Mark Duelund (donkeyegg15)

distress, as has been found in adults. Assessing adolescents for sleep disorders should be prioritized, given the strong association with depression. Behavioral (nonsurgical/nonpharmacologic) weight loss treatments have been overwhelmingly unsuccessful beyond the short term. Rather than incorporating accepted behavioral change theory, most have inadequately relied on providing exercise and nutrition information. Although adherence is a challenge, exercise has emerged as the most robust predictor of sustained weight reduction. However, exercise might be more associated with long-term weight loss through the relationship of its associated psychological changes with improved nutrition than through direct effects of energy expenditures, which are typically minimal in deconditioned individuals. To facilitate improved helping methods through a proposed theory-based causal chain model in which supported exercise predicts sustained weight loss through successive changes in exercise-related, then eating-related, self-regulation, self-efficacy, and mood. Segments of the model predict that 1) exercise and eating behaviors will be sequentially improved through iorms the development of practical methods to facilitate sustainable reductions in weight and health risks in adults with obesity. Primary care practitioners (PCPs) are concerned about adverse effects and poor outcomes of opioid use but may find opioid tapering difficult because of a lack of pain management training or time constraints limiting patient counseling. In 2010, Kaiser Permanente Northwest implemented a pharmacist-led opioid tapering program-Support Team Onsite Resource for Management of Pain (STORM)-to address high rates of opioid use, alleviate PCPs' workload demands, and improve patient outcomes. To describe the rationale, structure, and delivery of this unique pharmacist-led program, which partners with PCPs and provides individualized care to help patients reduce opioid use, and the Facilitating Lower Opioid Amounts through Tapering study, which examines the program's effectiveness, cost-effectiveness, and implementation. The STORM program includes a pain medicine physician, a social worker or nurse, and pharmacists who have received specialized clinical and communications training. The program has a 2-fold role 1) to provide PCP education about pain management and opioid use and 2) to offer clinician and patient support with opioid tapering and pain management. After program training, PCPs are equipped to discuss the need for tapering with a patient and to refer to the program. Program pharmacists provide a range of services, including opioid taper plans, nonopioid pain management recommendations, and taper-support outreach to patients. The STORM program provides individualized care to assist patients with opioid tapering while reducing the burden on PCPs. The STORM program may be a valuable addition to health care systems and settings seeking options to address their patients' opioid tapering needs. The STORM program may be a valuable addition to health care systems and settings seeking options to address their patients' opioid tapering needs. Measuring the experiences of patients regarding delivery and receipt of person-oriented primary care is of increasing policy and research interest and is a core component of the Institute for Healthcare Improvement's Quadruple Aim. To describe the Problem-Oriented Patient Experience-Primary Care (POPE-PC) survey, a novel instrument designed to measure patients' experiences of primary care, and to assess the instrument's psychometric properties. Psychometric testing was performed using data from a Canadian urgent primary care center, derived from March 2019 to September 2019. Deoxycholic acid sodium activator Patients automatically received the 9-question survey by email after leaving the clinic. Explorato