ITEMS IN AFP WITH KEYWORD:
Family physicians should proactively provide a patient-centered approach to sexual health that includes disease identification and treatment. Physicians and staff should be trained in identifying individual implicit bias around sexuality and adverse childhood experiences. Preventive health strategies include screening for sexually transmitted infections and diseases and offering counseling for preconception care for all patients, including gender-diverse patients.
Healthy development in adolescents occurs when risk factors are limited and when protective factors are fostered; this is encouraged when adolescents feel valued, empowered, and form healthy social connections. Threats typically result from experimentation and psychosocial stressors. Clinicians should regularly offer confidential screening and counseling because adolescents are more likely to access health care and to share sensitive information when confidentiality is assured.
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
Social determinants have a large effect on patients' health and well-being. Primary care clinicians need more evidence about their role in addressing social determinants of health, and community resources and public health support are needed to help patients with unmet social needs.
Family physicians can be early adopters of SDOH tools and models for practice, and they can advocate for use of these tools across systems of care.
Jan 1, 2019 Issue
Deprescribing Benzodiazepine Receptor Agonists for Insomnia in Adults [Practice Guidelines]
A multidisciplinary group of clinicians as part of the Deprescribing Guidelines in the Elderly project has developed evidence-based guidelines focused on deprescribing long-term Benzodiazepine receptor agonists (BZRAs) in patients taking them for insomnia, with the goal of helping physicians and patients make appropriate decisions about BZRA use.
Health risk behavior counseling and education takes substantial time during primary care office visits. The following counseling strategies require no more than five to 10 minutes and have been improved and evaluated in the past decade: transtheoretical model, the five A’s, FRAMES, motivational interviewing, and BATHE. These counseling strategies should be implemented in a stepped care model.
Jul 15, 2018 Issue
Behavioral Counseling to Prevent Skin Cancer: Recommendation Statement [U.S. Preventive Services Task Force]
The USPSTF recommends counseling young adults, adolescents, children, and parents of young children about minimizing exposure to ultraviolet (UV) radiation for persons aged 6 months to 24 years with fair skin types to reduce their risk of skin cancer.
Delivering bad or life-altering news to patients is one of the most difficult tasks physicians encounter. This article offers important tips for imparting such news, keeping in mind patients’ individual preferences for learning about their diagnosis. Several protocols are available to guide physicians in skillful, empathic communication with patients.
Jul 1, 2018 Issue
Individual Behavioral Counseling for Smoking Cessation [Cochrane for Clinicians]
Individual behavioral counseling conducted by a trained therapist provides some benefit when compared with brief counseling and support; however, this benefit is less pronounced in the context of pharmacotherapy.