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[PMID]:29447690
[Au] Autor:Grizotte-Lake M; Vaishnava S
[Ad] Endereço:Molecular Microbiology and Immunology, Brown University, Providence, RI 02912, USA.
[Ti] Título:Autophagy: Suicide Prevention Hotline for the Gut Epithelium.
[So] Source:Cell Host Microbe;23(2):147-148, 2018 02 14.
[Is] ISSN:1934-6069
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Autophagy is genetically associated with inflammatory bowel disease (IBD); however, its role remains unclear in disease pathogenesis. Three recent studies reveal a novel cytoprotective role of autophagy during viral, bacterial, and protozoan-triggered IBD (Burger et al., 2018; Matsuzawa-Ishimoto et al., 2017; Pott et al., 2018).
[Mh] Termos MeSH primário: Autofagia
Linhas Diretas
[Mh] Termos MeSH secundário: Seres Humanos
Doenças Inflamatórias Intestinais/microbiologia
Suicídio
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180216
[St] Status:MEDLINE


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[PMID]:29359900
[Au] Autor:Steiner DJ; Thomson Reuters Accelus.
[Ti] Título:Emergency care.
[So] Source:Issue Brief Health Policy Track Serv;2017:1-40, 2017 Dec 26.
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Serviços Médicos de Emergência/organização & administração
Serviço Hospitalar de Emergência/organização & administração
[Mh] Termos MeSH secundário: Assistência Ambulatorial
Instituições de Assistência Ambulatorial
Reforma dos Serviços de Saúde
Gastos em Saúde
Acesso aos Serviços de Saúde
Linhas Diretas
Seres Humanos
Cobertura do Seguro/economia
Seguro Saúde/economia
Reembolso de Seguro de Saúde
Tempo de Internação
Serviços de Saúde Mental
Mortalidade
Transtornos Relacionados ao Uso de Opioides
Cuidados Paliativos
Patient Protection and Affordable Care Act
Projetos Piloto
Reembolso de Incentivo
Serviços de Saúde Rural
Provedores de Redes de Segurança
Governo Estadual
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180219
[Lr] Data última revisão:
180219
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:180124
[St] Status:MEDLINE


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[PMID]:27776679
[Au] Autor:Bernstein SL; Weiss JM; Toll B; Zbikowski SM
[Ad] Endereço:Department of Emergency Medicine, New Haven, CT, United States; Yale Comprehensive Cancer Center, New Haven, CT, United States; Yale School of Medicine, New Haven, CT, United States. Electronic address: Steven.bernstein@yale.edu.
[Ti] Título:Association Between Utilization of Quitline Services and Probability of Tobacco Abstinence in Low-Income Smokers.
[So] Source:J Subst Abuse Treat;71:58-62, 2016 12.
[Is] ISSN:1873-6483
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Quitlines (QL) are an effective means for smoking cessation, but a paucity of data exist examining the dose-response relationship between use of QL services and quit rates, especially among low-income smokers. The purpose of this study was to study the relationship between tobacco abstinence and use of QL services among low-income smokers. METHODS: Secondary analysis of a randomized trial of every- or some-day smokers aged 18 years or older visiting an urban emergency department. Inclusion criteria included self-pay or Medicaid insurance, as a proxy for low-income and low socioeconomic status. Intervention participants received a motivational interview, 6 weeks of nicotine patches and gum, a referral faxed to the state-sponsored QL, a booster call, and a quitline brochure. Control participants received the brochure. Smoking status was assessed by phone at 1 and 3 months, with confirmation via exhaled carbon monoxide testing at 3 months for those reporting abstinence. QL usage was obtained by utilization data from the QL database. RESULTS: Of 778 subjects, 197 (25.3%) reported any use of QL services at 3 months. Participants were trichotomized: no QL usage, 1 call only, and >1 call (583, 99, and 98 participants, respectively). Quit rates at 3 months in these no, low-, and high-use groups were, respectively, 7.2%, 9.1%, and 15.3% (P=0.03). Participants who used the QL had a median of 28 total minutes of telephone contact. CONCLUSION: Among low-income smokers, greater use of QL services is associated with higher abstinence. Whether this resulted from a direct effect of the QL, or greater motivation among smokers using QL services cannot be determined from these data.
[Mh] Termos MeSH primário: Linhas Diretas/estatística & dados numéricos
Entrevista Motivacional/estatística & dados numéricos
Avaliação de Resultados (Cuidados de Saúde)/estatística & dados numéricos
Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos
Pobreza
Encaminhamento e Consulta/estatística & dados numéricos
Abandono do Hábito de Fumar/estatística & dados numéricos
Produtos para o Abandono do Uso de Tabaco/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Folhetos
Abandono do Hábito de Fumar/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE


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[PMID]:29237251
[Au] Autor:Bruhn L
[Ti] Título:EXPERT ADVICE AND PEACE OF MIND IS JUST A CALL AWAY.
[So] Source:Aust Nurs Midwifery J;24(1):43, 2016 07.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:A team of specialized RDNS nurses are providing tailored advice and peace of mind for thousands of people around Australia who have recently become or about to become mums and dads.
[Mh] Termos MeSH primário: Linhas Diretas
Papel do Profissional de Enfermagem
Saúde da Mulher
[Mh] Termos MeSH secundário: Austrália
Feminino
Seres Humanos
Gravidez
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE


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[PMID]:28456130
[Au] Autor:Miller IW; Camargo CA; Arias SA; Sullivan AF; Allen MH; Goldstein AB; Manton AP; Espinola JA; Jones R; Hasegawa K; Boudreaux ED; ED-SAFE Investigators
[Ad] Endereço:Department of Psychiatry and Human Behavior, Brown University, Butler Hospital, Providence, Rhode Island.
[Ti] Título:Suicide Prevention in an Emergency Department Population: The ED-SAFE Study.
[So] Source:JAMA Psychiatry;74(6):563-570, 2017 Jun 01.
[Is] ISSN:2168-6238
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Importance: Suicide is a leading cause of deaths in the United States. Although the emergency department (ED) is an opportune setting for initiating suicide prevention efforts, ED-initiated suicide prevention interventions remain underdeveloped. Objective: To determine whether an ED-initiated intervention reduces subsequent suicidal behavior. Design, Setting, and Participants: This multicenter study of 8 EDs in the United States enrolled adults with a recent suicide attempt or ideation and was composed of 3 sequential phases: (1) a treatment as usual (TAU) phase from August 2010 to December 2011, (2) a universal screening (screening) phase from September 2011 to December 2012, and (3) a universal screening plus intervention (intervention) phase from July 2012 to November 2013. Interventions: Screening consisted of universal suicide risk screening. The intervention phase consisted of universal screening plus an intervention, which included secondary suicide risk screening by the ED physician, discharge resources, and post-ED telephone calls focused on reducing suicide risk. Main Outcomes and Measures: The primary outcome was suicide attempts (nonfatal and fatal) over the 52-week follow-up period. The proportion and total number of attempts were analyzed. Results: A total of 1376 participants were recruited, including 769 females (55.9%) with a median (interquartile range) age of 37 (26-47) years. A total of 288 participants (20.9%) made at least 1 suicide attempt, and there were 548 total suicide attempts among participants. There were no significant differences in risk reduction between the TAU and screening phases (23% vs 22%, respectively). However, compared with the TAU phase, patients in the intervention phase showed a 5% absolute reduction in suicide attempt risk (23% vs 18%), with a relative risk reduction of 20%. Participants in the intervention phase had 30% fewer total suicide attempts than participants in the TAU phase. Negative binomial regression analysis indicated that the participants in the intervention phase had significantly fewer total suicide attempts than participants in the TAU phase (incidence rate ratio, 0.72; 95% CI, 0.52-1.00; P = .05) but no differences between the TAU and screening phases (incidence rate ratio, 1.00; 95% CI, 0.71-1.41; P = .99). Conclusions and Relevance: Among at-risk patients in the ED, a combination of brief interventions administered both during and after the ED visit decreased post-ED suicidal behavior.
[Mh] Termos MeSH primário: Serviço Hospitalar de Emergência
Ideação Suicida
Suicídio/prevenção & controle
[Mh] Termos MeSH secundário: Adulto
Administração de Caso
Terapia Combinada
Serviço Hospitalar de Emergência/estatística & dados numéricos
Serviços de Emergência Psiquiátrica/estatística & dados numéricos
Feminino
Seguimentos
Linhas Diretas
Seres Humanos
Estimativa de Kaplan-Meier
Masculino
Programas de Rastreamento
Meia-Idade
Psicoterapia
Rhode Island
Medição de Risco
Prevenção Secundária
Suicídio/estatística & dados numéricos
Tentativa de Suicídio/prevenção & controle
Tentativa de Suicídio/estatística & dados numéricos
[Pt] Tipo de publicação:CLINICAL TRIAL; COMPARATIVE STUDY; JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1706
[Cu] Atualização por classe:171222
[Lr] Data última revisão:
171222
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170430
[St] Status:MEDLINE
[do] DOI:10.1001/jamapsychiatry.2017.0678


  6 / 2520 MEDLINE  
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[PMID]:28420373
[Au] Autor:Bjelkmar P; Hansen A; Schönning C; Bergström J; Löfdahl M; Lebbad M; Wallensten A; Allestam G; Stenmark S; Lindh J
[Ad] Endereço:Department of Monitoring and Evaluation, Public Health Agency of Sweden, 171 83, Solna, Sweden. par.bjelkmar@folkhalsomyndigheten.se.
[Ti] Título:Early outbreak detection by linking health advice line calls to water distribution areas retrospectively demonstrated in a large waterborne outbreak of cryptosporidiosis in Sweden.
[So] Source:BMC Public Health;17(1):328, 2017 Apr 18.
[Is] ISSN:1471-2458
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In the winter and spring of 2011 a large outbreak of cryptosporidiosis occurred in Skellefteå municipality, Sweden. This study summarizes the outbreak investigation in terms of outbreak size, duration, clinical characteristics, possible source(s) and the potential for earlier detection using calls to a health advice line. METHODS: The investigation included two epidemiological questionnaires and microbial analysis of samples from patients, water and other environmental sources. In addition, a retrospective study based on phone calls to a health advice line was performed by comparing patterns of phone calls between different water distribution areas. RESULTS: Our analyses showed that approximately 18,500 individuals were affected by a waterborne outbreak of cryptosporidiosis in Skellefteå in 2011. This makes it the second largest outbreak of cryptosporidiosis in Europe to date. Cryptosporidium hominis oocysts of subtype IbA10G2 were found in patient and sewage samples, but not in raw water or in drinking water, and the initial contamination source could not be determined. The outbreak went unnoticed to authorities for several months. The analysis of the calls to the health advice line provides strong indications early in the outbreak that it was linked to a particular water treatment plant. CONCLUSIONS: We conclude that an earlier detection of the outbreak by linking calls to a health advice line to water distribution areas could have limited the outbreak substantially.
[Mh] Termos MeSH primário: Criptosporidiose/diagnóstico
Criptosporidiose/epidemiologia
Surtos de Doenças
Diagnóstico Precoce
Linhas Diretas/estatística & dados numéricos
Vigilância da População/métodos
Abastecimento de Água/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Criança
Pré-Escolar
Cryptosporidium/isolamento & purificação
Surtos de Doenças/prevenção & controle
Surtos de Doenças/estatística & dados numéricos
Feminino
Seres Humanos
Lactente
Recém-Nascido
Masculino
Meia-Idade
Estudos Retrospectivos
Estações do Ano
Esgotos/microbiologia
Inquéritos e Questionários
Suécia/epidemiologia
Purificação da Água
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Sewage)
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170426
[Lr] Data última revisão:
170426
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170420
[St] Status:MEDLINE
[do] DOI:10.1186/s12889-017-4233-8


  7 / 2520 MEDLINE  
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[PMID]:28302050
[Au] Autor:Eagleson R; Altamirano-Diaz L; McInnis A; Welisch E; De Jesus S; Prapavessis H; Rombeek M; Seabrook JA; Park T; Norozi K
[Ad] Endereço:Faculty of Engineering, Western University, London, Canada.
[Ti] Título:Implementation of clinical research trials using web-based and mobile devices: challenges and solutions.
[So] Source:BMC Med Res Methodol;17(1):43, 2017 Mar 17.
[Is] ISSN:1471-2288
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: With the increasing implementation of web-based, mobile health interventions in clinical trials, it is crucial for researchers to address the security and privacy concerns of patient information according to high ethical standards. The full process of meeting these standards is often made more complicated due to the use of internet-based technology and smartphones for treatment, telecommunication, and data collection; however, this process is not well-documented in the literature. RESULTS: The Smart Heart Trial is a single-arm feasibility study that is currently assessing the effects of a web-based, mobile lifestyle intervention for overweight and obese children and youth with congenital heart disease in Southwestern Ontario. Participants receive telephone counseling regarding nutrition and fitness; and complete goal-setting activities on a web-based application. This paper provides a detailed overview of the challenges the study faced in meeting the high standards of our Research Ethics Board, specifically regarding patient privacy. CONCLUSION: We outline our solutions, successes, limitations, and lessons learned to inform future similar studies; and model much needed transparency in ensuring high quality security and protection of patient privacy when using web-based and mobile devices for telecommunication and data collection in clinical research.
[Mh] Termos MeSH primário: Segurança Computacional/utilização
Confidencialidade/ética
Cardiopatias Congênitas/terapia
Linhas Diretas/utilização
Internet/utilização
Obesidade/terapia
Telemedicina/métodos
[Mh] Termos MeSH secundário: Adolescente
Criança
Ensaios Clínicos como Assunto/métodos
Coleta de Dados
Seres Humanos
Ontário
Smartphone/utilização
Telemedicina/ética
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170318
[St] Status:MEDLINE
[do] DOI:10.1186/s12874-017-0324-6


  8 / 2520 MEDLINE  
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[PMID]:28276580
[Au] Autor:Ritchie HE; Oakes DJ; Hegedus E; Hill M; Kennedy D
[Ad] Endereço:Discipline of Biomedical Science, Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia.
[Ti] Título:Counselling regarding paternal exposures: Can we do better?
[So] Source:Aust N Z J Obstet Gynaecol;57(2):162-167, 2017 Apr.
[Is] ISSN:1479-828X
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: MotherSafe is a free telephone-based counselling service for the general public and healthcare providers concerned about exposures during pregnancy and breastfeeding. Calls relating to paternal exposures are less common, but can cause distress to the person concerned. This review seeks to identify the key concerns and what information is available to address these concerns. AIMS: To review calls made to MotherSafe about paternal exposures to teratogens during the 16 year period, 2000-2015, and to document any patterns or changes in calls over the period. MATERIALS AND METHODS: A retrospective descriptive assessment of a prospectively collected database (2000-2015) was undertaken. Telephone counselling records identified the drugs of concern regarding paternal exposures. The information about paternal exposures provided in consumer and production information was also reviewed. RESULTS: Of a total of 253 103 calls received at MotherSafe between 2000 and 2015, 1072 calls (0.4%) were regarding paternal exposures. The majority of these calls related to immunomodifiers (19%), hair loss products (11%) and antidepressant medications. CONCLUSIONS: Paternal exposures represent a small proportion of all the counselling calls made to MotherSafe. The study highlighted the deficient and often misleading information about paternal exposures found in most consumer and product information sheets or via the internet. The study indicates the important role of Teratogen Information Services like Mothersafe in providing evidence-based information to both consumers and healthcare providers.
[Mh] Termos MeSH primário: Aconselhamento à Distância/normas
Linhas Diretas/estatística & dados numéricos
Exposição Paterna/efeitos adversos
Teratogênios/toxicidade
[Mh] Termos MeSH secundário: Inibidores de 5-alfa Redutase/efeitos adversos
Antidepressivos/efeitos adversos
Informação de Saúde ao Consumidor/normas
Feminino
Finasterida/efeitos adversos
Seres Humanos
Fatores Imunológicos/efeitos adversos
Masculino
Gravidez
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (5-alpha Reductase Inhibitors); 0 (Antidepressive Agents); 0 (Immunologic Factors); 0 (Teratogens); 57GNO57U7G (Finasteride)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171025
[Lr] Data última revisão:
171025
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170310
[St] Status:MEDLINE
[do] DOI:10.1111/ajo.12584


  9 / 2520 MEDLINE  
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[PMID]:28211056
[Au] Autor:Mosdøl A; Lidal IB; Straumann GH; Vist GE
[Ad] Endereço:Knowledge Centre for the Health Services, Norwegian Institute of Public Health, PO BOX 4404 Nydalen, Oslo, Norway.
[Ti] Título:Targeted mass media interventions promoting healthy behaviours to reduce risk of non-communicable diseases in adult, ethnic minorities.
[So] Source:Cochrane Database Syst Rev;2:CD011683, 2017 02 17.
[Is] ISSN:1469-493X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Physical activity, a balanced diet, avoidance of tobacco exposure, and limited alcohol consumption may reduce morbidity and mortality from non-communicable diseases (NCDs). Mass media interventions are commonly used to encourage healthier behaviours in population groups. It is unclear whether targeted mass media interventions for ethnic minority groups are more or less effective in changing behaviours than those developed for the general population. OBJECTIVES: To determine the effects of mass media interventions targeting adult ethnic minorities with messages about physical activity, dietary patterns, tobacco use or alcohol consumption to reduce the risk of NCDs. SEARCH METHODS: We searched CENTRAL, MEDLINE, Embase, PsycINFO, CINAHL, ERIC, SweMed+, and ISI Web of Science until August 2016. We also searched for grey literature in OpenGrey, Grey Literature Report, Eldis, and two relevant websites until October 2016. The searches were not restricted by language. SELECTION CRITERIA: We searched for individual and cluster-randomised controlled trials, controlled before-and-after studies (CBA) and interrupted time series studies (ITS). Relevant interventions promoted healthier behaviours related to physical activity, dietary patterns, tobacco use or alcohol consumption; were disseminated via mass media channels; and targeted ethnic minority groups. The population of interest comprised adults (≥ 18 years) from ethnic minority groups in the focal countries. Primary outcomes included indicators of behavioural change, self-reported behavioural change and knowledge and attitudes towards change. Secondary outcomes were the use of health promotion services and costs related to the project. DATA COLLECTION AND ANALYSIS: Two authors independently reviewed the references to identify studies for inclusion. We extracted data and assessed the risk of bias in all included studies. We did not pool the results due to heterogeneity in comparisons made, outcomes, and study designs. We describe the results narratively and present them in 'Summary of findings' tables. We judged the quality of the evidence using the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) methodology. MAIN RESULTS: Six studies met the inclusion criteria, including three RCTs, two cluster-RCTs and one ITS. All were conducted in the USA and comprised targeted mass media interventions for people of African descent (four studies), Spanish-language dominant Latino immigrants (one study), and Chinese immigrants (one study). The two latter studies offered the intervention in the participants' first language (Spanish, Cantonese, or Mandarin). Three interventions targeted towards women only, one pregnant women specifically. We judged all studies as being at unclear risk of bias in at least one domain and three studies as being at high risk of bias in at least one domain.We categorised the findings into three comparisons. The first comparison examined mass media interventions targeted at ethnic minorities versus an equivalent mass media intervention intended for the general population. The one study in this category (255 participants of African decent) found little or no difference in effect on self-reported behavioural change for smoking and only small differences in attitudes to change between participants who were given a culturally specific smoking cessation booklet versus a booklet intended for the general population. We are uncertain about the effect estimates, as assessed by the GRADE methodology (very low quality evidence of effect). No study provided data for indicators of behavioural change or adverse effects.The second comparison assessed targeted mass media interventions versus no intervention. One study (154 participants of African decent) reported effects for our primary outcomes. Participants in the intervention group had access to 12 one-hour live programmes on cable TV and received print material over three months regarding nutrition and physical activity to improve health and weight control. Change in body mass index (BMI) was comparable between groups 12 months after the baseline (low quality evidence). Scores on a food habits (fat behaviours) and total leisure activity scores changed favourably for the intervention group (very low quality evidence). Two other studies exposed entire populations in geographical areas to radio advertisements targeted towards African American communities. Authors presented effects on two of our secondary outcomes, use of health promotion services and project costs. The campaign message was to call smoking quit lines. The outcome was the number of calls received. After one year, one study reported 18 calls per estimated 10,000 targeted smokers from the intervention communities (estimated target population 310,500 persons), compared to 0.2 calls per estimated 10,000 targeted smokers from the control communities (estimated target population 331,400 persons) (moderate quality evidence). The ITS study also reported an increase in the number of calls from the target population during campaigns (low quality evidence). The proportion of African American callers increased in both studies (low to very low quality evidence). No study provided data on knowledge and attitudes for change and adverse effects. Information on costs were sparse.The third comparison assessed targeted mass media interventions versus a mass media intervention plus personalised content. Findings are based on three studies (1361 participants). Participants in these comparison groups received personal feedback. Two of the studies recorded weight changes over time. Neither found significant differences between the groups (low quality evidence). Evidence on behavioural changes, and knowledge and attitudes typically found some effects in favour of receiving personalised content or no significant differences between groups (very low quality evidence). No study provided data on adverse effects. Information on costs were sparse. AUTHORS' CONCLUSIONS: The available evidence is inadequate for understanding whether mass media interventions targeted toward ethnic minority populations are more effective in changing health behaviours than mass media interventions intended for the population at large. When compared to no intervention, a targeted mass media intervention may increase the number of calls to smoking quit line, but the effect on health behaviours is unclear. These studies could not distinguish the impact of different components, for instance the effect of hearing a message regarding behavioural change, the cultural adaptation to the ethnic minority group, or increase reach to the target group through more appropriate mass media channels. New studies should explore targeted interventions for ethnic minorities with a first language other than the dominant language in their resident country, as well as directly compare targeted versus general population mass media interventions.
[Mh] Termos MeSH primário: Comportamentos Relacionados com a Saúde
Meios de Comunicação de Massa
Grupos Minoritários/educação
Prevenção Primária/educação
[Mh] Termos MeSH secundário: Adulto
Afroamericanos
Consumo de Bebidas Alcoólicas/prevenção & controle
Dieta
Exercício
Comportamento Alimentar
Promoção da Saúde/métodos
Linhas Diretas/estatística & dados numéricos
Seres Humanos
Análise de Séries Temporais Interrompida
Ensaios Clínicos Controlados Aleatórios como Assunto
Abandono do Hábito de Fumar
Prevenção do Hábito de Fumar
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Em] Mês de entrada:1705
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170218
[St] Status:MEDLINE
[do] DOI:10.1002/14651858.CD011683.pub2


  10 / 2520 MEDLINE  
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[PMID]:28190719
[Au] Autor:Goodney PP; Spangler EL; Newhall K; Brooke BS; Schanzer A; Tan TW; Beck AW; Hallett JH; MacKenzie TA; Edelen MO; Hoel AW; Rigotti NA; Farber A
[Ad] Endereço:Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH. Electronic address: philip.goodney@hitchcock.org.
[Ti] Título:Feasibility and pilot efficacy of a brief smoking cessation intervention delivered by vascular surgeons in the Vascular Physician Offer and Report (VAPOR) Trial.
[So] Source:J Vasc Surg;65(4):1152-1160.e2, 2017 Apr.
[Is] ISSN:1097-6809
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: This study determined the feasibility and potential efficacy of an evidence-based standardized smoking cessation intervention delivered by vascular surgeons to smokers with peripheral arterial disease. METHODS: We performed a cluster-randomized trial of current adult smokers referred to eight vascular surgery practices from September 1, 2014, to July 31, 2015. A three-component smoking cessation intervention (physician advice, nicotine replacement therapy, and telephone-based quitline referral) was compared with usual care. The primary outcome was smoking cessation for 7 days, assessed 3 months after the intervention. Secondary outcomes were patients' nicotine dependence and health expectancies of smoking assessed using Patient Reported Outcomes Measurement Information System (PROMIS; RAND Corporation, Santa Monica, Calif). RESULTS: We enrolled 156 patients (65 in four intervention practices, 91 in four control practices), and 141 (90.3%) completed follow-up. Patients in the intervention and control practices were similar in age (mean, 61 years), sex (68% male), cigarettes per day (mean, 14), and prior quit attempts (77%). All three components of the intervention were delivered to 75% of patients in intervention practices vs to 7% of patients at control practices (P < .001). At 3 months, 23 of 57 patients (40.3%) in the intervention group quit smoking (23 of 56 patients quit who completed follow-up, plus 1 death included in the analysis in the denominator as a smoker), and 26 of 84 patients (30.9%) In the control group quit smoking (26 patients of 84 who completed follow-up, including 2 deaths included in the denominator as smokers). This difference (40.3% quit rate in intervention, 31% quit rate in control; P = .250) was not statistically significant in crude analyses (P = .250) or analyses adjusted for clustering (P = .470). Multivariable analysis showed factors associated with smoking cessation were receipt of physician advice (odds ratio for cessation, 1.96; 95% confidence interval, 1.28-3.02; P < .002) and nicotine replacement therapy (odds ratio, 1.92; 95% confidence interval, 1.43-2.56; P < .001). CONCLUSIONS: Implementation of a brief, surgeon-delivered smoking cessation intervention is feasible for patients with peripheral arterial disease. A larger trial will be necessary to determine whether this is effective for smoking cessation.
[Mh] Termos MeSH primário: Assistência à Saúde
Doenças Vasculares Periféricas/terapia
Papel do Médico
Comportamento de Redução do Risco
Abandono do Hábito de Fumar/métodos
Prevenção do Hábito de Fumar
Cirurgiões
[Mh] Termos MeSH secundário: Idoso
Terapia Combinada
Aconselhamento
Estudos de Viabilidade
Feminino
Linhas Diretas
Seres Humanos
Modelos Logísticos
Masculino
Meia-Idade
Análise Multivariada
Razão de Chances
Medidas de Resultados Relatados pelo Paciente
Doenças Vasculares Periféricas/diagnóstico por imagem
Doenças Vasculares Periféricas/etiologia
Doenças Vasculares Periféricas/fisiopatologia
Projetos Piloto
Estudos Prospectivos
Fatores de Risco
Fumar/efeitos adversos
Fatores de Tempo
Produtos para o Abandono do Uso de Tabaco
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1705
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170214
[St] Status:MEDLINE



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