OBJECTIVE— To determine whether Pro-Active Call Center Treatment Support (PACCTS), using trained nonmedical telephonists supported by specially designed software and a diabetes nurse, can effectively improve glycemic control in type 2 diabetes. RESEARCH DESIGN AND METHODS— A randomized controlled implementation trial of 1-year duration was conducted Salford, U.K. The comprised 591 randomly selected individuals with By random allocation, 197 were assigned to the usual care (control) group 394...

Aims To identify a suite of the key physical, emotional, and social outcomes to be employed in clinical practice research concerning Perthes' disease children. Methods The study follows guidelines COMET-Initiative (Core Outcome Measures Effectiveness Trials). A systematic review literature was performed list reported previous studies, which supplemented by qualitative exploring experiences families affected Perthes’ disease. Collectively, these formed basis Delphi survey (two rounds), where...

Abstract Background Behavioural change interventions for persons with chronic illness draw on a variety of theoretical approaches including motivational interviewing and shared decision making. Health literacy provides an additional, potentially powerful explanatory framework to guide research practice. Objective To examine the changes in depth detail diabetes‐related knowledge confidence type 2 diabetes. Design Two‐year, prospective, observational study, using questionnaire data at two time...

To examine patients' views of the acceptability and satisfaction with telephone care center support provided to improve blood glucose control in type 2 diabetes.The Pro-Active Call-Center Treatment Support (PACCTS) Trial randomized patients from 47 general practices a deprived urban area northwest England usual or proactive call addition care. Satisfaction was assessed all 591 at baseline end study using Diabetes Questionnaire (DTSQ). Acceptability 394 intervention after least three calls...

Symptomatic developmental dysplasia of the hip can present in young, active adult patient and lead to severe pain disability at a young age. The overall aim study was deepen understanding impact on adults' quality life psycho-social well-being, focusing how differential access early diagnosis impacted trajectory disease treatment options.We conducted semi-structured interviews gathered online stories from 97 participants. A narrative thematic analysis used integrate dataset producing...

Aim. To determine the social, physical, and emotional impact of living with Perthes’ disease on affected children their family (caregivers). Patients Methods. Through a mixed methods approach, we interviewed 18 parents explored perspectives 12 by (mean = 7.1 years, SD ±4.1 years) using survey tool. Thematic analysis parents’ interviews provided an insight into disease-specific factors influencing patients family’s daily life activities. Using childhood tool, good bad day scores were analyzed...

Huntington's disease is an autosomal dominant neurodegenerative disease. Progressive physical, behavioural and cognitive impairments cause loss of independent function. Physical activity interventions are important components comprehensive intervention strategies may help alter the functional decline trajectory. Qualitative research has role to play in developing theoretically sound, well-defined physical disease.Eight focus groups were conducted with people prodromal late stage disease,...

The overall aim of this study was to assess the informational needs patients diagnosed with coronary heart disease (CHD) in order develop a health education prototype. It has been widely acknowledged that people chronic conditions, particularly CHD, benefit from being knowledgeable about their disease, treatments and lifestyle. However, if are be proactive own care they must have information presented them ways appropriate understandable. is therefore important for providers deep...

To explore the experiences of young women adjusting to living with developmental dysplasia hip (DDH) and deciding on treatment choices.Exploratory study a set online postings from one message board aimed at DDH. Postings five, purposively selected users were explored first posting time their peri-acetabular osteotomy surgery. Data analysis was performed through approach interpretive phenomenological analysis.Two major concepts prominent across participants' accounts; first, 'challenging life...

Achieving strict control of diabetes is challenging for many patients and most need regularly to depend on ongoing support from health care professionals. One approach that might successfully provide this in a cost-effective acceptable way the delivery advice over telephone (tele-care). To date process effects tele-care have however rarely been studied. This article explores potential one behavioural model, trans-theoretical stages change model (TTM), understand theorize about behaviour...

Background and aims. Health care increasingly incorporates telephone counselling, but the dynamics of interactions supporting its delivery are not well understood. This paper explores how advice was packaged received by participants with type 2 diabetes within context a Pro-Active Call-Centre Treatment Support (PACCTS) system delivered to provide self-care training over telephone.

Perthes' disease is an idiopathic osteonecrosis of a developmental hip that most frequent in Northern Europe. Currently, the absence common set standardised outcomes makes comparisons between studies different interventions challenging. This study aims to summarise used clinical research for and define core (COS) ensure variables primary importance are measured reported future investigating disease.A systematic review current literature will be identify list previous studies. Additional...

To explore the experiences of young women with developmental dysplasia hip explicating impact peri-acetabular osteotomy surgery and recovery in short longer term.Postings five, selected on an online active message board aimed at were analysed. Interest lay their postings after they had surgery. Data analysis was performed through approach interpretive phenomenological analysis.The time length for cases ranged from 1 year to 6 years, number varied substantially, 48 591. Two major concepts...

Fatigue is rated as the most distressing side effect of radiotherapy treatment for curable breast cancer. About four in ten women treated experience fatigue, which can last years after treatment. The impact this debilitating tiredness loss independence and impaired physical mental function. Our study will take a behavioural intervention with demonstrated treating fatigue mixed group chemotherapy patients adapt it undergoing early purpose trial to evaluate feasibility delivering pathway at...

Purpose: To develop and validate a patient-centered, evaluative outcome measure to assess patient-significant identified impacts of the three pediatric hip conditions (the "Quality Life, Concerns Impact Measure" (QoLC&I)), for use by patients clinicians in discussions over treatment options evaluation post-operative rehabilitation. Patients methods: The was developed through qualitative study, via two web-based forums (patient narratives, n=84) one specialist orthopedic adult clinic...