Patient Prefer Adher
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Patient Prefer Adher · Feb 2008
Predictors of adherence among community users of a cognitive behavior therapy website.
To investigate the predictors of early and late dropout among community users of the MoodGYM website, a five module online intervention for reducing the symptoms of depression. ⋯ While the effect of age and the null effect of location were in accordance with prior adherence research, the significant effects of gender, education and depression severity were not, and may reflect user characteristics, the content of the intervention and unique aspects of online interventions. Further research directions are suggested to investigate the elements of open access online interventions that facilitate adherence.
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Patient Prefer Adher · Feb 2008
Brief report: Characteristics of antidepressant use in patients with heart failure.
Depression is common in heart failure (HF), but there is little data on the characteristics of antidepressant use in patients with HF. ⋯ The findings from this survey study provide insight into the characteristics of antidepressant use in patients with HF and argue for better follow up of HF patients who are prescribed antidepressants.
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Patient Prefer Adher · Feb 2008
Effect of shared decision-making on therapeutic alliance in addiction health care.
In recent decades, shared decision-making (SDM) models have been developed to increase patient involvement in treatment decisions. The purpose of this study was to examine the effect of a shared decision-making intervention (SDMI) for substance-dependent patients on patients' and clinicians' perceptions of therapeutic alliance. ⋯ The present study has shown that a specific intervention to enhance shared decision-making results in favorable changes in clinicians' perceptions of the therapeutic alliance.
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Patient Prefer Adher · Feb 2008
Comparison of prescriber evaluations and patient-directed self-reports in office-based practice for buprenorphine treatment of opiate-dependent individuals in France, 2002.
The objective of this cross-sectional evaluation study was to compare data generated through prescriber assessments, and data generated from independent direct contact with opiate-dependent patients in office-based practice to evaluate buprenorphine treatment for modality of buprenorphine absorption, benzodiazepine use, and depressive symptoms. A group of buprenorphine office-based practice prescribers was selected to participate in this study. They were asked to screen for inclusion all their patients coming for a visit from February to August 2002. ⋯ The sensitivity and specificity as well as the positive and negative predictive values of prescriber collected information were compared to that of their patients'. There was an overall good correlation between both data sources on the procedures for buprenorphine use especially for intravenous use of buprenorphine. There were important variations: obtaining buprenorphine without a prescription or with a prescription made by another doctor, intravenous administration of buprenorphine, use of benzodiazepines, and depression were underestimated by prescribers.
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Allergen immunotherapy (IT) is an effective treatment of respiratory allergy, but requires strict rules of performance. This makes compliance particularly relevant, but thus far only a few studies have investigated this issue. ⋯ Adequate education of patients and optimization of administration schedules, with fine balancing between dose effectiveness and cost, are the factors most likely to achieve further improvement of compliance with IT.