Tesis: "Chronic health condition"

1

Truba, Natalie. "Social and Educational Functioning in College Students with a Chronic Physical Health Condition". TopSCHOLAR®, 2010. http://digitalcommons.wku.edu/theses/188.

Texto completo

Resumen

The purpose of the current study is to examine the academic and social functioning of college students with a chronic physical health condition (CPHC). For the current study, chronic physical health condition will be defined as follows: “A physical [or mental] health condition that has lasted or is expected to last at least 6 months and interferes with their activities,” (Varni & Limbers, 2008, p. 107). The sample consisted of 174 participants attending Western Kentucky University. Two groups (CPHC vs. Healthy) were comprised based on the participants’ self-reported health status. Participants were solicited through Western Kentucky University’s department of Psychology Study Board as well as through the university’s Department of Disability Services. The participants completed the demographics questionnaire, Pediatric Quality of Life Inventory for Young Adults (PEDSQL), and the Costello-Comrey Depression and Anxiety Scales (CCDAS). All the measures were completed online. Three hypotheses were made. Hypothesis one stated that college students who have a chronic physical condition will have a lower level of social functioning when compared to their healthy peers. Hypothesis two stated that college students who have a chronic physical health condition will have a lower level of educational adjustment when compared to their healthy peers. Hypothesis three stated that female college students who have a chronic physical health condition will endorse higher levels of the internal symptoms associated with anxiety and depression. Results yielded support for the second hypothesis, as individuals with a CPHC did report lower levels of academic adjustment than healthy individuals. The first hypothesis was marginally supported as participants with a CPHC reported lower levels of social functioning than healthy individuals. The third hypothesis was not supported as females and males with a CPHC reported similar levels of anxiety and depression.

Los estilos APA, Harvard, Vancouver, ISO, etc.

2

Chi, Donald Leslie. "The impact of chronic condition status, chronic condition severity, and other factors on access to dental care for Medicaid-enrolled children in Iowa". Diss., University of Iowa, 2009. https://ir.uiowa.edu/etd/345.

Texto completo

Resumen

Previous studies suggest that Medicaid-enrolled children have difficulties accessing dental care, which can lead to untreated dental disease, poor oral health, and compromised overall health status. While Medicaid-enrolled children with a chronic condition (CC) encounter additional barriers to dental care, most relevant studies on dental utilization fail to adopt risk adjustment methods. As such, the impact of CC status and CC severity on access to dental care for Medicaid-enrolled children is poorly understood. The main objectives of this dissertation were to: 1) compare dental utilization for Medicaid-enrolled children with and without a CC; 2) assess the relationship between CC severity and dental utilization; and 3) identify the other factors associated with dental utilization. The 3M Clinical Risk Grouping (CRG) Methods were applied to enrollee-level data from the Iowa Medicaid Program (2003-2008) to identify children with and without a CC and to classify children with a CC into a CC severity level. Three outcome measures were developed: 1) access to an annual dental visit; 2) use of dental services under general anesthesia (GA); and 3) time to the first dental visit after initial enrollment into the Medicaid program. We used multiple variable logistic regression models and survival analytic techniques to test our study hypotheses. Compared to Medicaid-enrolled children without a CC, those with a CC were more likely to have had an annual dental visit and earlier first dental visits. Having a CC was an important determinant of dental utilization under GA for older but not for younger Medicaid-enrolled children. In terms of CC severity, Medicaid-enrolled children with more severe CCs were less likely to have had an annual dental visit and more likely to have utilized dental services under GA. CC severity was not associated with the rate at which the first dental visit took place. Not residing in a dental Health Professional Shortage Area, previous use of dental care, and previous utilization of primary medical care were all positively associated with dental utilization. Identifying and understanding the determinants of access to dental care is an important first step in developing clinical interventions and policies aimed at improving access to dental care for all Medicaid-enrolled children. Future work should focus on identifying the socio-behavioral determinants of as well as the clinical outcomes associated with access to dental services for vulnerable children.

Los estilos APA, Harvard, Vancouver, ISO, etc.

3

Ray, Lynne. "Promoting the health of families raising a child with a chronic condition : directions for outcomes research /". Thesis, Connect to this title online; UW restricted, 1997. http://hdl.handle.net/1773/7256.

Texto completo

Los estilos APA, Harvard, Vancouver, ISO, etc.

4

Hunt, Sara M. "Patterns of Psychosocial Functioning and Mental Health Service Utilization in Children and Adolescents with Chronic Health Conditions or Physical Disabilities". DigitalCommons@USU, 2009. https://digitalcommons.usu.edu/etd/360.

Texto completo

Resumen

This study was designed to further understand the psychosocial functioning of youth with chronic health conditions or physical disabilities, their need for and use of mental health services, and possible barriers to receiving needed services. Previous research has suggested these youth experience poorer psychosocial functioning compared to peers without special health care needs, and they also underutilize needed mental health services. A mixed-methods design was implemented consisting of a quantitative parent survey and a qualitative semistructured interview with young adults with special health care needs. Children demonstrating poorer psychosocial adjustment in this study experienced more problems related to social functioning than psychopathology (e.g., depression, anxiety). Over half of the youth had accessed mental health services with the majority utilizing community-based outpatient services. Identified barriers to accessing needed mental health services included difficulty finding professionals with experience in working with youth with special health care needs and lack of financial coverage.

Los estilos APA, Harvard, Vancouver, ISO, etc.

5

Lewis, Kristi Leanne. "The Psychometric Properties of the Inner Strength Questionnaire for Women with Chronic Health Conditions". VCU Scholars Compass, 2004. http://scholarscompass.vcu.edu/etd/1022.

Texto completo

Resumen

The purpose of this research was to develop and test an instrument to measure or quantify the construct of inner strength. Inner strength was synthesized into a theory based on twelve years of qualitative data from direct participant quotes, defined by Roux et al. (2002) as a central human resource that promotes well-being and healing. The inner strength questionnaire (ISQ) has undergone extensive psychometric evaluation which resulted in several versions. The third version had 37-items and was believed to have four subscales that mirrored the theoretical themes that emerged through the qualitative data. The sample was composed of 281 women with a variety of chronic health conditions including breast cancer, multiple sclerosis, diabetes, and heart disease. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were employed to assess the structure of the ISQ. Internal consistency was used to assess the reliability of each hypothesized subscale and the entire ISQ. Convergent and discriminant validity, were analyzed using the multitrait-multimethod by Campbell and Fiske (1959). For convergent validity, the entire instrument and each of the subscales was correlated with similar theoretical subscales of the Mastery of Stress Instrument (Younger, 1993). For discriminant validity, the Center for Epidemiological Studies in Depression (CESD) was correlated with the entire ISQ. Both the EFA and CFA revealed a four factor model. The four factors were labeled 1) mental, 2) connectedness, 3) knowing and searching, 4) physical. The reliability for all items on the ISQ was 0.91. The reliabilities for each of the subscales were 0.85 for mental, 0.96 for connectedness, 0.85 for knowing and searching, and 0.83 for physical. The multitrait-multimethod matrix revealed correlation coefficients for the relationship between the ISQ and MSI to be 0.55 and a correlation coefficient of -0.19 between the ISQ and the CESD.A four factor model is supported by the statistical data. Through face-to-face interviewing and input from content expert reviewers, ten items were eliminated from the 37-item (version 3) instrument to form a new version of the instrument. The new instrument supports the metasynthesis generated by Roux (2002) except for the fifth theme, entitled "new normal", which was found to be a consequence of having inner strength, not a component of inner strength.

Los estilos APA, Harvard, Vancouver, ISO, etc.

6

Huffaker, Luke Gregor y Luke Gregor Huffaker. "Assessment of School Nurse-Provider Communication of Changes in Student Condition". Diss., The University of Arizona, 2018. http://hdl.handle.net/10150/626690.

Texto completo

Resumen

The landscape of the United States public school system was greatly improved upon with the creation of The Individuals with Disabilities Education Act of 2004 (IDEA 2004). This act established a standard that allowed all school aged children living with chronic illnesses to integrate into public school systems. This mandate currently impacts over 12 million children living with chronic illness including and not limited to asthma, seizure disorders, developmental delay, cystic fibrosis, traumatic brain injuries, anxiety and cancer. IDEA 2004 extended healthcare into public school systems and as a result, increased the average acuity of students that school nurses (SNs) care for. It is estimated that 15% of school-aged children miss 11 or more school days per year because of illness or injury demonstrating evidence of increased student acuity and a need to provide more appropriate care for these students in order to increase their time spent in the academic setting. Adequate SN and primary care provider (PCP) communication is essential to reduce absenteeism for this population and to ensure that students are safe during their time spent away from home and healthcare clinics. From this quality improvement project, more is understood pertaining to the communication patterns between SNs and PCPs and recommendations are provided in order to increase effective SN and PCP communication.

Los estilos APA, Harvard, Vancouver, ISO, etc.

7

McFarland, S. Lorraine A. "The Role of Emotional Disclosure in Self-Management Interventions for People with a Long-term Chronic Health Condition". Thesis, Coventry University, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.486903.

Texto completo

Los estilos APA, Harvard, Vancouver, ISO, etc.

8

Hoppe, Margarete. "Perceived Social Support of Children with Severe Chronic Physical Health Conditions : A Systematic Literature Review". Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ. CHILD, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-30707.

Texto completo

Los estilos APA, Harvard, Vancouver, ISO, etc.

9

Arslanian, Christine Lucy. "Maintaining well-being in arthritis: Mediators of the adversive condition". Diss., The University of Arizona, 1993. http://hdl.handle.net/10150/186461.

Texto completo

Resumen

The purpose of this study was to test the relationships between and among the concepts of severity of illness, dependency, uncertainty, functional status and the mediators of self-esteem and mastery relative to the outcome of wellbeing. The conceptual framework was adapted from various sources in the literature which support the concept of wellbeing as an important outcome in arthritis. Evidence also supports self-esteem and mastery as mediators of the chronic illness experience. Dependency, uncertainty and functional status have been shown to be predictors of wellbeing but have never been tested as a complete paradigm. The sample for the study was 128 patients with either rheumatoid arthritis or osteoarthritis. Subjects completed 7 questionnaires which measured the 7 variables under study. Descriptive statistics were used to examine the demographic characteristics of the sample. Multiple regression technique was used to empirically test the predicted theoretical concepts and to estimate predictive validity for the theoretical concepts. The results demonstrated that when self-esteem was used in the causal model, 58% of the variance in wellbeing was explained by self-esteem and uncertainty. When mastery was included instead of self-esteem 52% of the variance of wellbeing was explained by mastery and uncertainty. When tested as mediators, both self-esteem and mastery emerged as significant mediators of dependency, uncertainty and functional status relative to wellbeing. These results are of clinical use to nurses who, by virtue of working with these patients on a daily basis, are in a position to intervene with actions which encourage positive self-esteem and maintain mastery over the environment. If these actions are successful, then wellbeing can be maintained for those patients diagnosed with arthritis.

Los estilos APA, Harvard, Vancouver, ISO, etc.

10

Sahraei, Valla. "Evaluating the utility of the adaptive tasks framework for assessing parental needs when providing primary care for their child with a chronic health condition". Thesis, University of British Columbia, 2008. http://hdl.handle.net/2429/2526.

Texto completo

Resumen

The purpose of this study was to evaluate the utility of the Adaptive Tasks Framework for assessing parental needs when providing primary care for their child with a chronic health condition. A qualitative descriptive methodology framed the study and two methods were employed to collect data: a secondary analysis of existing interview data from seven parents of children with chronic health conditions and interviews with four parents who were currently providing primary care for their child with a chronic health condition. The data was analyzed using content analysis, whereby interview data was explored to determine if it fit into one or more of the eight adaptive tasks categories. Parents reported needs in all of the eight adaptive tasks categories, with the need for information regarding their child's chronic health condition being the foremost concern among parents. The need for caring, empathetic, and patient health care professionals who are sympathetic to the informational needs of parents, while at the same time acknowledging their expertise, was the second need expressed by the parents in this study. Implications of these findings for nurses is that the Adaptive Tasks Framework provides a useful tool for assessing parental needs when managing their child's chronic health condition and for determining areas in which the parents may require support.

Los estilos APA, Harvard, Vancouver, ISO, etc.

11

Brooks, Helen. "Patient perceptions, experiences and expectations of recovery and prognosis in long-term conditions". Thesis, University of Manchester, 2013. https://www.research.manchester.ac.uk/portal/en/theses/patient-perceptions-experiences-and-expectations-of-recovery-and-prognosis-in-longterm-conditions(ffd083bc-ad64-4fc3-9d22-9050aef29cb4).html.

Texto completo

Resumen

Background: Whilst the experience of chronic physical conditions is well documented and has been recognised as relevant for health policy and practice little is known about notions of recovery and prognosis from the point of view of those with long-term physical health conditions. The extent to which people consider the future outcomes of their conditions is relevant to health policy which seeks to engage people in shared decision making, care plans, and self-management. This gap in knowledge about lay perceptions of recovery and prognosis becomes more pronounced when compared with literature from the mental health field in which recovery is one of the dominant foci, is comparatively well researched and in recent years has fed into policy and management approaches.Aims: The aim of the thesis is to explore perceptions of recovery and prognosis with people with long-term physical health conditions and to compare these with perspectives on recovery and prognosis apparent in the mental health field.Methodology: Using qualitative methods, a two phased approach to data collection and analysis was undertaken. Phase 1 used secondary data analysis with two existing datasets to examine whether notions of recovery and prognosis were implicit in narratives about the experience of illness. Phase 2 built on the findings from phase 1 and utilised longitudinal, primary data collection in the form of narrative interviews undertaken at two time points (baseline and 12 month follow-up). The analysis in both phases involved a cross case thematic analysis to look for commonalities and differences across individuals. Data from phase 2 were also subject to a narrative emplotment of individual stories which were used to capture the longitudinal changes in patient perspectives over time.Results: There were similarities with findings from the mental health field (recovery as a complex, nonlinear journey, the input from friends and family, notions of burden and the impact of condition on sense of self). However, there were nuanced differences in relation to physical health conditions which related to expectations about mortality, the experience of time, the extent to which narratives were future oriented and the experience of stigma. The dual focus on mental and physical health recovery proved useful for understanding those experiences of multiple morbidities. The results were used to develop a model of recovery narratives based on two dimensions (expectations and responsibility) which gave rise to four typologies of narratives. The aim of this model was to further highlight and summarise the themes arising from the data analysis.Discussion: The results of this study highlight the importance of understanding notions of recovery and prognosis in order to better understand the experience of illness and self-management. The thesis challenges the blanket use of health promotion strategies for those with and without chronic health conditions and supports a shift in policy focus from improved choice and autonomy to what Mol (2009) refers to as ‘enhanced care’.

Los estilos APA, Harvard, Vancouver, ISO, etc.

12

Harris, Ockidde Dufayne. "Obesity and Health Status among Urban vs. Suburban Elderly in Philadelphia and Surrounding Counties". VCU Scholars Compass, 2004. http://scholarscompass.vcu.edu/etd/1207.

Texto completo

Resumen

Obesity is a dangerous health condition affecting approximately 30% of all Americans and can be attributed to 300,000 deaths a year. Obesity has been found to disproportionately affect Blacks, Latinos, and those with lower SES. Although obesity is a problem for all age groups, its prevalence is highest among those 60-74 years of age. Studies have shown that there is an association between obesity and chronic conditions such as cardiovascular disease, arthritis, cancers, and type-2 diabetes. According to the Centers for Disease Control, chronic health conditions affect 80% of all elderly persons, many times limiting function and decreasing quality of life. This study attempted to find a relationship between obesity and chronic conditions among 1,053 elderly living in Philadelphia and 1,648 elderly living in Bucks, Chester, Delaware, and Montgomery counties. This study also examined the risk for having a chronic condition associated with living in Philadelphia compared to living in the four surrounding counties. Data from the 2002 Household Survey conducted by the Philadelphia Health Management Corporation was used to examine the relationship between obesity and chronic conditions and it was found that obesity was significantly related to having a chronic condition among elderly in both the city and suburbs. Specifically, obesity was related to diabetes, asthma, arthritis, and heart conditions for persons over 60 living in the city and suburbs with an additional association with allergies for elderly living in the city. It was also found that living in the city of Philadelphia was significantly associated with a 50% increased chance for diabetes among persons 60 and over. Future research should first be conducted to design a BMI scale that reflects the decrease in muscle and bone mass associated with aging. After a new scale is devised, research should continue to further investigate the association between obesity and various chronic conditions in the elderly.

Los estilos APA, Harvard, Vancouver, ISO, etc.

13

Kirkpatrick, Kathryn M. "Adolescent Perceptions of Competence, School Belonging, and Autonomy in Healthy Students and Those with a Chronic Medical Condition: Relations and Implications for Academic Attainment". The Ohio State University, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=osu1385991716.

Texto completo

Los estilos APA, Harvard, Vancouver, ISO, etc.

14

McQuiddy, Victoria Ann. "Enhancing Collaboration Regarding Long-Term Therapy Planning for Children with Chronic Conditions Using Participatory Action Research". Diss., NSUWorks, 2018. https://nsuworks.nova.edu/hpd_ot_student_dissertations/61.

Texto completo

Resumen

Children with chronic conditions often participate in therapy, but there is little information about how often or for how long therapy services should be provided. Participatory action research (PAR) methods were utilized in this study and, therefore, involved both parents and occupational and physical therapists throughout the study. Parental interviews were conducted to understand parent perception of self-management and how parents felt their child’s therapist was doing or could do to facilitate self-management, particularly as it related to discharge planning or having their child take a break from ongoing therapy. Through analysis of parent interviews completed by the therapist team and additional parent feedback on priorities for change, there were several concerns parents identified as being important to them when thinking about long-term therapy planning. A shared decision making tool and supporting documents were subsequently developed and tested as a method for enhancing collaborative conversations between the parent and therapist regarding a long-term therapy plan for the child. During follow-up parent interviews, parents were able to clearly voice long-term goals or a long-term plan for their child’s therapy, and they had a more positive reaction to the idea of taking a break from ongoing therapy services. Use of PAR methodology in this study was effective in allowing parents and therapists to co-create a change that both parents and therapists identified as an improvement (during follow-up interviews with parents and a focus group with therapists).

Los estilos APA, Harvard, Vancouver, ISO, etc.

15

Svensson, Birgitta. "Barn som riskerar att fara illa i sin hemmiljö : Utmaningar i ett förebyggande perspektiv". Doctoral thesis, Karlstads universitet, Institutionen för hälsovetenskaper, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-26456.

Texto completo

Resumen

Baksidestext Barnmisshandel är ett omfattande folkhälsoproblem med långsiktiga negativa konsekvenser för den enskilda individen och för samhället i stort. Förebyggande insatser kan vara livsavgörande för de utsatta barnen. Denna avhandlings övergripande syfte var att öka kunskapen om barn som riskerar att fara illa i sin hemmiljö samt att identifiera utmaningar i ett förebyggande perspektiv. Två områden har studerats: (1) Våld mot barn med långvarig sjukdom/funktionsnedsättning (2) Förskolan som upptäckande och stödjande arena Gemensamt för inriktningarna är att barn med långvarig sjukdom/funktionsnedsättning och barn i förskoleåldern utgör särskilt sårbara grupper, som löper ökad risk att fara illa i sin hemmiljö. De har också unik kontakt med professionella med möjlighet att upptäcka och agera vid oro. Avhandlingen bygger på fyra delstudier; en nationell kartläggning riktad till skolelever, en intervjustudie med föräldrar samt två förskolestudier. Resultaten från studierna diskuteras utifrån identifierade utmaningar i ett förebyggande perspektiv. Utmaningarna inkluderar emotionella hinder samt behov av ett mer nyanserat och proaktivt förhållningssätt för att kunna utveckla tidiga insatser till barn och föräldrar.
The aim with this thesis was to increase the knowledge about children at risk of maltreatment and to identify challenges in a preventive perspective. Two areas have been studied; Physical abuse of children with chronic conditions/disabilities and Detection and support within the pre-school environment. Four data sets were used: a national survey of school children (I), an in-depth interview study with parents (II) and two pre-school studies (III, IV). I-II: Chronic conditions in children increase the risk for physical abuse, but vary with socio-economic circumstances. The highest risk for physical abuse was found among children with chronic conditions born outside Sweden. The subsequent study revealed direct risk factors related to parent and child (emotional demands in precarious situations), and indirect risk factors related to parent and professional (gradual shift in responsibility and emotionally closed environment) and social norms (taboo on talking about abuse). III-IV: Preschool staff suspected child maltreatment for two percent of the preschool children. In less than half of the cases, the parents were informed and a report to social services was made in a third of the cases. The most common reason for not making a report was that the staff believed that the pre-school had sufficient resources to help the child. In the subsequent study, preschool teachers’ concerns about the child’s home environment were explored in a broader perspective over a one year period. The study showed that concern for the children’s home situation related to increased concern for several aspects of children’s health and development, increased need of special support in preschool, insufficient contact with parents, and lower parental socioeconomic status. The results are discussed according to identified challenges in a preventive perspective. These include emotional obstacles for prevention and a need for a more nuanced and proactive professional approach to enable early support to children at risk of maltreatment and their parents.

Los estilos APA, Harvard, Vancouver, ISO, etc.

16

Amoh, John K. "Impact of Medicare and Medicaid Beneficiaries with Selected Conditions on Emergency Department Utilization". ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2951.

Texto completo

Resumen

Chronic Obstructive Pulmonary Disease (COPD) and Congestive Heart Failure (CHF) are conditions that represent significant and ongoing medical costs, including frequent emergency department (ED) visits, hospitalizations, work absences, and disability. This retrospective cross-sectional study, examined the effects of the frequent ED visits due to COPD and CHF on the beneficiaries of Medicare and Medicaid in Maryland. The goal was to identify the factors that led these patients to visit the ED, the impact of these visits on Medicare utilization and costs across Maryland, and preventative intervention strategies to control this population's costs of care. Secondary data were analyzed from 2010-2012 using the Administrative Claims Data in Chronic Condition Warehouse (CCW). The results for the first research question revealed that an increase in the number of primary care physicians was correlated with a decrease in ED visits; thus, persons living in areas with higher PCPs also had lower ED visits therefore the first null hypothesis was rejected (Ï?2 = 3.85, p=.05) . The results for the second research question revealed that ED visits had no significant relationship with death in a given year; thus, patients may be diverted to less expensive care sites to minimize cost and ED overcrowding, therefore the second null hypothesis was not rejected (Ï?2 = 0, p=.98). In both cases, the confounding variables of gender, age, and race had significant effects upon the relationship. Health Professionals and policy makers may use the findings to develop strategies to increase supply of PCPs, adapt patient centered interventions and modify existing chronic disease care strategies to minimize or prevent lifestyle and environmental factors that affect chronic disease outcomes. Such improvements could contribute to positive social change by eliminating or reducing the overcrowding that occurs in emergency departments in Maryland and other states.

Los estilos APA, Harvard, Vancouver, ISO, etc.

17

Carrillo, Victor A. "Community and Patient-Centered Medical Home in the Care of Chronically Ill Patients". ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/3143.

Texto completo

Resumen

Large portions of the US population live in poor inner-city communities. Health needs assessment data have shown that these communities have disproportionately high rates of chronic illnesses. The patient-centered medical home (PCMH) model was developed to address the gaps that exist in the primary care system, and emphasizes a redesign of primary care that is patient centered, utilizes multiple levels of healthcare professionals, information technology, and care coordination. However, little evidence exists on the value of this model which may explain why it has not gained wide acceptance by primary care providers. Therefore, this study was designed to examine the efficacy of the PCMH model through emergency department and inpatient utilization reductions, and with a specific focus on the role of social connectedness. This research used existing data on 706 participants from Columbia University and a local New York inner-city hospital. An in-depth analysis of hospital utilization data, using an unpaired two-sample t-test and linear regression, found that the PCMH framework strengthens continuity of care and care coordination, and helps reduce avoidable hospitalization utilization. Additionally, these reductions were greater for study participants with strong social support networks. This research highlights the relationships between primary care, social support networks, and good health outcomes. Over time, further enhancement of the PCMH and systemic changes to the delivery of care may contribute to the development of a stronger primary care system that place patients at the center of care, focuses on the importance of social connectedness, and contributes to a lasting impact on society through the development of overall healthier communities.

Los estilos APA, Harvard, Vancouver, ISO, etc.

18

Arnett, Alicia A. "CHRONIC HEALTH CONDITIONS OF INDIVIDUALS IN PUBLIC HOUSING". UKnowledge, 2011. http://uknowledge.uky.edu/foodsci_etds/27.

Texto completo

Resumen

A majority of low-income individuals living in public housing today are working or receiving some kind of assistance, but still struggle to make ends meet. Previous studies show that cost and availability are barriers to healthy eating for low-income individuals. The purpose of this study was to determine relationships among nutrition habits, health status, sources of income, and food and living resources for low-income residents in public housing. The study utilizes data collected over five years on the impact of the revitalization of the families. The sample was randomly selected from residents of the housing property in a Kentucky city. Results showed that low income is connected to limited access to healthy food options and individuals are more likely to be at risk for chronic health conditions such as diabetes or hypertension. When income and employment were low, families reported a greater rate of skipped meals, less consumption of daily meals, and more purchasing of high fat and sodium meals from convenience stores.

Los estilos APA, Harvard, Vancouver, ISO, etc.

19

Rodrigues, Daisy Cristina. "Acesso de crianças com condição crônica na atenção primária em saúde: percepções de profissionais". Universidade Federal de Santa Maria, 2017. http://repositorio.ufsm.br/handle/1/12817.

Texto completo

Resumen

Children with chronic conditions are expressive in the health services, having as one of the reference services Primary Health Care. In this sense, the objective is to describe the child's access in chronic condition to primary health care from the perspective of health professionals And to identify the presence of the essential attributes of the primary care to the child with chronic condition in the perception of the health professionals. This is an exploratory and descriptive study, with a qualitative approach. To collect data, we conducted semi-structured interviews with twenty-eight health professionals who are part of the Basic Health Units and the Family Health Strategy teams of the municipality of Santa Maria - Rio Grande do Sul. Data collection took place in the months of April to August 2016, the recommendations were followed and the regulatory norms of research involving human beings were respected. The data were organized with the aid of QDA Miner 3.2 software, and treated through the thematic analysis of the inductive type. The analysis of the participants' statements emerged three units of meaning: "Knowing the chronic condition", which addressed the meaning of chronic condition in childhood for professionals, and also identified the main conditions that affect the children of these health services, predominating problems Respiratory. The suggestive unit of meaning refers to "Health professionals' experiences and perceptions about access" points to the meaning of access, as it occurs, and the aspects favor and limit the effectiveness of this attribute. The third unit of meaning "(Re) knowing the attributes of Primary Health Care" reveals weaknesses in the attributes Integrality of care to children with chronic condition, Longitudinality during health care and Coordination of care. It is believed that the study can contribute with subsidies for the planning of care for the child with chronic condition, making it possible to access and strengthen the attributes of the other attributes of Primary Health Care in child care.
As crianças com condições crônicas são expressivas nos serviços de saúde, tendo como um dos serviços de referência a Atenção Primária à Saúde. Nesse sentido, objetiva-se descrever o acesso da criança com condição crônica à atenção primária à saúde na perspectiva dos profissionais de saúde e identificar a presença dos atributos essenciais da atenção primária à criança com condição crônica na percepção dos profissionais de saúde. Trata-se de um estudo exploratório e descritivo, de abordagem qualitativa. Para a coleta de dados foram realizadas entrevistas semiestruturadas com vinte e oito profissionais de saúde que integram as equipes de Unidades Básicas de Saúde e da Estratégia Saúde da Família do município de Santa Maria – Rio Grande do Sul. A coleta de dados ocorreu nos meses de abril a agosto de 2016, foram seguidas as recomendações e respeitado as normas regulamentadoras de pesquisa envolvendo seres humanos. Os dados foram organizados com auxilio do software QDA Miner 3.2, e tratados por meio da análise temática do tipo indutiva. Emergiram três unidades de sentido: “Conhecendo a condição crônica”, que abordou a significação de condição crônica na infância para os profissionais, e também foram identificadas as principais condições que acometem as crianças destes serviços de saúde predominando os problemas respiratórios. A segunda unidade de sentido refere-se a “Experiências e percepções dos profissionais de saúde acerca do acesso” aponta o significado de acesso, como ele ocorre, e os aspectos que favorecem e limitam a efetivação desse atributo. A terceira unidade de sentido“ (Re)conhecendo os atributos da Atenção Primária à Saúde” revela fragilidades nos atributos Integralidade do cuidado à criança com condição crônica, a Longitudinalidade durante a atenção à saúde e a Coordenação do cuidado. Acredita-se que o estudo pode contribuir com subsídios para o planejamento da atenção à criança com condição crônica, possibilitando o acesso e fortacelendo os atributos os demais atributos da Atenção Primária à Saúde no cuidado a criança.

Los estilos APA, Harvard, Vancouver, ISO, etc.

20

Rosso, Natacha. "Maladie chronique chez l'enfant et environnement familial : le cas des familles d'enfants atteints d'hémophilie sévère". Thesis, Aix-Marseille, 2019. http://www.theses.fr/2019AIXM0562.

Texto completo

Resumen

Introduction et Objectifs : Vivre auprès d’un enfant atteint de maladie chronique a une influence différente sur la santé psychologique de chacun des membres de la famille. La vie quotidienne est organisée autour des besoins spécifiques de l’enfant malade. Dans le cas de l’hémophilie sévère, le traitement rythme la vie familiale et la survenue d’un accident hémorragique est au cœur des préoccupations parentales, laissant parfois une place différente à la fratrie. Les spécificités de l’hémophilie sévère comme le mode de transmission, le traitement par voie intraveineuse et les risques hémorragiques nous interrogent sur l’impact que cela peut engendrer sur la santé psychologique des fratries d’enfants atteints d’hémophilie sévère définie en termes de qualité de vie et de troubles psychopathologiques. Méthode : Une étude comparative a été menée entre un groupe clinique composé de 55 enfants âgés de 8 à 17 ans et ayant un frère atteint d’hémophilie sévère et un groupe contrôle composé de 55 enfants appariés. Des autos et hétéros questionnaires ont permis d’évaluer la santé psychologique des enfants ainsi que les variables médiatrices. Des entretiens non directifs auprès des parents ont été menés.Résultats :Les fratries d’enfants atteints d’hémophilie sévère présentent une santé psychologique altérée comparativement à celles des enfants issus du groupe contrôle concernant les troubles psychopathologiques uniquement. Prendre en considération l’impact traumatique de la maladie d’un enfant sur le vécu de sa fratrie apparaît nécessaire pour élaborer une prise en charge adaptée
Introduction and objectives: Living with a child suffering from a chronic health condition may influence the psychological health of each family member in different way. Daily life is organized around the special care of the child affected. In the specific case of severe hemophilia, the treatment give rhythm to family life and the risk of hemorrhagic accident is at the heart of the parental concern. This could potentially impact on the psychological health of their siblings. The specificity of severe hemophilia as the transmission mode, intravenous treatment and high hemorrhagic risks raises question about question about their influence on the psychological health of siblings in terms of quality of life and psychopathological disorder. Methods: A comparative study has been conducted between a clinical group composed of 55 children aged between 8 and 17 years old and having a brother suffering from severe hemophilia and a control group composed of 55 children paired. Auto and hetero questionnaires have been administrated to evaluate the psychological health of the siblings and mediating variables. Non directive interviews have been conducted on parents. Results and conclusion: Siblings of children suffering from severe hemophilia have an altered psychological health compared to children from the general population with unique psychopathological disorders. Taking into account the traumatic effect of the sibling’s experiences appears necessary to elaborate a therapeutic device adapted to their needs. Specific variables related to the child and his parents are mediating this traumatic effect but a further study needs to be done to understand these results

Los estilos APA, Harvard, Vancouver, ISO, etc.

21

Barsell, Duc-Thi J. "Examining Health Behaviors in College Students with and without Chronic Conditions". VCU Scholars Compass, 2017. https://scholarscompass.vcu.edu/etd/5205.

Texto completo

Resumen

Many college students are in a developmental period in which they are transitioning from pediatric to adult health care. This time period can be challenging for all college students and especially for students with a chronic condition. The current study investigated the association between various health-related factors (health locus of control [HLOC], health literacy, health self-efficacy, and health-related quality of life [HRQOL]) and health behaviors in college students, as well as the moderating effect of having a chronic condition on those associations. These health behaviors were further operationalized as healthy lifestyle behaviors (preventative and wellness behaviors, dietary behaviors, physical activity) and risky behaviors (substance use and risky sexual behaviors). A total of 393 undergraduate students (66.1% female, 24.8% White, 26% chronic condition) completed electronic questionnaire packets. Findings suggested HLOC, health literacy, and HRQOL were significant predictors of engagement in healthy lifestyle and risky behaviors. Chronic condition status moderated a number of associations between HLOC, health literacy, health self-efficacy and both healthy lifestyle behaviors and risky behaviors. Based on these findings, researchers and practitioners should focus on improving and managing these health-related factors, especially among college students with chronic conditions, in order to help students achieve better health outcomes.

Los estilos APA, Harvard, Vancouver, ISO, etc.

22

Dysart, Laura. "Health over time : an investigation into the relationship between the future and health behaviours for people with long-term conditions". Thesis, University of Aberdeen, 2018. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=239217.

Texto completo

Resumen

Long-term conditions (LTCs) are a leading cause of morbidity and mortality worldwide. Health behaviours are a component of many self-management regimes. However, adoption of health behaviours for people with LTCs is relatively low. The purpose of this thesis was to explore the role of the future as it influenced the decision to invest in health for people with LTCs. Specifically, I examined the association between the time discount rate and economic insecurity to explore how the future influences health behaviours. In the first empirical chapter, I found that the time discount rate was associated with maintained physical activity participation but not healthy eating or low-risk alcohol consumption in older adults who have at least one LTC. In the second empirical chapter, I found economic insecurity, which is the anxiety produced from an unsafe financial future, was associated with smoking in older women and physical activity in older men. In the final empirical chapter, I explored how health itself may influence perceptions of the future by investigating the effect of a lagged health shock on the time discount rate in a sample of Danish adults. I found positive health shocks were associated with becoming more future-oriented in women at the 90% significance level and more present-oriented in men at the 95% significance level. The findings of this thesis may be used in the development of policy and interventions to support commencement and adherence to self-management regimes for people with LTCs.

Los estilos APA, Harvard, Vancouver, ISO, etc.

23

Horton, Jeryl Yvette. "Improving Self-Management in Patients With Chronic Conditions". ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2489.

Texto completo

Resumen

Care Coordination Home Telehealth (CCHT) maintains a positive impact on the delivery of patient care in the primary care clinic at the Department of Veterans Administration Medical Center (VAMC). This quality improvement initiative targets patients with chronic conditions such as diabetes, hypertension, heart failure, and chronic obstructive pulmonary disease. These patient are frequently seen in the emergency room, and are often admitted to the hospital, where they saturate the outpatient clinics' waiting room with multiple walk-ins. CCHT has, to some extent, reduced walk-ins, emergency room visits, and hospitalization while minimizing the strain on access to care at the VAMC. Sustaining self-management skills of veterans with chronic conditions at the VAMC continues to impose challenges. In this project, retrospective data from 95 randomly selected charts reviewed during a 2-year period were used to compare hospitalizations, emergency room visits, and primary care visits. The findings of the study indicate veterans enrolled in Home Telehealth show positive social change. The social change is evidenced by change in behavior patterns, such as maintaining a healthy diet, performing daily physical activity, and compliance with medication administration. Enrolled veterans had better outcomes regarding hospitalization, emergency room visits, and primary care visits. The data highlighted the need for incorporating disease-specific protocols guiding care coordinators at first point of contact with the veteran patient. Following these protocols may enhance communication style that matches the patient's stage of behavioral change with interventions.

Los estilos APA, Harvard, Vancouver, ISO, etc.

24

Cambric, Mercedes N. "The Relationship between Chronic Health Conditions and Health Literacy, Resiliency and Support/Self-advocacy in Youth". Scholar Commons, 2017. http://scholarcommons.usf.edu/etd/7005.

Texto completo

Resumen

Over the past several decades the number of youth living with a chronic health condition has drastically increased. A chronic health condition can be defined as an illness that lasts three months or more that can be controlled but not cured (Centers for Disease Control and Prevention [CDC], 2010). Although there is existing literature on youth with chronic health conditions, there are very few studies that examine the levels of health literacy, resiliency and support/advocacy within this population. The current study is a secondary analysis that utilized data collected from the 37-item Youth Health Literacy and Resiliency Scale (HLRS-Y version) in order to determine if there was a relationship between different categories of chronic health conditions and reported levels of health literacy, resiliency and support/advocacy. Ages of participants were also examined to determine if there was an interaction effect. The study consisted of a 143 youth between the ages of 13- 21 years old. All participants completed the Youth Health Literacy and Resiliency Scale (Bradley-Klug, Shaffer-Hudkins, Lynn, DeLoatche, & Montgomery, 2017) and were placed into one of three categories of chronic health condition: 1) Endocrine, nutritional, and metabolic diseases, 2) Diseases of the musculoskeletal system and connective tissue, and 3) Diseases of congenital malformation, deformations, and chromosomal abnormalities. The data were analyzed to determine if there was a difference in the reported constructs of health literacy, resiliency and support/self-advocacy among the three different categories of chronic health illnesses. The results indicated that there was a significant relation between support/self-advocacy and age. As participants increased in age, they reported having lower levels of support/self-advocacy. This finding was significant regardless of the category of chronic health condition that the participants were placed in. There were no other significant findings for the other constructs. This study contributes to the literature because it is one of few to examine health literacy, resiliency and support/self-advocacy levels among youth with chronic health conditions. In addition, it is the first study aside from the pilot, to utilize the HLRS. The findings from this study can be utilized to drive support/self-advocacy interventions for youth with chronic health conditions.

Los estilos APA, Harvard, Vancouver, ISO, etc.

25

Taylor, S. A. "The experience of receiving successive diagnoses for people with multiple chronic health conditions including stage 3 heart failure". Thesis, City, University of London, 2016. http://openaccess.city.ac.uk/17690/.

Texto completo

Resumen

This study explores the experience of receiving successive diagnoses for people with stage 3 heart failure (NHYA) and at least two other chronic health conditions. The participants were all having treatment from NHS specialist heart failure nurses within the community and had been diagnosed more than six months previously. The aim of the research is to illuminate the experience of being repeatedly diagnosed with another health condition. This is timely as there are increasing numbers of people living with multiple morbidities. Six participants (three male, three female) were interviewed using a semi-structured questionnaire to gain insight into their world. The interviews were transcribed and analysed using Interpretative Phenomenological Analysis. The analysis is my interpretation of the participants’ interpretation of their lived experience. Three overarching themes emerged relating to the acceptance of diagnoses, the importance of relationships and the meaning of time. Each of these has several constituent subthemes. The findings are discussed in relation to the wider literature and links are made with theory pertaining to adaptive coping, embodiment and existential issues. Implications for professional practice and areas for future research are discussed.

Los estilos APA, Harvard, Vancouver, ISO, etc.

26

Eagle, Samantha. "The Peer Relationships of Adolescents with Chronic Conditions". Scholarship @ Claremont, 2016. http://scholarship.claremont.edu/scripps_theses/786.

Texto completo

Resumen

The purpose of this study proposal is to examine the peer relationships of adolescents with chronic conditions, particularly as a result of spending less time at school and socializing with peers, and more time at home or in the healthcare system. Participants will be 50 adolescents with chronic conditions, 50 healthy adolescents attending regular schools, and 50 homeschooled adolescents. They will complete a variety of questionnaires relating to activity restriction, best friendship quality, number of friends, peer-group attachment, relationships with selected adults, and parent-child relationships. Information about the chronic condition and school attendance will also be collected. It is predicted that despite experiencing a high quality best friendship, adolescents with chronic conditions will have fewer friends and worse peer-group attachment. There is also expected to be an inverse relationship between both activity restriction and absenteeism and peer-group attachment and number of friends. This study proposal has several implications for healthcare practitioners, school administrators, and parents: particularly, that more should be done to integrate adolescents with chronic conditions into schools and social activities.

Los estilos APA, Harvard, Vancouver, ISO, etc.

27

Weisz, Virginia K. "Chiropractic and conventional therapy for acute and chronic health conditions among applachian residents". Thesis, The University of North Carolina at Greensboro, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3592847.

Texto completo

Resumen

The purpose of this study was to determine the demographic profiles, the major reported health problems, and the complementary, alternative (CAM), and conventional treatments used for these health problems and for wellness by a sample of rural Appalachian chiropractic patients. Differences in patient profiles among patients with acute and chronic problems and between chiropractic and non-chiropractic problems were also analyzed.

A non-experimental descriptive cross-sectional design was employed. Descriptive analyses revealed that participants (N = 130) were 37 men and 93 women who were predominately white, married, middle-aged, well-educated and lived in Lee, Wise, Floyd or a surrounding county in Southwest Virginia. The majority of respondents were employed, insured, had an income greater than $35,000 per year, and reported their health as either "very good" or "good." They reported a low rate of alcohol and tobacco use. They tended to use either a Doctor of Chiropractic (DC) or a medical provider or both as a regular source of health care. A DC was used as a health care provider six percent more than a medical provider for regular health care visits.

Respondents reported forty separate health conditions as the main two health problems they experienced, the majority being chronic versus acute problems. Back, neck, and joint problems were the most frequently reported followed by headaches, diabetes, hypertension, thyroid, gastrointestinal, sinus and lung problems. The majority of the sample used chiropractic manipulation/adjustment with a substantial percentage of respondents using massage therapy or the two treatments concurrently. Chiropractic manipulation was used by one-quarter to one-third of those with diabetes and hypertension to treat these conditions and was employed by respondents with thyroid, gastrointestinal, sinus and lung problems as well. About one-quarter to one-half of respondents with these conditions used chiropractic manipulation, massage therapy, or both therapies together for treatment. The use of energy work, counseling, physical therapy, and reflexology were reported by only a small number of respondents.

Differences in patient profiles among patients with acute and chronic health problems were evaluated with health status found to be significantly better in those with acute as compared with chronic health conditions. Those respondents who were not working were found to have non-chiropractic or medical problems more often.

Los estilos APA, Harvard, Vancouver, ISO, etc.

28

Nguyen, Huong, Wendy Sanchez, Guan Wang y Amy Kennedy. "Evaluation of Benzodiazepine Use in Adults at a Community Health Center". The University of Arizona, 2016. http://hdl.handle.net/10150/613992.

Texto completo

Resumen

Class of 2016 Abstract
Objectives: To describe the patterns of benzodiazepine use at a community health center in adults and to identify common demographic factors and chronic conditions that are associated with an increased usage rate. Subjects: Patients 18 years and older who had been treated at El Rio Community Health Center with an active benzodiazepine prescription on file. Methods: Data were collected from patient charts using a data collection form. Assessment included current benzodiazepine patients were taking, concurrent use of opiates and/or antispasmotics, indication for benzodiazepine use, concurrent medications for anxiety, depression, or insomnia, and prescriber type. Demographic data on age, gender, race, ethnicity, insurance type, and use of tobacco or alcohol were also collected. Results: Data were collected on 102 patients currently taking a benzodiazepine; 60 patients (mean age = 61.2, SD = 13.6) had concurrent first-line therapy for anxiety, depression, or insomnia and 42 patients (mean = 61.1, SD = 13.6) did not. There were a significantly higher proportion of women taking a benzodiazepine with first-line therapy than without first-line therapy (88.3% vs. 71.4%; p = 0.031). Additionally, higher proportion of benzodiazepine was prescribed with first-line therapy for depression than other indications (p = 0.002). Conclusions: More patients were prescribed benzodiazepines with concurrent first-line therapy for depression than other indications such as anxiety, insomnia, or other panic disorders. For this reason, health care professionals should be aware of the patterns of benzodiazepine use and comply with current recommended practice guidelines.

Los estilos APA, Harvard, Vancouver, ISO, etc.

29

Weeden, Allisha Marie. "Associations among dietary supplement use, dietary intake, and chronic health conditions of older adults". Diss., Manhattan, Kan. : Kansas State University, 2008. http://hdl.handle.net/2097/893.

Texto completo

Los estilos APA, Harvard, Vancouver, ISO, etc.

30

Kyriakidou, Despina. "Play integrated in physiotherapyy for children with chronic health conditions : A systematic literature review". Thesis, Högskolan för lärande och kommunikation, Högskolan i Jönköping, HLK, CHILD, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-30454.

Texto completo

Resumen

Background: Play is the child’s natural world. According to psychoanalytical studies, play has an important role in children’s development, and the absence of play during a child’s life could lead to severe pathological implications. Based on this theory and being aware that physiotherapy treatment programs could be long lasting, tiresome and lacking motivation for children, this literature review presents a perspective regarding the integration of play within physiotherapy programs and examines the physical and emotional outcomes during this integration. Aim: To investigate the outcomes of integrating play in physiotherapy for children with chronic health conditions. Method: The research strategy for this review was a thorough search of peer-reviewed articles in the databases CINAHL and AMED which include articles from the fields of allied and complementary medicine, as well as the database Scope Med. Participants were children with chronic health conditions, ranging from 2-18 years old. In the term ‘play’ virtual reality and video game activities were included due to the lack of research. In addition, articles from a previous literature review conducted by the author were also included in the present paper. Results: The focus of researchers on children with CP and the lack of evidence for children with other health conditions, the persistence of physiotherapists to assess mainly physical outcomes and not emotional needs of children, and the measurement tools used for this purpose are presented. Conclusions: For children with chronic health conditions who attend physiotherapy sessions, play could serve as a mediate and an appropriate developmental approach in order to achieve physical and emotional changes. There is a need for physiotherapists to balance physical and emotional needs, and have a more ‘human’ relationship, rather than a ‘bodily’ - strict professional relationship with children. Although the information presented in this review is not considered as sufficient to draw conclusions, it could serve as a first step for researchers to study this integration in greater depth, and to focus on children with conditions other than CP.

Los estilos APA, Harvard, Vancouver, ISO, etc.

31

Murphy, Christel A. "The Development of an Educational and Vocational Needs Survey for Adults with Childhood-Onset Chronic Health Conditions". University of Cincinnati / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1540565225128269.

Texto completo

Los estilos APA, Harvard, Vancouver, ISO, etc.

32

Goff, Carl F. "Transition from Health Maintenance Organizations to Consumer Driven Health Plans: Measurement of Initial Impacts for Members with Chronic Conditions". VCU Scholars Compass, 2007. https://scholarscompass.vcu.edu/etd/5723.

Texto completo

Resumen

New consumer driven health insurance products are designed to contain health care costs by making consumers more accountable for the care they receive through being responsible for more cost sharing, making decisions regarding health care providers they will use, and increasing exposure to and use of health information for services and providers. Potential benefits of consumer driven products include increased information regarding personal health and a more knowledgeable patient base. Potential drawbacks of consumer driven products include negative impacts on consumers with chronic and complex health conditions. The purpose of this study was to ascertain differences in health services utilization and health status for health plan members with diagnoses that are consistent with heart failure, coronary artery disease and/or diabetes mellitus who make the transition from a health plan Health Maintenance Organization (HMO) to a Consumer Driven Health Plan (CDHP). Health plan members who changed plans were compared to those who remained in the HMO during a one year time period (2006). Utilization measures included primary care physician visits, specialist physician visits, inpatient admissions, outpatient procedures and emergency room visits. Health status was measured by member acuity risk scores. Selection bias was partially controlled by including only members who did not have a choice between an HMO or CDHP in the study. Logistic analysis and MANOVA were used to obtain study results. No statistically significant differences in utilization for members in the CDHP were seen for primary care visits, specialist physician visits, inpatient admissions and emergency room visits when compared to members in the HMO. Controlling for age, gender, income level, physician coinsurance levels and acuity, the utilization of outpatient procedures was significantly lower in the CDHP. The independent variable showing significance for all utilization analyses was the 2006 risk score that was used as a proxy for member acuity. Study results for comparison of changes in health status could not be obtained due irregularity in predicted 2007 risk scores for members in the CDHP. In this initial study of the first year of CDHP experience, benefit design seemed to have limited influence on the behavior of individuals. Future studies may include longitudinal analyses and refinement of risk measurement techniques.

Los estilos APA, Harvard, Vancouver, ISO, etc.

33

Ward, Sarah. "Chronic Conditions of US-Bound Cuban Refugees: October 2008-September 2011". Digital Archive @ GSU, 2012. http://digitalarchive.gsu.edu/iph_theses/225.

Texto completo

Resumen

Background: Historically, most refugees have originated from countries with high rates of infectious diseases. However, non-communicable diseases are becoming increasingly more common in refugee populations resettling in the United States. Purpose: Examine the prevalence of selected chronic conditions among newly arriving adult Cuban refugees and compare the results to the prevalence of the same chronic conditions among the other top five incoming refugee populations: Burmese, Bhutanese, Iranians, Iraqis, and Somalis Methods: Data used in this study were derived from the Department of State’s Medical History and Physical Examination Worksheet and included all adult (≥20 years) Cuban, Burmese, Bhutanese, Iranian, Iraqi, and Somali refugees identified through the Center’s for Disease Control and Prevention Electronic Disease Notification Center, and who entered the United States during October 2008-September 2011. Data were analyzed using SPSS version 19.0. Descriptive statistics, chi-square analysis, and logistic regressions were performed to assess the prevalence of chronic conditions, check for associations between country of origin and outcome of interest, and to estimate the relative risk for Cubans compared to the remaining top five incoming refugee populations. Results: A total of 99,920 adults were included in the study. The largest population was Iraqi (27.6%), followed by Bhutanese (26.2%), Burmese (24.4%), Iranian (8.6%), Cuban (7.9%), and Somali (5.3%). All outcomes of interest were significantly associated with country of origin. Cubans were at a greater risk for asthma but were not the greatest at-risk population for the remaining outcomes of interest. Conclusion: The prevalence of non-communicable diseases was higher among the incoming refuges than has been traditionally assumed. These findings point to the need for a better understanding of the health status of refugee populations and the development of culturally appropriate health programs that include education on prevention and treatment of chronic conditions.

Los estilos APA, Harvard, Vancouver, ISO, etc.

34

Harmon, Carolyn Wilma. "SOCIAL DETERMINANTS OF HEALTH AND HEALTH BELIEFS AMONG AFRICAN AMERICAN WOMEN WITH CHRONIC HEALTH CONDITIONS AND THEIR DECISIONS TO PARTICIPATE IN GENETIC RESEARCH". Case Western Reserve University School of Graduate Studies / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=case1270243868.

Texto completo

Los estilos APA, Harvard, Vancouver, ISO, etc.

35

Mayoh, Joanne. ""It gave me relief ... it gave me confidence" : the online health information seeking experiences of adults with chronic health conditions". Thesis, Bournemouth University, 2010. http://eprints.bournemouth.ac.uk/17519/.

Texto completo

Resumen

Background- The recent modernisation of the United Kingdom (UK) National Health Service (NHS) has included a number of sizeable reforms that have emphasised partnership relationships between patients and professionals, and the importance of individuals taking a more active role in their care. Many of these changes have been specifically geared towards patients with chronic health conditions, who are recognised as imposing the largest strain on health services worldwide. This modernisation has occurred in parallel with a huge increase in the number of people within the UK who are turning to the internet for health information in order to become more informed about their health and treatment regimes. Despite this increase in the prevalence of online health information (OHI) seeking, relatively little is known about how people seek OHI and the impact it has on their lives and relationships with others. Overall Study Aim- This study sought to understand the OHI seeking experience of individuals with chronic health conditions by using an innovative mixed-methods approach to collect a breadth and depth of relevant information on the topic. Design – One hundred participants were recruited from local support groups for various chronic health conditions. The participants in the first stage of the study completed one of two questionnaires, depending on whether or not they had sought OHI in the past. The design and focus of stage two of the study was guided by the findings from stage one, and subsequently focused on the experiences of older adults with chronic health conditions seeking OHI. A descriptive phenomenological approach was adopted in order to provide rich descriptions of patients’ experiences. Six participants were purposefully selected from a parallel sample to the stage one respondents. Findings- The results from stage one provided a breadth of information about the OHI seeking experience for people with chronic health conditions. Findings suggested that health professionals were still the most important source of health information for users and non-users of OHI; that patients had an awareness of the inconsistencies in terms of OHI quality; and identified the perceived ease with which useful and relevant OHI was located. A further key finding was that high age, low education levels and low internet usage not only acted as barriers to OHI seeking for participants, but also had a negative impact on participants’ perceptions of the positive outcomes of OHI seeking, such as confidence in decision-making or engaging in discussions with health professionals. Moreover, some non-users demonstrated that they felt they were “too old” to engage in OHI seeking. Stage two findings demonstrated 5 key themes: patients taking responsibility for their health; their expectations of OHI; explicit confidence in their own ability to discern OHI and concern for others to do the same; the selective nature of OHI sharing between patients, and patients and health professionals; and the reinforcement of social sharing networks where positive and useful OHI is shared freely. Conclusion- Although older adults within this sample were less likely to engage in, and perceive the positive outcomes of OHI seeking than their younger counterparts, some older adults were successfully engaging in the OHI seeking experience, and perceiving the constructive effects of this experience such as empowerment. Furthermore both stages of the research demonstrated the valuable role health professionals play in supporting patients seeking OHI. Implication- This study demonstrates a need for health professionals to actively support patients in seeking OHI. In doing so, this could reinforce OHI seeking behaviour, and assist patients in effectively searching for and appraising OHI.

Los estilos APA, Harvard, Vancouver, ISO, etc.

36

Pagano-Therrien, Jesica. "Research Participation Decision-Making Among Youth and Parents of Youth with Chronic Health Conditions: A Dissertation". eScholarship@UMMS, 2016. https://escholarship.umassmed.edu/gsn_diss/44.

Texto completo

Resumen

The purpose and aims of this qualitative descriptive study were to describe how past experiences with research (including communication, information, values and support) may contribute to research fatigue among youth and parents of youth with HIV, CF, and T1D. Eighteen parents and youth were purposively recruited from outpatient subspecialty clinics at a major academic medical center. They took part in qualitative interviews, completed a demographics form, and the Decisional Conflict Scale. Youth participants also completed the Erikson Psychosocial Stage Inventory. Two major themes emerged: blurred lines and hope for the future. Research fatigue was not found in this sample. Results point to challenges with informed consent in settings where research and clinical care are integrated, and suggest that protective factors allow for continued participation without excess burden on youth and parents. Strategies to minimize research fatigue and support engagement in research are offered.

Los estilos APA, Harvard, Vancouver, ISO, etc.

37

Singleton, Destiny L. "Supporting Students with Chronic Health Conditions: An Evaluation of School Nurses’ Collaborative Practices with School Psychologists". Scholar Commons, 2019. https://scholarcommons.usf.edu/etd/7945.

Texto completo

Resumen

Many students in primary and secondary schools are impacted by a chronic health condition. Researchers have postulated that interprofessional collaboration between medical and mental health providers can be beneficial in improving the academic, behavioral, and social-emotional outcomes of students with chronic health conditions (Drotar, Palermo, & Barry, 2003; Shapiro & Manz, 2003). An emerging area of focus is on the school-based collaboration between school nurses and school psychologists regarding supporting students with chronic health conditions. This study investigated school nurses’ perceptions of the benefit of collaborating with school psychologists, school nurses’ awareness of the roles of school psychologists, the frequency of collaborative practices, the relationship between the awareness of roles and frequency of collaborative practices, and the barriers and facilitators to the collaborative process. A total of 1,054 school nurses were recruited from National Board for Certification of School Nurses to participate in the study, and 240 surveys were completed (23% response rate). Findings indicate that school nurses perceive the collaborative practice as being beneficial for supporting students with chronic health conditions. Additionally, school nurses were able to accurately identify many roles of school psychologists. Despite school nurses perceiving collaboration with school psychologists as beneficial, and being aware of the roles of school psychologists, the frequency of collaboration between school nurses and school psychologists was low. Further analysis found a significant and positive relationship between awareness of the roles and collaborative practices. Benefits of the collaborative process included cross-disciplinary problem solving and the opportunity to share resources.

Los estilos APA, Harvard, Vancouver, ISO, etc.

38

Rodríguez, Lina María Garcés. "A reference architecture of healthcare supportive home systems from a systems-of-systems perspective". Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/55/55134/tde-16102018-111654/.

Texto completo

Resumen

Population ageing has been taking place all over the world, being estimated that 2.1 billion people will be aged 60 or over in 2050. Healthcare Supportive Home (HSH) Systems have been proposed to overcome the high demand of remote home care for assisting an increasing number of elderly people living alone. Since a heterogeneous team of healthcare professionals need to collaborate to continually monitor health status of chronic patients, a cooperation of pre-existing e-Health systems, both outside and inside home, is required. However, current HSH solutions are proprietary, monolithic, high coupled, and expensive, and most of them do not consider their interoperation neither with distributed and external e-Health systems, nor with systems running inside the home (e.g., companion robots or activity monitors). These systems are sometimes designed based on local legislations, specific health system configurations (e.g., public, private or mixed), care plan protocols, and technological settings available; therefore, their reusability in other contexts is sometimes limited. As a consequence, these systems provide a limited view of patient health status, are difficult to evolve regarding the evolution of patients health profile, do not allow continuous patients monitoring, and present limitations to support the self-management of multiple chronic conditions. To contribute to solve the aforementioned challenges, this thesis establishes HomecARe, a reference architecture for supporting the development of quality HSH systems. HomecARe considers HSH systems as Systems-of-Systems (SoS) (i.e., large, complex systems composed of heterogeneous, distributed, and operational and managerial independent systems), which achieve their missions (e.g., improvement of patients quality of life) through the behavior that emerges as result of collaborations among their constituents. To establish HomecARe, a systematic process to engineer reference architectures was adopted. As a result, HomecARe presents domain knowledge and architectural solutions (i.e., architectural patterns and tactics) described using conceptual, mission, and quality architectural viewpoints. To assess HomecARe, a case study was performed by instantiating HomecARe to design the software architecture of DiaManT@Home, a HSH system to assist at home patients suffering of diabetes mellitus. Results evidenced HomecARe is a viable reference architecture to guide the development of reusable, interoperable, reliable, secure, and adaptive HSH systems, bringing important contributions for the areas of e-Health, software architecture, and reference architecture for SoS.
O envelhecimento da população é um fenômeno mundial e estima-se que no ano 2050, 2,1 bilhões de pessoas terão 60 anos ou mais. Sistemas de casas inteligentes para o cuidado da saúde (em inglês Healthcare Supportive Home - HSH systems) têm sido propostos para atender a alta demanda de serviços de monitoramento contínuo do número cada vez maior de pacientes que vivem sozinhos em suas residências. Considerando que o monitoramento do estado de saúde de pacientes crônicos requer a colaboração de equipes formadas por profissionais de várias especialidades, é fundamental que haja cooperação entre sistemas eletrônicos de saúde (por exemplo, sistemas de prontuário eletrônico ou sistemas de atenção de emergência), sendo eles externos ou internos à residência. Entretanto, as soluções de HSH existentes são comerciais, monolíticas, altamente acopladas e de alto custo. A maioria delas não considera a interoperabilidade entre sistemas distribuídos e exteriores ou internos à residência dos pacientes, como é o caso de robôs de companhia e monitores de atividade. Além disso, os sistemas de HSH muitas vezes são projetados com base em legislações locais, na estrutura do sistema de saúde (por exemplo, público, privado ou misto), nos planos de cuidados nacionais e nos recursos tecnológicos disponíveis; portanto, a reusabilidade desses sistemas em outros contextos é não é uma tarefa trivial. Em consequência, os sistemas de HSH existentes oferecem uma visão restrita do estado de saúde do paciente, são difíceis de evoluir acompanhando as mudanças no perfil de saúde do paciente, impossibilitando assim seu monitoramento contínuo e limitando o suporte para o paciente na autogestão de suas múltiplas condições crônicas. Visando contribuir na resolução dos desafios apresentados, esta tese estabelece a HomecARe, uma arquitetura de referência para apoiar o desenvolvimento de sistemas de HSH de qualidade. A HomecARe considera os sistemas de HSH como Sistemas-de-Sistemas (do inglês Systems-of-Systems - SoS) (ou seja, sistemas grandes e complexos formados por outros sistemas heterogêneos, distribuídos e que apresentam independência em seu gerenciamento e operação), que cumprem suas missões (por exemplo, melhoria da qualidade de vida do paciente) mediante o comportamento que emerge resultante da colaborações entre seus sistemas constituintes. Para estabelecer a HomecARe, foi adotado um processo sistemático que apoia a engenharia de arquiteturas de referência. Como resultado, a HomecARe contém o conhecimento do domínio, bem como soluções arquiteturais (por exemplo, padrões arquiteturais e táticas) que são descritas usando os pontos de vista conceitual, de missão e de qualidade. A HomecARe foi avaliada por meio da condução de um estudo de caso em que a arquitetura de referência foi instanciada para projetar o DiaManT@Home, um sistema de HSH que visa apoiar pacientes diagnosticados com diabetes mellitus na autogestão de sua doença. Os resultados obtidos evidenciaram que a HomecARe é uma arquitetura de referência viável para guiar o desenvolvimento de sistemas de HSH reusáveis, interoperáveis, confiáveis, seguros e adaptativos, trazendo importantes contribuições nas áreas de saúde eletrônica, arquitetura de software e arquiteturas de referência para SoS.

Los estilos APA, Harvard, Vancouver, ISO, etc.

39

Millar, Paul Douglas. "Psychological practitioners' conceptualisations of the process of change in clients with chronic health conditions : a qualitative study". Thesis, University of the West of England, Bristol, 2012. http://eprints.uwe.ac.uk/16935/.

Texto completo

Resumen

A qualitative exploration was conducted of the conceptualisations of the process of change held by 10 independently employed health psychologist and counselling practitioners who work with clients with chronic health conditions in a context parallel to primary care. The health psychologists were in their early careers while the counsellors were older and had practiced longer. A thematic analysis of responses to semi-structured interviews found commonalities in intervention beliefs among the participants from the two professions, sharing two overarching themes of “Change can be prompted by expert techniques” and “Providing love and safety lets change happen”. These themes were believed to facilitate an end-state of healthy change in the patient/client. The health psychologists appeared to believe that techniques based on theories and evidence provided an appropriate basis for intervention while the counsellors appeared to believe that an eclectic mix of relational theory and selected techniques were sufficient to support their approach. The health psychologists and counsellors approached their clients/patients with different objectives, with the health psychologists focused on improved outcomes while the counsellors focused on the quality of the therapeutic relationship. A sub-theme of “Frustrated by lack of therapeutic skills” was derived from some of the health psychologists who believed that a lack of training in relational skills inhibited the quality and possibly the efficaciousness of face-to-face interventions whereas the counsellors appeared more confident in their practice and exhibited no similar frustration with their approach. It is suggested that the expert procedures in the Trans-Theoretical Model of behaviour change could provide the basis for additional relational training for health psychologists as this model derives from psychotherapeutic change theory and practice. Further research should be carried out to explore and test the utility of combining health psychological theory and evidence with relational approaches in health interventions in clients/patients with common chronic conditions.

Los estilos APA, Harvard, Vancouver, ISO, etc.

40

Duxbury, Benjamin. "The development of a chronic conditions management service : a case study of health and social care integration". Thesis, Swansea University, 2015. https://cronfa.swan.ac.uk/Record/cronfa42892.

Texto completo

Resumen

This thesis explores integrated working in chronic conditions management (CCM). With recent demographic change witnessing a significant worldwide growth in the numbers of people living with chronic conditions (World Health Organization, 2014), these are people whose care needs, many argue, are best served by way of integrated care (Goodwin et al., 2012). The latter’s organising principle, it is widely agreed, should be the service user perspective and its fundamental objective the improvement of their care (Goodwin et al., 2012). Existing research, however, has largely failed to take account of the views of service users and of the outcomes they value (Cameron et al., 2012). This thesis seeks to address these issues. It is a qualitative case study of the introduction of an integrated health and social care community CCM service in a Welsh locality during a Welsh Government initiative, focusing on the development of integrated care for people living with chronic conditions and the involvement of service users. It combined: non-participant observation of meetings; individual semi-structured interviews with lead-agency representatives, people living with chronic conditions, carers, referrers to the new service and voluntary/third sector representatives; focus groups with front-line health and social care professionals; and documentary research. The study incorporates an original combination of topics and examination of service user and carer perspectives, an examination of previously unexplored contextual factors and an original application of analytical and conceptual approaches. In so doing, it highlights the way in which inadequate funding, concurrent structural reform, conflicting strategies, unclear objectives and time-pressures militated against the involvement of service users and changes to their experience of care and that the initiative, consequently, did not deliver an integrated service. These factors point to a need for a more carefully considered governmental approach to CCM and integration and a requirement for more service user-focused research.

Los estilos APA, Harvard, Vancouver, ISO, etc.

41

Sthanakiya, Sunil. "Meta-analysis : the efficacy of acceptance and commitment therapy on quality of life in chronic health conditions". Thesis, University of East Anglia, 2015. https://ueaeprints.uea.ac.uk/58404/.

Texto completo

Resumen

Background and aims: The physical symptoms of chronic health conditions are well documented and understood, the long-term sequelae of chronic conditions are now also more established with a focus on improving quality of life (QoL). Established psychological therapies such as Cognitive Behaviour Therapy (CBT) have aimed to try to help individuals that are suffering with chronic conditions. A relatively new approach, Acceptance and Commitment Therapy (ACT), claims to be transdiagnostic and therefore may be a suitable approach with this population. This thesis aims to explore the efficacy of ACT in improving QoL in chronic health conditions. Methodology: A systematic literature search and analysis was undertaken utilising a meta-analysis approach. Results: A comprehensive electronic and manual search yielded a total of 1081 potential articles. Following the implementation of the inclusion and exclusion criteria a total of 12 studies, including 788 participants, were included in the analysis. Data were extracted and studies were assessed for methodological quality. ACT led to greater improvements in QoL compared to control conditions and the effect size (ES) was small to moderate (Hedges g = .33). However, ACT was not significantly better than active control groups when separately analysed (g = .27, p = 0.23). Conclusions: The findings suggest that ACT does have a positive and significant effect on QoL for individuals with chronic health conditions compared to controls. Furthermore, these improvements in QoL are not diminished after follow-up. The results, theoretical/clinical implications, strengths and limitations and future directions of this thesis are explored in the Discussion.

Los estilos APA, Harvard, Vancouver, ISO, etc.

42

Scheffels, Erin L. "Everything is Fine: Self-Portrait of a Caregiver with Chronic Depression and Other Preexisting Conditions". Scholar Commons, 2018. https://scholarcommons.usf.edu/etd/7709.

Texto completo

Resumen

This dissertation documents the joys and terrors of caring for my father throughout my twenties and early thirties. The story is autoethnographic and demonstrates the value of narrative research in fostering understandings of self, other, and the world around us. I call this reflexive practice of writing narrative education because as I engaged in it, I learned what it means to care, and how mental health and illness factor into the ways in which care is expressed and provided in my own relationships and beyond. In addition, throughout the story I was a member of the academic community, which makes caring more than an act or behavior, but a concept to unpack, an ideograph. This dissertation begins with the goal to write my story and learn from it so others might learn from it as well. While the narrative portion of my dissertation focuses on story and the craft of creative nonfiction, the final chapters present a discussion of narrative ethics and the writing process. I also delve into concepts of care, family, and community to shed light on the narrative and create a space for reflection.

Los estilos APA, Harvard, Vancouver, ISO, etc.

43

Dunfee, Madeline N. "Connecting Patient Centered Care for Chronic Conditions to School-based Clinics through Telehealth: the Asthma Free Schools Program". University of Cincinnati / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1491314488009699.

Texto completo

Los estilos APA, Harvard, Vancouver, ISO, etc.

44

Rochon, Sophie. "Age and presence of chronic conditions, education and the health system reform : impact on utilization of health care services by the Canadian elderly". Thesis, McGill University, 2003. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=79806.

Texto completo

Resumen

This study examines the importance of age, education, and the health system reforms in the mid 1990's on the utilization of five health services: specialists' visits, family doctor visits, non-physician health professional visits, hospital use, and home care services. The analysis focuses on the Canadians 45 and over, and uses data from the National Population Health Survey.
Results. Age per se has only a minor effect on utilization; the relative high utilization rates observed among the aged relate to the use of services by people with chronic conditions, whose prevalence is higher among the aged. Education has little impact on use of services among the aged. The reforms had only significant effect for four services. They increased utilization of non-medical health professional consults, and increased probability of consulting a specialist. They reduced length of stay, and decreased the number of visits made to family doctors.

Los estilos APA, Harvard, Vancouver, ISO, etc.

45

Fleming, Michael. "Using Scotland-wide record linkage to investigate the educational and health outcomes of children treated for chronic conditions". Thesis, University of Glasgow, 2017. http://theses.gla.ac.uk/8594/.

Texto completo

Resumen

Objectives: This study linked Scottish education data to a number of administrative health datasets to explore associations between childhood chronic ill health and subsequent educational and health outcomes. Chronic conditions investigated were diabetes, asthma, epilepsy, attention deficit hyperactivity disorder (ADHD) and depression. Educational outcomes were number of days absent from school, number of school exclusions, special educational need (SEN), academic attainment and unemployment. Health outcomes were all-cause and cause-specific hospital admission, total number of hospital admissions, total length of hospital admission and all-cause mortality. Approach: Pupil census data and associated education records for all children attending primary and secondary schools in Scotland between 2009 and 2013 were linked to national prescribing data, hospital admissions, death records and retrospective maternity records enabling outcomes to be studied whilst controlling for socioeconomic, demographic and obstetric factors including birth outcomes and maternal antecedents. Specific medications are prescribed for some particular chronic conditions; therefore, children identified as receiving these medications whilst at school were assumed to have these conditions. Results: Children treated for each of the five conditions had more frequent absenteeism from school and were more likely than their peers to have SEN. However, only children treated for depression, epilepsy or ADHD experienced poorer academic attainment and increased odds of unemployment. Furthermore, children treated for depression or ADHD were significantly more likely to be excluded from school. Children treated for asthma experienced poorer academic attainment but no increased odds of unemployment and the association with attainment disappeared after adjusting for their increased absenteeism. Children treated for each of the five conditions had an increased risk of hospital admission and children treated for depression or epilepsy also had an increased risk of recurrent hospitalisation and longer stays in hospital. All of the chronic conditions, with the exception of ADHD, were associated with increased mortality. Conclusion: All five of the chronic conditions investigated in this thesis were associated with adverse educational and health outcomes. The number of outcomes affected varied by condition. Treated depression, epilepsy and ADHD were associated with the most wide-ranging impacts. Children treated for depression fared worse than their peers across all nine outcomes, and children treated for epilepsy and ADHD across eight and six respectively. In contrast, children treated for asthma and diabetes fared worse than their peers in respect of around half the outcomes investigated. Children with these chronic conditions at school appear to experience significant educational and health disadvantage; therefore further work is required to understand the underlying mechanisms and to develop effective interventions to reduce their risk.

Los estilos APA, Harvard, Vancouver, ISO, etc.

46

Owusu, Daniel, Joshua Longcoy, Megan Quinn y Ke-Shang Wang. "Relationship between Chronic Disease Conditions and Colorectal Cancer Screening: Results from the 2012 National Health Interview Survey Data". Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/6787.

Texto completo

Resumen

Background: Uptake of screening remains crucial in the prevention of both the incidence of colorectal cancer (CRC) and its mortality. Objectives: To estimate the prevalence of CRC screening and identify chronic conditions that predict CRC screening uptake among US adults using the 2012 National Health Interview Survey (NHIS) data. Materials and Methods: A cross-sectional analysis of the 2012 NHIS data. Chronic conditions examined were hypertension, cancer history, arthritis, ulcer, and high cholesterol level. A total of 21,511 participants were included in the analysis. Weighted univariate and multiple logistic regression analyses in SAS ver. 9.2 were used to estimate the odds ratios (ORs) with 95% confidence intervals (CIs). Results: The overall prevalence of CRC screening was 19%. The prevalence of CRC screening in adults with cancer history, hypertension, ulcer, high cholesterol, and arthritis was significantly higher than those without the chronic conditions (26% vs.18%, 23% vs.16%, 25% vs.18%, 23% vs. 16%, and 23% vs. 17%, respectively). After adjusting for potential factors, hypertension (OR=1.18, 95%CI=1.08-1.30), ulcer (OR=1.28, 95%CI=1.10-1.48), high cholesterol (OR=1.25, 95%CI=1.14-1.39), and arthritis (OR=1.24, 95%CI=1.12-1.37) were all positively associated with CRC screening (p<0.05). Females were less likely to screen for CRC than to males (OR=0.72; 95% CI=0.65-0.80). Compared to young adults (18-44 years), screening was significantly higher in middle-aged (45-64 years) and elder adults (65+) (OR=2.60, 95%CI=2.11-3.21 and OR=2.67, 95%CI=2.13-3.33, respectively). African Americans were more likely to screen for CRC compared to their white counterparts (OR=1.61, 95% CI=1.44-1.81). Conclusions: We have found significant associations between chronic conditions and CRC screening uptake. We also found higher uptake of CRC screen in African Americans than Whites, in contrast to earlier findings.

Los estilos APA, Harvard, Vancouver, ISO, etc.

47

Smuts, Melisa. "Mental health and chronic pain conditions in a nationally-representative sample of South African adults : a cross-sectional study". Master's thesis, University of Cape Town, 2008. http://hdl.handle.net/11427/9316.

Texto completo

Resumen

Includes bibliographical references (leaves 95-104).
Chronic pain is considered a signiﬁcant burden at both a personal and social level. Not only does it lead to individual suffering and loss of work or social roles, but it also places a great demand on health care systems. Chronic pain has been shown to be associated with both depression and anxiety disorders, adding to the drain on society. Most of the existing research on chronic pain and its association with mental disorders has focused on Europe and North America, with little research ﬁrom developing countries. There are few data on the prevalence of chronic pain at a population level in South Africa, and no research into the association between chronic pain and mental health. This study assessed the population prevaicnce and demographic characteristics of people with chronic pain conditions in South Africa, focusing on arthritisirhenrnatisrn and chronic back/neck pain, the two most common forms of chronic pain. The thesis examined the associations between these chronic pain conditions and common mental disorders in South Africa, with particular attention to possible gender differences in this association.

Los estilos APA, Harvard, Vancouver, ISO, etc.

48

Ogletree, Aaron M. "The interplay of life stressors and coping resources: Implications for health". Diss., Virginia Tech, 2018. http://hdl.handle.net/10919/95028.

Texto completo

Resumen

Adults aged 50 years and older are a growing segment of the population and are more likely than their younger counterparts to experience significant stressors such as the death of a relative or friend, onset of chronic conditions, and increased health burden. The current studies use Pearlin's stress process model to evaluate the impact of these stressors on outcomes of depression. Study 1 used Wave 1 data from the ORANJ BOWL research panel of 5,688 New Jersey residents aged 50 and older to explore the relationship between relational life events, private religious practices, and depressed mood. Cross-sectional structural equation modeling was used to evaluate these relationships. Results showed that relational life events had a significant positive influence on depressive symptoms and this relationship was partially mediated by private religious practices. Findings indicate that non-personal life events are important sources of stress that may otherwise be overlooked when assessing risk factors among older adults. Study 2 used data from 640 men from the Research on Older Adults with HIV (ROAH) study to evaluate the impact of HIV-related health burden on depressed mood and to assess the mitigating effects of social support adequacy. Structural equation modeling showed that greater health burden was associated with more depressive symptoms; this relationship was significantly partially mediated by emotional support adequacy, which was a measure of unmet social need. Findings indicate that health burden has a cumulative impact on psychological health and programs and supports that target social wellness can improve this relationship. These studies point to the importance of understanding sources of risk and resilience among older people and in an attempt to improve overall health outcomes.
Ph. D.

Los estilos APA, Harvard, Vancouver, ISO, etc.

49

Kazamia, Nicola. "A cognitive behavioural therapy in the form of self-help for patients with sleep disturbance and chronic health conditions". Thesis, Queen Margaret University, 2015. https://eresearch.qmu.ac.uk/handle/20.500.12289/7726.

Texto completo

Resumen

Background: Sleep disturbance, including insomnia disorder, is common among patients with chronic health conditions, and is associated with psychological difficulties and impaired health-related quality of life (HRQoL). Less is known about whether a similar relationship exists in individuals with chronic health conditions who do not have a clinical diagnosis of sleep disturbance (NCSD). Recent evidence suggests that Cognitive Behavioural Therapy (CBT) in the form of self-help (SH) is an effective treatment for individuals with chronic health conditions and has the advantage of low cost and ease of access. Any form of sleep disturbance may be perceived as problematic for individuals with chronic health conditions. This study aims to: a) examine whether the NCSD population with chronic health conditions at baseline have poor sleep quality, insomnia symptoms, high levels of psychological distress (anxiety, depression and stress), sleep-related dysfunctional beliefs and impaired HRQoL, and b) assess the effectiveness of the CBT-SH booklet. Method: Participants were recruited from outpatient clinics and received a 6-week CBT-SH booklet for sleep-related problems. Outcome measures included evaluations of subjective sleep quality and the severity of insomnia symptoms, psychological distress (anxiety, depression and stress) sleep-related dysfunctional beliefs and HRQoL. Measures were completed before and after the intervention. Results: Forty-nine participants (44 females) completed the study. Prior to the intervention, 46 participants reported poor sleep quality and 47 participants reported clinical or subthreshold insomnia. Mean scores for the measures of psychological distress indicated moderate levels of anxiety, depression and stress and sleep-related dysfunctional beliefs respectively. HRQoL was also impaired. Following the CBT intervention, participants showed significant improvements in sleep outcomes, sleeprelated dysfunctional and stress levels. No significant differences were found in HRQoL depression and anxiety outcomes. Conclusion: A brief CBT-SH booklet for sleep-related problems is effective for patients with chronic health conditions and NCSD in clinical settings.

Los estilos APA, Harvard, Vancouver, ISO, etc.

50

Glover, Leah. "The relationship between self-blame, self-compassion and psychological well-being for individuals living with chronic physical health conditions". Thesis, University of Hull, 2015. http://hydra.hull.ac.uk/resources/hull:13070.

Texto completo

Resumen

This portfolio thesis is comprised of three parts: a systematic literature review, an empirical paper and a set of supporting appendices. Part one is a systematic literature review that summarises and critically appraises eleven studies exploring the relationship between self-blame for the onset of a chronic physical health condition and emotional distress. As inconsistent perspectives have been noted regarding the relationship between self-blame and psychological adjustment to illness, with some suggesting self-blame to be beneficial and others suggesting a detrimental impact, the aim of this review was to clarify the nature of this relationship when self-blame for illness onset is measured appropriately. It is important for professionals to recognise the factors that may be associated with increased distress for people with chronic physical health conditions so that appropriate support can be offered to maintain and improve their quality of life and long-term physical health. Part two presents an empirical study that explores the relationship between feelings of personal responsibility for illness onset, self-compassion and symptoms of anxiety and depression, as self-reported by people with a diagnosis of cancer. A wealth of research supports the association between self-compassion and psychological well-being, particularly when people are self-critical or self-blaming. However, few studies have explored these benefits for people with chronic physical health conditions who can feel personally responsible for causing their condition and may therefore be more vulnerable to experiencing self-blame and emotional distress. This study was the first to investigate the potential for self-compassion to buffer against the negative emotions associated with feeling responsible for cancer onset. This investigation therefore aimed to support the potential for self-compassion enhancing psychological interventions to benefit people with cancer who may feel responsible for their diagnosis and who may be experiencing symptoms of anxiety and depression. Recognising appropriate psychological interventions for this population of people is essential for promoting well-being, quality of life and long-term physical health. Part three contains appendices that support both sections one and two.

Los estilos APA, Harvard, Vancouver, ISO, etc.

Tesis sobre el tema "Chronic health condition"

Crea una cita precisa en los estilos APA, MLA, Chicago, Harvard y otros