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At least 469 records · Page 26Linked to original sources

Respite care: lessons from a controlled design study.

Findings are reported from a study of respite services in which an experimental design was used to assess the impact of respite on families caring for elderly persons. Almost one-third of the 189 families eligible for respite services offered through Medicare waivers failed to use any services. The majority of families chose respite services in their home for frequent periods of 3 hours. Families spent, on average, only 63 percent of their allotted funds. Respite services appeared to delay nursing home placement among families with adult children as caregivers but encouraged placement when spouses were the primary caregivers.

Aged↗

Classification system for toothbrushing habits.

AIM: For orthodontic patients, optimal oral prophylaxis is essential. In this article, a classification system for toothbrushing habits, according to three criteria that can indicate the direction of guidance for primary school children, is discussed. METHODS: Toothbrushing habits of children are evaluated according to three criteria (frequency of toothbrushing, attitude toward voluntary toothbrushing, and thoroughness of toothbrushing). Computer-generated classification graphs, performance tables, and component tables were obtained based on the responses to 26 questions. RESULTS: The children can be classified into different types, according to the three criteria, on the graphs. Performance tables indicate the items that require guidance, while component tables indicate the priority of the items that require guidance. CONCLUSION: The quantitative assessment of toothbrushing habits for children is possible, using this new classification system.

Attitude to Health↗

Patient-centered care: can your hospital afford not to have it?

A new survey tool to measure the personalization of patient care is helping hospitals look beyond the quantifiable and the clinical and zero in on the patient's perception of care. "Assuming good technology and good doctors, more patients are basing their choice [of a hospital] on ... differences in personal service," says one of the survey's managers.

Evaluation Studies as Topic↗

Plan and operation of the National Survey of Ambulatory Surgery.

The National Survey of Ambulatory Surgery (NSAS), a national probability sample survey of ambulatory surgery visits in hospitals and freestanding ambulatory surgery centers, began operation in 1994. This report traces the development of the survey instruments and procedures, and presents the survey methodology for the NSAS.

Ambulatory Surgical Procedures↗

Professional nursing with a new focus: staff nurse to research coordinator.

My positive feelings toward the data which will be accumulated abounds with excitement. I have read that one of the major rules of a clinical drug trial is that things never turn out as designated or expected. The volunteer participants really are the silent heroes. Nurses, as professionals, have many avenues for career planning. Nurses can identify what they want to do, reset their goals, and establish a plan to achieve these goals. In retrospect, my years as a staff nurse did educate and prepare me for a change in my professional status. For awhile, I took my staff nurse position for granted. Through all the trials and tribulations, through the happy and sad times, I was being prepared for a role change. I believe in fate as this fell into place for me after I decided to be patient and wait for the proper situation. I encourage any nurse who has similar goals to learn how to seek the appropriate job, go to seminars or take classes, remain a productive member of your unit and learn how to interview. It is definitely worth all the anxiety caused by the waiting.

Clinical Trials as Topic↗

The social context of adolescent sexuality: safe sex implications.

This study was an examination of the sexual worlds of 153 adolescents aged 15 to 18 years through the content analysis of interviews on the topics of love, romance, relationships between the sexes, sexual values and sexual behaviors. The aim was to develop more detailed descriptions of the dimension of adolescent sexuality and relate these dimensions to sexual risk, that is, the tendency to engage in unprotected intercourse, an activity which increases vulnerability to AIDS and other sexually transmitted diseases. To this end, seven themes were isolated from the interview scripts, these being permissiveness, double standards, belief about sexual control (the Id Factor), romance, regrets about permissiveness, sexual aggression, and questioning. Measures of four of these themes were constructed, and sex and sub-group differences explored, as were the relationships between themes and sexual risk. The implications of different "pathways" to sexual risk-taking were discussed.

Acquired Immunodeficiency Syndrome↗

Behavioral aspects of the use of medical markers in clinical trials.

Nonadherence by trial participants to the study drug regimen threatens the satisfactory conduct of the best designed clinical trial. Reduced adherence confounds the interpretation of the study's results and may leave the study's primary question unanswered. Recent reports from multicenter clinical trials have reported adherence rates of 60%-90%. This presentation examines the use of a drug marker in counseling to improve participant adherence to a medication regimen. Potential benefits and problems are identified, and several recommendations are offered. Increasingly, behavioral counseling has been used by clinic staff members to improve the medication adherence of trial participants. Behavioral counseling is a data-based counseling process emphasizing patient collaboration with the clinician in identifying, diagnosing, and intervening in medication adherence problems. A valid, accurate drug marker would have direct application in both identifying and intervening on a medication adherence problem. However, a marker would not contribute substantially to the clinician's ability to diagnose accurately the nature of the medication adherence problem. A major concern is the manner in which the clinician introduces the drug marker into the counseling process. The use of data from a drug marker can have a strong positive or negative effect on the medication adherence problem. It also can significantly influence the continuing relationship between the clinician and the participant. Examples are presented. It is strongly recommended that the clinician identify the specific goals for the marker's use prior to the introduction of data from a medical marker into the participant counseling process. Further, the manner in which the marker is introduced into the interview with the participant must be considered carefully.(ABSTRACT TRUNCATED AT 250 WORDS)

Clinical Trials as Topic↗