LIVIVO - The Search Portal for Life Sciences

zur deutschen Oberfläche wechseln
Advanced search

Search results

Result 1 - 9 of total 9

Search options

  1. Article ; Online: Healthy From the Start-Lifestyle Interventions in Early Childhood.

    Dalal, Michelle / Cazorla-Lancaster, Yamileth / Chu, Cherie G / Agarwal, Neeta

    American journal of lifestyle medicine

    2022  Volume 16, Issue 5, Page(s) 562–569

    Abstract: Lifestyle interventions are effective from the earliest years of childhood. To best promote health, lifestyle factors should be implemented for children and their families from birth. This includes introducing families to the benefits of a whole-food ... ...

    Abstract Lifestyle interventions are effective from the earliest years of childhood. To best promote health, lifestyle factors should be implemented for children and their families from birth. This includes introducing families to the benefits of a whole-food plant-based (WFPB) or plant-predominant diet, daily physical activity, positive family and peer social connections, avoidance of risky substances for caregivers, optimal sleep habits, and stress management and mindfulness for all family members. Through attention to these six pillars of lifestyle medicine, children and their families can succeed in initiating and maintaining optimal lifelong physical and mental health.
    Language English
    Publishing date 2022-05-24
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2265653-4
    ISSN 1559-8284 ; 1559-8276
    ISSN (online) 1559-8284
    ISSN 1559-8276
    DOI 10.1177/15598276221087672
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  2. Article: The doctor-dentist connection.

    Dalal, Michelle

    Journal of the Massachusetts Dental Society

    2012  Volume 61, Issue 3, Page(s) 34–36

    MeSH term(s) Community Networks ; Comprehensive Dental Care ; Cooperative Behavior ; Dental Care for Children ; Dental Caries/prevention & control ; Dentists ; Health Education, Dental ; Health Promotion ; Humans ; Infant ; Infant Welfare ; Interprofessional Relations ; Oral Health ; Parents/education ; Pediatrics/education ; Referral and Consultation ; Risk Assessment
    Language English
    Publishing date 2012
    Publishing country United States
    Document type Journal Article
    ZDB-ID 604283-1
    ISSN 0025-4800
    ISSN 0025-4800
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  3. Article ; Online: From Preconception Care to the First Day of School: Transforming the Health of New Families With Lifestyle Medicine.

    McHugh, John / Dalal, Michelle / Agarwal, Neeta

    American journal of lifestyle medicine

    2020  Volume 14, Issue 5, Page(s) 532–540

    Abstract: Lifestyle medicine holds great promise to transform health during the period from preconception to early childhood. Genetic, epigenetic, nutritional, and environmental factors have lifetime impact on the newborn and family. Little is known about the full ...

    Abstract Lifestyle medicine holds great promise to transform health during the period from preconception to early childhood. Genetic, epigenetic, nutritional, and environmental factors have lifetime impact on the newborn and family. Little is known about the full potential of lifestyle medicine to improve maternal, child, and family health. Additionally, health care providers face limits in time and may have gaps in knowledge, that preclude discussion of the impact lifestyle medicine can the mother, newborn, and family. Greater understanding of the potential impact of lifestyle medicine provides opportunities to identify current deficiencies in care and areas for improvement and highlights the need for further research. This article reviews current evidence supporting the 6 pillars of lifestyle medicine: nutrition, physical activity, sleep, avoiding risky substance use, stress management and social connectedness as applied to maternal child care from preconception to early childhood, examines the current state of practice, and identifies opportunities for both practice change and further research. Rather than view each component of care in isolation, viewing care as a continuum from preconception to childhood can best establish healthy habits and optimize outcomes for the entire family.
    Language English
    Publishing date 2020-05-18
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2265653-4
    ISSN 1559-8284 ; 1559-8276
    ISSN (online) 1559-8284
    ISSN 1559-8276
    DOI 10.1177/1559827620912703
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  4. Article: Referring Adolescent Primary Care Patients to Single-Session Interventions for Anxiety and Depression: Protocol for a Feasibility Study.

    Eyllon, Mara / Dalal, Michelle / Jans, Laura / Sotomayor, Ian / Peloquin, Gabrielle / Yon, James / Fritz, Rochelle / Schleider, Jessica

    JMIR research protocols

    2023  Volume 12, Page(s) e45666

    Abstract: Background: Despite the growing prevalence of depression and anxiety among adolescents, fewer than half access appropriate mental health care. Single-session interventions (SSIs) for depression and anxiety offered in primary care are a promising ... ...

    Abstract Background: Despite the growing prevalence of depression and anxiety among adolescents, fewer than half access appropriate mental health care. Single-session interventions (SSIs) for depression and anxiety offered in primary care are a promising approach to bridging the treatment gap.
    Objective: We aimed to implement a clinical workflow for primary care and behavioral health providers to refer patients aged 13 to 17 years with mild to moderate depression and anxiety symptoms to Project YES (Youth Empowerment and Support), an open-access SSI platform, in a large group medical practice with an integrated behavioral health department.
    Methods: Pediatric primary care and integrated behavioral health providers will be educated on the benefits of Project YES for adolescent anxiety and depression and trained in a workflow integrated within the electronic health record system, Epic, to refer patients during well-child visits and pediatric behavioral health visits. Patients with mild to moderate internalizing symptoms based on the 17-item Pediatric Symptom Checklist or youth Pediatric Symptom Checklist will be invited to try an SSI through Project YES. We will examine provider uptake and perceptions of acceptability, feasibility, and appropriateness over time.
    Results: The rollout will take place between November 2022 and May 2023, when outcomes will be evaluated. Data analysis and manuscript writing are anticipated to be completed during the summer of 2023.
    Conclusions: SSIs such as those available through Project YES have the potential to provide low-cost, evidence-based mental health treatment to adolescents with mild to moderate depression and anxiety. If deemed feasible and acceptable, providing SSIs in primary care settings could significantly improve access to mental health care without taxing pediatric primary care and behavioral health providers.
    International registered report identifier (irrid): DERR1-10.2196/45666.
    Language English
    Publishing date 2023-08-09
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 2719222-2
    ISSN 1929-0748
    ISSN 1929-0748
    DOI 10.2196/45666
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  5. Article ; Online: Barriers and Facilitators to Optimal Fluoride Varnish Application.

    Goff, Sarah L / Gilson, Charlotte F / DeCou, Erin / Dick, Andrew W / Geissler, Kimberley H / Dalal, Michelle / Kranz, Ashley M

    Academic pediatrics

    2023  

    Abstract: Objective: National guidelines recommend that all children under age six receive fluoride varnish (FV) in medical settings. However, application rates remain low. This study aimed to update understanding of barriers and facilitators to guideline ... ...

    Abstract Objective: National guidelines recommend that all children under age six receive fluoride varnish (FV) in medical settings. However, application rates remain low. This study aimed to update understanding of barriers and facilitators to guideline concordant FV application.
    Methods: We conducted virtual semi-structured interviews with a purposive sample (eg, FV application rates, geographic location, practice size and type) of pediatric primary care clinicians and medical assistants in Massachusetts between February 1 and June 30, 2022. The Consolidated Framework for Implementation Research (CFIR) served as the study's theoretical framework and data were analyzed using a modified grounded theory approach.
    Results: Of the 31 participants, 90% identified as White and 81% as female. Major themes, which linked to four CFIR domains, included: variation in perceived adequacy of reimbursement; differences in FV application across practice types; variation in processes, protocols, and priorities; external accountability for quality of care; and potential levers for change. Important subthemes included challenges for small practices; role of quality measures in delivering guideline-concordant preventive oral health care; and desire for preventive care coordination with dentists.
    Conclusions: This study suggests that potential barriers and facilitators to guideline concordant FV application exist at multiple levels that may warrant further study. Examples include testing the effectiveness of quality measures for FV application and testing strategies for implementing consistent processes and protocols for improving FV application rates.
    Language English
    Publishing date 2023-10-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2483385-X
    ISSN 1876-2867 ; 1876-2859
    ISSN (online) 1876-2867
    ISSN 1876-2859
    DOI 10.1016/j.acap.2023.09.018
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  6. Article: Fluoride Varnish in the Dental Practice.

    Regen, Amy / Dalal, Michelle

    Journal of the Massachusetts Dental Society

    2016  Volume 65, Issue 3, Page(s) 30–32

    MeSH term(s) Cariostatic Agents/administration & dosage ; Child ; Dental Caries/prevention & control ; Fluorides, Topical/administration & dosage ; Humans
    Chemical Substances Cariostatic Agents ; Fluorides, Topical
    Language English
    Publishing date 2016
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 604283-1
    ISSN 0025-4800
    ISSN 0025-4800
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  7. Article ; Online: Back to Basics: Lifestyle Interventions for Adolescent Depression.

    Benheim, Talia S / Dalal, Michelle / Holcomb, Juliana M / Dutta, Anamika / Hosker, Daniel / Jellinek, Michael S / Murphy, J Michael

    Harvard review of psychiatry

    2022  Volume 30, Issue 5, Page(s) 283–302

    Abstract: Learning objectives: After completing this activity, practitioners will be better able to:• Discuss and better understand the recently adopted screening standards for adolescents with depression and the potential advantages of using "lifestyle medicine"• ...

    Abstract Learning objectives: After completing this activity, practitioners will be better able to:• Discuss and better understand the recently adopted screening standards for adolescents with depression and the potential advantages of using "lifestyle medicine"• Set up a process for providing effective interventions for the increased number of patients with adolescent depression• Design or update their toolbox of treatment options for adolescents with depression based on the new literature and increased demand.
    Abstract: Recently adopted quality standards recommend that pediatricians screen adolescents for depression and that they document follow-up plans for those who screen positive. As a result of these new recommendations, pediatricians and other pediatric providers, as well as psychiatrists and other mental health professionals, may face an increasing number of referrals and a growing need for effective interventions for adolescent depression. Given the widely acknowledged scarcity of traditional mental health resources, the current study reviewed the rapidly expanding array of evidence-based, but nontraditional, interventions applicable to outpatient pediatric and mental health care settings. Many of these interventions come from a lifestyle medicine framework. Lifestyle medicine interventions are congruent with the cultures of pediatrics and outpatient psychiatry, and offer additional evidence-based tools for providers managing adolescent depression. These interventions can be implemented individually or within group or community settings, and may be used in conjunction with more common interventions such as psychotherapy or psychotropic medications.
    MeSH term(s) Adolescent ; Child ; Depression/therapy ; Health Personnel ; Humans ; Life Style ; Psychiatry
    Language English
    Publishing date 2022-06-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1174775-4
    ISSN 1465-7309 ; 1067-3229
    ISSN (online) 1465-7309
    ISSN 1067-3229
    DOI 10.1097/HRP.0000000000000343
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  8. Article ; Online: Oral Health Training in Pediatric Residency Programs: Pediatric Program Directors' Perspectives.

    Dalal, Michelle / Savageau, Judith A / Silk, Hugh / Isong, Inyang

    Journal of dental education

    2019  Volume 83, Issue 6, Page(s) 630–637

    Abstract: A 2011 study evaluating oral health training in pediatric medical residency programs highlighted opportunities to improve residents' oral health competence. The aim of this 2017 follow-up study was to assess progress since 2011 in promoting development ... ...

    Abstract A 2011 study evaluating oral health training in pediatric medical residency programs highlighted opportunities to improve residents' oral health competence. The aim of this 2017 follow-up study was to assess progress since 2011 in promoting development of pediatric residents' oral health competence. A survey was sent to all 281 pediatric and med-peds medical residency program directors to assess the structure and determinants of oral health training in their programs. A total of 110 program directors responded to the 2017 survey (response rate 40%). Just over half (54%) of the respondents reported that their residents received one to two hours of oral health education during residency, while 38% received ≥3 hours (compared to 47% and 48%, respectively, in 2011). There was improvement in the proportion of respondents reporting that their residents integrated fluoride varnish application training in 2017 vs. 2011 (83% vs. 43%; p<0.001). Departmental support for integrating oral health and having an oral health elective were significantly associated with satisfaction with residents' oral health competence. These findings suggest that pediatric and med-peds medical residency programs have improved their residents' oral health awareness and training through integration of at least one hour of oral health education and fluoride varnish training. However, given deficiencies in program structure and uneven perceptions of residents' oral health competence found in this study, opportunities remain to improve pediatric residency programs' oral health curricula.
    MeSH term(s) Clinical Competence ; Humans ; Internship and Residency/methods ; Internship and Residency/organization & administration ; Oral Health/education ; Pediatrics/education ; Surveys and Questionnaires ; United States
    Language English
    Publishing date 2019-02-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 410579-5
    ISSN 1930-7837 ; 0022-0337
    ISSN (online) 1930-7837
    ISSN 0022-0337
    DOI 10.21815/JDE.019.058
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  9. Article ; Online: Identifying and responding to depression in adolescents in primary care: A quality improvement response.

    Dalal, Michelle / Holcomb, Juliana M / Sundaresan, Devi / Dutta, Anamika / Riobueno-Naylor, Alexa / Peloquin, Gabrielle D / Benheim, Talia S / Jellinek, Michael / Murphy, J Michael

    Clinical child psychology and psychiatry

    2022  Volume 28, Issue 2, Page(s) 623–636

    Abstract: The American Academy of Pediatrics (AAP) recommends adolescent depression screening and subsequent follow-up for those scoring at-risk. The current study assessed the outcomes of a Quality Improvement (QI) project that implemented these guidelines during ...

    Abstract The American Academy of Pediatrics (AAP) recommends adolescent depression screening and subsequent follow-up for those scoring at-risk. The current study assessed the outcomes of a Quality Improvement (QI) project that implemented these guidelines during annual well-child visits in a network of pediatric practices. This project used a two-stage screening process. First, adolescents were screened with the Pediatric Symptom Checklist (PSC-17). Second, adolescents who screened at-risk on the PSC-17 were asked to complete the Patient Health Questionnaire (PHQ-9). QI-participating providers received training on how to categorize the severity of their patient's depression based on PHQ-9 cut-off scores and clinical interview, and to implement and document appropriate options for follow-up. Patients in the QI group were significantly more likely to be screened with both the PSC-17 (93.8% vs. 89.1%,
    MeSH term(s) Humans ; Child ; Adolescent ; United States ; Depression/diagnosis ; Depression/therapy ; Quality Improvement ; Mass Screening ; Mental Health ; Primary Health Care
    Language English
    Publishing date 2022-06-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 1324235-0
    ISSN 1461-7021 ; 1359-1045
    ISSN (online) 1461-7021
    ISSN 1359-1045
    DOI 10.1177/13591045221105198
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

To top