Annals of family medicine
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Annals of family medicine · Jan 2023
Assessing Electronic Cigarette Use and Depressive Symptoms among Adolescents in Kansas.
Purpose: The use of electronic cigarette has been increasing among adolescent in the United States population. With depression as a major risk factor for suicide in adolescent, this study examined depressive symptoms and electronic cigarette dependence in this age group. Methods: The authors conducted a retrospective patient chart review at a pediatric clinic in the Midwestern United States, from May 2021 to September 2021. ⋯ Findings of the mixed model analyses indicated that there was not a significant association between electronic cigarette dependence and depressive symptoms (OR=1.07; 95% confidence interval, 0.93-1.23; P=.0365). Conclusions: Our finding shows that while a third of adolescents screened positive for depression and majority (88%) depended on electronic cigarettes, there was no association between the outcomes. Future larger studies are needed to better understand the association between electronic cigarettes dependence and depressive symptoms as reported in the literature.
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Annals of family medicine · Jan 2023
Adaptation and Content Validation of a Patient-Reported Measure of Treatment Burden for use in Stroke Survivors (PETS-Stroke).
Context: Treatment burden is defined as the workload of healthcare for people with long-term conditions and the impact on wellbeing. Stroke survivors often live with considerable treatment burden because of high healthcare workload alongside deficiencies in care provision that can make navigating healthcare systems and managing health more difficult. Ways of measuring treatment burden after stroke are currently lacking. ⋯ The final PETS-stroke tool has 34-items, spanning 13 domains. It includes 10 items unchanged from PETS, 6 new and 18 amended. Conclusions: The development of a systematic method of quantifying treatment burden from the perspective of stroke survivors will allow for the identification of patients at high risk of treatment burden and will aid the design and testing of tailored interventions aimed at lessening treatment burden.
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As a physician and pregnant person, I reflect on my experiences providing abortion care in 2 disparate states, one protective of abortion rights and one with significant restrictions on abortion. I write this timely letter to my unborn daughter to impart the importance of abortion access and moreover, bodily autonomy for all.
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Annals of family medicine · Jan 2023
Contextualizing Diabetes and Obesity Care for Immigrant and Refugee Populations.
Context: Personalized healthcare strategies are recommended for diabetes and obesity. This approach helps to identify and address root causes and barriers to patients' health, and provides them with a sense of agency in healthcare. To develop such strategies for migrant patients, there should be a deeper understanding of their situation. ⋯ Conclusions: Our findings highlight the challenges of intercultural care in primary care settings. CHWs like the MCHB can provide context for healthcare providers, thereby supporting a personalized and context-informed care that understands the intersecting realities of migrant populations. Collaborations with CHWs in primary care have widespread implications for improving healthcare and reducing health disparities for migrants with diabetes and/or obesity.
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Annals of family medicine · Jan 2023
Community Based Participatory Research (CBPR) to develop a Deprescribing Intervention.
Context: Older adults are at high risk for medication harm from polypharmacy and potentially inappropriate medications. Patient-driven deprescribing is an emerging approach aimed at increasing patient knowledge and strengthening self-advocacy skills. We used Community Based Participatory Research (CBPR) to engage stakeholders in developing an educational intervention on patient-driven deprescribing. ⋯ The study contributes to deprescribing research as an example of how CBPR may be used to engage older adults in developing a deprescribing study. Including stakeholders in the research design provides an equitable voice to those impacted by the intervention. Further, it provides insight to the research team on how to better equip patients with the correct knowledge and tools to become empowered participants in their healthcare decisions.