Preventive medicine
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Preventive medicine · Aug 2003
Randomized Controlled Trial Clinical TrialResults of a randomized trial to increase breast and cervical cancer screening among Filipino American women.
This paper reports the first evaluation of an intervention to increase breast and cervical cancer screening among Filipino American women. ⋯ Our intervention was only effective in increasing cancer screening among relatively recent immigrants who had very low baseline screening rates.
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Preventive medicine · Jul 2003
Randomized Controlled Trial Clinical TrialRandomized controlled trial of the effects of nurse case manager and community health worker interventions on risk factors for diabetes-related complications in urban African Americans.
African Americans suffer disproportionately from diabetes complications, but little research has focused on how to improve diabetic control in this population. There are also few or no data on a combined primary care and community-based intervention approach. ⋯ Combined NCM/CHW interventions may improve diabetic control in urban African Americans with type 2 diabetes. Although results were clinically important, they did not reach statistical significance. This approach deserves further attention as a means to reduce the excess risk of diabetic complications in African Americans.
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Preventive medicine · Jul 2003
Randomized Controlled Trial Clinical TrialNew Moves: a school-based obesity prevention program for adolescent girls.
This study tests the feasibility of an innovative school-based program for obesity prevention among adolescent girls. New Moves was implemented as a multicomponent, girls-only, high-school physical education class. ⋯ New Moves was well received and fills a needed niche within school physical education programs. An expanded intervention and evaluation is needed to enhance and assess long-term program effectiveness.
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Preventive medicine · Apr 2003
Randomized Controlled Trial Clinical TrialThe D-Net diabetes self-management program: long-term implementation, outcomes, and generalization results.
A prerequisite to translating research findings into practice is information on consistency of implementation, maintenance of results, and generalization of effects. This follow-up report is one of the few experimental studies to provide such information on Internet-based health education. ⋯ The basic D-Net intervention was implemented well and improvements were observed across a variety of patients, interventionists, and clinics. There were, however, difficulties in maintaining usage over time and additions of tailored self-management and peer support components generally did not significantly improve results.
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Preventive medicine · Mar 2003
Randomized Controlled Trial Comparative Study Clinical TrialThe impact of financial incentives and a patient registry on preventive care quality: increasing provider adherence to evidence-based smoking cessation practice guidelines.
This study tested the effects of two organizational support processes, the provision of financial incentives for superior clinical performance and the availability of a patient (smoker) registry and proactive telephone support system for smoking cessation, on provider adherence to accepted practice guidelines and associated patient outcomes. ⋯ The impact of financial incentives and a patient registry/intervention system in improving smoking cessation clinical practices and patient behaviors was mixed. Additional research is needed to identify conditions under which such organizational support processes result in significant health care quality improvement and warrant the investment.