Edwin D Boudreaux

..The authors hypothesized that several variables would be associated with stage of change, including nicotine dependence, self-efficacy, presence of a smoking-related illness, and anticipated cessation-related health improvement...

..The authors reviewed the evidence on performance improvement methods for increasing emergency department (ED) patient satisfaction to provide evidence-based suggestions for clinical practice...

..Conclusion: Although findings suggest that depression is common, it is often ignored in the ED setting. Recent efforts to increase awareness of depression in outpatient medical settings may be warranted in EDs as well...

..Because many underinsured Americans use the ED as a source of regular health care, the public health implications of increasing screening, counseling, and referral for smokers are substantial...

..To examine factors associated with motivation to quit smoking and interest in an emergency department (ED)-based intervention...

..The authors also expected overall ED satisfaction to be more strongly associated with perceived throughput times compared with actual throughput times, regardless of acuity...

..Experiencing a serious adverse behavior-related consequence may motivate behavior change...

..The authors examined the stability of predictors of ED patient satisfaction across multiple assessments over 17 months...

..To investigate racial/ethnic differences in acute asthma among adults presenting to the emergency department (ED), and to determine whether observed differences are attributable to socioeconomic status (SES)...

..Using two EDs as examples, the authors describe practical strategies designed to identify priority areas for potential improvement...

..Emergency departments (EDs) have strong potential to initiate tobacco interventions with economically disadvantaged populations...

..Future studies are planned to establish its efficacy at promoting treatment initiation and abstinence...

..Planning for emergency department (ED)-initiated interventions for mood disorders requires confirmation of prevalence data, identification of predictors, and an assessment of patient interest in such interventions...

..3%. Further prospective research on bipolar disorders among ED patients is needed to further define the scope of the problem and to inform the development of appropriate screening, assessment, and intervention programs...

..ED-based tobacco control would allow the specialty to help fulfill the Healthy People 2010 mandate to reduce the prevalence of smoking among US citizens...

..The authors sought to determine the 12-month prevalence of depression among emergency department (ED) patients using a single-question screen...

..However, little is known about ED patient preferences for receiving smoking cessation interventions or correlates of interest in tobacco counseling...

..Experiencing a serious consequence related to one's health behavior may motivate behavior change...

..In addition to barriers attributable to socioeconomic factors, health care providers and policy makers should target equalizing deficiencies in preventive medication prescription practices...

..To determine whether receipt of smoking cessation counseling affects satisfaction scores in adult emergency department (ED) smokers...

..This study examined the variability of blood pressure measurements and prevalence estimates of elevated blood pressure in emergency department (ED) patients using 4 different methods of categorization...

..The present study determined the prevalence of cigarette smoking among adults presenting to the ED with acute asthma and identified the factors associated with current smoking status...

..Programs to reduce inappropriate ED use must be sensitive to an array of complex socioeconomic issues and may necessitate a substantial paradigm shift in how acute care is provided in low SES communities...

..ED-based tobacco control would allow the specialty to help fulfill the Healthy People 2010 mandate to reduce the prevalence of smoking among US citizens...

..We hypothesized adult parenting smokers in the emergency department (ED) have a higher interest in quitting and may be more amenable to tobacco cessation counseling than smokers without children...

..The objective was to describe the epidemiology of emergency department (ED) visits for attempted suicide and self-inflicted injury over a 16-year period...

..Our objective was to compare the effect of two interventions on primary care follow-up after ED treatment for asthma exacerbations...

..Many studies have focused on smoking and chronic asthma severity. However, research on the relationship between smoking and acute asthma severity in an acute care setting is sparse...

..To describe the Psychiatric Emergency Research Collaboration (PERC), the methods used to create a structured chart review tool and the results of our multicenter study...

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..The objective was to provide estimates and predictors of screening for suicide in emergency departments (EDs)...

..A priori hypothesis generation grounded in conceptual models of health behavior, followed by empirical validation of these hypotheses, is needed to improve preventive and public health-related interventions in emergency care settings...

..Providers may need to use more active, behaviorally focused interventions for the more advanced behavior while simultaneously implementing more cognitively focused interventions for the less advanced one...

..42 to 0.64, p < 0.001). Consistent with the DP, when throughput times exceeded expectations, dissatisfaction with those throughput times arose, leading to general dissatisfaction with the ED visit...

..Many consider heroin abuse a problem of the inner city, but suburban patients may also be at risk...

..The objective was to describe continuity of care approaches for psychiatric emergencies in the emergency department...

..We identify key research questions essential to advancing the science of emergency care and discuss the barriers and strategies to advance research by exploring the collaboration between NIH and the emergency care community...

..We describe here the implementation at 14 Academic EDs of a structured SBIRT curriculum to determine if this learning experience improves provider beliefs and practices...

..The authors conducted a pre-post trial investigating the effects of introducing a templated chart on the documentation of pain assessments and the provision of analgesia to ED patients...

..This paper presents the tenets underlying the Sentinel Event Method, describes the steps comprising the process, and illustrates its application to EM through an example of a cardiac-related ED visit and tobacco use...

..To advance this area of research, investigators must use: 1) larger, more representative samples; 2) reliable and valid assessment instruments; 3) theory-driven hypothesis testing; and 4) randomized, controlled trials...

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..To validate the transtheoretical model for exercise behavior and the constructs of decisional balance and self-efficacy for exercise in a low-income, poorly educated primary care sample...

..However, caution should be taken when interpreting the findings since 75% of the sample had at least one chronic illness...

..Because these individuals may have limited access to screening and preventive interventions, wider adoption of these initiatives may improve the health of this vulnerable population...

..The frequency of ETS exposure suggests that the ED may be an appropriate venue to engage caregivers of children with asthma in asthma education and smoking cessation efforts...

..CONCLUSION: Self-efficacy influences SOC movement for smoking cessation, dietary fat reduction, and exercise adoption...

..The present findings suggest that HLOC may be meaningfully related to medical outcomes. However, these relationships may not be captured through the examination of main effects and may be only found when interactions are considered...

..Limited information on antibiotic resistance of Streptococcus pneumoniae (SP) exists for patients discharged from emergency departments with community-acquired pneumonia...

..Self-poisoning is the most common method. The high prevalence of psychiatric and substance abuse disorders in this population suggests these issues should be considered during management and disposition...

..g., Medicare). ..

..Significance: This proposal will not only prepare the way for a multi-center RCT in the ED setting, it will also enhance our understanding of tobacco use and cessation among underserved demographic groups. ..

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..g., JCAHO) and to facilitate financial reimbursement of tobacco counseling covered by Medicare and other third party providers. ..

..The research plan includes preparing and submitting an R01 in Year 2. ..