A Systematic Review on Barriers to Palliative Care in Oncology

2021 ◽  
pp. 104990912098328
Author(s):  
Jyotsana Parajuli ◽  
Judith E. Hupcey
Keyword(s):  
United States ◽  
Systematic Review ◽  
Palliative Care ◽  
Full Text ◽  
Literature Search ◽  
Intervention Development ◽  
The United States ◽  
Care Utilization ◽  
Review Of Literature ◽  
Meta Analyses

The number of people with cancer and the need for palliative care among this population is increasing in the United States. Despite this growing need, several barriers exist to the utilization of palliative care in oncology. The purpose of this study was to synthesize the evidence on the barriers to palliative care utilization in an oncology population. A systematic review of literature was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. PubMed, CINAHL, and Psych Info databases were used for the literature search. Articles were included if they: 1) focused on cancer, (2) examined and discussed barriers to palliative care, and c) were peer reviewed, published in English, and had an accessible full text. A total of 29 studies (8 quantitative, 18 qualitative, and 3 mixed-methods) were identified and synthesized for this review. The sample size of the included studies ranged from 10 participants to 313 participants. The barriers to palliative care were categorized into barriers related to the patient and family, b) barriers related to providers, and c) barriers related to the healthcare system or policy. The factors identified in this review provide guidance for intervention development to mitigate the existing barriers and facilitate the use palliative care in individuals with cancer.

Effectiveness of HIV Stigma Interventions for Men who have Sex with Men (MSM) With and Without HIV in the United States: A Systematic Review and Meta-Analyses

2021 ◽  
Author(s):  
Jayleen K. L. Gunn ◽  
Cherie Rooks-Peck ◽  
Megan E. Wichser ◽  
Christa Denard ◽  
Donna Hubbard McCree ◽  
...  
Keyword(s):  
United States ◽  
Systematic Review ◽  
The United States ◽  
Hiv Stigma ◽  
Sex With Men ◽  
Meta Analyses

A Systematic Review Exploring Acculturation and Type 2 Diabetes in Spanish-Speaking Populations

2021 ◽  
pp. 154041532110370
Author(s):  
Alyssia M. Miller De Rutté ◽  
Amanda Barrie
Keyword(s):  
Diabetes Mellitus ◽  
United States ◽  
Systematic Review ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
The United States ◽  
Review Of Literature ◽  
Spanish Speaking ◽  
The Relationship

Background: Acculturation to the United States has been previously studied in Spanish-speaking populations, but little is known about the potential relationship between acculturation and type 2 diabetes mellitus (T2DM). Objective: The purpose of this systematic review was to explore the relationship between acculturation and T2DM in Spanish-speaking populations in the United States. Methods: Selected studies collected from a review of literature were analyzed by population, ethnicity, acculturation scale, and significance. Results: Thirty-two eligible articles showed conflicting data between the effects of acculturation on T2DM. Conclusion: Overall, studies yielded inconclusive results on the significance of the relationship between acculturation and diabetes in Spanish-speaking populations, which merit further investigation.

scholarly journals Inpatient Palliative Care Utilization in Elderly Patients Admitted with Heart Failure in the United States

2017 ◽  
Vol 23 (8) ◽  
pp. S118 ◽  
Author(s):  
JaMia Washington ◽  
Sadeer G. Al-Kindi ◽  
Guilherme H. Oliveira ◽  
Monique R. Robinson
Keyword(s):  
United States ◽  
Heart Failure ◽  
Palliative Care ◽  
Elderly Patients ◽  
The United States ◽  
Care Utilization

Behavioral Interventions to Increase Condom Use Among College Students in the United States: A Systematic Review

2019 ◽  
Vol 46 (5) ◽  
pp. 877-888 ◽  
Author(s):  
Willandra Whiting ◽  
Jennifer R. Pharr ◽  
Mark P. Buttner ◽  
Nancy L. Lough
Keyword(s):  
United States ◽  
College Students ◽  
Systematic Review ◽  
Condom Use ◽  
Behavioral Interventions ◽  
Public Health Practice ◽  
The United States ◽  
Behavioral Skills ◽  
Sexually Transmitted ◽  
Meta Analyses

Background. Traditional undergraduate college students in the United States are in the age range that experiences the highest rate of sexually transmitted infections (STIs) and are vulnerable to contracting STIs. Increasing condom use among college students is a prevention strategy to reduce the spread of STIs. Aim. The purpose of this systematic review of the literature was to identify behavioral interventions that increased condom use behaviors and/or intentions among college students. Method. The Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines were followed in systematically searching, extracting, appraising, and synthesizing the evidence. A quality assessment was also conducted with the tool provided by the Effective Public Health Practice Project. Results. The initial search yielded 715 records. After critical appraisal, seven articles remained for review. Discussion. Four of the interventions were developed using the three constructs of the information, motivation, and behavioral skills model, and all four found significant increases in condom use or condom use intentions. Additionally, interventions that included modules to increase self-efficacy for condom use, taught participants where to get condoms and how to negotiate condom use with partners, or elicited positive associations (feels) toward condoms saw increased condom use or intention to use condoms.

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