One in 44 children in the United States is diagnosed with autism spectrum disorder. Despite this, physicians receive little clinical training, inclusive of autistic patients. It is therefore not surprising that physicians report low levels of confidence in their ability to provide care to autistic individuals. This review examines the impact of…

Children with intellectual disability experience significant challenges in accessing and receiving high-quality healthcare leading to poorer health outcomes and negative patient experiences. Families of these children often report a need for healthcare staff to better understand, communicate, and collaborate for better care while staff acknowledge…

Patient education is an essential part of the treatment of coronary heart disease in cardiac rehabilitation. In Germany, no standardized and evaluated patient education programs for coronary heart disease have been available so far. In this article, we report the evaluation of a patient-oriented program. A multicenter quasi-experimental,…

Purpose: "VTE Assess Prevent" is a unique communications campaign designed to educate and remind all front-line staff to risk assess inpatients for venous thromboembolism (VTE) (blood clots) and to provide those at risk with the recommended preventative treatment. The purpose of this paper is to evaluate the VTE communications campaign…

Purpose: Primary-care referral to community-based exercise specialists (exercise referral) is common in the UK despite limited evidence of effectiveness. A recent pragmatic randomised trial of the Welsh National Exercise Referral Scheme (NERS), demonstrated promising impacts upon physical activity and mental health. This paper presents a…

This study examined the current issues relevant to implementing evidence-based practices in the context of outpatient treatment for eating disorders. The study also examined the effectiveness of an outpatient treatment program for eating disorders among a group of 196 patients presenting with anorexia nervosa, bulimia nervosa, or eating disorder…

Purpose of the Study: Stanford's Chronic Disease Self-Management Program (CDSMP) has been proven to increase patients' ability to manage distress. We describe how we replicated CDSMP in Asian and Pacific Islander (API) communities. Design and Methods: We used the "track changes" tool to deconstruct CDSMP into its various components…

Introduction: A continuing education (CE) program based on the theory of planned behavior was designed to understand and improve health care providers' practice patterns in screening, assessing, and treating and/or referring patients with diabetes for depression treatment. Methods: Participants completed assessments of attitudes, confidence,…

The authors examined the subtype structure of smokers classified in the precontemplation stage of change within the transtheoretical model. From a general practice-based sample of 1,499 daily smoking patients from Germany (participation rate 80%), they used a subgroup of 929 smokers who were classified in the precontemplation stage and applied…

Objective: Aggression is common in children and adolescents admitted to psychiatric inpatient units. Few interventions for reducing aggressive behaviors have been identified. This study aimed to evaluate the impact of a milieu-based behavioral management program on the frequency of aggressive behaviors in a child and adolescent mental health…

Reports outcome measures obtained from patients, therapists, and clinical observers in the Penn Psychotherapy Project. The relationship between residual gain score and ratings of benefits suggest that posttreatment ratings of outcome take account of the fact that amount of change to be expected depends on initial level of functioning. (Author)

Reviews recent experimental studies of social learning therapies for drug abuse and examines the relationship between attention to generalization or maintenance issues and other factors. The behavior modification-behavior therapy literature exhibits consistent deficiencies in its clinical procedures for and methodological approach to…

This study attempts to identify the specific demographic and sociological characteristics related to improvement for 48 male alcoholic patients who participated in two contrasting one-month inpatient treatment programs. Of the 48 subjects, 27 participated in a broad spectrum behavior therapy program (experimental group). The remaining 21 subjects…

Introduction: Opioid misuse is common among patients with chronic nonmalignant pain. There is a pressing need for physicians to increase their confidence and competence in managing these patients. Methods: A randomized controlled trial of family physicians (N = 88) attending 1 of 4 continuing medical education events helped to determine the…

A cost containment program initiated in 1975 on the medical teaching service of Charlotte Memorial Hospital, a University of North Carolina affiliated hospital, has led to a significant improvement in hospital house staff utilization of facilities and procedures. In the outpatient setting an actual reduction in patient-encounter cost was realized…