Journal of general internal medicine
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Randomized Controlled Trial Comparative Study
Stress management and resilience training among Department of Medicine faculty: a pilot randomized clinical trial.
Physician distress is common and related to numerous factors involving physicians' personal and professional lives. The present study was designed to assess the effect of a Stress Management and Resiliency Training (SMART) program for increasing resiliency and quality of life, and decreasing stress and anxiety among Department of Medicine (DOM) physicians at a tertiary care medical center. ⋯ A brief training to enhance resilience and decrease stress among physicians using the SMART program was feasible. Further, the intervention provided statistically significant improvement in resilience, stress, anxiety, and overall quality of life. In the future, larger clinical trials with longer follow-up and possibly wider dissemination of this intervention are warranted.
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Randomized Controlled Trial Multicenter Study
Randomized trial of depression follow-up care by online messaging.
Quality of antidepressant treatment remains disturbingly poor. Rates of medication adherence and follow-up contact are especially low in primary care, where most depression treatment begins. Telephone care management programs can address these gaps, but reliance on live contact makes such programs less available, less timely, and more expensive. ⋯ Our findings suggest that organized follow-up care for depression can be delivered effectively and efficiently through online messaging.
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Randomized Controlled Trial Comparative Study
Assessing the mental health needs and barriers to care among a diverse sample of Asian American older adults.
Asian Americans represent a mix of cultures and immigration experiences, which may put them differentially at risk for mental health problems. Yet, little is known about the mental health needs of older adults from various Asian subgroups compared to non-Hispanic whites. ⋯ The findings from this study not only highlight the unmet mental health needs among older Asian Americans, but also illustrate significant variations among the various Asian subgroups. Clinicians who work closely with these patients should regularly screen and assess older Asian adults for symptoms related to their mental health needs.
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Randomized Controlled Trial Comparative Study
Financial incentives for extended weight loss: a randomized, controlled trial.
Previous efforts to use incentives for weight loss have resulted in substantial weight regain after 16 weeks. ⋯ Financial incentives produced significant weight loss over an 8-month intervention; however, participants regained weight post-intervention.
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Randomized Controlled Trial Comparative Study
A video-intervention to improve clinician attitudes toward patients with sickle cell disease: the results of a randomized experiment.
Clinician attitudes toward patients are associated with variability in the quality of health care. Attitudes are typically considered difficult to change, and few interventions have attempted to do so. Negative attitudes toward adults with sickle cell disease have been identified as an important barrier to the receipt of appropriate pain management for this patient population. ⋯ Our results suggest that the attitudes of clinicians toward sickle cell patients may be improved through a short and relatively easy to implement intervention. Whether the attitudinal differences associated with our intervention are sustainable or are linked to clinical outcomes remains to be seen.