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Developmental screening using caregiver report: an evaluation of screening tools and childhood developmental delays in South Africa ...
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Developmental screening using caregiver report: an evaluation of screening tools and childhood developmental delays in South Africa ...
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Factors Influencing Medical Personnel to Work in Primary Health Care Institutions: An Extended Theory of Planned Behavior
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In: International Journal of Environmental Research and Public Health; Volume 19; Issue 5; Pages: 2785 (2022)
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Valoración de la Calidad de la Práctica Fonoaudiológica en Atención Primaria de Salud ; Assessment of the Quality of Speech Therapy Practice in Primary Health Care
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Community-based pain programs commissioned by primary health networks: key findings from an online survey and consultation with program managers
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In: Australian Journal of Primary Health (2022)
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How to create social media contents based on Motivational Interviewing ...
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How to create social media contents based on Motivational Interviewing ...
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Acolhimento, Redes sociais e produção do cuidado na Atenção Básica em Saúde no Município do Rio de Janeiro, Brasil
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DEVELOPMENT OF A TOOL TO ASSESS REASONS FOR TREATMENT NONADHERENCE IN PRIMARY CARE SETTINGS
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In: Graduate Student Theses, Dissertations, & Professional Papers (2021)
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Abstract:
Decades of research demonstrate that people’s behavior has a tremendous influence on their overall health (e.g., DSHHS, 2014; Kokkinos, 2012; Segerstrom & Miller, 2004; Willet et al., 2006). Nonadherence to clinical recommendations is a common obstacle in healthcare (DiMatteo, 2004b), which is associated with worse health outcomes (DiMatteo, Giordani, Lepper, & Croghan, 2002). Behavioral health professionals (BHPs) are often involved in assessing and addressing nonadherence; however, there is a lack of standardization in how it is approached. Relatedly, there is no extant tool designed to help primary care BHPs efficiently identify barrier to adherence across diverse treatment targets. Such a tool may help BHPs and patients to more effectively identify and address adherence barriers, which could improve intervention efforts and health outcomes. The purpose of this study was to create, explore the feasibility of, and refine such a tool, which we called the Barrier Identification Tool (BIT). The main research questions of this project were: 1) What are behavioral health professionals’ reactions to using the BIT in an integrated primary care setting?, and 2) What feedback do these providers have regarding the BIT that could lead to its change or improvement? The BIT was adapted from the Missing Links Analysis, a Dialectical Behavior Therapy (DBT) tool designed to help therapists and patients address nonadherence and craft appropriate interventions (Linehan, 2015). 14 primary care BHPs completed the study, which consisted of participation in an orientation to the BIT, using the tool for 5-6 weeks, and completing a semi-structured interview and three surveys (Demographics and Professional Experience Survey, Quantitative Questions for BIT Feasibility Study, and Integrated Practice Assessment Tool). 11 of these individuals were included in final data analysis due to reaching saturation. Qualitative data was analyzed using a generic qualitative approach incorporating qualitative content analysis (conventional) and elements of phenomenology. On the whole, qualitative and quantitative data suggests that using the BIT in integrated primary care settings is feasible and providers seemed to find it useful. Participants reported being able to use the tool in a number of ways for various patient concerns with positive results (e.g., improved communication with patients, more thorough assessment, reported patient changes). Participants also reported some challenges using the BIT, such as its formal language and readability. Feedback on the tool was incorporated to create revised versions of the BIT in an effort to improve the effectiveness of the original tool. Implications, limitations, and directions for future research are discussed.
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Keyword:
Assessment; Clinical Psychology; Mental Health; Nonadherence; Noncompliance; Primary Care
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URL: https://scholarworks.umt.edu/etd/11770
https://scholarworks.umt.edu/cgi/viewcontent.cgi?article=12879&context=etd
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| 10 |
Synchronous teleconsultation in the management of temporomandibular disorder
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In: Revista CEFAC, Vol 23, Iss 4 (2021) (2021)
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Activities of speech-language-hearing therapists in the Extended Family Health and Primary Care Center from the perspective of team cooperation
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In: Revista CEFAC, Vol 23, Iss 2 (2021) (2021)
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Investigating eHealth behaviour change and health literacy approaches to optimise type 2 diabetes self-management interventions
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Pra onde vamos? Uma análise de como se dá o acesso da população LGBT aos serviços de atenção básica em saúde em Caicó-RN
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Medeiros, Patricia Brandão de. - : Universidade Federal do Rio Grande do Norte, 2020. : Brasil, 2020. : UFRN, 2020. : Residência Multiprofissional em Atenção Básica, 2020
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Percepção e manifestação de competências colaborativas em discentes da graduação em saúde ; Perception and manifestation of collaborative competencies among undergraduate health students
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Improving Cultural Competence in Primary Care Providers Through Cultural Awareness Training
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Reni, Luz Elena. - : Spencer S. Eccles Health Sciences Library, University of Utah, 2020
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Mobile web application for use in the Extended Family Health and Primary Care Center: content and usability validation
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In: Revista CEFAC, Vol 22, Iss 3 (2020) (2020)
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Language-Concordant Primary Care Physicians for a Diverse Population: The View from California.
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In: Health equity, vol 3, iss 1 (2019)
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Translating/Creating a Culturally Responsive Spanish-Language Mobile App for Visit Preparation: Case Study of "Trans-Creation". ...
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