Clinical Trial Essays (Examples)
Study Document
Design And Implementation Of Collaborative Care Model
...Clinical trial Current Population
The population of the area comprises mostly of African Americans. The community is a low-income area and individuals who live here struggle to make ends meet. This makes it hard for them to access premium health care that is offered at private hospitals. Therefore, most of them have to rely on the community health center. Poor people have been associated with numerous chronic health problems that are as a result of their lifestyles and a lack of viable income. The community is underserved in terms of social amenities. Other structural challenges that are faced by the community is the reduced access to fresh foods, high density of fast food restaurants, and the area is not conducive for physical activity. This makes people have sedentary lifestyles that contribute towards them developing chronic diseases. Access to health care is reduced and the few who are able to access the community……
References
References
LaBelle, C. T., Han, S. C., Bergeron, A., & Samet, J. H. (2016). Office-based opioid treatment with buprenorphine (OBOT-B): statewide implementation of the Massachusetts collaborative care model in community health centers. Journal of substance abuse treatment, 60, 6-13.
Overbeck, G., Kousgaard, M. B., & Davidsen, A. S. (2018). The work and challenges of care managers in the implementation of collaborative care: A qualitative study. Journal of psychiatric and mental health nursing, 25(3), 167-175.
Sanchez, K. (2017). Collaborative care in real-world settings: barriers and opportunities for sustainability. Patient preference and adherence, 11, 71.
Smith, S. N., Almirall, D., Prenovost, K., Liebrecht, C., Kyle, J., Eisenberg, D., . . . Kilbourne, A. M. (2019). Change in Patient Outcomes After Augmenting a Low-level Implementation Strategy in Community Practices That are Slow to Adopt a Collaborative Chronic Care Model: A Cluster Randomized Implementation Trial. Medical Care.
Unützer, J., Harbin, H., Schoenbaum, M., & Druss, B. (2013). The collaborative care model: An approach for integrating physical and mental health care in Medicaid health homes. HEALTH HOME, Information Resource Center, 1-13.
Study Document
Drug Abuse And Horse Assisted Therapy
...Clinical trial Literature Review
As Masini (2010) shows, animal-assisted therapy can be quite useful in helping patients engaging in substance abuse treatment. Masini (2010) highlights the benefits of equine-assisted psychotherapy in particular, as do Hauge, Kvalem, Berget, Enders-Slegers & Braastad (2014), who note that engaging clients with horses can facilitate the perception of having a stronger social support. As social support is a necessary part to overcoming or battling substance abuse, the animal-assisted intervention can be seen as a positive influence (Birtel, Wood & Kempa, 2017; Muela, Balluerka, Amiano, Caldentey & Aliri, 2017).
Animal-assisted therapy can have a positive effect on engagement and retention of individuals in substance abuse treatment. Kelly and Cozzolino (2015), for example, have shown that at-risk youth have been aided by animal-assisted therapy in their attempts to overcome issues of substance abuse. Animal-assisted therapy represents a “goal-oriented adjunct to traditional therapy programs” (Kelly & Cozzolino, 2015, p. 421).……
References
References
Birtel, M. D., Wood, L., & Kempa, N. J. (2017). Stigma and social support in substance abuse: Implications for mental health and well-being. Psychiatry Research, 252, 1-8.
Contalbrigo, L., De Santis, M., Toson, M., Montanaro, M., Farina, L., Costa, A., & Nava,F. (2017). The efficacy of dog assisted therapy in detained drug users: A pilot study in an Italian attenuated custody institute. International journal of environmental research and public health, 14(7), 683.
Hauge, H., Kvalem, I. L., Berget, B., Enders-Slegers, M. J., & Braastad, B. O. (2014). Equine-assisted activities and the impact on perceived social support, self-esteem and self-efficacy among adolescents–an intervention study. International journal of adolescence and youth, 19(1), 1-21.
Kelly, M. A., & Cozzolino, C. A. (2015). Helping at-risk youth overcome trauma and substance abuse through animal-assisted therapy. Contemporary Justice Review, 18(4), 421-434.
Kern-Godal, A., Arnevik, E. A., Walderhaug, E., & Ravndal, E. (2015). Substance use disorder treatment retention and completion: a prospective study of horse-assisted therapy (HAT) for young adults. Addiction science & clinical practice, 10(1), 21.
Klemetsen, M. G., & Lindstrom, T. C. (2017). Animal-assisted therapy in the treatment of substance use disorders: A systematic mixed methods review. Human-Animal Interaction Bull, 5, 90-117.
Masini, A., PhD. (2010). Equine-assisted psychotherapy in clinical practice. Journal of Psychosocial Nursing & Mental Health Services, 48(10), 30-34. doi: http://fir.tesu.edu:2074/10.3928/02793695-20100831-08
Muela, A., Balluerka, N., Amiano, N., Caldentey, M. A., & Aliri, J. (2017). Animal-assisted psychotherapy for young people with behavioural problems in residential care. Clinical Psychology and Psychotherapy, 24(6), O1485-O1494. doi: http://fir.tesu.edu:2074/10.1002/cpp.2112
Study Document
Impact Of Phobias
… situation.
· The anxiety, fear, or avoidance is persistent and typically lasts 6 months or more.
· The anxiety, fear, or avoidance causes clinical significant distress or impairment in occupational, social, or other vital areas of functioning.
· The disturbance cannot be better explained by symptoms of ……
References
References
Campos, D., Mira, A., Bretón-López, J., Castilla, D., Botella, C., Baños, R. M., & Quero, S. (2018). The acceptability of an internet-based exposure treatment for flying phobia with and without therapist guidance: patients’ expectations, satisfaction, treatment preferences, and usability. Neuropsychiatric disease and treatment, 14, 879.
Carleton, R. N., Thibodeau, M. A., Weeks, J. W., Teale Sapach, M. J. N., McEvoy, P. M., Horswill, S. C., & Heimberg, R. G. (2014). Comparing short forms of the Social Interaction Anxiety Scale and the Social Phobia Scale. Psychological assessment, 26(4), 1116-1126. doi:10.1037/a0037063
Erceg-Hurn, D. M., & McEvoy, P. M. (2018). Bigger is better: Full-length versions of the Social Interaction Anxiety Scale and Social Phobia Scale outperform short forms at assessing treatment outcome. Psychological assessment, 30(11), 1512-1526. doi:10.1037/pas0000601
Goetter, E. M., Frumkin, M. R., Palitz, S. A., Swee, M. B., Baker, A. W., Bui, E., & Simon, N. M. (2018). Barriers to mental health treatment among individuals with social anxiety disorder and generalized anxiety disorder. Psychological Services, No Pagination Specified-No Pagination Specified. doi:10.1037/ser0000254
Halldorsdottir, T., & Ollendick, T. H. (2016). Long-term outcomes of brief, intensive CBT for specific phobias: The negative impact of ADHD symptoms. Journal of Consulting and Clinical Psychology, 84(5), 465-471. doi:10.1037/ccp0000088
Hirsch, J. A. (2018). Integrating Hypnosis with Other Therapies for Treating Specific Phobias: A Case Series. American Journal of Clinical Hypnosis, 60(4), 367-377.
Leitenberg, H., Agras, W. S., Barlow, D. H., & Oliveau, D. C. (1969). Contribution of selective positive reinforcement and therapeutic instructions to systematic desensitization therapy. Journal of Abnormal Psychology, 74(1), 113-118. doi:10.1037/h0027063
Probst, T., Berger, T., Meyer, B., Späth, C., Schröder, J., Hohagen, F., . . . Klein, J. P. (2019). Social phobia moderates the outcome in the EVIDENT study: A randomized controlled trial on an Internet-based psychological intervention for mild to moderate depressive symptoms [Press release]
Study Document
Effectiveness Of In Home Monitoring Of CHF Patients
...Clinical trial How Does the Use of In-home Monitoring for CHF Impact Re-hospitalization Rates?
Impact on In-home Monitoring for CHF on Re-hospitalization Rates
Congestive heart failure (CHF) is one of the major cardiovascular diseases with high global incidence and prevalence in the United States. While numerous advances in evidence-based medical therapy continues to occur, congestive heart failure remains a major problem as it results in significant burden of mortality, morbidity, and costs. The United States has a prevalence of 5.8 million individuals with the condition and more than 960,000 cases annually. It is estimated that approximately one million hospitalizations linked to congestive heart failure occur annually. Most of these hospitalizations arise from worsened congestion among already diagnosed patients. The United States spends approximately $32.7 billion on congestive heart failure annually. Martirosyan et al. (2017) states that readmission rates for this condition remain high as nearly 20% of patients are readmitted within 30……
References
References
Bashi, N., Karunanithi, M., Fatehi, F., Ding, H. & Walters, D. (2017, January). Remote Monitoring of Patients with Heart Failure: An Overview of Systematic Reviews. Journal of Medical Internet Research, 19(1). DOI: 10.2196/jmir.6571
Conn, N.J., Schwarz, K.Q. & Borkholder, D.A. (2019). In-Home Cardiovascular Monitoring System for Heart Failure: Comparative Study. Journal of Medical Internet Research, 7(1). DOI: 10.2196/12419
Gonzalo, A. (2019, August 22). Nola Pender: Health Promotion Model. Retrieved May 18, 2020, from https://nurseslabs.com/nola-pender-health-promotion-model/
Idris, S., Degheim, G., Ghalayini, W., Larsen, T.R., Nejad, D. & David, S. (2015). Home Telemedicine in Heart Failure: A Pilot Study of Integrated Telemonitoring and Virtual Provider Appointments. Reviews in Cardiovascular Medicine, 16(2), 156-162.
Khodaveisi, M., Omidi, A., Farokhi, S. & Soltanian, A.R. (2017, April). The Effect of Pender’s Health Promotion Model in Improving the Nutritional Behavior of Overweight and Obese Women. International Journal of Community-based Nursing and Midwifery, 5(2), 165-174.
Kohn, M. S., Haggard, J., Kreindler, J., Birkeland, K., Kedan, L., Zimmer, R., & Khandwalla, R. (2017). Implementation of a home monitoring system for heart failure patients: A feasibility study. JMIR Res Protoc, 6(3). DOI: 10.2196/resprot.5744
Martirosyan, M., Caliskan, K., Theuns, D., & Szili-Torok, T. (2017). Remote monitoring of heart failure: Benefits for therapeutic decision making. Expert Review of Cardiovascular Therapy, 15(7), 503-515. DOI: 10.1080/14779072.2017.1348229
Ong et al. (2016, March). Effectiveness of Remote Patient Monitoring After Discharge of Hospitalized Patients with Heart Failure. JAMA Internal Medicine, 176(3), 310-318.
Study Document
Schizophrenia
...Clinical trial Abstract
This paper describes and discusses schizophrenia. It looks at the disorder from the standpoint of history, etiology, treatment, prevention, culture and the Bible to explore its many facets. It shows that in spite of there being no known cause of the disorder, treating it is possible. It highlights the need to reduce the taboo and stigma associate with schizophrenia as a step in preventing it or at least in treating it before it worsens. It notes that from the Biblical standpoint faith can be a factor in prevention.
Keywords: schizophrenia, biblical worldview, history of schizophrenia
Introduction
Schizophrenia literally means “split mind,” and the symptoms of schizophrenia have been observed throughout all history and have been treated differently in different cultures in different eras (Kinter, 2009). The DSM (2013) classifies schizophrenia as a mental disorder that causes the patient to experience hallucinations, delusions, irrational speech patterns, anti-social behavior, a loss……
References
References
DSM. (2013). American Psychiatric Association. Retrieved from https://www.psychiatry.org/psychiatrists/practice/dsm
Dhindsa, R. S., & Goldstein, D. B. (2016). Schizophrenia: from genetics to physiology at last. Nature, 530(7589), 162.
Ho, R. T. H., Chan, C. K. P., Lo, P. H. Y., Wong, P. H., Chan, C. L. W., Leung, P. P. Y.,
& Chen, E. Y. H. (2016). Understandings of spirituality and its role in illness recovery in persons with schizophrenia and mental-health professionals: a qualitative study. BMC psychiatry, 16(1), 86.
Kinter, E. T. (2009). Identifying treatment preferences of patients with schizophrenia in Germany: An application of patient-centered care. The Johns Hopkins University.
Lee, H. S., Corbera, S., Poltorak, A., Park, K., Assaf, M., Bell, M. D., ... & Choi, K. H. (2018). Measuring theory of mind in schizophrenia research: Cross-cultural validation. Schizophrenia research, 201, 187-195.
Leucht, S., Cipriani, A., Spineli, L., Mavridis, D., Örey, D., Richter, F., Samara, M., Barbui, C., Engel, R.R., Geddes, J.R. and Kissling, W. (2013). Comparative efficacy and tolerability of 15 antipsychotic drugs in schizophrenia: a multiple-treatments meta-analysis. The Lancet, 382(9896), 951-962.
Maatz, A., Hoff, P., & Angst, J. (2015). Eugen Bleuler's schizophrenia—a modern perspective. Dialogues in clinical neuroscience, 17(1), 43.
Study Document
Borderline Personality Disorder
...Clinical trial Etiology
Borderline Personality Disorder (BPD), as is the case with several psychiatric disorders, is viewed widely as a consequence of the complex interaction of many factors such as psychological, neuroanatomical, neurochemical, and genetic factors.
a) Genetic factors: There is growing evidence that BPD is genetic and can run in some families. A study of people with BPD has shown that the prevalence of BPD among the relatives of people suffering from the condition can be up to 20 times higher than the prevalence among people who don’t have a blood relative suffering from the condition. In Monozygotic twins, the concordance rate was 35% relative to a rate of 7% in dizygotic twins. This research was done by Torgersen and colleagues. This high concordance rate is linked to the role played by genetics in BPD etiology.
b) Neurochemical factors: Serotonin has been linked to impulsivity and aggression. If there is a……
References
Bibliography
Bateman, A., & Fonagy, P. (2009). Randomized controlled trial of outpatient mentalization-based treatment versus structured clinical management for borderline personality disorder. Am J Psychiatry, 166, 1355–64.
Biskin, R. S., & Paris, J. (2012). Management of borderline personality disorder. CMAJ, 184(17), 1897-1902. doi: 10.1503/cmaj.112055
Harvard University. (2019). Treating borderline personality disorder. Retrieved from https://www.health.harvard.edu/newsletter_article/treating-borderline-personality-disorder
Linehan, M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York (NY): Guilford Press.
Study Document
Role Of Descriptive Epidemiology In Nursing Science
...Clinical trial Introduction
Public health as a field comprises the convictions, science, and skills relating to the preservation and improvement of the health of the general public through preventative endeavors instead of curative ones. One of the basic sciences that are critical to promoting public health is epidemiology. As a tool, epidemiology is useful in the protection and promotion of public health through the application of common sense as well as scientific reasoning (Stanhope & Lancaster, 2015). One of the main areas of epidemiology is descriptive epidemiology. Descriptive epidemiology focuses on the description of diseases and their determinants. It is useful in the organization and analysis of various diseases and the occurrences of those diseases in the given geographical area over time. Descriptive epidemiology is therefore capable of generating etiological research hypotheses (Liu, 2018). This paper discusses the role of descriptive epidemiology in nursing today.
Descriptive Epidemiology
Descriptive epidemiology refers to a……
References
References
Liu, L., (2018). “Chapter 1 – Introduction.” In Heart Failure: Epidemiology and Research Methods. Elsevier Health Sciences. p. 1-12.
Stanhope, M., & Lancaster, J. (2015). Public health nursing-e-book: Population-centered health care in the community. Elsevier Health Sciences.
Richards, E. A., & Cai, Y. (2016). Integrative review of nurse-delivered physical activity interventions in primary care. Western Journal of Nursing Research, 38(4), 484-507.
Katzmarzyk, P. T., Lee, I. M., Martin, C. K., & Blair, S. N. (2017). Epidemiology of physical activity and exercise training in the United States. Progress in Cardiovascular Diseases, 60(1), 3-10.
Mandl, M., Halfens, R. J., & Lohrmann, C. (2015). Incontinence care in nursing homes: a cross?sectional study. Journal of advanced nursing, 71(9), 2142-2152.
Oyesanya, T. O., Bowers, B. J., Royer, H. R., & Turkstra, L. S. (2018). Nurses’ concerns about caring for patients with acute and chronic traumatic brain injury. Journal of clinical nursing, 27(7-8), 1408-1419.
Heavey, E. (2018). Statistics for nursing: A practical approach. Jones & Bartlett Learning.
Colditz, G., Nguyen, N., & Dart, H. (2016). Physical activity and health. In International Encyclopedia of Public Health (pp. 463-472). Elsevier Inc.
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