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Non-reimbursable Workload in Pediatric Diabetes Care – the Providers’ Perspective 儿科糖尿病护理中不可报销的工作量-提供者的观点
IF 0.8 Q3 Social Sciences Pub Date : 2022-05-01 DOI: 10.14485/hbpr.9.3.1
Ksenia N. Tonyushkina, Nicholas Koran, I. Guttmann-Bauman
Objective: In this study, we quantified the amount of time that pediatric diabetes care providers spend in non-reimbursable activities and evaluated the predictors related to clinic structure and educational and behavioral care diabetes support. Methods: We distributed an anonymous electronic survey via email to Pediatric Endocrine Society (PES) members and requested information about their practice and about non-reimbursable time spent during an average week not on call. Results: A total of 96 diabetes providers completed the survey. Most providers spent 1-2 hours a day on non-billable activities and 60% of them worked on weekends. Providers from medium sized programs and those without fellowships saw more patients than providers from small and large programs and those with fellowships. The same groups had the least assistance from certified diabetes care and education specialists (CDCES) and social workers. Providers from practices allowing CDCES to review blood glucose data and adjust insulin spent significantly less time on this activity themselves. Conclusions: We call for the development of new reimbursement models, noting increasing demands of technology, need for longitudinal care between visits and ensuring sustainability and equity of pediatric diabetes care.
目的:在本研究中,我们量化了儿科糖尿病护理提供者花在非报销活动上的时间,并评估了与诊所结构、教育和行为护理糖尿病支持相关的预测因素。方法:我们通过电子邮件向儿科内分泌学会(PES)会员发送了一份匿名电子调查,询问他们的实践信息和平均每周不随叫随到的不可报销时间。结果:共有96名糖尿病提供者完成了调查。大多数医疗服务提供者每天花1-2个小时在不收费的活动上,60%的人在周末工作。来自中型项目和没有奖学金的供应商比来自小型和大型项目以及有奖学金的供应商看到更多的病人。同样的群体从认证糖尿病护理和教育专家(CDCES)和社会工作者那里得到的帮助最少。来自允许CDCES审查血糖数据和调整胰岛素的实践的提供者在这项活动上花费的时间显着减少。结论:我们呼吁发展新的报销模式,注意到不断增长的技术需求、就诊之间的纵向护理需求以及确保儿科糖尿病护理的可持续性和公平性。
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引用次数: 0
School Nurses’ Perspectives of Bullying Involvement of Adolescents with Chronic Health Conditions 学校护士对慢性健康状况青少年欺凌行为的看法
IF 0.8 Q3 Social Sciences Pub Date : 2022-05-01 DOI: 10.14485/hbpr.9.3.5
Sally S. Cohen, Laura Grunin, T. Guetterman
Objective: Our primary objective was to understand bullying as it pertains to middle school students with chronic physical or behavioral health conditions by examining it through the lens of school nurses. A second objective was to understand issues pertaining to implementation of New York’s bullying prevention law with a focus on these same students. Methods: We employed a qualitative descriptive design with purposive sampling to explore perspectives of school nurses in New York State who worked in public middle schools. Using a semi-structured protocol, we conducted audio-recorded telephone interviews that were transcribed for subsequent thematic analysis. Results: Twelve nurses agreed to be interviewed. Results revealed participants’ understanding of bullying as related to students with chronic health conditions, especially those with behavioral health issues. Results also showed nurses’ limited understanding of New York’s bullying prevention law and missed opportunities for school nurses as champions of students with chronic health conditions who are bullied. Conclusions: Education and health care professionals should collaborate to disseminate information to school personnel about the risks of bullying for students with chronic health conditions and operationalize plans for prevention.
目的:我们的主要目的是通过学校护士的视角来了解欺凌,因为它与患有慢性身体或行为健康状况的中学生有关。第二个目标是了解与实施纽约欺凌预防法有关的问题,重点关注这些学生。方法:采用定性描述性设计和目的性抽样,探讨纽约州公立中学学校护士的观点。使用半结构化的协议,我们进行了录音电话采访,这些采访被转录下来用于随后的主题分析。结果:12名护士同意接受访谈。结果显示,参与者对欺凌的理解与患有慢性健康状况的学生有关,尤其是那些有行为健康问题的学生。结果还显示,护士对纽约的欺凌预防法了解有限,并错过了学校护士作为受欺凌的慢性病学生的拥护者的机会。结论:教育和卫生保健专业人员应合作,向学校工作人员传播有关患有慢性疾病的学生遭受欺凌风险的信息,并实施预防计划。
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引用次数: 3
Locus of Control and Gender as Moderators of Perceived Stress in Indian Adolescents 控制点和性别在印度青少年压力感知中的调节作用
IF 0.8 Q3 Social Sciences Pub Date : 2022-05-01 DOI: 10.14485/hbpr.9.3.4
Anmol Anmol, Sangeeta Rath
Objective: In this study, we examined the effect of locus of control and gender on perceived stress in adolescents. Methods: Using random sampling, 400 adolescents (200 boys and 200 girls) were selected from 5 different educational institutions in the city of Cuttack, India. We administered Rotter’s Locus of Control Scale, and the obtained scores were subjected to an extreme group analysis for shortlisting 200 adolescents (100 boys and 100 girls) with extreme (low and high) scores. Subsequently, the shortlisted students were administered Cohen’s Perceived Stress Scale, and the scores obtained were analyzed using a between-subjects ANOVA. Results: The effect of locus of control on perceived stress was found to be statistically significant, and internal-control adolescents reported lower perceived stress than external-control adolescents. However, both the main effect of gender and the interaction effect (locus of control x gender) were not statistically significant. Conclusion: Our results suggest that adolescents with internal locus of control report lower perceived stress than their external counterparts. We discuss the implications and directions for future research.
目的:在本研究中,我们检验了控制源和性别对青少年感知压力的影响。方法:采用随机抽样的方法,从印度卡塔克市的5个不同教育机构中选出400名青少年(200名男孩和200名女孩)。我们使用Rotter的控制点量表,对获得的分数进行极端组分析,筛选出200名得分极端(低分和高分)的青少年(100名男孩和100名女孩)。随后,对入围学生进行科恩感知压力量表,并使用受试者间方差分析对获得的分数进行分析。结果:控制点对感知压力的影响具有统计学意义,内部控制青少年的感知压力低于外部控制青少年。然而,性别的主要效应和交互效应(控制点x性别)在统计学上都不显著。结论:我们的研究结果表明,有内部控制源的青少年比他们的外部控制源报告的感知压力更低。我们讨论了未来研究的意义和方向。
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引用次数: 0
Cross-sectional Study of College Students’ Depression, Coping Techniques, and Health Risk Behaviors during the Initial Transition to Remote Learning: COVID-19 Pandemic 新冠肺炎大流行病期间大学生抑郁、应对技术和健康风险行为的跨部门研究
IF 0.8 Q3 Social Sciences Pub Date : 2022-05-01 DOI: 10.14485/hbpr.9.3.3
Claudia X. Aguado Loi, Taylor Koester, Cindy Parsons, M. Martinasek
Objective: COVID-19 has brought many challenges to college campuses. In this cross-sectional study, we assessed depression, coping, and past 30-day health risk behaviors of college students attending a mid-sized liberal arts university in Florida. Methods: We sent a survey link to all undergraduates. The data, which included depression scores (PHQ-9), coping techniques (Brief COPE), health risk behaviors (alcohol and vape use) and demographics were collected approximately 40 days after the university transitioned from face-to-face to online learning during the COVID-19 pandemic. We used descriptive and regression analyses using SPSS to analyze data. Results: A total 45.6% of the respondents (N = 759) self-reported moderate to severe depression (PHQ-9 mean= 9.96, SD = 6.2). Students indicated positive and negative coping strategies. Alcohol and vape use increased with higher depressive symptoms scores (p < 0.01). Seniors had a greater odds of alcohol consumption (p < .01); however, freshmen and juniors had greater odds of vape use. Our data revealed some opportunities for positive behavior change. Conclusion: The online transition did modify students’ behaviors. Students who self-reported depressive symptoms were most vulnerable to adopting greater risk behaviors. These students require ongoing monitoring and resources. Colleges should implement rapid assessment of students’ depressive status and risk behaviors during volatile times.
目的:新冠肺炎给大学校园带来诸多挑战。在这项横断面研究中,我们评估了佛罗里达州一所中等规模文科大学的大学生的抑郁、应对和过去30天的健康风险行为。方法:我们向所有本科生发送了一个调查链接。这些数据包括抑郁评分(PHQ-9)、应对技术(简要COPE)、健康风险行为(酒精和电子烟使用)和人口统计数据,是在新冠肺炎大流行期间大学从面对面学习过渡到在线学习约40天后收集的。我们使用SPSS对数据进行描述性和回归分析。结果:45.6%的受访者(N=759)自我报告中度至重度抑郁症(PHQ-9平均值=9.96,SD=6.2)。学生表示积极和消极的应对策略。酒精和电子烟的使用随着抑郁症状评分的升高而增加(p<0.01)。老年人饮酒的几率更大(p<0.01);然而,大一和大三学生使用电子烟的几率更大。我们的数据揭示了一些积极行为改变的机会。结论:网络过渡确实改变了学生的行为。自我报告抑郁症状的学生最容易采取更高风险的行为。这些学生需要持续的监督和资源。大学应该对学生在动荡时期的抑郁状态和风险行为进行快速评估。
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引用次数: 1
Factors Associated with School Absenteeism and Grade Retention among Young Adolescents in Addis Ababa, Ethiopia 埃塞俄比亚亚的斯亚贝巴青少年旷课和留级的相关因素
IF 0.8 Q3 Social Sciences Pub Date : 2022-03-01 DOI: 10.14485/hbpr.9.2.7
Sachin Shinde, A. Tadesse, Dongqing Wang, W. Fawzi
Objective: School absenteeism and grade retention are associated with various life-course problems. In this study, we examined school absenteeism and grade retention in Ethiopian adolescents, as well as factors associated with them. Methods: We analyzed data from 1200 adolescents (aged 10- 14 years) from 20 public primary schools in Addis Ababa, Ethiopia. We carried out multivariate logistic regression analyses, adjusting for school-level clustering, to determine the factors associated with school absenteeism and grade retention. Results: Grade retention, father’s lower education, parental occupation other than a government job, household food insecurity, being in large schools, and not having toilets in the school were associated with higher absenteeism rates, while involvement in paid work was associated with lower absenteeism rates. Having educational resources at home was associated with lower odds of retaining a grade but having mental health problems and a father’s occupation other than a government job were associated with higher odds of grade retention. Conclusions: Interventions aiming to increase school presence and performance among urban Ethiopian adolescents may require a multi-level approach addressing food insecurity, psychosocial problems, and provision of sanitation facilities at schools.
目的:旷课和留级与各种生活课程问题有关。在这项研究中,我们调查了埃塞俄比亚青少年的旷课和留级情况,以及与之相关的因素。方法:我们分析了埃塞俄比亚亚的斯亚贝巴20所公立小学1200名青少年(10-14岁)的数据。我们进行了多变量逻辑回归分析,对学校水平的聚类进行了调整,以确定与旷课和成绩保持相关的因素。结果:留级、父亲受教育程度较低、父母非政府工作、家庭粮食不安全、在大型学校上学以及学校没有厕所与较高的缺勤率有关,而从事有偿工作与较低的缺勤率相关。家里有教育资源与留级的几率较低有关,但有心理健康问题和父亲从事政府工作以外的职业与留级几率较高有关。结论:旨在提高埃塞俄比亚城市青少年入学率和成绩的干预措施可能需要多层次的方法来解决粮食不安全、心理社会问题和学校卫生设施的提供。
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引用次数: 0
Fathers, Fatherhood Programming, and Research Concerning the Effects of Responsible Fatherhood Interventions 父亲、父亲角色规划与负责任父亲角色干预效果研究
IF 0.8 Q3 Social Sciences Pub Date : 2022-03-01 DOI: 10.14485/hbpr.9.2.6
Joseph Donnelly, M. Young, Jordyn Salerno
Objective: In this paper, we suggest that father involvement plays a significant role in the lives of fathers, children, and health and there is a need to expand research and evaluation on responsible fatherhood programs to assess the effects of fatherhood programming on families and society. Methods: We point to data that confirm the importance of fathers, provide an overview of funding for fatherhood programming, and provide summaries of relevant research that has examined the effects of responsible fatherhood interventions. Results: We ask researchers and practitioners to think about the benefits of responsible fatherhood programs and how best to demonstrate that such programs do, in fact, have long-term impacts on quality of life for fathers and their children. However, we also note that changes in outcome variables that are statistically significant and may even have a large effect size do not necessarily produce substantial long-term impact on quality of life. Conclusion: Responsible fatherhood programs can play a vital role in the health and success of children, fathers, and communities. Researchers should engage in rigorous evaluation of fatherhood programs to add data to the field related to the effect of these programs and father involvement.
目的:本研究认为,父亲参与在父亲、子女和健康的生活中发挥着重要作用,有必要扩大对负责任父亲计划的研究和评估,以评估父亲计划对家庭和社会的影响。方法:我们指出了证实父亲重要性的数据,提供了一个关于父亲计划的资金概述,并提供了相关研究的总结,这些研究已经检查了负责任的父亲干预的影响。结果:我们要求研究人员和实践者思考负责任父亲项目的好处,以及如何最好地证明这些项目确实对父亲和孩子的生活质量有长期影响。然而,我们也注意到,结果变量的变化在统计上是显著的,甚至可能有很大的效应量,但不一定会对生活质量产生实质性的长期影响。结论:负责任的父亲项目对孩子、父亲和社区的健康和成功起着至关重要的作用。研究人员应该对父亲项目进行严格的评估,以增加与这些项目和父亲参与的影响相关的数据。
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引用次数: 1
Using Digital Platforms in Schools for Prevention and Health Promotion: A Scoping Review 在学校使用数字平台进行预防和健康促进:范围审查
IF 0.8 Q3 Social Sciences Pub Date : 2022-03-01 DOI: 10.14485/hbpr.9.2.1
C. Dagenais, M. Proulx, E. Mc Sween-Cadieux
Objective: Digital platforms for prevention and health promotion (PHP) are now, more than ever, available for use by school professionals, including teachers. However, little is known about what motivates them to use such platforms. A scoping review (ScR) was conducted to identify conditions that promote use by school professionals, including teachers, of PHP digital platforms at schools. Methods: For our ScR, we accessed ERIC, Sociological Abstracts, MEDLINE, PubMed, and Web of Science databases (period 2000-2018) in 3 sectors: education, health, online technologies. For each study, we prepared and validated a summary sheet. Contents dealing with conditions for use were subjected to open coding, grouped into categories, and synthesized. Results: Of the 3639 articles captured, 17 studies were selected. Five conditions emerged: (1) ensuring that the digital platform becomes a reference for PHP activity in schools; (2) that the resources needed for its uptake are mobilized; (3) that it is user-friendly; (4) that the digital platform engages the participation of everyone involved; and (5) that it is linked to existing programs in the school. Conclusion: These results can guide the activities deployed in schools for optimal implementation of PHP programs from digital platforms.
目的:预防和健康促进数字平台(PHP)现在比以往任何时候都更可供学校专业人员(包括教师)使用。然而,人们对他们使用这些平台的动机知之甚少。进行了范围审查(ScR),以确定促进学校专业人员(包括教师)在学校使用PHP数字平台的条件。方法:为了我们的ScR,我们访问了ERIC、Sociological Abstracts、MEDLINE、PubMed和Web of Science数据库(2000-2018年),涉及3个领域:教育、健康、在线技术。对于每项研究,我们都准备并验证了一份总结表。处理使用条件的内容进行开放编码,分组并合成。结果:在捕获的3639篇文章中,选择了17篇研究。出现了五个条件:(1)确保数字平台成为学校PHP活动的参考;(2)调动了吸收所需的资源;(三)用户友好;(4)数字平台吸引所有相关人员的参与;(5)它与学校现有的课程相关联。结论:这些结果可以指导在学校部署的活动,以便从数字平台优化实施PHP程序。
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引用次数: 0
Beliefs Underlying US Adults’ Intention to Stay Home during the COVID-19 Pandemic 美国成年人在COVID-19大流行期间打算呆在家里的信念
IF 0.8 Q3 Social Sciences Pub Date : 2022-03-01 DOI: 10.14485/hbpr.9.2.9
Christopher Owens, Kristina Hunter-Mullis, J. Macy, S. Dickinson, S. Middlestadt
Objective: In this study, we estimated the relative contribution of 4 Reasoned Action Approach (RAA) belief determinants in explaining intention to stay home during the COVID-19 pandemic. Methods: Data were obtained from a survey of a nationally representative sample of US adults (N = 942) conducted April 10-20, 2020 (about one-month after initial stay-at-home orders were implemented) using a probability-based Internet household panel (Ipsos KnowledgePanel). Multiple regression analysis tested the association between attitude, injunctive norm, descriptive norm, and self-efficacy and intention to stay home for the next month while controlling for demographic factors. We tested for a moderating effect of worker status on the relationships between the 4 RAA beliefs and intention. Results: Instrumental attitude, injunctive norm, descriptive norm, and self-efficacy demonstrated statistically significant independent associations with intention to stay home. Self-efficacy showed the highest independent association. However, this relation was modified by an interaction between self-efficacy and worker status, revealing that self-efficacy is particularly important for essential workers. Conclusions: These findings suggest that public health strategies to increase individuals’ intention to stay home and encourage adherence to stayat- home policies should focus on enhancing self-efficacy with communication and policy supports. To be most effective, interventions should be targeted based on worker status.
目的:在本研究中,我们估计了4个理性行动方法(RAA)信念决定因素在解释COVID-19大流行期间呆在家里的意愿方面的相对贡献。方法:使用基于概率的互联网家庭面板(Ipsos KnowledgePanel),于2020年4月10日至20日(最初的居家令实施后约一个月)对全国代表性的美国成年人样本(N = 942)进行调查,获得数据。在控制人口因素的情况下,多元回归分析检验了态度、禁令规范、描述规范与自我效能感和下个月居家意愿的关系。我们测试了工人地位对4种RAA信念和意图之间关系的调节作用。结果:工具态度、禁令规范、描述性规范和自我效能感与留守意愿有统计学上显著的独立关联。自我效能表现出最高的独立相关性。然而,这种关系被自我效能感和工人地位之间的相互作用所修正,表明自我效能感对必不可少的工人尤为重要。结论:这些研究结果提示,提高个人居家意愿和鼓励遵守居家政策的公共卫生策略应侧重于通过沟通和政策支持来增强自我效能感。为了达到最有效的效果,干预措施应该基于工人的地位。
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引用次数: 1
Weight Perception and Weight Control Behavior among Florida High School Students. 佛罗里达州高中生体重知觉与体重控制行为。
IF 0.8 Q3 Social Sciences Pub Date : 2022-03-01 DOI: 10.14485/HBPR.9.2.8
Rodrigue Pierre, Kristyn Matthews, Rima Tawk

Objective: Actions adopted by adolescents to control their weight are motivated by their body weight perception. In this study, we aimed to investigate the association between body weight perception and weight control behavior among Florida public high school students.

Methods: We analyzed data from the 2015 Florida Youth Risk Behavior Survey (N = 3798). We used chi-square test to detect group differences among survey respondents and multivariate logistic regression to assess the association between weight perception and weight control behavior.

Results: Most survey respondents adopted healthy actions such as exercise and diet, 75.3% and 55.0%, respectively, and few used unhealthy ones as weight control means, such as fasting, use of diet products, and purging, 15.6%, 7.3%, and 6.5% respectively. Compared to respondents who considered themselves as having the right weight, there were higher odds of engaging in healthy activities only in respondents who considered themselves as being overweight while there were higher odds of engaging in unhealthy actions in respondents perceiving themselves as underweight and in those viewing themselves as overweight.

Conclusion: High school health education courses should include modules educating students on the importance of having accurate knowledge about body weight and adopting a healthy weight control behavior.

目的:青少年控制体重的行为是由他们的体重感知驱动的。本研究旨在探讨佛罗里达州公立高中学生体重知觉与体重控制行为之间的关系。方法:我们分析2015年佛罗里达州青少年危险行为调查(N = 3798)的数据。我们使用卡方检验来检测被调查者之间的组间差异,并使用多变量逻辑回归来评估体重感知与体重控制行为之间的关系。结果:以运动、饮食等健康行为作为控制体重手段的受访者占比最高,分别为75.3%和55.0%;以禁食、使用减肥药、清肠等不健康行为作为控制体重手段的受访者占比最低,分别为15.6%、7.3%和6.5%。与那些认为自己体重合适的受访者相比,只有那些认为自己超重的受访者更有可能从事健康活动,而那些认为自己体重不足和超重的受访者更有可能从事不健康的行为。结论:高中健康教育课程应包括教育学生正确认识体重和采取健康体重控制行为重要性的模块。
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引用次数: 0
Evaluating School Profiles to Determine Risk for Teen Suicide 评估学校概况以确定青少年自杀的风险
IF 0.8 Q3 Social Sciences Pub Date : 2022-03-01 DOI: 10.14485/hbpr.9.2.2
Nancy Eigel-Miller, L. Vaughn, M. Topmiller, Olga Semanova, Jonelle Prideaux, Kamali Bouvay, Cheryl Hilvert, Erica Page
Objective: In this study, we examined characteristics and school contexts to identify profiles of schools at highest risk for suicide in Cincinnati, Ohio and the surrounding geographic area. Methods: We conducted a retrospective cohort study supplemented by context analysis. Adolescent data included total psychiatric-related pediatric emergency department encounters, psychiatricrelated inpatient admissions, and suicide encounters/admissions aggregated to school level. School factors included type, size, geographic location, academic rigor, existence of a mental health partner, and culture of suicide prevention efforts at the school. Results: Using a k-means cluster analysis, 173 schools were sorted into 4 distinct clusters based on based on patient data linked to schools. A context analysis of the 25 highest risk schools revealed general patterns of low academic achievement measures, limited mental health partnership, and poor suicide prevention ratings. Conclusions: These findings suggest that schools which already reflect limited access to resources are the same ones disparately at higher risk for suicide in our geographic area. The variation of atrisk suicidality factors across schools suggests the need for tailored suicide prevention interventions specific to school characteristics and context.
目的:在这项研究中,我们调查了俄亥俄州辛辛那提及其周边地区自杀风险最高的学校的特征和学校背景,以确定其概况。方法:我们进行了一项回顾性队列研究,辅以上下文分析。青少年数据包括与精神病相关的儿科急诊科就诊总数、与精神病有关的住院人数以及学校层面的自杀就诊/入院人数。学校因素包括类型、规模、地理位置、学术严谨性、是否有心理健康伙伴以及学校预防自杀的文化。结果:使用k均值聚类分析,173所学校根据与学校相关的患者数据被分为4个不同的聚类。对25所风险最高的学校进行的背景分析揭示了学业成绩衡量标准低、心理健康伙伴关系有限和自杀预防评级低的总体模式。结论:这些发现表明,在我们的地理区域内,已经反映出资源获取有限的学校与自杀风险较高的学校是一样的。不同学校的心房自杀因素的差异表明,有必要针对学校特点和背景采取量身定制的自杀预防干预措施。
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引用次数: 1
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Health Behavior and Policy Review
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