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At least 19 recordsLinked to original sources

Follow-up attrition in alcohol treatment studies: is 'no news' bad news, good news or no news?

It is generally thought that loss of data for a substantial portion of subjects in alcohol treatment follow-up studies positively biases outcome results. However, the data upon which this claim has been based relates to subjects who are initially difficult to locate but who were later found, and not subjects who were actually lost to follow-up. Similarly, data are lacking regarding the functioning of subjects who drop out of a study before the completion of follow-up. In this paper some limited data are presented from an alcohol treatment outcome study which suggest that there may be an important difference between subjects who are lost to follow-up and those who voluntarily terminate their participation in follow-up. Specifically, those subjects lost to follow-up were functioning poorly prior to being lost, whereas at the time of termination, those who discontinued follow-up were functioning about as well as other subjects in the study. It is suggested that the use of multiple follow-up contacts can provide additional data on subjects who are eventually lost to or drop out of follow-up.

Adult↗

The good news about giving bad news to patients.

BACKGROUND: There are few data available on how physicians inform patients about bad news. We surveyed internists about how they convey this information. METHODS: We surveyed internists about their activities in giving bad news to patients. One set of questions was about activities for the emotional support of the patient (11 items), and the other was about activities for creating a supportive environment for delivering bad news (9 items). The impact of demographic factors on the performance of emotionally supportive items, environmentally supportive items, and on the number of minutes reportedly spent delivering news was analyzed by analysis of variance and multiple regression analysis. RESULTS: More than half of the internists reported that they always or frequently performed 10 of the 11 emotionally supportive items and 6 of the 9 environmentally supportive items while giving bad news to patients. The average time reportedly spent in giving bad news was 27 minutes. Although training in giving bad news had a significant impact on the number of emotionally supportive items reported (P <.05), only 25% of respondents had any previous training in this area. Being older, a woman, unmarried, and having a history of major illness were also associated with reporting a greater number of emotionally supportive activities. CONCLUSIONS: Internists report that they inform patients of bad news appropriately. Some deficiencies exist, specifically in discussing prognosis and referral of patients to support groups. Physician educational efforts should include discussion of prognosis with patients as well as the availability of support groups.

Attitude of Health Personnel↗

Health and medical news on the Web: comparing the results of news-providing Web resources.

News changes constantly. That change and the abundance of Web-based news resources available complicate finding the news. This paper reviews sixteen different online news sources for their coverage of recent health and medical issues; both general-interest and medical news sites are included. Three health-related news stories were searched in all resources within set time-frames to provide a comparison of coverage. Features and types of resources are described. The use of RSS feeds and weblogs to find news is also discussed with suggestions for using news aggregators to control the flow of information.

Internet↗

Do People Prefer to Pass Along Good or Bad News? Valence and Relevance of News as Predictors of Transmission Propensity

Anecdotal evidence seems to indicate that exaggeratedly bad news may propagate in the marketplace of ideas. Three studies investigate whether people prefer to pass along pieces of bad news or good news that are equated for "surprisingness." People typically prefer to pass along central rather than extreme information (i.e., news that is less surprising rather than more surprising). However, when confronted with extreme information, the results support a preference for congruence, that is, people prefer to pass along news that is congruent with the emotional valence of the domain in question. This means that in emotionally negative domains, contrary to some theoretical predictions, people are willing to pass along bad news even when it is exaggeratedly bad. At the same time, however, people transmit exaggeratedly good news in emotionally positive domains. The general discussion indicates how these results may inform research on word of mouth for consumer products and social relations in organizations.

Journal Article↗

Clinical practice guidelines. Good news, bad news, or no news?

Clinical practice guidelines for primary care providers that address the detection, diagnosis, and treatment of depression may have an impact on psychiatric practice as well as on general medical education and the research agenda. This commentary highlights the conceptual and scientific issues that surrounded the development of these guidelines and speculates on their potential practical impact, particularly on psychiatry.

Depressive Disorder↗

Medical news for the public to use? What's on local TV news.

BACKGROUND: Local television news is the number 1 source of information for most Americans, and media health reporting has increased significantly during the past 10 years. OBJECTIVE: To evaluate the health topics and reporting characteristics of health stories on local television news across the United States. STUDY DESIGN: Content analysis of full-length broadcasts of local television news from a representative sample of the top 50 US media markets (122 stations). METHODS: Two trained coders evaluated all health stories for topics and reporting characteristics. Any discrepancies were resolved by a third independent coder. RESULTS: Among 2795 broadcasts reviewed, 1799 health stories were aired. Seventy-six percent of all stories were about medical conditions. The median story airtime was 33 seconds. Breast cancer and West Nile virus were the 2 most common topics reported on. Among 1371 stories about disease, few gave recommendations, cited specific data sources, or discussed prevalence. Egregious errors were identified that could harm viewers who relied on the information. CONCLUSIONS: Local television news devotes significant airtime to health stories, yet few newscasts provide useful information, and some stories with factually incorrect information and potentially dangerous advice were aired. Regularly reaching 165 million people, local television news has the power to provide health information to most Americans. It is crucial that television reporting of health news be improved and that reporting errors be eliminated.

Humans↗

Health education on the six-o'clock news. Motivating television coverage of news in medicine.

Prepackaged video news releases are being increasingly used to motivate television stations to cover stories in medicine and public health in their news programs. On Feb 26, 1987, the Office on Smoking and Health, US Department of Health and Human Services, distributed a prepackaged video news release to television stations across the country, calling attention to the new health warnings required on smokeless tobacco packages and advertisements. The video was sent by satellite as well as by overnight mail to selected stations. To assess the use of the video, we surveyed 76 stations that had been targeted by special intervention. These stations were in major metropolitan areas in states with a higher prevalence of smokeless tobacco use. Seventeen (22.4%) of the stations aired the story using our video during the six days following the satellite feed, reaching an estimated 2.8 million households. Another 20 stations reported that they were holding the video for use in the near future or for file footage. We conclude that the distribution of prepackaged video news stories can be an effective, relatively inexpensive technique to communicate health information to a large audience.

Health Education↗

Gene therapy for immune disorders: good news tempered by bad news.

After a dozen years of human gene therapy trials characterized by minimal gene correction and disappointing clinical impact, the field of gene therapy received some good news in 2000. Infants with X-linked severe combined immunodeficiency who received retroviral gene addition to cells from their bone marrow developed impressive immune reconstitution. During the following 2 years, additional patients were treated and the news was even better-babies receiving gene therapy had sustained T-cell production and in several cases developed better cell function than most patients treated with standard bone marrow transplants. Unfortunately, bad news followed. Three of the patients experienced leukemic T-cell expansions, found to be associated with retroviral insertions into genomic DNA. Where does the field stand today?

Bone Marrow Transplantation↗

Daily news alerts selected by AIDS Treatment News: www.connotea.org/group/aidsnew.

Now you can follow treatment news as it happens at AIDSNEW, a free service of AIDS Treatment News. We select important, quality reports in medical journals, AIDS treatment sites, and the general press, and publish Web links to them, all in one place at www.connotea.org/group/aidsnew -- often on the first day the news is available anywhere. No need to subscribe, register, or log in. Just visit http://www.connotea.org/group/aidsnew -- then scroll down and click any of the titles for more information. You can use almost any computer and Web browser.

HIV Infections↗

Bad news and good news: what the dentist needs to know about transmissible spongiform encephalopathies.

Since reports of the "mad cow disease" epidemic in Great Britain erupted in the international press, sensational and intimidating articles about the risk that bovine spongiform encephalopathy and related diseases may pose to humans have appeared. The bad news is that compelling scientific evidence suggests so-called prion disease can and has infected humans, although the overall risk appears to be low. Furthermore, at present, there is no reliable antemortem diagnosis, specific treatment, or vaccine to prevent the disease. The agent thought to be responsible for this unusual class of disease is a rogue protein (called a prion) that, unlike all other agents known to cause infectious disease, contains neither DNA nor RNA. According to a popular hypothesis, normal membrane-associated prion proteins undergo conformational changes that can cause disease. The "bad" prion forms cause holes or a spongy appearance in the brain in all disease variants, hence the generic designation of spongiform encephalopathy. The good news is that risk for exposure to prion disease is exceedingly remote in the dental practice and that current universal infection control procedures are probably sufficient.

Animals↗