ARTICLES

The research, in plain language

Every paper we have read, summarised for practising PTs, OTs, SLPs and nurses. 26 are free to read in full. The rest open their findings to anyone and the working to an account.

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All disciplinesAssociations among pain, depression, and functional limitation in low-income, home-dwelling older adults: An analysis of baseline data from CAPABLE.RCT · 2016

In low-income home-dwelling older adults, higher depressive symptoms and pain interference were linked to more difficulty with daily activities. Depression was linked to part of the pain-function relationship, but this baseline analysis does not show treatment improves function.

All disciplinesUsing Perceived Self-efficacy to Improve Fatigue and Fatigability In Postsurgical Lung Cancer Patients: A Pilot Randomized Controlled Trial.RCT · 2017

A nurse-supported home Wii walking and balance program, pedometer, education, visits and safety monitoring was feasible and safe; post-surgical lung cancer patients had lower fatigue at week 6 than usual care; pilot cannot isolate components.

NursingPediatric Primary Care Involvement in End-of-Life Care for Children.Cohort · 2017

Pediatric primary care involvement was not linked to hospice use overall. It was linked to home health care use, and to hospice use for children 15 to 20 years.

NursingInsomnia Symptoms Are Associated With Abnormal Endothelial Function.Other · 2017

Working adults with insomnia symptoms had lower blood vessel dilation (average 6.13% vs 6.83% after accounting for age, artery size and cholesterol problems), a marker linked to cardiovascular risk. Cross-sectional data cannot prove insomnia caused the difference.

NursingSmartphone Technology and Text Messaging for Weight Loss in Young Adults: A Randomized Controlled Trial.RCT · 2017

Young adults using a calorie-tracking app with daily text reminders from a coach lost 1.8kg over three months, while the control group gained 0.3kg. The difference was significant. Consistent logging of physical activity drove the weight loss.

NursingJohn Henryism Active Coping, Acculturation, and Psychological Health in Korean Immigrants.Survey · 2017

Korean immigrants who reported more active, effortful coping had lower stress, anxiety, depression and more American cultural adaptation. This was not proof that coping skills cause better health.

NursingPrevalence of Substance Use in an HIV Primary Care Safety Net Clinic: A Call for Screening.Other · 2017

HIV clinic patients had high substance use: most reported tobacco or non-prescribed substances, and urine tests were positive for cannabis, cocaine or benzodiazepines. This study measured use only; it did not test whether screening improves care.

NursingClinical and gender differences in heart transplant recipients in the NEW HEART study.Cohort · 2017

In 330 heart transplant patients, men were older and had more risk factors. Women had more rejection episodes (3.9 vs 3.0), more moderate or severe rejection (14% vs 5%), and more hospitalizations (59% vs 46%). Mortality did not differ.

NursingDenver Spirited Heart: Mixed-Methods Pilot Study of a Psychospiritual Intervention for Heart Failure Patients.Pilot · 2017

Heart failure patients found a mailed psychospiritual program acceptable, with most reporting benefit. Preliminary data showed improvements in quality of life and mood, but the small, uncontrolled pilot cannot prove the intervention works.

NursingA Ventricular Assist Device Recipient and Suicidality: Multidisciplinary Collaboration With a Psychiatrically Distressed Patient.Case Report · 2017

A patient with a ventricular assist device stopped taking medications out of hopelessness, not active suicidal intent. Multidisciplinary communication and psychotherapy helped him regain trust and adhere to his regimen, highlighting that non-adherence can signal severe emotional distress.

NursingAdvance Directives and Care Received by Older Nursing Home Residents.Cohort · 2017

Older nursing home residents with comfort-focused directives were still transferred to hospital at a rate not clearly lower than usual-care residents. Antibiotic use was lower in comfort and palliative groups. Recheck goals after admission and before transfer.

NursingExploration of Exercise Outcome Expectations Among Breast Cancer Survivors.Other · 2017

Breast cancer survivors expected general benefits from exercise, especially feeling better mentally, but did not spontaneously connect it with lower recurrence risk or treatment side effects. Nurses can check whether patients already expect these benefits.

NursingSelf-Management Strategies in Emerging Adults With Type 1 Diabetes.Cohort · 2017

Emerging adults with type 1 diabetes relied less on parents but reported better problem solving and communication over the first year after high school. Their A1c rose and glucose monitoring fell.

NursingExploratory Factor Analysis of the Strength of the Cultural Affiliation Scale.RCT · 2017

A brief cultural affiliation survey sorted into four areas: lifestyle, language and holidays, relationships, and cultural health practices. The health practices area was too weak to use alone. In 604 cancer patients receiving radiotherapy, African Americans scored higher than White patients.

All disciplinesA Comparison of the Quality of Life in Patients With Primary and Secondary Lower Limb Lymphedema: A Mixed-Methods Study.Survey · 2016

Patients with primary, cancer-related, and non-cancer-related lower-limb lymphedema reported similar high psychosocial symptom burden. They described body-image distress, clothing and access problems, and burdensome self-care.

NursingCardiovascular Health of Filipinos in the United States: A Review of the Literature.Systematic Review · 2016

Filipino Americans in the reviewed studies had high rates of hypertension, diabetes, and metabolic syndrome, often at lower BMI levels. The review suggests nurses should consider lower BMI thresholds and culturally appropriate education, not weight alone.

Physical therapyCognitive Function Does Not Impact Self-reported Health-Related Quality of Life in Heart Failure Patients.Cohort · 2016

Objective cognitive testing showed little link to self-reported quality of life in heart failure patients. Depression and disease severity were the strong predictors. Executive function had a tiny, weak association, but overall, cognitive deficits did not explain poor quality of life.

NursingDecision Making Among Persons Living With Heart Failure.Systematic Review · 2016

Most research on decisions by people with heart failure focused on end-of-life choices. Acute symptoms often sent patients to emergency care, while gradual symptoms prompted calls to providers. Evidence comes from small studies with mixed results.

NursingCognitive and Affective Symptoms Experienced by Cancer Patients Receiving High-Dose Intravenous Interleukin 2 Therapy: An Integrative Literature Review.Systematic Review · 2016

Cognitive and affective symptoms during high-dose IL-2 were common and severe. Screening was inconsistent, depression increased over cycles in one trial, and it is unclear whether symptoms return to baseline after treatment.

NursingCognitive behavioral therapy for depression improves pain and perceived control in cardiac surgery patients.RCT · 2016

CBT for depression after cardiac surgery improved patients' sense of control and reduced pain interference and severity, but did not improve sleep. Depression outcomes were published separately.

NursingA Systematic Review of Family Meeting Tools in Palliative and Intensive Care Settings.Systematic Review · 2016

Family meeting tools for palliative and ICU care are mostly provider-facing agendas, planners, and templates. Most were not tested, so they may structure meetings but do not prove better patient or family outcomes.

NursingAssociation of Complementary and Alternative Therapies With Mental Health Outcomes in Pregnant Women Living in a Postdisaster Recovery Environment.Survey · 2016

Pregnant women using massage had lower odds of depressive symptoms, while those using aromatherapy or journaling had higher odds. These are associations from a survey, not proof that these therapies help or harm mental health.

NursingPerspectives on safer conception practices and preconception counseling among women living with HIV.Qualitative · 2016

HIV-positive women often wanted children but knew little about safer conception, so many relied on unprotected sex; providers seldom asked about pregnancy plans, leaving counseling focused on avoiding pregnancy.

NursingSpousal Caregivers of Coronary Artery Bypass Surgery Patients: Differences between Caregivers with Low vs. High Caregiving Demands.Survey · 2016

Spousal caregivers of coronary bypass patients with higher caregiving time demands reported more caregiving difficulty and more open talk about the surgery. Depressive symptoms were minimal and did not differ. Screen caregiving load and communication.