Review
Nursing
Kathie Nickerson, Gena Lieschke, Hema Rajappa, Angela Smith, Kerry Jill Inder
Summary: This review examined outpatient interventions that support the reduction of prescription opioids for chronic non-cancer pain. Out of 19 papers reviewed, only one study demonstrated a significant benefit in reducing opioid dose. Further research is needed to identify effective interventions for chronic non-cancer pain patients.
JOURNAL OF CLINICAL NURSING
(2022)
Article
Clinical Neurology
Rachel A. Elphinston, Michael J. L. Sullivan, Michele Sterling, Jason P. Connor, John A. Baranoff, Dylan Tan, Melissa A. Day
Summary: This study investigated the potential mediating role of beliefs about pain medication on the association between pain catastrophizing and prescription opioid use. The findings showed that pain medication beliefs significantly mediated this association, highlighting the importance of personalized prevention and treatment programs.
Article
Pharmacology & Pharmacy
Wenjing Cao, Azidah Abdul Kadir, Juan Wang, Lin Hu, Linlan Wen, Mei Yu, Liqun Peng, Lanying Chen, Na Luo, Intan Idiana Hassan
Summary: This study found that medication non-adherence is common among older adult stroke survivors in China and is associated with educational levels, total prescribed drugs per day, beliefs about medication, and health literacy scores.
FRONTIERS IN PHARMACOLOGY
(2022)
Article
Psychology, Biological
Sara L. Kroll, Julian F. Thayer, DeWayne P. Williams, Daniela M. Pfabigan, Markus R. Baumgartner, Claus Lamm, Boris B. Quednow
Summary: The study found that chronic non-medical prescription opioid users experience less unpleasantness when seeing others in pain, but no differences were found in heart rate variability between the groups during the task. However, a negative correlation between heart rate variability and self-related unpleasantness and craving in NMPOU individuals suggests that stronger emotion regulation may reduce empathetic responses to others' pain in this group.
Article
Oncology
Dinorah Martinez Tyson, Melody N. Chavez, Paige Lake, Ana Gutierrez, Peggie Sherry, Khary K. Rigg, Victoria K. Marshall, Heather Henderson, Barbara Lubrano di Ciccone, Sahana Rajasekhara, Smitha Pabbathi
Summary: The study explores the perceptions of opioid use and misuse in cancer survivorship within the context of the opioid epidemic. Cross-cutting themes include fear of addiction, the importance of communication and education around prescription opioid medication, preference for non-opioid alternatives, low risk perception of developing opioid use disorder among cancer survivors, and the impact of policies aiming at curbing the opioid epidemic on cancer survivors.
JOURNAL OF CANCER SURVIVORSHIP
(2021)
Article
Medicine, General & Internal
Benjamin D. Hallowell, Laura C. Chambers, Luke Barre, Nancy Diao, Collette Onyejekwe, Alexandra Banks, Jeffery Bratberg, Heidi Weidele, Samara Viner-Brown, James McDonald
Summary: The study aimed to identify initial diagnoses associated with an elevated risk of chronic prescription opioid use. The results showed that patients with diseases of the musculoskeletal system and connective tissue, diseases of the nervous system, and neoplasms had a higher likelihood of subsequent chronic prescription opioid use. Therefore, interventions and prescribing guidelines should focus on these specific types of diagnoses to reduce inappropriate opioid prescribing.
Article
Rehabilitation
Aaron P. Turner, Anne Arewasikporn, Eric J. Hawkins, Pradeep Suri, Stephen P. Burns, Steve L. Leipertz, Jodie K. Haselkorn
Summary: This study aimed to characterize patterns of prescription opioid use in individuals with multiple sclerosis (MS) and identify risk factors associated with chronic use. The results showed a decline in chronic opioid use over the study period, but it remains common among a substantial minority of MS patients. Prior chronic opioid use, history of pain condition, post-traumatic stress disorder, and rural residence were associated with a greater risk of chronic prescription opioid use.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2023)
Article
Medicine, General & Internal
Peter C. Emary, Mark Oremus, Lawrence Mbuagbaw, Jason W. Busse
Summary: This study aims to evaluate the impact of an integrated chiropractic back pain program in an urban community health center and analyze the relationship between chiropractic services and opioid use in patients with chronic pain.
Article
Nursing
Suet Mei Chew, Jia Hua Lee, Su Fee Lim, Min Jia Liew, Yi Xu, Rachel Marie Towle
Summary: The study identified high medication non-adherence among older community-dwelling people in Singapore, with predictors including smoking, perceived complexity of medication regime, treatment dissatisfaction, lack of medication knowledge, and experience of side effects. Healthcare professionals can use these predictors to identify at-risk individuals and develop interventions to improve adherence.
JOURNAL OF ADVANCED NURSING
(2021)
Article
Geriatrics & Gerontology
Soheila Rezaei, Mohammad Peikanpour, Leila Zarei, Ghader Mohammadnezhad, Jamshid Salamzadeh
Summary: According to the study, older adult patients with chronic diseases are influenced by socio-economic factors, health system-related factors, healthcare provider-related factors, medication-related factors, disease-related factors, and patient-related factors, which affect their medication adherence.
Article
Pharmacology & Pharmacy
Jan Bruthans, Jiri Berger, Jan Soltes, Pavel Michalek
Summary: Primary medication non-adherence refers to a patient not collecting their newly prescribed medication. Studies estimate that this occurs between 0.2 percent and 74 percent of the time. Recent research has used national electronic prescription systems to analyze data on this topic. This study used the database of the Czech electronic prescription system to analyze over 21 million prescriptions issued in 2021, representing nearly 30 percent of all prescriptions in the Czech Republic. The primary medication non-adherence rate for selected substances was 4.56 percent and correlated negatively with patient age.
FRONTIERS IN PHARMACOLOGY
(2023)
Article
Medicine, General & Internal
Elizabeth M. Magnan, Daniel J. Tancredi, Guibo Xing, Alicia Agnoli, Anthony Jerant, Joshua J. Fenton
Summary: Opioid tapering is associated with increased emergency department visits and hospitalizations, decreased primary care visits, and reduced medication adherence in patients on long-term opioid therapy. These findings highlight the unintended negative consequences of tapering and should be considered by policy makers and clinicians.
Article
Medicine, General & Internal
Natasa Gisev, Luke Buizen, Ria E. Hopkins, Andrea L. Schaffer, Benjamin Daniels, Chrianna Bharat, Timothy Dobbins, Sarah Larney, Fiona Blyth, David C. Currow, Andrew Wilson, Sallie-Anne Pearson, Louisa Degenhardt
Summary: The objective of this population-based cohort study was to identify 5-year trajectories of prescription opioid use and examine the characteristics of each trajectory group. The results suggest that most individuals initiating treatment with prescription opioids had relatively low and time-limited exposure over a 5-year period. A small proportion of individuals had sustained or increasing use, and they were typically older with more comorbidities and higher use of psychotropic and other analgesic drugs.
Article
Otorhinolaryngology
Jenna E. Bergman, Roy R. Casiano, Ana B. Perez, Alejandro M. Mantero, Corinna G. Levine
Summary: This study compared three pain control medication regimens after sinonasal surgery and found that meloxicam and oxycodone + budesonide rinses were more effective in controlling pain than using oxycodone alone.
AMERICAN JOURNAL OF OTOLARYNGOLOGY
(2022)
Article
Medicine, General & Internal
David R. Axon, Megan Grieser
Summary: This study investigates the variables associated with multimorbidity status among older US adults with self-reported pain and opioid use. The study finds that individuals aged 50-64, Hispanic, employed, and those who exercise frequently have lower odds of having multimorbidity.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Nursing
Suzanne S. Sullivan, Catherine Mann, Samantha Mullen, Yu-Ping Chang
Summary: Homecare nurses use relationship-based care to recognize and manage serious illness, engage in difficult conversations, and guide transitions to comfort-focused care. They navigate complex care systems, support care in the home, and ultimately transfer care to other providers, while feeling frustrated with the fragmented healthcare system and lack of collaboration among the team. This study highlights the need for health policy to ensure care continuity in serious illness and the importance of improving relationships across care settings to enhance training and delivery of comfort-focused care in the home.
JOURNAL OF ADVANCED NURSING
(2021)
Article
Nursing
Yu-Ping Chang, Terrika Pereira, Alexander Salinas, Hiu Ying Or, Marlene Morales, My Lan Le
Summary: This study found that an email-delivered CBT-I intervention significantly improved attitudes, sleep quality, sleep hygiene, and daytime sleepiness in college students with insomnia, with more positive outcomes compared to a control group. An email-delivered sleep intervention appears to be a feasible and easy-to-use tool for nurses to promote sleep quality among college students.
PERSPECTIVES IN PSYCHIATRIC CARE
(2021)
Article
Environmental Sciences
Peng-Wei Wang, Yi-Lung Chen, Yu-Ping Chang, Chia-Fen Wu, Wei-Hsin Lu, Cheng-Fang Yen
Summary: The study identified four distinct levels of risk perception and preventive behaviors among people in Taiwan during the COVID-19 outbreak, with two groups exhibiting high preventive behaviors and two groups exhibiting moderate to low preventive behaviors. Compared to the risk neutrals, the risk exaggerators with high preventive behaviors were more likely to obtain COVID-19 information from multiple sources, while the risk deniers with moderate to low preventive behaviors were less likely to seek out such information. It is important for governments and health professionals to consider the variety of risk perception and preventive behaviors when disseminating information on COVID-19 to the general public.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2021)
Article
Environmental Sciences
Huang-Chi Lin, Yi-Lung Chen, Nai-Ying Ko, Yu-Ping Chang, Wei-Hsin Lu, Cheng-Fang Yen
Summary: This online survey study aimed to examine the associations of demographic characteristics, mental health status, and timing of the survey with people's perception of the general population's attitudes toward homosexuality in Taiwan. The results showed a decline in perceived acceptance of homosexuality at the end of the social debates on legalizing same-sex marriage, with gender moderating this decline. Additionally, poor mental health and heterosexual orientation were significantly associated with a lower perception of homosexuality acceptance.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2021)
Article
Environmental Sciences
Huang-Chi Lin, Yi-Chun Lin, Yu-Ping Chang, Wei-Hsin Lu, Cheng-Fang Yen
Summary: The study found that nurses in Taiwan showed improvement in some aspects of their attitudes toward homosexuality in 2017 compared to 2005, but there were negative developments in other aspects. Age was a significant moderator of nurses' attitudes toward homosexuality over the two time points.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2021)
Article
Nursing
Chiahui Chen, Suzanne S. Sullivan, Rebecca A. Lorenz, Elaine Wittenberg, Chin-Shang Li, Yu-Ping Chang
Summary: This study aimed to investigate the feasibility, acceptability, and preliminary efficacy of a nurse-led communication intervention based on the COMFORT communication model among surrogates in the ICU. The intervention proved to be feasible and acceptable, with higher satisfaction and improved communication quality among surrogates in the intervention group. However, the impact on surrogates' anxiety, depression, and decisional conflict remains unclear and further research is needed to determine the intervention's effectiveness.
JOURNAL OF CLINICAL NURSING
(2022)
Article
Geriatrics & Gerontology
Suzanne S. Sullivan, Wei Bo, Chin-Shang Li, Wenyao Xu, Yu-Ping Chang
Summary: While evidence is emerging of the factors influencing end-of-life care transitions among persons living with dementia, current research does not account for the effect that changes over time have on hospice care uptake. This study explored important factors influencing hospice utilization using machine learning approaches.
INNOVATION IN AGING
(2022)
Article
Health Policy & Services
Suzanne S. Sullivan, Cristina de Rosa, Chin-Shang Li, Yu-Ping Chang
Summary: This study aimed to determine the sociodemographics and caregiver burdens associated with overnight hospitalization, hospice utilization, and hospitalization frequency among persons with dementia. The results showed that caregiver burdens were linked to hospitalization frequency and utilization of hospice, indicating the importance of caregiver circumstances and experiences in care transitions for persons with dementia.
PALLIATIVE & SUPPORTIVE CARE
(2022)
Review
Environmental Sciences
Hui-Wen Tseng, Fan-Hao Chou, Ching-Hsiu Chen, Yu-Ping Chang
Summary: This study investigates the impact of mindfulness-based cognitive therapy (MBCT) on depression and suicidal ideation in patients with major depressive disorder (MDD). Thirteen studies involving 1159 participants were included in the systematic review and meta-analysis. The findings suggest that MBCT can significantly improve depression and suicidal ideation among patients with MDD. Future research should focus on the long-term effects of MBCT and provide practical guidelines for its implementation.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2023)
Article
Environmental Sciences
Cian-Ruei Jian, Peng-Wei Wang, Huang-Chi Lin, Mei-Feng Huang, Yi-Chun Yeh, Tai-Ling Liu, Cheng-Sheng Chen, Ya-Ping Lin, Shu-Ying Lee, Ching-Hua Chen, Yun-Chi Wang, Yu-Ping Chang, Yi-Lung Chen, Cheng-Fang Yen
Summary: This study found that self-stigma was positively associated with suicide risk in individuals with schizophrenia, but perceived support from friends and self-esteem significantly reduced this association. Therefore, interventions targeting self-stigma and self-esteem may effectively reduce suicide risk in individuals with schizophrenia.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2022)
Review
Anesthesiology
Ashleigh Holmes, Yu-Ping Chang
Summary: This systematic review examined the effectiveness of non-pharmacological interventions for neuropathic pain in older adults. The study found that electric and/or magnetic therapy, acupuncture, mindfulness meditation, exercise, and light therapy were the most common interventions. However, the conclusions were limited due to small sample sizes and methodological shortcomings.
Article
Immunology
Yen-Ju Lin, Yu-Ping Chang, Cheng-Fang Yen
Summary: This study examined the predictive effects of depression and sexual stigma on motivation to get vaccinated against COVID-19 among LGB individuals. The results showed that internalized sexual stigma was negatively associated with vaccination motivation, while perceived sexual orientation microaggression was positively associated with vaccination motivation. Depression and perceived sexual stigma from family members were not significantly associated with vaccination motivation.
Article
Psychiatry
Yi-Lung Chen, Cian-Ruei Jian, Yu-Ping Chang, Shu-Ru Chao, Cheng-Fang Yen
Summary: This cross-sectional survey study examined the moderating effects of self-esteem and perceived support from families and friends on the association of loneliness with suicide risk and depression in individuals with schizophrenia. The results found that self-esteem was significantly associated with a reduced magnitude of depression in participants with loneliness. In addition, perceived support from friends was significantly associated with a reduced magnitude of suicide risk in participants with loneliness. These findings highlight the importance of intervention programs that strengthen support from friends and self-esteem in reducing suicide risk and depression among lonely individuals with schizophrenia.
Article
Environmental Sciences
Chung-Ying Lin, Yu-Ping Chang, Wen-Jiun Chou, Cheng-Fang Yen
Summary: Gay and bisexual military servicemembers experience high rates of victimization due to sexual stigma. This study developed and tested a new scale, called ESSESiMS, to assess their experiences. The ESSESiMS showed acceptable psychometric properties, including internal consistency and concurrent validity. The results demonstrated a significant association between experiences of sexual stigma and adverse mental health outcomes among gay and bisexual servicemembers in Taiwan.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2023)
Review
Primary Health Care
Ashleigh Holmes, Yu-Ping Chang
Summary: This integrative review examines the impact of mental health CCMs on primary care provider (PCP) outcomes. The results show that CCMs have an overwhelmingly positive effect on PCP knowledge, satisfaction, and self-efficacy, but also identify logistical barriers such as time and workflow conflicts.
