Subjects -> HEALTH AND SAFETY (Total: 1556 journals)
    - CIVIL DEFENSE (22 journals)
    - DRUG ABUSE AND ALCOHOLISM (86 journals)
    - HEALTH AND SAFETY (728 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (390 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (115 journals)
    - PHYSICAL FITNESS AND HYGIENE (133 journals)
    - WOMEN'S HEALTH (82 journals)

HEALTH AND SAFETY (728 journals)                  1 2 3 4 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access   (Followers: 4)
ACM Transactions on Computing for Healthcare     Hybrid Journal   (Followers: 5)
Acta Informatica Medica     Open Access   (Followers: 3)
Acta Scientiarum. Health Sciences     Open Access   (Followers: 3)
Adultspan Journal     Hybrid Journal   (Followers: 1)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 13)
Advances in Public Health     Open Access   (Followers: 34)
Adversity and Resilience Science : Journal of Research and Practice     Hybrid Journal   (Followers: 4)
African Health Sciences     Open Access   (Followers: 7)
African Journal of Health Professions Education     Open Access   (Followers: 7)
Afrimedic Journal     Open Access   (Followers: 3)
Ageing & Society     Hybrid Journal   (Followers: 48)
Aging and Health Research     Open Access  
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 9)
AJOB Empirical Bioethics     Hybrid Journal   (Followers: 4)
Akademika     Open Access   (Followers: 1)
American Journal of Family Therapy     Hybrid Journal   (Followers: 9)
American Journal of Health Economics     Full-text available via subscription   (Followers: 23)
American Journal of Health Education     Hybrid Journal   (Followers: 39)
American Journal of Health Promotion     Hybrid Journal   (Followers: 35)
American Journal of Health Sciences     Open Access   (Followers: 13)
American Journal of Health Studies     Full-text available via subscription   (Followers: 17)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 32)
American Journal of Public Health     Full-text available via subscription   (Followers: 306)
American Journal of Public Health Research     Open Access   (Followers: 33)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 9)
Annales des Sciences de la Santé     Open Access  
Annali dell'Istituto Superiore di Sanità     Open Access  
Annals of Global Health     Open Access   (Followers: 16)
Annals of Health Law     Open Access   (Followers: 6)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 18)
Applied Biosafety     Hybrid Journal   (Followers: 1)
Applied Ergonomics     Hybrid Journal   (Followers: 19)
Apuntes Universitarios     Open Access   (Followers: 1)
Archive of Community Health     Open Access   (Followers: 1)
Archives of Community Medicine and Public Health     Open Access   (Followers: 3)
Archives of Medicine and Health Sciences     Open Access   (Followers: 7)
Archives of Suicide Research     Hybrid Journal   (Followers: 12)
Archivos de Prevención de Riesgos Laborales     Open Access  
Arquivos de Ciências da Saúde     Open Access  
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 11)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 6)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 15)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 5)
Asian Journal of Medicine and Health     Open Access   (Followers: 2)
Atención Primaria     Open Access   (Followers: 2)
Atención Primaria Práctica     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 7)
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: 5)
Autism & Developmental Language Impairments     Open Access   (Followers: 17)
Bijzijn     Hybrid Journal   (Followers: 1)
Bijzijn XL     Hybrid Journal  
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 7)
Biosafety and Health     Open Access   (Followers: 1)
Biosalud     Open Access   (Followers: 1)
Birat Journal of Health Sciences     Open Access  
BLDE University Journal of Health Sciences     Open Access  
BMC Oral Health     Open Access   (Followers: 7)
BMC Pregnancy and Childbirth     Open Access   (Followers: 24)
BMJ Simulation & Technology Enhanced Learning     Hybrid Journal   (Followers: 14)
Brazilian Journal of Medicine and Human Health     Open Access  
British Journal of Health Psychology     Hybrid Journal   (Followers: 53)
Buletin Penelitian Kesehatan     Open Access   (Followers: 2)
Buletin Penelitian Sistem Kesehatan     Open Access  
Bulletin of the World Health Organization     Open Access   (Followers: 23)
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos de Saúde     Open Access   (Followers: 1)
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Cambridge Quarterly of Healthcare Ethics     Hybrid Journal   (Followers: 16)
Canadian Family Physician     Partially Free   (Followers: 13)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 14)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 2)
Canadian Journal of Public Health     Hybrid Journal   (Followers: 28)
Cannabis and Cannabinoid Research     Hybrid Journal   (Followers: 2)
Carta Comunitaria     Open Access  
Case Reports in Women's Health     Open Access   (Followers: 4)
CASUS : Revista de Investigación y Casos en Salud     Open Access  
Central Asian Journal of Global Health     Open Access   (Followers: 2)
CES Medicina     Open Access  
CES Salud Pública     Open Access  
Child and Adolescent Obesity     Open Access   (Followers: 1)
Child's Nervous System     Hybrid Journal  
Childhood Obesity and Nutrition     Open Access   (Followers: 12)
Children     Open Access   (Followers: 4)
CHRISMED Journal of Health and Research     Open Access   (Followers: 3)
Christian Journal for Global Health     Open Access   (Followers: 1)
Ciência & Saúde Coletiva     Open Access   (Followers: 2)
Ciencia & Salud     Open Access   (Followers: 1)
Ciencia & Trabajo     Open Access   (Followers: 2)
Ciencia e Innovación en Salud     Open Access  
Ciencia y Cuidado     Open Access   (Followers: 1)
Ciencia y Salud     Open Access   (Followers: 3)
Ciencia y Salud Virtual     Open Access  
Ciencia, Tecnología y Salud     Open Access   (Followers: 2)
Cities & Health     Hybrid Journal   (Followers: 4)
Cleaner and Responsible Consumption     Open Access  
Clinical and Experimental Health Sciences     Open Access   (Followers: 1)
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 2)
Clocks & Sleep     Open Access   (Followers: 2)
CME     Hybrid Journal   (Followers: 2)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 6)
Conflict and Health     Open Access   (Followers: 8)
Contact (CTC)     Open Access  
Contraception and Reproductive Medicine     Open Access   (Followers: 2)
Cuaderno de investigaciones: semilleros andina     Open Access   (Followers: 2)
Cuadernos de la Escuela de Salud Pública     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 11)
Current Opinion in Environmental Science & Health     Hybrid Journal   (Followers: 1)
Das österreichische Gesundheitswesen ÖKZ     Hybrid Journal   (Followers: 1)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Design for Health     Hybrid Journal  
Digital Health     Open Access   (Followers: 10)
Disaster Medicine and Public Health Preparedness     Hybrid Journal   (Followers: 15)
Diversity and Equality in Health and Care     Open Access   (Followers: 9)
Diversity of Research in Health Journal     Open Access  
Dramatherapy     Hybrid Journal   (Followers: 3)
Drogues, santé et société     Open Access   (Followers: 2)
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: 29)
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: 27)
EcoHealth     Hybrid Journal   (Followers: 6)
Education for Health     Open Access   (Followers: 9)
ElectronicHealthcare     Full-text available via subscription   (Followers: 4)
Emerging Trends in Drugs, Addictions, and Health     Open Access   (Followers: 1)
Ensaios e Ciência : Ciências Biológicas, Agrárias e da Saúde     Open Access  
Environmental Disease     Open Access   (Followers: 4)
Environmental Sciences Europe     Open Access   (Followers: 2)
Epidemics     Open Access   (Followers: 6)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 7)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 24)
EsSEX : Revista Científica     Open Access   (Followers: 1)
Estudios sociales : Revista de alimentación contemporánea y desarrollo regional     Open Access   (Followers: 1)
Ethics & Human Research     Hybrid Journal   (Followers: 4)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 8)
Ethiopian Journal of Health Development     Open Access   (Followers: 8)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 8)
Ethnicity & Health     Hybrid Journal   (Followers: 16)
Eurasian Journal of Health Technology Assessment     Open Access   (Followers: 1)
EUREKA : Health Sciences     Open Access   (Followers: 3)
European Journal of Health Communication     Open Access   (Followers: 3)
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 6)
European Medical, Health and Pharmaceutical Journal     Open Access   (Followers: 4)
Evaluation & the Health Professions     Hybrid Journal   (Followers: 11)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Exploratory Research in Clinical and Social Pharmacy     Open Access  
Expressa Extensão     Open Access  
F&S Reports     Open Access   (Followers: 3)
Face à face     Open Access   (Followers: 1)
Families, Systems, & Health     Full-text available via subscription   (Followers: 10)
Family & Community Health     Hybrid Journal   (Followers: 15)
Family Medicine and Community Health     Open Access   (Followers: 10)
Family Relations     Partially Free   (Followers: 15)
FASEB BioAdvances     Open Access  
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 2)
Finnish Journal of eHealth and eWelfare : Finjehew     Open Access  
Food and Public Health     Open Access   (Followers: 19)
Food Hydrocolloids for Health     Open Access  
Food Quality and Safety     Open Access   (Followers: 2)
Frontiers in Digital Health     Open Access   (Followers: 3)
Frontiers in Neuroergonomics     Open Access   (Followers: 2)
Frontiers in Public Health     Open Access   (Followers: 9)
Frontiers of Health Services Management     Partially Free   (Followers: 9)
Gaceta Sanitaria     Open Access   (Followers: 3)
Galen Medical Journal     Open Access   (Followers: 1)
Ganesha Journal     Open Access  
Gazi Sağlık Bilimleri Dergisi     Open Access  
Geospatial Health     Open Access   (Followers: 1)
Gestão e Desenvolvimento     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 9)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Advances in Health and Medicine     Open Access  
Global Challenges     Open Access  
Global Health : Science and Practice     Open Access   (Followers: 9)
Global Health Annual Review     Open Access   (Followers: 3)
Global Health Journal     Open Access   (Followers: 3)
Global Health Promotion     Hybrid Journal   (Followers: 19)
Global Journal of Health Science     Open Access   (Followers: 12)
Global Journal of Public Health     Open Access   (Followers: 17)
Global Medical & Health Communication     Open Access   (Followers: 2)
Global Mental Health     Open Access   (Followers: 12)
Global Reproductive Health     Open Access   (Followers: 1)
Global Security : Health, Science and Policy     Open Access   (Followers: 1)
Global Transitions     Open Access   (Followers: 1)
Global Transitions Proceedings     Open Access   (Followers: 2)
Globalization and Health     Open Access   (Followers: 9)
Hacia la Promoción de la Salud     Open Access  
Hastane Öncesi Dergisi     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 7)
HCU Journal     Open Access  
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 20)
Health & Justice     Open Access   (Followers: 6)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 19)
Health and Human Rights     Open Access   (Followers: 10)
Health and Research Journal     Open Access   (Followers: 2)

        1 2 3 4 | Last

Similar Journals
Journal Cover
Families, Systems, & Health
Journal Prestige (SJR): 0.425
Citation Impact (citeScore): 1
Number of Followers: 10  
 
  Full-text available via subscription Subscription journal
ISSN (Print) 1091-7527 - ISSN (Online) 1939-0602
Published by APA Homepage  [90 journals]
  • Researching warm hand-offs: Should we give a WHOot'

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      Abstract: This article discusses warm hand-offs (WHOs) in behavioral services and PCBH models. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
      PubDate: Thu, 19 Aug 2021 00:00:00 GMT
       
  • Posttraumatic stress disorder collaborative care: A quality improvement
           study in veterans affairs primary care.

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      Abstract: Introduction: Collaborative care improves depression and anxiety outcomes. In this naturalistic, observational case study, we adapted an evidence-based depression collaborative care protocol for the assessment and treatment of posttraumatic stress disorder (PTSD) and sought to demonstrate that the protocol could be implemented in Veterans Affairs (VA) primary care. Method: Based on feedback from a content expert panel, clinical stakeholders, and a pilot study conducted in a postdeployment clinic, the original depression collaborative care protocol was modified to include PTSD assessment and support for PTSD medication adherence, self-management, and engagement in evidence-based PTSD care. Results: The modified program was implemented from November 2012 to March 2017, and 239 patients with PTSD were referred. Nearly two thirds (n = 185) enrolled, and they participated in the program for an average of 4 to 5 months and completed calls approximately once per month. Among patients with more than one assessment of clinical outcomes, 53.4% (n = 94) reported clinically significant improvement in depression on the Patient Health Questionnaire-9 (≥ 5-point decrease), and 42.2% (n = 35) reported clinically significant improvement on the PTSD Checklist (≥ 10-point decrease). Veterans and clinical staff described the modified collaborative care program positively in qualitative interviews. Discussion: Our findings suggest that a depression collaborative care program can be modified to support treatment of PTSD in primary care. The modified program was acceptable to both veterans and clinical staff and showed potential for positive clinical change in an uncontrolled quality improvement study. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
      PubDate: Thu, 19 Aug 2021 00:00:00 GMT
       
  • Measurement-based care in integrated health care: A randomized clinical
           trial.

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      Abstract: Introduction: Many suggest that the next step for integrated care is widespread implementation of measurement-based care (MBC). Although the measures most associated with MBC are standardized, no randomized clinical trial has demonstrated their use to improve psychotherapeutic outcomes with embedded behavioral health providers in integrated care. Two evidence-based MBC systems have been studied in a variety of behavioral health environments, but neither system has been investigated in integrated health care. Addressing this gap in the literature, the present study evaluated the use of MBC, specifically the Partners for Change Outcome Management System, in three integrated care sites. Method: Using a randomized design within routine care, treatment as usual (TAU; n = 133) was compared using the Outcome Rating Scale (ORS) and Patient Health Questionnaire–9 (PHQ–9) with a feedback condition (n = 147) in which behavioral health providers had access to patient-generated outcome (ORS only) and alliance information at each session. Results: Patients in the feedback condition demonstrated significantly more improvement than those in the TAU condition posttreatment on the ORS. Patients in the feedback condition also achieved significantly more clinically significant change as measured by both the ORS and PHQ–9. Feedback condition patients also attended significantly more sessions and dropped out significantly less that TAU patients. Discussion: Although our findings need to be replicated, this study offers evidence that the improved outcomes and reduced dropouts associated with MBC in traditional behavioral health centers also occur in integrated care settings. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
      PubDate: Thu, 19 Aug 2021 00:00:00 GMT
       
  • Implementation of Un Abrazo Para La FamiliaTM in southern Arizona with
           extension to survivors and assessment of effects on distress.

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      Abstract: Introduction: Un Abrazo Para La FamiliaTM [Embracing the Family] (Abrazo) is a 3-hr psychoeducational intervention designed for low-income informal caregivers who are cosurvivors of cancer. A rehabilitation-informed preventive intervention, Abrazo reflects the importance of family, culture, and socioeconomic background. A pilot study was conducted to inform a larger geographic implementation of Abrazo. The aims were to determine if previous outcomes of increased cancer knowledge and self-efficacy could be replicated and to investigate intervention effects on distress. Method: A pretest-posttest design was used to assess changes in cancer knowledge, self-efficacy, and distress for Abrazo participants. Distress was measured with the American Medical Association’s Caregiver Assessment (Epstein-Lubow et al., 2010) and the National Comprehensive Cancer Network Distress Thermometer (Donovan et al., 2014; Forsythe et al., 2013; Fulcher & Gosselin-Acomb, 2007). The Patient Health Questionnaire–4 (PHQ-4) (Kroenke et al., 2009) measured symptoms of anxiety and depression. Results: Both survivors (n = 37) and cosurvivors (n = 103) increased in cancer knowledge and self-efficacy after completing Abrazo. Mean levels of distress and symptoms decreased for cosurvivors, but not for survivors. At study entry, 19% of cosurvivors and 12% of survivors scored ≥6/12 on the PHQ-4, the standard cutoff for clinically significant symptoms. Only 13% of cosurvivors, but 30% of survivors exceeded this threshold at three-month follow-up. Elevated symptoms persisted in 12% of survivors from baseline to follow-up; in 18% of survivors, symptoms rose between baseline and follow-up. Discussion: Increased cancer knowledge and self-efficacy in participants replicates evidence of Abrazo’s effectiveness. The result of decreased distress in cosurvivors extends our understanding of Abrazo’s effectiveness with this population. The increase in distress in cancer survivors warrants further attention to their intervention needs. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
      PubDate: Thu, 19 Aug 2021 00:00:00 GMT
       
  • Grandparent(s) coresidence and physical activity/screen time among Latino
           children in the United States.

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      Abstract: Introduction: Latino Americans tend to have a familismo cultural value, in which grandparents often live with grandchildren and are involved in grandchildren rearing. The purpose of this study was to examine how grandparent(s) coresidence is associated with Latino American children’s physical activity and screen time. Methods: This study used 2009–2010 Health Behavior in School-Aged Children (HBSC) Survey data that consisted of 2,608 Latino students from 5th to 10th grade. Associations between grandparent(s) coresidence and Latino children’s physical activity/screen time were examined using logistic regression and generalized ordered logistic regression while controlling for children’s sociodemographic variables, health-related variables, and family composition and relationship variables. Results: Grandparent(s) coresidence was associated with higher odds of being physically active for at least 60 min daily in the past 7 days but was not significantly associated with frequency/time of vigorous intensity physical activity. In addition, grandparent(s) coresidence was associated with higher odds of exceeding 2 hr of daily screen time during weekdays and weekend days. Discussion: Interventions aimed at promoting Latino children’s physical activity should pay particular attention to use of screen-based media among children living with grandparents. In addition, it may be promising to involve Latino grandparents in promotion of Latino children’s physical activity. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
      PubDate: Thu, 19 Aug 2021 00:00:00 GMT
       
  • Family health conversations versus support group conversations when a
           family member has been critically ill: A mixed methods study.

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      Abstract: Introduction: When a family member has been critically ill and cared for at an intensive care unit the individual family member as well as the family system are affected and in need of support. The aim of this study was to compare and contrast the responses from 2 different types of follow-up interventions for families of critically ill persons, focusing on individual hopes, health-related quality of life, family functioning and ability to cope with challenges. Method: Adult family members from 3 hospitals attended 1 of 2 interventions 2 months after intensive care. The family health conversation included the family. The support group conversation included just family members and not the patient who had experienced intensive care. Data were collected via self-reported questionnaires and follow-up interviews with family members. Quantitative and qualitative data were first analyzed separately, and the results were then integrated through mixed methods analysis. Results: A total of 38 family members took part in the interventions. Family members in the 2 intervention groups talked about how they had more hope for the future, and about how talking within the family and the group had helped them justify their feelings, which empowered them in the transition toward a healthier quality of life. Comparisons of the interventions show a higher significance of family function and hope in the family health conversation. Discussion: The article illustrates a disparity between how family members function and the needs they have for follow-up. We discuss what kind of follow-up these persons need. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
      PubDate: Thu, 19 Aug 2021 00:00:00 GMT
       
  • “We are a family with diabetes”: Parent perspectives on siblings of
           youth with type 1 diabetes.

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      Abstract: Having a child with type 1 diabetes (T1D) impacts the entire family system. Parental distress and burden have been well studied, but other family members, including siblings, have received little attention. Based on research about family life and sibling experiences in other chronic condition populations (e.g., autism, cancer), we expected parents of youth with T1D would report that siblings participated in T1D management and that T1D had a psychological impact on siblings. As part of a larger qualitative study, parents of youth with T1D age 5–17 (M = 10.8 ± 3.6 years) participated in semistructured interviews about T1D-specific health-related quality of life. For this study, we conducted secondary analyses on transcripts from 20 parents (95% mothers) from households with at least 1 sibling of the child with T1D. Three themes emerged: (a) siblings share the workload and help with T1D management, (b) T1D takes an emotional toll on siblings, and (c) parents feel guilty about prioritizing T1D over siblings’ needs and desires. Parents recognized siblings have impactful roles in T1D management and family functioning. Future research into these themes can guide clinical and research efforts to develop sibling-inclusive resources and interventions for families with T1D. Enhancing family-focused interventions to recognize and support the needs of siblings may ultimately improve family T1D-related quality of life. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
      PubDate: Thu, 19 Aug 2021 00:00:00 GMT
       
  • Online training of behavioral health providers for primary care practice.

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      Abstract: Introduction: Many behavioral health providers have not received training in primary care practice during their education. Since 2007, the online Certificate in Primary Care Behavioral Health course has been completed by thousands of behavioral health providers. An evaluation of the course assessed whether learner’s baseline confidence in their abilities to address behavioral health concerns in primary care settings changed over time, whether learning outcomes for live offerings of the course differed from asynchronous offerings, and whether learning outcomes for psychologists and social workers differed. Method: Learners were asked to rate their confidence in their abilities using 10 retrospective pre–post questions. Responses from 14 cohorts of learners, between 2011 and 2019 were assessed. T-tests and analyses of variance were used to compare groups. Results: Learners’ baseline confidence in their abilities changed in three of the areas assessed. Those completing the course asynchronously reported outcomes equal to or greater than those completing the course synchronously. In all but one domain, psychologists and social workers reported equal increases in their confidence. Discussion: Learners reported significant improvements in confidence in their ability to work as behavioral health providers in primary care. With one exception, these findings did not differ for psychologists and social workers. Over time, baseline confidence of behavioral health providers enrolling in the course increased in some areas, particularly those focused on patients with substance use disorders. Learning outcomes for the asynchronous version of the course support the continued delivery of asynchronous training of behavioral health providers working in primary care. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
      PubDate: Thu, 19 Aug 2021 00:00:00 GMT
       
  • Emergency medical care utilization, romantic attachment, and psychological
           distress in pregnant adolescent and young adult couples.

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      Abstract: Purpose: The present study investigated the association of one’s own and one’spartner’s emergency medical care utilization during pregnancy with psychological distress in adolescent and young adult couples. Effect modification by sex and romantic attachment style was also explored. Method: Participants were pregnant adolescent and young adult couples recruited from 4 university-affiliated hospitals in Connecticut. Participants self-reported demographics, emergency medical care utilization (emergency room or overnight hospitalization), romantic attachment style, and psychological distress at baseline during the second or third trimester. Multilevel models were estimated to account for interdependence within couples. Results: One’s own and one’s partner’s emergency medical care was associated with higher levels of psychological distress only at low levels of avoidant attachment (−1 SD), B = 2.20, p< .001, and, B = 1.15, p = .097, respectively (associations were not significant at high levels of attachment avoidance, ps> .12). No significant interactions emerged for medical care utilization with sex or attachment anxiety. Conclusions: Emergency medical care utilization during pregnancy was associated with higher psychological distress only for individuals reporting lower avoidant attachment. These individuals may have more resources to deal with distress (e.g., coping, social support), and may therefore also be more capable of experiencing it. Tailoring interventions to bolster healthy romantic attachment and relational wellbeing could improve mental health outcomes in at-risk pregnant adolescent and young adult couples. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
      PubDate: Thu, 19 Aug 2021 00:00:00 GMT
       
  • Tier-based treatment for opioid use disorder in the primary care setting.

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      Abstract: Background: Two primary care clinics implemented an opioid use disorder (OUD) treatment program that integrates behavioral health counseling with buprenorphine treatment and uses tiers. This project aimed to understand how patients moved through tiers in this program. Method: We purposively sampled 20 patients with at least 10 OUD-related treatment visits; we documented tier changes at all visits between September 1, 2016 and December 31, 2018 using a standard data collection instrument. These data were used to construct run-charts. Results: About 45% of sampled patients had at least one relapse noted and 60% of patients dropped in tier during the study. Reductions in tier often happened when the patient was navigating difficult psychosocial situations in their life, whereas increases in tier often accompanied positive life events. We also found variation in use of the tiers. Discussion: OUD treatment from two clinics by tier illustrates that recovery is an individualized process based on patient need that can fluctuate due to psychosocial triggers and significant life events. Having tiers can guide treatment and provide both clinicians and patients with information about what to expect during treatment while still allowing the flexibility to meet patients where they are. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
      PubDate: Thu, 19 Aug 2021 00:00:00 GMT
       
  • Patients’ perspectives of brief cognitive behavioral therapy for chronic
           pain: Treatment satisfaction, perceived utility, and global assessment of
           change.

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      Abstract: Introduction: Brief Cognitive Behavioral Therapy for Chronic Pain (Brief CBT-CP) is a biopsychosocial treatment designed to improve access to nonpharmacological pain care in primary care. Results from a clinical demonstration project in Veterans Health Administration (VHA) clinics showed rapid improvement in pain outcomes following Brief CBT-CP treatment in Primary Care Behavioral Health (PCBH). As part of this larger project, the current work aimed to understand patients’ perspectives of Brief CBT-CP via a self-report survey completed posttreatment. Method: Thirty-four primary care patients received Brief CBT-CP as part of their usual VHA care and subsequently completed an anonymous survey that included questions regarding treatment modality, intervention content, utility, and satisfaction, as well as global assessment of change in pain-related functioning. Results: Participants reported that Brief CBT-CP content was useful (91%) and that they were satisfied with the intervention overall (89%), including appointment length, frequency of encounters, and comprehensibility of content. On average (M = 4.50, SD = 1.71), participants reported “somewhat better” to “moderately better” pain-related functioning following treatment. Exploratory descriptive analysis indicated that self-reported change in function following treatment may vary by patient characteristics, including gender and opioid use history. Discussion: Patients were receptive to Brief CBT-CP, were satisfied with their experience during treatment, and reported benefit in pain-related functioning after treatment. Further development and evaluation of Brief CBT-CP as a feasible biopsychosocial treatment option for pain in primary care clinics using the PCBH model of integration is warranted. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
      PubDate: Thu, 19 Aug 2021 00:00:00 GMT
       
  • Source-specific social support and psychosocial stress among mothers and
           fathers during initial diagnosis of type 1 diabetes in young children.

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      Abstract: Background: Given parents’ elevated stress following children’s diagnoses of type I diabetes (T1D), more information about protective factors is needed. The current study examined social support from various sources (e.g., partner, family, general) in relation to stress among mothers and fathers of young children shortly following T1D diagnosis. Methods: Participants included 157 children ages 1–6 recently diagnosed with T1D and their parents (152 mothers and 59 fathers) who were enrolled in a behavioral randomized controlled trial (RCT). Mothers and fathers self-reported on their demographic background, social support and stress; T1D data were parent report and/or gathered from medical records. Results: Maternal and paternal stress were examined in two separate regression models. Higher general social support predicted less stress for both mothers and fathers. For mothers, higher family support predicted less stress, while college educations status predicted more stress. For fathers, more partner support predicted less stress. Discussion: Findings contribute to the literature on gender differences in source-specific social support and psychosocial functioning in a pediatric health population. Sample characteristics limit generalizability of results, and future studies should aim to include diverse samples. Results have both scientific and clinical implications for supporting families following T1D diagnosis. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
      PubDate: Thu, 19 Aug 2021 00:00:00 GMT
       
  • A step at a time.

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      Abstract: In this issue of Families, Systems, and Health are two articles that inch us on our winding way forward as we try to help people become healthier. This article takes stock of where we are now, starting from the start, equipped with three of our foundational guiding principles, and sighting our polestar to see what our best next moves might be. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
      PubDate: Thu, 19 Aug 2021 00:00:00 GMT
       
  • Development and functionality of a pediatric behavioral health registry
           for integrated and collaborative care models.

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      Abstract: Introduction: Using clinical registries to collect and monitor individual, case-level, and population health-relevant variables has been found to be effective at improving outcomes in adult populations. However, due to multiple barriers unique to pediatric care, there are limited available registries for youth and limited studies investigating their effectiveness for pediatric populations. This paper describes a process to develop clinical BH registries to address the BH needs of youth. Method: The registry development process employed a community-hospital-accountable care organization (ACO) stakeholder partnership as part of a population health initiative within the ACO to develop a pediatric focused clinical BH registry. The development process used the exploration, preparation, implementation, sustainment (EPIS) strategy within the implementation science framework. Results: The developed registry collects clinical, operational, and population health relevant variables that are important to guiding the development and sustainment of the initiatives outcomes. Stakeholders have determined the registry to be feasible and to meet the needs of the initiative. Discussion: We created a pediatric clinical BH registry that is sensitive to the unique needs of youth across a broad range of common BH needs. While it is not without limitations, this paper serves as an example of a generalizable process to create functional registries for youth. Limitations and future directions are discussed. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
      PubDate: Thu, 19 Aug 2021 00:00:00 GMT
       
  • Adapting a whole health model to home-based primary care: Bridging
           

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      Abstract: Through the integration of Whole Health for Life into the Department of Veterans Affairs (VA) health care system, the VA aims to transform health care delivery from a disease management approach to one that embraces person-centered care. The home-based primary care (HBPC) program is a care model that, within the VA, provides holistic primary care services to homebound veterans with multiple chronic medical conditions, mental health issues, and functional declines. These veterans may have limited access to VA programs delivered in a traditional outpatient format. This article describes adaptations to the whole health model of care that could improve its accessibility and applicability to HBPC veterans, caregivers, and the interdisciplinary teams that serve this population. These modifications are informed by whole-person geriatric and gerontological and family-systems theories and address population-based differences in the focus and approach to care. The focus on care is expanded to (a) reflect the importance of attending to caregiver needs and well-being and (b) shift from a preventative model to one that prioritizes resilience and maintenance. The approach to care emphasizes alternative modes of delivery, adaptations to interventions, and integration of geriatric-specific medical considerations into the self-care domains and more directly centers the collaboration between family, the VA, and community partners. This adapted model also addresses the unique needs of health care teams providing in-home services to medically complex veterans and offers suggestions for enhancing self-care and preventing burnout. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
      PubDate: Thu, 19 Aug 2021 00:00:00 GMT
       
  • The cry into the darkness of a burned out physician.

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      Abstract: This poem focuses on physicians who experience emotional burnout. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
      PubDate: Thu, 19 Aug 2021 00:00:00 GMT
       
  • Nomination of Parinda Khatri for Don Bloch Award, 2020.

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      Abstract: This article focuses on Parinda Khatri, PhD, who was nominated for the annual Don Bloch Award. This award is the quintessential organizational award for members who have advanced the field of collaborative care, and who show intellectual, behavioral, and relational qualities. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
      PubDate: Thu, 19 Aug 2021 00:00:00 GMT
       
  • Don Bloch Award acceptance.

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      Abstract: This article focuses on Parinda Khatri's acceptance of the Don Bloch Award and her acceptance speech. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
      PubDate: Thu, 19 Aug 2021 00:00:00 GMT
       
  • Calm: A review of the mindful meditation app for use in clinical practice.

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      Abstract: This article provides a brief review of Calm, a mindfulness meditation app and its potential uses in a clinical practice. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
      PubDate: Thu, 19 Aug 2021 00:00:00 GMT
       
  • Review of transforming teamwork: Cultivating collaborative cultures.

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      Abstract: Teams, especially interdisciplinary teams, are now common in integrated care settings. Many behavioral health providers and physicians will work in teams for much of their careers. Transforming Teamwork: Cultivating Collaborative Cultures is a timely publication that aims to help teams improve by offering the rationale and guidance for enhancing teams and teamwork. The book is broadly applicable to organizations that want to learn how to improve teams, including organizations with diverse, interdisciplinary team members. The authors, with backgrounds in education, leadership development, and instruction, provide practical help to leaders and team members to improve their collective efficacy and produce actionable learning. Transforming Teamwork is framed around a “triple helix” of transformational teamwork: psychological safety, constructive conflict, and actionable team learning. The book unpacks the why and how of effective teamwork, providing useful tools and techniques for groups and individuals to apply in real-world settings. Part 1 explores how psychological safety underlies transformative teamwork by allowing for open exchange of different ways of thinking among team members. Part 2 describes the important role of conflict in teamwork and how team members can cultivate productive responses to conflict. Part 3 aims to guide teams past personal biases to carefully ask questions, listen, develop coherent team knowledge, and take action. Proficiency scales throughout the book clearly illustrate what unproductive, productive, and transformative types of teamwork look like. This practical guide satisfactorily provides answers to questions about the why and how of effective teams and teamwork. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
      PubDate: Thu, 19 Aug 2021 00:00:00 GMT
       
  • Developing antiracist integrated health professionals.

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      Abstract: As the Collaborative Family Healthcare Association (CFHA) has increased its focus on justice, diversity, and inclusion in integrated care delivery, it is increasingly evident that widespread upstream transformation is needed to ensure that the integrated care workforce is appropriately prepared to deliver equitable care. This column highlights the need for systemic change in admissions standards, integrated care curricula, student mentorship/sponsorship, and faculty development within higher education in order to support the success of Black, Indigenous, and People of Color (BIPOC) students and increase antiracist approaches among health care professionals. CFHA members working in, or in collaboration with, academia are uniquely poised to influence higher education systems to promote diversity, inclusion, and antiracism among future integrated health professionals. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
      PubDate: Thu, 19 Aug 2021 00:00:00 GMT
       
  • Identifying and overcoming barriers to trauma screening in the primary
           care setting.

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      Abstract: Introduction: Underrecognition of trauma exposure and PTSD has a significant impact on psychiatric health, physical health, and health behaviors. The purpose of this study is to explore barriers and opportunities for trauma screening in primary care. Methods: Primary care physicians (PCPs) and their patients were interviewed about the acceptability of trauma screening and brief treatment in primary care. Interview transcripts were coded and analyzed for themes using Atlas v. 7.0. Results: Data showed PCPs informally screen for trauma but were hampered by organizational constraints including time, availability of behavioral health providers, and knowledge of trauma-informed-care practices. Most patients with trauma history met with behavioral health providers during their lifetimes, but still did not believe it was the PCPs’ role to address trauma exposure, had fears of “appearing crazy,” or were ambivalent about seeking treatment. Discussion: Findings suggest an enormous complexity involved in screening for trauma in primary care service delivery. Trauma screening appears to work best within the course of relationship building where patients can begin to see that their physician is capable of playing an important role in managing trauma, depression, and PTSD symptoms. We address how trauma discussion can take place within existing trauma informed care guidelines. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
      PubDate: Thu, 13 May 2021 00:00:00 GMT
       
  • Health-related quality of life in parents and partners of people with type
           1 diabetes: Development and validation of type 1 diabetes and life (T1DAL)
           measures.

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      Abstract: Introduction: Despite the significant impact of type 1 diabetes (T1D) on family, few instruments are available to assess health-related quality of life (HRQOL) among family members of people with T1D. This study aimed to develop and evaluate the psychometric properties of new measures of diabetes-specific HRQOL for parents and partners of people with T1D. We report on the multistep development and validation process for the self-report Type 1 Diabetes and Life (T1DAL) measures, with versions for parents of youth age
      PubDate: Mon, 26 Apr 2021 00:00:00 GMT
       
  • Child and family predictors of relative weight change in a low-income,
           school-based weight management intervention.

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      Abstract: Introduction: Minority and low-income children are underrepresented in school-based weight management programs despite higher risk of obesity and the external contexts that influence their success are largely unknown. This study examines predictors of weight outcomes following the socioecological model in a school-based weight management intervention implemented in an elementary school serving primarily low-income, Black youth. Methods: Children (n = 145; ages 4–9) participated in an 8-month school-based weight management intervention that included components to increase physical activity, promote healthy eating, and engage parents. Children had height and weight measured at baseline and postprogram and parents completed questionnaires at baseline. Socioecological predictors (e.g., child demographic, parent beliefs and attitudes, family and home environment, and social contexts of the family) of zBMI change were assessed using linear regressions. Results: Weight change over the program differed by baseline weight status such that children with obesity lost weight, while children of healthy weight and with overweight gained weight. Children who were younger and had healthier family food choices at baseline were better able to maintain their weight, whereas children from food insecure families gained weight. Discussion: Children of different weight categories from low-income families vary in their response to universally delivered school-based weight management programs. Future work should consider how to address needs of children from different weight classes as well as to effectively target children with risk factors for excessive weight gain (e.g., older, food insecure, less healthful food choices), which may involve broader or more integrative approaches. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
      PubDate: Thu, 22 Apr 2021 00:00:00 GMT
       
  • Mental health therapists’ perceived barriers to addressing intimate
           partner violence and suicide.

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      Abstract: Introduction: Intimate partner violence (IPV) and suicide are pressing public health issues, yet their intersection in mental health care settings is understudied. We conducted a qualitative study to characterize mental health therapists’ personal and system barriers in preparation for an upcoming training curriculum seeking to help patients address these interconnected issues. Method: We partnered with an urban community mental health center in New York to facilitate focus groups grounded in community-based participatory research principles. Twenty-three therapists formed 3 focus groups. Participant responses were audio-recorded, transcribed, and coded using Bronfenbrenner’s socioecological model. We performed a primary qualitative framework analysis, coding for therapist barriers in addressing the intersection of IPV-suicide at individual, relational, community, and societal levels. Results: Therapists perceived numerous barriers in all 4 domains. Individually, some struggled with feelings of helplessness and a lack of appropriate training. At the relational level, therapists expressed apprehension about harming the therapeutic relationship by discussing IPV and suicide at length. From a community perspective, therapists voiced concerns for clients’ limited local access to support systems and financial resources. Societal barriers included policy-related limitations such as length of appointment times. Discussion: Community mental health center therapists face considerable barriers working with patients affected by IPV and suicide. The socioecological model is a fitting framework for understanding multisystem barriers at individual, relational, community, and societal levels. A better understanding of these challenges is critical for advancing therapist education, enhancing patient outcomes, and improving health systems. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
      PubDate: Thu, 11 Feb 2021 00:00:00 GMT
       
  • Testing a Screening, Brief Intervention, and Referral to Treatment (SBIRT)
           interdisciplinary training program model for higher education systems.

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      Abstract: Introduction: An estimated 21 million Americans meet the criteria for a substance use disorder (SUD), whereas 24% of the population engages in risky alcohol use leading to tremendous health and economic impacts (Substance Abuse and Mental Health Services Administration, 2017). Opioid misuse is a national public health emergency, with an estimated 46,802 opioid-related deaths occurring in 2018 (National Center for Health Statistics, 2020). Despite the high prevalence of risky substance use and SUDs, preservice education related to screening for and treating SUDs in health and behavioral health professions is inadequate (Dimoff, Sayette, & Norcross, 2017; Russett & Williams, 2015; Savage et al., 2014; Tabak et al., 2012). A critical need exists for an interdisciplinary, implementation science–informed approach for developing academic training programs in the Screening, Brief Intervention, and Referral to Treatment (SBIRT) model within higher education systems. Method: We delineate a training model implemented within 5 health and behavioral health disciplines (nursing, social work, clinical psychology, counseling psychology, and integrated behavioral health), informed by prominent implementation scientists (Proctor et al., 2011; Rogers, 2003). Results: Faculty surveys (n = 33), interviews (n = 24), and syllabi and training records reviews indicated the Brief Intervention, and Referral to Treatment model was infused into course content by 89.47% of trained faculty and sustained in 90.47% of course syllabi at project close. Conclusion: The model demonstrated successful uptake and sustainability in higher education systems. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
      PubDate: Thu, 21 Jan 2021 00:00:00 GMT
       
  • Prescription pain medication use among midlife and older adults with
           chronic pain: The roles of generativity and perceived family support.

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      Abstract: Introduction: This study examined the roles of generativity (i.e., the need to care for and contribute to future generations) and perceived family support in prescription pain medication use among midlife and older adults with chronic pain. Methods: The sample consisted of 826 participants with chronic pain from the Midlife in the United States data set (Midlife in the United States III, 2013–2014). Results: The results of a moderated mediation analysis indicated that generativity significantly mitigated the negative association between pain interference and perceived family support, and those with high generativity reported consuming more prescription pain medications at all levels of pain interference. Discussion: The findings indicated the protective roles of generativity in attenuating the detrimental effects of chronic pain on family support and suggested the potential roles of perceived family support and generativity in medication adherence among midlife and older adults with chronic pain. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
      PubDate: Thu, 21 Jan 2021 00:00:00 GMT
       
 
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