Dietitian-Led Diet Intervention Program Results in Low Attrition Rates and Successful Clinical Outcomes

2008 ◽  
Vol 108 (9) ◽  
pp. A97
Author(s):  
K.L. Edens ◽  
S. Bjerkness ◽  
L. Xu ◽  
F. Lopez-Jimenez
Keyword(s):  
Clinical Outcomes ◽  
Intervention Program ◽  
Attrition Rates ◽  
Diet Intervention

Selecting Skills To Teach Communication Partners: Where Do I Start?

2012 ◽  
Vol 21 (4) ◽  
pp. 127-135 ◽  
Author(s):  
Cathy Binger ◽  
Jennifer Kent-Walsh
Keyword(s):  
Clinical Outcomes ◽  
Intervention Program ◽  
Communication Partners ◽  
Multiple Challenges

Abstract Clinicians and researchers long have recognized that teaching communication partners how to provide AAC supports is essential to AAC success. One way to improve clinical outcomes is to select appropriate skills to teach communication partners. Although this sometimes seems like it should be a straightforward component of any intervention program, deciding which skills to teach partners can present multiple challenges. In this article, we will troubleshoot common issues and discuss how to select skills systematically, resulting in the desired effects for both communication partners and clients.

scholarly journals 2795. Clinical and Economic Impact of a Ribavirin Intervention Program in Hematopoietic Cell and Solid-organ Transplant Recipients with Respiratory Syncytial Virus Infection

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S987-S988
Author(s):  
Emily Leonard ◽  
Rebekah Wrenn ◽  
Jennifer Saullo ◽  
Richard H Drew ◽  
Richard H Drew ◽  
...  
Keyword(s):  
Respiratory Syncytial Virus ◽  
Clinical Outcomes ◽  
Acquisition Cost ◽  
Intervention Program ◽  
Organ Transplant ◽  
Solid Organ Transplant ◽  
Solid Organ ◽  
Immunocompromised Patients ◽  
Cost Avoidance ◽  
Syncytial Virus

Abstract Background While data are limited, oral ribavirin (RBV) has been shown to be a cost-effective alternative to aerosolized RBV for the treatment of respiratory syncytial virus (RSV) in immunocompromised patients with significant reductions in acquisition and administration costs. We evaluated the clinical and economic impact of an RBV intervention program at a large, academic medical center. Methods This single-center, retrospective cohort study evaluated hematopoietic cell and solid-organ transplant patients admitted to Duke University Hospital (DUH) with documented or suspected RSV receiving aerosolized and/or oral RBV from July 2013 to April 2018. The ID consult service approval requirement was initiated for aerosolized RBV beginning in October 2015. Education was done at this time to promote oral RBV as the preferred therapy for immunocompromised, RSV-infected adults and children. No restrictions or treatment protocols were in place prior to that time for either formulation. Clinical outcomes, adverse effects, and drug acquisition cost were collected. A cost-avoidance analysis was performed using DUH acquisition cost for actual and alternate RBV therapy. Results A total of 118 treatments (115 unique adult and pediatric patients) were included. Demographics were comparable between groups with and median age was 52 years in the Oral RBV and 61 years in the Aerosol RBV group. The predominant transplant type was lung (62.5% in Oral RBV and 55.6% in Aerosol RBV) followed by hematopoietic (16.7% in Oral RBV and 27% in Aerosol RBV). The median (range) duration of therapy was 4 (1–16) days for oral RBV and 5 (1–23) days for aerosolized RBV. The total cost avoidance was $2,522,915 with oral RBV. Clinical outcomes are summarized in Table 1. Conclusion In our large tertiary care center, the use of oral RBV led to substantial cost avoidance with clinical outcomes comparable to aerosolized RBV in immunocompromised patients. Larger prospective trials evaluating oral RBV for RSV treatment are warranted. Disclosures All authors: No reported disclosures.

scholarly journals The first year of the Venlo percutaneous coronary intervention program: procedural and 6-month clinical outcomes

2013 ◽  
Vol 21 (10) ◽  
pp. 449-455 ◽  
Author(s):  
K. A. Mol ◽  
B. M. Rahel ◽  
F. Eerens ◽  
S. Aydin ◽  
R. P. Th. Troquay ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Clinical Outcomes ◽  
Intervention Program ◽  
Coronary Intervention ◽  
First Year ◽  
Percutaneous Coronary

The effects of a multicomponent intervention program on clinical outcomes associated with falls in healthy older adults

2018 ◽  
Vol 30 (9) ◽  
pp. 1101-1110 ◽  
Author(s):  
Young-Hee Cho ◽  
Olfat Mohamed ◽  
Barbara White ◽  
Savitri Singh-Carlson ◽  
Vennila Krishnan
Keyword(s):  
Older Adults ◽  
Clinical Outcomes ◽  
Intervention Program ◽  
Healthy Older Adults ◽  
Multicomponent Intervention

scholarly journals Eficacia de un programa de intervención grupal con mujeres víctimas de violencia de género en el marco de las terapias contextuales

2020 ◽  
Vol 36 (2) ◽  
pp. 188-199
Author(s):  
Rosario Vaca-Ferrer ◽  
Rafael Ferro Garcia ◽  
Luis Valero-Aguayo
Keyword(s):  
Clinical Outcomes ◽  
Battered Women ◽  
Emotional Abuse ◽  
Intervention Program ◽  
Behavioral Activation ◽  
Outcome Measure ◽  
Physical Violence ◽  
Gender Violence ◽  
Risk Indicators ◽  
Evaluation Outcome

El objetivo de este trabajo es evaluar empíricamente la eficacia de un programa de intervención con mujeres víctimas de violencia de género. El programa en conjunto se enmarca dentro de las Terapias Contextuales, específicamente se ha utilizado la Psicoterapia Analítica Funcional, combinada con la Terapia de Aceptación y Compromiso y la Activación Conductual. Se ha llevado a cabo en formato grupal, durante 11 sesiones de 2 horas cada una. Participaron un total de 21 mujeres (de una media de edad de 45 años), que habían sufrido violencia física y/o abuso emocional por parte de sus parejas, en diferente grado e intensidad, y en diferentes momentos en sus vidas. Se ha utilizado un diseño intragrupo con medidas pre-post. Se realizaron tres grupos de tratamiento en diferentes ciudades con 6 a 8 mujeres cada uno. Para medir la intervención se ha aplicado el cuestionario Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM). Los resultados han mostrado una disminución estadísticamente significativa en la severidad del malestar, han disminuido los indicadores de riesgo de suicidio, y han mejorado las conductas problemáticas dentro y fuera de las sesiones, además de incrementarse la apertura hacia los demás. Se discute la utilidad de las terapias contextuales para mejorar la calidad de vida de mujeres maltratadas, y su utilidad de aplicación en grupos en las instituciones públicas. The goal of this study is to empirically evaluate the efficacy of an intervention program with women victims of gender violence. Specifically, Functional Analytical Psychotherapy has been used, combined with Acceptance and Commitment Therapy, and Behavioral Activation. It has been carried out in group format, during 11 sessions of 2 hours each. A total of 21 women participated (an average of 45 years-old), who had suffered physical violence and/or emotional abuse by their partners, with different degrees and intensity, and at different moments of their lives. An intra-group design with pre-post measures was used. Three treatment groups were carried out in different cities with 6 to 8 women each one. To measure the intervention, the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) questionnaire was applied. The results has shown a statistically significant decrease in the severity of discomfort, decreased suicide risk indicators, improved problem behavior inside and outside sessions, and increased openness to others. The usefulness of contextual therapies to improve the quality of life of battered women and their usefulness for application in groups in public institutions are discussed.

scholarly journals Client Retention in Community Treatment: Completer and Noncompleter Experiences of an Individualized, Needs-Based Partner Abuse Intervention Program

2020 ◽  
pp. 088626052090735
Author(s):  
Dominic A. S. Pearson ◽  
Chloe D. Steward ◽  
Amy K. Ford
Keyword(s):  
Therapeutic Alliance ◽  
Intervention Program ◽  
Partner Abuse ◽  
Community Treatment ◽  
Future Research ◽  
Subjective Experiences ◽  
Community Partner ◽  
Structured Interviews ◽  
Attrition Rates ◽  
Treatment Readiness

There has been increased interest in the subjective experiences of participants of community partner abuse intervention programs (PAIPs). In the context of high attrition rates, qualitative research is needed to understand the factors associated with sustained engagement and dropout. Using a community nonmandated PAIP, the current study is a rare investigation of the experiences of both completers and noncompleters. We explored the differences between completers’ and noncompleters’ perceptions of the treatment process, the reasons for sustained program engagement, and the perceived outcomes of treatment. Semi-structured interviews were completed with 14 participants: nine completers and five noncompleters. The majority of participants were referred by children’s social care and were unemployed at the time of interview. The interviews were conducted by research staff independent from the treatment-providing organization. Three themes emerged from the data: (a) Treatment as Challenging Yet Enlightening, (b) the Importance of a Well-timed and Safe Therapeutic Environment, and (c) Improved Emotional Self-Management Due to Treatment. Results highlighted how structured individualized sessions, underpinned by a strong therapeutic alliance with facilitators, helped participants increase their interpersonal problem-solving and communication skills. The study reinforced the importance of developing a therapeutic alliance and providing structured individualized treatment characterized by flexibility and accessibility. Noncompletion was perceived as related to known risk factors and treatment readiness. Therefore, it may be beneficial to employ screening measures to monitor these factors. Future research should use larger, more diverse samples to further investigate subjective experiences of PAIP completers and, particularly, noncompleters to enhance the limited literature in this area.

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