Annals of family medicine
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Annals of family medicine · Jan 2023
Primary Care Physicians' Perspectives on Identifying Familial Hypercholesterolaemia in Primary Care: A Qualitative Study.
Context Familial hypercholesterolaemia (FH) is a common autosomal dominant disorder, causing elevated cholesterol from birth, premature heart disease, and early death. Objective This study explored primary care physicians' experiences and perspectives on identifying FH in Malaysian primary care. Study Design and Analysis A qualitative study involving semi-structured interviews and focus group discussions with 22 primary care physicians (PCPs) in two primary care clinic settings. ⋯ The PCPs recommended a user-friendly case-finding tool for FH, and establishing FH registry and clinical practice guideline in Malaysia, alongside a national FH screening strategy and awareness campaigns for both clinicians and general public. Conclusions PCPs are positive about improving the identification of FH in primary care. However greater support in their practice and wider system developments and change are needed.
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Annals of family medicine · Jan 2023
Community Engaged Translation of Adverse Childhood Experiences Information Into Locally Relevant Public Health Messaging.
Objective: Conduct Boot Camp Translation to develop locally relevant messages about Adverse Childhood Experiences. Setting: The Oxford Hills region of Maine is home to Stephen's Memorial Hospital, which funds Healthy Oxford Hills, a coalition dedicated to promoting a caring, self-reliant, and healthy community. Residents of Oxford Hills bare a disproportionate burden of poverty, low income, chronic disease and ACEs as compared to other counties in Maine. ⋯ Data collection included observations using the Pyramid of Engagement Rubric, participant surveys and interviews. Additional descriptive measures included number of materials created, distribution locations and the use of QR codes mapped to a partner website and social media hashtags to assess engagement. Results: 100% of respondents found the BCT process valuable and thought the right mix of people were involved. 44% of participants were not able to participate at much as they would have liked due to issues with technology and scheduling. 75% of initial participants completed the project.
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Annals of family medicine · Jan 2023
Suicide Prevention - Unified Research; Developing capacity for community engaged suicide prevention research in Colorado.
Context: Suicide is currently the second leading cause of death among adolescents and young adults. Colorado has the seventh highest suicide rate in the US, and rates continue to climb. Suicide prevention research ranked highest amongst all stakeholder groups in PBRN-related topic generating activities. ⋯ This work also resulted in a community driven research agenda identifying: the relationship of social determinants of health and substance use in suicidality; sleep and suicidality; and lived experience/survivorship as priority topics. An example of a specific question that arose from this engagement work is "How can we address sleep issues AND suicidality in primary care (i.e. why aren't sleep concerns assessed and addressed as a way of reducing distress that leads to mental illness and suicide?)". Conclusions: Thoughtful community engagement takes time and support, but in this case, resulted in a clear research agenda that is responsive to stakeholder interests and involves stakeholders as equal research partners.
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Annals of family medicine · Jan 2023
Mindful Eating Healthy Nutrition Group Visit for Adult Metabolic Syndrome, Feasibility Acceptability for Patients.
Context: Metabolic syndrome, includes elevated fasting glucose, high triglycerides, hypertension, low HDL & abdominal obesity, affects 35% of adults in the United States. People with metabolic syndrome are at high risk for diabetes and cardiovascular disease and have higher all-cause mortality. Usual treatment for metabolic syndrome is weight loss through diet and exercise. ⋯ We collected feasibility data for scheduling, staffing, recruiting patients, and for patients acquiring skills and knowledge; and acceptability to patients; Results: Patients report: increased fruits, vegetables, salads, fish; decreased simple carbohydrates; and (5=better) eating healthier 4.5/5, achieve goals for lifestyle change 4.2/5; mindful eating was helpful 4.7/5; positive reinforcement from shared experiences, request more direct teaching, and more time to share with others. Conclusions: Mindful eating healthy nutrition group visits are feasible. Patients report acceptability for group visits, healthier eating & lifestyle change.