Artykuły w czasopismach: „Art in health settings”

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AFSHEEN, AMIR ALI HIRANI, GHAZAL LUBNA, AMIR ALI KHALFAN ZAHIRA i SHAFIQ DOSSA KHADIJA. "Art Therapy: An Innovative Approach in Mental Health Settings". i-manager’s Journal on Nursing 5, nr 4 (2016): 40. http://dx.doi.org/10.26634/jnur.5.4.4816.

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Baker, Joshua F., Charles E. Leonard, Vincent Lo Re, Michael H. Weisman, Michael D. George i Jonathan Kay. "Biosimilar Uptake in Academic and Veterans Health Administration Settings: Influence of Institutional Incentives". Arthritis & Rheumatology 72, nr 7 (5.05.2020): 1067–71. http://dx.doi.org/10.1002/art.41277.

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Woodhams, Libby. "The Arts in Health: Implications for Artistic and Health Practice, Policy Development, Education and Training". Australian Journal of Primary Health 1, nr 1 (1995): 66. http://dx.doi.org/10.1071/py95010.

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Although there have been art programs in some Australian health care settings for a number of years they are neither an integral part of health policy or practice, nor of arts policy and practice. A fuller appreciation of what it means to be a person might illustrate why art practices in health settings provide so many, often uncomfortable, challenges to long held assumptions that patients should be passive and accepting, whereas art practices expect them to be active, moral, self defining agents. What is required is collaboration and co-operation at federal, state and local levels between departments and organisations in the arts, health and education, so that the arts might regain their vital role in the care of the sick and in the health of our communities.

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Hermann, Caroll, i Stephen D. Edwards. "Practitioners’ Experiences of the Influence of Bonsai Art on Health". International Journal of Environmental Research and Public Health 18, nr 6 (12.03.2021): 2894. http://dx.doi.org/10.3390/ijerph18062894.

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Bonsai art refers to the cultivation of a miniature tree. This study was motivated by the hypothesis that bonsai art may also be an ecopsychological, therapeutic practice that can have meaningful healing qualities. An international online survey elicited the meaning of bonsai art for 255 skilled bonsai practitioners. Questionnaires and interviews were used to elicit the experiences of participants. The findings supported the hypothesis that, for skilled practitioners, bonsai art was associated with meaningful healing experiences. In particular, the evidence suggests that bonsai art facilitates improved ecological, spiritual and emotional awareness, as well as various healing dimensions, including aesthetic creativity, resilience, adaptability, and social, physical, and personal health. It is viewed as an intervention technique that requires few resources, is easy to apply, and has a minimal impact on any environmental setting. The conclusions drawn point to the ethically sound health promotion value of bonsai art in various settings, such as psychiatric hospitals, retirement homes, rehabilitation centres and prisons.

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Nozaki, Ikuma, Christopher Dube, Kazuhiro Kakimoto, Norio Yamada i James B. Simpungwe. "Social factors affecting ART adherence in rural settings in Zambia". AIDS Care 23, nr 7 (10.03.2011): 831–38. http://dx.doi.org/10.1080/09540121.2010.542121.

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Fremantle, Chris. "No maintenance: a provocation for art and design in health care settings". Design for Health 1, nr 1 (2.01.2017): 80–85. http://dx.doi.org/10.1080/24735132.2017.1294844.

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Baisch, Brett A., Shelly Krajny, Laurie M. Wagner i Cynthia W. Symons. "A Qualitative Analysis of Health Education Practice in Applied Work Settings". Health Promotion Practice 17, nr 6 (9.07.2016): 899–906. http://dx.doi.org/10.1177/1524839915619342.

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Job analysis projects play a critical role in the health education profession by validating what is constant in the profession and identifying emerging patterns of effective practice. In this regard, the Role Delineation Project, Competencies Update Project (CUP), and Health Educator Job Analysis Project (HEJA) have provided frameworks for the accreditation of professional preparation programs, credentialing, and continuing education of health education specialists. To date, projects (CUP, HEJA, and Health Education Specialist Practice Analysis) have revalidated the framework to help describe the contemporary practice of health education specialists. Evidence is lacking regarding exactly how the frameworks have been integrated into applied practice and what guides the practice of health educators. In context of the Areas of Responsibility for health education specialists, the purpose of this qualitative study was to examine the gap between the “state of the art” and the “state of the practice” among health education practitioners in a range of workplace settings. Data were collected through structured interviews and analyzed for emergent themes. Major themes included the use of formal and informal assessment methods, program-specific planning materials and implementation strategies, supplemental materials for planning and conveying information, and the influence and work with organizations. Based on the emergent themes, the gaps between the “state of the art” and the “state of the practice” were described, with suggestions for advancing the profession.

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Yordanova, Kristina, Stefan Lüdtke, Samuel Whitehouse, Frank Krüger, Adeline Paiement, Majid Mirmehdi, Ian Craddock i Thomas Kirste. "Analysing Cooking Behaviour in Home Settings: Towards Health Monitoring". Sensors 19, nr 3 (4.02.2019): 646. http://dx.doi.org/10.3390/s19030646.

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Wellbeing is often affected by health-related conditions. Among them are nutrition-related health conditions, which can significantly decrease the quality of life. We envision a system that monitors the kitchen activities of patients and that based on the detected eating behaviour could provide clinicians with indicators for improving a patient’s health. To be successful, such system has to reason about the person’s actions and goals. To address this problem, we introduce a symbolic behaviour recognition approach, called Computational Causal Behaviour Models (CCBM). CCBM combines symbolic representation of person’s behaviour with probabilistic inference to reason about one’s actions, the type of meal being prepared, and its potential health impact. To evaluate the approach, we use a cooking dataset of unscripted kitchen activities, which contains data from various sensors in a real kitchen. The results show that the approach is able to reason about the person’s cooking actions. It is also able to recognise the goal in terms of type of prepared meal and whether it is healthy. Furthermore, we compare CCBM to state-of-the-art approaches such as Hidden Markov Models (HMM) and decision trees (DT). The results show that our approach performs comparable to the HMM and DT when used for activity recognition. It outperformed the HMM for goal recognition of the type of meal with median accuracy of 1 compared to median accuracy of 0.12 when applying the HMM. Our approach also outperformed the HMM for recognising whether a meal is healthy with a median accuracy of 1 compared to median accuracy of 0.5 with the HMM.

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Wikström, Britt-Maj. "The Dynamics of Visual Art Dialogues: Experiences to Be Used in Hospital Settings with Visual Art Enrichment". Nursing Research and Practice 2011 (2011): 1–7. http://dx.doi.org/10.1155/2011/204594.

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Objectives. Given that hospitals have environmental enrichment with paintings and visual art arrangement, it would be meaningful to develop and document how hospital art could be used by health professionals.Methods. The study was undertaken at an art site in Sweden. During 1-hour sessions, participants () get together in an art gallery every second week five times.Results. According to the participants a new value was perceived. From qualitative analyses, three themes appear: raise association, mentally present, and door-opener. In addition 72% of the participants reported makes me happy and gives energy and inspiration, and 52% reported that dialogues increase inspiration, make you involved, and stimulate curiosity.Conclusion. The present study supported the view that visual art dialogue could be used by health care professionals in a structured manner and that meaningful art stimulation, related to a person’s experiences, could be of importance for the patients. Implementing art dialogues in hospital settings could be a fruitful working tool for nurses, a complementary manner of patient communication.

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Cornell, Morna. "Gender inequality: Bad for men's health". Southern African Journal of HIV Medicine 14, nr 1 (26.02.2013): 12–14. http://dx.doi.org/10.4102/sajhivmed.v14i1.95.

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Men’s increased risk of death in ART programmes in sub-Saharan Africa is widely reported but poorly understood. Some studies have attributed this risk to men’s poorer health-seeking behaviour, which may prevent them from accessing ART, being adherent to treatment, or remaining in care. In a multicentre analysis of 46 201 adults starting ART in urban and rural settings in South Africa, these factors only partly explained men’s increased mortality while receiving ART. Importantly, the gender difference in mortality among patients receiving ART (31% higher for men than women) was substantially smaller than that among HIV-negative South Africans, where men had twice the risk of death compared with women. Yet, this extreme gender inequality in mortality, both within and outside of ART programmes, has not given rise to widespread action. Here it is argued that, despite their dominance in society, men may be subject to a wide range of unfair discriminatory practices, which negatively affect their health outcomes. The health needs of men and boys require urgent attention. S Afr J HIV Med 2013;14(1):12-14. DOI:10.7196/SAJHIVMED.894

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Lancaster, Kathryn E., William C. Miller, Tetiana Kiriazova, Riza Sarasvita, Quynh Bui, Tran Viet Ha, Kostyantyn Dumchev i in. "Designing an Individually Tailored Multilevel Intervention to Increase Engagement in HIV and Substance Use Treatment Among People Who Inject Drugs With HIV: HPTN 074". AIDS Education and Prevention 31, nr 2 (kwiecień 2019): 95–110. http://dx.doi.org/10.1521/aeap.2019.31.2.95.

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People who inject drugs (PWID) face barriers to engagement in antiretro-viral treatment (ART) and medication-assisted treatment (MAT). We detail the design, rapid preparation and adaptation, and systematic implementation of a flexible, individually tailored intervention for PWID in multiple settings: Indonesia, Ukraine, and Vietnam. HPTN 074 integrated systems navigation and counseling to facilitate entry and adherence to ART and MAT. Site-level guidance on the intervention involved in-depth interviews (IDIs) among PWID and their supporters and site-specific document review. IDIs emphasized ART misinformation and importance of social support for adherence. The document review revealed differences in health care system barriers, requiring an intervention that was flexible and tailored enough to address key outcomes. Implementation included regular debriefs for iterative adaptations based on participants' needs, including booster counseling sessions and subsidizing pre-ART testing. HPTN 074 provides a unique framework implementing a flexible and scalable intervention to improve ART and MAT outcomes among PWID across multiple settings.

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Peltzer, Karl. "Health-Related Quality of Life and Antiretroviral Therapy in Kwazulu-Natal, South Africa". Social Behavior and Personality: an international journal 40, nr 2 (1.03.2012): 267–82. http://dx.doi.org/10.2224/sbp.2012.40.2.267.

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In studies conducted with African and Asian cohorts researchers have shown the clinical efficacy of antiretroviral therapy (ART) in resource-limited settings. However, studies on the longer term changes in health-related quality of life (HRQoL) with patients receiving ART in these settings are still scarce. The aim in this study was to assess HIV patients' HRQoL, clinical, psychosocial, and sociodemographic factors at 3 public hospitals in KwaZulu-Natal, South Africa over 20 months. Patients (N = 735) who attended 3 HIV clinics completed interview assessments prior to initiation of antiretroviral therapy; 519 after 6 months, 557 after 12, and 499 after 20 months on ART. Results indicate that total HRQoL increased, as did general quality of life, general health, independence, social relationships, and environment. HIV symptoms, depression symptom ratings, and internalized stigma reduced over time, whereas CD4 cell counts (number of helper T cells per cubic milliliter of blood), adherence to ART, and social support increased. Total HRQoL, the physical and psychological HRQoL domains, and internalized stigma improved at first and then deteriorated almost to baseline levels. Significant independent predictors of good HRQoL were low internalized stigma, being employed, earning wages, higher CD4 cell counts, and fewer and less severe HIV and depressive symptoms. In order to maximize gains in HRQoL for patients on ART, interventions are needed that address and reduce stigmatization and enhance the economic and employment opportunities.

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Lloyd, Chris, i Vanessa Papas. "Art as Therapy within Occupational Therapy in Mental Health Settings: A Review of the Literature". British Journal of Occupational Therapy 62, nr 1 (styczeń 1999): 31–35. http://dx.doi.org/10.1177/030802269906200109.

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Duncan, Susan L. "APIC State-of-the-Art Report: The implications of service animals in health care settings". American Journal of Infection Control 28, nr 2 (kwiecień 2000): 170–80. http://dx.doi.org/10.1067/mic.2000.106056.

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Nissimov-Nahum, Edna. "A model for art therapy in educational settings with children who behave aggressively". Arts in Psychotherapy 35, nr 5 (styczeń 2008): 341–48. http://dx.doi.org/10.1016/j.aip.2008.07.003.

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Jensen, A., i LO Bonde. "The use of arts interventions for mental health and wellbeing in health settings". Perspectives in Public Health 138, nr 4 (30.04.2018): 209–14. http://dx.doi.org/10.1177/1757913918772602.

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Aims: This literature review aims to illustrate the variety and multitude of studies showing that participation in arts activities and clinical arts interventions can be beneficial for citizens with mental and physical health problems. The article is focused on mental health benefits because this is an emerging field in the Nordic countries where evidence is demanded from national health agencies that face an increasing number of citizens with poor mental health and a need for non-medical interventions and programmes. Methods: A total of 20 articles of interest were drawn from a wider literature review. Studies were identified through the search engines: Cochrane Library, Primo, Ebscohost, ProQuest, Web of Science, CINAHL, PsycINFO, PubMed and Design and Applied Arts Index. Search words included the following: arts engagement + health/hospital/recovery, arts + hospital/evidence/wellbeing, evidence-based health practice, participatory arts for wellbeing, health + poetry/literature/dance/singing/music/community arts, arts health cost-effectiveness and creative art or creative activity + health/hospital/recovery/mental health. The inclusion criteria for studies were (1) peer review and (2) empirical data. Results: The studies document that participation in activities in a spectrum from clinical arts interventions to non-clinical participatory arts programmes is beneficial and an effective way of using engagement in the arts to promote holistic approaches with health benefits. Engagement in specially designed arts activities or arts therapies can reduce physical symptoms and improve mental health issues. Conclusion: Based on the growing evidence of the arts as a tool for enhancing mental health wellbeing, and in line with the global challenges in health, we suggest that participatory arts activities and clinical arts interventions are made more widely available in health and social settings. It is well-documented that such activities can be used as non-medical interventions to promote public health and wellbeing.

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Memiah, Peter, Wangeci Mbuthia, Grace Kiiru, Solomon Agbor, Francesca Odhiambo, Sylvia Ojoo i Sibhatu Biadgilign. "Prevalence and Risk Factors Associated with Precancerous Cervical Cancer Lesions among HIV-Infected Women in Resource-Limited Settings". AIDS Research and Treatment 2012 (2012): 1–7. http://dx.doi.org/10.1155/2012/953743.

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Objective. To assess the prevalence and identified associated risk factors for precancerous cervical cancer lesions among HIV-infected women in resource-limited settings in Kenya.Methods. HIV-infected women attending the ART clinic at the Nazareth Hospital ART clinic between June 2009 and September 2010. Multivariate logistic regression model with odds ratios and 95% confidence intervals (CI) were estimated after controlling for important covariates.Result. A total of 715 women were screened for cervical cancer. The median age of the participants was 40 years (range 18–69 years). The prevalence of precancerous lesions (CINI, CINII, CIN III, ICC) was 191 (26.7%). After controlling for other variables in logistic regression analysis, cervical precancerous lesions were associated with not being on ART therapy; whereby non-ART were 2.21 times more likely to have precancerous lesions than ART patients [(aOR)=2.21, 95% CI (1.28–3.83)].Conclusion. The prevalence of precancerous cervical lesions was lower than other similar settings. It is recommended that cancer screening of HIV-infected women should be an established practice. Availability and accessibility of these services can be done through their integration into HIV. Prompt initiation of HAART through an early enrollment into care has an impact on reducing the prevalence and progression of cervical precancerous lesions.

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Fidell, Sanford, Barbara Tabachnick i KarlS Pearsons. "The state of the art of predicting noise-induced sleep disturbance in field settings". Noise and Health 12, nr 47 (2010): 77. http://dx.doi.org/10.4103/1463-1741.63207.

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Diouf, Assane, Amandine Cournil, Khadidiatou Ba-Fall, Ndèye Fatou Ngom-Guèye, Sabrina Eymard-Duvernay, Ibrahima Ndiaye, Gilbert Batista i in. "Diabetes and Hypertension among Patients Receiving Antiretroviral Treatment Since 1998 in Senegal: Prevalence and Associated Factors". ISRN AIDS 2012 (1.12.2012): 1–8. http://dx.doi.org/10.5402/2012/621565.

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Cardiovascular risk factors in people on antiretroviral treatment (ART) are poorly documented in resource-constrained settings. A cross-sectional study was conducted in 2009 to assess prevalence of diabetes and hypertension in a sample of 242 HIV-infected patients who had initiated ART between 1998 and 2002 in Dakar, Senegal (ANRS 1215 observational cohort). World Health Organization (WHO) criteria were applied to diagnose diabetes and hypertension. Multiple logistic regressions were used to identify factors associated with diabetes and hypertension. Patients had a median age of 46 years and had received ART for a median duration of about 9 years. 14.5% had diabetes and 28.1% had hypertension. Long duration of ART (≥119 months), older age, higher body mass index (BMI), and higher levels of total cholesterol were associated with higher risks of diabetes. Older age, higher BMI at ART initiation, and higher levels of triglycerides were associated with higher risk of hypertension. This study shows that diabetes and hypertension were frequent in these Senegalese HIV patients on ART. It confirms the association between duration of ART and diabetes and highlights the need to implement programs for prevention of cardiovascular risk factors in HIV patients from resource-constrained settings.

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Curtis, Jeffrey R., Young Kim, Tara Bryant, Jeroan Allison, Dana Scott i Kenneth G. Saag. "Osteoporosis in the home health care setting: A window of opportunity?" Arthritis & Rheumatism 55, nr 6 (2006): 971–75. http://dx.doi.org/10.1002/art.22349.

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Bennett, Jill, Lynn Froggett i Lizzie Muller. "Psychosocial aesthetics and the art of lived experience". Journal of Psychosocial Studies 12, nr 1 (1.07.2019): 185–201. http://dx.doi.org/10.1332/147867319x15608718111023.

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This article identifies the distinctive nature of arts-based psychosocial enquiry and practice in a public mental health context, focusing on two projects delivered as part of The Big Anxiety festival, in Sydney, Australia in 2017: ‘Awkward Conversations’, in which one-to-one conversations about anxiety and mental health were offered in experimental aesthetic formats; and ‘Parragirls Past, Present’, a reparative project, culminating in an immersive film production that explored the enduring effects of institutional abuse and trauma and the ways in which traumatic experiences can be refigured to transform their emotional resonance and meaning. Bringing an arts-based enquiry into lived experience into dialogue with psychosocial theory, this article examines the transformative potential of aesthetic transactions and facilitating environments, specifically with regard to understanding the imbrication of lived experience and social settings.

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Nanfuka, Esther Kalule, David Kyaddondo, Sarah N. Ssali i Narathius Asingwire. "Paying to Normalize Life: Monetary and Psychosocial Costs of Realizing a Normal Life in the Context of Free Antiretroviral Therapy Services in Uganda". Journal of the International Association of Providers of AIDS Care (JIAPAC) 18 (1.01.2019): 232595821985965. http://dx.doi.org/10.1177/2325958219859654.

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Antiretroviral therapy (ART) is considered the treatment that enables people living with HIV (PLHIV) to lead a “normal life”. In spite of the availability of free treatment, patients in resource-poor settings may continue to incur additional costs to realize a normal and full life. This article describes the monetary expenses and psychosocial distress people on free ART bear to live normally. We conducted in-depth interviews with 50 PLHIV on ART. We found that the demands of treatment, poverty, stigma, and health-system constraints interplay to necessitate that PLHIV bear continuous monetary and psychosocial costs to realize local values that define normal life. In the context, access to free medicines is not sufficient to enable PLHIV in resource-poor settings to normalize life. Policy makers and providers should consider proactively complementing free ART with mechanisms that empower PLHIV economically, enhance their problem-solving capacities, and provide an enabling environment if the objective of normalizing life is to be achieved.

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Kalichman, Seth C., Catherine Mathews, Ellen Banas i Moira O. Kalichman. "Treatment adherence in HIV stigmatized environments in South Africa: stigma avoidance and medication management". International Journal of STD & AIDS 30, nr 4 (30.11.2018): 362–70. http://dx.doi.org/10.1177/0956462418813047.

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Stigmatization of HIV infection undermines antiretroviral therapy (ART) adherence. The current study examined strategies that people living with HIV employ to manage their ART in stigmatized environments. We conducted an anonymous survey with 439 patients receiving ART at a community clinic in Cape Town, South Africa. Measures included demographic and health characteristics, ART adherence, stigma experiences, efforts to conceal ART to avoid stigma (stigma–medication management strategies), and beliefs that ART nonadherence itself is stigmatizing. One in four participants had forgone taking their ART in social settings to avoid stigmatization, a behavior associated with younger age, experiencing greater stigma, and poorer ART adherence. Regression models found stigma–medication management strategies significantly predicted ART nonadherence over and above age, gender, alcohol use, and HIV stigma experiences. We also found that a significant majority of participants believed that having unsuppressed HIV and ART nonadherence are irresponsible and should be reprimanded by clinicians. Results show that the behavioral effects of stigma directly impede ART adherence. The behaviors that patients may employ to avoid stigma are amenable to interventions to directly improve ART adherence while managing stigma concerns.

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Clark, Michael. "Understanding integrated working between arts and care settings". Journal of Integrated Care 22, nr 5/6 (15.12.2014): 230–41. http://dx.doi.org/10.1108/jica-05-2014-0017.

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Purpose – The purpose of this paper is to discuss integrated working between the arts and those in care settings. Identifying that the field is very broad, with diverse evidence and experience within it, the paper argues that there is a need to find ways in which to be clearer about the purpose of specific arts and care integrated projects. The paper draws on a case study project to develop some insights and a framework to help address this challenge. Design/methodology/approach – The paper is a conceptual discussion and development drawing upon insights from relevant literature and a case study analysis of an integration project between a hospice service, an art gallery and an artist. Findings – The integrated working case study project between the hospice, art gallery and artist highlights some points about a lack of conceptual frameworks to help locate the purpose of diverse arts and care projects. There is scope for much confusion about the nature and purpose of such integration projects without a clear framework for articulating the aims of individual integration endeavours and their place in relation to other arts and care work. This paper develops a framework and a clear understanding about the different kinds and goals of integrated working between arts and care settings to help with future practical and research projects. Research limitations/implications – The paper reports a case study which highlights key themes from which generalisation to other services will require interpretation for particular contexts. Practical implications – The ideas present a helpful approach to articulating the goals of individual projects and to better understand the place of projects in relation to other arts and care initiatives. Social implications – There is much scope for better integrated working between arts and care settings to achieve better outcomes for users of care services, and the ideas presented here should help to better organise and evaluate such developments. Originality/value – This is the first paper to set out the framework presented to help with better integrated working between arts and care settings.

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Sunpath, H., T. J. Hatlen, M.-Y. S. Moosa, R. A. Murphy, M. Siedner i K. Naidoo. "Urgent need to improve programmatic management of patients with HIV failing first-line antiretroviral therapy". Public Health Action 10, nr 4 (21.12.2020): 163–68. http://dx.doi.org/10.5588/pha.20.0052.

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Introduction: Delayed identification and response to virologic failure in case of first-line antiretroviral therapy (ART) in resource-limited settings is a threat to the health of HIV-infected patients. There is a need for the implementation of an effective, standardized response pathway in the public sector.Discussion: We evaluated published cohorts describing virologic failure on first-line ART. We focused on gaps in the detection and management of treatment failure, and posited ways to close these gaps, keeping in mind scalability and standardization. Specific shortcomings repeatedly recorded included early loss to follow-up (>20%) after recognized first-line ART virologic failure; frequent delays in confirmatory viral load testing; and excessive time between the confirmation of first-line ART failure and initiation of second-line ART, which exceeded 1 year in some cases. Strategies emphasizing patient tracing, resistance testing, drug concentration monitoring, adherence interventions, and streamlined response pathways for those failing therapy are further discussed.Conclusion: Comprehensive, evidence-based, clinical operational plans must be devised based on findings from existing research and further tested through implementation science research. Until this standard of evidence is available and implemented, high rates of losses from delays in appropriate switch to second-line ART will remain unacceptably common and a threat to the success of global HIV treatment programs.

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Okulicz, Jason F., Chad J. Zawitz, Jason M. Blaylock, Ekaterina S. Taneva, Laura Simone, Jeffrey Carter i Tamar Sapir. "620. Real-World Insights on HIV Treatment Decision-Making in Federal and Public Healthcare Settings". Open Forum Infectious Diseases 7, Supplement_1 (1.10.2020): S370—S371. http://dx.doi.org/10.1093/ofid/ofaa439.814.

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Abstract Background Evidence-based guidelines and novel antiretroviral therapies (ART) for people living with HIV (PLHIV) are quickly evolving. Understanding the practice patterns, gaps, and needs of healthcare professionals (HCPs) who care for PLHIV in specific settings, such as those in the federal and public healthcare sector, can inform education and improvement strategies. Methods Surveys were administered before and after a series of 1.5 hour continuing education programs (n=20) on HIV treatment conducted live in various US cities between April 2019 and March 2020. These programs were designed for HCPs in federal and public healthcare systems, such as the Veterans Affairs Medical Centers, Military Medical Treatment Facilities, and Federally Qualified Health Centers. Results Survey respondents (n=655) were mostly physicians (35%) or nurse practitioners/physician assistants (25%) practicing in federal healthcare settings (Table 1). Respondents reported a mean patient volume of 1,893 (±240) PLHIV monthly. Before and after the education, only 34% and 61% of HCPs, respectively, correctly identified recommended first-line ART for most PLHIV. Only 19% and 38% of HCPs reported high levels of confidence in selecting ART for rapid ART initiation before and after the education. A case-based survey item showed that 35% (pre-education) and 45% (post-education) of HCPs would recommend switching a virologically suppressed patient over age 50 with comorbidities from a boosted protease inhibitor-based regimen to an integrase inhibitor-based regimen. Only 13% and 33% of HCPs reported high confidence in switching ART for older patients with comorbidities before and after the education, respectively. The biggest challenges identified by HCPs were related to ART selection and patient management (Table 1). After the education, HCPs reported needs and intention to improve their team-based processes to: 1) facilitate rapid ART initiation; 2) optimize ART for patients with comorbidities; 3) optimize treatment for patients with virologic failure. Conclusion This educational program improved knowledge and competency in evidence-based HIV treatment and supported team-based action planning. The findings also inform persistent challenges and needs among HCPs in federal settings. Disclosures Chad J. Zawitz, MD, Gilead Sciences (Speaker’s Bureau)ViiV (Advisor or Review Panel member) Tamar Sapir, PhD, Gilead Sciences, Inc. (Other Financial or Material Support, Independent medical education grant)ViiV Healthcare (Other Financial or Material Support, Independent medical education grant)

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Hassed, Craig. "The Art of Introducing Mindfulness into Medical and Allied Health Curricula". Mindfulness 12, nr 8 (7.06.2021): 1909–19. http://dx.doi.org/10.1007/s12671-021-01647-z.

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Abstract Objectives Mindfulness is now widely used therapeutically in health settings, but for a range of reasons, it is not commonly integrated into the education of health professionals. This article aims to share practical insights and lessons learned from teaching mindfulness as core curriculum to the whole cohorts of medical students at Monash University. Methods This reflective article will provide a personal perspective drawing on many years’ experience since the early 1990s of integrating mindfulness into the core medical curriculum including outlining the mindfulness-based lifestyle program delivered to the medical students. This will provide a backdrop to sharing important lessons relating to preparation, integration, delivery and review of mindfulness curriculum. A range of practical issues will be explored including making the case for it to faculty, finding the right language, giving it a context and rationale, using the most conducive teaching style, having the right tutors, carefully dealing with resistance, finding appropriate methods of assessment and the importance of review. Results Evaluations and feedback on the program over a number of years have shown a high level of acceptance and utilisation of mindfulness-based skills by students. Since its inception, mindfulness training has now become integral in the training of many other health professional students at Monash. Conclusions If done effectively, mindfulness can be successfully introduced and integrated into core curriculum of medical and allied health students using it as a meta-skill to support the development of student wellbeing a range of important clinical competencies.

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Fletcher, S., A. Esquinas i G. Glover. "Prediction of Non-invasive Mechanical Ventilation Response. Moving from Art to Science?" Methods of Information in Medicine 55, nr 02 (2016): 200–201. http://dx.doi.org/10.3414/me15-04-0006.

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SummaryPredicting the outcome from NIV is important and the study by Martin-Gonzalez and colleagues applies data mining techniques to improve our understanding of the field. Nevertheless, the predictor variables must be robust and reliably available before NIV is applied. A predictive model must be generalisable in other clinical settings. Until models such as this are extremely robust in their predictive ability and have been shown to positively influence patient centered outcomes, they may be able to assist decision making but cannot replace clinical judgement by an experienced bedside clinician.

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Basner, Mathias, Barbara Griefahn i KenethI Hume. "Comment on "The state of the art of predicting noise-induced sleep disturbance in field settings"". Noise and Health 12, nr 49 (2010): 283. http://dx.doi.org/10.4103/1463-1741.70508.

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Warren, KennethS. "THE DIFFICULT ART, SCIENCE, AND POLITICS OF SETTING HEALTH PRIORITIES". Lancet 332, nr 8609 (sierpień 1988): 498–99. http://dx.doi.org/10.1016/s0140-6736(88)90135-3.

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Perry, Diana, Derek Rubinstein i Julie Austin. "Animal-Assisted Group Therapy in Mental Health Settings: An Initial Model". Alternative and Complementary Therapies 18, nr 4 (sierpień 2012): 181–85. http://dx.doi.org/10.1089/act.2012.18403.

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Boyce, Cheryl Anne, Whitney Barfield, Jennifer Curry, Susan Shero, Mellissa Green Parker, Helen Cox, Jazmin Bustillo i LeShawndra N. Price. "Building the Next Generation of Implementation Science Careers to Advance Health Equity". Ethnicity & Disease 29, Suppl 1 (21.02.2019): 77–82. http://dx.doi.org/10.18865//ed.29.s1.77.

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Rapid advancements in translational research have produced innovative clinical discoveries and evidence-based interventions that are ready for uptake in real-world settings, creating vast opportunities and challenges for implementation science. However, there is an inadequate research workforce to study effective strategies and delivery of implementation to advance the field. Novel career development initiatives will build scholars for the next generation of implementation science to bridge research to practice for diverse populations to advance health equity, specifically with a strategic focus on heart, lung, blood and sleep diseases and conditions. Along with traditional mentoring and curricula, research training includes state-of-the-art approaches using complex methods and multi-disciplinary collaborations between researchers, practice settings, and diverse communities. Implementation science scholars strive not only to decrease the lag time between the discovery of evidence-based interventions and successful implementation but also how to advance health equity and to reduce disparities for underserved populations that suffer disproportionally.Ethn Dis. 2019;29(Suppl 1):77-82; doi:10.18865/ ed.29.S1.77.

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Boyce, Cheryl Anne, Whitney Barfield, Jennifer Curry, Susan Shero, Mellissa Green Parker, Helen Cox, Jazmin Bustillo i LeShawndra N. Price. "Building the Next Generation of Implementation Science Careers to Advance Health Equity". Ethnicity & Disease 29, Suppl 1 (21.02.2019): 77–82. http://dx.doi.org/10.18865/ed.29.s1.77.

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Rapid advancements in translational research have produced innovative clinical discoveries and evidence-based interventions that are ready for uptake in real-world settings, creating vast opportunities and challenges for implementation science. However, there is an inadequate research workforce to study effective strategies and delivery of implementation to advance the field. Novel career development initiatives will build scholars for the next generation of implementation science to bridge research to practice for diverse populations to advance health equity, specifically with a strategic focus on heart, lung, blood and sleep diseases and conditions. Along with traditional mentoring and curricula, research training includes state-of-the-art approaches using complex methods and multi-disciplinary collaborations between researchers, practice settings, and diverse communities. Implementation science scholars strive not only to decrease the lag time between the discovery of evidence-based interventions and successful implementation but also how to advance health equity and to reduce disparities for underserved populations that suffer disproportionally.Ethn Dis. 2019;29(Suppl 1):77-82; doi:10.18865/ed.29.S1.77.

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De Bock, G. H., A. A. Kaptein, F. Touw-Otten i J. D. Mulder. "Health-related quality of life in patients with osteoarthritis in a family practice setting". Arthritis Care & Research 8, nr 2 (czerwiec 1995): 88–93. http://dx.doi.org/10.1002/art.1790080206.

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Stafford, Kristen A., Lucy W. Nganga, Tuhuma Tulli i Karen G. Fleischman Foreit. "Factors Associated with Outcomes of Pre-ART HIV Care". Journal of the International Association of Providers of AIDS Care (JIAPAC) 17 (1.01.2018): 232595821875960. http://dx.doi.org/10.1177/2325958218759602.

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The World Health Organization recommended removing all CD4 requirements for initiation of antiretroviral therapy (ART) in resource-limited settings. We examined the pre-ART period to identify and assess factors associated with outcomes of pre-ART care. Four modes of transition out of pre-ART care were considered. Beta estimates from the competing risks Cox models were used to investigate whether the effects of covariates differed by mode of transition. Median CD4 counts at entry showed no meaningful change over time. Advanced disease progression and presence of opportunistic infections were significant predictors of pre-ART mortality. Men were more likely to die before initiating ART, transfer to another facility, or be lost to follow-up than were women. Removing CD4 thresholds is not likely to substantially reduce program mortality prior to ART initiation unless and until patients enroll earlier in disease progression. Care programs should focus on diagnosis and treatment of opportunistic infections to reduce pre-ART mortality.

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Carney Doebbeling, Caroline, Bradford L. Felker i M. Kevin O’Connor. "Mental Health Care in Primary Care Settings". Psychosomatics 45, nr 3 (maj 2004): 272. http://dx.doi.org/10.1176/appi.psy.45.3.272.

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McCoy, A. B., A. Wright, G. Eysenbach, B. A. Malin, E. S. Patterson, H. Xu i D. F. Sittig. "State of the Art in Clinical Informatics: Evidence and Examples". Yearbook of Medical Informatics 22, nr 01 (sierpień 2013): 13–19. http://dx.doi.org/10.1055/s-0038-1638827.

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Summary Objective: The field of clinical informatics has expanded substantially in the six decades since its inception. Early research focused on simple demonstrations that health information technology (HIT) such as electronic health records (EHRs), computerized provider order entry (CPOE), and clinical decision support (CDS) systems were feasible and potentially beneficial in clinical practice. Methods: In this review, we present recent evidence on clinical informatics in the United States covering three themes: 1) clinical informatics systems and interventions for providers, including EHRs, CPOE, CDS, and health information exchange; 2) consumer health informatics systems, including personal health records and web-based and mobile HIT; and 3) methods and governance for clinical informatics, including EHR usability; data mining, text mining, natural language processing, privacy, and security. Results: Substantial progress has been made in demonstrating that various clinical informatics methodologies and applications improve the structure, process, and outcomes of various facets of the healthcare system. Conclusion: Over the coming years, much more will be expected from the field. As we move past the “early adopters” in Rogers' diffusion of innovations' curve through the “early majority” and into the “late majority,” there will be a crucial need for new research methodologies and clinical applications that have been rigorously demonstrated to work (i.e., to improve health outcomes) in multiple settings with different types of patients and clinicians.

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Moon, T. D., J. R. Burlison, M. Blevins, B. E. Shepherd, A. Baptista, M. Sidat, A. E. Vergara i S. H. Vermund. "Enrolment and programmatic trends and predictors of antiretroviral therapy initiation from President's Emergency Plan for AIDS Relief (PEPFAR)-supported public HIV care and treatment sites in rural Mozambique". International Journal of STD & AIDS 22, nr 11 (listopad 2011): 621–27. http://dx.doi.org/10.1258/ijsa.2011.010442.

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Summary Many countries in sub-Saharan Africa have made antiretroviral therapy (ART) available in urban settings, but the progress of treatment expansion into rural Africa has been slower. We analysed routine data for patients enrolled in a rural HIV treatment programme in Zambézia Province, Mozambique (1 June 2006 through 30 March 2009). There were 12,218 patients who were ≥15 years old enrolled (69% women). Median age was 25 years for women and 31 years for men. Older age and higher level of education were strongly predictive of ART initiation (P < 0.001). Patients with a CD4+ count of 350 cells/μL versus 50 cells/μL were less likely to begin ART (odds ratio [OR]: 0.19, 95% confidence interval [CI]: 0.16-0.23). In rural sub-Saharan Africa, HIV testing, linkage to care, logistics for ART initiation and fears among some patients to take ART require specialized planning to maximize successes. Sustainability will require improved health manpower, infrastructure, stable funding, continuous drug supplies, patient record systems and, most importantly, community engagement.

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Tran, Bach Xuan, Phung Quoc Tat Than, Tung Thanh Tran, Cuong Tat Nguyen i Carl A. Latkin. "Changing Sources of Stigma against Patients with HIV/AIDS in the Rapid Expansion of Antiretroviral Treatment Services in Vietnam". BioMed Research International 2019 (21.01.2019): 1–9. http://dx.doi.org/10.1155/2019/4208638.

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Stigmatization against HIV/AIDS greatly hinders efforts to increase the accessibility and utilization of HIV/AIDS services to meet the 90-90-90 goal. This study assessed the stigmatization and discrimination experienced by people living with HIV (PLWH) across multiple social settings such as family, community, and healthcare facilities in Vietnam. A total of 1,016 patients (63.8% males, mean age = 35.4) participated in a cross-sectional study using a culturally tailored HIV stigma measure in three HIV-epidemic-concentrated cities in Vietnam. Zero-inflated Poisson models were used to examine factors associated with the number of types of stigma that patients experienced. 86.2% PLWH reported experiencing stigma against HIV/AIDS, more frequently from their community (62.8%) and family (30.2%) than from health care facilities (8%). The level of stigma from community reported by PLWH is associated with socioeconomic status (e.g., income, occupation). The poor and middle economic classes and unemployed patients reported more stigmatization and discrimination from the community. Across all settings, PLWH experienced fewer stigmatization over the course of ART indicating the benefits of rapidly expanded ART programs. PLWH reported more stigmatization and discrimination at the provincial level of the health administration. Those with the history of drug injection reported significantly less stigmatization from healthcare setting. More culturally tailored interventions to reduce stigmatization overall to improve the quality of life and health outcomes of PLWH should be warranted to achieve the 90-90-90 goal. Improving HIV-related knowledge of the general population and providing opportunities for PLWH to be reintegrated into should be considered. Using mass media with positive messages and images would also foster positive attitudes towards HIV/AIDS among the population and could potentially change social values. Continuous training of health staffs’ attitude could minimize the occurrence of stigmatization and discrimination at healthcare facilities.

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Salom, Andree. "Reinventing the setting: Art therapy in museums". Arts in Psychotherapy 38, nr 2 (kwiecień 2011): 81–85. http://dx.doi.org/10.1016/j.aip.2010.12.004.

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M Byonanebye, Dathan, Fred C Semitala, Jackson Katende, Alex Bakenga, Irene Arinaitwe, Peter Kyambadde, Patrick Musinguzi, Irene Andia Biraro, Pauline Byakika-Kibwika i Moses R Kamya. "High viral suppression and low attrition in healthy HIV-infected patients initiated on ART with CD4 above 500 cells/μL in a program setting in Uganda". African Health Sciences 20, nr 1 (20.04.2020): 132–41. http://dx.doi.org/10.4314/ahs.v20i1.18.

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Background: The World Health Organization recommends antiretroviral therapy (ART) for all HIV-infected patients at all CD4 counts. However, there are concerns that asymptomatic patients may have poorer viral suppression and high attrition. Objectives: We sought to determine attrition and viral suppression among healthy HIV-infected patients initiated on ART in program settings. Methods: This cross-sectional study enrolled ART-experienced patients attending two PEPFAR-supported, high-volume clinics in Kampala, Uganda. Eligible patients were >18 years and had completed at least six months on ART. Participants were inter- viewed on socio-demographics, ART history and plasma viral load (VL) determined using Abbott Real-time. Predictors of viral suppression (<75 copies/ml) were determined using multivariate logistic regression. Results: Overall, 267 participants were screened, 228 were eligible and 203 (89%) retained in care (visit within 90 days). Of the 203 participants, 115 (56.7%) were key-populations. Viral suppression was achieved in 173 patients (85%; 95% CI, 80.3%- 90.1%). The factors associated with viral suppression were prior VL tests (AOR 6.98; p-value <0.001) and receiving care from a general clinic (AOR 5.41; p=0.009). Conclusion: Asymptomatic patients initiated on ART with high baseline CD4 counts, achieve high viral suppression with low risk of attrition. VL monitoring and clinic type are associated with viral suppression. Keywords: Key populations; viral load; acquired immunodeficiency syndrome.

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Vaitheswaran, Sridhar, Philip Crockett, Sam Wilson i Harry Millar. "Telemental health: videoconferencing in mental health services". Advances in Psychiatric Treatment 18, nr 5 (wrzesień 2012): 392–98. http://dx.doi.org/10.1192/apt.bp.111.008904.

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SummaryVideo technology was first used in psychiatric services in the 1950s but came into general use in the 1990s, particularly in North America and Australia. Video has utility across all ages and in a wide range of clinical situations. These include case conferencing for patients with complex problems (e.g. when planning discharge from specialist inpatient units), psychological assessment and treatment, Mental Health Act assessments, suicide risk assessment and work in forensic settings. Potential for benefit may be most obvious in remote locations, but video use is also relevant in urban settings. Lack of training and experience, inadequate access to equipment and insufficient technical support have all limited the take-up of this technology in the UK. This article briefly reviews the literature and outlines technical and cost considerations when using video technology. Three services in Scotland are described to illustrate ways in which videoconferencing can enhance services.

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Mace, Chris. "Implementing the care programme approach in psychotherapeutic settings". Advances in Psychiatric Treatment 10, nr 2 (marzec 2004): 124–30. http://dx.doi.org/10.1192/apt.10.2.124.

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The care programme approach (CPA) should be implemented across all mental health services. However, the specific needs of psychotherapeutic settings were not recognised in the official documentation. The scope for conflict between therapeutic practices and CPA requirements may have increased following revision of CPA guidelines. A recent survey of consultants in psychotherapy confirmed that implementation of CPA remained uneven. The additional time required, threats to confidentiality and a negative impact on the therapeutic relationship were common concerns. Positive effects on assessment procedures and liaison between services were also reported. Practical suggestions for minimising potential negative effects of CPA are given. It is recommended that all services providing psychological therapies develop a written policy for the local implementation of CPA.

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Ingabire, Prossie Merab, Fred Semitala, Moses R. Kamya i Damalie Nakanjako. "Delayed Antiretroviral Therapy (ART) Initiation among Hospitalized Adults in a Resource-Limited Settings: A Challenge to the Global Target of ART for 90% of HIV-Infected Individuals". AIDS Research and Treatment 2019 (1.04.2019): 1–8. http://dx.doi.org/10.1155/2019/1832152.

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Background. Combination antiretroviral therapy (cART) initiation in hospital settings, where individuals often present with undiagnosed, untreated, advanced HIV disease, is not well understood. Methods. A cross-sectional study was conducted to determine a period prevalence of cART initiation within two weeks of eligibility, as determined at hospitalization. Using a pretested and precoded data extraction tool, data on cART initiation status and reason for not initiating cART was collected. Phone calls were made to patients that had left the hospital by the end of the two-week period. Delayed cART initiation was defined as failure to initiate cART within two weeks. Sociodemographic characteristics, WHO clinical stage, CD4 count, cART initiation status, and reasons for delayed cART initiation were extracted and analyzed. Results. Overall, 386 HIV-infected adults were enrolled, of whom 289/386 (74.9%) had delayed cART initiation, 77/386 (19.9%) initiated cART, and 20/386 (5.2%) were lost-to-follow-up, within two weeks of cART eligibility. Of 289 with delayed ART initiation, 94 (32.5%) died within two weeks of cART eligibility. Patients with a CD4 cell count≥ 50 cells/μl and who resided in ≥8 kilometers from the hospital were more likely to have delayed cART initiation [adjusted odds ratio (AOR) 2.34, 95% CI: 1.33-4.10, p value 0.003; and AOR 1.92, 95% CI: 1.09-3.40, p value 0.025; respectively]. Conclusion. Up to 75% of hospitalized HIV-infected, cART-naïve, cART-eligible patients did not initiate cART and had a 33% pre-ART mortality rate within two weeks of eligibility for cART. Hospital based strategies to hasten cART initiation during hospitalization and electronic patient tracking systems could promote active linkage to HIV treatment programs, to prevent HIV/AIDS-associated mortality in resource-limited settings.

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Dupwa, Beatrice, Ajay M. V. Kumar, Jaya Prasad Tripathy, Owen Mugurungi, Kudakwashe C. Takarinda, Janet Dzangare, Hilda Bara i Innocent Mukeredzi. "Retesting for verification of HIV diagnosis before antiretroviral therapy initiation in Harare, Zimbabwe: Is there a gap between policy and practice?" Transactions of The Royal Society of Tropical Medicine and Hygiene 113, nr 10 (21.06.2019): 610–16. http://dx.doi.org/10.1093/trstmh/trz047.

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Abstract Background WHO recommends retesting of HIV-positive patients before starting antiretroviral therapy (ART). There is no evidence on implementation of retesting guidelines from programmatic settings. We aimed to assess implementation of HIV retesting among clients diagnosed HIV-positive in the public health facilities of Harare, Zimbabwe, in June 2017. Methods This cohort study involved analysis of secondary data collected routinely by the programme. Results Of 1729 study participants, 639 (37%) were retested. Misdiagnosis of HIV was found in six (1%) of the patients retested—all were infants retested with DNA-PCR. There was no HIV misdiagnosis among adults. Among those retested, 95% were retested on the same day and two-thirds were tested by a different provider as per national guidelines. Among those retested and found positive, 95% were started on ART, while none of those with negative retest results were started on ART. Of those not retested, about half (51%) were started on ART. The median (IQR) time to ART initiation from diagnosis was 0 (0–1) d. Conclusion The implementation of HIV-retesting policy in Harare was poor. While most HIV retest positives were started on ART, only half non-retested received ART. Future research is needed to understand the reasons for non-retesting and non-initiation of ART among those not retested.

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Smitherman, Todd A., Darla E. Kendzor, Karen B. Grothe i Patricia M. Dubbert. "State of the Art Review: Promoting Physical Activity in Primary Care Settings: A Review of Cognitive and Behavioral Strategies". American Journal of Lifestyle Medicine 1, nr 5 (wrzesień 2007): 397–409. http://dx.doi.org/10.1177/1559827607303303.

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Jamerson, Jeffrey L. "Expressive Remix Therapy: Using Digital Media Art in Therapeutic Group Sessions With Children and Adolescents". Creative Nursing 19, nr 4 (2013): 182–88. http://dx.doi.org/10.1891/1078-4535.19.4.182.

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Stories play a significant role in how we feel about and interact with the world. Narrative therapy and expressive arts therapy are major influences on the creation of expressive remix therapy, a new form of engagement with clients. This article is an exposition of this particular mental health modality. The use of digital media art in therapy in group settings will be discussed, and examples of how to use digital media art and technology in group therapy sessions are provided. The intention of this article is to promote a renewed appreciation for stories as the backdrop for all narrative work; it also seeks to inspire people to look at the practice of mental health differently, particularly the tools used to positively impact clients.

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Manoto, Sello, Masixole Lugongolo, Ureshnie Govender i Patience Mthunzi-Kufa. "Point of Care Diagnostics for HIV in Resource Limited Settings: An Overview". Medicina 54, nr 1 (13.03.2018): 3. http://dx.doi.org/10.3390/medicina54010003.

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Human immunodeficiency virus (HIV) is a global health problem. Early diagnosis, rapid antiretroviral therapy (ART) initiation and monitoring of viral load are the key strategies for effective HIV management. Many people in resource limited settings where timely access to medical care is a challenge and healthcare infrastructure is poor have no access to laboratory facilities and diagnosis is dependent on the presence of point of care (POC) devices. POC instruments have shown to be easy to operate, maintain and transport and can easily be operated by less skilled health workers. Additionally, POC tests do not require laboratory technicians to operate. POC devices have resulted in a growing number of people testing for HIV and thereby receiving treatment early. In recent years, there has been great improvement in the development of POC technologies for early HIV diagnosis, HIV viral load and cluster of differentiation 4 (CD4) measurement. This review discusses POC technologies that are currently available and in the pipeline for diagnosing and monitoring HIV. We also give an overview of the technical and commercialization challenges in POC diagnostics for HIV.

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Anggara, Bayu, i Made Gde Subha Karma Resen. "Harmonization of Abortion Settings in Indonesia". Musamus Law Review 2, nr 1 (31.10.2019): 26–35. http://dx.doi.org/10.35724/mularev.v2i1.2260.

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This study is entitled Harmonization of Abortion Law in Indonesia. Abortion today is not something that is taboo to discuss and talk about, because abortion has occurred everywhere. Abortion is a health issue that is gaining attention nowadays in Indonesia. The regulation of abortion in Indonesia is regulated by 2 (two) Laws namely the Criminal Code and the Health Law, which is where there is a conflict of norms that the Criminal Code prohibits loopholes for abortion by anyone and under any conditions. While the Health Act provides space for abortions for women with pregnancies that endanger their lives and women with pregnancies due to rape. The problem of this writing is related to the harmonization of abortion arrangements in Indonesia and abortion arrangements in the future. This research was conducted by normative legal methods. Harmonization of abortion arrangements in Indonesia is resolved with legal theory, namely the Lex Specialis Derogat Legi Generalis legal theory, meaning that if there is an abortion case in Indonesia then the source of reference or legal basis is the Health Act because it is more specific than the Criminal Code. Abortion arrangements in Indonesia in the future in the form of a Penal Code also touches on the aspect of abortion which is regulated in Article 589 to Article 592 and remains on the concept to prohibit abortion by anyone and under any conditions.

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James, Larry C. "Clinical health psychology institute: Integrating clinical health psychology into primary care settings". Journal of Clinical Psychology 62, nr 10 (2006): 1205–6. http://dx.doi.org/10.1002/jclp.20309.

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