Journal of general internal medicine
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Randomized Controlled Trial
Impact of Training and Municipal Support on Primary Health Care-Based Measurement of Alcohol Consumption in Three Latin American Countries: 5-Month Outcome Results of the Quasi-experimental Randomized SCALA Trial.
We aimed to test the effects of providing municipal support and training to primary health care providers compared to both training alone and to care as usual on the proportion of adult patients having their alcohol consumption measured. ⋯ Training of providers is key to increasing coverage of alcohol measurement amongst primary health care patients. Although municipal support provided no added value, it is too early to conclude this finding, since full implementation was shortened due to COVID-19 restrictions.
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Randomized Controlled Trial
Efficacy of Health Coaching and an Electronic Health Management Program: Randomized Controlled Trial.
For chronic disease management, self-management strategies are essential to achieve sustained improvement. ⋯ The combination of ICT + health coaching led to improvement in self-management as well as in increasing exercise, and several healthy behaviors.
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Randomized Controlled Trial
Randomized Controlled Trial of a Decision Support Intervention About Cardiopulmonary Resuscitation for Hospitalized Patients Who Have a High Risk of Death.
Many seriously ill hospitalized patients have cardiopulmonary resuscitation (CPR) as part of their care plan, but CPR is unlikely to achieve the goals of many seriously ill hospitalized patients. ⋯ Canadian Frailty Network, The Ottawa Hospital Academic Medical Organization.
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Randomized Controlled Trial
Dissociation Between Long-term Weight Loss Intervention and Blood Pressure: an 18-month Randomized Controlled Trial.
Obesity is associated with elevated blood pressure (BP). In patients with obesity and hypertension, weight loss lowers BP, but the long-term effect of weight loss on BP is less clear. ⋯ ClinicalTrials.gov Identifier: NCT01530724.
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Randomized Controlled Trial
Optimizing Huddle Engagement Through Leadership and Problem Solving Within Primary Care: Results from a Cluster-Randomized Trial.
Leaders play a crucial role in implementing and sustaining changes in clinical practice, yet there is limited evidence on the strategies to engage them in team problem solving and communication. ⋯ Results of this evaluation showed that leadership training and facilitation were not associated with better team functioning. Additional components to the intervention tested may be necessary to enhance team functioning.