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  1. Article ; Online: Dobbs v. Jackson Decision: It's Time to Get Uncomfortable.

    Goldstein, Rachel L / Carlson, Jennifer L / Tyson, Nichole A

    Hospital pediatrics

    2022  Volume 12, Issue 10, Page(s) e364–e366

    Language English
    Publishing date 2022-07-04
    Publishing country United States
    Document type Journal Article
    ISSN 2154-1671
    ISSN (online) 2154-1671
    DOI 10.1542/hpeds.2022-006829
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  2. Article ; Online: Evaluation of a Large Language Model to Identify Confidential Content in Adolescent Encounter Notes.

    Rabbani, Naveed / Brown, Conner / Bedgood, Michael / Goldstein, Rachel L / Carlson, Jennifer L / Pageler, Natalie M / Morse, Keith E

    JAMA pediatrics

    2024  Volume 178, Issue 3, Page(s) 308–310

    MeSH term(s) Humans ; Adolescent ; Language ; Electronic Health Records
    Language English
    Publishing date 2024-01-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2701223-2
    ISSN 2168-6211 ; 2168-6203
    ISSN (online) 2168-6211
    ISSN 2168-6203
    DOI 10.1001/jamapediatrics.2023.6032
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  3. Article ; Online: Provider Perspectives on Adolescent Confidentiality and the Electronic Health Record Postimplementation of the 21st Century Cures Act Final Rule.

    Goldstein, Rachel L / Mermelstein, Sarah J / Sisk, Bryan A / Carlson, Jennifer L

    The Journal of adolescent health : official publication of the Society for Adolescent Medicine

    2023  

    Abstract: Purpose: The 21st Century Cures Act Final Rule mandates increased transparency and accessibility of the Electronic Health Record (EHR). This mandate has exacerbated tensions in adolescent healthcare between transparency and confidentiality. This study ... ...

    Abstract Purpose: The 21st Century Cures Act Final Rule mandates increased transparency and accessibility of the Electronic Health Record (EHR). This mandate has exacerbated tensions in adolescent healthcare between transparency and confidentiality. This study evaluates clinicians' perspectives on how well the EHR maintains confidentiality for adolescents in the post-Cures Act era.
    Methods: A web-based survey was distributed via the national listserv of the Society for Adolescent Health and Medicine in March-April 2022. English-speaking members practicing in the Unites States who used an EHR to document clinical visits with minors were eligible. The survey included questions about EHR training, features, and approach to information sharing with adolescent patients and proxies.
    Results: Participants included 97 respondents from 32 states. Most participants were physicians (98%) and identified themselves as attending (89%). Several EHR vendors were represented, although the majority used Epic (76%). As has been seen in prior studies, there remains significant variability in approaches to patient portal access for adolescent patients and their adult proxies. Respondents report that training around adolescent-specific privacy issues remains infrequent and is perceived as inadequate. Adolescent providers, despite feeling confident in navigating the EHR generally, continue to report low rates of confidence in how well their EHR may protect adolescent privacy.
    Discussion: Clinicians have persistent concerns about adolescent confidentiality postimplementation of the 21st Century Cures Act. Sharing sufficient information while protecting adolescent confidentiality might require standardization by EHR vendors to improve granularity of proxy information sharing. Healthcare institutions must also commit to training providers on management of adolescent confidentiality.
    Language English
    Publishing date 2023-12-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1063374-1
    ISSN 1879-1972 ; 1054-139X
    ISSN (online) 1879-1972
    ISSN 1054-139X
    DOI 10.1016/j.jadohealth.2023.11.006
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  4. Article ; Online: The relationship between physical activity, stress, and resilience in sexual and gender minority college students.

    Peyer, Karissa L / Hogg, Jennifer A / Carlson, Lynette M / Sa, Jaesin

    Journal of American college health : J of ACH

    2023  , Page(s) 1–11

    Abstract: Objective: To assess the role of sexual orientation and gender identity in the relationship between physical activity (PA), stress and resilience.: Participants: A nationally-representative sample of students (: Methods: Students reported aerobic ... ...

    Abstract Objective: To assess the role of sexual orientation and gender identity in the relationship between physical activity (PA), stress and resilience.
    Participants: A nationally-representative sample of students (
    Methods: Students reported aerobic and strength training (ST) behaviors, stress, resilience, gender identity and sexual orientation. Moderated regressions examined the influence of gender identity and sexual orientation on the relationship between PA and stress or resilience.
    Results: Men and heterosexual students reported higher PA and resilience and lower stress than did women, gender minorities, and sexual minorities. Significant moderation was found for women, queer students, bisexual students, trans women and lesbians in the various models.
    Conclusions: Gender minority and sexual minority students display poorer levels of PA and mental health than cisgender and heterosexual counterparts, but this relationship varies by identity group.
    Language English
    Publishing date 2023-08-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 604907-2
    ISSN 1940-3208 ; 0744-8481
    ISSN (online) 1940-3208
    ISSN 0744-8481
    DOI 10.1080/07448481.2023.2248508
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  5. Article ; Online: Providing Online Portal Access to Families of Adolescents and Young Adults with Diminished Capacity at an Academic Children's Hospital: A Case Report.

    Carlson, Jennifer L / Pageler, Natalie / McPherson, Tom / Anoshiravani, Arash

    Applied clinical informatics

    2023  Volume 14, Issue 1, Page(s) 128–133

    Abstract: Background: For caregivers of adolescents and young adults with severe cognitive deficits, or "diminished capacity," access to the medical record can be critical. However, this can be a challenge when utilizing the electronic health record (EHR) as ... ...

    Abstract Background: For caregivers of adolescents and young adults with severe cognitive deficits, or "diminished capacity," access to the medical record can be critical. However, this can be a challenge when utilizing the electronic health record (EHR) as information is often restricted in order to protect adolescent confidentiality. Having enhanced access for these proxies would be expected to improve engagement with the health system for the families of these medically complex adolescents and young adults.
    Objectives: To describe a process for granting full EHR access to proxies of adolescents with diminished capacity and young adults who are legally conserved while respecting regulations supporting adolescent confidentiality.
    Methods: The first step in this initiative was to define the "diminished capacity" access class for both adolescents and young adults. Once defined, workflows utilizing best practice alerts were developed to support clinicians in providing the appropriate documentation. In addition, processes were developed to minimize the possibility of erroneously activating the diminished capacity access class for any given patient. To enhance activation, a support tool was developed to identify patients who might meet the criteria for diminished capacity proxy access. Finally, outreach and educations were developed for providers and clinics to make them aware of this initiative.
    Results: Since activating this workflow, proxies of 138 adolescents and young adults have been granted the diminished capacity proxy access class. Approximately 54% are between 12 and 17 years with 46% 18 years and older. Proxies for both age groups have engaged with portal functionality at higher rates when compared to institutional rates of use by proxies of the general pediatric population.
    Conclusion: With this quality improvement initiative, we were able to enhance EHR access and engagement of families of some of the most complex adolescent and young adult patients without inadvertently compromising adolescent confidentiality.
    MeSH term(s) Humans ; Child ; Adolescent ; Young Adult ; Electronic Health Records ; Confidentiality ; Quality Improvement ; Documentation ; Hospitals
    Language English
    Publishing date 2023-02-15
    Publishing country Germany
    Document type Case Reports ; Journal Article
    ISSN 1869-0327
    ISSN (online) 1869-0327
    DOI 10.1055/s-0043-1760847
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  6. Article ; Online: Using the Electronic Health Record to Conduct Adolescent Telehealth Visits in the Time of COVID-19.

    Carlson, Jennifer L / Goldstein, Rachel

    The Journal of adolescent health : official publication of the Society for Adolescent Medicine

    2020  Volume 67, Issue 2, Page(s) 157–158

    MeSH term(s) Adolescent ; Adolescent Health Services ; COVID-19 ; Coronavirus Infections/epidemiology ; Electronic Health Records ; Humans ; Pandemics ; Pneumonia, Viral/epidemiology ; Telemedicine ; United States/epidemiology
    Keywords covid19
    Language English
    Publishing date 2020-06-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1063374-1
    ISSN 1879-1972 ; 1054-139X
    ISSN (online) 1879-1972
    ISSN 1054-139X
    DOI 10.1016/j.jadohealth.2020.05.022
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  7. Article ; Online: Hats Off: Journal Awards 2023.

    Novins, Douglas K / Carlson, Gabrielle A / Fadus, Matthew C / Vande Voort, Jennifer L / Croarkin, Paul E / Arnold, L Eugene

    Journal of the American Academy of Child and Adolescent Psychiatry

    2023  Volume 62, Issue 12, Page(s) 1382–1383

    MeSH term(s) Humans ; Awards and Prizes ; Adolescent Psychiatry
    Language English
    Publishing date 2023-12-02
    Publishing country United States
    Document type Practice Guideline
    ZDB-ID 392535-3
    ISSN 1527-5418 ; 0890-8567
    ISSN (online) 1527-5418
    ISSN 0890-8567
    DOI 10.1016/j.jaac.2023.08.011
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  8. Article ; Online: Body Mass Index and Cognition: Associations Across 
Mid- to Late Life and Gender Differences.

    Crane, Breanna M / Nichols, Emma / Carlson, Michelle C / Deal, Jennifer A / Gross, Alden L

    The journals of gerontology. Series A, Biological sciences and medical sciences

    2023  Volume 78, Issue 6, Page(s) 988–996

    Abstract: Background: Higher mid-life body mass index (BMI) is associated with lower late-life cognition. Associations between later-life BMI and cognition are less consistent; evidence suggests reverse causation may play a role. We aimed to characterize ... ...

    Abstract Background: Higher mid-life body mass index (BMI) is associated with lower late-life cognition. Associations between later-life BMI and cognition are less consistent; evidence suggests reverse causation may play a role. We aimed to characterize associations between BMI and cognition across a wide age range during mid- to late life (55-85 years) and examine whether associations vary by gender.
    Methods: We used data from the Health and Retirement Study (HRS) (N = 39,153) to examine the association between BMI and 3 cognitive outcomes: cognitive level, cognitive decline, and cognitive impairment. We used a series of linear regression, mixed effects regression, and logistic regression models, adjusting for potential confounders.
    Results: Higher BMI before age 65 (midlife) was associated with lower cognitive performance, faster rates of cognitive decline, and higher odds of cognitive impairment in late life. Averaging across analyses assessing associations between BMI measured before age 60 and late-life cognition, a 5-unit higher level of BMI was associated with a 0.26 point lower cognitive score. Beyond age 65, associations flipped, and higher BMI was associated with better late-life cognitive outcomes. Associations in both directions were stronger in women. Excluding those with BMI loss attenuated findings among women in older ages, supporting the reverse causation hypothesis.
    Conclusions: In this sample, age 65 represented a critical turning point between mid- and late life for the association between BMI and cognition, which has important implications for recruitment strategies for studies focused on risk factors for late-life cognitive outcomes. Evidence of gender differences raises the need to further investigate plausible mechanisms.
    MeSH term(s) Humans ; Female ; Aged ; Aged, 80 and over ; Body Mass Index ; Sex Factors ; Cognitive Dysfunction/etiology ; Cognitive Dysfunction/complications ; Cognition ; Cognition Disorders/etiology ; Risk Factors
    Language English
    Publishing date 2023-01-13
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 1223643-3
    ISSN 1758-535X ; 1079-5006
    ISSN (online) 1758-535X
    ISSN 1079-5006
    DOI 10.1093/gerona/glad015
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  10. Article ; Online: Using the Electronic Health Record to Conduct Adolescent Telehealth Visits in the Time of COVID-19

    Carlson, Jennifer L. / Goldstein, Rachel

    Journal of Adolescent Health

    2020  Volume 67, Issue 2, Page(s) 157–158

    Keywords Pediatrics, Perinatology, and Child Health ; Public Health, Environmental and Occupational Health ; Psychiatry and Mental health ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 1063374-1
    ISSN 1054-139X
    ISSN 1054-139X
    DOI 10.1016/j.jadohealth.2020.05.022
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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