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Manual Behavioral Approaches to Chronic Disease in Adolescence: A Guide to Integrative Care

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Caregivers of children with diabetes mellitus: challenges of caring for and perceptions of consultations in a South African public sector context. Accounting for complexity in medical education: a model of adaptive behaviour in medicine. Enhancing diabetes care through care coordination, telemedicine, and education: Evaluation of a rural pilot program.

Factors affecting follow-up non-attendance in patients with Type 2 diabetes mellitus and hypertension: a systematic review. Effectiveness of pro-active organizational models in primary care for diabetes patients. Care coordination experiences of people with traumatic brain injury and their family members in the 4-years after injury: a qualitative analysis. The implications of the Canadian Stroke Best Practice Recommendations for design and allocation of rehabilitation after hospital discharge: a problematization. Metaphors and problematic understanding in chronic care communication.

Care coordination to target patient complexity and reduce disparities in primary care. Experiences of symptoms and health service preferences among older people living with chronic diseases during the last year of life. Characterizing online health and wellness information consumption: A study. Exploring the early-stage implementation of a patient engagement support intervention in an integrated-care context-A qualitative study of a participatory process.

The impact of integrated care for people with chronic conditions on hospital and emergency department utilization. Integrated care for people with long-term mental and physical health conditions in low-income and middle-income countries. Integrating noncommunicable disease services into primary health care, Botswana. Nurse-delivered interventions for mental health in primary care: a systematic review of randomized controlled trials.

Patient experience on self-management support among primary care patients with diabetes and hypertension. Interprofessional education at the meso level: taking the next step in IPE. Variables associated with interprofessional collaboration: The case of professionals working in Quebec local mental health service networks. Clinical leadership and integrated primary care: A systematic literature review. It Takes a Team. How older adults with multimorbidity manage their own care within a formal care coordination program?

Capturing context: An exploration of service delivery networks in complex case management. Care maps and care plans for children with medical complexity. Electronic Health Records. The PUFFinCA scale: development of an instrument for evaluating the primary care functions of family physicians in childhood asthma. Are the resources adoptive for conducting team-based diabetes management clinics? An explorative study at primary health care centers in Muscat, Oman. The impact of tailored intervention services on charges and mortality for adult super-utilizers.

Hidden care: Revelations of a case-note audit of physical health care in a community mental health service. A systematic review of chronic disease management interventions in primary care. Does patient self-management education of primary care professionals improve patient outcomes: a systematic review. Evaluating an integrated primary care approach to improve well-being among frail community-living older people: A theory-guided study protocol. Home and community-based services coordination for homebound older adults in home-based primary care.

Care coordination for complex cancer survivors in an integrated safety-net system: a study protocol. Why do I have to suffer? An integrated primary care approach for frail community-dwelling older persons: a step forward in improving the quality of care. Integrating community-based health promotion programs and primary care: a mixed methods analysis of feasibility. Frameworks for self-management support for chronic disease: a cross-country comparative document analysis. The barriers and facilitators to the implementation of National Clinical Programmes in Ireland: using the MRC framework for process evaluations.

Application of the i-PARIHS framework for enhancing understanding of interactive dissemination to achieve wide-scale improvement in Indigenous primary healthcare. Effects of automated smartphone mobile recovery support and telephone continuing care in the treatment of alcohol use disorder: study protocol for a randomized controlled trial. Mastering life together - symptom management, views, and experiences of relatives of persons with CPTSD: a grounded theory study.

Cost-effectiveness of a multicomponent primary care program targeting frail elderly people. A goal management intervention for patients with polyarthritis and elevated levels of depressive symptoms: a quasiexperimental study. Experiences of case managers in providing person-centered and integrated care based on the Chronic Care Model: A qualitative study on embrace.

Revising IEC Risk management of health information technology systems. Initiation and engagement as mechanisms for change caused by collaborative care in opioid and alcohol use disorders. Using a network organisational architecture to support the development of Learning Healthcare Systems. Feasibility study by a single-blind randomized controlled trial of self-management of mobility with a gait-speed feedback device by older persons at risk for falling. Improving inter-organizational care-cure designs: specialization versus integration.

Application of evidence-based management to chronic disease healthcare: a framework.

Type 1 diabetes mellitus

Self-management challenges and support needs among kidney transplant recipients: A qualitative study. Physician Organizations. Shared decision making and time to exacerbation in children with asthma. Clustering of end-organ disease and earlier mortality in adults with sickle cell disease: A retrospective-prospective cohort study. Developing and testing a model of quality of life among chronically-ill, community-dwelling older adults: A structural equation model.

Analysing health data sources to inform chronic disease management decisions of health insurers: A mixed methods study. Group medical visits after heart failure hospitalization: Study protocol for a randomized-controlled trial. Real-world comparison of HbA 1c reduction at 6-, and months by primary care provider type.

The why, when and how to test for obstructive sleep apnea in patients with atrial fibrillation. How do facilitators of group programmes for long-term conditions conceptualise self-management support? Patients experiences of self-management and strategies for dealing with chronic conditions in rural Malawi. The Sano study: justification and detailed description of a multidisciplinary biopsychosocial rehabilitation programme in patients with chronic low back pain.

Impact of shared decision making on asthma quality of life and asthma control among children. Medication understanding among patients living with multiple chronic conditions: Implications for patient-reported measures of adherence. Maintenance interventions for overweight or obesity in children: a systematic review and meta-analysis. Chronic disease as risk multiplier for disadvantage. The international knowledge base for new care models relevant to primary care-led integrated models: a realist synthesis.

Information technologies that facilitate care coordination: provider and patient perspectives. Facilitating primary care provider use in a patient-centered medical home intervention study for chronic hemodialysis patients. The coordination of chronic care: an introduction. Rationale, development, and design of the Altering Intake , Managing Symptoms AIMS dietary intervention for bowel dysfunction in rectal cancer survivors. Chronic Care Model in research and in practice. A pilot study of a smartphone application supporting recovery from drug addiction.

Adapting improvements to context: when, why and how? Costs and effectiveness of pharmacist-led group medical visits for type-2 diabetes: A multi-center randomized controlled trial. Assessing hearing loss self-management in older adults. Association between quality domains and health care spending across physician networks. Costs from a healthcare and societal perspective among cancer patients after total laryngectomy: are they related to patient activation? Interdisciplinary team-based care for patients with chronic pain on long-term opioid treatment in primary care PPACT — Protocol for a pragmatic cluster randomized trial.

What we know about the purpose, theoretical foundation, scope and dimensionality of existing self-management measurement tools: A scoping review. A review of mobile apps for epilepsy self-management. Patient perspectives on quality and access to healthcare after brain injury. Costs of an ostomy self-management training program for cancer survivors. Zelfmanagementvaardigheden en kwaliteit van leven van kwetsbare, zelfstandig wonende mensen.

Identifying evidence-practice gaps and strategies for improvement in Aboriginal and Torres Strait Islander maternal health care. A correlational study. Views of general practice staff about the use of a patient-oriented treatment decision aid in shared decision making for patients with type 2 diabetes: A mixed-methods study.

The roles, training and knowledge of community health workers about diabetes and hypertension in Khayelitsha, Cape Town. Effects of a population-based, person-centred and integrated care service on health, wellbeing and self-management of community-living older adults: A randomised controlled trial on Embrace. Using cognitive and causal modelling to develop a theoretical framework for implementing innovative practices in primary healthcare management in New Zealand.

Research Questions in Data Science. Optimal Dynamic Treatment Rules. Peer Support. Race, Ethnicity, and Cultural Influences. Special Population: Children and Adolescents. Team-Based Care. International Perspectives. Integrated Behavioral Healthcare Models. Primary Care Integration. Preventie binnen de verpleegkundige beroepsuitoefening. Pulmonary Arterial Hypertension. Promoting Healthy Behaviors. Team-Based Care for Hypertension Management. Protocol and pilot testing: The feasibility and acceptability of a nurse-led telephone-based palliative care intervention for patients newly diagnosed with lung cancer.

Relevant models and elements of integrated care for multi-morbidity: Results of a scoping review. Development and evaluation of a nurse-led hypertension management model: A randomized controlled trial. Exploring beliefs on diabetes treatment adherence among Dutch type 2 diabetes patients and healthcare providers.

Managing chronic conditions care across primary care and hospital systems: lessons from an Australian Hospital Avoidance Risk Program using the Flinders Chronic Condition Management Program. Physician-community pharmacist collaborative care in diabetes management: a pilot study. Conceptualization of the Chronic Care Model. Parental perceptions of disease-severity and health-related quality of life in school-age children with congenital heart disease. Understanding the Mundane Nature of Self-care.

The Gestational Diabetes Group Program. Evidence and presumptions for analyzing and detecting misunderstandings. Development and validation of subscales to assess perceived support for self-management of mood or emotional problems: Results from a randomized trial. In search of computer-aided social support in non-communicable diseases care. Care maps for children with medical complexity.

Evaluation of a technology-enhanced integrated care model for frail older persons: protocol of the SPEC study, a stepped-wedge cluster randomized trial in nursing homes. Improving transitions in acute stroke patients discharged to home: the Michigan stroke transitions trial MISTT protocol. Developing dimensions for a multicomponent multidisciplinary approach to obesity management: a qualitative study. What support is needed to self-manage a rheumatic disorder: a qualitative study. Self-management support and eHealth for patients and informal caregivers confronted with advanced cancer: an online focus group study among nurses.

Practice change in chronic conditions care: an appraisal of theories. Assessing the link between implementation fidelity and health outcomes for a trial of intensive case management by community health workers: a mixed methods study protocol. The role of hospitals in bridging the care continuum: a systematic review of coordination of care and follow-up for adults with chronic conditions.

Expectations towards participation in easily accessible pain management interventions: a qualitative study. Fostering development of nursing practices to support integrated care when implementing integrated care pathways: what levers to use? Rheumatic heart disease: infectious disease origin, chronic care approach. Random or predictable? Free clinic educational interventions for patients with chronic disease. Improving the care of veterans. Recurrent convolution neural networks for classification of protein-protein interaction articles from biomedical literature.

A cross-sectional study investigating patient-centred care, co-creation of care, well-being and job satisfaction among nurses. Self-care behavior change and depression among low-income predominantly Hispanic patients in safety-net clinics. Montreal Accord on Patient-Reported Outcomes PROs use series — Paper 3: patient-reported outcomes can facilitate shared decision-making and guide self-management.

Expanded roles of registered nurses in primary care delivery of the future. Enhancing prostate cancer survivorship care through self-management. Design and construction of mobile chronic diseases management system. An innovative health-care delivery model for children with medical complexity. How can we improve the organisation of care coordination? An ontology-based approach to patient follow-up assessment for continuous and personalized chronic disease management.

Care models for polypathological patients. Trauma Collaborative Care Intervention. The effectiveness of interventions to enhance self-management support competencies in the nursing profession: a systematic review. Next steps for meeting the needs of people with severe mental illness in low- and middle-income countries.

Chronic Disease Management - Caring for Depression

Development and initial validation of a cessation fatigue scale. A qualitative study of collaboration in general practice: understanding the general practice nurse's role. A developmental evaluation to enhance stakeholder engagement in a wide-scale interactive project disseminating quality improvement data: study protocol for a mixed-methods study. Engaging patients in decision-making and behavior change to promote prevention. No Longer Home Alone? Home Care and the Canada Health Act. Pre-injury polypharmacy predicts mortality in isolated severe traumatic brain injury patients.

Patient-provider relationship as mediator between adult attachment and self-management in primary care patients with multiple chronic conditions. Stakeholders in support systems for self-care for chronic illness: the gap between expectations and reality regarding their identity, roles and relationships. A realist review: what do nurse-led self-management interventions achieve for outpatients with a chronic condition?

Interprofessional collaboration and diabetes care in Switzerland: A mixed-methods study. Initial versus ongoing education: Perspectives of people with type 1 diabetes in 13 countries. Use of secondary clinical data for research related to diabetes self-management education. Creatively Improving Care Delivery.

Download Behavioral Approaches To Chronic Disease In Adolescence: A Guide To Integrative Care

A structured review of chronic care model components supporting transition between healthcare service delivery types for older people with multiple chronic diseases. Impact of a provincial quality-improvement program on primary health care in Ontario: a population-based controlled before-and-after study. Section 3. How do community pharmacists conceptualise and operationalise self-care support of long-term conditions LTCs? An English cross-sectional survey. Theory-based self-management educational interventions on patients with type 2 diabetes: a systematic review and meta-analysis of randomized controlled trials.

Are community-based nurse-led self-management support interventions effective in chronic patients? Results of a systematic review and meta-analysis. Primary care for diabetes mellitus patients from the perspective of the care model for chronic conditions. Obesity services planning framework for interprofessional primary care organizations. Effects of risk assessment and management programme for hypertension on clinical outcomes and cardiovascular disease risks after 12 months.

Adaptive contrast weighted learning for multi-stage multi-treatment decision-making. Self-management abilities and quality of life among frail community-dwelling individuals: the role of community nurses in the Netherlands. Understanding and management of epilepsy in a rural community in South Africa: An exploratory study. No time to lose — Green the cities now. A qualitative investigation of the impact of asthma and self-management strategies among older adults. Teamwork and Collaboration. The Politics of Storytelling. Call to action: A new path for improving diabetes care for Indigenous peoples, a global review.

Impact of a national collaborative care initiative for patients with depression and diabetes or cardiovascular disease. The health and health preparation of long-term Australian travellers. Quality of primary health care and autonomous motivation for effective diabetes self-management among patients with type 2 diabetes. Barriers that practitioners face when initiating insulin therapy in general practice settings and how they can be overcome.

A qualitative study of satisfaction with the Community-based Primary Care Project among primary care patients and its efficacy. Future Models of Diabetes Care. Unleashing the true potential of social networks: confirming infliximab medical trials through Facebook posts. Value co-creation in healthcare through positive deviance. Changing medical relationships after the ACA: Transforming perspectives for population health.

Sharing success — understanding barriers and enablers to secondary prophylaxis delivery for rheumatic fever and rheumatic heart disease. Development and validation of a new patient experience tool in patients with serious illness. Do informal caregivers for elderly in the community use support measures? A qualitative study in five European countries. Leveraging quality improvement through use of the Systems Assessment Tool in Indigenous primary health care services: a mixed methods study.

Coordination of care in the Chinese health care systems: a gap analysis of service delivery from a provider perspective. Adding non-randomised studies to a Cochrane review brings complementary information for healthcare stakeholders: an augmented systematic review and meta-analysis. Assessing patient-centered care in patients with chronic health conditions attending chiropractic practice: protocol for a mixed-methods study.

Improving delivery of secondary prophylaxis for rheumatic heart disease in remote Indigenous communities: study protocol for a stepped-wedge randomised trial. Is energy healing an effective non-pharmacological therapy for improving symptom management of chronic illnesses? A systematic review. Providing Nutritional Care in the Office Practice.

Provider perceptions of the value of same-day, electronic patient-reported measures for use in clinical HIV care. Scoping review: strategies of providing care for children with chronic health conditions in low- and middle-income countries. Chronic illness self-management: a mechanism behind the relationship between neighbourhood social capital and health?

Changes in diabetes care introduced by a Chronic Care Model-based programme in Tuscany: a 4-year cohort study. Community mental health care worldwide: current status and further developments. Prevalence and risk factors of poor sleep quality among Inner Mongolia Medical University students: A cross-sectional survey. Structural model of self-care agency in patients with diabetes: A path analysis of the Instrument of Diabetes Self-Care Agency and body self-awareness. Community based strategies and directions for the management of hypertension and diabetes.

Cost-effectiveness of implementing the chronic care model for HIV care in Uganda. The MedITNet assessment framework: development and validation of a framework for improving risk management of medical IT networks. Being an informal caregiver for a relative with liver cirrhosis and overt hepatic encephalopathy: a phenomenological study.

Mastering Together the Highs and Lows. An examination of the role of psychological safety in the relationship between job resources, affective commitment and turnover intentions of Australian employees with chronic illness. Managing the Patient with Pulmonary Hypertension.

Prevalence and characteristics of Australian women who use prayer or spiritual healing: A nationally representative cross-sectional study. Exploring effectiveness and effective components of self-management interventions for young people with chronic physical conditions: A systematic review. Redesign of chronic illness care in children and adolescents. Development and psychometric evaluation of a measure to evaluate the quality of integrated care: the Patient Assessment of Integrated Elderly Care.

Honor Thy Parents. Depression remission, receipt of problem-solving therapy, and self-care behavior frequency among low-income, predominantly Hispanic diabetes patients. Effectiveness of comprehensive care programs for patients with multiple chronic conditions or frailty: A systematic literature review. Med Wise: A theory-based program to improve older adults' communication with pharmacists about their medicines. Coproduction of healthcare service. Comparing and improving chronic illness primary care in Sweden and the USA. Implementation of collaborative goal setting for diabetes in community primary care.

Hoe zien zorgverleners de organisatie van chronische zorg? An ontological model of the practice transformation process. Upgrading physical activity counselling in primary care in the Netherlands. Added value of involving patients in the first step of multidisciplinary guideline development: a qualitative interview study among infertile patients. The development and psychometric validation of the self-efficacy and performance in self-management support SEPSS Instrument.

Integrating transition theory and bioecological theory: a theoretical perspective for nurses supporting the transition to adulthood for young people with medical complexity. Reducing inequity in primary care clinics treating low socioeconomic Jewish and Arab populations in Israel. A chronic care ostomy self-management program for cancer survivors. Mechanism of engaging self-management behavior in rural heart failure patients. The longitudinal relation between patterns of goal management and psychological health in people with arthritis: The need for adaptive flexibility.

Nursing competency standards in primary health care: an integrative review. Implementation of HIV treatment as prevention strategy in 17 Canadian sites: immediate and sustained outcomes from a month Quality Improvement Collaborative. A model of integrated health care in a poverty-impacted community in New York City: Importance of early detection and addressing potential barriers to intervention implementation. A pilot evaluation of Arthritis Self-Management Program by lay leaders in patients with chronic inflammatory arthritis in Hong Kong. Perceived quality of chronic illness care is associated with self-management: Results of a nationwide study in the Netherlands.

Analysis of the healthcare process of patients with type 2 diabetes mellitus and associated comorbidity treated in Spain's National Health System: A perspective of medical professionals. Community health workers as chronic care coordinators: evaluation of an Australian Indigenous primary health care program. Self-management support from the perspective of patients with a chronic condition: a thematic synthesis of qualitative studies.

Primary care-led survivorship care for patients with colon cancer and the use of eHealth: a qualitative study on perspectives of general practitioners. Phone-based motivational interviewing to increase self-efficacy in individuals with phenylketonuria. Improving care delivery and outcomes in pediatric rheumatic diseases.

Adaptation and validation of the Distress Scale for Mexican patients with type 2 diabetes and hypertension: a cross-sectional survey. The impact of culturally responsive self-management interventions on health outcomes for minority populations: A systematic review. Relation between primary care physician supply and diabetes care and outcomes: a cross-sectional study. The Development Model for Integrated Care: a validated tool for evaluation and development. Public Health Workforce Implications. Samenwerking en afstemming in de zorg voor kwetsbare ouderen theorie.

Health care costs attributable to overweight calculated in a standardized way for three European countries. Physiological and neurological system changes with aging and related occupational therapy interventions. Process evaluation of physical activity counselling with and without the use of mobile technology: A mixed methods study. Connecting Care in the Community: what works and what doesn't. Part 1. Shared Medical Appointments. Enhancing the effectiveness of smoking treatment research: conceptual bases and progress.

Youth recovery outcomes at 6 and 9 months following participation in a mobile texting recovery support aftercare pilot study. Application to Public Health. A co-availability scheduling model for coordinating multi-disciplinary care teams. A co-produced self-management programme improves psychosocial outcomes for people living with depression. Self-Care Technologies and Collaboration. Medication-related cognitive artifacts used by older adults with heart failure.

Integrated care programs for patients with psychological comorbidity: A systematic review and meta-analysis. Influence of educational attainments on long term glucose control and morbid events in patients with type 2 diabetes receiving integrated care from 15 China urban communities: The Beijing Community Diabetes Study The development of a prototype measure of the co-production of health in routine consultations for people with long-term conditions. Outcomes of an immersive pilot faculty development program for interprofessional facilitation: A mixed methods study.

Quality of online information on type 2 diabetes: a cross-sectional study. Population experiences of primary care in 11 Organization for Economic Cooperation and Development countries. What are the patients' preferences for the Chronic Care Model? An application to the obstructive sleep apnoea syndrome.

Nurses' views on patient self-management: a qualitative study. Facilitators and barriers of implementing the chronic care model in primary care: a systematic review. Modelling successful primary care for multimorbidity: a realist synthesis of successes and failures in concurrent learning and healthcare delivery. OPTIMAL, an occupational therapy led self-management support programme for people with multimorbidity in primary care: a randomized controlled trial. Measured outcomes of chronic care programs for older adults: a systematic review. A pharmacist based intervention to improve the care of patients with CKD: a pragmatic, randomized, controlled trial.

The Kidney Awareness Registry and Education KARE study: protocol of a randomized controlled trial to enhance provider and patient engagement with chronic kidney disease. Characteristics of Indigenous adults with poorly controlled diabetes in north Queensland: implications for services. Implementation of integrated services networks in Quebec and nursing practice transformation: convergence or divergence? Effectiveness of chronic care models: opportunities for improving healthcare practice and health outcomes: a systematic review.

Relationship of organizational culture, teamwork and job satisfaction in interprofessional teams. CoDiab-VD: protocol of a prospective population-based cohort study on diabetes care in Switzerland. Evidence-based medicine: is it a bridge too far? An organizational readiness intervention and randomized controlled trial to test strategies for implementing substance use disorder treatment into primary care: SUMMIT study protocol.

Understanding effective care management implementation in primary care: a macrocognition perspective analysis. Testing the use of practice facilitation in a cluster randomized stepped-wedge design trial to improve adherence to cardiovascular disease prevention guidelines: HealthyHearts NYC. Cluster randomized trial of a multilevel evidence-based quality improvement approach to tailoring VA Patient Aligned Care Teams to the needs of women Veterans. Improving care after colon cancer treatment in The Netherlands, personalised care to enhance quality of life I CARE study : study protocol for a randomised controlled trial.

Effectiveness of management models for facilitating self-management and patient outcomes in adults with diabetes and chronic kidney disease. Does the Belgian diabetes type 2 care trajectory improve quality of care for diabetes patients? Who will benefit from antidepressants in the acute treatment of bipolar depression? What is the evidence for the effectiveness, appropriateness and feasibility of group clinics for patients with chronic conditions?

Exploring preferences for domain-specific goal management in patients with polyarthritis: what to do when an important goal becomes threatened? Multidisciplinary team interventions to optimise health outcomes for older people in acute care settings: A systematic review. Changing face of care for patients with moderate to severe inflammatory bowel disease: the role of specialist nurses in the governance of anti-TNF prescribing.

Initiatives to Enhance Primary Care Delivery. Patient and provider priorities for self-reported domains of HIV clinical care. Supporting living well with hearing loss: A Delphi review of self-management support. Issues post-stroke for Muslim people in maintaining the practice of salat prayer : A qualitative study.

Managing frailty as a long-term condition:. A scoping review to understand the effectiveness of linking schemes from healthcare providers to community resources to improve the health and well-being of people with long-term conditions. Family interventions to improve diabetes outcomes for adults. Quality improvement in diabetes-successful in achieving better care with hopes for prevention. Dietary alterations and restrictions following surgery for upper gastrointestinal cancers: Key components of a health-related quality of life intervention. Dementia Care Management in an Underserved Community.

Integration and continuity of primary care: polyclinics and alternatives — a patient-centred analysis of how organisation constrains care co-ordination. Changing factors associated with parent activation after pediatric hematopoietic stem cell transplant. Self-managed care teams to improve community care for frail older adults in the Netherlands. An institutional ethnography of chronic pain management in family medicine COPE study protocol. Patient education for preventing venous leg ulceration. Engaging patients to recover life projectuality: an Italian cross-disease framework.

The association between patient activation and medication adherence, hospitalization, and emergency room utilization in patients with chronic illnesses: A systematic review. Managing chronic pathologies with a stepped mHealth-based approach in clinical psychology and medicine. The importance of productive patient—professional interaction for the well-being of chronically ill patients. Training peer educators to promote self-management skills in people with serious mental illness SMI and diabetes DM in a primary health care setting.

Collaborative diabetes virtual clinics — a service evaluation and clinical audit. Carta dei diritti della persona con malattia renale. Why do patients with multimorbidity in England report worse experiences in primary care? Evidence from the General Practice Patient Survey. Involvement of family physicians in structured programs for chronic diseases or multi-morbidity in Switzerland.

A revised Self- and Family Management Framework. Improving understanding, promoting social inclusion, and fostering empowerment related to epilepsy: Epilepsy Foundation public awareness campaigns — through Effectiveness of knowledge translation tools addressing multiple high-burden chronic diseases affecting older adults: protocol for a systematic review alongside a realist review. Key factors in patient-centered care coordination in ambulatory care: Nurse care coordinators' perspectives. An evaluation of a self-management program for patients with long-term conditions.

Direct-to-consumer advertising and the role of hope. Urban adults' perceptions of factors influencing asthma control. Implementing care programmes for frail older people: A project management perspective. Four perspectives on self-management support by nurses for people with chronic conditions: A Q-methodological study.


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Designing Self-care Technologies for Everyday Life. Inside Chronic Autoimmune Disease Communities. Relationships between activation level, knowledge, self-efficacy, and self-management behavior in heart failure patients discharged from rural hospitals. Assistive technologies for self-managed pressure ulcer prevention in spinal cord injury: A scoping review.

Influence of self-management and self-management support on chronic low back pain patients in primary care. Overcoming disparities in diabetes care: eight years' experience changing the diabetes care system in Changhua, Taiwan. High complexity chronic heart failure management programmes: Programme characteristics and 12 month patient outcomes. The work of living with a rare cancer: multiple myeloma.

Can complex health interventions be evaluated using routine clinical and administrative data? Perceptions of the need for improvements in healthcare after implementation of the Chronic Care Model. Implementing cardiometabolic health checks in general practice: a qualitative process evaluation. Alignment of patient and primary care practice member perspectives of chronic illness care: a cross-sectional analysis. Situational awareness, relational coordination and integrated care delivery to hospitalized elderly in The Netherlands: a comparison between hospitals. Identifying barriers to chronic disease reporting in Chicago Public Schools: a mixed-methods approach.

Smoking, physical activity and healthy aging in India. Impact of patient-accessible electronic medical records in rheumatology: use, satisfaction and effects on empowerment among patients. Adaptation and validation of the patient assessment of chronic illness care in the French context. Resource use and costs of type 2 diabetes patients receiving managed or protocolized primary care: a controlled clinical trial. Dose—response effects for depression and Schizophrenia management on hospital utilization in Illinois Medicaid: a multivariate regression analysis. Implementation of chronic illness care in German primary care practices — how do multimorbid older patients view routine care?

A cross-sectional study using multilevel hierarchical modeling. Relationships between patient activation, disease-specific knowledge and health outcomes among people with diabetes; a survey study. A qualitative study of integrated care from the perspectives of patients with chronic obstructive pulmonary disease and their relatives. Developing recommendations to improve the quality of diabetes care in Ireland: a policy analysis.

Evaluation of a practice team-supported exposure training for patients with panic disorder with or without agoraphobia in primary care - study protocol of a cluster randomised controlled superiority trial. Practice network-based care management for patients with type 2 diabetes and multiple comorbidities GEDIMAplus : study protocol for a randomized controlled trial. Virtual house calls for Parkinson disease Connect. Parkinson : study protocol for a randomized, controlled trial.

Involving patients in setting priorities for healthcare improvement: a cluster randomized trial. The relationship of psychological reactance, health locus of control and sense of self-efficacy with adherence to treatment in psychiatric outpatients with depression. Identifying and explaining the variability in development and implementation costs of disease management programs in the Netherlands.

Patient participation in patients with heart failure receiving structured home care - a prospective longitudinal study. The Ariadne principles: how to handle multimorbidity in primary care consultations. MyPreventiveCare: implementation and dissemination of an interactive preventive health record in three practice-based research networks serving disadvantaged patients—a randomized cluster trial. Financing Residency Training Redesign.

Long-term effects of a collaborative care intervention on process of care in family practices in Germany: a month follow-up study of a cluster randomized controlled trial. Alliance System and Policy Change. Practitioner perspectives from seven health professional groups on core competencies in the context of chronic care. Applying a healthcare model to Huntington's disease: the key worker approach.

Development of online diary and self-management system on e-Healthcare for asthmatic children in Taiwan. Effect of hospital case-manager nurses on the level of dependence, satisfaction and caregiver burden in patients with complex chronic disease. A longitudinal study to identify the influence of quality of chronic care delivery on productive interactions between patients and teams of healthcare professionals within disease management programmes.

People with multimorbidity: forgotten outsiders or dynamic self-managers? Woskie , and Ashish K. Electronic health record functionality needed to better support primary care. Towards a comprehensive research design for studying integrated care. Small steps: barriers and facilitators to physical health self-management by people living with mental illness. Management strategies of mothers of school-age children with autism: Implications for practice.

Mapping publication status and exploring hotspots in a research field: chronic disease self-management. Inference about the expected performance of a data-driven dynamic treatment regime. Flexible implementation and integration of new team members to support patient-centered care. Substance use recovery outcomes among a cohort of youth participating in a mobile-based texting aftercare pilot program.

The Patient-Centered Medical Neighborhood. The future of genomic testing in primary care: the changing face of personalized medicine. The experience of chronic illness among a group of Irish patients: a qualitative study. What is care coordination? Improving preventive care in high risk children with asthma: lessons learned.

Poster Abstracts

An evaluation of audiology service improvement documentation in England using the chronic care model and content analysis. Primary care practice characteristics associated with the quality of care received by patients with depression and comorbid chronic conditions. A systematic review of the literature on self-management interventions and discussion of their potential relevance for people living with HIV in sub-Saharan Africa. Self-management support in primary care: Enactments, disruptions, and conversational consequences.

An update on supported employment for people with severe mental illness. Australian optometric and ophthalmologic referral pathways for people with age-related macular degeneration, diabetic retinopathy and glaucoma. The role of team climate in improving the quality of chronic care delivery: a longitudinal study among professionals working with chronically ill adolescents in transitional care programmes. Dissemination and Implementation of Evidence-based Treatments.

Understanding social forces involved in diabetes outcomes: a systems science approach to quality-of-life research. The role of disease management programs in the health behavior of chronically ill patients. The effect of a nurse-led integrated chronic care approach on quality of life in patients with atrial fibrillation. The importance of multidisciplinary teamwork and team climate for relational coordination among teams delivering care to older patients. Quality of antiretroviral therapy in public health facilities in Nigeria and perceptions of end users.

Clinician's Commentary on Li et al. Access to primary care and other health care use among western Canadians with chronic conditions: a population-based survey. Patient-centered mobile apps for chronic disease management. An evaluation of the effectiveness of engaging Canadian clients as partners in in-home care. The importance of relational coordination for integrated care delivery to older patients in the hospital.

Exploring the feasibility of text messaging to support substance abuse recovery among youth in treatment. Control in chronic condition self-care management: how it occurs in the health worker-client relationship and implications for client empowerment. Open source electronic health records and chronic disease management. Dynamic Treatment Regimes. Imprisonment and Cardiac Risk. Principles of Medical Management of Ulcerative Colitis.

The Health Care Landscape. Short and long term improvements in quality of chronic care delivery predict program sustainability. Multidisciplinary care: experience of patients with complex needs.

Lauren Tolle, PhD

Enhancing Patient-Centered Care. Development of an interprofessional program for cardiovascular prevention in primary care: A participatory research approach. Workforce preparation: the Biohealth computing model for Master and PhD students. The Past, the Present, and the Future. Chronic Disease Management in Refugees. Exploring payment schemes used to promote integrated chronic care in Europe. A qualitative participatory study to identify experiences of coronary heart disease patients to support the development of online self-management services.

High-quality chronic care delivery improves experiences of chronically ill patients receiving care. Impact of care management processes and integration of care on blood pressure control in diabetes. Embrace, a model for integrated elderly care: study protocol of a randomized controlled trial on the effectiveness regarding patient outcomes, service use, costs, and quality of care. A goal management intervention for polyarthritis patients: rationale and design of a randomized controlled trial. Engaging primary care practitioners in quality improvement: making explicit the program theory of an interprofessional education intervention.

Is Europe putting theory into practice? A qualitative study of the level of self-management support in chronic care management approaches. Defining and improving quality management in Dutch diabetes care groups and outpatient clinics: design of the study. Diabetes care in Switzerland: good, but perfectible: a population-based cross-sectional survey. A patient-centred approach to health service delivery: improving health outcomes for people with chronic illness. The effect of an active implementation of a disease management programme for chronic obstructive pulmonary disease on healthcare utilization - a cluster-randomised controlled trial.

Out-of-clinic patient communication in paediatric rheumatology: the extent and nature of demand. Organizational readiness for knowledge translation in chronic care: a review of theoretical components. Implementing a knowledge application program for anxiety and depression in community-based primary mental health care: a multiple case study research protocol. New terminology for the treatment of tobacco dependence: a proposal for debate. Chronic disease, prevention policy, and the future of public health and primary care.

SEIPS 2. Integrated disease management interventions for patients with chronic obstructive pulmonary disease. The effects of care management on depression treatment in a psychiatric clinic: a randomized controlled trial. An exploration of the follow-up up needs of patients with inflammatory bowel disease.

Personal care services provided to children with special health care needs CSHCN and their subsequent use of physician services. A combined disease management and process modeling approach for assessing and improving care processes: A fall management case-study. Obstructive sleep apnoea in adults: A common chronic condition in need of a comprehensive chronic condition management approach.

Managing Epilepsy Well: Emerging e-Tools for epilepsy self-management. Lifestyle medicine. Self management of type 2 diabetes by Maltese immigrants in Australia: can community pharmacies play a supporting role? Recruiting and engaging smokers in treatment in a primary care setting: developing a chronic care model implemented through a modified electronic health record. Management of gout in primary care: challenges and potential solutions. Performance barriers among elderly chronic heart failure patients. Tara F.

Bishop , Matthew J. Press , Jayme L. Mendelsohn , and Lawrence P. Cost-effectiveness of a specialized atrial fibrillation clinic vs. Self-titration of insulin in the management of people with type 2 diabetes: a practical solution to improve management in primary care. Where to for Australian mental health services? Promoting self-efficacy. Evaluation Methods. Patient-focused strategies. SamenOud: elke huisarts een eigen Ouderenzorg Team. Depression self-management support: A systematic review. Chronic hepatitis B and C: Exploring perceived stigma, disease information, and health-related quality of life.

Promoting Patient Phronesis. Self-care in patients with chronic heart failure. Self-Management for People with Multiple Sclerosis. Cost-effectiveness of depression case management in small practices. The promise of group medical visits. Programmes to support chronic disease self-management: should we be concerned about the impact on spouses? Community Diabetes Education CoDE for uninsured Mexican Americans: A randomized controlled trial of a culturally tailored diabetes education and management program led by a community health worker.

Effects and cost-effectiveness of a guideline-oriented primary healthcare hypertension management program in Beijing, China: results from a 1-year controlled trial. Geoffrey C. Lamb , Maureen A. Smith , William B. Weeks , and Christopher Queram. Recent development on statistical methods for personalized medicine discovery. Howard K. Koh , Cindy Brach , Linda M. Harris , and Michael L.

Recognition of need in health care consultations: a qualitative study of people with psoriasis. Assessing the role of patient support services on adherence rates in patients using glatiramer acetate for relapsing-remitting multiple sclerosis. Team-Based Care for the Management of Hypertension. Click on the cover image above to read some pages of this book!

Adolescence is typically fraught with problems, even under optimal conditions. And when chronic illness is added to the picture, medical and related social issues can complicate, and even disrupt, the course of development. The first text geared toward the integrated care setting, Behavioral Approaches to Chronic Disease in Adolescence offers clinicians an evidence-based guide to helping their young clients manage their chronic conditions and treating the psychosocial effectsa "from school problems and stigma to noncompliance and depressiona "that frequently follow diagnosis.

Expert contributors present up-to-date information on epidemiology, symptoms, comorbid psychosocial problems, and treatment options for a variety of common illnesses, arranged to foster effective interventions for adolescents and efficient collaboration with other care providers in the team. Coverage is comprehensive, authoritative, and accessible, ensuring best practice while respecting each clienta TM s individuality: Empirically-based treatment guidelines for illnesses commonly found in youth, including Type 1 and 2 diabetes, asthma, cancer, obesity, and chronic pain.

Overview of the physiology of adolescence, particularly as it may be affected by medical conditions, and of adolescent brain development. Latest findings on the role of families in teensa TM adjustment to illness and treatment. Cultural considerations affecting ethnically diverse clients and their families. Detailed discussions of ethical issues relevant to treating chronically ill young people, and of controversies involving pharmacotherapy with this population. Chapters contain useful handouts for clinicians and clients.

Its emphasis on specific practical information makes Behavioral Approaches to Chronic Disease in Adolescence a a oego-toa reference for health psychologists, child and adolescent mental health practitioners, pediatricians and family practitioners, and clinical social workers. Country of Publication: US Dimensions cm : Help Centre. My Wishlist Sign In Join. Be the first to write a review. Add to Wishlist.