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PubMed1985

Advances in the clinical development of antiepileptic drugs.

In this paper we describe advances in the clinical development of antiepileptic drugs as a function of the Antiepileptic Drug Development Program of the National Institute of Neurological and Communicative Disorders and Stroke. This program encompasses both the preclinical and clinical elements of drug development through the Anticonvulsant Screening Project, the Toxicology Project, and the support of controlled clinical trials of potential new drugs that emerge from these projects and promise to be more effective and less toxic than those currently available for the treatment of epilepsy.

Animals↗
PubMed1976

Medical injury information. A preparation for analysis and implementation of prevention programs.

The purpose of this communication is to offer the medical community an analytic design for a system to gather data about patients' injuries found in malpractice litigation. The goal of this system is to determine the causes of these injuries. The information to be gained will be of substantial benefit for the development of injury-preventive programs within the health care field.

Communication↗
PubMed2003

Promising outreach practices: enrolling low-income children in health insurance programs in California.

Strategies used by outreach workers to successfully enroll underserved and uninsured California children into low cost health insurance programs such as MediCal and Healthy Families are examined. Outreach workers are particularly effective in enrolling and retaining hard to reach populations, especially immigrant families, in health programs. Skilled in grassroots communications and members of the communities they serve, outreach workers are key to building viral community support. Effective outreach depends on the selection of outreach workers with appropriate personal characteristics and then training them in a number of core competencies. This article analyzes the main avenues used by outreach workers within the First Things First demonstration project: person-to-person contact, utilization of existing of institutions, and public communication strategies. Structural and systemic barriers remain to enrolling children in public health insurance programs that exceed the scope of outreach workers. Thus, effective outreach programs should address both structural issues and staff selection and training.

Adolescent↗
PubMed2001

[Models of health behavior].

One of the challenges for health professionals is to understand how individuals adopt and maintain healthy behaviours that lead to a better quality of life. This review of health behaviour models will help nurses determine appropriate interventions, and enhance programs that promote health and prevent sickness in individuals or groups of individuals. In order to establish priorities and to prevent omitting important points in planning such health programs, many theoretical and conceptual models have attempted to explain health behaviours as well as the indicators of compliance. The purpose of this article is to summarise the most utilised health behaviour models, to offer a schematic representation, and to explain the advantages and disadvantages of each model. Until now, no article had reviewed these models into the same work. This article will be of assistance to nurse researchers and clinicians working in health prevention, who are interested in choosing a health behaviour model to plan a scientific research, or to develop a clinical program. The models are presented according to the following classifications: cognitive value expectation; theories of personality; communication theories; models of program planning; and models of integration.

Attitude to Health↗
PubMed2003

Abstinence education for rural youth: an evaluation of the Life's Walk Program.

This paper summarizes an evaluation of a school-based sexuality education program, an abstinence-only program, taught in public schools to eighth- and 10th-graders. The program uses infant simulators to provide adolescents with a realistic view of parenting and to encourage them to delay initiation of sexual behavior until marriage. Two evaluations are summarized here. The first evaluation used a pretest-posttest design. Significant increases in parent-adolescent communication, knowledge about sexuality, and sexual behavior were found. No changes were found in attitudes toward teen sexual activity. The second evaluation employed a quasi-experimental design with a treatment group and a comparison group, with testing delayed four months after the program. No group differences were found in attitudes, behavior, or communication. Program effects were found only for knowledge about sexuality.

Adolescent↗
PubMedDate not supplied

[Evaluation of compliance with dengue fever prevention: the case of Catanduva, São Paulo, Brazil].

This paper presents the results of a qualitative survey on dengue fever prevention in an outlying neighborhood of Catanduva, São Paulo, Brazil. The research aimed to identify factors that interfere with on-going preventive practices by local residents. The authors began with a qualitative approach emphasizing preventive work within local women's daily context, mediated by the relationship they establish with vector control agents. The study indicates that to gain greater collaboration in dengue control requires: personalized consideration by both the programs and vector control agents, yet without excluding technical aspects; review of information content and communications methods: and training vector control agents to establish an on-going communications channel between the program and the population. Such factors can influence the population's interest in the prevention programs and minimize community discredit towards vector control activities.

Adolescent↗
PubMed2004

Managing transitional work--program foundation.

A comprehensive TWP is a critical element in any disability management effort. The program must be developed just as any successful worksite program is: with management support, teamwork, a coordinator, written policies and procedures, effective marketing, and communications. In addition, the program must be evaluated and continuously improved. A successful program will contribute to the location's bottom line as well as improve the health of employees.

Disability Evaluation↗
PubMed1995

Implementing corporate wellness programs: a business approach to program planning.

1. Support of key decision makers is critical to the successful implementation of a corporate wellness program. Therefore, the program implementation plan must be communicated in a format and language readily understood by business people. 2. A business approach to corporate wellness program planning provides a standardized way to communicate the implementation plan. 3. A business approach incorporates the program planning components in a format that ranges from general to specific. This approach allows for flexibility and responsiveness to changes in program planning. 4. Components of the business approach are the executive summary, purpose, background, ground rules, approach, requirements, scope of work, schedule, and financials.

Commerce↗
PubMed2006

Evaluation of a liaison librarian program: client and liaison perspectives.

OBJECTIVES: This paper describes a survey-based evaluation of the five-year old Liaison Librarian Program at the University of Florida. METHODS: Liaison librarians, faculty, students, staff, residents, and post-doctoral associates were queried via Web-based surveys. Questions addressed client and liaison perspectives on a variety of issues, including program and service awareness and usage, client-library relations and communication, client support for the program, and liaison workload. RESULTS: Approximately 43% of the 323 client respondents were aware of liaison services; 72% (n = 163) of these clients had had contact with their liaison. Ninety-five percent (n = 101) of faculty and students who reported contact with their liaison supported the continuation of the program. Liaison services were used by a greater percentage of faculty than students, although they had similar patterns of usage and reported the same "traditional" services to be most important. Liaisons indicated that communications with clients had increased, the reputation of the library was enhanced, and their workloads had increased as a result of the Liaison Librarian Program. CONCLUSIONS AND RECOMMENDATIONS: Survey results suggest that the Liaison Librarian Program has a core set of clients who use and highly value the services provided by liaisons. Recommendations addressing workload, training, marketing, and administrative support are provided.

Communication↗
PubMed2006

Diffusion of innovations and network segmentation: the part played by people in promoting health.

OBJECTIVE: The objective of this study was to describe how diffusion of innovations theory can integrate mass media, interpersonal communication, and social network analysis. These principles can be used to implement and tailor data-based health promotion activities. GOAL: The goal of this study was to develop a model for using and incorporating interpersonal communication into health promotion programs designed to encourage behaviors that reduce the spread of sexually transmitted diseases (STDs)/HIV. STUDY DESIGN: The authors conducted a review of selected studies that exemplify how diffusion of innovations theory has applied interpersonal communication to promote STD/HIV preventive health behaviors. RESULTS: Few studies have incorporated interpersonal communication as an intervention strategy to encourage STD/HIV preventive behavior. Interventions that have used interpersonal communication have observed successes in health promotion and increases in safer sex behaviors. CONCLUSIONS: This study shows that social network analysis can be used to design more appropriate and perhaps more effective health promotion programs.

Communication↗
PubMed2005

Peace Talk: a relational approach to group negotiation among Arab and Israeli youths.

In response to conflict in the Middle East, a group intervention for Arab and Jewish youths has been developed to promote communication and healing. Using ethnographic observations of this relational, group-based program, this study examines the complexities involved in peace negotiation group work. There was evidence that although this program is met with real-life challenges and oppositional forces, such as genuine danger in negotiation between Arabs and Jews, the program showed success in encouraging otherwise untenable communication. Using this program as a starting point, this study engages the wider issue of the inherent difficulties faced by interventions that pursue mutual empathy, empowerment, and conflict tolerance between individuals and groups that are historically and politically at odds.

Adolescent↗
PubMedDate not supplied

Inter-rater reliability of the Pennsylvania independent monitoring for quality program's essential data elements scale.

The purpose of the independent monitoring for quality (IM4Q) program is to bridge communication between individuals with mental retardation and the service providers on whom they rely. The IM4Q program uses an interview (essential data elements survey) to gather information about the lives of individuals with mental retardation. Collaboration between individuals with mental retardation, family members, and community members provides diverse interviewing teams. This study evaluates inter-rater reliability of the essential data elements (EDE) survey. Findings show that 73 of the 74 questions had monitor agreement scores of 85% or higher Inter-rater reliability of the Pennsylvania independent monitoring for quality program's essential data elements scale.

Adolescent↗
PubMedDate not supplied

Creating a research culture: what we can learn from residencies that are successful in research.

BACKGROUND AND OBJECTIVES: Despite a growing need for family practice to contribute to the national primary care research agenda, the specialty is ill-equipped to assume a more active role. Information about residency programs that are successful in research is a valuable resource for increasing family medicine's research capacity. METHODS: A three-stage investigation was completed in May 1996, consisting of 1) a telephone survey of family practice residency program directors, 2) a mail survey of recent graduates from relatively successful programs identified in stage 1, and 3) in-depth interviews with the program directors or research directors identified by combining data from the first two stages. RESULTS: Most residents in the programs included in stage 2 completed a research project (68.7%) and currently have an interest in practice-based research (57.2%). Residents from programs selected for the study's final stage were more likely to have published a research article (32% versus 20.3%) and to have completed a project while a resident (81% versus 60.1%) than those from the programs not selected. Virtually unanimous characteristics of successful programs include program director support of research, time for research, faculty involvement, a research curriculum, professional support, and opportunities for presenting research. CONCLUSIONS: Individual family practice residencies can be considered to be at one of three levels with respect to their level of research activity: 1) relatively undeveloped, 2) developing, or 3) relatively developed. Programs can expect successful results if they make research a priority, and means are needed for communicating successful strategies between programs.

Family Practice↗
PubMedDate not supplied

Communication for HIV/AIDS prevention in Kenya: social-cultural considerations.

The acquired immune deficiency syndrome (AIDS) epidemic is spreading fast in Africa in spite of the various efforts and resources put in place to prevent it. In Kenya, reproductive health programs have used the mass media and other communication interventions to inform and educate the public about the disease and to promote behavior change and healthy sexual practices. This effort has led to a discrepancy between awareness and behavioral change among people of reproductive age. In this article I examine the discrepancy in Kenya from a communications perspective addressing social cultural and related factors contributing to the lack of change in behavior and sexual practices. I draw on the theoretical framework of Grunig's model of excellence in communication, the importance of understanding and relationship building between programs and their stakeholders. Data were gathered qualitatively using focus groups and in-depth interviews among men and women in rural Kenya. Key findings indicate that although awareness of sexually transmitted diseases (STDs) including human immunodeficiency virus (HIV)/AIDS is high in Kenya, a majority of the population, particularly those in the rural communities, lack understanding of the communicated messages. They also lack the knowledge of other ways of transmitting HIV particularly among those not sexually involved. Cultural beliefs, values, norms, and myths have played a role in the rapidly increasing epidemic in the rural communities and yet HIV/AIDS communication programs have not addressed these factors adequately. I conclude that successful behavior change communication must include strategies that focus on increasing understanding of the communicated messages and understanding of the audience through application of appropriate methodologies. Building a relationship with the audience or stakeholders through dialogues and two-way symmetrical communication contributes toward this understanding and the maintenance of the newly adopted behaviors and practices.

Adolescent↗
PubMed1995

Developing collaborative partnerships between inpatient nephrology and outpatient dialysis units.

Communication and consistency of care among nurses in a nephrology program improves continuity of care for end-stage renal disease patients. Programs and processes that one large nephrology program has used to improve communication among departments include contribution of all staff to one care plan, designation of an inpatient peritoneal dialysis nurse, joint continuing education programs for staff, collaborative planning, and research partnerships.

Ambulatory Care↗