Behavioral Health in Prevention and Chronic Illness Management

Tuccero, Donna; Railey, Kenyon; Briggs, M.; Hull, Sharon K.

doi:10.1016/j.pop.2016.01.006

Cited by 27 publications

(16 citation statements)

References 25 publications

(22 reference statements)

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“…The intervention might be planned between a general practitioner/nurse and the patient, using a motivational interview, because health professionals are trained in the field of changing habits, and a tailored intervention can be set up [ 48 , 49 ] based on their knowledge of the patient. Moreover, they are in a position to motivate and enable, assess patient evolution and provide constant feedback [ 50 , 51 ].…”

Section: Discussionmentioning

confidence: 99%

Facilitators and barriers to modifying dietary and hygiene behaviours as adjuvant treatment in patients with depression in primary care: a qualitative study

et al. 2018

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BackgroundMajor depression is a highly prevalent condition. Its pathogenesis is related to a wide variety of biological and psychosocial factors and among these is factors related to lifestyle. Lifestyle-based interventions seem to be appropriate strategies as coadjutant treatment. The objective of this study is to explore and identify expectations and experiences of both patients and healthcare professionals that can point to the main barriers and facilitators with regard to the promotion of healthy dietary and hygiene behaviours in patients suffering from major depression.MethodsA qualitative design was used to collect information from a wide range of purposefully and theoretically guided samples of depressed patients and health professionals from Primary Care (PC). Both in-depth interviews and discussion groups were used. A standardized protocol was designed to guide the interviews and groups, including the preparation of a topic list to be addressed, with previously tested, open suggestions that could be of interest. A thematic analysis was performed from grounded theory in order to explore, develop and define until saturation the emergent categories of analysis derived from the individual interview and group data.ResultsBoth patients as well as PC professionals noted a series of central aspects with respect to the implementation of a programme for the acquisition of healthy dietary and hygiene habits for depressive patients, which may be organized around ‘personal’, ‘programmatic’, and ‘transversal’ aspects. As for the personal aspects, categories regarding ‘patient history’, and ‘disposition’ were found; the programmatic aspects included categories such as ‘presentation and monitoring’, and modification of ‘cognitive’ and ‘behavioural’ habits; whereas the transversal aspects comprised the possibilities of ‘social support’ and defining categories of ‘objectives’.ConclusionThe implementation of intervention programmes that combine dietary and hygiene-related factors in patients with depression is complex, given the nature of the disorder itself, and its symptoms such as apathy and feelings of guilt or incompetence. Key issues exist for the success of the intervention, such as the simplicity of guidelines, tailoring through motivational interviewing, prolonged and intense monitoring throughout the different stages of the disorder, and the provision of adequate feedback and social support. PC could be an appropriate level in which to implement these interventions.

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Section: Discussionmentioning

confidence: 99%

Facilitators and barriers to modifying dietary and hygiene behaviours as adjuvant treatment in patients with depression in primary care: a qualitative study

et al. 2018

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“…Notable aspects of this study design include the tailored approach to the IG participants, including newsletters and telephone calls. The latter is innovative in the Motivational Interviewing (MI) field; MI interventions have historically been conducted face-to-face [27], although this is changing [28]. Analyses of the call logs will determine effectiveness of this method of using MI.…”

Section: Discussionmentioning

confidence: 99%

An anti-inflammatory dietary intervention to reduce breast cancer recurrence risk: Study design and baseline data

Ramirez

Parma

Muñoz

et al. 2017

Contemporary Clinical Trials

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U.S. breast cancer survivors (BCSs) are expected to increase to 4 million in the next 5–10 years. Cancer recurrence risk is highest among obese survivors. Inflammatory (Pro-I) biomarkers including C-reactive protein (CRP), Interleukins -3, -6, and -8 (IL-3, IL-6, IL-8), and Tumor Necrosis Factor (TNF)-α have been associated with cancer recurrence risk. Nutritional interventions aimed at reducing inflammation (INF) may contribute to reduced cancer recurrence risk, but studies have been limited to animal models. The goals of this one-year, culinary-based, pilot intervention were to: 1) decrease Pro-I biomarkers and increase anti-inflammatory (AI) cytokine, IL-10, by promoting AI food incorporation into BCS diets; and 2) examine intervention effects on cancer risk factors including body mass index (BMI) and circulating adipose stromal cells (ASCs). A total of 153 BCSs were recruited. Overweight and obese women aged 18 or older were randomized into Intervention (IG; n = 76) and Control (CG; n = 77) groups. CG received monthly nutritional brochures from the American Institute for Cancer Research. IG attended 6 monthly workshops (lectures on AI topics and chef-prepared food demonstrations), and received monthly newsletters and telephone calls incorporating Motivational Interviewing. At baseline, 6- and 12-month assessments, fasting serum was assayed for Pro-I/AI marker and ASC levels. Using R and Stata version 14 (Stata Corp, 2015), no significant differences were found between groups on baseline demographic variables. Correlations between serum cytokine levels, BMI, % body fat, ASCs, and self-reported variables are discussed.

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“…Nevertheless, motivational interviewing is founded on respect for patient autonomy and therefore is congruent with patient‐centered principles. Importantly, these techniques have a strong evidence base demonstrating effectiveness at influencing patient behavior in many settings (Tuccero, Railey, Briggs, & Hull, ). Subsequently, these skills may therefore prove useful in scenarios where genetic counselors would like patients to follow evidence‐informed medical guidelines such as cancer screening for those with hereditary cancer risk.…”

Section: Training Models Techniques Approaches and Evaluationmentioning

confidence: 99%