PAIN THAT LIMITS PHYSICAL ACTIVITY AFFECTS COGNITION IN ADULTS

Abstract Reduced cognitive skills have been observed in adults with chronic pain. The purpose of this study was to explore the relationship between pain and cognition in adults utilizing a large national sample. This was a cross-sectional study employing the 2015 wave of the Behavioral Risk Factor Surveillance System (BRFSS). A total of 134,058 adults had complete data on the variables of interest for this study. Half of the sample (50%; n = 66,479) reported having joint symptoms or arthritis that was physically limiting and 16% (n = 21,976) reported having difficulty concentrating, remembering, or making decisions. Twelve percent (n = 16,537) of this sample reported having both physically limiting pain and difficulty concentrating and remembering. Chi-square analyses reveal a statistically significant association between pain and cognition in this sample [X2(1, N= 134,058) = 6925.5, p<.01], with a small to medium effect size (phi=0.227). This study provides support that pain is associated with difficulty concentrating and remembering in adults. Pain is a common persistent symptom among older adults and its effect on cognitive functioning should be noted. Effective pain treatment strategies are warranted to help reduce the cognitive burden of chronic pain. In turn, in older adults who are experiencing concentration or memory problems, health care providers should assess the individual’s pain as a possible contributor. Additional studies assessing both pain and cognition are warranted, especially looking at the relationship of these conditions over time.

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Extended Breastfeeding in Poland: Knowledge of Health Care Providers and Attitudes on Breastfeeding Beyond Infancy

Journal of Human Lactation ◽

10.1177/0890334418819448 ◽

2018 ◽

Vol 35 (2) ◽

pp. 371-380 ◽

Cited By ~ 1

Author(s):

Barbara Baranowska ◽

Marta Malinowska ◽

Ewelina Stanaszek ◽

Dorota Sys ◽

Grażyna Bączek ◽

...

Keyword(s):

Health Care Providers ◽

Health Professionals ◽

Further Education ◽

Self Report ◽

Care Providers ◽

Online Questionnaire ◽

Cross Sectional ◽

Convenience Sample ◽

Level Of Knowledge ◽

The Relationship

Background: Extended breastfeeding is rare in Poland, and lack of acceptance and understanding is often evident in public opinion. The ability to provide reliable information about breastfeeding beyond infancy depends on health professionals’ levels of knowledge and attitudes. They are considered by most parents in Poland to be authorities in the field of child nutrition. Research aims: To determine (1) the level of knowledge and the attitudes of Polish health professionals towards extended breastfeeding; (2) the relationship between personal breastfeeding experience and attitudes towards extended breastfeeding; and (3) the relationship between knowledge about breastfeeding beyond twelve months and attitudes towards breastfeeding beyond infancy. Methods: A one-group prospective, cross-sectional, self-report style survey was used. The convenience sample ( N = 495) comprised gynaecologists, neonatologists and midwives. Data were collected via an online questionnaire and the results were analyzed with the use of descriptive statistics, a chi-square independence test, Fisher’s exact test, post-hoc testing, and two-part tables using SPSS. Results: Most of the respondents (76.7%; n = 384) had a low level of knowledge about the benefits of breastfeeding beyond twelve months and even emphasized that this nutritional choice could have negative impacts. There was a positive correlation ( F = 105.847; p = < .01) between levels of knowledge and respondents’ attitudes towards breastfeeding beyond infancy. Attitudes were also influenced by the length of time respondents had breastfed. Conclusion: Healthcare providers have an insufficient level of knowledge about extended breastfeeding and need further education in this area.

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Students' Nutrition Literacy and the Existence of Health Care Providers in Iranian Schools

Journal of Research in Health Sciences ◽

10.34172/jrhs.2020.11 ◽

2020 ◽

Vol 20 (2) ◽

pp. e00476-e00476

Author(s):

Ahmad Mehri ◽

Nasrin Jafari ◽

Isa Akbarzadeh ◽

Fatemeh Hadavand Siri ◽

Nategh Abbassgholizadeh

Keyword(s):

Health Care ◽

Health Care Providers ◽

Cross Sectional Study ◽

Care Providers ◽

Cross Sectional ◽

Demographic Questionnaire ◽

Food And Nutrition ◽

Northwestern Iran ◽

Specialized Health Care ◽

The Relationship

Background: The objective of this study was to investigate the relationship between Students' nutrition literacy and the existence of health care providers in Iranian schools. Study design: A cross-sectional study. Methods: This study was conducted on 504 students in Ardebil City, northwestern Iran from Oct 2017 to Jan 2018. The FLINT questionnaire was used to assessment the food and nutrition literacy. Socio-demographic characteristics and the existence of health care providers were collected using demographic questionnaire. Results: Nearly 75% of students had not a health care provider. Most students had a low FNLIT (62% males and 58.1% females). The probability of low FNLIT was lower in students with health care providers than those without them (OR=0.46, CI 95%; 0.10, 0.91). Conclusion: One of the reasons for the low nutritional literacy of students may be due to the lack of health care providers in schools. Health educational administrators employ specialized health care providers in Iranian schools.

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The Relationship between the Infertility Specialist and the Patient during the COVID-19 Pandemic

Healthcare ◽

10.3390/healthcare9121649 ◽

2021 ◽

Vol 9 (12) ◽

pp. 1649

Author(s):

Diana Antonia Iordăchescu ◽

Florinda Tinella Golu ◽

Corina Ioana Paica ◽

Adrian Gorbănescu ◽

Anca Maria Panaitescu ◽

...

Keyword(s):

Health Care Providers ◽

Cross Sectional Study ◽

Mediation Effect ◽

Human Reproduction ◽

Patient Relationship ◽

Care Providers ◽

Doctor Patient Relationship ◽

Continuous Training ◽

Cross Sectional ◽

The Relationship

The doctor–patient relationship is fundamental in the treatment of infertility, due to the emotional implications of fertilization procedures. However, insufficient data are available specifically for this relationship. The general objective of the study is to establish the associations between the fundamental concepts that define the doctor–patient relationship: communication, empathy, trust, collaboration, compliance and satisfaction. A cross-sectional study was conducted between May and June 2020 and followed the methods of a quantitative analysis, collecting the data using questionnaires. The research plan was specific to path analysis with the mediation effect, in which the hypotheses were tested. The research group consisted of 151 women diagnosed with infertility, voluntarily recruited through online support communities. Findings demonstrate that affective empathy mediates the relationship between communication and trust in the doctor. In conclusion, this study draws attention to the importance of basic concepts in the relationship of infertility specialists with infertile patients. Thus, it is necessary for health care providers in assisted human reproduction to participate in programs for the continuous training of empathic communication skills, given the sensitivity of this diagnosis.

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Social Support Positively Correlated with Dietary Adherence among Patients with Hypertension in Primary Health Center

Faletehan Health Journal ◽

10.33746/fhj.v8i01.188 ◽

2021 ◽

Vol 8 (01) ◽

pp. 16-21

Author(s):

Hanifah Hanifah ◽

Karina Megasari Winahyu ◽

Muhammad Imam Muttaqin

Keyword(s):

Social Support ◽

Health Care Providers ◽

Health Centre ◽

Cross Sectional Study ◽

Dietary Adherence ◽

Care Providers ◽

Validity And Reliability ◽

Cross Sectional ◽

Primary Health ◽

The Relationship

Dietary adherence is one of the requirements in chronic disease management, which the success of hypertension management may correlate with the social support perceived by the patients. The study aimed to identify the relationship between social support and dietary adherence among patients with hypertension in Primary Health Centre, Tangerang. The study was a descriptive correlational, cross-sectional study, in which 120 respondents were recruited by using purposive sampling. Multidimensional Perceived of Social Support (MSPSS) and Dietary Adherence questionnaire was used based upon validity and reliability to measure social support and adherence. Pearson Product-Moment Correlation Coefficient was used to examine the relationship between social support and dietary adherence. The analysis result indicated that respondents who reported low support were 51 respondents (42.5%), and low dietary adherence was 53 respondents (44.2%). The analysis results showed there was a significant positive relationship between social support and dietary adherence among patients with hypertension, in which the power of correlation was moderate (r = 0.49, p < 0.05). Patients with hypertension who perceived higher social support more likely to adhere to the dietary of hypertension. The result suggests that health care providers need to facilitate support from friends, family, and significant others of the patients to achieve optimum dietary adherence.

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A Qualitative Study of the Social and Lived Experiences of Homebound Older Adults

Journal of Applied Gerontology ◽

10.1177/07334648211040383 ◽

2021 ◽

pp. 073346482110403

Author(s):

Joyce M. Cheng ◽

George P. Batten ◽

Nengliang (Aaron) Yao

Keyword(s):

Older Adults ◽

Qualitative Study ◽

Health Care Providers ◽

Lived Experiences ◽

Well Being ◽

The United States ◽

Care Providers ◽

Physical And Mental Health ◽

Cross Sectional ◽

Homebound Older Adults

Objective: The number of homebound older adults is increasing in the United States. We aimed to examine their social and lived experiences and to understand their perspectives on their situation, feelings, and coping mechanisms. Methods: We conducted a cross-sectional qualitative study using semi-structured interviews with 18 older homebound individuals in Central Virginia. Results: Homebound older adults experienced both physical and mental health challenges that restricted their ability to participate in activities of daily living, recreation, and social interactions. Participants often felt dependent, helpless, lonely, and socially isolated. Those who communicated regularly with friends, family, and health care providers reported positive benefits from these interactions. Discussion: Participants faced challenges to their physical, emotional, and mental well-being. Our findings might help clinicians, policymakers, and community organizations understand how to better support homebound older adults. We should provide educational opportunities, respect their autonomy, and implement initiatives to address their isolation and loneliness.

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MEDICAL MANAGEMENT OF PAIN IN GERIATRIC PATIENTS

Innovation in Aging ◽

10.1093/geroni/igz038.1492 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S402-S402

Author(s):

Sonia Sehgal

Keyword(s):

Older Adults ◽

Chronic Pain ◽

Health Care Providers ◽

Primary Care Providers ◽

Cognitively Impaired ◽

Care Providers ◽

Pain Syndromes ◽

Aging Body ◽

Special Knowledge

Abstract Pain and pain management is a growing concern for older adult patients and their health care providers. Upwards of 50% of older adults report having bothersome pain and 75% of these individuals report having pain in more than one location. Persistent pain is associated with decreased physical function, depression, isolation, and a decreased quality of life. Managing chronic pain in the setting of an opioid crisis requires special knowledge about the aging body so that medications can be used safely and effectively; and adjuvant therapies such as PT or acupuncture can be maximized. This segment of the symposium will review common challenges faced by primary care providers when managing chronic pain in older adults: the natural physiologic changes that occur in the aging body, co-morbid chronic diseases which can complicate pain syndromes, and assessing pain in cognitively impaired patients.

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The Relationship between Nausea and Vomiting with General and Psychological Health of Pregnant Women Referral to Clinics in Arak City, 2015

The Open Public Health Journal ◽

10.2174/1874944501912010325 ◽

2019 ◽

Vol 12 (1) ◽

pp. 325-330

Author(s):

Katayon Vakilian ◽

Naficeh Seyyed Zadeh Aghdam ◽

Masoumeh Davod Abadi

Keyword(s):

Mental Health ◽

Pregnant Women ◽

Health Care Providers ◽

Psychological Health ◽

General Health ◽

Nausea And Vomiting ◽

Life Questionnaire ◽

Care Providers ◽

Cross Sectional ◽

The Relationship

Objectives: This study was conducted with the aim of investigating the relationship between pregnancy and nausea and vomiting with the general and mental health of pregnant women Referral to clinics in Arak in 2015. Methods: This cross-sectional study was conducted at one of the prenatal referral centers of the city of Arak in 2015. A questionnaire was completed for measuring the severity of nausea and vomiting for 310 eligible pregnant women eligible to enter the study. 240 out of 310 people had nausea and vomiting in pregnancy and 70 patients had no nausea and vomiting. Iranian version of SF-36 quality of life questionnaire was used to evaluate general and mental health indicators. The analysis was performed using SPSS version 18 software, descriptive statistics, percentage and mean, analytical T-test and analysis of variance. Results: The prevalence of nausea and vomiting was 77.5% among samples. The rate of mild nausea and vomiting index was moderate in 18.8% and it was observed to be severe in 59.2% and 22.1% of cases. All dimensions of the general health of pregnant women were significantly reduced (p <0.05) except for mental health, which was the same in all 2 groups. Conclusion: Considering that in this study, nausea and vomiting affected the general health and physical functioning of pregnant mothers, therefore it is suggested that health care providers have more emphasis on pharmaceutical and non-pharmaceutical techniques to reduce or improve these symptoms in a pregnant woman.

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Unusual Drugs of Abuse in Chronic Pain Patients

10.2310/pm.15085 ◽

2017 ◽

Author(s):

Alan D. Kaye ◽

Elyse Cornett ◽

Charles Fox ◽

Shilpadevi Patil ◽

Harish Siddaiah ◽

...

Keyword(s):

Health Care ◽

Chronic Pain ◽

Drug Abuse ◽

Health Care Providers ◽

Drugs Of Abuse ◽

Pain Treatment ◽

The United States ◽

Care Providers ◽

Chronic Pain Patients ◽

Pain Patients

Chronic pain occurs in one third of the American population. Management of chronic pain is a growing area in health care; however, there is a dilemma for health care providers to treat the chronic pain of individuals who have known current or suspected drug abuse or addiction. Even if the individual is not addicted to opiates or prescription pain medications, it is possible to become addicted to a new substance. The National Institutes of Health considers drug addiction a neurophysiologic disease, and as of 2014, 24.6 million people in the United States abuse drugs. As more patients are seeking treatment for chronic pain, health care providers are seeing an increase in patients who have a history of drug abuse or addiction, and it is imperative that health care providers are aware of how best to care for these patients. This review discusses chronic pain and the drugs that are typically used to treat chronic pain, as well as drugs that have been reported to be abused in chronic pain patients. There are limited or no data available on the more recent designer drugs, such as bath salts, K2 (spice), and even common drugs of abuse, such as methylenedioxymethamphetamine (MDMA). More research should be conducted on what drugs are abused in chronic pain patients, especially nonopioid drugs such as stimulants. This information would help educate health care providers and create better pain treatment regimens for patients who abuse drugs. Key words: chronic pain, drug abuse, marijuana, methamphetamine, opioids

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Mobile and Connected Health Technology Needs for Older Adults Aging in Place: Cross-Sectional Survey Study (Preprint)

10.2196/preprints.13864 ◽

2019 ◽

Author(s):

Jing Wang ◽

Yan Du ◽

Deidra Coleman ◽

Michelle Peck ◽

Sahiti Myneni ◽

...

Keyword(s):

Older Adults ◽

Health Care ◽

Health Care Providers ◽

Wearable Devices ◽

Care Providers ◽

Cross Sectional ◽

Health Technologies ◽

Connected Health ◽

Health Community ◽

Health Communities

BACKGROUND An increasing number of mobile and wearable devices are available in the market. However, the extent to which these devices can be used to assist older adults to age in place remains unclear. OBJECTIVE This study aimed to assess older adults’ perceptions of using mobile and connected health technologies. METHODS Using a cross-sectional design, a total of 51 participants were recruited from a senior community center. Demographics and usage of mobile or wearable devices and online health communities were collected using a survey questionnaire. Descriptive statistics assessed usage of devices and online health communities. The Fisher exact test was used to examine the relationship between technology usage and having access to a smartphone. RESULTS The sample was primarily comprised non-Hispanic white (35/51, 69%), educated (39/51, 76% any college), and female (36/51, 71%) participants, with an average age of 70 (SD 8) years. All participants were insured and nearly all lived at home (49/51, 94%). A total of 86% (44/51) of the participants had heard of wearable health devices, but only 18 out of 51 (35%) had ever used them. Over 80% (42/51) expressed interest in using such devices and were interested in tracking exercise and physical activity (46/51, 90%), sleep (38/51, 75%), blood pressure (34/51, 67%), diet (31/51, 61%), blood sugar (28/51, 55%), weight (26/51, 51%), and fall risk (23/51, 45%). The greatest concerns about using wearable devices were cost (31/51, 61%), safety (14/51, 28%), and privacy (13/51, 26%); one-fourth (12/51) reported having no concerns. They were mostly interested in sharing data from mobile and connected devices with their health care providers followed by family, online communities, friends, and no one. About 41% (21/51) of the older adults surveyed reported having ever heard of an online health community, and roughly 40% (20/51) of the participants reported being interested in joining such a community. Most participants reported having access to a smartphone (38/51, 74%), and those with such access were significantly more likely to show interest in using a wearable health device (P<.001) and joining an online health community (P=.05). CONCLUSIONS Our findings suggest that, although few older adults are currently using mobile and wearable devices and connected health technologies for managing health, they are open to this idea and are mostly interested in sharing such data with their health care providers. Further studies are warranted to explore strategies to balance the data sharing preference of older adults and how to best integrate mobile and wearable device data with clinical workflow for health care providers to promote healthy aging in place.

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