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  1. Article ; Online: Childhood Cancer Survivors, Financial Toxicity, and the Need for Multilevel Interventions.

    Ruiz, Sienna / Hudson, Melissa M / Ehrhardt, Matthew J / Maki, Julia / Ackermann, Nicole / Waters, Erika A

    Pediatrics

    2023  Volume 152, Issue 1

    MeSH term(s) Humans ; Child ; Cancer Survivors ; Financial Stress ; Neoplasms/therapy ; Cost of Illness ; Health Expenditures ; Quality of Life
    Language English
    Publishing date 2023-05-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 207677-9
    ISSN 1098-4275 ; 0031-4005
    ISSN (online) 1098-4275
    ISSN 0031-4005
    DOI 10.1542/peds.2022-059951
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: What Cuts in Federal COVID-19 Funding Could Mean for Rural Communities.

    Ruiz, Sienna / Okere, Uzoma C / Eggers, Michelle / O'Leary, Catina / Prusacyk, Beth / Housten, Ashley J

    Health equity

    2022  Volume 6, Issue 1, Page(s) 658–661

    Abstract: The COVID-19 pandemic has widened the health disparities between urban and rural communities as rural populations face more limited health care capacities and worse COVID-19 outcomes than their urban counterparts. When this article was written, congress ... ...

    Abstract The COVID-19 pandemic has widened the health disparities between urban and rural communities as rural populations face more limited health care capacities and worse COVID-19 outcomes than their urban counterparts. When this article was written, congress was debating continuing federal funds for free COVID-19 testing, vaccines, and treatment. In this article, we discuss the potential consequences rural communities may experience should such funding fail to be approved. Peer-reviewed literature and our research indicate these budget cuts could harm rural communities' financial distress, risk of severe disease outcomes, and trust in health care systems, making continued funding for public health resources critical for vulnerable rural communities.
    Language English
    Publishing date 2022-09-01
    Publishing country United States
    Document type Journal Article
    ISSN 2473-1242
    ISSN (online) 2473-1242
    DOI 10.1089/heq.2022.0076
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Eliciting Opinions on Health Messaging During the COVID-19 Pandemic: Qualitative Survey Study.

    Ruiz, Sienna / Okere, Uzoma Charles / Eggers, Michelle / O'Leary, Catina / Politi, Mary / Wan, Fei / Housten, Ashley J

    JMIR human factors

    2023  Volume 10, Page(s) e39697

    Abstract: Background: Effective public health messaging has been necessary throughout the COVID-19 pandemic, but stakeholders have struggled to communicate critical information to the public, especially in different types of locations such as urban and rural ... ...

    Abstract Background: Effective public health messaging has been necessary throughout the COVID-19 pandemic, but stakeholders have struggled to communicate critical information to the public, especially in different types of locations such as urban and rural areas.
    Objective: This study aimed to identify opportunities to improve COVID-19 messages for community distribution in rural and urban settings and to summarize the findings to inform future messaging.
    Methods: We purposively sampled by region (urban or rural) and participant type (general public or health care professional) to survey participants about their opinions on 4 COVID-19 health messages. We designed open-ended survey questions and analyzed the data using pragmatic health equity implementation science approaches. Following the qualitative analysis of the survey responses, we designed refined COVID-19 messages incorporating participant feedback and redistributed them via a short survey.
    Results: In total, 67 participants consented and enrolled: 31 (46%) community participants from the rural Southeast Missouri Bootheel, 27 (40%) community participants from urban St Louis, and 9 (13%) health care professionals from St Louis. Overall, we found no qualitative differences between the responses of our urban and rural samples to the open-ended questions. Participants across groups wanted familiar COVID-19 protocols, personal choice in COVID-19 preventive behaviors, and clear source information. Health care professionals contextualized their suggestions within the specific needs of their patients. All groups suggested practices consistent with health-literate communications. We reached 83% (54/65) of the participants for message redistribution, and most had overwhelmingly positive responses to the refined messages.
    Conclusions: We suggest convenient methods for community involvement in the creation of health messages by using a brief web-based survey. We identified areas of improvement for future health messaging, such as reaffirming the preventive practices advertised early in a crisis, framing messages such that they allow for personal choice of preventive behavior, highlighting well-known source information, using plain language, and crafting messages that are applicable to the readers' circumstances.
    Language English
    Publishing date 2023-04-27
    Publishing country Canada
    Document type Journal Article
    ISSN 2292-9495
    ISSN (online) 2292-9495
    DOI 10.2196/39697
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Translating a motivational interviewing intervention for childhood cancer survivors into an eHealth tool: A user-centered design process.

    Ruiz, Sienna / Ackermann, Nicole / Maki, Julia / Carcone, April Idalski / Hudson, Melissa M / Ehrhardt, Matthew J / Cloakey, Danielle / DuChateau, Danielle / Griffith, Stanford A / Johnson, Allison / Phillips, Aaron / Waters, Erika A

    Translational behavioral medicine

    2024  Volume 14, Issue 6, Page(s) 359–367

    Abstract: Childhood cancer survivors have a higher risk of developing cardiomyopathy than members of the general population. Screening echocardiograms can facilitate early detection and treatment of cardiomyopathy. Furthermore, motivational interviewing can ... ...

    Abstract Childhood cancer survivors have a higher risk of developing cardiomyopathy than members of the general population. Screening echocardiograms can facilitate early detection and treatment of cardiomyopathy. Furthermore, motivational interviewing can increase uptake of cardiac screening. However, such approaches are time- and resource-intensive, which limits their reach to the survivors who need them. We describe how we utilized a user-centered design process to translate an in-person motivational interviewing intervention into an eHealth tool to improve cardiac screening among childhood cancer survivors. We used an iterative, three-phase, user-centered design approach: (i) setting the stage (convening advisory boards and reviewing the original intervention), (ii) content programming and development (writing and programming intervention text and flow), and (iii) intervention testing (research team testing and cognitive interviews.) For cognitive interviews, participants were recruited via institutional participant registries and medical records. Data were analyzed using rapid qualitative analysis. During Phase 1, we identified survivor and provider advisors and outlined elements of the in-person intervention to change for the eHealth tool. During Phases 2 and 3, advisors recommended several modifications that guided the final intervention content and flow. Examples include: acknowledging potential hesitation or apprehension surrounding medical screenings, addressing barriers and facilitators to obtaining screening, and improving the tool's usability and appeal. In Phase 3, cognitive interview participants suggested additional refinements to the intervention language. This translation process shows that continued in-depth engagement of community advisors and iterative testing can improve the applicability of an eHealth to survivors' lived experiences and social contexts.
    MeSH term(s) Humans ; Motivational Interviewing/methods ; Cancer Survivors/psychology ; Telemedicine ; User-Centered Design ; Female ; Male ; Child ; Cardiomyopathies/therapy ; Cardiomyopathies/psychology ; Adolescent ; Neoplasms/psychology ; Neoplasms/therapy ; Adult
    Language English
    Publishing date 2024-04-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 2586893-7
    ISSN 1613-9860 ; 1869-6716
    ISSN (online) 1613-9860
    ISSN 1869-6716
    DOI 10.1093/tbm/ibae014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Guidelines for Conducting Virtual Cognitive Interviews During a Pandemic.

    Shepperd, James A / Pogge, Gabrielle / Hunleth, Jean M / Ruiz, Sienna / Waters, Erika A

    Journal of medical Internet research

    2021  Volume 23, Issue 3, Page(s) e25173

    Abstract: The COVID-19 pandemic has challenged researchers working in physical contact with research participants. Cognitive interviews examine whether study components (most often questionnaire items) are worded or structured in a manner that allows study ... ...

    Abstract The COVID-19 pandemic has challenged researchers working in physical contact with research participants. Cognitive interviews examine whether study components (most often questionnaire items) are worded or structured in a manner that allows study participants to interpret the items in a way intended by the researcher. We developed guidelines to conduct cognitive interviews virtually to accommodate interviewees who have limited access to the internet. The guidelines describe the essential communication and safety equipment requirements and outline a procedure for collecting responses while maintaining the safety of the participants and researchers. Furthermore, the guidelines provide suggestions regarding training of participants to use the technology, encouraging them to respond aloud (a potential challenge given that the researcher is not physically present with the participant), and testing and deploying the equipment prior to the interview. Finally, the guidelines emphasize the need to adapt the interview to the circumstances and anticipate potential problems that might arise.
    MeSH term(s) COVID-19/epidemiology ; COVID-19/psychology ; Guidelines as Topic ; Humans ; Pandemics ; Psychometrics ; SARS-CoV-2/isolation & purification ; Surveys and Questionnaires/standards ; Telemedicine/methods ; Virtual Reality Exposure Therapy/methods
    Language English
    Publishing date 2021-03-11
    Publishing country Canada
    Document type Guideline ; Journal Article
    ZDB-ID 2028830-X
    ISSN 1438-8871 ; 1439-4456
    ISSN (online) 1438-8871
    ISSN 1439-4456
    DOI 10.2196/25173
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Interpersonal comparison among caregivers of children with asthma.

    Shepperd, James A / Hunleth, Jean M / Maki, Julia / Prabhakaran, Sreekala / Pogge, Gabrielle / Webster, Gregory D / Ruiz, Sienna / Waters, Erika A

    Psychology & health

    2022  , Page(s) 1–20

    Abstract: Objective: ...

    Abstract Objective:
    Language English
    Publishing date 2022-09-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 625255-2
    ISSN 1476-8321 ; 0887-0446
    ISSN (online) 1476-8321
    ISSN 0887-0446
    DOI 10.1080/08870446.2022.2125514
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Towards emplaced understandings of risk: How caregivers of children with asthma identify and manage asthma-related risk across different places.

    Ruiz, Sienna / Waters, Erika A / Maki, Julia / Fedele, David A / Pogge, Gabrielle / Shepperd, James A / Hunleth, Jean

    Health & place

    2022  Volume 75, Page(s) 102787

    Abstract: In the United States, pediatric asthma is distributed geographically across lines of racialized segregation. We draw on emplacement, or the theory that embodied experiences and the material world are mutually informed, to situate such geographic trends ... ...

    Abstract In the United States, pediatric asthma is distributed geographically across lines of racialized segregation. We draw on emplacement, or the theory that embodied experiences and the material world are mutually informed, to situate such geographic trends within the narratives of 41 caregivers of children with asthma. Results suggest that caregivers identified and managed asthma-related risk with regard to the relational and structural conditions of three categories of locations: (1) houses, (2) neighborhoods, and (3) schools and other childhood institutions. Within each type of location, caregivers used emplaced knowledge and emplaced caregiving tactics to respond to asthma-related risk. Based on our findings, we identify critical intervention topics that are consistent with families' everyday lived experiences of place.
    MeSH term(s) Asthma ; Caregivers ; Child ; Humans ; Narration ; United States
    Language English
    Publishing date 2022-03-17
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 1262540-1
    ISSN 1873-2054 ; 1353-8292
    ISSN (online) 1873-2054
    ISSN 1353-8292
    DOI 10.1016/j.healthplace.2022.102787
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Websites about, not for, adolescents? A systematic analysis of online fertility preservation information for adolescent and young adult cancer patients.

    Ruiz, Sienna / Mintz, Rachel / Sijecic, Amela / Eggers, Michelle / Hoffman, Aubri / Woodard, Terri / Bjonard, Kari Louise / Hoefgen, Holly / Sandheinrich, Taryn / Omurtag, Kenan / Housten, Ashley J

    Research square

    2023  

    Abstract: Purpose Fertility preservation is an increasingly important topic in adolescent and young adult cancer survivorship, yet treatments remain under-utilized, possibly due to lack of awareness and understanding. The internet is widely used by adolescents and ...

    Abstract Purpose Fertility preservation is an increasingly important topic in adolescent and young adult cancer survivorship, yet treatments remain under-utilized, possibly due to lack of awareness and understanding. The internet is widely used by adolescents and young adults and has been proposed to fill knowledge gaps and advance high-quality, more equitable care. As a first step, this study analyzed the quality of current fertility preservation resources online and identified opportunities for improvement. Methods We conducted a systematic analysis of 500 websites to assess the quality, readability, and desirability of website features, and the inclusion of clinically relevant topics. Results The majority of the 68 eligible websites were low quality, written at college reading levels, and included few features that younger patients find desirable. Websites mentioned more common fertility preservation treatments than promising experimental treatments, and could be improved with cost information, socioemotional impacts, and other equity-related fertility topics. Conclusions Currently, the majority of fertility preservation websites are about, but not for, adolescent and young adult patients. High-quality educational websites are needed that address outcomes that matter to teens and young adults, with a priority on solutions that prioritize equity. Implications for Cancer Survivors: Adolescent and young adult survivors have limited access to high-quality fertility preservation websites that are designed for their needs. There is a need for the development of fertility preservation websites that are clinically comprehensive, written at appropriate reading levels, inclusive, and desirable. We include specific recommendations that future researchers can use to develop websites that could better address AYA populations and improve the fertility preservation decision making process.
    Language English
    Publishing date 2023-02-16
    Publishing country United States
    Document type Preprint
    DOI 10.21203/rs.3.rs-2587513/v1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Websites about, not for, adolescents? A systematic analysis of online fertility preservation information for adolescent and young adult cancer patients.

    Ruiz, Sienna / Mintz, Rachel / Sijecic, Amela / Eggers, Michelle / Hoffman, Aubri S / Woodard, Terri / Bjornard, Kari L / Hoefgen, Holly / Sandheinrich, Taryn / Omurtag, Kenan / Housten, Ashley J

    Journal of cancer survivorship : research and practice

    2023  

    Abstract: Purpose: Fertility preservation is an increasingly important topic in adolescent and young adult cancer survivorship, yet treatments remain under-utilized, possibly due to lack of awareness and understanding. The internet is widely used by adolescents ... ...

    Abstract Purpose: Fertility preservation is an increasingly important topic in adolescent and young adult cancer survivorship, yet treatments remain under-utilized, possibly due to lack of awareness and understanding. The internet is widely used by adolescents and young adults and has been proposed to fill knowledge gaps and advance high-quality, more equitable care. As a first step, this study analyzed the quality of current fertility preservation resources online and identified opportunities for improvement.
    Methods: We conducted a systematic analysis of 500 websites to assess the quality, readability, and desirability of website features, and the inclusion of clinically relevant topics.
    Results: The majority of the 68 eligible websites were low quality, written at college reading levels, and included few features that younger patients find desirable. Websites mentioned more common fertility preservation treatments than promising experimental treatments, and could be improved with cost information, socioemotional impacts, and other equity-related fertility topics.
    Conclusions: Currently, the majority of fertility preservation websites are about, but not for, adolescent and young adult patients. High-quality educational websites are needed that address outcomes that matter to teens and young adults, with a priority on solutions that prioritize equity.
    Implications for cancer survivors: Adolescent and young adult survivors have limited access to high-quality fertility preservation websites that are designed for their needs. There is a need for the development of fertility preservation websites that are clinically comprehensive, written at appropriate reading levels, inclusive, and desirable. We include specific recommendations that future researchers can use to develop websites that could better address AYA populations and improve the fertility preservation decision making process.
    Language English
    Publishing date 2023-05-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2388888-X
    ISSN 1932-2267 ; 1932-2259
    ISSN (online) 1932-2267
    ISSN 1932-2259
    DOI 10.1007/s11764-023-01386-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Guidelines for Conducting Virtual Cognitive Interviews During a Pandemic

    Shepperd, James A / Pogge, Gabrielle / Hunleth, Jean M / Ruiz, Sienna / Waters, Erika A

    Journal of Medical Internet Research, Vol 23, Iss 3, p e

    2021  Volume 25173

    Abstract: The COVID-19 pandemic has challenged researchers working in physical contact with research participants. Cognitive interviews examine whether study components (most often questionnaire items) are worded or structured in a manner that allows study ... ...

    Abstract The COVID-19 pandemic has challenged researchers working in physical contact with research participants. Cognitive interviews examine whether study components (most often questionnaire items) are worded or structured in a manner that allows study participants to interpret the items in a way intended by the researcher. We developed guidelines to conduct cognitive interviews virtually to accommodate interviewees who have limited access to the internet. The guidelines describe the essential communication and safety equipment requirements and outline a procedure for collecting responses while maintaining the safety of the participants and researchers. Furthermore, the guidelines provide suggestions regarding training of participants to use the technology, encouraging them to respond aloud (a potential challenge given that the researcher is not physically present with the participant), and testing and deploying the equipment prior to the interview. Finally, the guidelines emphasize the need to adapt the interview to the circumstances and anticipate potential problems that might arise.
    Keywords Computer applications to medicine. Medical informatics ; R858-859.7 ; Public aspects of medicine ; RA1-1270
    Subject code 380
    Language English
    Publishing date 2021-03-01T00:00:00Z
    Publisher JMIR Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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