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1083 records – page 1 of 109.

A 2-year self-help smoking cessation manual intervention among middle-aged Finnish men: an application of the transtheoretical model.

https://arctichealth.org/en/permalink/ahliterature217852
Source
Prev Med. 1994 Jul;23(4):507-14
Publication Type
Article
Date
Jul-1994
Author
U E Pallonen
L. Leskinen
J O Prochaska
C J Willey
R. Kääriäinen
J T Salonen
Author Affiliation
Cancer Prevention Research Center, University of Rhode Island, Kingston 02881.
Source
Prev Med. 1994 Jul;23(4):507-14
Date
Jul-1994
Language
English
Publication Type
Article
Keywords
Adult
Analysis of Variance
Chi-Square Distribution
Confounding Factors (Epidemiology)
Finland
Humans
Longitudinal Studies
Male
Manuals as Topic
Middle Aged
Risk factors
Self Care
Smoking Cessation
Abstract
A 2-year self-help manual smoking cessation intervention was conducted among a panel of middle-aged Finnish men (n = 265) who were recruited proactively in a longitudinal cardiovascular risk factor surveillance study.
Intervention utilized the stages of change concept of the transtheoretical model. The stages were assessed in the treatment condition at baseline of the cessation study and after that by mail every sixth month. Assessments were followed by an immediate mailing of a stage-based self-help manual matching the stage of change at that time. A usual care group was assessed annually but received no treatment.
A significant time x intervention effect (P
PubMed ID
7971879 View in PubMed
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The 2000 Canadian recommendations for the management of hypertension: part two--diagnosis and assessment of people with high blood pressure.

https://arctichealth.org/en/permalink/ahliterature192030
Source
Can J Cardiol. 2001 Dec;17(12):1249-63
Publication Type
Conference/Meeting Material
Article
Date
Dec-2001
Author
K B Zarnke
M. Levine
F A McAlister
N R Campbell
M G Myers
D W McKay
P. Bolli
G. Honos
M. Lebel
K. Mann
T W Wilson
C. Abbott
S. Tobe
E. Burgess
S. Rabkin
Author Affiliation
Department of Medicine, London Health Sciences Centre, University of Western Ontario, 339 Windermere Road, London, Ontario N6A 5A5, Canada. Kelly.Zarnke@lhsc.on.ca
Source
Can J Cardiol. 2001 Dec;17(12):1249-63
Date
Dec-2001
Language
English
French
Publication Type
Conference/Meeting Material
Article
Keywords
Adrenal Gland Neoplasms - complications
Adult
Blood Pressure Determination - methods - psychology - standards
Blood Pressure Monitoring, Ambulatory - methods - standards
Canada
Cardiovascular Diseases - etiology - prevention & control
Clinical Laboratory Techniques - standards
Diabetes Complications
Diabetic Nephropathies - complications - diagnosis
Echocardiography - standards
Electrocardiography
Evidence-Based Medicine - methods
Humans
Hypertension - complications - diagnosis - etiology - psychology
Hypertension, Renovascular - diagnosis
Hypertrophy, Left Ventricular - complications - ultrasonography
Office Visits
Patient compliance
Pheochromocytoma - complications - diagnosis
Risk factors
Self Care - methods - standards
Abstract
To provide updated, evidence-based recommendations for the diagnosis and assessment of high blood pressure in adults.
For people with high blood pressure, the assignment of a diagnosis of hypertension depends on the appropriate measurement of blood pressure, the level of the blood pressure elevation, the duration of follow-up and the presence of concomitant vascular risk factors, target organ damage and established atherosclerotic diseases. For people diagnosed with hypertension, defining the overall risk of adverse cardiovascular outcomes requires laboratory testing, a search for target organ damage and an assessment of the modifiable causes of hypertension. Out-of-clinic blood pressure assessment and echocardiography are options for selected patients.
People at increased risk of adverse cardiovascular outcomes and were identified and quantified.
Medline searches were conducted from the period of the last revision of the Canadian recommendations for the management of hypertension (May 1998 to October 2000). Reference lists were scanned, experts were polled, and the personal files of the subgroup members and authors were used to identify other studies. All relevant articles were reviewed and appraised, using prespecified levels of evidence, by content experts and methodological experts.
A high value was placed on the identification of people at increased risk of cardiovascular morbidity and mortality.
The identification of people at higher risk of cardiovascular disease will permit counselling for lifestyle manoeuvres and the introduction of antihypertensive drugs to reduce blood pressure for patients with sustained hypertension. In certain settings, and for specific classes of drugs, blood pressure lowering has been associated with reduced cardiovascular morbidity and/or mortality.
The present document contains detailed recommendations pertaining to aspects of the diagnosis and assessment of patients with hypertension, including the accurate measurement of blood pressure, criteria for the diagnosis of hypertension and recommendations for follow-up, routine and optional laboratory testing, assessment for renovascular hypertension, home and ambulatory blood pressure monitoring, and the role of echocardiography in hypertension.
All recommendations were graded according to strength of the evidence and voted on by the Canadian Hypertension Recommendations Working Group. Only the recommendations achieving high levels of consensus are reported here. These guidelines will be updated annually.
These recommendations are endorsed by the Canadian Hypertension Society, The Canadian Coalition for High Blood Pressure Prevention and Control, The College of Family Physicians of Canada, The Heart and Stroke Foundation of Canada, The Adult Disease Division and Bureau of Cardio-Respiratory Diseases and Diabetes at the Centre for Chronic Disease Prevention and Control of Health Canada.
PubMed ID
11773936 View in PubMed
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Abdominal massage for people with constipation: a cost utility analysis.

https://arctichealth.org/en/permalink/ahliterature142788
Source
J Adv Nurs. 2010 Aug;66(8):1719-29
Publication Type
Article
Date
Aug-2010
Author
Kristina Lämås
Lars Lindholm
Birgitta Engström
Catrine Jacobsson
Author Affiliation
Department of Nursing, Umeå University, Sweden. kristina.lamas@nurs.umu.se
Source
J Adv Nurs. 2010 Aug;66(8):1719-29
Date
Aug-2010
Language
English
Publication Type
Article
Keywords
Abdomen
Adult
Aged
Aged, 80 and over
Constipation - economics - physiopathology - therapy
Cost-Benefit Analysis
Female
Humans
Laxatives - economics - therapeutic use
Male
Massage - economics - nursing
Middle Aged
Patient Dropouts
Patient Education as Topic
Prospective Studies
Quality of Life
Regression Analysis
Self Care - economics
Sweden
Abstract
This paper is a report of a study conducted to evaluate change in health-related quality of life for people with constipation receiving abdominal massage and to estimate the cost-effectiveness of two alternative scenarios developed from the original trial.
Constipation is a common problem and is associated with decrease in quality of life. Abdominal massage appears to decrease the severity of gastrointestinal symptoms, but its impact on health-related quality of life has not been assessed.
A randomized controlled trial including 60 participants was conducted in Sweden between 2005 and 2007. The control group continued using laxatives as before and the intervention group received additional abdominal massage. Health-related quality of life was assessed using the EQ-5D and analyzed with linear regression. Two scenarios were outlined to conduct a cost utility analysis. In the self-massage scenario patients learned to give self-massage, and in the professional massage scenario patients in hospital received abdominal massage from an Enrolled Nurse.
Linear regression analysis showed that health-related quality of life was statistically significantly increased after 8 weeks of abdominal massage. About 40% were estimated to receive good effect. For 'self-massage', the cost per quality adjusted life year was euro75,000 for the first 16 weeks. For every additional week of abdominal massage, the average dropped and eventually approached euro8300. For 'professional massage', the cost per quality adjusted life year was euro60,000 and eventually dropped to euro28,000.
Abdominal massage may be cost-effective in the long-term and it is relevant to consider it when managing constipation. A crucial aspect will be to identify those who will benefit.
PubMed ID
20557387 View in PubMed
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Ability for self-care among home dwelling elderly people in a health district in Sweden.

https://arctichealth.org/en/permalink/ahliterature72190
Source
Int J Nurs Stud. 2000 Aug;37(4):361-8
Publication Type
Article
Date
Aug-2000
Author
O. Söderhamn
C. Lindencrona
A. Ek
Author Affiliation
Vänersborg University College of Health Sciences, P.O. Box 236, SE-462 23, Vänersborg, Sweden.
Source
Int J Nurs Stud. 2000 Aug;37(4):361-8
Date
Aug-2000
Language
English
Publication Type
Article
Keywords
Activities of Daily Living
Aged
Aged, 80 and over
Analysis of Variance
Cohort Studies
Female
Humans
Male
Regression Analysis
Research Support, Non-U.S. Gov't
Self Care
Statistics, nonparametric
Sweden
Abstract
The aim of this study was to describe the ability for self-care among home dwelling elderly in the community in a health district in western Sweden. Two self-report instruments plus a number of self-care related questions were distributed by mail to an age stratified random sample and finally completed by a total of 125 subjects. Bivariate and multivariate statistical methods were used in the analyses. The results showed that self-care ability and self-care agency decreased for respondents 75+ years of age. Self-care ability was predicted by three productive means for self-care and four risk factors.
PubMed ID
10760543 View in PubMed
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Access to the world after myocardial infarction: experiences of the recovery process.

https://arctichealth.org/en/permalink/ahliterature70416
Source
Rehabil Nurs. 2006 Mar-Apr;31(2):63-8; discussion 69
Publication Type
Article
Author
Cathrine Hildingh
Bengt Fridlund
Evy Lidell
Author Affiliation
School of Social and Health Sciences, Halmstad University, Sweden. hildingh@hos.hh.se
Source
Rehabil Nurs. 2006 Mar-Apr;31(2):63-8; discussion 69
Language
English
Publication Type
Article
Keywords
Activities of Daily Living
Adaptation, Psychological
Aged
Attitude to Health
Family - psychology
Fear
Female
Health Knowledge, Attitudes, Practice
Humans
Life Change Events
Life Style
Male
Middle Aged
Motivation
Myocardial Infarction - psychology - rehabilitation
Nurse's Role
Nursing Methodology Research
Qualitative Research
Questionnaires
Recovery of Function
Rehabilitation Nursing - organization & administration
Self Care - methods - psychology
Self Efficacy
Social Support
Sweden
Abstract
Myocardial infarction (MI) is a traumatic health event and at the same time a transition of vital importance in human life. The purpose of this study was to elucidate recovery patterns after myocardial infarction with regard to the content of patients' experiences. The study used a descriptive design and a qualitative method. Interviews with 16 men and women were performed, and data were subjected to a thematic content analysis. The recovery process had a pattern of ability, restraints, and reorientation. Through self-help and help from others, the mutual sharing of burdens, and clarifying restraints to recovery, the recovery process progressed toward reorientation. New values and motivation for change, as well as a new balance within the self and relationships were found. The MI had been integrated into life and, through the recovery process, patients' attitudes were better focused, leading to an enhanced quality of life.
PubMed ID
16526524 View in PubMed
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Accuracy of HPV testing of vaginal smear obtained with a novel self-sampling device.

https://arctichealth.org/en/permalink/ahliterature79114
Source
Acta Obstet Gynecol Scand. 2007;86(1):16-21
Publication Type
Article
Date
2007
Author
Stenvall Harriet
Wikström Ingrid
Backlund Ingrid
Wilander Erik
Author Affiliation
Department of Genetics and Pathology, University Hospital of Uppsala, Sweden.
Source
Acta Obstet Gynecol Scand. 2007;86(1):16-21
Date
2007
Language
English
Publication Type
Article
Keywords
Adult
Cervical Intraepithelial Neoplasia - diagnosis - epidemiology - pathology - prevention & control - virology
DNA, Viral - analysis
Female
Humans
Mass Screening - methods
Middle Aged
Papillomaviridae - isolation & purification
Polymerase Chain Reaction
Predictive value of tests
Self Care
Sweden - epidemiology
Uterine Cervical Neoplasms - diagnosis - epidemiology - pathology - prevention & control - virology
Vaginal Smears - instrumentation
Abstract
BACKGROUND: Most of women diagnosed as having cervical cancer have not participated in organized cytological screening. Aim. A study was conducted to evaluate the accuracy of human papilloma virus testing by self-collected vaginal samples in comparison to regular cytological screening. The agreement of hybrid capture 2 assay and polymerase chain reaction assay for detection of human papilloma virus DNA in self-collected vaginal samples and clinician-obtained cervical smears was investigated. METHOD: Forty-three women aged 23-58 years admitted for further examination due to previous positive cytology in the organized screening participated in self-collecting of vaginal samples with a novel self-sampling device. During the visit a clinician also collected a cervical smear using a cytobrush. The vaginal samples collected with the self-sampling device were analyzed for high-risk human papilloma virus with the hybrid capture 2 assay technique and the cervical smears were Pap-stained, examined cytologically and after that reanalyzed for human papilloma virus DNA using a polymerase chain reaction assay. RESULT: The vaginal samples were positive for high-risk human papilloma virus in 37% of the cases using hybrid capture 2 assay. Twelve of the 43 Pap smears showed positive cytology (ASCUS-CIN 3), of which 4 showed CIN 2-3. When polymerase chain reaction assay was performed, human papilloma virus DNA was detected in 40% of the glass slides. The agreement between cytology and the two human papilloma virus testing techniques was 67-74% (kappa 0.27-0.45) and the agreement between the two human papilloma virus tests was 70% (kappa 0.36). CONCLUSION: Testing for high-risk human papilloma virus can identify more women at risk of developing cervical cancer than cytology irrespective of the sampling method. Furthermore, offering a self-sampling device for collection of vaginal smear seems to be a useful screening tool for cervical cancer among women not responding to an invitation for smear sampling.
PubMed ID
17230283 View in PubMed
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Acquired brain injury self-management programme: a pilot study.

https://arctichealth.org/en/permalink/ahliterature123842
Source
Brain Inj. 2012;26(10):1243-9
Publication Type
Article
Date
2012
Author
Denise Kendrick
Noah D Silverberg
Susan Barlow
William C Miller
Jacqui Moffat
Author Affiliation
Vancouver General Hospital , Vancouver, BC , Canada.
Source
Brain Inj. 2012;26(10):1243-9
Date
2012
Language
English
Publication Type
Article
Keywords
Activities of Daily Living
Adult
Brain Injuries - rehabilitation
Canada
Female
Humans
Male
Middle Aged
Patient compliance
Patient Satisfaction - statistics & numerical data
Pilot Projects
Program Evaluation
Quality of Life
Reproducibility of Results
Retrospective Studies
Self Care - methods
Abstract
Traditional rehabilitation is not well suited to individuals with chronic mild symptoms following an acquired brain injury. To address this, this study adapted a supported self-management programme (SMP) for this population. The aim of this study was to evaluate the potential effectiveness of this novel SMP.
Retrospective case series with repeated measures.
Fifty-three participants with chronic mild symptoms following an acquired brain injury (primarily mild traumatic brain injury) completed an SMP. The intervention involved eight coaching sessions with each an occupational therapist and psychologist, carried out in the community and based on SMP principles. The Canadian Occupational Performance Measure was administered at baseline, discharge and 3- and 9-month follow-up. This measure yielded scores for performance and satisfaction with daily functioning, covering the domains of self-care, productivity and leisure.
A complete case analysis of programme completers revealed that participants' ratings of their occupational performance and satisfaction improved markedly between baseline and discharge from the SMP. This set of outcome measures remained stable between discharge and the two follow-up points.
This pilot study suggests that SMPs may improve daily functioning in individuals with chronic mild ABI symptoms. More methodologically robust clinical trials are warranted.
PubMed ID
22658076 View in PubMed
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Source
Can Respir J. 2006 Sep;13(6):306-10
Publication Type
Article
Date
Sep-2006
Author
Marie-France Beauchesne
Valérie Levert
Miray El Tawil
Manon Labrecque
Lucie Blais
Author Affiliation
Hôpital du Sacré-Coeur de Montréal, Faculty of Pharmacy, University of Montreal, Montreal, Quebec. marie-france.beauchesne@umontreal.ca
Source
Can Respir J. 2006 Sep;13(6):306-10
Date
Sep-2006
Language
English
Publication Type
Article
Keywords
Adult
Aged
Asthma - complications - therapy
Clinical Protocols
Female
Health Care Surveys
Humans
Male
Middle Aged
Patient Care Planning - utilization
Patient satisfaction
Quebec
Self Care
Treatment Outcome
Abstract
Action plans are recommended for most patients with persistent asthma to reduce the morbidity associated with this chronic disease. Unfortunately, despite these recommendations, this tool remains underused.
The authors conducted a descriptive study at the asthma clinic of a tertiary care centre to determine the number of asthmatic patients presenting to a respiratory physician (new reference or follow-up visit) who possessed an individualized, written action plan, and to evaluate the patients' level of confidence and perceived efficacy toward their plans. In addition, for all patients in the study, the level of confidence in and the perceived efficacy of three different action plans (two traditional tools versus a simplified tool) were compared.
A total of 92 asthmatic patients were included in the study. Overall, 46% of the patients possessed an action plan. The patients' average level of confidence and perceived efficacy toward their action plans were high (4.1 out of five and 3.3 out of four, respectively). When the three different action plans were compared, the level of confidence in and perceived efficacy of the traditional tools were similar, both being superior to the simplified tool.
The number of asthmatic patients who presented to the asthma clinic and who possessed an action plan was higher than the reported Canadian mean of 10%; however, most of the patients were treated by specialized respiratory physicians, which may explain this improvement. Considering that most patients with persistent asthma should have an individualized, written action plan, the present study confirms that this tool is still not used for all asthmatic patients.
Notes
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Cites: Can Respir J. 2001 Mar-Apr;8 Suppl A:35A-40A11360046
Cites: Cochrane Database Syst Rev. 2003;(1):CD00111712535399
Cites: CMAJ. 1996 Mar 15;154(6):821-318634960
Cites: Lancet. 2004 Jan 24;363(9405):271-514751699
Cites: Thorax. 2004 Feb;59(2):94-914760143
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Cites: J Allergy Clin Immunol. 2002 Nov;110(5 Suppl):S141-21912542074
PubMed ID
16983445 View in PubMed
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Activities and participation in young adults with osteogenesis imperfecta.

https://arctichealth.org/en/permalink/ahliterature132954
Source
J Pediatr Rehabil Med. 2011;4(1):13-22
Publication Type
Article
Date
2011
Author
Kathleen Montpetit
Noémi Dahan-Oliel
Joanne Ruck-Gibis
François Fassier
Frank Rauch
Francis Glorieux
Author Affiliation
Shriners Hospital for Children, Montreal, Quebec, Canada. kmontpetit@shrinenet.org
Source
J Pediatr Rehabil Med. 2011;4(1):13-22
Date
2011
Language
English
Publication Type
Article
Keywords
Activities of Daily Living
Adult
Cross-Sectional Studies
Female
Follow-Up Studies
Humans
Incidence
Male
Osteogenesis Imperfecta - epidemiology - physiopathology - psychology
Patient compliance
Prognosis
Quebec - epidemiology
Questionnaires
Self Care
Social Adjustment
Young Adult
Abstract
The objective of this cross-sectional study was to compare the activities and participation in the domains of mobility, self-care, domestic life and social functioning in young adults according to osteogenesis imperfecta (OI) type. Fifty-four former OI patients were invited to participate and were sent a structured questionnaire. Twenty-four patients (mean age: 25.0 years, SD: 2.6 years) with OI types I (n=7), III (n=7), IV (n =8) and V (n=2) completed the questionnaire. Participants with OI type I reported full independence, and only few respondents with OI types IV and V reported some limitations in mobility and domestic life activities. Young adults with OI type III had significantly lower activity scores in aspects of mobility and domestic life and lower levels of participation in employment, sporting activities and transportation. Participation in leisure and social interactions were not different across OI types. Young adults with more severe types of osteogenesis imperfecta have greater activity limitations and participation restrictions. Our findings indicate the importance of promoting and facilitating involvement in meaningful activities and roles in young adults with moderate to severe forms of OI.
PubMed ID
21757806 View in PubMed
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The acupuncture treatment for postmenopausal hot flushes (Acuflash) study: traditional Chinese medicine diagnoses and acupuncture points used, and their relation to the treatment response.

https://arctichealth.org/en/permalink/ahliterature148685
Source
Acupunct Med. 2009 Sep;27(3):101-8
Publication Type
Article
Date
Sep-2009
Author
Einar Kristian Borud
Terje Alræk
Adrian White
Sameline Grimsgaard
Author Affiliation
The National Research Center in Complementary and Alternative Medicine, University of Tromsø, N-9037 Tromsø, Norway. einar.borud@uit.no
Source
Acupunct Med. 2009 Sep;27(3):101-8
Date
Sep-2009
Language
English
Publication Type
Article
Keywords
Acupuncture Therapy - methods
Combined Modality Therapy
Female
Health status
Hot Flashes - therapy
Humans
Middle Aged
Norway
Patient satisfaction
Postmenopause
Quality of Life
Research Design
Self Care - methods
Treatment Outcome
Women's health
Abstract
the multicentre, pragmatic, randomised controlled Acuflash study evaluated the effect of traditional Chinese medicine (TCM) acupuncture on postmenopausal vasomotor symptoms and health-related quality of life. It concluded that use of acupuncture in addition to self-care can contribute to a clinically relevant reduction of hot flushes and increased health-related quality of life. This article reports on the TCM syndrome diagnoses and acupuncture points used and their relation to the treatment response, and on treatment reactions and adverse events.
the acupuncture group (n = 134) received 10 acupuncture treatment sessions and advice on self-care; the control group (n = 133) received advice on self-care only. The study acupuncturists met the current membership criteria of the Norwegian Acupuncture Society, and had at least 3 years' experience of practising TCM acupuncture. They were free to diagnose and select acupuncture points for each participant, after initial discussion.
fifty per cent of the participants in the acupuncture group were diagnosed with Kidney Yin Xu as their primary TCM syndrome diagnosis. No statistically significant differences were demonstrated between the syndrome groups regarding the distribution of responders and non-responders, nor regarding the change in health-related quality of life scores. A core of common acupuncture points (SP6, HT6, KI7, KI6, CV4, LU7, LI4, and LR3) were used in all the syndromes, and in addition multiple idiosyncratic points. Core point selection and frequency of use did not differ between responders and non-responders. No serious adverse events were reported.
factors other than the TCM syndrome diagnoses and the point selection may be of importance regarding the outcome of the treatment.
PubMed ID
19734379 View in PubMed
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1083 records – page 1 of 109.