed by Miles, Huberman, and Saldana identified critical themes. Results are reported using the Framework for Reporting Adaptations and Modifications-Enhanced (FRAME).</p><p><strong>Results: </strong>Potential barriers included that rural patients are hard to reach remotely and might mistrust the navigator, and the CBO is unfamiliar with the patient communities and does not have patient care experience or pre-existing communication pathways with the PCOs. Program content and navigator training was adapted to mitigate these challenges.</p><p><strong>Conclusions: </strong>Our study highlights contextual factors to account for before implementing a remote, centralized patient navigation program serving rural communities. Gathering partner perspectives led to intervention adaptations intended to address potential barriers while leaving the core components of the evidence-based intervention intact.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"15 ","pages":"21501319241288025"},"PeriodicalIF":3.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring Facilitators and Barriers to STD/STI/HIV Self-Testing Among College Students in the United States: A Scoping Review. 探索美国大学生进行性病/性传播感染/艾滋病毒自我检测的促进因素和障碍:范围审查》。
IF 3
Journal of Primary Care and Community Health Pub Date : 2024-01-01 DOI: 10.1177/21501319241291758
Jaquetta M Reeves, Edem Yaw Zigah, Osman W Shamrock, Dhanyal Khan, Janene Batten, Gamji Rabiu Abu-Ba'are, LaRon E Nelson, Pascal Djiadeu
{"title":"Exploring Facilitators and Barriers to STD/STI/HIV Self-Testing Among College Students in the United States: A Scoping Review.","authors":"Jaquetta M Reeves, Edem Yaw Zigah, Osman W Shamrock, Dhanyal Khan, Janene Batten, Gamji Rabiu Abu-Ba'are, LaRon E Nelson, Pascal Djiadeu","doi":"10.1177/21501319241291758","DOIUrl":"https://doi.org/10.1177/21501319241291758","url":null,"abstract":"<p><strong>Background: </strong>HIV affects 1.2 million Americans, with 20% of new diagnoses being 13 to 24-year-olds. Young adult college students are more likely than the general population of 18 to 24-year-olds in the U.S. to engage in sexual practices that increase their risk of STIs.</p><p><strong>Objectives: </strong>This scoping review explores factors that promote or hinder STD/STI/HIV self-testing among U.S. college students.</p><p><strong>Search methods: </strong>A scoping review of original, experimental (randomized or nonrandomized), observational (longitudinal and cross-sectional), and qualitative or mixed-methods U.S. research was conducted using OVID Medline, OVID Embase, PubMed, CINAHL, Web of Science Core Collection, and Cochrane CENTRAL. English-language studies measured STD/STI/HIV self-test kits and college student testing.</p><p><strong>Selection criteria: </strong>Inclusion and exclusion criteria were used to narrow down articles that addressed barriers and facilitators to STD/STI/HIV testing, and self-testing among college students in the U.S.</p><p><strong>Results: </strong>Database searches yielded 8,373 articles. After removing duplicates, 6173 items remained. After independent dual-title/abstract screening, 100 papers were full-text reviewed. Seven retrieved articles were unavailable, and 93 were selected for full-text screening. After reviewing the whole text, 89 papers did not fulfill the inclusion requirements and were deleted, leaving 4 articles in the final analysis.</p><p><strong>Conclusion: </strong>Additional research on self-testing among college students in the U.S. is urgently required. The results should guide university health policies on the need to cater to the unique requirements of college students by increasing the availability of healthcare and embracing STD/STI/HIV self-testing. This can enhance testing rates, diminish stigmas, and ultimately contribute to wider endeavors to reduce the transmission of infections in the U.S.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"15 ","pages":"21501319241291758"},"PeriodicalIF":3.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11497516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mental Health Outcomes for Young People Accessing Individual Placement Support Services: A Cohort Study. 接受个别安置支持服务的青少年的心理健康结果:队列研究。
IF 3
Journal of Primary Care and Community Health Pub Date : 2024-01-01 DOI: 10.1177/21501319241296786
Nic Telford, Sabina Albrecht, Alice Wilkin, Carolyn Watts, Debra Rickwood
{"title":"Mental Health Outcomes for Young People Accessing Individual Placement Support Services: A Cohort Study.","authors":"Nic Telford, Sabina Albrecht, Alice Wilkin, Carolyn Watts, Debra Rickwood","doi":"10.1177/21501319241296786","DOIUrl":"10.1177/21501319241296786","url":null,"abstract":"<p><strong>Objective: </strong>Mental health problems and vocational disengagement are often linked for young people in a self-reinforcing cycle. Integrated Individual Placement and Support (IPS) services can help to not only overcome educational/vocational challenges but also improve mental wellbeing.</p><p><strong>Methods: </strong>In a matched cohort study, we compared improvement rates in mental health and wellbeing outcomes for young people aged 15 to 25 who had received at least two integrated IPS services with those who had received standard youth mental health services only. Data came from headspace, Australia's National Youth Mental Health Foundation. The sample comprised 2128 participants: 544 received integrated IPS services; 1584 received standard mental health services.</p><p><strong>Results: </strong>Four out of five IPS clients (81%) achieved positive outcomes on at least one of three mental health measures, a significantly higher proportion than matched clients who received standard services (75%). Logistic regressions estimated a 22% to 36% higher likelihood of achieving significant improvement for IPS clients. Greater improvements were evident for quality of life and potentially psychosocial functioning, but not psychological distress.</p><p><strong>Conclusions: </strong>Integrating an IPS program within a clinical setting not only achieves positive vocational outcomes, but also supports improvements in quality of life, psychosocial functioning and psychological distress that are greater or equal to the outcomes achieved through standard clinical care.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"15 ","pages":"21501319241296786"},"PeriodicalIF":3.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Towards Improvement of Heatwave Warnings for Older Adults: The Case of Queensland Australia. 改进针对老年人的热浪预警:澳大利亚昆士兰州的案例。
IF 3
Journal of Primary Care and Community Health Pub Date : 2024-01-01 DOI: 10.1177/21501319241286584
Mehak Oberai, Steven Baker, Aaron J E Bach, Connor Forbes, Ella Jackman, Sebastian Binnewies, Zhiwei Xu, Sarah Cunningham, Son Nghiem, Dung Phung, Shannon Rutherford
{"title":"Towards Improvement of Heatwave Warnings for Older Adults: The Case of Queensland Australia.","authors":"Mehak Oberai, Steven Baker, Aaron J E Bach, Connor Forbes, Ella Jackman, Sebastian Binnewies, Zhiwei Xu, Sarah Cunningham, Son Nghiem, Dung Phung, Shannon Rutherford","doi":"10.1177/21501319241286584","DOIUrl":"10.1177/21501319241286584","url":null,"abstract":"<p><strong>Background: </strong>Heatwave warnings provide crucial information about the nature of the event and the steps that can be taken to mitigate its impact. It is well known that heat events disproportionately impact the health of older adults. Therefore, it's critical that heatwave warnings reach this population. However, our current understanding of the effectiveness of heatwave warning messages among older Queenslanders is limited.</p><p><strong>Methods: </strong>A Queensland wide survey was conducted in 2022 among 547 older adults (≥65 years), aiming to collect information on their perception of heat-related health risk, their knowledge of the existing heatwave warnings, and if they had ever heard of a heatwave warning. Chi-square analysis followed by multinomial or binomial logistic regression was utilized to understand various socio-economic and personal factors that impact the heatwave warning reach to older Queenslanders.</p><p><strong>Results: </strong>Only 43% of the respondents had heard a heatwave warning and only 49% of those who heard a warning(s) changed their behavior as a result. The results showed 20% of respondents perceived themselves to be at heat-related health risk, and these individuals were 1.98 times more likely to have heard heatwave warnings. Further, individuals who perceived themselves to be at heat-related health risk were 3.62 times more likely to adopt adaptive measures in response to heatwave warnings.</p><p><strong>Implications: </strong>This study suggests that in older adults, higher knowledge and perception of heat-related health risk are associated with higher likelihoods of attention to heatwave warnings and adoption of cooling measures.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"15 ","pages":"21501319241286584"},"PeriodicalIF":3.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11536501/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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