Annals of internal medicine
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Randomized Controlled Trial
The effect of a disease management intervention on quality and outcomes of dementia care: a randomized, controlled trial.
Adherence to dementia guidelines is poor despite evidence that some guideline recommendations can improve symptoms and delay institutionalization of patients. ⋯ A dementia guideline-based disease management program led to substantial improvements in quality of care for patients with dementia. Current Controlled Trials identifier: ISRCTN72577751.
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Randomized Controlled Trial
Enhancing the quality of life of dementia caregivers from different ethnic or racial groups: a randomized, controlled trial.
Caring for a family member with dementia is extremely stressful, contributes to psychiatric and physical illness among caregivers, and increases the risk for caregiver death. Finding better ways to support family caregivers is a major public health challenge. ⋯ A structured multicomponent intervention adapted to individual risk profiles can increase the quality of life of ethnically diverse dementia caregivers. ClinicalTrials.gov identifier: NCT00177489.
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Randomized Controlled Trial
Depression decision support in primary care: a cluster randomized trial.
Intensive collaborative interventions improve depression outcomes, but the benefit of less intensive interventions is not clear. ⋯ Decision support improved processes of care but not depression outcomes. More intensive care management or specialty treatment may be needed to improve depression outcomes.
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Randomized Controlled Trial Multicenter Study Comparative Study
Effects of a Mediterranean-style diet on cardiovascular risk factors: a randomized trial.
The Mediterranean diet has been shown to have beneficial effects on cardiovascular risk factors. ⋯ Compared with a low-fat diet, Mediterranean diets supplemented with olive oil or nuts have beneficial effects on cardiovascular risk factors.
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Randomized Controlled Trial
Acupuncture and knee osteoarthritis: a three-armed randomized trial.
Despite the popularity of acupuncture, evidence of its efficacy for reducing pain remains equivocal. ⋯ Compared with physiotherapy and as-needed anti-inflammatory drugs, addition of either TCA or sham acupuncture led to greater improvement in WOMAC score at 26 weeks. No statistically significant difference was observed between TCA and sham acupuncture, suggesting that the observed differences could be due to placebo effects, differences in intensity of provider contact, or a physiologic effect of needling regardless of whether it is done according to TCA principles.