Patient Self Report (Total 282250 Papers Found)

The primary qualification for Medicare's home health care benefit is being homebound, typically by a chronic disability. Disability and functional ability in late-life are heavily influenced by the long-term practice of health behaviors. One of the goals of Healthy People 2000 is to increase the years of healthy life which are measured, in part, by self reported health status. This compression of morbidity would, in effect, reduce the need for long term care. This paper examines three conceptual ...
BACKGROUND Heart failure is a progressive condition characterized by frequent hospitalizations for exacerbated symptoms. Informal family caregivers may help patients improve self-care, which may in turn reduce hospitalizations. However, little is known about how mutuality, defined as the quality of the patient-caregiver relationship, and caregiver burden affect self-care. OBJECTIVE This study examines the associations among mutuality, patient self-care confidence (beliefs in abilities to engag ...
Women with perinatally acquired HIV (PAH) face unique psychosocial challenges due to the presence of a lifelong chronic illness and often unstable living situations. With advances in HIV treatment, an increasing number of those with PAH are reaching childbearing age and becoming pregnant. Depression may be an important and common factor that complicates both treatment and pregnancy outcomes in this group. We conducted a retrospective cohort study in pregnant patients with PAH to determine if his ...
BACKGROUND Diseases are not randomly distributed across society. Although the results of several studies consistently report higher occurrence of diabetes among disadvantaged groups in adult populations, rather sparse and contradictory findings have been reported for the young. AIM To explore whether the distribution of self reported diabetes among high school students from the Province of Santiago is associated to their socioeconomic position. MATERIAL AND METHODS Data originated from a ran ...
BACKGROUND The Veterans Affairs (VA) health system has been criticized for being inefficient based on comparisons of VA care with non-VA care. Whether such comparisons are biased by differences between the VA patient population and the non-VA patient population is not known. Our objective is to determine if VA patients are different from non-VA patients in terms of health status and medical resource use. METHOD We analyzed 128,099 records from the National Health Interview Survey for the years ...
  • Stephanie A Bailey,
  • The Australian journal of advanced nursing : a quarterly publication of the Royal Australian Nursing Federation
  • 1994
The aim of this study was to investigate the attitudes of critical care nurses and doctors to parasuicide patients. A survey was conducted of 299 nurses and 81 doctors working in emergency departments and intensive care units of nine Victorian hospitals. Data obtained from responses to a Likert-type questionnaire were assessed in order to explore relationships between the doctors' and nurses' attitudes and demographic and other variables. The survey showed that the nurses' and doctors' attitudes ...
An effort has been made to identify variables associated with favorable responses to treatment for low back pain. Using a series of 10 subjective measures, it was found that a rating given by the treating physician at the initial patient-physician contact correlated best with the patient's perception of response to treatment. Subscales from the MMPI and a pain drawing also correlated significantly with the patient's self report. Finally, it was noted that a multiple regression approach incorpora ...
Background: Hepatitis B is an important disease of ethnic disparity which affects Asian Americans and other minority populations disproportionately. Despite the high prevalence of hepatitis B in Asian Americans, many of them remain unscreened and untreated. A majority of the individuals chronically infected with hepatitis B virus (HBV) are not linked to care, for instance, due to a lack of culturally competent programs. There are many serious barriers preventing linkage to care (LTC), including ...
We examined cognitive attributes, attention, and self-efficacy of fourth grade struggling readers who were identified as adequate responders (n = 27), inadequate responders with comprehension only deficits (n = 46), and inadequate responders with comprehension and word reading deficits (n = 52) after receiving a multicomponent reading intervention. We also included typical readers (n = 40). These four groups were compared on measures of nonverbal reasoning, working memory, verbal knowledge, list ...
OBJECTIVE Comorbidity between anxiety and cannabis use is common yet the nature of the association between these conditions is not clear. Four theories were assessed, and a fifth hypothesis tested to determine if the misattribution of stress symptomology plays a role in the association between state-anxiety and cannabis. METHODS Three-hundred-sixteen participants ranging in age from 18 to 71 years completed a short online questionnaire asking about their history of cannabis use and symptoms ...
BACKGROUND Research indicates patients often seek medical care within 1 year of suicide. Health care encounters are a crucial opportunity for health professionals to identify patients at highest risk and provide preventative services. OBJECTIVE Study aims were to determine the characteristics of persons seeking health care within 12 months of suicide death and evaluate suicide risk screening (SRS) frequency in the emergency department (ED) vs. clinic settings. METHODS Medical examiner and ...
Optimal staff performance of resuscitation skills is best achieved through regular effective training. However, providing this teaching in a busy high-acuity pediatric cardiac intensive care unit (ICU) had become a challenge due to time and logistical constraints. A program to effectively and efficiently teach ICU nurses the skills necessary in patient resuscitation was developed using simulation training to better meet staff learning needs. Training via simulation provides an ideal learning env ...
Tick-borne encephalitis (TBE) is a viral illness endemic to the Balkan region. United States military forces were deployed to Bosnia in early 1996 as part of Operation Joint Endeavor, a U.S.-led multinational peace-keeping operation. To counteract the TBE threat, an inactivated, parenteral vaccine (FSME-Immun Inject; Immuno AG, Vienna, Austria) was offered to soldiers at high risk on a volunteer basis in an accelerated, 3-dose schedule (0, 7, and 28 days). Passive adverse reaction surveillance w ...
BACKGROUND Medical news often receives intense, but distorted, media coverage, which can lead to high levels of insecurity in both patients and doctors. OBJECTIVE To elicit general practitioners' self reported behaviour regarding hormone therapy (HT) advice and prescribing, before, immediately after, and 2 years following the release of the first results of the combined oestrogen and progesterone arm of the Women's Health Initiative (WHI) study; to elicit GPs' understanding of statistical risk ...
OBJECTIVE Self-management programs aim to improve patients' skills to manage their chronic condition in everyday life. Improvement in self-management is assumed to bring about improvements in more distal outcomes, such as quality of life. This study aimed to test the hypothesis that changes in self-reported self-management skills observed after participation in self-management programs predict changes in both quality of life and depressive symptoms three months later. METHODS Using latent chan ...
OBJECTIVE The authors assessed reliability and validity of a scale developed for use with inpatients on a mood disorders unit. The scale is used to rate a patient's mood along a quantitative continuum from -5, depressive stupor, through 0, euthymic, to 5, full mania. The scale lists behaviors that constitute criteria for each rating point. Mixed states and idiosyncratic behavior can also be assessed. METHODS Assessment of the scale's reliability and validity was based on data for 53 psychiatri ...
The prevalence and correlates of self-harm and suicidal behavior in 515 young offenders (mean age 17.3 years, SD = 1.7) serving community-based orders (CBOs; n = 242) or custodial sentences (n = 273) in Victoria, Australia, are described. Results from structured interviews showed that 83 (16.1%) participants reported self-harming in the previous 6 months, and this was more common among those serving custodial sentences than those serving CBOs (19.4% vs. 12.4%; OR 3.10, 95% CI: 1.74-5.55) ...
AIM The aim of this study were to compare nurse prescribers and non-prescribers managing people with diabetes in general practice regarding: (a) patient characteristics; (b) activities and processes of care; (c) patient outcomes (self-management, clinical indicators, satisfaction) and (d) resource implications and costs. BACKGROUND Over 28,000 nurses in the UK can prescribe the same medicines as doctors provided that it is in their level of experience and competence. Over 30%, mostly in genera ...
OBJECTIVES To estimate the prevalence and patterns of multimorbidity in a sample of patients attending general practice, in the population who attended general practice in 2005, and in the Australian population. DESIGN, SETTING AND PARTICIPANTS Secondary analyses of data from a study of prevalence of selected conditions (a substudy of the BEACH [Bettering the Evaluation And Care of Health] program); data were provided by 305 general practitioners for 9156 patients seen in July-November 2005, b ...
PURPOSE The purpose of this study was to develop and test a brief scale (Brief Evaluation of Medication Influences and Beliefs [BEMIB]) designed to identify patients who are more likely to be nonadherent to their antipsychotic medication. METHODS Sixty-three outpatients with schizophrenia and related psychotic disorders were enrolled and given an assessment battery including the BEMIB, a previously published adherence scale, extrapyramidal symptom rating scales, and an adherence assessment wit ...
For Enloe Medical Center in California, a good-faith effort to self-report a breach in the privacy of a patient's medical record resulted in a six-figure fine imposed by a state regulatory agency. Hospitals face a "catch-22" situation in responding to the conflicting mandates of developing electronic health records that allow information sharing across institutions versus ensuring absolute protection and security of patients' individual health information. Some industry analysts suggest that the ...
Adherence to antidepressant treatment has been shown to range from 30 to 70%. The aim of this study was to compare the patient's self-report of adherence with the doctors' estimation of adherence and therapeutic alliance in 104 outpatients with mood and/or anxiety disorder treated with antidepressants. The adherence scores estimated by the patients and the doctors were significantly different, the doctors underestimating adherence in 29% of cases and overestimating it in 31% of cases compared to ...
OBJECTIVE Clinical guidelines recommend that antidepressant treatment should be continued for a minimum of 6 months following response in depression and anxiety disorders. However, adherence to antidepressants is low. This prospective cohort study investigated the influence of patients' antidepressant concerns, treatment preferences, and illness perceptions on adherence to antidepressants over a 6-month period. METHOD A cohort of 178 patients aged 18 to 74 years and newly issued with a prescri ...
9607 Background: Accurate assessment of pain involves cooperation between clinician and patient. However, in patients with metastatic disease agreement between clinician and patient ratings is known to be poor. The objectives of this meta-analysis are to investigate the degree of agreement between clinician- versus patient- reported cancer pain at entry in a cohort of patients with metastatic cancer and whether their ratings were associated with a difference in survival. METHODS Eight European ...
  • David Evan Nelson,
  • Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention
  • 1996
OBJECTIVES To examine the validity of self reported data on safety belt use and to consider the implications for research on injury prevention behaviors. METHODS 1992 and 1993 self reported data on safety belt use were obtained from the Behavioral Risk Factor Surveillance System and observational data were obtained from the National Highway Traffic Safety Administrations for 49 states in 1992 and 50 states in 1993. The ratio of self reported to observed belt use was calculated for each state, ...
According to the cognitive-behavioral model of chronic pain, patient beliefs about their chronic pain influence their behavioral and psychological functioning. Previous correlational and longitudinal studies have supported this hypothesis. However, since previous research has relied almost exclusively on patient self-report to assess both beliefs and functioning, shared method variance may explain some of the relationships found. The aim of the current study was to replicate and extend previous ...
BACKGROUND Immigrant Latino day laborers working in residential construction are at particularly high risk of fatal and non-fatal traumatic injury and benefit from targeted training. OBJECTIVE To understand the impact of a participatory, peer-facilitated health and safety awareness training customized to the needs of Latino day laborers. METHODS Baseline surveys exploring exposures, PPE use, attitudes, work practices and work-related injuries were collected from more than 300 New Jersey Lati ...
OBJECTIVE To study the prevalence of falls and to analyze the associated factors in non institutionalized population aged 65 or older in Catalonia. MATERIAL AND METHODS Data were collected from the 2002 Health Survey of Catalonia. Information on self reported falls according age, sex, educational level, social class, suffering chronic diseases and disabilities in people aged 65 or older (542 men and 665 women) was analyzed. Multivariate logistic analysis was applied. MEASUREMENTS AND MAIN RE ...
BACKGROUND Morbid obesity and chronic obstructive pulmonary disease (COPD) are prevalent diseases associated with impaired health-related quality of life (HRQoL). Research generally indicates that persons with morbid obesity increase their HRQoL following intervention, whereas evidence of increases in HRQoL in persons with COPD is mixed. Examining the patterns of change over time instead of merely examining whether HRQoL changes will add to the knowledge in this field. METHODS A sample of pers ...
Background: Patients with irritable bowel syndrome (IBS) often report family members with similar symptoms, but family studies are lacking. We hypothesised that if there is familial aggregation, there would be an increased frequency of IBS in first degree relatives of IBS patients compared with relatives of controls (the patient’s spouse). Methods: A valid self report bowel disease questionnaire (BDQ) that recorded symptoms, the somatic symptom checklist (a measure of somatisation), and a fami ...
This study explored the personal characteristics and the health and health-related concerns reported by members of the local homeless population in order to design population-specific health programming. The study also examined whether there were significant differences between homeless who are shelter residents and those who are not. An exploratory descriptive design was used to analyze retrospective data collected by a local County Health Department in interviews of 132 homeless adults. The de ...
Partner-assisted emotional disclosure is a couple-based intervention designed to help patients disclose cancer-related concerns to their spouses-partners. We previously found that, compared with an education/support control condition, partner-assisted emotional disclosure led to significant improvements in relationship quality and intimacy for couples in which the patient initially reported holding back from discussing cancer-related concerns (Porter et al., 2009, Cancer, 115, 4326-4338). The pu ...
ObjectiveTo assess the health status of patients with 11 common illnesses asthma, diabetes, arthritis, back pain, sciatica, hypertension, angina, anxiety, depression, and heart attack and stroke. Design Face to face interview using a structured questionnaire which contained the Short Form 36 questionnaire (SF-36) and questions on lifestyle, health service utilisation, and self reported conditions treated by physicians. Setting Patients' homes, in West Glamorgan, Wales. Subjects Twelve hundred ad ...
OBJECTIVE To study the use of a self-administered sensory testing tool designed to identify individuals at risk for diabetes-related foot problems and determine the inter-rater reliability between patient and provider sensory evaluations. RESEARCH DESIGN AND METHODS Nine centers in eight states with established foot prevention centers mailed 196 self-screening testing materials to randomly selected patients with diabetes scheduled for follow-up appointments. Patients were instructed to perform ...
BACKGROUND We describe reported immunisation status and primary health care utilisation in refugee and migrant young people in western Sydney, New South Wales. METHOD Students attending an Intensive English Centre (IEC) high school in western Sydney were surveyed for self reported general health, immunisation status of hepatitis B and measles, mumps and rubella and attendance at general practice following arrival in Australia. RESULTS Of 165 respondents, 68 (41%) had a named general practiti ...
BACKGROUND Adherence to highly active antiretroviral therapy (HAART) has been proven to be the only effective treatment for HIV/AIDS worldwide. Good adherence to HAART might require good family support. OBJECTIVE To determine the family dynamics and social support of people living with HIV/AIDS (PLWHA) and its roles on HAART adherence at an ARV treatment clinic in Osogbo, Nigeria. METHOD Descriptive cross-sectional study. Consenting PLWHA on HAART were interviewed using pre-tested semistruct ...
Mobile phones are popular devices that may generate problems for a section of the community. A previous study using the Eysenck Personality Questionnaire found that extraverts with low self-esteem reported more problems with their mobile phone use. The present study used the NEO FI and Coopersmith Self-Esteem Inventory to predict the self reported mobile phone use of 112 participants. Multiple regression found that people low on agreeableness were more likely to use their mobile phones to play g ...
Acute pain is a symptom that originates from actual ongoing or impending tissue damage. Pain is an individual subjective experience and varies markedly among individuals. For this reason, patient involvement is essential, with the most reliable indicator of severity being patient self-report. The main objective of postoperative pain management is the achievement of fast rehabilitation, recovery of all normal functions and reduction of postoperative morbidity. Sufficient evidence supports the hyp ...
Although vacation from work provides a valuable opportunity for recovery, few studies have met the requirements for assessing its effects. These include taking measurements well ahead of the vacation, during the vacation and at several points in time afterwards. Our study on vacation (after ) effects focused on two related questions: (1) Do health and well being of working individuals improve during a vacation? and (2) How long does a vacation effect last after resumption of work? In a longitudi ...
  • Daniel J. Luchins,
  • Administration and Policy in Mental Health and Mental Health Services Research
  • 2008
With attention in the United States now focused on the mental health of military personnel returning from Iraq and Afghanistan (Hoge et al. 2004, 2006) clinical experience with Vietnam era veterans with PTSD should offer a cautionary tale. Frueh et al. (Frueh et al. 2007) have made the case that unlike other PTSD populations, Vietnam era veterans with PTSD are not only less responsive to psychotherapy, but also that their self reported symptoms get worse, not better with time. In addition, once ...
STUDY OBJECTIVE The aim was to assess the frequency of sleep disorders in relation to working conditions. DESIGN This was a cross sectional study. Data were collected prospectively, on a standardised form, by 13 occupational physicians. The quality of sleep was assessed by self perceived sleep disturbances and consumption of sleeping tablets. Working conditions were described by the worksite physician as well as by the participants. SETTING 2769 small or medium sized firms in the Paris area. ...
BACKGROUND The increasing use of complementary and alternative medicines in Australia has generated concern regarding the information on these products available to both healthcare providers and the public. The aim of this study was to examine the practice behaviours of naturopaths in relation to both the provision of and access to information on complementary and alternative medicines (CAM). METHODS A representative sample of 300 practicing naturopaths located nationally were sent a comprehen ...
In order to identify educational interventions promoting male condom use during intercourse among HIV+ persons, we conducted a systematic review of publications. Lilacs/Bireme, Medline and Popline data sets and CDC and UNAIDS sites were searched without time limit. Uniterms used were: women; men; interventions; HIV; Aids; HIV positive; risk behaviors; sexual risk behaviors; and intervention studies. Fourteen interventions were included, eight of which reported a positive result. Most frequent me ...
CONTEXT Accurate assessment of health-related quality of life (HRQoL) is important for quality patient care. Evaluation of HRQoL typically occurs with patient self-report, but some instruments, such as the Pediatric Quality of Life Inventory (PedsQL), allow for proxy reporting. Limited information exists comparing patient and proxy reports of HRQoL after sport-related injury in adolescent athletes. OBJECTIVE To compare patient ratings and parent-proxy ratings of HRQoL in adolescent athletes wh ...
OBJECTIVE To determine the clinical effectiveness of wound edge protection devices in reducing surgical site infection after abdominal surgery. DESIGN Multicentre observer blinded randomised controlled trial. PARTICIPANTS Patients undergoing laparotomy at 21 UK hospitals. INTERVENTIONS Standard care or the use of a wound edge protection device during surgery. MAIN OUTCOME MEASURES Surgical site infection within 30 days of surgery, assessed by blinded clinicians at seven and 30 days and b ...
INTRODUCTION The efficacy and safety of doxepin (DXP), a histamine H(1) receptor antagonist, was evaluated in elderly adults with sleep maintenance insomnia. METHODS This was a randomized, double-blind, placebo-controlled outpatient trial. Elderly adults meeting DSM-IV-TR criteria for primary insomnia were randomized to four weeks of nightly treatment with either DXP 6 mg (N=130) or placebo (PBO; N=124). Efficacy was assessed using patient self-report instruments and clinician ratings. Patient ...
Objective To describe the perceptions of Australian NPs and NP candidates (student NP and NPs in transitional roles but not yet authorised) in regards to their confidence and practice in providing medicine information to patients / clients. Design An electronic survey related to prescribing practices. Setting The survey was open to all Australian NPs (n=250 at time of survey) and NP candidates. Subjects The survey was completed by 68 NPs and 64 NP candidates (student NP and NPs in transitional r ...
The Pain Assessment Interview Network – Clinical Advisory System (PainCAS ) is a comprehensive, electronic assessment of patients during pain-related treatment. As part of the clinic workflow, PainCAS collects patient self-report at intake and follow-up visits on pain, medical/family history, medications and other treatments, social and emotional functioning, and opioid risk; generating reports for providers and patients. De-identified data are uploaded and analyzed in real time. By October 20 ...
Purpose The purpose of this paper is to develop a nursing quality indicator (NQI) framework and provide a comprehensive reporting mechanism for nursing care. Design/methodology/approach Mixed method, including patient records audit, patient experience questionnaire, nurse self-report questionnaire and collecting ward-level information. The sample was 53 patients and 22 nurses. Findings Outputs from the NQI framework domains offer a more comprehensive understanding of nursing quality compared to ...