Author: Brian S McGowan, PhD

Abstract
AIM:
This paper is a report of a study to identify the content of, and participation in, medicine discussion between nurse prescribers and people with diabetes in England.
BACKGROUND:
Diabetes affects 246 million people worldwide and effective management of medicines is an essential component of successful disease control. There are now over 20,000 nurse independent prescribers in the UK, many of whom frequently prescribe for people with diabetes. With this responsibility comes a challenge to effectively communicate with patients about medicines. National guidelines on medicines communication have recently been issued, but the extent to which nurse prescribers are facilitating effective medicine-taking in diabetes remains unknown.

via Medication discussion between nurse prescribers a… [J Adv Nurs. 2011] – PubMed – NCBI.

Abstract
AIM:
The aim of the project/evaluation was to establish a Community of Practice (CoP) with the purpose of enhancing the skills of the workforce and developing learning resources to improve service delivery for people with long-term conditions.
BACKGROUND:
International and national policy drivers espousing new community-based inter-agency models of delivery have led to rapid transformation of services for people with long-term conditions. Many in the workforce lack the skills required to respond to the increased acuity of patients or function within a fully integrated, inter-agency service.

via ‘Closing the gap’–a partnership approach t… [Nurse Educ Today. 2012] – PubMed – NCBI.

Abstract
Ulcerative Colitis (UC) together with Crohn’s disease (CD) belongs to inflammatory bowel diseases (IBD). IBD is to date as frequent as Insulin Dependent Diabetes (IDDM) and is second to Rheumatoid Arthritis (RA) in its chronicity. The majority (91%) of patients with UC have a mild to moderate disease course eligible for 5-ASA treatment. Poor adherence in UC is a well known phenomenon, which is associated with a 5-fold increased risk of relapse and increased health care costs.

via E-health: Web-guided therapy and disease self-mana… [Dan Med J. 2012] – PubMed – NCBI.

Abstract
PURPOSE:
Dietary adherence can be challenging for patients with coronary heart disease (CHD), as they may require multiple dietary changes. Choosing appropriate food items may be difficult or take extensive amounts of time without the aid of technology. The objective of this project was to (1) examine the dietary challenges faced by patients with CHD, (2) examine methods of coping with dietary challenges, (3) explore the feasibility of a Web-based food decision support system, and (4) explore the feasibility of a mobile-based food decision support system.

via A qualitative analysis of … [J Cardiopulm Rehabil Prev. 2012 Jul-Aug] – PubMed – NCBI.

Abstract
Uncontrolled blood pressure remains a major public health issue. Medication adherence is a key factor in blood pressure management; however, adherence behavior is not clearly understood and the most significant factors contributing to poor medication adherence and blood pressure control are unknown. The purpose of this study was to determine the relationship of self-monitoring of blood pressure, medication adherence, self-efficacy, stage of change, and blood pressure control among municipal workers with access to health insurance.

via Relationship of blood pressure self-mon… [Workplace Health Saf. 2012] – PubMed – NCBI.

Abstract
OBJECTIVE:
The objective was to evaluate parallel patient and physician computer-mediated communication skill training on participants’ report of skill use and patient satisfaction.
METHODS:
Separate patient and clinician web-tools comprised of over 500, 10-s video clips demonstrating patient-centered skills in various ways. Four clinician members of the American Academy of Family Physicians National Research Network participated by enrolling 194 patients into a randomized patient trial and 29 physicians into a non-randomized clinician trial of respective interventions. All participants completed baseline and follow-up self-report measures of visit communication and satisfaction.

via The impact of patient and physician compu… [Patient Educ Couns. 2012] – PubMed – NCBI.

Abstract
Adherence is defined as the adequacy between the behaviours of patients and their medical prescriptions. Adherence is a general behaviour, which can explain why patients in the placebo arm of randomised clinical trials have a lower mortality rate when they are adherent. We propose that this behaviour is related to two character traits: patience (capacity to give priority to the future) and, more provocatively, obedience.

via Two character traits associated with… [Diabetes Res Clin Pract. 2012] – PubMed – NCBI.

Abstract
OBJECTIVE:
To systematically review the literature to identify interventions that improve minority health related to colorectal cancer care.

via Interventions to improve care related to co… [J Gen Intern Med. 2012] – PubMed – NCBI.

Abstract
Depression is a relatively common clinical disorder and can be difficult to effectively treat according to findings from the Sequenced Treatment Alternatives to Relieve Depression study. Given this working terrain, patient adherence with antidepressant therapy is a critical aspect of effective clinical management. However, according to contemporary data (i.e., over the past 10 years), approximately 50 percent of psychiatric patients and 50 percent of primary care patients prematurely discontinue antidepressant therapy (i.e., are nonadherent when assessed at six-months after the initiation of treatment).

via Antidepressant adherence: are patients t… [Innov Clin Neurosci. 2012] – PubMed – NCBI.

Abstract
BACKGROUND:
Adherence to cardioprotective medications in the year after acute coronary syndrome hospitalization is generally poor and is associated with increased risk of rehospitalization and mortality. Few interventions have specifically targeted this high-risk patient population to improve medication adherence. We hypothesize that a multifaceted patient-centered intervention could improve adherence to cardioprotective medications.

via Patient-centered adherence int… [Circ Cardiovasc Qual Outcomes. 2012] – PubMed – NCBI.