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The online version of an evidence-based hand exercise programme for people with rheumatoid arthritis: An effectiveness-implementation study.
J Hand Ther
January 2025
Faculty of Health and Life Sciences, University of Exeter, Exeter, United Kingdom.
Background: The Strengthening and Stretching for Rheumatoid Arthritis of the Hand (SARAH) program is an evidence-based exercise program for adults with hand function difficulties due to rheumatoid arthritis. A self-guided online version of the program has been developed for direct access by patients.
Purpose: To evaluate the delivery of the online program in routine therapy care and its impact on clinical outcomes, before making it widely available.
Factors affecting mental health service delivery from primary healthcare facilities of western hilly district of Nepal: a qualitative study.
BMJ Open
January 2025
Patan Academy of Health Sciences, Lalitpur, Nepal.
Aim: To explore factors at different socioecological levels that affect mental health service delivery from primary healthcare (PHC) facilities of Arghakhanchi district, a western hilly district of Nepal.
Background: Mental health service delivery has seen four transformational shifts from Alma Ata to Astana Declaration. Mental Health Gap Action Programme has facilitated the delivery of evidence-based interventions on mental, neurological and substance use disorders by non-specialised health workers in PHC settings as well as advocated scaling up of mental healthcare through integration of mental health in PHC.
Participant perspectives related to individual chemical exposure report-back approaches in three environmental health studies.
Environ Res
January 2025
School of Public Health, University of California, Berkeley, Berkeley, CA; Department of Environmental Science Policy and Management, University of California, Berkeley, Berkeley, CA. Electronic address:
Returning results to participants of environmental exposure studies has become more common in recent years. Despite evidence of benefits for study participants, there are challenges in communicating results to people with limited resources or capacity to mitigate chemical exposures. We interviewed N=54 participants and compared exposure report-back conducted in 2010-2013 across three susceptible study populations: 1) low-income pregnant individuals in the Chemicals in Our Bodies (CIOB) study; 2) the Center for the Health Assessment of Mothers and Children of Salinas (CHAMACOS) cohort; and 3) early childhood educators (ECE).
View Article and Find Full Text PDFBereaved parent involvement in co-designed stillbirth research: Experiences of Project Engage.
Women Birth
January 2025
Centre of Research Excellence in Stillbirth, Mater Research, University of Queensland, Brisbane, Australia. Electronic address:
Background: While benefits of involving consumers in research are well established, bereaved parents face unique challenges, and descriptions of their experiences with co-designed stillbirth research are lacking. The collective experience of 'Project Engage' involved co-designing resources to support bereaved parents' involvement in research.
Methods: This study aimed to describe and evaluate the involvement of bereaved parents as co-investigators of a stillbirth research project.
[Consensus for the treatment of atopic dermatitis in primary care: resolving myths and legends based on evidence].
Rev Alerg Mex
December 2024
Universidad Espíritu Santo, Samborondón, Guayas, Ecuador.
Atopic dermatitis (AD) is a disease that significantly impacts the quality of life of patients. Although there are multiple evidence-based guidelines, they are usually aimed at providing recommendations to AD specialists rather than primary care physicians (PCPs). The aim of this study was to construct a consensus document for PCPs, with the aim of presenting evidence-based recommendations that allow general practitioners, family physicians, pediatricians, internists and emergency physicians to provide appropriate care to AD patients, facilitating their diagnosis, management, and avoiding delays that can deteriorate patients' f quality of life.
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