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Article ; Online: PCOS health-related quality-of-life and depressive symptoms across the lifespan: Comparative study.

Wright, Pamela J / Tavakoli, Abbas S / Corbett, Cynthia F

2023 Volume 36, Issue 1, Page(s) 45–60

Abstract: The purpose of this cross-sectional study was to compare health-related quality of life (HRQoL) and depressive symptoms among peri-postmenopausal women with polycystic ovary syndrome (PCOS) aged ≥43 years relative to premenopausal women with PCOS aged 18- ...

Abstract	The purpose of this cross-sectional study was to compare health-related quality of life (HRQoL) and depressive symptoms among peri-postmenopausal women with polycystic ovary syndrome (PCOS) aged ≥43 years relative to premenopausal women with PCOS aged 18-42 years. An online survey link comprising questionnaires about demographics, HRQoL, and depressive symptoms was posted onto two PCOS-specific Facebook groups. Respondents (
MeSH term(s)	Female ; Humans ; Aged ; Polycystic Ovary Syndrome/complications ; Polycystic Ovary Syndrome/psychology ; Quality of Life/psychology ; Depression/epidemiology ; Depression/psychology ; Cross-Sectional Studies ; Longevity
Language	English
Publishing date	2023-07-05
Publishing country	England
Document type	Journal Article
ZDB-ID	1045930-3
ISSN	1540-7322 ; 0895-2841
ISSN (online)	1540-7322
ISSN	0895-2841
DOI	10.1080/08952841.2023.2230112
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Article ; Online: Instrumental support: A conceptual analysis.

Schultz, Beth E / Corbett, Cynthia F / Hughes, Ronda G

Nursing forum

2022 Volume 57, Issue 4, Page(s) 665–670

Abstract: The aim of this paper was to use the Walker and Avant method of concept analysis to evaluate the concept of instrumental support in the context of hospital to home care transitions. Findings from this concept analysis suggest three defining attributes of ...

Abstract	The aim of this paper was to use the Walker and Avant method of concept analysis to evaluate the concept of instrumental support in the context of hospital to home care transitions. Findings from this concept analysis suggest three defining attributes of instrumental support: informal support providers, tangible support, and unmet personal needs. Antecedents identified: a strong and supportive social network, an independently functioning adult, an illness resulting in hospitalization, a change in functional status, and the patient being discharged home from the hospital. Consequences of not having adequate instrumental support: unsuccessful recovery at home, increased risk for hospital readmission, decline in physical functioning, health complications, and increased risk of mortality. Empirical referents: patient's report of successful recovery, returning to an independent level of functioning, and the lack of hospital readmission or health complication. A model and a contrary case study were developed to provide examples of clinical cases related to instrumental support. Recommendations related to clinical practice include evaluating the availability/adequacy of instrumental support before hospital discharge and including the identified instrumental support person in the discharge planning process. There are proven benefits of having people within one's social network providing instrumental support during the home recovery period.
MeSH term(s)	Adult ; Hospitalization ; Humans ; Patient Discharge
Language	English
Publishing date	2022-02-08
Publishing country	United States
Document type	Journal Article
ZDB-ID	412336-0
ISSN	1744-6198 ; 0029-6473
ISSN (online)	1744-6198
ISSN	0029-6473
DOI	10.1111/nuf.12704
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Article ; Online: Corrigendum to "Perspectives of Aging Adults Who Frequently Seek Emergency Department Care" [Pain Management Nursing 22(2), 2021, 184-190].

Colorafi, Karen / Thomas, Amy / Wilson, Marian / Corbett, Cynthia F

Pain management nursing : official journal of the American Society of Pain Management Nurses

2021 Volume 22, Issue 6, Page(s) 828

Language	English
Publishing date	2021-06-17
Publishing country	United States
Document type	Published Erratum
ZDB-ID	2213260-0
ISSN	1532-8635 ; 1524-9042
ISSN (online)	1532-8635
ISSN	1524-9042
DOI	10.1016/j.pmn.2021.05.006
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Article ; Online: Using medical expenditure panel survey data to explore the relationship between patient-centered medical homes and racial disparities in severe maternal morbidity outcomes.

Tucker, Curisa M / Bell, Nathaniel / Corbett, Cynthia F / Lyndon, Audrey / Felder, Tisha M

Women's health (London, England)

2023 Volume 19, Page(s) 17455057221147380

Abstract: Background: There are persistent racial/ethnic disparities in the occurrence of severe maternal morbidity. Patient-centered medical home care has the potential to address disparities in maternal outcomes.: Objectives: To examine (1) the association ... ...

Abstract	Background: There are persistent racial/ethnic disparities in the occurrence of severe maternal morbidity. Patient-centered medical home care has the potential to address disparities in maternal outcomes. Objectives: To examine (1) the association between receiving patient-centered medical home care and severe maternal morbidity outcomes and (2) the interaction of race/ethnicity on patient-centered medical home status and severe maternal morbidity. Design/methods: Using 2007 to 2016 data from the Medical Expenditures Panel Survey, we conducted a cross-sectional study to estimate the association between receipt of care from a patient-centered medical home and the occurrence of severe maternal morbidity, and racial-specific (White, Black, Asian, Other) relative risks of severe maternal morbidity. Our study used race as a proxy measure for exposure racism. We identified mothers (⩾15 years) who gave birth during the study period. We identified patient-centered medical home qualities using 11 Medical Expenditures Panel Survey questions and severe maternal morbidities using medical claims, and calculated generalized estimating equation models to estimate odds ratios of severe maternal morbidity and 95% confidence intervals. Results: Among all mothers who gave birth ( Conclusion: While the rate of severe maternal morbidity was similar to US rates, few mothers received care from a patient-centered medical home which may be due to underreporting. Future research should further investigate the potential for patient-centered medical home-based care to reduce odds of severe maternal morbidity across racial/ethnic groups.
MeSH term(s)	Female ; Humans ; Pregnancy ; United States/epidemiology ; Cross-Sectional Studies ; Health Expenditures ; Ethnicity ; Racial Groups ; Patient-Centered Care
Language	English
Publishing date	2023-01-20
Publishing country	United States
Document type	Journal Article
ZDB-ID	2274503-8
ISSN	1745-5065 ; 1745-5057
ISSN (online)	1745-5065
ISSN	1745-5057
DOI	10.1177/17455057221147380
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Article ; Online: Post-Hospital Availability of Instrumental Support May Influence Patients' Readiness for Discharge.

Schultz, Beth E / Corbett, Cynthia F / Hughes, Ronda G / Bell, Nathaniel

Professional case management

2022 Volume 27, Issue 4, Page(s) 194–202

Abstract: Purpose of study: Evaluate the relationship between unplanned acute care utilization after discharge from an index hospital admission and registered nurse and patient perceptions of available instrumental support the patient would have after discharge.!# ...

Abstract	Purpose of study: Evaluate the relationship between unplanned acute care utilization after discharge from an index hospital admission and registered nurse and patient perceptions of available instrumental support the patient would have after discharge. Primary practice setting: Three hospitals in a large regional hospital system in the southeastern United States. Methodology and sample: Retrospective, secondary quantitative analysis of 13,361 patient records (mean age 58.4 years; 51% female) from index hospitalizations evaluating patient and nurse responses to 2 questions that specifically address instrumental support on both the patient and nurse versions of the Readiness for Hospital Discharge Survey (RHDS) and subsequent unexpected care received (emergency department [ED] visit, observation stay, hospital readmission) in the acute care setting within 60 days of discharge. Logistic regression was used to evaluate the relationship between RHDS scores and unplanned care received. Results: Patients who required hospital-based acute care within 60 days after discharge had lower average RN-RHDS scores than those who did not require hospital-based acute care. Implications for case management practice: Including a nursing assessment of potential postdischarge expected instrumental support may be helpful in identifying patients who are at a higher risk of experiencing postdischarge acute care utilization. Monitoring ED visits and observation stays in addition to readmissions will facilitate capturing significantly more points of care received after discharge and provide additional information regarding postdischarge care utilization.
MeSH term(s)	Aftercare ; Emergency Service, Hospital ; Female ; Hospitals ; Humans ; Male ; Middle Aged ; Patient Discharge ; Patient Readmission ; Retrospective Studies
Language	English
Publishing date	2022-05-26
Publishing country	United States
Document type	Journal Article
ZDB-ID	2277201-7
ISSN	1932-8095 ; 1539-0675 ; 1932-8087 ; 1529-7764
ISSN (online)	1932-8095 ; 1539-0675
ISSN	1932-8087 ; 1529-7764
DOI	10.1097/NCM.0000000000000558
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Zs.A 5157: Show issues

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Article ; Online: Detecting Medication-Taking Gestures Using Machine Learning and Accelerometer Data Collected via Smartwatch Technology: Instrument Validation Study.

Odhiambo, Chrisogonas Odero / Ablonczy, Lukacs / Wright, Pamela J / Corbett, Cynthia F / Reichardt, Sydney / Valafar, Homayoun

JMIR human factors

2023 Volume 10, Page(s) e42714

Abstract: Background: Medication adherence is a global public health challenge, as only approximately 50% of people adhere to their medication regimens. Medication reminders have shown promising results in terms of promoting medication adherence. However, ... ...

Abstract	Background: Medication adherence is a global public health challenge, as only approximately 50% of people adhere to their medication regimens. Medication reminders have shown promising results in terms of promoting medication adherence. However, practical mechanisms to determine whether a medication has been taken or not, once people are reminded, remain elusive. Emerging smartwatch technology may more objectively, unobtrusively, and automatically detect medication taking than currently available methods. Objective: This study aimed to examine the feasibility of detecting natural medication-taking gestures using smartwatches. Methods: A convenience sample (N=28) was recruited using the snowball sampling method. During data collection, each participant recorded at least 5 protocol-guided (scripted) medication-taking events and at least 10 natural instances of medication-taking events per day for 5 days. Using a smartwatch, the accelerometer data were recorded for each session at a sampling rate of 25 Hz. The raw recordings were scrutinized by a team member to validate the accuracy of the self-reports. The validated data were used to train an artificial neural network (ANN) to detect a medication-taking event. The training and testing data included previously recorded accelerometer data from smoking, eating, and jogging activities in addition to the medication-taking data recorded in this study. The accuracy of the model to identify medication taking was evaluated by comparing the ANN's output with the actual output. Results: Most (n=20, 71%) of the 28 study participants were college students and aged 20 to 56 years. Most individuals were Asian (n=12, 43%) or White (n=12, 43%), single (n=24, 86%), and right-hand dominant (n=23, 82%). In total, 2800 medication-taking gestures (n=1400, 50% natural plus n=1400, 50% scripted gestures) were used to train the network. During the testing session, 560 natural medication-taking events that were not previously presented to the ANN were used to assess the network. The accuracy, precision, and recall were calculated to confirm the performance of the network. The trained ANN exhibited an average true-positive and true-negative performance of 96.5% and 94.5%, respectively. The network exhibited <5% error in the incorrect classification of medication-taking gestures. Conclusions: Smartwatch technology may provide an accurate, nonintrusive means of monitoring complex human behaviors such as natural medication-taking gestures. Future research is warranted to evaluate the efficacy of using modern sensing devices and machine learning algorithms to monitor medication-taking behavior and improve medication adherence.
Language	English
Publishing date	2023-05-04
Publishing country	Canada
Document type	Journal Article
ISSN	2292-9495
ISSN (online)	2292-9495
DOI	10.2196/42714
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Article ; Online: Sleep quality: An evolutionary concept analysis.

Nelson, Kathy L / Davis, Jean E / Corbett, Cynthia F

Nursing forum

2021 Volume 57, Issue 1, Page(s) 144–151

Abstract: Aim: To clarify the meaning of the concept sleep quality.: Background: Sleep loss and sleep quality are global health concerns. Poor sleep quality has significant adverse health outcomes. A clarification of the term is necessary to inform patients ... ...

Abstract	Aim: To clarify the meaning of the concept sleep quality. Background: Sleep loss and sleep quality are global health concerns. Poor sleep quality has significant adverse health outcomes. A clarification of the term is necessary to inform patients and healthcare providers, promote consistent theoretical and operational definitions in research, and develop prevention and treatment strategies. Design: Concept analysis. Data sources: Scientific literature from electronic databases (CINAHL, PsycINFO, PubMED, Web of Science, and JSTOR) and definitions from online dictionaries. Review methods: Rodgers' Evolutionary method was applied to guide the concept analysis to identify and determine the attributes, antecedents, and consequences. Results: Sleep quality is defined as an individual's self-satisfaction with all aspects of the sleep experience. Sleep quality has four attributes: sleep efficiency, sleep latency, sleep duration, and wake after sleep onset. Antecedents include physiological (e.g., age, circadian rhythm, body mass index, NREM, REM), psychological (e.g., stress, anxiety, depression), and environmental factors (e.g., room temperature, television/device use), and family/social commitments. Good sleep quality has positive effects such as feeling rested, normal reflexes, and positive relationships. Poor sleep quality consequences include fatigue, irritability, daytime dysfunction, slowed responses, and increased caffeine/alcohol intake. Conclusions: Sleep quality is essential, and poor sleep quality contributes to disease and poor health outcomes. Given the extensive consequences of poor sleep quality, nurses and clinicians are vital in instructing the importance of good sleep.
MeSH term(s)	Anxiety ; Anxiety Disorders ; Concept Formation ; Health Personnel ; Humans ; Sleep ; Sleep Quality
Language	English
Publishing date	2021-10-05
Publishing country	United States
Document type	Journal Article
ZDB-ID	412336-0
ISSN	1744-6198 ; 0029-6473
ISSN (online)	1744-6198
ISSN	0029-6473
DOI	10.1111/nuf.12659
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Article ; Online: Young Adults' Perspectives of Childhood Food Allergies: Implications for School Nurses.

Anderson, Abigail / Combs, Elizabeth M / Hurst, Sheila / Corbett, Cynthia F

The Journal of school nursing : the official publication of the National Association of School Nurses

2021 Volume 39, Issue 4, Page(s) 332–339

Abstract: The primary goal of this study was to examine young adults' perspectives about the effects of their food allergies (FAs) on their social lives from school-age to young adulthood. Young adults aged 18-21 ( ...

Abstract	The primary goal of this study was to examine young adults' perspectives about the effects of their food allergies (FAs) on their social lives from school-age to young adulthood. Young adults aged 18-21 (
MeSH term(s)	Child ; Humans ; Young Adult ; Adult ; Food Hypersensitivity ; Schools ; Educational Status ; Lunch ; Nurses
Language	English
Publishing date	2021-06-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	1217746-5
ISSN	1546-8364 ; 1059-8405 ; 0048-945X
ISSN (online)	1546-8364
ISSN	1059-8405 ; 0048-945X
DOI	10.1177/10598405211019030
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Article ; Online: Reducing Fall Risks Among Visually Impaired Older Adults.

Nguyen, Thien / Combs, Elizabeth M / Wright, Pamela J / Corbett, Cynthia F

Home healthcare now

2021 Volume 39, Issue 4, Page(s) 186–193

Abstract: Falls are the leading cause of death due to unintentional injuries in the older adult population, and fall-related death rates among older adults are escalating annually. Visual deficits are underrecognized and underdiagnosed, which increases fall risk. ... ...

Abstract	Falls are the leading cause of death due to unintentional injuries in the older adult population, and fall-related death rates among older adults are escalating annually. Visual deficits are underrecognized and underdiagnosed, which increases fall risk. The purpose of this article is to provide a review of the common types of visual impairment, their etiology, and treatment and to present strategies to reduce falls among older adults with visual impairments. Both traditional home safety interventions and emerging technology-based interventions to reduce falls are described. Appropriate use of both traditional and emerging fall prevention interventions may reduce fall risk and falls among older adult home healthcare patients.
MeSH term(s)	Accidental Falls/prevention & control ; Aged ; Humans
Language	English
Publishing date	2021-08-04
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2814267-6
ISSN	2374-4537 ; 2374-4529
ISSN (online)	2374-4537
ISSN	2374-4529
DOI	10.1097/NHH.0000000000000995
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Article: Using Virtual Home Assistants to Address Vulnerable Adults' Complex Care Needs: An Exploratory Feasibility Study.

Corbett, Cynthia F / Bowers, Dana C / Combs, Elizabeth M / Parmer, Michael / Jones, Kate / Patel, Khushi / Owens, Otis L

Journal of gerontological nursing

2023 Volume 49, Issue 6, Page(s) 33–40

Abstract: Harnessing technology has been proposed as one strategy to meet the social and health needs of older adults who prefer to age in place, but solutions remain elusive. In the current study, we evaluated the feasibility of using voice-activated virtual home ...

Abstract	Harnessing technology has been proposed as one strategy to meet the social and health needs of older adults who prefer to age in place, but solutions remain elusive. In the current study, we evaluated the feasibility of using voice-activated virtual home assistants (VHAs; i.e., Amazon Echo "Alexa" devices) with older adults participating in the Program for All-Inclusive Care of the Elderly (PACE) over 4 months. Study methods included process evaluations, tracking participants' VHA use, and qualitative feedback from PACE participants and staff. The most common VHA activities were voice-activated smart lighting and asking for information. Participants infrequently used VHA activities that could promote physical or cognitive function (e.g., chair yoga, word recall game). Participants enjoyed using the VHAs, and PACE staff were enthusiastic about the potential for VHAs to facilitate aging in place and provided recommendations to increase participants' use of functional health activities. [
MeSH term(s)	Humans ; Aged ; Feasibility Studies ; Independent Living ; Health Services for the Aged ; Technology ; Voice
Language	English
Publishing date	2023-06-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	603140-7
ISSN	0098-9134
ISSN	0098-9134
DOI	10.3928/00989134-20230512-05
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