28 results on '"Olson, Lynn"'
Search Results
2. Inclusion of Children in Clinical Research
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Denne, Scott C., Baumberger, James, and Olson, Lynn
- Abstract
Many groups have historically been excluded from clinical research. It has required vigorous, long-term advocacy efforts for better inclusion of women and children across racial and ethnic groups. To understand who is included in clinical research, data are required. A personal journey of advocacy requiring the National Institutes of Health to report inclusion in clinical studies by age was ultimately accomplished by federal legislation.
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- 2023
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3. High-Deductible Health Plans for US Children: Trends, Health Service Use, and Financial Barriers to Care.
- Author
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Larson, Kandyce, Gottschlich, Elizabeth A., Cull, William L., and Olson, Lynn M.
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HEALTH services accessibility ,KEY performance indicators (Management) ,CROSS-sectional method ,DEBT ,MEDICAL care costs ,PRIVATE sector ,MEDICAL care ,MEDICAL care use ,HEALTH insurance ,RESEARCH funding ,CLINICAL medicine ,CHI-squared test ,CHILDREN'S health ,DESCRIPTIVE statistics ,ENDOWMENTS ,LOGISTIC regression analysis ,SOCIODEMOGRAPHIC factors - Abstract
Few studies have examined children's enrollment in high-deductible health plans (HDHPs) and associations with health service use. We examine trends, health service use, and financial barriers to care for US children with high-deductible private insurance. Trend data on HDHP enrollment were available for 58,910 children ages 0 to 17 with private insurance from the 2007 to 2018 National Health Interview Survey. Health service indicators were examined in a cross-sectional sample of 23,959 children in the 2014-2018 datasets. High deductible was defined as a minimum of $2,700 for a family in 2018. Chi-square tests examined associations of HDHPs with health service indicators. Logistic regression models adjusted for sociodemographics and child health. The percent of privately insured children with HDHPs increased from 18.4% to 48.6% from 2007 to 2018. In adjusted regression, those with HDHPs fared worse than those with traditional plans on 7 of 10 measures and those with HDHPs and no health savings account (HSA) fared worse on eight. While small differences were found for various child-focused measures, the most consistent differences were found for family-focused measures. Parents with HDHPs were more likely than parents with traditional private insurance to report they had delayed or forgone their medical care (10.2% vs 5.7%), had problems paying medical bills (15.7% vs 10.3%), and had family medical debt (34.1% vs 25.8%). Privately insured families have seen substantial growth in high-deductible plans in the last decade. Families with HDHPs, especially those without HSAs, have more financial barriers to care. [ABSTRACT FROM AUTHOR]
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- 2021
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4. Screening and Referral for Low-Income Families' Social Determinants of Health by US Pediatricians.
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Garg, Arvin, Cull, William, Olson, Lynn, Boyd, Amanda Fisher, Federico, Steven G., Dreyer, Benard, and Racine, Andrew D.
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POVERTY in the United States ,FAMILY health ,HEATING ,MEDICAL referrals ,MEDICAL screening ,MULTIVARIATE analysis ,TRANSPORTATION ,FINANCIAL management ,COMMUNITY services ,FOOD security ,HEALTH & social status ,UNLICENSED medical personnel - Abstract
To measure the frequency US pediatricians report screening and referring for social needs and identify pediatrician and practice-level predictors for screening and referral. Data were from the American Academy of Pediatrics Periodic Survey for October 2014 to March 2015 with a response rate of 46.6% (732/1570). Respondents reported on: 1) routine screening of low-income families for social needs, 2) attitudes toward screening, and 3) referral of low-income families for community resources. Results were analyzed by pediatrician and practice characteristics. Although most pediatricians (61.6%) thought that screening is important, fewer (39.9%) reported that screening is feasible or felt prepared addressing families' social needs (20.2%). The topics that pediatricians reported routinely asking low-income families about at visits (defined as ≥50% visits) were need for childcare (41.5%) and transportation barriers (28.4%). Pediatricians were less likely to report asking about housing (18.7%), food (18.6%), and utilities/heating (14.0%) insecurity. In multivariable analyses, pediatricians were more likely to report both that they screen and refer when they reported having more patients in financial hardship and having someone in the practice with the responsibility to connect low-income families to community services. Pediatricians who endorsed the importance of screening and who reported being prepared were also more likely to screen/refer. A minority of pediatricians report routinely screening for social needs. Pediatricians were more likely to report that they screen and refer if they had positive attitudes toward the importance of screening, felt prepared, and had support staff to assist families in need. [ABSTRACT FROM AUTHOR]
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- 2019
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5. United States Pediatricians' Attitudes Regarding Public Policies for Low-Income Children and Their Profession's Advocacy Priorities
- Author
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Federico, Steven G., Cull, William, Olson, Lynn, Garg, Arvin, Racine, Andrew D., Fisher, Amanda, and Dreyer, Benard
- Abstract
To examine pediatricians' attitudes toward public policies for low-income children and the advocacy efforts for the American Academy of Pediatrics (AAP).
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- 2018
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6. Pediatricians Working Part-Time Has Plateaued.
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Cull, William L., Frintner, Mary Pat, O'Connor, Karen G., Olson, Lynn M., and O'Connor, Karen G
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Objective: To examine trends in pediatricians working part-time and residents seeking part-time work and to examine associated characteristics.Study Design: The American Academy of Pediatrics (AAP) Periodic Survey of Fellows and the AAP Annual Survey of Graduating Residents were used to examine part-time employment. Fourteen periodic surveys were combined with an overall response rate of 57%. Part-time percentages were compared for surveys conducted from 2006-2009 and 2010-2013. The AAP Annual Surveys of Graduating Residents (combined response rate = 60%) from 2006-2009 were compared with 2010-2013 surveys for residents seeking and obtaining part-time positions following training. Multivariable logistic regression models identified characteristics associated with part-time work.Results: Comparable percentages of pediatricians worked part-time in 2006-2009 (23%) and 2010-2013 (23%). There was similarly no statistically significant difference in residents seeking part-time work (30%-28%), and there was a slight decline in residents accepting part-time work (16%-13%, aOR .75, 95% CI .56-.96). Increases in working part-time were not found for any subgroups examined. Women consistently were more likely than men to work part-time (35% vs 9%), but they showed different patterns of part-time work across age. Women in their 40s (40%) were more likely than other women (33%) and men in their 60s (20%) were more likely than other men (5%) to work part-time.Conclusions: There has been a levelling off in the number of pediatricians working part-time and residents seeking part-time work. Overall, women remain more likely to work part-time, although 1 in 5 men over 60 work part-time. [ABSTRACT FROM AUTHOR]- Published
- 2016
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7. Location of Usual Source of Care among Children and Adolescents in the United States, 1997-2013.
- Author
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Simon, Alan E., Rossen, Lauren M., Schoendorf, Kenneth C., Larson, Kandyce, and Olson, Lynn M.
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Objectives: To examine national trends in the percentage of children whose usual source of care is at a clinic, health center, or hospital outpatient department (hereafter "clinics") and whether trends differ by sociodemographic subpopulations.Study Design: Analysis of serial, cross-sectional, nationally representative in-person household surveys, the 1997-2013 National Health Interview Surveys, was conducted to identify children with a usual source of care (n = 190,571), and the percentage receiving that care in a clinic. We used joinpoint regression to identify changes in linear trends, and logistic regression with predictive margins to obtain per-year changes in percentages, both unadjusted and adjusted for sociodemographic factors. Interaction terms in logistic regressions were used to assess whether trends varied by sociodemographic subgroups.Results: Of all children with a usual source of care, the percentage receiving that care in a clinic declined 0.44 percentage points per year (P < .001) from 22.97% in 1997 to 19.31% in 2002. Thereafter, it increased approximately 0.57 percentage points per year (P < .001), reaching 26.1% in 2013. Trends for some sociodemographic subgroups varied from these overall trends. No changes were observed between 2003 and 2013 for non-Hispanic black and Medicaid/State Children's Health Insurance Program insured children.Conclusions: This study shows that, although the percentage of children with a usual source of care in a clinic declined between 1997 and 2002, it has steadily increased since that time. [ABSTRACT FROM AUTHOR]- Published
- 2015
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8. When Nurses Grieve: Spirituality's Role in Coping.
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Shinbara, Christina G. and Olson, Lynn
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The article discusses the aspect of spirituality as a support for nurses dealing the loss of patients. It explores other sources of support for nurses dealing with the loss of patients with spirituality as the top response. A Needs Assessment Questionnaire (NAQ) was used in studying the grief support of the nurses with a focus on the impact of patient loss, level of satisfaction with the current grief support resources, and the importance of faith/religion/spirituality. It concludes that spirituality can play a significant role in coping with grief.
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- 2010
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9. Measuring Health Status and Quality of Life for US Children: Relationship to Race, Ethnicity, and Income Status.
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Olson, Lynn M., Lara, Marielena, and Frintner, Mary Pat
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Objective.—Accurately measuring the health of the increasingly diverse population of US children requires instruments that are comparable and valid across cultures, economic background, and language. This paper asks: Has the field of pediatric health status measures reached this level of comprehensiveness? Methods.—Children's health status and quality of life measures commonly used in the United States were reviewed to assess how they have included racial/ethnic minority and low-income groups. Four generic and 2 condition-specific instruments (asthma) were examined for total sample size, percent of sample from racial/ethnic and low-income groups, language availability, translation methods for US-Spanish, reading level, and separately reported psychometric findings and outcomes/scores. Results.—Most measures have included minority groups, usually African American or Hispanic children, although with little information by Hispanic subgroup. Children's measures have generally been tested on relatively small samples, without separate analyses by subgroups. When done, tests of reliability and validity find few differences from the general population. Some studies report information on health by racial or ethnic group, but the findings are inconclusive. Economic status is usually measured in some way, but rarely are psychometric findings examined separately by income. When differences in health outcome are reported by income, lower income children usually have poorer health. Conclusions.—Much has been accomplished in advancing health status measures for children. Next-generation issues include the influence of race, ethnicity, and income on health and health reports. [ABSTRACT FROM AUTHOR]
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- 2004
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10. An exploration of adolescent nonsuicidal self-injury and religious coping
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Westers, Nicholas J., Rehfuss, Mark, Olson, Lynn, and Wiemann, Constance M.
- Abstract
AbstractMany adolescents who engage in nonsuicidal self-injury (NSSI) self-identify as religious, but the role of religion in their NSSI is not known. This exploratory study examined the relationship between religious coping and religiousness among adolescents who self-injure and the function of their NSSI. Thirty adolescents aged 12–19 years who had engaged in NSSI participated in an interview and completed questionnaires. Multiple regressions were used to examine the relationship between religious coping and NSSI, and Pearson correlations were used to assess the relationship between religiousness and function of NSSI. Greater use of positive religious coping was associated with lower likelihood of engaging in NSSI to rid oneself of unwanted emotions, whereas greater use of negative religious coping was associated with greater likelihood of engaging in NSSI for this reason as well as to avoid punishment or unwanted responsibility. Higher religiousness was associated with greater use of NSSI to communicate with or gain attention from others, whereas lower religiousness was associated with greater use of NSSI to relieve unwanted emotions. Having a greater understanding of how religious constructs are related to the various functions served by NSSI may inform treatment of this population, particularly among religious youth who self-injure.
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- 2014
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11. TEACHERS CONNECT with TECHNOLOGY.
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Phillips, Vicki L. and Olson, Lynn
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EDUCATIONAL technology ,COMPUTERS in education ,STREAMING video & television ,COMMON Core State Standards ,BEST practices ,EDUCATIONAL standards - Abstract
The article discusses the benefits of online tools in building new pathways for educational collaboration when implementing the Common Core State Standards. The teachers have expressed a strong need for Common Core-aligned resources and teacher-to-teacher networks to support and own expertise for professional learning. It reveals that technology like online lessons and streaming videos can become powerful tools for teachers to explore and share best practices to implement the Common Core.
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- 2013
12. Media Education in Pediatric Residencies: A National Survey
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Christakis, Dimitri A., Frintner, Mary Pat, Mulligan, Deborah A., Fuld, Gilbert L., and Olson, Lynn M.
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Little is known about the current state of residency education with respect to counseling parents about media usage and whether trainees consider it to be adequate.
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- 2013
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13. The Role of Forgiveness in Adolescents Who Engage in Nonsuicidal Self-Injury
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Westers, Nicholas J., Rehfuss, Mark, Olson, Lynn, and Biron, Denise
- Abstract
The present study is an exploratory investigation assessing the role of forgiveness of self and forgiveness of others in adolescent nonsuicidal self-injury (NSSI). Participants included a diverse sample of self-injuring adolescents (N= 30). Results indicated that lack of self-forgiveness was associated with engaging in NSSI for specific reasons related to the regulation of emotions and social functioning, namely to get rid of unwanted emotions, to feel something due to feeling numb or empty, and to communicate with others. Lack of self-forgiveness was also associated with greater lifetime frequency of NSSI. No relationship was found between forgiveness of others and NSSI. The implications of these findings are discussed in relation to Dialectical Behavior Therapy for NSSI, traditional forgiveness interventions, and treatment of youth who engage in NSSI.
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- 2012
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14. When Nurses Grieve
- Author
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Shinbara, Christina G. and Olson, Lynn
- Abstract
This study explored spirituality as an aspect of support for nurses grieving the loss of patients. Previous research has sought to understand the grief support needs of nurses; spirituality is one support nurses describe. Fifty-eight nurses responded to questions related to spirituality from a Needs Assessment Questionnaire (NAQ) designed to study grief support for nurses. Nurses reported spirituality as important in their daily lives (75) and in helping them cope with patient-related grief (70), and cited spiritual-based resources as beneficial in coping. Spirituality can play an important role in coping with grief and should be included in nurses' support.
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- 2010
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15. Does Having a Regular Primary Care Clinician Improve Quality of Preventive Care for Young Children?
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Inkelas, Moira, Newacheck, Paul W., Olson, Lynn M., Zuckerman, Barry, and Schuster, Mark A.
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This study examines whether having a regular clinician for preventive care is associated with quality of care for young children, as measured by interpersonal quality ratings and content of anticipatory guidance.
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- 2008
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16. Precocious Readers: Past, Present, and Future
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Olson, Lynn A., Evans, James R., and Keckler, Wade T.
- Abstract
Precocious readers represent a small portion of children who enter school each year. Researchers have investigated the environmental characteristics, acquisition process, psycholinguistic and neuropsychological characteristics, and academic skills of these children. Despite the research findings in the area, researchers and clinicians are still unable to predict who these children will be, describe how precocious readers fit into our current theories of emergent literacy and reading development, and confidently state whether this knowledge could be generalized beyond the precocious reader to the typically reading child. Forty years of research in this area is reviewed. Suggestions for improving the accessibility and generalizability of knowledge about precocious readers are provided.
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- 2006
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17. Combating crime in public housing: A qualitative and quantitative longitudinal analysis of the Chicago Housing Authority's Anti-Drug Initiative
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Popkin, Susan, Gwiasda, Victoria, Rosenbaum, Dennis, Amendolia, Jean, Johnson, Wendell, and Olson, Lynn
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The Chicago Housing Authority's (CHA) notorious high-rise developments are among the most dangerous public housing in America. In the early 1990s, the CHA launched an ambitious attack on crime, a comprehensive and collaborative crime prevention program known as the Anti-Drug Initiative (ADI). From 1994 to 1996 we tracked conditions in three of the CHA's high-rise developments, assessing the agency's success in implementing the ADI programs in each site as well as tracking other, related interventions. Using a combination of surveys and qualitative research methods, we examined the impact of these programs through the eyes of the residents and other key actors, looking at various outcome measures related to crime and disorder. Our findings indicate some positive results, but follow-up research conducted in 1996 documented the fragility of these changes and their vulnerability to gang influence.
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- 1999
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18. Modeled Portland Cement Sculpture
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Olson, Lynn
- Abstract
Abstract:The author reviews ways in which hydraulic cement is employed in sculpture. He then discusses his use of fiber-cement, a mixture of portland cement and steel wool, as a material suitable for modeling sculpture in which either steel wires or rods serve as internal reinforcement. Structural principles are discussed and instructions with illustrations are presented. Photographs are included showing a selection of the author’s works: four sculptures, a mobile, a fishing lure and a stained glass window assembled with reinforced sand-cement.
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- 1982
19. The religious community as a partner in health care
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Olson, Lynn M., Reis, Janet, Murphy, Larry, and Gehm, Jennifer H.
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In-depth structured interviews were conducted with spokespeople for 176 inner-city churches regarding perceptions of existing community problems, number of currently offered church-based social and health programs, and potential interest in church sponsorship of new maternal and child health programs. The sample of respondents represented 78% of the 227 churches located in a low-income, primarily black urban area with 150,000 residents. The typical church participating in the survey was Baptist with a congregation of 100 to 500 people, most of whom were not community residents. The leading community problems identified by the clergy were, in descending order: lack of jobs, teenage pregnancy, gang crime, school drop-outs, and hunger. The perception of community problems matched the church services offered as measured by the number of food and clothing pantries. Few churches had ongoing programs for neighborhood youths. Although many of these same churches expressed interest in expanding services for mothers, adolescents and children, few perceived themselves as having the necessary staff, funds, or technical expertise to conduct such programs.
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- 1988
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20. Near‐Steady Oblique Shock Waves in a Collisionless Plasma
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Olson, Lynn M.
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- 1972
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21. Letters
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M’Bow, Amadou-Mahtar, Topper, David R., Goler, Robert I., Olson, Lynn, Zajec, Edward, Morgan, Robert C., Fisher, John, Goldman, James A., Hurwitz, Al, Emmer, Michele, Rauschenbach, Boris V., Wells, Alan, Goodman, Nelson, and Viora, Jean-Louis
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- 1982
22. Inviting Keyboards into the Magic Circle of Music: Part I
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Olson, Lynn Freeman
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- 1987
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23. PROFESSIONAL LEARNING SUPPORTS THE INSTRUCTIONAL CORE.
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Olson, Lynn
- Subjects
PROFESSIONAL learning communities ,EDUCATION - Abstract
The article offers information on the role played by professional learning in supporting the instruction core of teachers, discussing the views of professor Richard Elmore on it; and the views of education expert Lynn Olson, on it.
- Published
- 2018
24. Mediators of asthma outcomes.
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Rand, Cynthia S., Wright, Rosalind J., Cabana, Michael D., Foggs, Michael B., Halterman, Jill S., Olson, Lynn, Vollmer, William M., Wilson, Sandra R., and Taggart, Virginia
- Subjects
ASTHMA ,QUALITY of life ,PERCEIVED Stress Scale ,INFLAMMATORY mediators ,PHYSIOLOGICAL stress - Abstract
Background: Patient adherence, the level of asthma self-management skills, exposure to stress, and depression can have considerable influence on a wide range of asthma outcomes and thus are considered asthma outcome mediators. Objective: National Institutes of Health institutes and other federal agencies convened an expert group to recommend standardized measures for 7 domains of asthma clinical research outcomes measures. Although the review of mediators of these outcomes was not within the scope of any specific outcome topic, a brief summary is presented so that researchers might consider potential mediators. Methods: We prepared a summary of key mediators of asthma outcomes based on expertise and knowledge of the literature. Results: The rationale for including measures of adherence, self-management skills, and exposures to stress in asthma clinical research is presented, along with a brief review of instruments for collecting this information from clinical research participants. Conclusions: Appropriate measurement of adherence, self-management skills, and exposures to stress will enhance characterization of study participants and provide information about the potential impact these factors can have on mediating the effects of treatment interventions. [ABSTRACT FROM AUTHOR]
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- 2012
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25. Asthma outcomes: Quality of life.
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Wilson, Sandra R., Rand, Cynthia S., Cabana, Michael D., Foggs, Michael B., Halterman, Jill S., Olson, Lynn, Vollmer, William M., Wright, Rosalind J., and Taggart, Virginia
- Subjects
ASTHMA ,OBSTRUCTIVE lung diseases ,BODY mass index ,QUALITY of life - Abstract
Background: “Asthma-related quality of life” (QOL) refers to the perceived impact that asthma has on the patient’s QOL. Objective: National Institutes of Health institutes and other federal agencies convened an expert group to recommend standardized measures of the impact of asthma on QOL for use in future asthma clinical research. Methods: We reviewed published documentation regarding the development and psychometric evaluation; clinical research use since 2000; and extent to which the content of each existing QOL instrument provides a unique, reliable, and valid assessment of the intended construct. We classified instruments as core (required in future studies), supplemental (used according to the study’s aims and standardized), or emerging (requiring validation and standardization). This work was discussed at an National Institutes of Health-organized workshop convened in March 2010 and finalized in September 2011. Results: Eleven instruments for adults and 6 for children were identified for review. None qualified as core instruments because they predominantly measured indicators of asthma control (symptoms and/or functional status); failed to provide a distinct, reliable score measuring all key dimensions of the intended construct; and/or lacked adequate psychometric data. Conclusions: In the absence of existing instruments that meet the stated criteria, currently available instruments are classified as either supplemental or emerging. Research is strongly recommended to develop and evaluate instruments that provide a distinct, reliable measure of the patient’s perception of the impact of asthma on all of the key dimensions of QOL, an important outcome that is not captured in other outcome measures. [ABSTRACT FROM AUTHOR]
- Published
- 2012
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26. 85. Adolescent Non-Suicidal Self-Injury and Religious Coping.
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Westers, Nicholas J., Biron, Denise, Olson, Lynn, and Rehfuss, Mark
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- 2012
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27. 74. Non-Suicidal Self-Injury in Adolescents: An Investigation of Forgiveness Amidst the Pain.
- Author
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Westers, Nicholas J., Rehfuss, Mark, Olson, Lynn, and Biron, Denise
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- 2012
- Full Text
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28. Inviting Keyboards into the Magic Circle of Music: Part II: A Song Experience Moves to the Black Keys
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Olson, Lynn Freeman
- Published
- 1988
- Full Text
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