Primary Health Care

Publication Title: 
Pain Medicine (Malden, Mass.)

OBJECTIVE: This manuscript reviews peer-reviewed literature published from 2010-2012 relevant to the management of chronic pain in the primary care setting. DESIGN: Narrative review of peer-reviewed literature. METHODS: We searched MEDLINE, PubMed, and reference lists and queried expert contacts for English-language studies related to the management of chronic noncancer pain in adult patients in primary care settings.

Author(s): 
Frank, Joseph W.
Bair, Matthew J.
Becker, William C.
Krebs, Erin E.
Liebschutz, Jane M.
Alford, Daniel P.
Publication Title: 
Journal of Clinical Child and Adolescent Psychology: The Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53

Hundreds of validated evidence-based intervention programs (EBIP) aim to improve families' well-being; however, most are not broadly adopted. As an alternative diffusion strategy, we created wellness centers to reach families' everyday lives with a prevention framework. At two wellness centers, one in a middle-class neighborhood and one in a low-income neighborhood, popular local activity leaders (instructors of martial arts, yoga, sports, music, dancing, Zumba), and motivated parents were trained to be Family Mentors.

Author(s): 
Rotheram-Borus, Mary Jane
Swendeman, Dallas
Becker, Kimberly D.
Publication Title: 
The Journal of the American Board of Family Practice

BACKGROUND: Although emerging evidence during the past several decades suggests that psychosocial factors can directly influence both physiologic function and health outcomes, medicine had failed to move beyond the biomedical model, in part because of lack of exposure to the evidence base supporting the biopsychosocial model. The literature was reviewed to examine the efficacy of representative psychosocial-mind-body interventions, including relaxation, (cognitive) behavioral therapies, meditation, imagery, biofeedback, and hypnosis for several common clinical conditions.

Author(s): 
Astin, John A.
Shapiro, Shauna L.
Eisenberg, David M.
Forys, Kelly L.
Publication Title: 
The Journal of the American Board of Family Practice

BACKGROUND: Although emerging evidence during the past several decades suggests that psychosocial factors can directly influence both physiologic function and health outcomes, medicine had failed to move beyond the biomedical model, in part because of lack of exposure to the evidence base supporting the biopsychosocial model. The literature was reviewed to examine the efficacy of representative psychosocial-mind-body interventions, including relaxation, (cognitive) behavioral therapies, meditation, imagery, biofeedback, and hypnosis for several common clinical conditions.

Author(s): 
Astin, John A.
Shapiro, Shauna L.
Eisenberg, David M.
Forys, Kelly L.
Publication Title: 
Journal of Health Organization and Management

PURPOSE: The paper aims to take a reflective stance on the relationship between policy/evidence and practice, which, the authors argue, is conceptually under-developed. The paper aims to show that current research perspectives fail to frame evidence and policy in relation to practice. DESIGN/METHODOLOGY/APPROACH: A qualitative study was conducted in the English NHS in four Primary Care Trusts (PCTs). Seventy-five observations of meetings and 52 semi-structured interviews were completed.

Author(s): 
Gkeredakis, Emmanouil
Swan, Jacky
Powell, John
Nicolini, Davide
Scarbrough, Harry
Roginski, Claudia
Taylor-Phillips, Sian
Clarke, Aileen
Publication Title: 
Journal of Nursing Scholarship: An Official Publication of Sigma Theta Tau International Honor Society of Nursing

BACKGROUND: Patients with chronic pain, depression, and substance use disorder (SUD) are often treated in primary care settings. An estimated 52% of patients have a diagnosis of chronic pain, 5% to 13% have depression, and 19% have SUD. These estimates are likely low when considering the fact that 50% of primary care patients with depression and 65% with SUD are undiagnosed or do not seek help. These three conditions have overlapping neurophysiological processes, which complicate the treatment outcomes of a primary physical illness.

Author(s): 
Barrett, Kathleen
Chang, Yu-Ping
Publication Title: 
Journal of the American Academy of Nurse Practitioners

PURPOSE: To provide nurse practitioners (NPs) with clinical research about Mindfulness-Based Stress Reduction (MBSR) and demonstrate its usefulness for reducing stress in a variety of populations. DATA SOURCES: A literature review was conducted using the following databases: EBSCO, Cinahl, Pschyline, and Medline. English language articles published between 2000 and 2006 in peer-reviewed journals were reviewed. Search terms "mindfulness,"meditation," and "stress" were used. Additional information was obtained through select, reputable Internet sites.

Author(s): 
Praissman, Sharon
Publication Title: 
Clinical Psychology Review

Research has consistently demonstrated a link between the experience of adverse childhood experiences (ACEs) and adult health conditions, including mental and physical health problems. While a focus on the prevention or mitigation of adversity in childhood is an important direction of many programs, many individuals do not access support services until adulthood, when health problems may be fairly engrained. It is not clear which interventions have the strongest evidence base to support the many adults who present to services with a history of ACEs.

Author(s): 
Korotana, Laurel M.
Dobson, Keith S.
Pusch, Dennis
Josephson, Trevor
Publication Title: 
Annals of Family Medicine

PURPOSE: Positive effects have been reported after mindfulness-based interventions (MBIs) in diverse clinical and nonclinical populations. Primary care is a key health care setting for addressing common chronic conditions, and an effective MBI designed for this setting could benefit countless people worldwide. Meta-analyses of MBIs have become popular, but little is known about their efficacy in primary care. Our aim was to investigate the application and efficacy of MBIs that address primary care patients.

Author(s): 
Demarzo, Marcelo M. P.
Montero-Marin, Jesús
Cuijpers, Pim
Zabaleta-del-Olmo, Edurne
Mahtani, Kamal R.
Vellinga, Akke
Vicens, Caterina
López-del-Hoyo, Yolanda
García-Campayo, Javier
Publication Title: 
Health Technology Assessment (Winchester, England)

BACKGROUND: Individuals with a history of recurrent depression have a high risk of repeated depressive relapse/recurrence. Maintenance antidepressant medication (m-ADM) for at least 2 years is the current recommended treatment, but many individuals are interested in alternatives to m-ADM. Mindfulness-based cognitive therapy (MBCT) has been shown to reduce the risk of relapse/recurrence compared with usual care but has not yet been compared with m-ADM in a definitive trial.

Author(s): 
Kuyken, Willem
Hayes, Rachel
Barrett, Barbara
Byng, Richard
Dalgleish, Tim
Kessler, David
Lewis, Glyn
Watkins, Edward
Morant, Nicola
Taylor, Rod S.
Byford, Sarah

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