Summary: Patient or client refusal of or resistance to medical, psychological, or psychiatric treatment. (APA, Thesaurus of Psychological Index Terms, 8th ed.)
Publications268 found, 100 shown here
- How often do patients with psychosis fail to adhere to treatment programmes? A systematic reviewM Nose
Department of Medicine and Public Health, Section of Psychiatry, University of Verona, Verona, Italy
Psychol Med 33:1149-60. 2003..Its purpose is to provide an overall estimate of treatment non-adherence in community psychiatric services, and to analyse and study patient characteristics explaining the between-study heterogeneity in rates of non-adherence...
- Oncological management of pediatric cancer patients belonging to Jehovah's Witnesses: a two-institutional experience reportT Tenenbaum
Department of Pediatric Oncology, Hematology and Immunology, University Children s Hospital, Heinrich Heine University, Dusseldorf, Germany
Onkologie 27:131-7. 2004....
- Are patients' decisions to refuse treatment binding on health care professionals?Peter Murphy
Department of Philosophy, University of Tennessee, 801 McClung Tower, Knoxville, TN 37996 0480, USA
Bioethics 19:189-201. 2005..The other argument appeals to considered judgments about cases in which disincentives are used to deter patients from refusing sound treatments...
- Discharges against medical advice: are race/ethnicity predictors?Peter Franks
Department of Family and Community Medicine, Center for Health Services Research in Primary Care, University of California at Davis, Sacramento, California 95817, USA
J Gen Intern Med 21:955-60. 2006..Prior literature suggests that blacks are more likely to be discharged against medical advice (DAMA)...
- Vaccine refusal, mandatory immunization, and the risks of vaccine-preventable diseasesSaad B Omer
Hubert Department of Global Health, Rollins School of Public Health and the Emory Vaccine Center, Emory University, Atlanta, GA 30322, USA
N Engl J Med 360:1981-8. 2009....
- Costs and consequences of the US Centers for Disease Control and Prevention's recommendations for opt-out HIV testingDavid R Holtgrave
Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America
PLoS Med 4:e194. 2007..In this paper, I estimate the costs and public health impact of opt-out HIV testing relative to testing accompanied by client-centered counseling, and relative to a more targeted counseling and testing strategy...
- Patient education program for venous thromboembolism prevention in hospitalized patientsGregory Piazza
Cardiovascular Division, Department of Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, MA, USA
Am J Med 125:258-64. 2012..We conducted a prospective cohort study to determine whether a patient education program would improve medication adherence to clinician-ordered injectable prophylactic anticoagulation...
- What happens to patients who leave hospital against medical advice?Stephen W Hwang
Inner City Health Research Unit and the Division of General Internal Medicine, St Michael s Hospital and University of Toronto, Toronto, ON
CMAJ 168:417-20. 2003..Patients who leave hospital against medical advice (AMA) may be at risk of adverse health outcomes and readmission. In this study we examined rates of readmission and predictors of readmission among patients leaving hospital AMA...
- 'Trusting blindly can be the biggest risk of all': organised resistance to childhood vaccination in the UKPru Hobson-West
Institute for Science and Society, University of Nottingham, Nottingham, UK
Sociol Health Illn 29:198-215. 2007..These findings have implications for wider sociological debates about risk and trust in relation to health...
- A report about treatment refusal and abandonment in children with acute lymphoblastic leukemia in China, 1997-2007Yan Rong Wang
Department of Pediatrics, the Affiliated Shenzhen Third Hospital, Guangdong Medical College, Shenzhen, China
Leuk Res 35:1628-31. 2011To analyze the causes and consequence of treatment refusal and abandonment in childhood acute lymphoblastic leukemia (ALL) treated in Wuhan Union Hospital of China.
- Patients who leave emergency departments without being seen: literature review and English data analysisA J Clarey
Warwick Medical School, Coventry, UK
Emerg Med J 29:617-21. 2012....
- Upper-limb prosthetics: critical factors in device abandonmentElaine Biddiss
Bloorview Research Institute, Toronto, Canada
Am J Phys Med Rehabil 86:977-87. 2007..To investigate the roles of predisposing characteristics, established need, and enabling resources in upper-limb prosthesis use and abandonment...
- Missed appointments in primary care: questionnaire and focus group study of health professionalsMahvash Husain-Gambles
Department of General Practice, University Of Leeds College of Medicine, Leeds, UK
Br J Gen Pract 54:108-13. 2004..Little is known about how missed appointments, and the people who miss them, are managed in primary care, or about effective strategies for managing missed appointments...
- Measurement, correlates, and health outcomes of medication adherence among seniorsShelly A Vik
Department of Community Health Sciences, Faculty of Medicine, University of Calgary, Calgary, Alberta, Canada
Ann Pharmacother 38:303-12. 2004..To provide a comprehensive review of the literature on the measurement, correlates, and health outcomes of medication adherence among community-dwelling older adults...
- Refusing HIV testing in an urgent care setting: results from the "Think HIV" programRebecca V Liddicoat
Department of Medicine, Greater Los Angeles Veterans Affairs, Los Angeles, California 90073, USA
AIDS Patient Care STDS 20:84-92. 2006..If routine HIV testing programs are to be successful, strategies must be developed to increase HIV test acceptance among patients most likely to refrain from testing...
- Discharge against medical advice from inpatient psychiatric treatment: a literature reviewMichael Brook
Department of Psychology, Rosalind Franklin University of Medicine and Science, North Chicago, IL 60064, USA
Psychiatr Serv 57:1192-8. 2006..Specifically, definitions, prevalence, predictors, temporal patterns, consequences, and interventions pertaining to such discharge were explored...
- Treatment non-adherence in affective disordersRavi Lingam
Department of Psychiatry and Psychotherapy, Claremont House, Royal Victoria Infirmary, Newcastle upon Tyne, UK
Acta Psychiatr Scand 105:164-72. 2002..The aim of this paper is to review the prevalence, predictors and methods for improving medication adherence in unipolar and bipolar affective disorders...
- Leaving against medical advice (AMA): risk of 30-day mortality and hospital readmissionJustin M Glasgow
The Center for Research in the Implementation of Innovative Strategies in Practice CRIISP at the Iowa City VA Medical Center, 601 Highway 6 West, Mailstop 152, Iowa, IA 52246 2208, USA
J Gen Intern Med 25:926-9. 2010..With 1-2% of patients leaving the hospital against medical advice (AMA), the potential for these patients to suffer adverse health outcomes is of major concern...
- Parental vaccine safety concerns in 2009Gary L Freed
Division of General Pediatrics, Department of Pediatrics and Communicable Diseases, University of Michigan, 300 North Ingalls Building 6E08, Ann Arbor, MI 48109 0456, USA
Pediatrics 125:654-9. 2010..The objective of this study was to characterize the current prevalence of parental vaccine refusal and specific vaccine safety concerns and to determine whether such concerns were more common in specific population groups...
- Determinants of absconding by patients on acute psychiatric wardsL Bowers
St Bartholomew School of Nursing and Midwifery, City University, London, England
J Adv Nurs 32:644-9. 2000..Further investigation is required to determine exactly what it is that consultant psychiatrists and ward nurses do that affects absconding rates...
- Patient, hospital, and general practitioner characteristics associated with non-attendance: a cohort studyWilliam Hamilton
Public Health Medicine, North and East Devon Health Authority, Exeter
Br J Gen Pract 52:317-9. 2002..Targeting of strategies to reduce non-attendance is possible using these results...
- Prevalence of and risk factors for medication nonadherence in patients with schizophrenia: a comprehensive review of recent literatureJonathan P Lacro
Department of Psychiatry, University of California, and Veterans Affairs San Diego Healthcare System, 92161, USA
J Clin Psychiatry 63:892-909. 2002..This article reviews recent literature on the prevalence of and risk factors for medication nonadherence in patients with schizophrenia...
- Prosthesis rejection in children with a unilateral congenital arm defectK Postema
St Maartenskliniek, Nijmegen, The Netherlands
Clin Rehabil 13:243-9. 1999..To determine the rate of rejection for prosthetic use in children and to investigate reasons for this rejection...
- Psychological insulin resistance in patients with type 2 diabetes: the scope of the problemWilliam H Polonsky
Department of Psychiatry, University of California, San Diego, USA
Diabetes Care 28:2543-5. 2005
- Who are the children leaving the emergency department without being seen by a physician?Nathalie Gaucher
Division of Emergency Medicine, Department of Pediatrics, CHU Sainte Justine, Universite de Montreal, Quebec, Canada
Acad Emerg Med 18:152-7. 2011..Waiting times to see a physician in emergency departments (EDs) are growing, and a greater number of patients are leaving the ED without being seen by a physician (LWBS)...
- Associations of mental, and medical illnesses with against medical advice discharges: the National Hospital Discharge Survey, 1988-2006Rima Tawk
Division of Health Policy and Administration, School of Public Health, University of Illinois at Chicago, 1603 West Taylor Street, Chicago, IL 60612, USA
Adm Policy Ment Health 40:124-32. 2013..Prospective primary data collection that would include patient, physician, and hospital variables is recommended...
- A mother who refuses to vaccinate her childSanford R Kimmel
Department of Clinical Family Medicine, Medical College of Ohio, Toledo, USA
Am Fam Physician 67:651, 655-6. 2003
- Refusal of care: patients' well-being and physicians' ethical obligations: "but doctor, I want to go home"Joseph A Carrese
Department of Medicine, Johns Hopkins Bayview Medical Center, and Program on Ethics in Clinical Practice, Phoebe R Berman Bioethics Institute, Johns Hopkins University, Baltimore, MD 21224, USA
JAMA 296:691-5. 2006....
- Impact of addition of philosophical exemptions on childhood immunization ratesJoseph W Thompson
Arkansas Center for Health Improvement, Department of Pediatrics, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas 72201, USA
Am J Prev Med 32:194-201. 2007..This retrospective study conducted in 2006 describes the impact of philosophical exemption legislation in Arkansas...
- Risks and benefits of the single versus the triple MMR vaccine: how can health professionals reassure parents?Deborah McGreevy
University of Brighton, c o Clinical Research Centre, 49 Darley Road, Eastbourne BN20 7UR, England
J R Soc Promot Health 125:84-6. 2005....
- Compliance with osteoporosis medicationsDaniel H Solomon
Divisions of Pharmacoepidemiology, Brigham and Women s Hospital, Boston, MA 02120, USA
Arch Intern Med 165:2414-9. 2005..This study was undertaken to assess the level and determinants of compliance with drugs prescribed for osteoporosis...
- Predictors of nonadherence to screening colonoscopyThomas D Denberg
Department of Medicine, University of Colorado at Denver and Health Sciences, Denver, Colo 80262, USA
J Gen Intern Med 20:989-95. 2005....
- Patients' refusal of surgery strongly impairs breast cancer survivalHelena M Verkooijen
Geneva Cancer Registry, Institute for Social and Preventive Medicine, Geneva University, Switzerland
Ann Surg 242:276-80. 2005..To compare patient and tumor characteristics and survival between women who refused and women who accepted surgery for breast cancer...
- Treatment refusal and abandonment in childhood acute lymphoblastic leukemia in Indonesia: an analysis of causes and consequencesMei Neni Sitaresmi
Department of Pediatric, Faculty of Medicine, Gadjah Mada University, Yogyakarta, Indonesia
Psychooncology 19:361-7. 2010b>Treatment refusal and abandonment are common causes of treatment failure in childhood acute lymphoblastic leukemia (ALL) in many developing countries...
- Discharge of hospitalized under-fives against medical advice in Benin City, NigeriaA N Onyiriuka
Department of Child Health, College of Medical Sciences Universit of Benin Benin City, Nigeria
Niger J Clin Pract 10:200-4. 2007..To determine the incidence of discharge against medical advice (DAMA) among under-fives in Benin City, document reasons for these discharges and suggest ways of reducing its occurrence...
- Factors influencincing discharge against medical advice among paediatric patients in Abakaliki, Southeastern NigeriaRoland Chidi Ibekwe
Department of Paediatrics, Ebonyi State University Teaching Hospital, Abakaliki, Nigeria
J Trop Pediatr 55:39-41. 2009..DAMA at the study site is closely asssociated with parental poverty and ignorance. Neonates and older children with surgical conditions are the most vulnerable group. Policies should be targeted at protecting these groups...
- Resistance to insulin therapy among patients and providers: results of the cross-national Diabetes Attitudes, Wishes, and Needs (DAWN) studyMark Peyrot
Department of Sociology, Loyola College, Baltimore, MD 21210 2699, USA
Diabetes Care 28:2673-9. 2005..To examine the correlates of patient and provider attitudes toward insulin therapy...
- Outcomes of breast cancer in patients who use alternative therapies as primary treatmentEugene Y Chang
Legacy Cancer Services, Surgical Associates, 1130 NW 22nd St, Ste 500, Portland, OR 97210, USA
Am J Surg 192:471-3. 2006..Some breast cancer patients opt for alternative treatments in place of conventional treatments. The lack of published data on the outcome of this strategy may contribute to this trend...
- Correlates of self-reported nonadherence to antiretroviral therapy in HIV-infected patients: the Swiss HIV Cohort StudyTracy R Glass
Basel Institute for Clinical Epidemiology, University Hospital Basel, CH 4056 Basel, Switzerland
J Acquir Immune Defic Syndr 41:385-92. 2006..Adherence is one of the most crucial issues in the clinical management of HIV-infected patients receiving antiretroviral therapy (ART)...
- Factors associated with patients who leave acute-care hospitals against medical adviceSaid A Ibrahim
Center for Health Equity Research and Promotion, Veterans Administration Pittsburgh Healthcare System, Pittsburgh, PA 15240, USA
Am J Public Health 97:2204-8. 2007..We examined hospital- and patient-related factors associated with discharge against medical advice (termed self-discharge) after emergency admission to acute-care hospitals...
- Risk factors associated with default among new pulmonary TB patients and social support in six Russian regionsW M Jakubowiak
WHO TB Control Programme in the Russian Federation, Office of the Special Representative of the WHO Director General in Russia, 28, Ostozhenka St, 119034 Moscow, Russia
Int J Tuberc Lung Dis 11:46-53. 2007..Tuberculosis (TB) services in six Russian regions in which social support programmes for TB patients were implemented...
- Reasons for incomplete immunisation among Australian children. A national survey of parentsGlenda L Lawrence
National Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases, University of Sydney and The Children s Hospital at Westmead, New South Wales
Aust Fam Physician 33:568-71. 2004..Incomplete immunisation among Australian children may be due to parents disagreeing with immunisation rather than medical contraindications or access issues...
- Profile of and control measures for paediatric discharges against medical adviceC N Okoromah
Department of Paediatrics and Child Health, Lagos University Teaching Hospital, Nigeria
Niger Postgrad Med J 11:21-5. 2004..This study was aimed at ascertaining the prevalence rate and the determining clinical, sociodemographic factors as well as caregivers' perceptions associated with paediatric DAMA with the view of proferring possible control measures...
- Nonattendance at outpatient endoscopyL A Adams
Department of Gastroenterology and Hepatology, Royal Perth Hospital, Perth, Australia
Endoscopy 36:402-4. 2004..Nonattendance at outpatient endoscopy leads to inefficiency and delay in diagnosis. We aimed to identify factors associated with failure to attend outpatient gastroscopy and colonoscopy...
- Predictors of noncompliance in patients with schizophreniaDiana O Perkins
University of North Carolina Chapel Hill, Department of Psychiatry, Chapel Hill 27599 7160, USA
J Clin Psychiatry 63:1121-8. 2002..The health belief model views noncompliance as a decision made by the patient, arrived at after weighing the perceived risks and benefits of treatment...
- "I'm going home": discharges against medical adviceDavid J Alfandre
Department of Veterans Affairs National Center for Ethics in Health Care, 423 E 23rd St 10E, New York, NY 10021, USA
Mayo Clin Proc 84:255-60. 2009....
- Hospitalized patients with asthma who leave against medical advice: characteristics, reasons, and outcomesAlan P Baptist
Allergy Immunology Section, Department of Internal Medicine, Wayne State University School of Medicine, Detroit, MI 48201, USA
J Allergy Clin Immunol 119:924-9. 2007..A discharge against medical advice (AMA) after an asthma hospitalization is a frustrating problem for health care providers, yet little is known about this occurrence...
- Patient risk profiles and practice variation in nonadherence to antidepressants, antihypertensives and oral hypoglycemicsLiset van Dijk
NIVEL, Netherlands Institute for Health Services Research, Utrecht, The Netherlands
BMC Health Serv Res 7:51. 2007..An additional objective is to explore differences in nonadherence among patients from different general practices...
- Who leaves against medical advice?J Jeremiah
Division of General Internal Medicine, Rhode Island Hospital, Brown University School of Medicine, Providence 02903, USA
J Gen Intern Med 10:403-5. 1995..However, the patients leaving AMA were more likely to return for care within the next week than were the control patients...
- Use of standardized patients to examine physicians' communication strategies when addressing vaccine refusal: a pilot studyKristina A Bryant
Department of Pediatrics, University of Louisville, Louisville, KY, United States
Vaccine 27:3616-9. 2009..The median recorded encounter lasted 19 min. SMs represent a novel strategy for studying physician/parent communication about vaccines...
- Patterns of vaccination acceptanceP Streefland
Royal Tropical Institute, Amsterdam, The Netherlands
Soc Sci Med 49:1705-16. 1999..The article also develops conceptual tools for the analysis of acceptance and non-acceptance and discusses explanatory theoretical perspectives...
- Self-restriction of medications due to cost in seniors without prescription coverageM A Steinman
Division of Geriatrics, San Francisco VA Medical Center, University of California San Francisco 94121, USA
J Gen Intern Med 16:793-9. 2001..We sought to identify which elderly patients are at highest risk of restricting their medications because of cost, and how prescription coverage modifies this risk...
- Allergic to genericsTroyen A Brennan
Brigham and Women s Hospital, Partners Community HealthCare, Harvard Medical School, and Harvard School of Public Health, Boston, Massachusetts 02115, USA
Ann Intern Med 141:126-30. 2004....
- Adherence to antiretroviral therapy among HIV-positive children: examination of the role of caregiver health beliefsR G Steele
Clinical Child Psychology Program, University of Kansas, Lawrence, KS 66045, USA
AIDS Care 13:617-29. 2001..Results are discussed in terms of implications for patient care and for future research in this area. The addition of behavioural and motivational components to traditional educational approaches may positively impact treatment results...
- Estimating the proportion of patients infected with HIV who will die of comorbid diseasesR Scott Braithwaite
VAMC New Haven and Yale University School of Medicine, New Haven, Conn, USA
Am J Med 118:890-8. 2005..Effective antiretroviral therapies have improved the prognosis for patients infected with the human immunodeficiency virus (HIV). We aimed to estimate the likelihood that HIV-infected patients would die of comorbid disease...
- Non-compliance is the predominant cause of aspirin resistance in chronic coronary arterial disease patientsKenneth A Schwartz
Ingham Regional Medical Center
J Transl Med 6:46. 2008..This report compares the relative frequency of aspirin resistance between known compliant and non-compliance subjects to demonstrate that non-compliance is the predominant cause of aspirin resistance...
- Increasing immunization coverage. American Academy of Pediatrics Committee on Community Health Services. American Academy of Pediatrics Committee on Practice and Ambulatory MedicineDavid L Wood
Pediatrics 112:993-6. 2003..Pediatricians also can proactively communicate with parents to ensure they understand the overall safety and efficacy of vaccines...
- Responding to parental refusals of immunization of childrenDouglas S Diekema
Pediatrics 115:1428-31. 2005....
- Lack of aspirin effect: aspirin resistance or resistance to taking aspirin?Gad Cotter
Clinical Pharmacological Research Unit, The Cardiology Institute, Zerifin, Israel
Am Heart J 147:293-300. 2004..Determining which of these factors predicts poor outcome would inform potential intervention strategies...
- Childhood immunization refusal: provider and parent perceptionsDoren D Fredrickson
Department of Preventive Medicine, University of Kansas, Wichita, USA
Fam Med 36:431-9. 2004..This study was conducted to estimate, based on reports from health care providers and parents, the frequency of and reasons for immunization refusal...
- Cost-related skipping of medications and other treatments among Medicare beneficiaries between 1998 and 2000. Results of a national studyIra B Wilson
The Institute for Clinical Research and Health Policy Studies, Tufts New England Medical Center, Boston, MA 02111, USA
J Gen Intern Med 20:715-20. 2005..To report rates of cost-related skipping of medications and other treatments, assess correlates of skipping, examine changes in skipping between 1998 and 2000, and identify factors associated with changes in skipping...
- What is meant by intention to treat analysis? Survey of published randomised controlled trialsS Hollis
Medical Statistics Unit, Fylde College, Lancaster University, Lancaster LA1 4YF
BMJ 319:670-4. 1999..To assess the methodological quality of intention to treat analysis as reported in randomised controlled trials in four large medical journals...
- Initial appointment nonattendance in child and family mental health clinicsC B Benway
Yale University, Department of Psychiatric Mental Health Nursing, School of Nursing, New Haven, CT, USA
Am J Orthopsychiatry 73:419-28. 2003..However, it is noted that the research on underlying factors is not utilized in structuring these interventions. Suggestions for future research to address this problem are offered...
- Effects of enhanced depression treatment on diabetes self-careElizabeth H B Lin
Center for Health Studies, Group Health Cooperative, Seattle, Wash 98101, USA
Ann Fam Med 4:46-53. 2006..We reported earlier that enhanced depression care reduces depression symptoms but not hemoglobin A1c level. This study examined effects of depression interventions on self-management among depressed diabetic patients...
- Non-attendance at an orthopaedic and trauma specialist outpatient department of a regional hospitalJoanne W Y Chung
Associate Professor, School of Nursing, The Hong Kong Polytechnic University, Hunghom, Hong Kong
J Nurs Manag 12:362-7. 2004..To assess the extent of and reasons for non-attendance in the Orthopaedic and Trauma Specialist Outpatient Department...
- Vaccine criticism on the World Wide WebRichard K Zimmerman
Department of Family Medicine and Clinical Epidemiology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
J Med Internet Res 7:e17. 2005..The Internet can influence perceptions about vaccines because it is the fastest growing source of consumer health information. However, few studies have analyzed vaccine criticism on the Web...
- Health provider determinants of nonattendance in pediatric otolaryngology patientsArnon D Cohen
Clalit Health Services, Siaal Research Center for Family Medicine and Primary Care, Beer Sheva, Israel
Laryngoscope 115:1804-8. 2005..Nonattendance for otolaryngology appointments disrupts the management of medical care and leads to ineffective use of resources. The determinants of nonattendance in pediatric otolaryngology patients have not been well documented...
- Improving adherence to antidepressants: a systematic review of interventionsAnton C M Vergouwen
Department of Psychiatry, Sint Lucas Andreas Hospital, Amsterdam, The Netherlands
J Clin Psychiatry 64:1415-20. 2003..Effectiveness of antidepressant medication is reduced by patients' nonadherence. Several interventions to improve adherence in patients diagnosed with unipolar depression have been tested...
- Residual arachidonic acid-induced platelet activation via an adenosine diphosphate-dependent but cyclooxygenase-1- and cyclooxygenase-2-independent pathway: a 700-patient study of aspirin resistanceAndrew L Frelinger
Center for Platelet Function Studies, Department of Pediatrics, UMass Memorial Medical Center, 55 Lake Ave N, Worcester, Massachusetts 01655, USA
Circulation 113:2888-96. 2006..Thrombotic events still occur in aspirin-treated patients with coronary artery disease...
- Discontinuing or switching selective serotonin-reuptake inhibitorsScott A Bull
The Permanente Medical Group Division of Research, Kaiser Permanente, Oakland, CA, USA
Ann Pharmacother 36:578-84. 2002....
- Development and validation of a new measure to evaluate psychological resistance to insulin treatmentFrank Petrak
Department for Psychosomatic Medicine and Psychotherapy, LWL Clinic Dortmund Ruhr University of Bochum, Dortmund, Germany
Diabetes Care 30:2199-204. 2007..To develop a psychometric questionnaire to measure psychological barriers to insulin treatment in patients with type 2 diabetes...
- Nonadherence to highly active antiretroviral therapy: clinically relevant patient categorization based on electronic event monitoringEric Van Wijngaerden
Department of Internal Medicine, University Hospitals of KU Leuven, Leuven, Belgium
AIDS Res Hum Retroviruses 18:327-30. 2002..0001) between the two groups. Adherent patients had a better outcome, as shown by a larger drop in viral load (p = 0.011) and rise in CD4+ cell count (p = 0.035), showing that the algorithm-based categorization is clinically relevant...
- Issues regarding nonattendance at a paediatric dermatology centreK L Hon
Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong
Clin Exp Dermatol 27:711-3. 2002..Data in this retrospective study confirm that there is a gender disparity in hospital nonattendance. More dermatological referrals but more nonattendance were associated with the male patients...
- Absconding of patients from an independent UK psychiatric hospital: a 3-year retrospective analysis of events and characteristics of abscondersG L Dickens
St Andrew's Hospital, Northampton, UK
J Psychiatr Ment Health Nurs 8:543-50. 2001..There is a need for more detailed studies of absconding by patients within the Adolescent Mental Health Service subgroup where the absconding rate was relatively high and engagement in risk activity whilst AWOL relatively frequent...
- Mortality and morbidity in patients with very low postoperative Hb levels who decline blood transfusionJeffrey L Carson
Department of Medicine, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick, USA
Transfusion 42:812-8. 2002..Guidelines for allogeneic transfusion emphasize minimizing use to avoid transmission of serious illness. However, there is little information on the risks associated from withholding transfusion...
- Race and hospital discharge against medical adviceE Moy
Division of General Internal Medicine, University of Maryland School of Medicine, Baltimore, USA
J Natl Med Assoc 88:658-60. 1996..Optimization of the delivery of inpatient services to patients of all races requires addressing this inequity...
- Factors associated with nonadherence to highly active antiretroviral therapy: a 5-year follow-up analysis with correction for the bias induced by missing data in the treatment maintenance phaseMaria Patrizia Carrieri
INSERM U379, Marseille, France
J Acquir Immune Defic Syndr 41:477-85. 2006..Reasons for nonadherence are multifactorial. Psychosocial interventions and the selection of the best-tolerated regimens are needed to improve long-term adherence of HIV-infected patients to their lifelong treatment...
- Jehovah's Witnesses in the emergency department: what are their rights?S Woolley
Bristol Royal Infirmary Bristol Royal Hospital for Children, Bristol, UK
Emerg Med J 22:869-71. 2005..Adult JWs have fought to protect their autonomy when making both contemporaneous and advance treatment refusal. The refusal of blood products by JWs raises ethical and legal dilemmas that are not easily answered...
- Patients discharged against medical advice from a general medicine serviceS N Weingart
Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, Mass 02215, USA
J Gen Intern Med 13:568-71. 1998..Patients who left the hospital against medical advice included many disadvantaged individuals without ongoing primary care...
- An economic review of compliance with medication therapy in the treatment of schizophreniaPatricia Thieda
RTI Health Solutions, RTI International, 3040 Cornwallis Road, PO Box 12194, Research Triangle Park, NC 27709, USA
Psychiatr Serv 54:508-16. 2003..The authors examined published economic evaluations of schizophrenia and antipsychotic therapies to determine the role of compliance with medication therapy in the economic cost of schizophrenia...
- Predictors of medication-refill adherence in an indigent rural populationJoel M Schectman
Department of Medicine, University of Virginia, PO Box 800744, Charlottesville, VA 22908, USA
Med Care 40:1294-300. 2002..We evaluated the association of medication refill adherence with demographic and prescription characteristics to determine whether such factors could guide intervention strategies in an indigent rural population...
- Physicians' evaluations of patients' decisions to refuse oncological treatmentT van Kleffens
VU University Medical Center, Department of Philosophy and Medical Ethics, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands
J Med Ethics 31:131-6. 2005..To gain insight into the standards of rationality that physicians use when evaluating patients' treatment refusals...
- Investigating non-attendance at colposcopy clinicA S Yassin
Department of Obstetrics and Gynaecology, Trafford General Hospital, Manchester, UK
J Obstet Gynaecol 22:79-80. 2002..The incidence of non-attendance was 23.7%. Younger age, smoking, occurrence of pregnancy, previous history of termination of pregnancy, anxiety and follow-up appointments were more common in non-attenders...
- Time and money: effects of no-shows at a family practice residency clinicC G Moore
Department of Family and Preventive Medicine, University of South Carolina School of Medicine, Columbia 29203, USA
Fam Med 33:522-7. 2001..CONCLUSIONS: Failed appointments pose financial as well as administrative problems for residency practices. Proactive reminder systems are needed to promote patient attendance...
- Who decides--the patient, the physician or the rabbi?Shimon M Glick
Lord Rabbi Immanuel Jakobovits Center for Jewish Medical Ethics, Faculty of Health Sciences, Ben Gurion University, Israel
Assia Jew Med Ethics 4:20-30. 2004
- [Compliance of patients admitted with consent to psychiatric hospital]Stanisław Dabrowski
Z Instytutu Psychiatrii i Neurologii w Warszawie
Psychiatr Pol 39:125-37. 2005..The aim of the study is to assess the interrelation between three earlier described types of consent to inpatient treatment and compliance as well as some aspects of patients' autonomy...
- [Evaluation of following the regulations of informed consent for treatment in a psychiatric hospital]Stanisław Dabrowski
Z Instytutu Psychiatrii i Neurologii w Warszawie
Psychiatr Pol 39:139-50. 2005..The aim of this paper was to evaluate the frequency of following the regulations of informed consent for treatment in a psychiatric hospital...
- Brief report: risk factors for pneumococcal vaccine refusal in adults: a casecontrol studyLesley S Miller
Division of General Medicine, Emory University School of Medicine, Atlanta, GA 30303, USA
J Gen Intern Med 20:650-2. 2005..Invasive pneumococcal disease is a significant cause of morbidity and mortality in the United States. Despite availability of an effective vaccine, many patients refuse vaccination...
- Adherence and nonadherence to antipsychotic medicationsYoriko Kozuki
Department of Psychosocial and Community Health, University of Washington, School of Nursing, Seattle, Washington 98195 7263, USA
Issues Ment Health Nurs 26:379-96. 2005..Lower mood scores predicted four out of five reasons for nonadherence. Adherence and nonadherence behaviors were determined by different variables and were not mirror opposites...
- Understanding the legal implications of living willsFiona Haas
Respiratory Centre, St Richard s Hospital, Chichester
Nurs Times 101:34-7. 2005..In recognising the legality of advance refusals of treatment, nurses need to be aware that they must abide by such a refusal...
- Attitudes toward antipsychotic medication: the impact of clinical variables and relationships with health professionalsJennifer C Day
Pharmacy Department, Mersey Care NHS Trust, Merseyside, England
Arch Gen Psychiatry 62:717-24. 2005..Although patient variables such as insight and symptoms that contribute toward attitudes have been identified, the contributions of relationship and service factors have not been adequately studied...
- Respecting the autonomy of irrational patientsArnold Blank
Arch Intern Med 165:590. 2005
- The not unreasonable standard for assessment of surrogates and surrogate decisionsRosamond Rhodes
Department of Medical Education, Mount Sinai School of Medicine, New York, NY 10029, USA
Theor Med Bioeth 25:367-85. 2004..This paper provides a model for acceptable surrogate decisions and a standard for blocking inappropriate surrogates. Only decisions based on widely shared reasons are allowable for surrogate refusal of highly beneficial treatment...
- Strategies for enhancing the nurse's role in assessing and promoting a patient's decisional capacityMarcia Sue DeWolf Bosek
Department of Adult Health Nursing and Program in Ethics and Department of Religion, Health and Human Values, Rush University, Chicago, IL, USA
JONAS Healthc Law Ethics Regul 7:75-8. 2005
- Precommitment issues in bioethicsJohn A Robertson
University of Texas School of Law, USA
Tex Law Rev 81:1849-76. 2003
- Treating competent patients by force: the limits and lessons of Israel's Patient's Rights ActM L Gross
Department of Political Science, University of Haifa, Israel
J Med Ethics 31:29-34. 2005..These concerns reach past Israel and should engage healthcare professionals wary that respect for autonomy may sometimes cause avoidable harm...
- The right of a minor in Israel to participate in the decision-making process concerning his or her medical treatmentYehiel S Kaplan
University of Haifa, Israel
Fordham Int Law J 25:1085-168. 2002
- Questioning our principles: anthropological contributions to ethical dilemmas in clinical practiceCarolyn Sargent
Department of Anthropology, Southern Methodist University, Dallas, Texas, USA
Camb Q Healthc Ethics 15:123-34. 2006
- Medicinal products and consent by mentally capacitated patientsBridgit Dimond
University of Glamorgan, UK
Br J Nurs 12:1106-7. 2003..He was therefore advised that he would require insulin and regular blood testing. He failed to comply with this regimen and the community nurse wondered if he could be compelled to have his medication. What is the law?..
- The anorexia talking?Jacinta Tan
Ethox, Oxford Centre for Ethics and Communication in Health Care, Division of Medicine, University of Oxford, OX3 7LF, Oxford, UK
Lancet 362:1246. 2003
- Non-adherence to tuberculosis treatment in the eastern Tarai of NepalD F Wares
TB Leprosy Control Programme, The Britain Nepal Medical Trust, Biratnagar
Int J Tuberc Lung Dis 7:327-35. 2003..Tarai districts, eastern Nepal...
- Novel Methodology for Rapid Antibiotic Susceptibiility Testing in S. aureusAlexis F Sauer Budge; Fiscal Year: 2010..Here, we propose to address the gap in antibiotic susceptibility diagnostics by developing a novel technique for rapid detection of antibiotic susceptibility using Staphylococcus aureus as our model system. ..
- The Role of RGS Proteins in the Regulation of Taste TransductionStaci P Cohen; Fiscal Year: 2013..Our results will help define the role of RGS proteins in shaping the duration and potency of tastant signaling. ..
- BIOMEDICAL (APPLIED/EXPLORATORY)JUDITH GWATHMEY; Fiscal Year: 2009..This therapy applies to a category of orphan diseases which typically afflict impoverished and disenfranchised populations;therefore, commercial opportunity is global...
- Modulating Eicosanoids to Treat Tuberculosis: Personalized, Host-directed TherapyDavid M Tobin; Fiscal Year: 2011..The tailoring of effective adjunctive therapies based on patient genotype could have immediate impact on the treatment of TB meningitis, a particularly deadly form of the disease. ..
- Organizational Factors Associated with Improved Inpatient Pediatric Asthma CareFlory L Nkoy; Fiscal Year: 2012....
- Nurse Delivered Cell-Phone HIV Adherence InterventionSeth C Kalichman; Fiscal Year: 2013..The intervention under study has utility for people living with HIV/AIDS In resource limited rural and urban settings. ..
- TB Surrogate Markers for Assessing Reponse to Treatment (TB SMART Study)GEORGE B SIGAL; Fiscal Year: 2013..Upon completion of comprehensive qualification and validation studies proposed, we will be ready to release the multiplexed, ECL biomarker panel assay as "Qualified Kits" to be used and evaluated in prospective Phase 2 and 3 trials. ..
- Improving Post-Hospital Transitions and Ambulatory Care for Children with AsthmaFlory L Nkoy; Fiscal Year: 2013..Our research will make significant contributions to translational science methods for assuring high quality of asthma care for all children. ..
- Risperidone Subcutaneous ImplantFRANCIS JOSEPH MARTIN; Fiscal Year: 2012..The final outcome will be an improvement in patient lives, and a reduction in overall healthcare costs. ..
- Risk Prediction and Computational Tools for Cancer Patient Adherence.Jakka Sairamesh; Fiscal Year: 2013..This technology has tremendous relevance for improved quality of care, proactive management of chronic diseases and patient safety. ..
- HIV Treatment Refusal Among Adults Presenting for Testing in Soweto, South AfricaINGRID THERESA KATZ; Fiscal Year: 2013....
- Risperidone Subcutaneous ImplantFRANCIS JOSEPH MARTIN; Fiscal Year: 2013....
- Novel Biophotonics Methodology for Colon Cancer ScreeningVadim Backman; Fiscal Year: 2012..In the future, this test can be implemented during an annual exam by a primary care physician to determine the need for colonoscopy. ..
- Uncontrolled hypertension - the role of medication adherence and clinical inertiaIAN MATTHEW KRONISH; Fiscal Year: 2013....
- Transforming Colorectal Cancer Screening through Multimodal Spectral MarkersHemant K Roy; Fiscal Year: 2013..Our approach is to develop a minimally intrusive, highly accurate pre-screen that would allow tailoring timing/intensity of screening and surveillance. ..
- THE CLINICAL EFFECTIVENESS OF PHARMACY ADHERENCE INFORMATION FOR DIABETES CONTROLKeoki Williams; Fiscal Year: 2010..Analyses will control for cluster randomization effects. The introduction of sustainable medication adherence monitoring in clinical practice holds great potential to improve health outcomes among patients with diabetes. ..
- EVALUATION OF HOME ASTHMA TELEMONITORING (HAT) IN ADULTSJoseph Finkelstein; Fiscal Year: 2003..Lastly, we will evaluate the HAT impact on behavioral and cognitive components of asthma self-care, including phase of asthma self-regulation, asthma self-efficacy and knowledge. ..
- DRUG TREATMENT REFUSAL IMPACT ON SEVERELY MENTALLY ILLJulie Zito; Fiscal Year: 1992A prospective study of drug treatment refusal will be conducted in 180 state psychiatric hospital admissions, aged 18-55, who are involuntarily committed and legally competent...
- Development of a P.gingivalis vaccineEric Reynolds; Fiscal Year: 2006..The recombinant proteins, protein fragments and synthetic peptide multivalent constructs will be tested as defined vaccines against P. gingivalis in murine models of disease. ..
- Brain Plasticity Based Training for Focal DystoniaMichael Merzenich; Fiscal Year: 2006..abstract_text> ..
- Health Literacy and Patient Adherence: A Meta-analysisM DiMatteo; Fiscal Year: 2007..This work will also examine trends over time in the development and evolution of substantive and methodological issues in health literacy and patient adherence. [unreadable] [unreadable] [unreadable]..
- DRUG DISCOVERY FOR PERSISTENT TUBERCULOSISJames Sacchettini; Fiscal Year: 2003..Indeed, the primary goal of this proposal is to develop new chemotherapeutics for the treatment of persistent M. tuberculosis infections. ..
- Tailored Cognitive-Behavior Therapy for Chronic PainRALPH COBURN; Fiscal Year: 2004..Patients receiving tailored CBT will also improve treatment adherence and lower treatment refusal and dropout rates...
- Early Warning Method and Technologies for Improving Cancer Care and Targeted InteJakka Sairamesh; Fiscal Year: 2009..This technology has tremendous relevance for improved quality of care, proactive management of chronic diseases and patient safety. ..
- DEVELOPING A COMPUTER BASED ADHERENCE ASSESSMENT TOOLHANK CHEN; Fiscal Year: 1999..A tool that would save them the time of conducting assessments while providing them with valuable information about their patients would have strong commercial potential. ..
- Evaluating reasons for variations in LDL levelsP Ho; Fiscal Year: 2003..abstract_text> ..
- Physician Uncertainty Reduction for Hypertension ControlDavid J Hyman; Fiscal Year: 2011..The research team has collaborated with both health systems in previous studies, and is experienced in conducting hypertension control and behavioral intervention studies in the target population. ..
- IMPROVING COMPLIANCE WITH ANTIRETROVIRAL MEDICATIONSMarc Rosen; Fiscal Year: 2002..The primary outcome measure will be MEMS-measured adherence to correct dose-time. Secondary outcome measures will include cost-effectiveness and viral load. ..
- Traetment Goals at the End of LifeTerri Fried; Fiscal Year: 2008..abstract_text> ..
- OUTPATIENT NURSE MANAGED HIV ADHERENCE TRIALWilliam Holzemer; Fiscal Year: 2002..Evidence is also provided to support the feasibility of utilizing nurse case managers to delivery a home care-based adherence intervention. ..
- Peer Support--Congestive Heart Failure Self-ManagementMARY ELLEN HEISLER; Fiscal Year: 2009..If found effective, this approach could be used to improve health outcomes among patients with other chronic conditions, such as depression, chronic pain, or diabetes. ..
- Disparities in prostate cancer decision-making and QOLThomas Denberg; Fiscal Year: 2003..Knowledge gained will also lead to interventions for patients and clinicians to improve the decision-making process. ..
- MEDICATION ADHERENCE INTERVENTION FOR HIV+ PERSONSDebra Murphy; Fiscal Year: 2002....
- INTERVENING AT PRODROMAL STAGES OF PSYCHOSISDiana Perkins; Fiscal Year: 2004..The results of this study will guide the design of future intervention studies and are anticipated to provide pilot data for an R01 testing novel treatment strategies with patients in the prodromal stage of psychotic illness. ..
- Brief Nursing Intervention to Prevent Poor Psychosocial Outcomes in Living DonorsMary Amanda Dew; Fiscal Year: 2010....
- IMPACT OF MENTAL HEALTH ADVANCE DIRECTIVESDebra Srebnik; Fiscal Year: 2004..Multi- stakeholder focus groups will be conducted for Aim 2c. Electronic information systems will provide demographic, diagnostic, level-of-functioning, outpatient commitment status and service utilization data. ..
- RELAPSE AND PREDICTORS OF DEPRESSION IN PREGNANCYLee Cohen; Fiscal Year: 2003..Delineating of these subgroups provides an opportunity to screen for women "at risk" for relapse and allows for thoughtful treatment plan. ..
- MAJOR DEPRESSION, ANXIETY, AND LUNG TRANSPLANTATIONMary Amanda Dew; Fiscal Year: 2003..An ultimate aim of the analyses is to refine hypotheses about the predictive sequence of effects under investigation and thereby to revise the study's conceptual model for subsequent intervention efforts. ..
- Maternal HIV: Intervention to Assist Disclosure to ChildrenDebra Murphy; Fiscal Year: 2009..Few interventions, other than for prevention or medication adherence, are available for women living with HIV;this study will evaluate an intervention that will help HIV-positive mothers deal with a serious family issue. ..
- Behavioral Interventions for the Dually DiagnosedMarc Rosen; Fiscal Year: 2008..abstract_text> ..
- Schizophenia Libility Genes among African-AmericansJoseph McEvoy; Fiscal Year: 2006..Finally, we have an outstanding track record of African American participation in research studies, and a deep appreciation of their population genetics. ..
- Payees, Disability Payments and Dual DiagnosisMarc Rosen; Fiscal Year: 2006..These studies will address fundamental questions about dispensing of disability payments and assignment of payees to dually diagnosed beneficiaries, questions that cannot be ethically addressed by prospective trials. ..
- Symptom Assessment After Stem Cell TransplantJohn Graham Pole; Fiscal Year: 2006..abstract_text> ..
- Coding Audiotapes of Clinic Visits for Adherence ContentIra Wilson; Fiscal Year: 2006..While this work focuses on adherence with ARVs for HIV disease, the GMIAS has been designed to be easily generalizable to other conditions and research problems in MD-PT communication. [unreadable] [unreadable]..
- Enhancing the Prospective Prediction of PsychosisDiana Perkins; Fiscal Year: 2007..Each site has proven its ability to recruit prodromal patients in a previous collaboration. ..
- Risk and Predictors of Postpartum DepressionLee Cohen; Fiscal Year: 2007..AItshuler, Dr. Hendrick), and the Emory Women's Mental Health Program at Emory University School of Medicine (Dr. Stowe). [unreadable] [unreadable]..
- Treatment goals at the end of lifeTerri Fried; Fiscal Year: 2006..Fried s continued success, Yale offers the resources necessary to ensure Dr. Fried s continued development as an independent investigator. ..
- Perceived AIDS Stigma: A Multinational African StudyWilliam Holzemer; Fiscal Year: 2007..Aim 3 proposes a quasi-experimental design to test the impact of community-level stigma reducing interventions within national nurses associations on its nurse members. ..
- Hospice Intervention for Older Adults With End Stage Renal DiseaseLewis Cohen; Fiscal Year: 2007..unreadable] [unreadable] [unreadable]..
- Lifestyle Adherence in High CVD Risk African-AmericansDavid Hyman; Fiscal Year: 2004....
- Psychiatric Morbidity Late Post Heart TransplantMary Amanda Dew; Fiscal Year: 2008..Data collection will involve semi-structured interviews, Txp Program staff evaluations, and medical record reviews. ..
- EFFECTIVENESS OF INVOLUNTARY OUTPATIENT COMMITMENTMarvin Swartz; Fiscal Year: 2002..abstract_text> ..
- Effective Treatment for Prescription Opioid AbuseSTACEY SIGMON; Fiscal Year: 2009..Development of efficacious treatments for this emerging population will help to reduce the vast economic and societal costs associated with prescription opioid abuse. ..
- Contingent Reinforcement of Compliance in Drug UsersMarc Rosen; Fiscal Year: 2004..Important process measures will be whether IMF (cues to remember doses, changes in substance use). A secondary aim will be to evaluate the temporal concordance between use of substances and medication non-compliance. ..
- STDS, FERTILITY, MARRIAGE AND DEMOGRAPHIC PROJECTIONRonald Gray; Fiscal Year: 2002..In collaboration with the U.S. Bureau of Census, data from the proposed study will be used to revise demographic projections of the effects of HIV on population growth, composition and AIDS orphanhood. ..
- ASSESSMENT MODE AND VALIDITY OF SELF-REPORTS IN CHILDRENBruce Bender; Fiscal Year: 2004..Results from this investigation are expected to have immediate and direct implication for clinical research in asthma and with other chronic conditions. ..
- Searching for ADHD Susceptibility GenesStephen V Faraone; Fiscal Year: 2010..That, in turn, should facilitate the search for newer, more effective treatments for the disorder. ..
- Reducing the Disproportionate Burden of Orofacial InjuryVivek Shetty; Fiscal Year: 2007..abstract_text> ..
- CLINICAL INVESTIGATION OF DRUG ABUSE DISORDERSKathleen Brady; Fiscal Year: 2008..The candidate would also use the time and funding provided through this award to continue to expand her activities in mentoring fellows and junior faculty. ..
- Medication Adherence in Older Psychotic PeopleJonathan Lacro; Fiscal Year: 2006..g., medication adherence, medication side effects, psychopathology, insight, health beliefs, quality of life, functioning, etc.) will be collected at baseline, and at 3 months (immediately post-intervention), 6 months, and 12 months...
- Subjective vs. Objective Assessment of Functional StatusPaula Carder; Fiscal Year: 2002..Future research would compare health and service outcomes to the functional status domains identified through this qualitative study. ..
- Role of Altered CCK Response in Bulimia NervosaSandra L Hannon Engel; Fiscal Year: 2010....
- PROSPECTIVE STUDY OF TARDIVE DYSKINESIA DEVELOPMENTJohn Kane; Fiscal Year: 2001..This strategy will provide a rapid and cost-effective answer to a critical question. ..
- Intervention to Close Digital Divide in AIDS CareSeth Kalichman; Fiscal Year: 2004..If successful, the experimental intervention could be readily implemented as a community-based program by AIDS Service Organizations, health centers, and community-based Internet access providers. ..