Biomedical subjects

J W Sesney

Publications and source records attributed to J W Sesney.

4 recordsLinked to original sources

PubMed1997

Smoking cessation interventions in rural family practices: an UPRNet study.

BACKGROUND: Primary care physicians are urged to offer smoking cessation counseling to their patients. Many studies have sought to determine which smoking interventions are most effective in medical office settings. As a result, routine identification of smokers, brief counseling, referral to smoking cessation programs, and nicotine replacement therapy are advocated. The context of patient visits during which smoking cessation advice is given, however, has received little attention. The objective of this study was to determine if patients' reasons for visits and self-reported readiness to quit smoking are associated with likelihood and type of smoking cessation intervention offered by family physicians. METHODS: The study was conducted in the Upper Peninsula Research Network (UPRNet), a voluntary association of family physicians in 15 medical clinics located in rural areas of northern Michigan. Practice coordinators administered a 1-page exit questionnaire to every other adult patient seen by a participating physician immediately after the office visit. Clinicians were blinded to the specific purpose of the questionnaire. During the study, 2317 questionnaires were administered, yielding information on 455 smokers. RESULTS: The overall rate of physicians' providing any smoking cessation intervention at any type of visit was 47%. There was a significant association between frequency of smoking cessation intervention and reasons for visits (chi 2 = 10.46, P = .01). There was a statistically significant difference between stages of readiness to quit and frequency of smoking cessation intervention offered (chi 2 = 26.5, P < .001). Clinicians offered smoking cessation interventions to smokers in the precontemplative stage significantly less often than to smokers in the contemplation, preparation, or action stages. CONCLUSIONS: UPRNet practitioners vary the frequency of smoking cessation interventions according to patients' reasons for the medical visit and their readiness to quit smoking.

Acute Disease↗

PubMed1988

Academic courses in biofeedback.

The data presented here represent a sampling of the activities in programs offering academic courses in biofeedback that responded to the Education Committee's effort to develop a directory of such courses. A diversity of type and number of training experiences, equipment, resources, and approaches to training are represented. The committee is currently working on a format to share the wealth of course materials gathered in addition to the directory, which has already been published (Biofeedback Society of America, 1987).

Biofeedback, Psychology↗

PubMedDate not supplied

The prevalence of alcohol abuse and dependence in two geographically distinct regions in Michigan: an UPRNet study.

OBJECTIVE: No definitive studies have been done to determine the frequency of alcohol dependence and abuse in selected sites in Michigan. Because the Upper Peninsula is geographically, economically, and culturally distinct from Lower Michigan there may be an increased prevalence of alcoholism compared to other parts of the state. METHODS: This study compared the responses of 292 Upper Peninsula residents to the responses of 225 lower peninsula residents in the Kalamazoo area on a questionnaire regarding alcohol consumption and health habits. The Revised Health Screening Survey, which has shown adequate validity and reliability for detecting alcohol dependence and abuse, was administered. In the Upper Peninsula each of 12 family practice clinics belonging to UPRNet, a rural primary care research network, were asked to randomly recruit 24 patients to complete the questionnaires. RESULTS: Results showed that the percentage of alcohol dependent subjects in the three Kalamazoo clinics was 16%, while the overall percentage for all UP clinics was 12%. Chi-square analysis indicated no significant differences between the samples. CONCLUSIONS: The widely held belief that people who live in the Upper Peninsula of Michigan have a higher rate of alcohol dependence and abuse than people in other parts of the state was not found to be true in this primary care outpatient population.

Adult↗

PubMedDate not supplied

Accuracy of on-site data entry in a rural primary care research network.

OBJECTIVE: This study examined how accurately research data can be entered into a database by rural research network members with little computer training and no data-entry experience. METHODS: A rural primary care research network in the Upper Peninsula of Michigan collected data from a study, and each practice entered its data on a standard database. The data were then sent electronically to the main research center where they were downloaded and analyzed. Accuracy of data entry was evaluated by comparing data received at the center with data on the original questionnaire. RESULTS: Accuracy of the data, entered by practice coordinators (nurses) with little or no computer experience, was completed with an error rate of one error per 220 keystrokes or .22 errors per 1,000 keystrokes. CONCLUSIONS: Results indicate that remote data entry in research networks can be accomplished accurately and reliably with little training.

Electronic Data Processing↗