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[PMID]:29240781
[Au] Autor:Salow KR; Cohen AC; Bristow CC; McGrath MR; Klausner JD
[Ad] Endereço:Public Health Division, AIDS Healthcare Foundation, Los Angeles, California, United States of America.
[Ti] Título:Comparing mail-in self-collected specimens sent via United States Postal Service versus clinic-collected specimens for the detection of Chlamydia trachomatis and Neisseria gonorrhoeae in extra-genital sites.
[So] Source:PLoS One;12(12):e0189515, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To evaluate the concordance between clinic-collected extra-genital specimens and self-collected mailed-in extra-genital specimens among participants seeking sexually transmitted infection testing at a free clinic in Hollywood, CA. METHODS: A convenience sample of 210 men who have sex with men were enrolled between February 29, 2016 and December 21, 2016 and received mail-in testing kits for Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG). All testing was performed using the GeneXpert® CT/NG (Cepheid, Sunnyvale, CA). RESULTS: From the 210 mail-in kits distributed, 149 mail-in kits (71.0%) were returned to the laboratory, resulting in 145 pairs (clinic-collected and mail-in) of rectal test results and 148 pairs of pharyngeal test results for both CT and NG detection. The concordance was 95.0% for all CT rectal tests, 99.3% for all CT pharyngeal tests, 95.7% for all NG rectal tests, and 97.2% for all NG pharyngeal tests. CONCLUSION: Roughly two-thirds of mail-in test kits were returned and concordance was generally high, however more than one-third of positive results were missed in mail-in samples. The prevalence of potential false-negative results among mail-in samples warrants caution when implementing mail-in STI testing strategies.
[Mh] Termos MeSH primário: Chlamydia trachomatis/isolamento & purificação
Homossexualidade Masculina
Neisseria gonorrhoeae/isolamento & purificação
Faringe/microbiologia
Serviços Postais
Reto/microbiologia
Doenças Sexualmente Transmissíveis/diagnóstico
Manejo de Espécimes
[Mh] Termos MeSH secundário: Seres Humanos
Masculino
Doenças Sexualmente Transmissíveis/microbiologia
Estados Unidos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171229
[Lr] Data última revisão:
171229
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171215
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0189515


  2 / 2028 MEDLINE  
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[PMID]:28558663
[Au] Autor:Green BB; BlueSpruce J; Tuzzio L; Vernon SW; Aubree Shay L; Catz SL
[Ad] Endereço:Kaiser Permanente Washington Health Research Institute, Metropolitan Park East, 1730 Minor Avenue Suite 1600, Seattle, WA, 98101, USA. green.b@ghc.org.
[Ti] Título:Reasons for never and intermittent completion of colorectal cancer screening after receiving multiple rounds of mailed fecal tests.
[So] Source:BMC Public Health;17(1):531, 2017 May 30.
[Is] ISSN:1471-2458
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Long-term adherence to colorectal cancer (CRC) screening is particularly important for fecal testing. Some U.S. studies report that only 25% of individuals repeat fecal testing annually. The purpose of this qualitative study was to identify barriers and facilitators reported by patients with suboptimal screening adherence to refine interventions for starting ongoing adherence to CRC screening. We also explored whether participants, particularly never screeners, would be willing to do a CRC screening blood test. METHODS: Forty-one patients who previously enrolled in the Systems of Support to Increase CRC Screening (SOS) trial were interviewed 4-5 years later. Participants were purposively selected to include men and women with diverse race/ethnicities who had either been inconsistent screeners or had never screened during the first three years of SOS despite receiving at least two rounds of mailed fecal tests. Two interviewers conducted 30-min telephone interviews using a semi-structured interview guide. An iterative thematic analysis approach was used. RESULTS: Themes related to screening barriers were more pervasive among never screeners including: (1) Avoidance (inattention, procrastination) (2) Concerns about handling stool; (3) Health concerns; (4) Fear of a cancer diagnosis or positive test results. Themes related to screening facilitators were more often mentioned by participants who screened at least once including: (1) Use of a simpler 1-sample fecal test; (2) Convenience of mailings and doing the test at home; (3) Salience of prevention, especially as one got older; and (4) Influence of recommendations from providers, family and friends. Participants had diverse preferences for the number (3 on average) and types (phone, mail, text) of screening reminders. Some participants did not prefer e-mail links to the patient shared electronic health record because of difficulties remembering their password. It was acceptable for a nurse or medical assistant not from their clinic to call them as long as that person was knowledgeable about their records and could communicate with their physician. Participants, especially never screeners, were generally very enthusiastic about the potential option of a CRC screening blood test. CONCLUSION: Future CRC screening programs should be designed to minimize these barriers and maximize facilitators to improve long-term screening adherence. TRIAL REGISTRATION: Primary Funding Agency: The National Cancer Institute of the National Institutes of Health (R01CA121125). Registered at clinicaltrials.gov NCT00697047 .
[Mh] Termos MeSH primário: Neoplasias Colorretais/diagnóstico
Detecção Precoce de Câncer/psicologia
Cooperação do Paciente/psicologia
[Mh] Termos MeSH secundário: Registros Eletrônicos de Saúde
Feminino
Seres Humanos
Entrevistas como Assunto
Masculino
Meia-Idade
Sangue Oculto
Serviços Postais
Pesquisa Qualitativa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171101
[Lr] Data última revisão:
171101
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170601
[St] Status:MEDLINE
[do] DOI:10.1186/s12889-017-4458-6


  3 / 2028 MEDLINE  
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[PMID]:28408154
[Au] Autor:Medhekar AN; Mix DS; Aquina CT; Trakimas LE; Noyes K; Fleming FJ; Glocker RJ; Stoner MC
[Ad] Endereço:University of Rochester, Strong Memorial Hospital, Rochester, NY.
[Ti] Título:Outcomes for critical limb ischemia are driven by lower extremity revascularization volume, not distance to hospital.
[So] Source:J Vasc Surg;66(2):476-487.e1, 2017 Aug.
[Is] ISSN:1097-6809
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The objective of this study was to identify relationships among geographic access to care, vascular procedure volume, limb preservation, and survival in patients diagnosed with critical limb ischemia (CLI). METHODS: Using New York State administrative data from 2000 to 2013, we identified a patient's first presentation with CLI defined by International Classification of Diseases, Ninth Revision diagnosis and procedure codes. Distance from the patient's home to the index hospital was calculated using the centroids of the respective ZIP codes. A multivariable logistic regression model was employed to estimate the impact of distance, major lower extremity amputation (LEA) volume, and lower extremity revascularization (LER) volume on major amputation and 30-day mortality. Volumes and distances were analyzed in quintiles. The farthest distance quintile and the highest procedure volume quintiles were used as references for generating odds ratios (ORs). RESULTS: There were 49,576 patients identified with an initial presentation of CLI. The median age was 73 years, 35,829 (73.2%) had Medicare as a primary insurer, 11,395 (23.0%) had a major amputation, and 4249 (8.6%) died within 30 days of admission. Patients in the closest distance quintile were more likely to undergo amputation (OR, 1.53 [1.39-1.68]; P < .0001). Patients who visited hospitals in the lowest LER volume quintile with at least one procedure per year faced higher 30-day mortality rates (OR, 2.05 [1.67-2.50]; P < .0001) and greater odds of amputation (OR, 9.94 [8.5-11.63]; P < .0001). Patients who visited hospitals in the lowest LEA volume quintile had lower odds of 30-day mortality (OR, 0.66 [0.50-0.87]; P = .0033) and lower odds of amputation (OR, 0.180 [0.142-0.227]; P < .0001). CONCLUSIONS: Rates of major amputation are inversely associated with distance from the index hospital, whereas rates of both major amputation and mortality are inversely associated with LER volume. Rates of major amputation and mortality are directly associated with LEA volume. We believe that unless it is otherwise contraindicated, these data support consideration for selective referral of CLI patients to high-volume centers for LER regardless of distance. Within the context of value-based health care delivery, policy supporting regionalization of CLI care into centers of excellence may improve outcomes for these patients.
[Mh] Termos MeSH primário: Área Programática (Saúde)
Acesso aos Serviços de Saúde
Disparidades em Assistência à Saúde
Hospitais com Alto Volume de Atendimentos
Hospitais com Baixo Volume de Atendimentos
Isquemia/cirurgia
Extremidade Inferior/irrigação sanguínea
Doença Arterial Periférica/cirurgia
Avaliação de Processos (Cuidados de Saúde)
Procedimentos Cirúrgicos Vasculares
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Amputação
Distribuição de Qui-Quadrado
Estado Terminal
Feminino
Seres Humanos
Isquemia/diagnóstico por imagem
Isquemia/mortalidade
Isquemia/fisiopatologia
Salvamento de Membro
Modelos Logísticos
Masculino
Meia-Idade
Análise Multivariada
New York
Razão de Chances
Doença Arterial Periférica/diagnóstico por imagem
Doença Arterial Periférica/mortalidade
Doença Arterial Periférica/fisiopatologia
Serviços Postais
Estudos Retrospectivos
Fatores de Risco
Fatores Socioeconômicos
Fatores de Tempo
Resultado do Tratamento
Procedimentos Cirúrgicos Vasculares/efeitos adversos
Procedimentos Cirúrgicos Vasculares/mortalidade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170731
[Lr] Data última revisão:
170731
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170415
[St] Status:MEDLINE


  4 / 2028 MEDLINE  
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[PMID]:28330830
[Au] Autor:Sebo P; Maisonneuve H; Cerutti B; Fournier JP; Senn N; Haller DM
[Ad] Endereço:Primary Care Unit, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
[Ti] Título:Rates, Delays, and Completeness of General Practitioners' Responses to a Postal Versus Web-Based Survey: A Randomized Trial.
[So] Source:J Med Internet Res;19(3):e83, 2017 Mar 22.
[Is] ISSN:1438-8871
[Cp] País de publicação:Canada
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Web-based surveys have become a new and popular method for collecting data, but only a few studies have directly compared postal and Web-based surveys among physicians, and none to our knowledge among general practitioners (GPs). OBJECTIVE: Our aim is to compare two modes of survey delivery (postal and Web-based) in terms of participation rates, response times, and completeness of questionnaires in a study assessing GPs' preventive practices. METHODS: This randomized study was conducted in Western Switzerland (Geneva and Vaud) and in France (Alsace and Pays de la Loire) in 2015. A random selection of community-based GPs (1000 GPs in Switzerland and 2400 GPs in France) were randomly allocated to receive a questionnaire about preventive care activities either by post (n=700 in Switzerland, n=400 in France) or by email (n=300 in Switzerland, n=2000 in France). Reminder messages were sent once in the postal group and twice in the Web-based group. Any GPs practicing only complementary and alternative medicine were excluded from the study. RESULTS: Among the 3400 contacted GPs, 764 (22.47%, 95% CI 21.07%-23.87%) returned the questionnaire. Compared to the postal group, the participation rate in the Web-based group was more than four times lower (246/2300, 10.70% vs 518/1100, 47.09%, P<.001), but median response time was much shorter (1 day vs 1-3 weeks, P<.001) and the number of GPs having fully completed the questionnaire was almost twice as high (157/246, 63.8% vs 179/518, 34.6%, P<.001). CONCLUSIONS: Web-based surveys offer many advantages such as reduced response time, higher completeness of data, and large cost savings, but our findings suggest that postal surveys can be still considered for GP research. The use of mixed-mode approaches is probably a good strategy to increase GPs' participation in surveys while reducing costs.
[Mh] Termos MeSH primário: Clínicos Gerais/psicologia
Internet
Serviços Postais
Inquéritos e Questionários
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
Idoso
Atitude do Pessoal de Saúde
Feminino
Seres Humanos
Masculino
Meia-Idade
Fatores Sexuais
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170809
[Lr] Data última revisão:
170809
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170324
[St] Status:MEDLINE
[do] DOI:10.2196/jmir.6308


  5 / 2028 MEDLINE  
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[PMID]:27890126
[Au] Autor:Karltun A; Karltun J; Berglund M; Eklund J
[Ad] Endereço:Dept. of Industrial Engineering and Management, Jönköping University, Sweden; Unit of Ergonomics, School of Technology and Health, KTH Royal Institute of Technology, Sweden. Electronic address: anette.kartlun@ju.se.
[Ti] Título:HTO - A complementary ergonomics approach.
[So] Source:Appl Ergon;59(Pt A):182-190, 2017 Mar.
[Is] ISSN:1872-9126
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The field of human factors and ergonomics constitutes a strong potential in systems analysis, design and improvement. However, it is difficult to communicate its potential value. This paper addresses how the human-technology-organization (HTO) concept can be defined and supports the understanding, communication and development of the systems' character and potential of human factors and ergonomics. Empirical examples from the authors' experiences of working with the HTO concept in R&D and teaching are illustrated, including its usefulness as: 1) a conceptual model; 2) an analysis framework; 3) a meta methodology; 4) a pedagogical tool; and 5) a design tool. The use of HTO provides guidance on how the system can be designed to better support health, individual and systems performance. It is further suggested that there is a strong potential for developing the theory, applications and methodological aspects of HTO.
[Mh] Termos MeSH primário: Ergonomia/métodos
Análise de Sistemas
Tecnologia
Local de Trabalho/organização & administração
[Mh] Termos MeSH secundário: Seres Humanos
Indústria Manufatureira
Indústria de Embalagem de Carne
Serviços Postais
Suécia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161129
[St] Status:MEDLINE


  6 / 2028 MEDLINE  
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[PMID]:27838390
[Au] Autor:Rashrash ME; Tomaszewski DM; Schommer JC; Brown LM
[Ti] Título:Consumers' characteristics associated with the use of mail pharmacy services in the United States: Findings from the 2015 National Consumer Survey on the Medication Experience.
[So] Source:J Am Pharm Assoc (2003);57(2):206-210, 2017 Mar - Apr.
[Is] ISSN:1544-3450
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: The purpose of this study was to describe current users of mail pharmacy services and to evaluate factors associated with the use of mail pharmacy services. DESIGN: Cross-sectional online survey-based study. SETTING AND PARTICIPANTS: The data were obtained from the 2015 National Consumer Survey on the Medication Experience, which included 26,173 adults from throughout the United States. OUTCOME MEASURES: Mail pharmacy utilization was based on participant self-report. Demographic variables included age, education, race, gender, insurance status, distance to nearest pharmacy, number of disease states, and income. Chi-square and t test analyses were conducted to assess the factors associated with mail pharmacy use. Multivariable logistic regressions were used to compute the odds ratios (ORs) and 95% confidence intervals for the predictors of mail pharmacy usage. RESULTS: Overall, 17% of respondents reported the use of mail pharmacy services. Based on chi-square analysis, use of mail pharmacy services was significantly associated with age, education, race, and region. In addition, distance to nearest pharmacy and the report of the presence of certain disease states were significantly associated with mail pharmacy use (P <0.001). Based on the results of logistic regression analysis, there was a significant association of mail pharmacy use by age, having chronic diseases, level of education, distance to nearest pharmacy, and other included variables (P <0.05). CONCLUSION: Mail pharmacy service users accounted for 17% of the respondents of this study. Advancing age, presence of chronic diseases, increasing level of education, and increasing distance to the nearest pharmacy were positively associated with the use of mail pharmacies. Further research is needed to better understand patient-specific reasons for choosing mail pharmacies or community pharmacies.
[Mh] Termos MeSH primário: Comportamento de Escolha
Preferência do Paciente/estatística & dados numéricos
Assistência Farmacêutica/utilização
Serviços Postais
[Mh] Termos MeSH secundário: Adolescente
Adulto
Fatores Etários
Idoso
Estudos Transversais
Escolaridade
Feminino
Seres Humanos
Modelos Logísticos
Masculino
Meia-Idade
Inquéritos e Questionários
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170904
[Lr] Data última revisão:
170904
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161114
[St] Status:MEDLINE


  7 / 2028 MEDLINE  
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[PMID]:27825963
[Au] Autor:Singal AG; Tiro JA; Marrero JA; McCallister K; Mejias C; Adamson B; Bishop WP; Santini NO; Halm EA
[Ad] Endereço:Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas; Parkland Health and Hospital System, Dallas, Texas; Department of Clinical Sciences, University of Texas Southwestern Medical Center, Dallas, Texas; Harold C. Simmons Cancer Center, University of Texas S
[Ti] Título:Mailed Outreach Program Increases Ultrasound Screening of Patients With Cirrhosis for Hepatocellular Carcinoma.
[So] Source:Gastroenterology;152(3):608-615.e4, 2017 Feb.
[Is] ISSN:1528-0012
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND & AIMS: Surveillance of patients with cirrhosis increases early detection of hepatocellular carcinoma (HCC) and prolongs survival. However, its effectiveness is limited by underuse, particularly among racial/ethnic minorities and individuals of low socioeconomic status. We compared the effectiveness of mailed outreach strategies, with and without patient navigation, in increasing the numbers of patients with cirrhosis undergoing surveillance for HCC in a racially diverse and socioeconomically disadvantaged cohort. METHODS: We performed a prospective study of patients with documented or suspected cirrhosis at a large safety-net health system from December 2014 through March 2016. Patients were assigned randomly (1:1:1) to groups that received mailed invitations for an ultrasound screening examination (n = 600), mailed invitations for an ultrasound screening examination and patient navigation (barrier assessment and motivational education for patients who declined screening; n = 600), or usual care (visit-based screening; n = 600). Patients who did not respond to outreach invitations within 2 weeks received up to 3 reminder telephone calls. The primary outcome was completion of abdominal imaging within 6 months of randomization. RESULTS: Baseline characteristics were similar among groups. Cirrhosis was documented, based on International Classification of Diseases, 9th revision, codes, for 79.6% of patients, and suspected, based on noninvasive markers of fibrosis, for 20.4%. In an intent-to-treat analysis, significantly greater proportions of patients who received the mailed invitation and navigation (47.2%) or the mailed invitation alone (44.5%) underwent HCC screening than patients who received usual care (24.3%) (P < .001 for both comparisons). However, screening rates did not differ significantly between outreach the outreach groups (P = .25). The effects of the outreach program were consistent in all subgroups, including Caucasian vs non-Caucasian race, documented vs suspected cirrhosis, Child-Pugh A vs B cirrhosis, and receipt of gastroenterology care. CONCLUSIONS: In a prospective study, we found outreach strategies to double the percentage of patients with cirrhosis who underwent ultrasound screening for HCC. However, adding patient navigation to telephone reminders provided no significant additional benefit. ClinicalTrials.gov no: NCT02312817.
[Mh] Termos MeSH primário: Carcinoma Hepatocelular/diagnóstico por imagem
Detecção Precoce de Câncer/métodos
Cirrose Hepática/diagnóstico por imagem
Neoplasias Hepáticas/diagnóstico por imagem
Educação de Pacientes como Assunto
Navegação de Pacientes
Serviços Postais
Sistemas de Alerta
[Mh] Termos MeSH secundário: Adulto
Afroamericanos
Idoso
Idoso de 80 Anos ou mais
Grupos Étnicos
Grupo com Ancestrais do Continente Europeu
Feminino
Hispano-Americanos
Seres Humanos
Masculino
Meia-Idade
Grupos Minoritários
Entrevista Motivacional
Participação do Paciente
Estudos Prospectivos
Classe Social
Telefone
Texas
Ultrassonografia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; PRAGMATIC CLINICAL TRIAL; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170605
[Lr] Data última revisão:
170605
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161110
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE


  8 / 2028 MEDLINE  
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[PMID]:27810401
[Au] Autor:Piette C; Durand G; Bretagne JF; Faivre J
[Ad] Endereço:ADECI35, Rennes, France.
[Ti] Título:Additional mailing phase for FIT after a medical offer phase: The best way to improve compliance with colorectal cancer screening in France.
[So] Source:Dig Liver Dis;49(3):308-311, 2017 Mar.
[Is] ISSN:1878-3562
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Compliance with colorectal cancer screening is critical to its effectiveness. The organisation of the mass screening programme in France has recently been modified with no evaluation of the consequences. AIMS: To evaluate the impact of the way the screening test is delivered on compliance. PATIENTS AND METHODS: During the first six months of the screening campaign (Ille-Vilaine, Brittany), general practitioners were asked to propose a faecal immunochemical test (FIT), OC-Sensor, to individuals at average risk for colorectal cancer (n=152,097). A subset of non-participants in the medical phase (n=13,071) was randomly chosen to receive a reminder that included the screening test or a simple postal reminder without the screening test. RESULTS: Compliance was 31% if the screening test was proposed during a medical consultation. In non-participants during the medical phase, it was 45% in those receiving both a reminder and the screening test and 28% amongst those receiving a simple reminder. An estimated overall participation rate of 54% can be expected if non-participants in the medical phase are sent a reminder together with the screening test. CONCLUSION: In France, a compliance rate above the minimum uptake rate of 45% recommended by European Union experts can be achieved if the FIT is mailed to non-participants after the medical free-offer phase.
[Mh] Termos MeSH primário: Neoplasias Colorretais/diagnóstico
Cooperação do Paciente/estatística & dados numéricos
Serviços Postais/utilização
Sistemas de Alerta/utilização
[Mh] Termos MeSH secundário: Idoso
Neoplasias Colorretais/epidemiologia
Detecção Precoce de Câncer
Feminino
França
Seres Humanos
Masculino
Programas de Rastreamento
Meia-Idade
Sangue Oculto
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170912
[Lr] Data última revisão:
170912
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161105
[St] Status:MEDLINE


  9 / 2028 MEDLINE  
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[PMID]:27273912
[Au] Autor:Ackerman IN; Bucknill A; Page RS; Broughton NS; Roberts C; Cavka B; Schoch P; Brand CA
[Ad] Endereço:Monash University and University of Melbourne, Melbourne, Australia.
[Ti] Título:Preferences for Disease-Related Education and Support Among Younger People With Hip or Knee Osteoarthritis.
[So] Source:Arthritis Care Res (Hoboken);69(4):499-508, 2017 Apr.
[Is] ISSN:2151-4658
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To explore the usefulness and accessibility of different delivery modes of disease-related education and support, as perceived by younger people with osteoarthritis (OA). METHODS: People ages 20-55 years with hip or knee OA were recruited from 3 major Australian public hospitals and the community (n = 147). Data were collected on use of disease-related education and support services, as well as perceived usefulness and accessibility of delivery modes including group-based programs, online resources, telephone helplines, mailed information, social media, and mobile applications (rated on visual analog scales from 1-10; higher scores indicate greater usefulness or accessibility). RESULTS: Very few participants had used social media (5%), group self-management programs (3%), or telephone helplines (2%) to obtain OA information. Mailed information packs and online education programs were considered the most useful (median usefulness scores 8.0 and 7.0, respectively) and accessible methods (median accessibility scores 10.0 and 9.0, respectively) for providing OA education and support. Social media was perceived as least useful (median usefulness score 2.0) and least accessible; 45% of participants considered it "not at all useful," while 35% reported it would be "very difficult" to access OA education and support by this means. Less educational attainment was associated with greater perceived difficulty in accessing online/electronic delivery modes, while people in paid work perceived easier access. CONCLUSION: These data highlight the value of mailed information and online education to younger people with OA and can be used to develop targeted resources for individuals of working age. Social media was not a highly valued source of disease-related education and support.
[Mh] Termos MeSH primário: Informação de Saúde ao Consumidor/métodos
Conhecimentos, Atitudes e Prática em Saúde
Osteoartrite do Quadril/psicologia
Osteoartrite do Joelho/psicologia
Educação de Pacientes como Assunto/métodos
Preferência do Paciente
Apoio Social
[Mh] Termos MeSH secundário: Acesso à Informação
Adulto
Fatores Etários
Estudos Transversais
Feminino
Seres Humanos
Disseminação de Informação
Internet
Masculino
Meia-Idade
Osteoartrite do Quadril/diagnóstico
Osteoartrite do Quadril/fisiopatologia
Osteoartrite do Quadril/terapia
Osteoartrite do Joelho/diagnóstico
Osteoartrite do Joelho/fisiopatologia
Osteoartrite do Joelho/terapia
Folhetos
Serviços Postais
Grupos de Autoajuda
Mídias Sociais
Inquéritos e Questionários
Vitória
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160609
[St] Status:MEDLINE
[do] DOI:10.1002/acr.22950


  10 / 2028 MEDLINE  
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Texto completo
[PMID]:27109858
[Au] Autor:Kirchner C; Bock OL; Völker I
[Ad] Endereço:a Institute of Physiology and Anatomy , German Sport University Cologne , Cologne , Germany.
[Ti] Título:The effects of priming with age stereotypes on a PC-based mail-sorting task.
[So] Source:Ergonomics;60(4):512-517, 2017 Apr.
[Is] ISSN:1366-5847
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: This study examines whether unconscious priming of attitudes towards older age might change the self-efficacy of older employees, and thus modify their performance at work. METHODS: Three age- and gender-matched groups of 20 participants were primed with positive, negative or no age stereotypes by means of the scrambled sentence task, and were then transferred to a cognitively demanding PC-based mail-sorting task. RESULTS: Participants' accuracy on the latter task was significantly higher in the positively primed group than in the unprimed group, and was significantly lower in the negatively primed group than in the unprimed group, except for one parameter. CONCLUSIONS: These findings indicate that the performance of older workers may indeed be modifiable by unconscious priming. Practitioner Summary: This study analyses whether unconscious priming attitudes towards older age might modify work performance. Participants were primed with the scrambled sentence task and then conducted a cognitive mail-sorting task. The findings indicate that the performance of older workers may indeed be modifiable by unconscious negative as well as positive priming.
[Mh] Termos MeSH primário: Envelhecimento/psicologia
Priming de Repetição
Estereotipagem
Análise e Desempenho de Tarefas
Trabalho/psicologia
[Mh] Termos MeSH secundário: Idoso
Atitude
Feminino
Seres Humanos
Linguagem
Masculino
Meia-Idade
Serviços Postais
Distribuição Aleatória
Tempo de Reação
Autoeficácia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171019
[Lr] Data última revisão:
171019
[Sb] Subgrupo de revista:IM; S
[Da] Data de entrada para processamento:160426
[St] Status:MEDLINE
[do] DOI:10.1080/00140139.2016.1182219



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