The results of this study provide preliminary support for the impact of the NEW-R intervention on weight loss and knowledge about diet and exercise.

Occupational therapy practitioners should integrate CR, SE/E, and FPE into early intervention with youth with or at risk for SMI. In addition, CBT is an effective modality for use with this population.

The impact on the care of breast cancer patients, of a pharmacy technician-led medication review and counselling clinic, provided in an outpatient setting, was investigated using a controlled randomised study. Compared to the controls, clinic patients showed a significantly improved level of understanding of their chemotherapy support medication (95% CI for difference in mean knowledge rating scores ¼ 2.165 -2.826, Po0.001) and a significant reduction in the median number of support items required (two compared to five in the control, Po0.001). This resulted in a significant reduction in mean medication expenditure per patient (d26.70 vs d10.20, 95% CI for the mean difference in cost d6.72 -d26.26, Po0.001). The clinic was also associated with significant reductions in chemotherapy delays (Po0.001) and dose reductions due to side effects (P ¼ 0.003). Other benefits from the clinic were a reduction in pharmacy dispensing time and a highly significant reduction in pharmacy time spent resolving post-clinic prescription queries (Po0.001). Taking into account the initial technician training cost, the scheme represented an annual saving to the Trust of over d15 000. The clinic serves as a model for those wishing to improve outpatient services to breast cancer patients.

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