Articles: vulnerable-populations.
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Multicenter Study
Preventing cardiovascular disease in at-risk patients: Results of a pilot behavioural health programme in general practice.
The 'High-Risk Prevention Programme' (HRPP) involved a six-week health behaviour change programme based in general practices and aimed to address cardiovascular disease (CVD) risk in disadvantaged Irish communities. ⋯ The HRPP was a much-needed pilot intervention, and positive results were seen in both GPN and HPP arms, especially with regards to weight loss, exercise, and dietary improvements. Future definitive trials of the HRPP are likely to be effective and acceptable in terms of combatting these issues among high-risk patients.
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Emerg Med Australas · Oct 2020
Multicenter Study Comparative StudyEmergency Department utilisation by vulnerable paediatric populations during COVID-19 pandemic.
To determine if changes to community-based services have effected paediatric ED attendances for mental health issues and neonates during the COVID-19 pandemic. ⋯ Vulnerable paediatric patients are seeking care elsewhere during the pandemic because of the closure of community services.
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Randomized Controlled Trial Multicenter Study
Weight Loss in Underserved Patients - A Cluster-Randomized Trial.
Evidence of the effectiveness of treatment for obesity delivered in primary care settings in underserved populations is lacking. ⋯ A high-intensity, lifestyle-based treatment program for obesity delivered in an underserved primary care population resulted in clinically significant weight loss at 24 months. (Funded by the Patient-Centered Outcomes Research Institute and others; PROPEL ClinicalTrials.gov number, NCT02561221.).
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Multicenter Study
Awareness, Attitudes, and Actions Related to COVID-19 Among Adults With Chronic Conditions at the Onset of the U.S. Outbreak: A Cross-sectional Survey.
The evolving outbreak of coronavirus disease 2019 (COVID-19) is requiring social distancing and other measures to protect public health. However, messaging has been inconsistent and unclear. ⋯ National Institutes of Health.
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Annals of family medicine · Jul 2020
Multicenter StudyTransforming Primary Care for Lesbian, Gay, Bisexual, and Transgender People: A Collaborative Quality Improvement Initiative.
Lesbian, gay, bisexual, and transgender (LGBT) people experience multiple disparities in access to care and health outcomes. We developed a quality improvement initiative, Transforming Primary Care for LGBT People, to enhance the capacity of federally qualified health centers (FQHCs) to provide culturally affirming care for this population. ⋯ FQHCs participating in this initiative reported improved capacity to provide culturally affirming care and targeted screening for LGBT patients.