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Evidence‐based comprehensive overview of research quality, effectiveness of interventions, and practice‐based principles for clinicians supporting people who present with changed behaviours associated with dementia and for family care partners.
Alzheimers Dement
December 2024
University of New South Wales (UNSW), Sydney, NSW, Australia
Background: Guidelines that provide current and comprehensive overviews of the evidence quality and effectiveness of interventions that address behaviours and psychological symptoms associated with dementia (BPSD, also known as Changed Behaviours) are needed for clinicians, professional care staff and family care partners. With funding provided by the Australian Government Department of Health and Aged Care, we aimed to update the existing (2012) text and app resources to reflect findings from the most recent literature and other sources.
Methods: We systematically searched PubMed, Medline, Embase, and PsycINFO for psychosocial and environmental and biological and pharmacological interventions published between 2012‐2021 that addressed BPSD.
Moral injury: State of the Science.
J Trauma Stress
January 2025
VA Boston Healthcare System, Boston, Massachusetts, USA.
In this paper, I provide a concise overview of the state of the scientific study of moral injury (MI). I argue that the state of science is immature, characterized by the lack of a paradigmatic theory and a lack of rigor in terms of construct definition and measurement. Because researchers, clinicians, and the media reify the results of empirical and clinical outcome studies that are chiefly exploratory and fraught with internal validity problems, enthusiasm about MI continues to far outweigh scientific and actionable, practice-based knowledge.
View Article and Find Full Text PDFAdvanced Technology in a Real-World Rehabilitation Setting: Longitudinal Observational Study on Clinician Adoption and Implementation.
J Med Internet Res
December 2024
Institute for Musculoskeletal Health, Sydney Local Health District, Sydney, Australia.
Background: Advanced technologies are becoming increasingly accessible in rehabilitation. Current research suggests technology can increase therapy dosage, provide multisensory feedback, and reduce manual handling for clinicians. While more high-quality evidence regarding the effectiveness of rehabilitation technologies is needed, understanding of how to effectively integrate technology into clinical practice is also limited.
View Article and Find Full Text PDFMentoring for the Diverse Range of Family Physicians' Engagement in Research.
J Am Board Fam Med
December 2024
From the Department of Family Medicine, University of Colorado School of Medicine, Aurora, Colorado (MLM); Department of Family Medicine, Indiana University School of Medicine, Indianapolis, IN (MS); Department of Family and Community Medicine, University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND (DFS); Department of Family and Community Medicine, McGovern Medical School, University of Texas Houston, Houston, TX (NJR).
Primary care researchers are increasingly at the forefront of developing innovations and new research methods to address complex issues in health care, including multi-morbidity, social determinants of health, health equity, managing population health in clinical practice, patient satisfaction, and provider burnout. Research demonstrates that "primary care is the only health care component where an increased supply is associated with better population health and more equitable outcomes." As a primary care specialty, family medicine has evolved beyond its initial focus on clinical practice and education to realizing the imperative for the discipline to robustly engage in research and embrace the responsibility to generate the evidence that drives changes in primary care practice and policy.
View Article and Find Full Text PDFLeveraging the Clinical Translational Science Award Network to Advance Family Medicine Research.
J Am Board Fam Med
December 2024
From the University of New Mexico Clinical Translational Sciences Center, Department of Family & Community Medicine, University of New Mexico Health Sciences Center (NP); Department of Family and Community Medicine, Penn State College of Medicine, Community-Engaged Research Core, Penn State Clinical and Translational Science Institute (AEZ); Iowa Research Network (IRENE), Department of Family Medicine, College of Pharmacy, University of Iowa (KK); Department of Family and Community Medicine, Penn State College of Medicine (WJT); Department of Family and Community Medicine, Penn State College of Medicine (DPR).
In this commentary, the authors present opportunities for the family medicine's strategic plan for research to build and expand research infrastructure by leveraging the federally funded Clinical and Translational Science and Clinical and Translational Research Awards programs. These include engaging patients and communities historically underrepresented in research throughout the research design, development, implementation, and dissemination process; building and expanding practice-based research networks; leveraging research resources, facilities, trainings, and mentorship opportunities; obtaining pilot funding; using informatics expertise to improve care quality; and embedding dissemination and implementation science expertise to promote the use of evidence-based interventions in real world clinical primary care settings.
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