purpose: to report the results of orthoptic training in two middle-aged patients according to current theories. case report: a 56-year-old female with decompensated exophoria and myopia and a 68-year-old male with decompensated esophoria and moderate hyperopia underwent vision therapy according to standard procedures for improving fusional vergences and ocular accommodation. sheard and percival...

BACKGROUND Treatment disengagement and non-completion poses a major problem for the successful treatment of patients with severe mental illness. Motivation for treatment has long been proposed as a major determinant of treatment engagement, but exact mechanisms remain unclear. This current study serves three purposes: 1) to determine whether a feedback intervention based on the patients' motiva...

BACKGROUND China's healthcare reform programme continues to receive much attention. Central to these discussions has been how the various financial incentives underpinning reform efforts are negatively impacting on the healthcare workforce. Research continues to document these trends, however, qualitative analysis of how these incentives impact on the motivation of healthcare workers remains un...

What was your best career move? Becoming a doctor. I miss not seeing patients in my current role, but improving patient care is the motivation behind all of my work. Bevan or Lansley?Who has been the best and the worst health secretary in your lifetime? I got to know William Waldegrave at the time of Margaret Thatcher’s reforms, which I supported, and he was thoughtful, sincere, and intelligent...

Technological innovations have revolutionized the treatment of type 1 diabetes. Although technological advances can potentially improve diabetes outcomes, maintenance of target glycemic control, at the present time, remains largely dependent on patient and family motivation, competence, and adherence to daily diabetes care requirements. Trials of closed loop or "artificial pancreas" technology ...

AIMS To further test whether the baclofen-induced suppression of motivation to consume alcohol in animals could be transposed to humans. METHODS A patient who had neither tolerated nor benefited from other alcohol treatment modalities was put on trial with baclofen on a dosage up to 140 mg/day. RESULTS The patient reported dramatic reduction in cravings for and preoccupation with alcohol. ...

Results On a scale from 1 (not willing to change) to 5 (definitely willing to change), patients scored 1.68 willingness to change their alcohol consumption. Being female, older and a smoker were positively associated with the motivation to change. The relationship between participants’ age and their motivation to reduce their alcohol consumption was moderated by their sex. These factors togethe...

The study of workarounds (WA) has increased in importance due to their impact on patient safety and efficiency. However, there are no adequate theories to explain the motivation to create and use a workaround in a healthcare sitting. Although theories of technology acceptance help to understand the reasons to accept or reject technology, they fail to explain drivers for alternatives. Also worka...

When patients learn that their cancer has recurred after primary treatments or is no longer responding to therapy and no alternative treatment options exist, their motivation to carry on living may be impacted greatly. Using the Self-Determination Theory, this article's reflective analysis explores the unique situation of a woman with end-stage cancer and her continuous motivation to seek infor...

BACKGROUND Motivation to change has been proposed as a prerequisite for behavioral change, although empirical results are contradictory. Traumatic experiences are frequently found amongst patients in alcohol treatment, but this has not been systematically studied in terms of effects on treatment outcomes. This study aimed to clarify whether individual Trauma Load explains some of the inconsiste...