RESUMEN
Acceptance, a third wave cognitive-behavioral concept originally developed for chronic pain patients, was applied to acceptance of chronic illness in an HIV/AIDS population. This study examined the internal reliability of two scales of the chronic illness acceptance questionnaire (CIAQ) called activities engagement (AE), and illness willingness (IW), their relationships with functional outcomes, and their ability to predict functional outcomes after controlling for demographic and medical variables. Sixty-nine HIV-positive persons served as subjects while attending a routine visit at an urban Midwestern US Family Medicine clinic. Mean scores for the AE, IW, and total scales of the CIAQ were slightly higher than pretreatment, but slightly lower than post-treatment scores originally reported for chronic pain patients. Internal reliability values for AE, IW, and total scales of the CIAQ were excellent and consistent with those found in chronic pain acceptance studies. In addition, the AE and IW scales were significantly related to the criterion dimensions of depression, mental functioning, and physical functioning. In multiple regression analyses, it was found that only AE was a significant predictor of the three functional outcome measures beyond demographic and medical variables. In contrast, IW was not predictive of any of the three functional outcome variables.
Asunto(s)
Adaptación Psicológica , Terapia Cognitivo-Conductual , Infecciones por VIH/psicología , Satisfacción del Paciente , Atención Primaria de Salud , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Enfermedad Crónica , Métodos Epidemiológicos , Femenino , Infecciones por VIH/epidemiología , Humanos , Masculino , Persona de Mediana Edad , Atención Primaria de Salud/normas , Resultado del Tratamiento , Carga Viral , Adulto JovenAsunto(s)
Sistemas de Entrada de Órdenes Médicas , Tromboembolia/diagnóstico , Tromboembolia/tratamiento farmacológico , Adulto , Anciano , Anciano de 80 o más Años , Estudios de Casos y Controles , Femenino , Heparina/administración & dosificación , Heparina/análogos & derivados , Heparina/uso terapéutico , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Medición de Riesgo , Tromboembolia/epidemiologíaRESUMEN
BACKGROUND: During the 3rd year of medical school, clerkships provide essential clinical experiences. However, other aspects of patient care may be overlooked during this critical phase of medical education. Faced with the challenge of integrating "orphan" topics central to effective and compassionate medical practice, medical schools have begun to develop interclerkships or intersessions. DESCRIPTION: The Dimensions of Clinical Medicine (DCM) interclerkship series at Creighton University included evidence-based medicine, sexuality in clinical medicine, palliative care, professionalism, cultural sensitivity/awareness, complementary and alternative medicine, bioterrorism, and clinical ethics. Each interclerkship comprises 2 half-day sessions conducted at the end of each clerkship rotation. EVALUATION: Students approved of the interclerkship format and valued the active learning strategies employed in the course. Many students felt the time allotted for each program was excessive. We describe educational issues and practical concerns that are central to an effective intersession program. CONCLUSION: The interclerkship format is a viable approach for incorporating orphan topics into the clinical curriculum.