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  1. Article ; Online: Piloting the effectiveness of the Workout on Wheels Internet Intervention (WOWii) program among individuals with mobility disabilities.

    Froehlich-Grobe, Katherine / Koon, Lyndsie / Ochoa, Christa / Hall, Jean P

    Disability and health journal

    2024  , Page(s) 101636

    Abstract: Background: Doing any amount of moderate-to-vigorous physical activity yields health benefits. Individuals with mobility disabilities are among the least physically active Americans and limited evidence indicates effective strategies to promote physical ...

    Abstract Background: Doing any amount of moderate-to-vigorous physical activity yields health benefits. Individuals with mobility disabilities are among the least physically active Americans and limited evidence indicates effective strategies to promote physical activity among this group.
    Objective: Examine whether a 16-week virtual intervention program (Workout on Wheels internet intervention, WOWii) increases exercise engagement among mobility impaired individuals.
    Methods: Participants recruited through community organizations that provide services to individuals with disabilities. The WOWii program is comprised of 3 core components: 16 weeks of virtual intervention delivery and access to the WOWii website; staff and peer support; an exercise package that included an activity tracker and heart rate monitor, pedal exerciser, and therabands.
    Results: Ten people enrolled. Participants demonstrated good program engagement, attending an average of 14.1 ± 2.1 of the 16 virtual meetings and completing an average of 10.6 ± 5.6 weekly activities. Exercise data revealed that participants increased their time spent in aerobic exercise from an average of two days a week performing 32 ± 22 min during week one to an average of five days a week doing 127 ± 143 min in the final WOWii week. Only half continued to exercise over the two months once WOWii virtual meetings ended.
    Conclusions: WOWii program delivery successfully promoted increased exercise participation for people with mobility disabilities over the 16 intervention weeks. Future studies should investigate approaches to promote exercise maintenance beyond program delivery.
    Language English
    Publishing date 2024-04-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2414615-8
    ISSN 1876-7583 ; 1936-6574
    ISSN (online) 1876-7583
    ISSN 1936-6574
    DOI 10.1016/j.dhjo.2024.101636
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  2. Article ; Online: Dimensions of community participation.

    Ipsen, Catherine / Hall, Jean P

    Disability and health journal

    2021  Volume 15, Issue 1S, Page(s) 101208

    MeSH term(s) Community Participation ; Disabled Persons ; Humans ; Social Participation
    Language English
    Publishing date 2021-08-27
    Publishing country United States
    Document type Introductory Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 2414615-8
    ISSN 1876-7583 ; 1936-6574
    ISSN (online) 1876-7583
    ISSN 1936-6574
    DOI 10.1016/j.dhjo.2021.101208
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  3. Article ; Online: Examining the effects of home modifications on perceptions of exertion and safety among people with mobility disabilities.

    Goddard, Kelsey S / Hall, Jean P / Greiman, Lillie / Koon, Lyndsie M / Gray, Randi C

    Disability and health journal

    2024  , Page(s) 101590

    Abstract: Background: People with mobility disabilities often have reduced stamina and limited energy, making daily activities physically demanding. Home modifications, such as installing grab bars and optimizing the environment, have the potential to reduce ... ...

    Abstract Background: People with mobility disabilities often have reduced stamina and limited energy, making daily activities physically demanding. Home modifications, such as installing grab bars and optimizing the environment, have the potential to reduce exertion and enhance safety in the home, enabling individuals to participate more in other activities.
    Objective: The purpose of this study was to evaluate the effects of a home modification intervention on perceptions of exertion and safety among people with mobility disabilities.
    Methods: The study utilized the Home Usability Program (HUP), which aims to improve accessibility, safety, and independence in participants' homes. Participants were recruited from four Centers for Independent Living (CILs) across the US and underwent a comprehensive assessment to identify consumer-directed, individualized home modifications. Surveys examining safety and exertion, in addition to qualitative interviews, were conducted to explore the impact of the intervention on participants' energy levels and feelings of safety.
    Results: Analysis of pre-post measures and participant interviews revealed that the HUP intervention resulted in decreased exertion. Decreased exertion had positive outcomes, including increased time for other activities, improved socialization, enhanced independence, and the potential for engaging in activities outside the home. Additionally, the HUP intervention led to increased safety, which positively affected mental well-being and independence.
    Conclusions: Findings highlight the need for useable living environments that minimize physical strain and reduce exertion. Policy recommendations include prioritizing accessibility standards for housing, implementing individualized assessments for funding home modifications, providing financial assistance options, and allocating research funding for innovative solutions and technologies.
    Language English
    Publishing date 2024-02-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2414615-8
    ISSN 1876-7583 ; 1936-6574
    ISSN (online) 1876-7583
    ISSN 1936-6574
    DOI 10.1016/j.dhjo.2024.101590
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  4. Article ; Online: High-Risk Pools: An Illusion of Coverage That May Increase Costs for All in the Long Term.

    Hall, Jean P

    Annals of internal medicine

    2017  Volume 167, Issue 3, Page(s) 200–201

    Language English
    Publishing date 2017-08-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/M17-1196
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    In stock of ZB MED Cologne/Königswinter

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  5. Article ; Online: Editorial: Rural disability and community participation.

    Ipsen, Catherine / Hall, Jean P / Lui, John

    Frontiers in rehabilitation sciences

    2022  Volume 3, Page(s) 1049578

    Language English
    Publishing date 2022-10-17
    Publishing country Switzerland
    Document type Editorial
    ISSN 2673-6861
    ISSN (online) 2673-6861
    DOI 10.3389/fresc.2022.1049578
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  6. Article ; Online: Examining the Impacts of the Coronavirus Pandemic and Social Distancing on the Health of People With Mobility Disabilities.

    Goddard, Kelsey Shinnick / Schulz, Jonathan / Nzuki, Isaac / Hall, Jean P

    Frontiers in public health

    2022  Volume 10, Page(s) 875880

    Abstract: Objective: To understand the effects of the coronavirus pandemic on the health and participation of people with mobility disabilities living in the community.: Methods: Participants responded to a survey designed to assess the effects of the ... ...

    Abstract Objective: To understand the effects of the coronavirus pandemic on the health and participation of people with mobility disabilities living in the community.
    Methods: Participants responded to a survey designed to assess the effects of the coronavirus pandemic on their health and access to health care. Participants identified if various life situations were worsened, unchanged, or improved during the pandemic. Participants could provide further information on their improved or worsened lived experience in open-ended questions.
    Results: A total of 39 people with mobility disabilities responded to the survey. Results indicate that many experienced a worsening of life situations related to health, including access to medications, health care services, and transportation.
    Conclusions: Results show that many experiences were caused by the lack of appropriate policies, rather than the pandemic itself. Therefore, there is a need to modify pandemic preparedness plans and other policies to meet the needs of people with disabilities.
    MeSH term(s) COVID-19/epidemiology ; Disabled Persons ; Humans ; Pandemics ; Physical Distancing ; SARS-CoV-2
    Language English
    Publishing date 2022-04-27
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2022.875880
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  7. Article ; Online: Disparities in Tobacco Use by Disability and Type: Findings From the 2019 National Health Interview Survey.

    Schulz, Jonathan A / West, Julia C / Hall, Jean P / Villanti, Andrea C

    American journal of preventive medicine

    2022  Volume 63, Issue 4, Page(s) 552–563

    Abstract: Introduction: People with disabilities report a higher prevalence of cigarette use than people without disabilities. However, evidence is limited on the relationships between disability type, degree of functional difficulty, and other tobacco product ... ...

    Abstract Introduction: People with disabilities report a higher prevalence of cigarette use than people without disabilities. However, evidence is limited on the relationships between disability type, degree of functional difficulty, and other tobacco product use.
    Methods: Data from the 2019 U.S. National Health Interview Survey were used to estimate the prevalence and odds of tobacco product use for 6 disability types and degree of functional difficulty. Bivariate and multivariable analyses conducted in 2021 examined the associations between tobacco product use and disability type.
    Results: Compared to adults who reported no difficulty, current cigarette use prevalence was higher for adults who reported a lot of difficulty/cannot do at all to vision (21.5% vs 13.1%), hearing (19.6% vs 13.6%), mobility (20.0% vs 12.9%), and cognitive (25.4% vs 12.9%) disability questions. The odds of current cigarette (AOR=1.32), pipe (AOR=1.85), and smokeless tobacco (AOR=1.57) use were significantly higher for adults who reported a lot of difficulty/cannot do at all to any disability question and significantly higher for current cigarette (AOR=1.24), e-cigarette (AOR=1.33), pipe (AOR=1.45), and smokeless tobacco (AOR=1.29) use for adults who reported some difficulty to any disability question than those who reported no difficulty. Pipe use was correlated with mobility difficulty (AOR=1.68), and smokeless tobacco use was correlated with hearing difficulty (AOR=1.95).
    Conclusions: People who reported difficulty with vision, hearing, mobility, or cognition had a higher cigarette use prevalence than people without disabilities. Other tobacco use differed by disability type. Future research should tailor tobacco interventions to reduce these disparities.
    MeSH term(s) Adult ; Disabled Persons ; Electronic Nicotine Delivery Systems ; Humans ; Smoking/epidemiology ; Nicotiana ; Tobacco Products ; Tobacco Use/epidemiology ; Tobacco Use/psychology ; Tobacco Use Disorder/epidemiology ; Tobacco, Smokeless
    Language English
    Publishing date 2022-06-23
    Publishing country Netherlands
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 632646-8
    ISSN 1873-2607 ; 0749-3797
    ISSN (online) 1873-2607
    ISSN 0749-3797
    DOI 10.1016/j.amepre.2022.05.004
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2096: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  8. Article ; Online: Injury-related emergency department use among people with intellectual and developmental disabilities insured by Medicaid from 2010 to 2016.

    Williams, Jessica / Royer, Julie / Lauer, Emily / Kurth, Noelle K / Horner-Johnson, Willi / McDermott, Suzanne / Levy, Anna / Hall, Jean P

    Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention

    2024  Volume 30, Issue 2, Page(s) 138–144

    Abstract: Objectives: Data on non-fatal injuries and visits to the emergency department (ED) for injuries are not readily available. The objective of this paper is to describe injury-related ED visits for people with intellectual and developmental disabilities ... ...

    Abstract Objectives: Data on non-fatal injuries and visits to the emergency department (ED) for injuries are not readily available. The objective of this paper is to describe injury-related ED visits for people with intellectual and developmental disabilities who are covered by the Medicaid insurance programme.
    Methods: We aggregated 2010-2016 Medicaid claims data from eight states. Using these data, we identified individuals with intellectual and developmental disabilities and then determined an all-cause ED visit rate, ED visit due to injury rate and admission from ED due to injury rate. Data were stratified by sex and age group. Results were compared with national rates.
    Results: Medicaid members with intellectual and developmental disabilities visited EDs at approximately 1.8 times the rate of the general population. The ED visit rate due to injury was approximately 1.5 times that observed in the population overall. When ED visits due to injury data were stratified by age and sex, the largest discrepancy was observed in women ages 45-64, who visited EDs due to injury at a rate 2.1 times that of women of the same age in the general population. The admission rate from ED due to injury increased over the study period most notably in the older age groups.
    Conclusions: While rates and patterns of ED utilisation among Medicaid members with intellectual and developmental disabilities vary by age and gender, our findings suggest this group visits the ED due to injury at rates well above the general population.
    MeSH term(s) Child ; United States/epidemiology ; Humans ; Female ; Aged ; Medicaid ; Developmental Disabilities/epidemiology ; Hospitalization ; Emergency Service, Hospital ; Insurance
    Language English
    Publishing date 2024-03-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 1433667-4
    ISSN 1475-5785 ; 1353-8047
    ISSN (online) 1475-5785
    ISSN 1353-8047
    DOI 10.1136/ip-2023-045043
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4910: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  9. Article ; Online: Assessing factors associated with social connectedness in adults with mobility disabilities.

    Hall, Jean P / Kurth, Noelle K / Goddard, Kelsey S

    Disability and health journal

    2021  Volume 15, Issue 1S, Page(s) 101206

    Abstract: Background: People with mobility disabilities are likely to report limitations in community participation and social connectedness for a variety of reasons, including inaccessible physical environments, health issues, transportation barriers, and ... ...

    Abstract Background: People with mobility disabilities are likely to report limitations in community participation and social connectedness for a variety of reasons, including inaccessible physical environments, health issues, transportation barriers, and limited financial resources. Improving social connectedness is a public health issue and research shows its relation to overall health and life expectancy.
    Objective: The purpose of this study was to (1) assess social activity, isolation, and loneliness among people with mobility disabilities compared to those with non-mobility disabilities and (2) understand factors associated with social connectedness among people with mobility disabilities.
    Methods: An observational, cross-sectional analysis was conducted using data from Wave 2 of the National Survey on Health and Disability (NSHD) to test for differences between adults age 18-64 with mobility disabilities (n = 621) and those with other disabilities (n = 1535), in addition to tests within the mobility disability group.
    Results: Adults with mobility disabilities were less likely than respondents from other disability groups to report feeling isolated (30.2% versus 35.2%), but these groups did not differ on measures of social activity or loneliness. Within the mobility disability group, being unemployed and in fair or poor health were predictive of greater loneliness, more isolation, and less satisfaction with social activity.
    Conclusions: Social connectedness is an important public health issue. This research helps to inform service providers and medical professionals about the personal factors affecting social connectedness among people with mobility disabilities.
    MeSH term(s) Adolescent ; Adult ; Cross-Sectional Studies ; Disabled Persons ; Environment ; Humans ; Loneliness ; Middle Aged ; Personal Satisfaction ; Social Isolation ; Young Adult
    Language English
    Publishing date 2021-08-27
    Publishing country United States
    Document type Journal Article ; Observational Study ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 2414615-8
    ISSN 1876-7583 ; 1936-6574
    ISSN (online) 1876-7583
    ISSN 1936-6574
    DOI 10.1016/j.dhjo.2021.101206
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  10. Article ; Online: High-Intensity Functional Training: Perceived Functional and Psychosocial Health-Related Outcomes from Current Participants with Mobility-Related Disabilities.

    Koon, Lyndsie M / Hall, Jean P / Arnold, Kristen A / Donnelly, Joseph E / Heinrich, Katie M

    Sports (Basel, Switzerland)

    2023  Volume 11, Issue 6

    Abstract: Background: People with mobility-related disabilities (MRDs) experience many personal and environmental barriers to engagement in community-based exercise programs. We explored the experiences of adults with MRD who currently participate in high- ... ...

    Abstract Background: People with mobility-related disabilities (MRDs) experience many personal and environmental barriers to engagement in community-based exercise programs. We explored the experiences of adults with MRD who currently participate in high-intensity functional training (HIFT), an inclusive and accessible community-based exercise program.
    Methods: Thirty-eight participants completed online surveys with open-ended questions, with ten individuals also participating in semi-structured interviews via telephone with project PI. Surveys and interviews were designed to examine changes to perceived health, and the elements of HIFT that promote sustained participation.
    Results: Thematic analysis revealed themes related to health changes following HIFT participation including improved physical, functional, and psychosocial health outcomes. Other themes emerged within the HIFT environment that promoted adherence for participants such as accessible spaces and equipment, and inclusive HIFT sessions and competitions. Additional themes included participants' advice for the disability and healthcare communities. The resulting themes are informed by the World Health Organization's International Classification of Functioning, Disability, and Health.
    Conclusion: The findings provide initial data on the potential effects of HIFT on multiple dimensions of health outcomes and contribute to the growing literature on community-based programs that are adaptable and inclusive for people with MRD.
    Language English
    Publishing date 2023-06-12
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2704239-X
    ISSN 2075-4663 ; 2075-4663
    ISSN (online) 2075-4663
    ISSN 2075-4663
    DOI 10.3390/sports11060116
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