Self - management competence as a predictor of the outcomes of intensive therapy or
usual care for youth with type 1 diabetes
Fortunately, conducting randomized trials over the decades, intervention researchers have produced numerous manual - guided, evidence - based treatments (EBTs) for depression, anxiety, and conduct in youth.2 Unfortunately, these treatments have not been incorporated into most everyday clinical practice.3 - 5 A common view is that the complexity and comorbidity of many clinically referred youths, whose problems and treatment needs can shift during treatment, may pose problems for EBT protocols, which are typically designed for single or homogeneous clusters of disorders, developed and tested with recruited youths who differ from patients seen in everyday clinical practice, and involve a predetermined sequence of prescribed session contents, limiting their flexibility.3 - 8 Indeed, trials testing these protocols against
usual care for young patients in clinical practice have produced mixed findings, with EBTs often failing to outperform usual care.7, 9
Review: evidence - based psychotherapies are more effective than
usual care for young people with psychopathology: effects are influenced by location of care and participant characteristics
Question: Is modular psychotherapy more effective than standard psychotherapy or
usual care for depression, anxiety and conduct problems in youths?
There is a growing evidence base in support of the effectiveness of acupuncture for a range of musculoskeletal conditions11, 12; however, despite its widespread use by participants13 there has been limited evidence for acupuncture as an effective treatment option for depression.14 Patients with strong preferences for psychotherapy or counselling for depression are not likely to engage in antidepressant treatment, 15 yet the evidence for counselling as a treatment for depression is limited16 despite widespread utilisation in primary care in the UK, with around 90 % of general practices providing on - site counselling services.17 To address this evidence gap, a randomised controlled trial Acupuncture, Counselling or
Usual Care for Depression (ACUDep) compared acupuncture or counselling to usual care as treatments for primary care patients with ongoing depression.18 The results showed that acupuncture and counselling were clinically effective in reducing depression in the short to medium term.
All patients also received
usual care for dual diagnosis patients consisting of weekly psychotherapy sessions and weekly meetings with a psychiatrist.
Question: How effective is adding cognitive behavioural therapy (CBT) to pharmacotherapy - based
usual care for primary care patients with treatment resistant depression?
One group received
usual care for neck pain that may have included medication or traditional physical therapy.
One compared volunteer counsellor support in antenatal and postnatal period to usual care (Graffy 2004), one compared proactive with reactive telephone support for mothers living in disadvantaged circumstances (Hoddinott 2012), one compared breastfeeding support and encouragement for mothers of preterm infants to usual care (Junior 2007), one compared home nurse visits to
usual care for «well» breastfeeding newborns and mothers (Paul 2012), one compared prenatal paediatric home visits to usual care (Serwint 1996), and one compared support from a close female confidante to usual care (Winterburn 2003).
Not exact matches
True, the state does have a wealth of pharmaceutical and health
care companies (Merck, Wyeth, Merck), and a relatively high per capita GDP ($ 49,038), suggesting there's more money than
usual to pay
for health
care.
The disturbing selections — which, to give the editors full credit, are faithfully green - lettered — suggest that the whole idea of «God's
care for creation» is far more complex than our
usual pieties indicate.
December 1998) is filled with his
usual precision,
care, and love
for the Church.
If you do not know Christ (He is in scripture from Genesis through Revelation, if you
cared to look), except
for the
usual few well - known and - worn quotes out of context, why are you writing about Him?
Wenger and the mgt keep ranting how we now have money but when, it comes to biding wars they start shivering like a bunch of pussies.I remember no single comment section here the dm schinederin was not mentioned here, now he has gone to utd deluded fan say utd did nt win title after spending last time.They spent and improved from no. 7 To 4 now they will challenging
for title no doubt, next season will be tough rivals are strengtheng, wenger has his
usual new signing from injuries.I do nt
care wether we add more players, but will be akb till wenger lifts the epl title!!!
I don't even
care if it sounds arrogant, but this is turning out to be our worst season ever, not simply due to the fact a team in the championship two seasons ago has now surpassed us to practically win the premier league, but
for all the taunts we've given spurs they look like the only team able to challenge them, this all in a season where our
usual rivals have capitulated.
Don't really
care how much we get as long as he is off the payroll, he is a layabout lazy pretentious millionaire who doesn't deserve to wear arsenal shirt
for at least two seasons now but as
usual wenger doesn't see that apart from poor arsenal punters
This is just business as
usual for NBC, who
care only
for ratings, and diversity doesn't figure in there schedule at all.
Who
cares about conte I'm looking forward to Sunday not worrying about some Chelsea palava, I think lamar might be a smokescreen
for another player or yanking our chains as
usual with wenger
You are still recovering from major surgery and getting less sleep than
usual all while figuring out and
caring full - time
for a new human.
You will find that
caring for a newborn baby is exhausting, as the baby will wake up during the night and your
usual sleep pattern will be disturbed; try to nap while your baby sleeps during the day; this will ensure that you get enough rest to look after yourself and your baby as effectively as possible.
Read about surprising ways premature babies in the NICU turn the
usual baby rules upside down and how you can better
care for y...
Milking a goat is not the
usual classroom activity
for the kids in Title XX Day
Care, but a new program takes the students to the goats as part of an after - school nutrition education program at Lincoln Park «s Farm in the Zoo.
Arriving at the island with the afternoon ahead of us, Joel unloaded the boat and set up while I went about my
usual business of
caring for the baby.
For parents planning births outside of the hospital, it is also important to know your midwife's usual plan for transfer of care (prenatally and in labor), whether or not surgical birth is part of your birth pl
For parents planning births outside of the hospital, it is also important to know your midwife's
usual plan
for transfer of care (prenatally and in labor), whether or not surgical birth is part of your birth pl
for transfer of
care (prenatally and in labor), whether or not surgical birth is part of your birth plan.
Your health
care provider will still be watching
for the
usual things, like your baby's heart rate, any signs of infection in your urine, a...
Bivariate analyses showed a significant difference between the groups regarding breastfeeding initiation rate (79 vs. 66 vs. 63 %, respectively; P < 0.05)
for the intervention, attention control, and
usual care groups.
While it is nice to have alone time with your partner,
caring for a baby can be even more exhausting than
usual when traveling.
In addition to the
usual questions, ask whether the doctor
cares for many premature infants.
The intervention was not aimed at facilitating breastfeeding, rather the trial compared women who were randomized to early hospital discharge with telephone follow - up (with home visits by nurses only
for those women who left hospital within 36 h of the birth «to encourage them to leave the hospital early») versus
usual care with later discharge from hospital.
For this update the quality of the evidence was assessed using the GRADE approach as outlined in the GRADE handbook in order to assess the quality of the body of evidence relating to the following primary outcomes for the comparison, All forms of support versus usual ca
For this update the quality of the evidence was assessed using the GRADE approach as outlined in the GRADE handbook in order to assess the quality of the body of evidence relating to the following primary outcomes
for the comparison, All forms of support versus usual ca
for the comparison, All forms of support versus
usual care.
As
usual, the tools don't
care who uses them, and neither Democratic nor Republican campaigns have inherent advantages online, other than the ones they create
for themselves.
In a
usual New York City election year, most of the political world does not
care much
for the comptroller's race.
Last week, the New York State Assembly passed a one - house bill creating a program that would allow workers to take time off to
care for a new child or sick loved one while receiving a portion of their
usual pay.
Many Americans think the state scheme will combine the
usual characteristics of nationalised service — they think the cost will be too high
for taxpayers, whilst the quality and volume of
care delivered will be disappointing.
The infants all received
usual care — regularly scheduled diagnostic examinations by an ophthalmologist who determined whether their ROP had a severity that warranted referral
for further evaluation (designated RW - ROP).
Rupert M. Pearse, M.D., of Queen Mary University of London, and colleagues randomly assigned patients (50 years of age or older) undergoing major gastrointestinal surgery to a cardiac output - guided hemodynamic therapy algorithm
for intravenous fluid and inotrope (dopexamine) infusion during and 6 hours following surgery (n = 368) or to
usual care (n = 366).
«We also need to become more thoughtful about what
usual source of
care might mean
for this age group,» Ford said.
Patients were randomly assigned to receive
usual care, which included detailed self - management educational materials without a formal exercise prescription, or
usual care plus a 36 - session supervised exercise program
for the first 3 months, transitioning to home exercise
for 2 years.
«In conclusion, 40 mg of daily simvastatin added to
usual care did not reduce exacerbation rate or prolong time to exacerbation in moderate to severe COPD patients at risk
for exacerbation,» the researchers reported.
Richard J. McManus, F.R.C.G.P., of the University of Oxford, and colleagues randomly assigned 552 patients with hypertension and a history of stroke, coronary heart disease, diabetes, or chronic kidney disease to self - monitoring of blood pressure combined with an individualized self - titration algorithm or a control group (patients received
usual care consisting of seeing their health
care clinician
for routine blood pressure measurement and adjustment of medication if necessary).
The NHS healthcare costs were lower
for both breathing retraining groups than
for the
usual care control group, and were lowest when access was provided digitally.1 Savings made by delivering the programme in this way outweigh any technology provision costs.
The PACE trial, published in The Lancet in 2011 [2], examined the effects of three different treatments
for people with CFS, compared with
usual specialist medical
care (SMC): cognitive behaviour therapy (CBT, where a health professional helps the patient to understand and change the way they think about and respond to their symptoms), graded exercise therapy (GET, a personalised and gradually increasing exercise programme delivered by a physiotherapist), and adaptive pacing therapy (APT, where patients adapt activity levels to the amount of energy they have).
«We need to find ways of integrating palliative
care concepts in patients»
usual care experiences so it isn't a luxury, but a standard part of health
care for those living with serious illness.»
Adding either exercise therapy or manual therapy to
usual medical
care is beneficial
for people with hip and knee OA, the study's authors concluded.
Researchers in New Zealand studied 206 OA patients
for two years to measure the efficacy of adding regular physical exercise, manual therapy, or a combination of both therapies to standard
care, versus continuing
usual medical
care for OA alone.
After two years, all the participants who engaged in either regular exercise, manual therapy or a combination of both showed improved WOMAC scores that were superior to those who had only the
usual medical
care for OA.
However, no data existed to compare the addition of these treatment approaches to
usual medical
care for OA or
for the long - term efficacy of this holistic approach.
In a small, single - center clinical trial, Chadwick Miller, M.D., M.S., and colleagues found that evaluating older, more complex patients in the observation unit with stress cardiac MRI, as opposed to
usual inpatient
care, reduced hospital readmissions, coronary revascularization procedures and the need
for additional cardiac testing.
This review shows that,
for some mental health problems, the use of non-specialist health workers has some benefits compared to
usual care.»
It is also notable that the reduction in falls reported in the current trial is made in comparison to a treadmill walking intervention of similar intensity, as opposed to no intervention or
usual care... Mirelman and colleagues» findings have important implications
for clinical practice.