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J R Moseley

Publications and source records attributed to J R Moseley.

7 recordsLinked to original sources

Recruitment and retention of families in clinical trials with longitudinal designs.

The Family Home Visitation Program: Nurse as Coach was a 3-year, National Cancer Institute-funded, multisite, randomized trial of a nursing intervention. It tested the effectiveness of an in-home coaching intervention designed to enhance long-term adjustment of breast cancer's effect on family functioning. We summarize our recruitment and retention experiences, review accrual and retention issues identified from our experiences and those of other researchers, and suggest 24 specific strategies to maximize sample size in future clinical trial studies. Our target sample consisted of 200 women with early stage breast cancer and their male partners and children. We obtained 313 eligible referrals from 91 sites: 217 participants (69.3%) were accrued, 96 families (30.7%) refused, 181 participants (83.4%) were retained, 11 (5.1%) were dropped because of changes in eligibility status or because of scheduling error, and another 25 (11.5%) elected to withdraw.

Adult↗

A bereavement program: good care, quality assurance, and risk management.

Oregon Health Sciences University Hospital implemented a proactive bereavement program based on a faculty research project demonstrating poor sensitivity to the families of deceased patients, their subsequent postdeath adjustment, and feelings about interactions at the hospital. The program has improved support to families at the time of death and established a follow-up system that refers families with adjustment difficulties to an appropriate provider. Educational programs have improved the skills and sensitivity of trainees and staff in responding to stressful patient-family situations concerning death and bereavement. Beyond providing optimal care, a bereavement program benefits quality assurance, risk management, and the community image of any hospital.

Attitude to Death↗

Components of a smoke-free hospital program.

Hospitals have the responsibility to provide leadership in the area of cigarette-smoking cessation and indoor-smoking elimination. A multidisciplinary committee of the Oregon Health Sciences University, Portland, planned and initiated a smoke-free hospital and clinic facility in 1987. The key planning steps for the patient and visitor ban included involvement of many representatives of the hospital staff, 2 months lead time for the ban, personal interviews with all inpatient smokers on the eve of the ban, and distribution of survival kits. Employees were offered free smoking cessation classes, gum with instructions in use, and a protected outdoor smoking area. The ban has been well accepted by patients and visitors. A questionnaire survey of employees at 6 months has indicated a modest reduction in personal cigarette smoking.

Employee Incentive Plans↗