Subjective measures involving clinician ratings or patient self-assessments have become recognised as an important tool for the assessment of health outcome. The value of a health outcome measure is usually assessed by a psychometric evaluation of its reliability, validity and responsiveness. However, psychometric testing involves an accumulation of evidence and has recognised limitations. It h...

The characteristics of all adolescents referred to the psychiatric service of a tertiary hospital following an episode of deliberate self-harm (DSH) were studied. Of 100 adolescents selected over a 3-year period, 64 White and 28 Black adolescents were compared to identify factors associated with DSH in Black adolescents. The main findings were: (1) the referral rate for Black adolescents was in...

       Background: As part of the process of developing a decision aid for carpal tunnel syndrome (CTS) according to the Ottawa Decision Support Framework, we were interested in the level of ‘decisional conflict’ of hand surgeons and patients with CTS. This study addresses the null hypothesis that there is no difference between surgeon and patient decisional conflict with respect to test and tr...

background and aim: approaches to professional health care have changed along with changes in health measures and progression of chronic diseases. patient participation is an international golden standard in new nursing paradigm. despite the importance of patient participation and its routine usage in professional care, this concept is not clear, especially in social and cultural context of ira...

background: despite the benefits of diabetes patient education, it is imperative to analyze the status of researches in this field and identify research gaps and priorities if our limited health resources are to be used wisely and effectively. this study is a part of iran diabetes research roadmap study to find the knowledge gap in the field of diabetes patient education in iran. methods: all p...

Support of patient self-management is a key component of effective chronic illness care and improved patient outcomes. Self-management support goes beyond traditional knowledge-based patient education to include processes that develop patient problem-solving skills, improve self-efficacy, and support application of knowledge in real-life situations that matter to patients. This approach also en...

objective: to report a case of trichotillomania that was resistant to pharmacological treatment but responded well to a behavioral therapy program based on habit reversal. method: the patient was a 47-year-old lady. her problem had started at the age of seventeen. she had experienced several treatments including full doses of antidepressants, mood stabilizers, antipsychotic, and benzodiazepines...

background: as an early step in the development of a decision aid for idiopathic trigger finger (tf) we were interested in the level of decisional conflict experienced by patients and hand surgeons. this study tested the null hypothesis that there is no difference in decisional conflict between patients with one or more idiopathic trigger fingers and hand surgeons. secondary analyses address th...