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Evaluation of a Multimodal, Direct-to-Patient Educational Intervention Targeting Barriers to Osteoporosis Care: A Randomized Clinical Trial
2018
Journal of Bone and Mineral Research
Osteoporosis treatment rates are declining, even among those with past fractures. Novel, low-cost approaches are needed to improve osteoporosis care. We conducted a parallel group, controlled, randomized clinical trial evaluating a behavioral intervention for improving osteoporosis medication use. A total of 2,684 women with self-reported fracture history after age 45 not using osteoporosis therapy from U.S. Global Longitudinal study of Osteoporosis in Women (GLOW) sites were randomized 1:1 to
doi:10.1002/jbmr.3395
pmid:29377378
pmcid:PMC6016546
fatcat:fttvj552ijf7fhvvu2quaui43i
more »
... eceive a multi-modal, tailored, direct-to-patient, video intervention vs. usual care. The primary study outcome was self-report of osteoporosis medication use at 6months. Other outcomes included calcium and vitamin D supplementation, bone mineral density Methods Study Design and Participants The APROPOS study was a parallel, controlled, randomized clinical trial, in which participants received either usual care alone (control group), or in combination with a multimodal, patient-tailored, behavioral intervention (intervention group). (16) APROPOS was nested within the GLOW cohort, (40) an international, prospective, observational study of women 55+ years of age. The participants in APROPOS were enrolled from 7 U.S. GLOW sites (Birmingham, AL; Los Angeles, CA; Worcester, MA; New York, NY; Cincinnati, OH; Pittsburgh, PA; Seattle, WA). Human subject protocols and consent procedures were reviewed and approved by each site's Institutional Review Board. GLOW participants were preliminarily eligible for APROPOS if on one of the five GLOW surveys they self-reported a fracture after age 45. In September 2013, we mailed baseline questionnaires to 4,928 preliminarily eligible GLOW participants; 3,226 (64%) completed baseline surveys, of which 2,684 women, who did not report currently using osteoporosis medication (the second eligibility criteria) besides estrogen, formed the APROPOS study population, and were randomized. Danila et al.
Survivorship, Version 2.2018, NCCN Clinical Practice Guidelines in Oncology
2018
The Journal of the National Comprehensive Cancer Network
LYMPHEDEMA Survivorship, Version 2.2018 SURVIVOR AT RISK SURVEILLANCE SYMPTOM WORKUP IF LYMPHEDEMA TREATMENT FOR LYMPHEDEMA ASSESSMENT IS SUSPECTED • Rule out recurrence of cancer • Inquire about fi t ...
bacterial capsular polysaccharide, inactivated polio vaccine (IPV), Japanese encephalitis, and rabies virus are recommended by the Centers for Disease Control and Prevention (www.cdc.gov). 8 Folaranmi T, ...
doi:10.6004/jnccn.2018.0078
pmid:30323092
pmcid:PMC6438378
fatcat:jg7y3pawbzgsfcwukzjl3ryn5q
NCCN Guidelines Insights: Survivorship, Version 1.2016
2016
The Journal of the National Comprehensive Cancer Network
The NCCN Guidelines for Survivorship provide screening, evaluation, and treatment recommendations for common consequences of cancer and cancer treatment. They are intended to aid health care professionals who work with survivors of adult-onset cancer in the posttreatment period, including those in general oncology, specialty cancer survivor clinics, and primary care practices. Guidance is also provided to help promote physical activity, weight management, and proper immunizations in survivors.
doi:10.6004/jnccn.2016.0073
pmid:27283164
pmcid:PMC5865597
fatcat:ov5cz34iyngzjnu4263mtfdkca
more »
... his article summarizes the NCCN Survivorship panel's discussions for the 2016 update of the guidelines regarding the management of anxiety, depression, posttraumatic stress disorder-related symptoms, and emotional distress in survivors. Continuing Education, NCCN, has disclosed that she has no relevant financial relationships. Ann Gianola, MA, Senior Manager, Continuing Education Accreditation & Program Operations, NCCN, has disclosed that she has no relevant financial relationships. Kristina M. Gregory, RN, MSN, OCN, Vice President, Clinical Information Operations, NCCN, has disclosed that she has no relevant financial relationships. Rashmi Kumar, PhD, Senior Manager, Clinical Content, NCCN, has disclosed that she has no relevant financial relationships. Individuals Who Provided Content Development and/or Authorship Assistance: Crystal S. Denlinger, MD, Panel Chair, has disclosed that she is a scientific advisor for Eli Lilly and Company and Merrimack Pharmaceuticals. Jennifer A. Ligibel, MD, Panel Vice Chair, has disclosed that she has received a product donation from Fitbit for a research study. Madhuri Are, MD, Panel Member, has disclosed that she has no relevant financial relationships. Grace H. Ku, MD, Panel Member, has disclosed that she has no relevant financial relationships. Elizabeth Kvale, MD, Panel Member, has disclosed that she is a consult for Aspire Healthcare. Mary S. McCabe, RN, BS, MA, Panel Member, has disclosed that she has no relevant financial relationships. Mary Ann Morgan, PhD, FNP-BC, Panel Member, has disclosed that she is on the speakers' bureau for Genentech. Electra D. Paskett, PhD, Panel Member, has disclosed that she has equity interest/stock options from Pfizer Inc, and receives grant/research support from Merck & Co., Inc. Jeffrey Peppercorn, MD, MPH, Panel Member, has disclosed that he has equity interest/stock options and receives salary from GlaxoSmith-Kline, and receives grant/research support from Pfizer Inc. Kathryn J. Ruddy, MD, MPH, Panel Member, has disclosed that she has no relevant financial relationships. Tara Sanft, MD, Panel Member, has disclosed that she has no relevant financial relationships. Karen L. Syrjala, PhD, Panel Member, has disclosed that she has no relevant financial relationships. Nicole R. McMillian, MS, Guidelines Coordinator, NCCN, has disclosed that she has no relevant financial relationships. Deborah A. Freedman-Cass, PhD, Oncology Scientist/Senior Medical Writer, NCCN, has disclosed that she has no relevant financial relationships. • The NCCN Guidelines for Distress Management defi ne distress as "a multifactorial unpleasant emotional experience of a psychological (ie, cognitive, behavioral, emotional), social, and/or spiritual nature that may interfere with the ability to cope effectively with cancer, its physical symptoms, and its treatment." • Survivors of cancer treatment are at high risk for fear of recurrence, distress, anxiety, and depression due to the multiple challenges they face. Fear of recurrence can lead to increased symptoms when surveillance testing or follow-up appointments are scheduled and increased anxiety when physical symptoms occur that may or may not be similar to those experienced during the cancer diagnosis. Medical, psychosocial, environmental, and psychiatric health factors may affect the mood of cancer survivors and need to be considered when screening for distress, anxiety, and depression in survivors and deciding on treatment. (See SANXDE-6) Recurrent worry, fear, thoughts, or images related to cancer events should be distinguished from obsessive compulsive disorders. Repetitive, persisting thoughts, images, or behaviors or mental acts that a person is compelled to perform, aimed at reducing intense anxiety or preventing a dreaded event require psychiatric referral for evaluation and treatment. Monitor distress, especially at times of transitions in care, cancer surveillance, signifi cant loss, other major life events, and with social isolation. ◊ Patients may not appear to be distressed and should be encouraged to inform their health care provider when they are feeling increased distress, anxiety, or depression. See DIS-B from the NCCN Guidelines for Distress Management.
A multi-modal intervention for Activating Patients at Risk for Osteoporosis (APROPOS): Rationale, design, and uptake of online study intervention material
2016
Contemporary Clinical Trials Communications
., student t tests and chi square tests) and stepwise multivariable logistic regression were used to evaluate differences in uptake of the intervention by sociodemographic characteristics and type of contact ...
doi:10.1016/j.conctc.2016.06.010
pmid:27453960
pmcid:PMC4955389
fatcat:gynak7l6ojexrcoqw6xkqhybgi
Survivorship, Version 2.2017, NCCN Clinical Practice Guidelines in Oncology
2017
The Journal of the National Comprehensive Cancer Network
of black cohosh for vasomotor symptoms in the general population; however, randomized data in breast cancer
survivors show no benefi t. www.ncbi.nlm.nih.gov/pubmed/16782922
*Available online, in these ...
appropriate specialist for management
i Compounds with limited evidence of safety and effi cacy (all category 2B) j
• Phytoestrogens
• Botanicals
• Dietary supplements
Limited data show a possible benefi t ...
doi:10.6004/jnccn.2017.0146
pmid:28874599
pmcid:PMC5865602
fatcat:znypwvulcvcgvlwa6ohlll7u6i
Page 38 of Academe Vol. 2, Issue 6
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1916
Academe
Silverman) Charles H. Posty (Physics), College of the City of New York, (C. Baskerville, 8. P. Duggan, H. A. Overstreet) Vernon L. Parrington (English), University of Washington, (W. F. Allison, O. ...
T., H. M. Goodwin, M. I. T., H. W. Tyler, M. I. T)) Paul Cook Nugent (Engineering), Syracuse, (C. H. Richardson, C. W. Hargitt, H. A. Eaton) Charles Cleveland Nutting (Zoédlogy), Iowa, (C. F. ...
Page 2439 of Psychological Abstracts Vol. 80, Issue 5
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Simonsson, P., ...
Page 16 of Academe Vol. 4, Issue 5
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1918
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Frances G. Wick (Physics), Vassar, (L. E. Textor, E. Ellery, H. 8. White) ...
Allison, F. C. French) Arthur G. Robbins (Civil Engineering), Mass. Inst. of Technology, (H. P. Talbot, R. 8. Williams, H. W. Tyler) George Lucas Roberts (Education), Purdue, (E. H. Davis, M. L. ...
Page 188 of Journal of the American Ceramic Society Vol. 14, Issue 6
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1931
Journal of the American Ceramic Society
Allison, Ceramic Age, Newark; N. J. ; F. A. Guignon, Ceramic Industry, Chicago, II. J. E. Randall, Clay-Worker, Indianapolis, Ind. ...
T. Vanderbilt Co., New York, N. Y. { F. P. Nickerson, W. S. Tyler Co., Cleveland, Ohio. Ways and Means: 1G. T. Stowe, Sierra-Magnesite Co., Cleveland, Ohio. | R. D. Landrum, Titanium Alloy Mfg. ...
Page 646 of Contemporary Psychology Vol. 47, Issue 5
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2002
Contemporary Psychology
Friedman, Ellen T. AMERICAN
lilustrated by Cary Pillo, Allison G. Harvey Gerrity, and Raymond M. Scurfield PSYCHOLOGICAL Afterword by Sasha J. Mudiatt
oe 2000. 251 pages. Hardcover, 1996. 576 pages. ...
Silverman, Eric M. Vernberg, and Michael C. ...
Page 878 of Journal of Cognitive Neuroscience Vol. 20, Issue 5
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2008
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Nakayama, K., Shimojo, S., & Silverman, G. ...
., & Allison, T. (1999) Electrophysiological studies of human face perception: II Response properties of face-specific potentials generated in Occipitotemporal cortex. ...
Page 145 of American Anthropologist Vol. 116, Issue 1
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2014
American Anthropologist
Isbell and Pelaine Silverman, eds, Pp. 258 278. ...
Washington, DC: Smithsonian Institution,
Wie, Allison
200? The Reaction against: Analogy, Jn Thinking trom Things: Pssavs in the Philosophy of Archaeology. Allison Wylie. ed, Mp. 136 153. ...
Page 1747 of None Vol. 37, Issue 12
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1931
None
Allison, V. J. Andrew—1717(A)
Ionization in dielectrics, J. T. Tykociner, E. B. Paine—1690(A)
Kundt’s tube dust figures, E. Hutchisson, F. B. Morgan—1155
Latent image at low intensities, F. E. ...
Shugart— 1683(A) X-ray powder diffraction, T. M. ...
Page 808 of Journal of Biological Chemistry. [Filmed From the Online Edition] Vol. 183, Issue 1
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1950
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See Lorber, Lifson,
Wood, Sakami, and Shreeve, 517 Silverman, Milton. See Keresztesy and Silverman, 473
Simmonds, Sofia, Keller, Elizabeth B., Chandler, joseph P., and du Vigneaud, Vincent. ...
., and Allison, James B. The effects of feeding excess DL- methionine and choline chloride to rats on a casein diet, 173
Russell, Peter B. ...
Page 138 of Geophysics Vol. 13, Issue 1
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1948
Geophysics
Peterson Ernest Allison Pratt
Sidon Harris, Paul Ledyard, R. H. Dana Miller Winthrop Quarles, Jr.
Norman J. Christie, C. H. Dix, R. A. ...
Silverman Gaulvin A. Parker
C. A. Swartz, J. W. Horn, M. P. Jones John Parker Paschall
W. J. Osterhoudt, W. B. Lee Jr., P. M. Konkel Sam M. Pefia
P. J. Rudolph, W. Harlan Taylor, C. D. ...
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