While caution is warranted due to the number of comparisons undertaken such that associations observed may be chance associations, these novel findings suggest that not overstating the beneficial effects of acute treatment, and allowing patients more time to ask questions about needed lifestyle changes should be investigated in future research.
It has been proposed that boarding schools in England can be used to provide a stable education and care environment for vulnerable children in need, and the government is expanding their use. However, for vulnerable children to be placed in boarding schools, social workers will need to be willing to contemplate boarding as a viable care option. In this study we interviewed N = 21 social care practitioners including directors, senior and middle managers, frontline social workers, social worker-academics and family support workers who work with vulnerable children. Using thematic analysis of the transcribed interviews, seven major themes identified a range of issues and concerns held by social care workers about placing vulnerable children in boarding schools. We present these themes and consider the issues that will have to be addressed prior to changes in policy and practice. The study concludes that many of those within the social work profession are unlikely to consider boarding as an intervention for children in need. Further research in this area is a matter of urgency.
Cardiovascular rehabilitation (CR) has been designed to decrease the burden of cardiovascular disease. This study described (1) patient-healthcare provider (HCP) interactions regarding CR, and (2) which discussion elements were related to patient referral. This was a prospective study of cardiovascular patients and their HCPs. Discussion utterances were coded using the Roter Interaction Analysis System. Discussion between 26 HCPs and 50 patients were recorded. CR referral was related to greater HCP interactivity (Odds Ratio [OR]=2.82, 95% CI 1.01-7.86), and less patient concern and worry (OR=0.64, 95% CI 0.45-0.89). Taking time for reciprocal discussion and allaying patient anxiety may promote greater referral.
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