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  Subjects -> HEALTH AND SAFETY (Total: 1391 journals)
    - CIVIL DEFENSE (23 journals)
    - DRUG ABUSE AND ALCOHOLISM (89 journals)
    - HEALTH AND SAFETY (596 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (388 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (107 journals)
    - PHYSICAL FITNESS AND HYGIENE (106 journals)
    - WOMEN'S HEALTH (82 journals)

HEALTH AND SAFETY (596 journals)                  1 2 3 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access  
A Life in the Day     Hybrid Journal   (Followers: 12)
Acta Informatica Medica     Open Access   (Followers: 1)
Acta Scientiarum. Health Sciences     Open Access   (Followers: 1)
Adultspan Journal     Hybrid Journal   (Followers: 1)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 10)
Advances in Public Health     Open Access   (Followers: 24)
African Health Sciences     Open Access   (Followers: 3)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 7)
African Journal of Health Professions Education     Open Access   (Followers: 6)
Afrimedic Journal     Open Access   (Followers: 2)
Ageing & Society     Hybrid Journal   (Followers: 40)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 4)
AJOB Primary Research     Partially Free   (Followers: 3)
American Journal of Family Therapy     Hybrid Journal   (Followers: 11)
American Journal of Health Economics     Full-text available via subscription   (Followers: 12)
American Journal of Health Education     Hybrid Journal   (Followers: 31)
American Journal of Health Promotion     Hybrid Journal   (Followers: 28)
American Journal of Health Sciences     Open Access   (Followers: 7)
American Journal of Health Studies     Full-text available via subscription   (Followers: 11)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 28)
American Journal of Public Health     Full-text available via subscription   (Followers: 217)
American Journal of Public Health Research     Open Access   (Followers: 28)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 5)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 5)
Annals of Global Health     Open Access   (Followers: 10)
Annals of Health Law     Open Access   (Followers: 3)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 13)
Applied Biosafety     Hybrid Journal  
Applied Research In Health And Social Sciences: Interface And Interaction     Open Access   (Followers: 3)
Archive of Community Health     Open Access   (Followers: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Arquivos de Ciências da Saúde     Open Access  
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 10)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 4)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 9)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 4)
Atención Primaria     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 3)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Indigenous HealthBulletin     Free   (Followers: 6)
Autism & Developmental Language Impairments     Open Access   (Followers: 8)
Behavioral Healthcare     Full-text available via subscription   (Followers: 7)
Bijzijn     Hybrid Journal   (Followers: 1)
Bijzijn XL     Hybrid Journal  
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 8)
Birat Journal of Health Sciences     Open Access  
BLDE University Journal of Health Sciences     Open Access  
BMC Oral Health     Open Access   (Followers: 6)
BMC Pregnancy and Childbirth     Open Access   (Followers: 22)
BMJ Simulation & Technology Enhanced Learning     Hybrid Journal   (Followers: 10)
Boletin Médico de Postgrado     Open Access  
Brazilian Journal of Medicine and Human Health     Open Access  
Buletin Penelitian Kesehatan     Open Access   (Followers: 2)
Buletin Penelitian Sistem Kesehatan     Open Access  
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Cambridge Quarterly of Healthcare Ethics     Hybrid Journal   (Followers: 11)
Canadian Family Physician     Partially Free   (Followers: 11)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 9)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 2)
Canadian Journal of Public Health     Hybrid Journal   (Followers: 20)
Case Reports in Women's Health     Open Access   (Followers: 3)
Case Studies in Fire Safety     Open Access   (Followers: 15)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
CES Medicina     Open Access  
Child Abuse Research in South Africa     Full-text available via subscription   (Followers: 1)
Child's Nervous System     Hybrid Journal  
Childhood Obesity and Nutrition     Open Access   (Followers: 10)
Children     Open Access   (Followers: 2)
CHRISMED Journal of Health and Research     Open Access   (Followers: 2)
Christian Journal for Global Health     Open Access  
Ciência & Saúde Coletiva     Open Access   (Followers: 2)
Ciencia e Innovación en Salud     Open Access  
Ciencia y Cuidado     Open Access   (Followers: 1)
Ciencia y Salud Virtual     Open Access  
Ciencia, Tecnología y Salud     Open Access   (Followers: 2)
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 2)
CME     Hybrid Journal   (Followers: 2)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 3)
Conflict and Health     Open Access   (Followers: 7)
Contraception and Reproductive Medicine     Open Access   (Followers: 1)
Curare     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 4)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Digital Health     Open Access   (Followers: 4)
Disaster Medicine and Public Health Preparedness     Hybrid Journal   (Followers: 13)
Dramatherapy     Hybrid Journal   (Followers: 2)
Drogues, santé et société     Full-text available via subscription   (Followers: 1)
Duazary     Open Access   (Followers: 1)
Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi / Journal of Duzce University Health Sciences Institute     Open Access  
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 20)
East African Journal of Public Health     Full-text available via subscription   (Followers: 4)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 20)
EcoHealth     Hybrid Journal   (Followers: 4)
Education for Health     Open Access   (Followers: 6)
electronic Journal of Health Informatics     Open Access   (Followers: 6)
ElectronicHealthcare     Full-text available via subscription   (Followers: 3)
Elsevier Ergonomics Book Series     Full-text available via subscription   (Followers: 5)
Emergency Services SA     Full-text available via subscription   (Followers: 2)
Ensaios e Ciência: Ciências Biológicas, Agrárias e da Saúde     Open Access  
Environmental Disease     Open Access   (Followers: 3)
Environmental Sciences Europe     Open Access   (Followers: 1)
Epidemics     Open Access   (Followers: 5)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 5)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 19)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 6)
Ethiopian Journal of Health Development     Open Access   (Followers: 7)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 6)
Ethnicity & Health     Hybrid Journal   (Followers: 13)
Eurasian Journal of Health Technology Assessment     Open Access  
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 2)
European Medical, Health and Pharmaceutical Journal     Open Access   (Followers: 1)
Evaluation & the Health Professions     Hybrid Journal   (Followers: 10)
Evidence-based Medicine & Public Health     Open Access   (Followers: 7)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Expressa Extensão     Open Access  
Face à face     Open Access   (Followers: 1)
Families, Systems, & Health     Full-text available via subscription   (Followers: 9)
Family & Community Health     Hybrid Journal   (Followers: 12)
Family Medicine and Community Health     Open Access   (Followers: 7)
Family Relations     Partially Free   (Followers: 11)
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 2)
Finnish Journal of eHealth and eWelfare : Finjehew     Open Access  
Food and Public Health     Open Access   (Followers: 13)
Food Quality and Safety     Open Access   (Followers: 1)
Frontiers in Public Health     Open Access   (Followers: 7)
Gaceta Sanitaria     Open Access   (Followers: 3)
Galen Medical Journal     Open Access  
Gazi Sağlık Bilimleri Dergisi     Open Access  
Geospatial Health     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 9)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Challenges     Open Access  
Global Health : Science and Practice     Open Access   (Followers: 7)
Global Health Promotion     Hybrid Journal   (Followers: 15)
Global Journal of Health Science     Open Access   (Followers: 10)
Global Journal of Public Health     Open Access   (Followers: 13)
Global Medical & Health Communication     Open Access   (Followers: 2)
Global Mental Health     Open Access   (Followers: 8)
Global Reproductive Health     Open Access  
Global Security : Health, Science and Policy     Open Access   (Followers: 1)
Globalization and Health     Open Access   (Followers: 5)
Hacia la Promoción de la Salud     Open Access  
Hastane Öncesi Dergisi     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 3)
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 15)
Health & Justice     Open Access   (Followers: 5)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 7)
Health and Human Rights     Free   (Followers: 10)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 8)
Health and Social Work     Hybrid Journal   (Followers: 56)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 3)
Health Care Analysis     Hybrid Journal   (Followers: 15)
Health Inform     Full-text available via subscription  
Health Information Management Journal     Hybrid Journal   (Followers: 21)
Health Issues     Full-text available via subscription   (Followers: 2)
Health Notions     Open Access  
Health Policy     Hybrid Journal   (Followers: 43)
Health Policy and Technology     Hybrid Journal   (Followers: 4)
Health Professional Student Journal     Open Access   (Followers: 3)
Health Promotion International     Hybrid Journal   (Followers: 22)
Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 8)
Health Promotion Practice     Hybrid Journal   (Followers: 16)
Health Prospect     Open Access   (Followers: 1)
Health Psychology     Full-text available via subscription   (Followers: 52)
Health Psychology Bulletin     Open Access  
Health Psychology Research     Open Access   (Followers: 19)
Health Psychology Review     Hybrid Journal   (Followers: 40)
Health Renaissance     Open Access  
Health Research Policy and Systems     Open Access   (Followers: 14)
Health SA Gesondheid     Open Access   (Followers: 2)
Health Science Reports     Open Access  
Health Sciences and Disease     Open Access   (Followers: 2)
Health Services Insights     Open Access   (Followers: 1)
Health Systems     Hybrid Journal   (Followers: 4)
Health Voices     Full-text available via subscription  
Health, Culture and Society     Open Access   (Followers: 12)
Health, Risk & Society     Hybrid Journal   (Followers: 13)
Healthcare     Open Access   (Followers: 3)
Healthcare in Low-resource Settings     Open Access   (Followers: 1)
Healthcare Quarterly     Full-text available via subscription   (Followers: 8)
Healthcare Technology Letters     Open Access  
Healthy Aging Research     Open Access  
HERD : Health Environments Research & Design Journal     Full-text available via subscription  
Highland Medical Research Journal     Full-text available via subscription  
Hispanic Health Care International     Full-text available via subscription  
Histoire, médecine et santé     Open Access  
HIV & AIDS Review     Full-text available via subscription   (Followers: 12)
Home Health Care Services Quarterly     Hybrid Journal   (Followers: 6)
Hong Kong Journal of Social Work, The     Hybrid Journal   (Followers: 2)
Hospitals & Health Networks     Free   (Followers: 4)
IEEE Journal of Translational Engineering in Health and Medicine     Open Access   (Followers: 3)
IJS Global Health     Open Access  
IMTU Medical Journal     Full-text available via subscription  
Indian Journal of Health Sciences     Open Access   (Followers: 2)
Indonesian Journal for Health Sciences     Open Access   (Followers: 1)

        1 2 3 | Last

Journal Cover
Families, Systems, & Health
Journal Prestige (SJR): 0.425
Citation Impact (citeScore): 1
Number of Followers: 9  
 
  Full-text available via subscription Subscription journal
ISSN (Print) 1091-7527 - ISSN (Online) 1939-0602
Published by APA Homepage  [86 journals]
  • Behavioral health integration and the risks of reductionism.
    • Abstract: This editorial focuses on the topic of behavioral health integrations. It discusses the differences in types of integrated care and provides examples of practice elements that could be included under the umbrella of integrated care. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Mon, 02 Apr 2018 04:00:00 GMT
       
  • Observation in medical education: Time for a broader conversation'
    • Abstract: Comments on the original article by Dr. Butler (see record 2018-03109-001) in which Butler lays out a series of concerns and controversies regarding the use of video recording to assess the competence of medical students, residents and other learners. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Mon, 02 Apr 2018 04:00:00 GMT
       
  • Clinician barriers to initiating sexual health conversations with breast
           cancer survivors: The influence of assumptions and situational
           constraints.
    • Abstract: Introduction: Sexual health (SH) is an important dimension of physical, emotional, and social functioning after breast cancer (BC). Research suggests that survivors’ SH concerns are not being adequately addressed in oncology or primary care settings. It is important to understand why these conversations are not taking place and what can be done to enhance care for women in this context. This research aims to identify when clinicians initiate SH conversations with survivors and to uncover factors that influence these decisions. Method: Thirty-six clinicians from family medicine, internal medicine, oncology, and gynecology participated in semistructured interviews. Analysis uncovered themes that influence clinicians’ decisions about initiating SH conversations with survivors. Attention was given to capturing the personal, professional, and system-level issues that inform clinicians’ communication choices. Results: Clinicians reported their decisions are based on (a) beliefs about patients, (b) inability to address survivors’ concerns, (c) time constraints that affect the delivery of care, and (d) views of professional function in survivor health care. Discussion: Clinician decisions are based on sometimes-erroneous assumptions and situational constraints. This suggests the need for medical education and support regarding SH care. Several practice points are outlined to facilitate clinicians’ efforts to improve SH care for female BC survivors. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Mon, 02 Apr 2018 04:00:00 GMT
       
  • Reflections on clinician barriers to sexual health conversations: The need
           for education and encouragement.
    • Abstract: Comments on the original article by M. R. Canzona et al. (see record 2018-12809-003) on the topic of initiating sexual health conversations with breast cancer survivors. In this qualitative study, four themes that the authors describe as limiting the ability of clinicians to address issues of sexuality in breast cancer survivors emerge. This study demonstrates that barriers to initiating conversations about sexual health have a lot more to do with the assumptions, attitudes, and knowledge of the clinicians’ and their view of what is best for patient care than with the patient herself. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Mon, 02 Apr 2018 04:00:00 GMT
       
  • Integrated Primary Care Readiness and Behaviors Scale: Development and
           validation in behavioral health professionals.
    • Abstract: Introduction: Although integrated primary care (IPC) is growing, several barriers remain. Better understanding of behavioral health professionals’ (BHPs’) readiness for and engagement in IPC behaviors could improve IPC research and training. This study developed measures of IPC behaviors and stage of change. Method: The sample included 319 licensed, practicing BHPs with a range of interests and experience with IPC. Sequential measurement development procedures, with split-half cross-validation were conducted. Results: Exploratory principal components analyses (N = 152) and confirmatory factor analyses (N = 167) yielded a 12-item scale with 2 factors: consultation/practice management (CPM) and intervention/knowledge (IK). A higher-order Integrated Primary Care Behavior Scale (IPCBS) model showed good fit to the data, and excellent internal consistencies. The multivariate analysis of variance (MANOVA) on the IPCBS demonstrated significant large-sized differences across stage and behavior groups. Discussion: The IPCBS demonstrated good psychometric properties and external validation, advancing research, education, and training for IPC practice. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Mon, 02 Apr 2018 04:00:00 GMT
       
  • The unexpected memorial.
    • Abstract: In this article, the current author tells the story of an unexpected musical memorial he and his fellow band mates performed as a tribute to a man named Gordon "Gizmo," a husband and father. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Mon, 02 Apr 2018 04:00:00 GMT
       
  • Say their names.
    • Abstract: Many of us pursue medical careers for the direct impact we have on patients’ lives. Complicating those ideals is a mosaic of extraclinical factors—economic, social, cultural, political, historical—that more immediately affect patient health than medical care, especially for countless communities of color. As a medical student witnessing the excessive rates of black lives lost to police brutality, I am reminded of the limits of medicine. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Mon, 02 Apr 2018 04:00:00 GMT
       
  • Raising voices: A commentary on “Say their names” by Sandhira
           Wijayaratne.
    • Abstract: Comments on a poem by Sandhira Wijayaratne (see record 2018-12809-007). This poem uses the power of language to speak to the consequences of silence and complacency and points to the role of healers in the social narrative. In his work, Wijayaratne highlights the structural and systemic racism that plagues our nation today, and affects our work as healthcare providers. “Say Their Names” represents a timely contribution to this field and echoes much of the current national discourse around racial oppression. It highlights the role of systemic racism in setting the stage for health disparities, disease, and trauma. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Mon, 02 Apr 2018 04:00:00 GMT
       
  • Carry on.
    • Abstract: Presents a poem about a patient of the author who is experiencing grief at the loss of his wife. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Mon, 02 Apr 2018 04:00:00 GMT
       
  • Reflections from the Book and Media Reviews editor Dr. William B. Gunn,
           Jr.
    • Abstract: In this article, editor William B. Gunn, Jr. states that this will be his last issue as the Book and Media Reviews editor for Families, Systems, and Health. He summarizes his 10-year role and states how it provided him with a window to watch the rapid development of the field of collaborative, relationship-focused, integrated health care. With this current issue, he hands over the role as editor to Kent Corso, Psy.D., who is a licensed clinical health psychologist working in the field of integrated primary care since 2005. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Mon, 02 Apr 2018 04:00:00 GMT
       
  • Review of Attending: Medicine, mindfulness, and humanity.
    • Abstract: Reviews the book, Attending: Medicine, Mindfulness, and Humanity by Ronald Epstein (2017). In this extraordinary book, Epstein places mindfulness at the center of the healing encounter and argues that doing so is an ethical imperative. In this time of widespread physician burnout and rapid systems change, this book is necessary reading for educators, activists, and leaders who want to promote quality, compassionate care, and physician well-being. Most important, the reviewer recommends his book to all health care providers who want to reconnect with their own heart and soul. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Mon, 02 Apr 2018 04:00:00 GMT
       
  • Nomination of Mary Talen, PhD, for the 2017 CFHA Don Bloch Award.
    • Abstract: Provides the nomination letter of Mary Talen, PhD, for the 2017 CFHA's Don Bloch Award. Dr. Mary Talen is a psychologist with an unwavering ability to see the humanness of every individual who interacts with the community health center and residency she works at—patient, staff, faculty, or resident—and her perspective impacts everyone that surrounds her. The nomination details her intellectual, behavioral, and relational qualities as a professional. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Mon, 02 Apr 2018 04:00:00 GMT
       
  • Don Bloch Award acceptance speech: 2017.
    • Abstract: Provides Dr. Mary Talen's acceptance speech for the 2017 CFHA Don Bloch Award. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Mon, 02 Apr 2018 04:00:00 GMT
       
  • A review of published guidance for video recording in medical education.
    • Abstract: Introduction: Medical educators have used resident–patient video recording to verify trainee competence in interpersonal and technical skills for 50 years. Although numerous authors acknowledge that video recording can compromise patient privacy and confidentiality, no summary of potential risks is available. Method: A scoping review of the literature on resident–patient video recording in medical education from the 1960s to the present was conducted. The review examined publications that addressed ethical, policy, procedural, or legal issues affecting patients’ rights when video recording. Results: Potential risks to the rights of video recorded patients were organized into 6 categories: informed consent policies, informed consent procedures, recorded medical errors, secondary use of recordings, collateral patient information, and public trust issues. The review revealed contradictory opinions on informed consent policies, inadequate guidance for responding when medical errors are recorded, and conflicting opinions about when recordings become part of the medical record. Many reviewed publications are opinion-based, precede current confidentiality guidelines, or rely on survey results. Discussion: This review organizes potential threats to patients’ rights for those medical educators who use video recording technology. The review reveals a need for broader consensus about video recording guidelines and for research on video recording practices, especially given technological advances in video equipment and the expansion of video technology in health care settings. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Thu, 25 Jan 2018 05:00:00 GMT
       
  • Achieving same-day access in integrated primary care.
    • Abstract: Same-day access to behavioral health services is a critical feature of integrated primary care. Despite the benefits of same-day access, implementing and sustaining this key feature has been a challenge for multiple health care settings. Further, there is relatively little practical guidance on how to implement this practice management feature. Diverse program design solutions for same-day access are implemented in clinics across the Veterans Health Administration. The authors identified innovative approaches, developed in local facilities, with demonstrated success in same-day access that can be implemented in any setting. The purpose of this article is to describe five approaches for providing same-day access within integrated care. The authors discuss key considerations (staffing, space, program maturity), potential challenges and facilitators, and provide practical recommendations for implementation. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Thu, 25 Jan 2018 05:00:00 GMT
       
  • Parental perspectives of screening for adverse childhood experiences in
           pediatric primary care.
    • Abstract: Introduction: Pediatricians recognize a need to mitigate the negative impact that adverse childhood experiences (ACEs) can have on health and development. However, ACEs screening and interventions in primary care pediatrics may be inhibited by concerns about parental perceptions. We assessed parent perspectives of screening for ACEs in the pediatric primary care setting, to understand their views on the potential impact of their ACEs on their parenting and to identify opportunities for pediatric anticipatory guidance. Method: We used purposive sampling to recruit parents of children
      PubDate: Thu, 07 Dec 2017 05:00:00 GMT
       
  • Practice procedures in models of primary care collaboration for children
           with ADHD.
    • Abstract: Introduction: With nationwide movement toward an integrated medical home, evidence to support, compare, and specify effective models for collaboration between primary care and behavioral health professionals is essential. This study compared 2 models of primary care with behavioral health integration on American Academy of Pediatrics guideline adherence for attention-deficit/hyperactivity disorder (ADHD) assessment and treatment. Method: We conducted a retrospective chart review of a random sample of children aged 6–13 years, seen for ADHD services in 2 primary care offices, 1 fully integrated model and 1 co-located service only model, comparing ADHD assessment and treatment practices. We used chi-square analyses and logistic regression modeling to determine differences by type of health care model. Results: Among children with ADHD (n = 149), the integrated care model demonstrated higher rates of guideline adherence, more direct contact with schools, and more frequent behavioral observation during clinical encounters. Families in the integrated practice received more caregiver education on ADHD, behavioral management training, and school advocacy, however, these associations did not remain after accounting for variance associated with onsite engagement with a psychologist. Practices were equivalent on use of medication and psychiatric consultation, although, more families in the integrated practice engaged with a psychologist and attended more frequent medication follow-up appointments than those in the co-located practice. Discussion: This study is among the first to compare different levels of collaborative care on practice procedures. Understanding how we can best integrate between behavioral health and primary care services will optimize outcomes for children and families. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Thu, 07 Dec 2017 05:00:00 GMT
       
  • Patient-perceived family stigma of type 2 diabetes and its consequences.
    • Abstract: Introduction: Adults with type two diabetes (T2D) report being monitored and judged by family members, contributing to feelings of guilt/shame, and attempts to conceal one’s diabetes status or self-care efforts. However, studies have not yet quantitatively examined T2D stigma from family members. Our objective was to assess the frequency of T2D family stigma and its association with helpful and harmful diabetes-specific family behaviors and psychological and behavioral consequences of stigma. Method: A sample of predominantly African-American adults with T2D and low income completed items written for this study to assess T2D family stigma and consequences of stigma. We explored frequencies and bivariate correlations between these constructs and diabetes-specific family behaviors (measured with the Diabetes Family Behavior Checklist-II). Results: Participants (N = 53) were 57.3 ± 8.7 years old, 70% African American, 96% had annual incomes
      PubDate: Thu, 07 Dec 2017 05:00:00 GMT
       
  • Parenting behaviors and the well-being of children with a chronic physical
           condition.
    • Abstract: Introduction: Numerous studies have identified the importance of parenting behaviors to the well-being of children with chronic physical conditions. Synthesizing the findings of these studies has potential to identify which parenting behaviors are associated with specific aspects of child well-being. Method: We retrieved research reports addressing the relationship between parenting behaviors and well-being in children with chronic physical conditions, and categorized parenting behaviors based on Skinner, Johnson, and Snyder’s (2005) core dimensions of parenting (warmth, rejection, structure, chaos, autonomy support, and coercion) Through meta-analysis, we examined relationships between parenting dimension and child well-being variables. Results: Fifty-four reports from 47 unique studies met inclusion criteria. Parent warmth was associated with less child depression, better quality of life, better physical functioning, and fewer externalizing behavior problems. Parent rejection was associated with more child depression, internalizing/externalizing behavior problems, and poorer physical functioning. Parent structure was associated with better child physical functioning. Parent chaos was associated with poorer child physical functioning. Parent autonomy support was associated with better quality of life and fewer externalizing behavior problems. Parent coercion was associated with more child depression, poorer quality of life, poorer physical function, and more internalizing behavior problems. Conclusion: The results identify multiple, potentially modifiable parenting dimensions associated with well-being in children with a chronic condition, which could be targeted in developing family-focused interventions. They also provide evidence that research using Skinner’s core dimensions could lead to conceptualization and study of parenting behaviors in ways that would enable comparison of parenting in a variety of health and sociocultural contexts. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Mon, 27 Nov 2017 05:00:00 GMT
       
  • Evaluative coping, emotional distress, and adherence in couples with type
           2 diabetes.
    • Abstract: Introduction: Spousal support is one of the strongest and most consistent predictors of Type 2 diabetes treatment adherence. However, the effects of both spouses’ evaluations of dyadic coping on emotional distress and patients’ physical health remain largely unknown. Method: Dyadic data from 117 married couples in which one member is diagnosed with Type 2 diabetes were evaluated in two separate models to explore the associations between (a) patients’ and spouses’ depression symptoms and patients’ adherence to dietary and exercise regimens, and (b) patients’ and spouses’ acute stress levels and patients’ adherence to dietary and exercise regimens. Finally, evaluative dyadic coping was included as a possible moderator between these associations. Results: Results from an actor-partner interdependence model revealed significant actor effects of patients’ depression symptoms on patients’ adherence to dietary and exercise regimens. Spouses’ evaluation of dyadic coping attenuated the direct paths between spouses’ depression symptoms and patients’ adherence to dietary regimens. No direct pathways were found from patients’ or spouses’ acute stress to patients’ adherence to dietary and exercise regimens. However, spouses’ evaluation of dyadic coping attenuated the direct paths between spouses’ acute stress and patients’ adherence to dietary regimens. Discussion: Tapping into spouses’ evaluations of dyadic coping has significant implications for patients’ diabetes health outcomes (e.g., adherence to dietary and exercise treatment regimens). Findings from this study highlight the need for systemic interventions targeting both partners. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Mon, 27 Nov 2017 05:00:00 GMT
       
  • Pediatric primary care psychologists’ reported level of integration,
           billing practices, and reimbursement frequency.
    • Abstract: Introduction: Integration of psychological services into pediatric primary care is increasingly common, but models of integration vary with regard to their level of coordination, colocation, and integration. High-integration models may provide some distinct advantages, such as preventative care and brief consultation for subclinical behavior concerns; however, psychologists face barriers to seeking reimbursement for these services. Alternatives to traditional psychotherapy and psychological testing codes, specifically Health & Behavior (H&B) codes, have been proposed as 1 method for supporting integrated care. The aim of this study was to investigate the relationships between psychologists’ reported billing practices, reimbursement rates, and model of integration in pediatric primary care. Method: As part of a larger survey study, 55 psychologists working in pediatric primary care reported on characteristics of their practice’s model of integration, billing practices, and frequency of reimbursement for consultative services. Results: Compared with those who categorized their integrated care model as colocated, psychologists who endorsed working in integrated models reported a significantly higher usage of H&B codes and more frequent reimbursement for consultations. Overall, use of H&B codes was associated with higher reported levels of coordination and integration. Discussion: Survey results showed a clear pattern of higher integration being associated with greater utilization of H&B codes and better reimbursement for consultation activities. These results underscore the importance of establishing and maintaining billing and reimbursement systems that adequately support integrated care. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Mon, 27 Nov 2017 05:00:00 GMT
       
 
 
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