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Biomedical subjects

R S O'Grady

Publications and source records attributed to R S O'Grady.

7 recordsLinked to original sources

The prediction of long-term functional outcomes of children with cerebral palsy.

Current information was obtained from 117 respondents, including 71 who completed interviews, of a population of 810 individuals who had been diagnosed with cerebral palsy between 1951 and 1974. Original chart reviews constituted the basis for predicting employment capabilities of the interviewed cohort. A comparison of predictions with actual functional outcomes demonstrated a tendency to pessimistic underestimation of long-term functional outcome, sounding a note of caution to paediatric developmentalists.

Adolescent↗

Collaboration in investigator initiated public health nursing research: university and agency considerations.

There is a significant difference in the collaborative process between whether a public health nursing research project is requested (of the researchers) by the agency or if it is conceived by an outside investigator. This article discusses the underlying concepts of negotiation, mutuality, and respect that support the process of an externally initiated study in an agency. In a progressive listing format, the important components within the planning, development, implementation, and completion phases are then described so that they can be useful to beginning researchers as a guide and to experienced researchers as a reminder.

Community-Institutional Relations↗

Vocational predictions compared with present vocational status of 60 young adults with cerebral palsy.

A group of 97 cerebral-palsied students between the ages of seven and 16 years were assessed in the 1960s and 1970s, and predictions were made as to their vocational status as adults. In 1983, 60 of the 76 over 18 years of age were contacted. 39 had been employed at some time since leaving high-school, but only 17 were employed at the time of the survey. Of those who had worked, over half had achieved or exceeded their vocational predictions. Those in competitive employment were more likely to be mildly disabled, to have higher IQs and to have been educated in integrated schools. Those who had never been employed were older and less independent in self-care and travel in the community. However, intelligence was not a major factor in distinguishing the employed from the never-employed. Recommendations are made for integrated education and job training in competitive settings, for community-based assessments and for family involvement in all aspects of planning to improve the vocational prospects of cerebral-palsied children.

Adult↗

The use of preventive health services by disabled children.

As a measure of the use of general pediatric health services we assessed disabled children's receipt of preventive health care in relation to a control group of nondisabled children, matched by age, family size, and region of residence. The study and control subjects were identified in a household survey conducted in Minnesota in 1976 and ranged in age from 1 to 18 years. The proportion who made a preventive health visit was nearly identical in both groups. Binary variable multiple regression showed that 9 percent of the variation in outcome was explained by the independent variables, which included demographic and socioeconomic characteristics and access to health care. Disability did not contribute significantly to the explained variation, but family structure, mother's education, and mother's use of preventive health services reached the 95 percent level of significance. The results suggest that children in a community who are identified as disabled are not at a disadvantage, in comparison with the nondisabled, in gaining access to preventive health services. The use of such services by all children appears to be low when information on using school health services is not available.

Adolescent↗