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This study describes medical interpreters' experiences with behavioral health (BH) services in a primary care clinic. Focus group data with medical interpreters representing multiple languages was analyzed using hybrid inductive-deductive thematic analysis. Themes related to interpreter roles were: (1) case management, (2) patient-interpreter relationship, and (3) patient-provider liaison. Themes related to barriers and facilitators to interpreter-mediated BH care were: (1) cultural factors, (2) patient-provider interactions, (3) BH-specific considerations, and (4) clinic factors. Results illustrate ways that interpreters directly (e.g. interpreter-mediated services) and indirectly (e.g. relationship building) support care. The interpreter-patient relationship reportedly helped improve patient attitudes and buy-in for BH. [ABSTRACT FROM AUTHOR]

The neurofibromatoses (NFs) are a set of incurable genetic disorders that predispose individuals to nervous system tumors. Although many patients experience anxiety and depression, there is little research on psychosocial interventions in this population. The present study examined the effects of a mind–body intervention on depression and anxiety in adults with NF. This is a secondary analysis of the Relaxation Response Resiliency Program for NF (3RP‐NF), an 8‐week virtual group intervention that teaches mind–body skills (e.g., relaxation, mindfulness) to improve quality of life. Participants were randomized to 3RP‐NF or the Health Enhancement Program for NF (HEP‐NF) consisting of health informational sessions and discussion. We evaluated depression (PHQ‐9) and anxiety (GAD‐7) at posttreatment, 6 months, and 12 months. Both groups improved in depression and anxiety between baseline and posttest, 6 months, and 12 months. The 3RP‐NF group showed greater improvements in depression scores from baseline to 6 months compared with HEP‐NF and with lower rates of clinically significant depressive symptoms. There were no between‐group differences for anxiety. Both interventions reduced distress and anxiety symptoms for individuals with NF. The 3RP‐NF group may be better at sustaining these improvements. Given the rare nature of NF, group connection may facilitate reduced distress. [ABSTRACT FROM AUTHOR]

Employee health promotion programs increase work productivity and effectively reduce employer costs related to health care and absenteeism, and enhance worker productivity. Components of an effective worksite health program include stress management, exercise and nutrition and/or weight management classes or counseling. Few studies have documented correlates of health behaviors in school-based employees. A multi-component survey was used to examine relationships among stress, physical activity and specific food choices among employees in a southeastern Louisiana school district. Significant differences were found in coping styles by gender and employee status. Findings also indicated that employees who selected healthful foods were more likely to use task-oriented coping, considered an effective coping style. Further those employees who engaged in vigorous physical activity on a regular basis reported less perceived stress as well as more effective coping strategies. Since these behaviors appear to be interrelated, those conducting health promotion programs may consider a multi-dimensional approach when planning programs for employees. Intervention studies in a school-based population are needed to examine specific effects of different coping styles and healthy behaviors on employee productivity. (Contains 5 tables.)

Academic libraries are turning increasingly to internship/residency programs to enhance recruitment efforts. Outlines necessary components of an evaluation model for internship/residency programs based on a survey of academic library deans/directors and program coordinators. Identifies key evaluation factors that library administrators consider most important for measuring internship/residency programs, and frequency, format, and sources of input for effective evaluation. (Author/AEF)

Post-master's residency programs are one way academic and research libraries can prepare new library professionals and recruit minorities. A survey of 109 past residents analyzed ethnicity, race, and gender of librarians and type of library; characteristics of respondents and residency programs; attributes of supervisors; and position titles and concluded that such programs were valuable recruitment tools. (PEN)

The article presents a photo quiz on sebaceous nevus.

Background: By 2030, approximately 75 million adults will be living with Alzheimer disease and related dementias (ADRDs). ADRDs produce cognitive, emotional, and behavioral changes for persons living with dementia that undermine independence and produce considerable stressors for persons living with dementia and their spousal care-partners-together called a "dyad." Clinically elevated emotional distress (ie, depression and anxiety symptoms) is common for both dyad members after ADRD diagnosis, which can become chronic and negatively impact relationship functioning, health, quality of life, and collaborative management of progressive symptoms., Objective: This study is part of a larger study that aims to develop, adapt, and establish the feasibility of Resilient Together for Alzheimer Disease and Related Dementias (RT-ADRD), a novel dyadic skills-based intervention aimed at preventing chronic emotional distress. This study aims to gather comprehensive information to develop the first iteration of RT-ADRD and inform a subsequent open pilot. Here, we describe the proposed study design and procedures., Methods: All procedures will be conducted virtually (via phone and Zoom) to minimize participant burden and gather information regarding feasibility and best practices surrounding virtual procedures for older adults. We will recruit dyads (up to n=20) from Mount Sinai Hospital (MSH) clinics within 1 month of ADRD diagnosis. Dyads will be self-referred or referred by their treating neurologists and complete screening to assess emotional distress and capacity to consent to participate in the study. Consenting dyads will then participate in a 60-minute qualitative interview using an interview guide designed to assess common challenges, unmet needs, and support preferences and to gather feedback on the proposed RT-ADRD intervention content and design. Each dyad member will then have the opportunity to participate in an optional individual interview to gather additional feedback. Finally, each dyad member will complete a brief quantitative survey remotely (by phone, tablet, or computer) via a secure platform to assess feasibility of assessment and gather preliminary data to explore associations between proposed mechanisms of change and secondary outcomes. We will conduct preliminary explorations of feasibility markers, including recruitment, screening, live video interviews, quantitative data collection, and mixed methods analyses., Results: This study has been approved by the MSH Institutional Review Board. We anticipate that the study will be completed by late 2023., Conclusions: We will use results from this study to develop the first live video telehealth dyadic resiliency intervention focused on the prevention of chronic emotional distress in couples shortly after ADRD diagnoses. Our study will allow us to gather comprehensive information from dyads on important factors to address in an early prevention-focused intervention and to explore feasibility of study procedures to inform future open pilot and pilot feasibility randomized control trial investigations of RT-ADRD., International Registered Report Identifier (irrid): PRR1-10.2196/45532., (©Sarah Bannon, Julie Brewer, Nina Ahmad, Talea Cornelius, Jonathan Jackson, Robert A Parker, Kristen Dams-O'Connor, Bradford C Dickerson, Christine Ritchie, Ana-Maria Vranceanu. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 20.09.2023.)