Journal of general internal medicine
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Randomized Controlled Trial
Integrating Community Health Workers into Safety-Net Primary Care for Diabetes Prevention: Qualitative Analysis of Clinicians' Perspectives.
Evidence shows community health workers (CHWs) can effectively deliver proven behavior-change strategies to prevent type 2 diabetes mellitus (diabetes) and enhance preventive care efforts in primary care for minority and low-income populations. However, operational details to integrate CHWs into primary care practice remain less well known. ⋯ Clinicians found CHWs appropriate for diabetes prevention in safety-net settings. However, disseminating high-quality evidence about CHWs' effectiveness and operations is needed to overcome concerns about integrating CHWs in primary care.
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Randomized Controlled Trial
Effects of a Required Large-Group Mindfulness Meditation Course on First-Year Medical Students' Mental Health and Quality of Life: a Randomized Controlled Trial.
Teaching mindfulness techniques has been used in the attempt to prevent mental health problems in medical students. Although it has already shown promising results when offered to volunteers, the use as a required strategy is still controversial. ⋯ NCT03132597.
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Letter Randomized Controlled Trial
Associations of Diabetes Genetic Risk Counseling with Incident Diabetes and Weight: 5-Year Follow-up of a Randomized Controlled Trial.
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Randomized Controlled Trial
Racial Differences in the Effectiveness of Internet-Delivered Mental Health Care.
Computerized cognitive behavioral therapy (cCBT) can improve mental health outcomes in White populations; however, it is unknown whether racial and ethnic minority populations receive clinical benefits from cCBT. ⋯ cCBT may be an efficient and scalable first step to eliminating disparities in mental health care.
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Randomized Controlled Trial
Time Pressure During Primary Care Office Visits: a Prospective Evaluation of Data from the Healthy Work Place Study.
The relationship between worklife factors, clinician outcomes, and time pressure during office visits is unclear. ⋯ Time pressure, more common in women and general internists, was related to chaos, control and culture, and stress, burnout, and intent to leave. Future studies should evaluate these findings in larger and more geographically diverse samples.