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  1. Article ; Online: Changes in General Health and Mental Health Outcomes in an Urban Population Over a Decade: A Population-Representative Analysis Stratified by Sexual Orientation.

    Wetmore, John B / Jordan, Ashly E

    LGBT health

    2022  Volume 9, Issue 7, Page(s) 512–519

    Abstract: ... Purpose: ... We explored population-level changes in general and mental health outcomes among sexual minority and heterosexual New York City (NYC) adults. ... Methods: ... Using the NYC Health and Nutrition Examination Surveys, we ... ...

    Abstract Purpose: We explored population-level changes in general and mental health outcomes among sexual minority and heterosexual New York City (NYC) adults. Methods: Using the NYC Health and Nutrition Examination Surveys, we analyzed data from 2931 adults surveyed between 2004 and 2014. Sexual minority (LGB+) participants included those who identified as lesbian, gay, bisexual, something else, or not sure. Prevalence estimates of general health, mental health services use, prescription use for a mental/emotional condition, and mental/emotional disability were calculated. Changes in these estimates were compared across survey iterations with two-sided t-tests. Multivariate log binomial regression modeling was also employed. Results: Across the study period, LGB+ adults reported a decrease in fair/poor general health (24%-18%). Compared to 2004, LGB+ adults in 2014 were more likely to use mental health services (15%-27%), take prescription medication for a mental/emotional condition (11%-20%), and have a mental/emotional disability limiting work (5%-10%). Point estimates showed similar changes over time among both LGB+ and heterosexual adults, but some changes were not statistically significant. We also found that bisexual adults utilized mental health services (prevalence ratio [PR] = 2.15; 95% confidence interval [CI]: 1.34-3.44) and medications (PR = 2.92; 95% CI: 1.72-4.96) more than heterosexual adults. Conclusion: Although reporting fair/poor general health decreased, the prevalence of using mental health services, using prescription medication, and having a mental/emotional disability increased for both LGB+ and heterosexual adults in NYC. These findings may be related to greater mental health literacy and awareness or to other population-wide trends.
    MeSH term(s) Adult ; Bisexuality ; Female ; Heterosexuality ; Humans ; Male ; Outcome Assessment, Health Care ; Sexual Behavior ; Sexual and Gender Minorities ; Urban Population
    Language English
    Publishing date 2022-07-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2727303-9
    ISSN 2325-8306 ; 2325-8292
    ISSN (online) 2325-8306
    ISSN 2325-8292
    DOI 10.1089/lgbt.2021.0217
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  2. Article ; Online: Associations of Health Conditions and Health-Related Determinants with Disability among New York City Adult Residents.

    Wetmore, John B / Chernov, Claudia / Perlman, Sharon E / Borrell, Luisa N

    Ethnicity & disease

    2021  Volume 31, Issue 3, Page(s) 445–452

    Abstract: Introduction: Population-based disability prevalence estimates are limited for New York City (NYC). We examined the association of several health and health-related measures with disability among NYC residents aged 20-64 years.: Methods: We used ... ...

    Abstract Introduction: Population-based disability prevalence estimates are limited for New York City (NYC). We examined the association of several health and health-related measures with disability among NYC residents aged 20-64 years.
    Methods: We used information from 1,314 adults who participated in the 2013-2014 NYC Health and Nutrition Examination Survey (HANES). We categorized survey participants as having a disability if they reported a physical, mental, and/or emotional problem preventing work or if they reported difficulty walking without special equipment because of a health problem. We used log-binomial regression to quantify the association of each exposure with disability before and after adjustment for select covariates.
    Results: Overall, 12.4% of the study's NYC residents aged 20-64 years had a disability. After adjustment, disability prevalence was significantly greater among those who reported having unmet health care needs (prevalence ratio [PR] = 1.75, 95% CI: 1.18-2.57) and those who reported fair/poor general health (PR = 2.33, 95% CI: 1.68-3.24). The probability of disability was greater among NYC residents with arthritis (PR = 2.66, 95% CI: 1.85-3.98) and hypertension (PR = 1.48, 95% CI: 1.04-2.11) when compared with those without these conditions. Disability was also associated with depression (PR = 2.96, 95% CI: 2.06-4.25), anxiety (PR = 2.89, 95% CI: 2.15-3.88), and post-traumatic stress disorder (PR = 2.55, 95% CI: 1.66-3.91). Disability, however, was not associated with diabetes.
    Conclusion: Disability is more prevalent among those with unmet health care needs, fair/poor general health, arthritis, hypertension, depression, anxiety, and PTSD in these NYC residents, aged 20-64 years. These findings have implications for NYC's strategic planning initiatives, which can be better targeted to groups disproportionately affected by disability.
    MeSH term(s) Adult ; Diabetes Mellitus ; Health Surveys ; Humans ; Hypertension/epidemiology ; New York City/epidemiology ; Nutrition Surveys ; Prevalence
    Language English
    Publishing date 2021-07-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1274267-3
    ISSN 1945-0826 ; 1049-510X
    ISSN (online) 1945-0826
    ISSN 1049-510X
    DOI 10.18865/ed.31.3.445
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  3. Article ; Online: Understanding Black Matriarchal Role Models in the U.S. Attitudes and Beliefs About Breastfeeding.

    Otarola, Lyshsae / Sly, Jamilia / Manigat, Taisha / Shapiro, Jamie / Wetmore, John / Torres, Migdalia / Jandorf, Lina

    Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine

    2021  Volume 16, Issue 6, Page(s) 501–505

    Abstract: Introduction: ...

    Abstract Introduction:
    MeSH term(s) African Americans ; Aged ; Aged, 80 and over ; Attitude ; Breast Feeding ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Infant ; Middle Aged ; Mothers ; Postpartum Period ; Pregnancy
    Language English
    Publishing date 2021-03-26
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2234680-6
    ISSN 1556-8342 ; 1556-8253
    ISSN (online) 1556-8342
    ISSN 1556-8253
    DOI 10.1089/bfm.2020.0320
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  4. Article ; Online: Chi Time: Expanding a novel approach for hospital employee engagement.

    Keogh, Maggie / Marin, Deborah B / Jandorf, Lina / Wetmore, John B / Sharma, Vanshdeep

    Nursing management

    2020  Volume 51, Issue 4, Page(s) 32–38

    MeSH term(s) Adult ; Behavior Therapy/methods ; Female ; Humans ; Job Satisfaction ; Male ; Middle Aged ; New York ; Nursing Care/psychology ; Nursing Staff, Hospital/psychology ; Occupational Stress/therapy ; Work Engagement
    Language English
    Publishing date 2020-03-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 605889-9
    ISSN 1538-8670 ; 0744-6314
    ISSN (online) 1538-8670
    ISSN 0744-6314
    DOI 10.1097/01.NUMA.0000654852.18136.d7
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  5. Article ; Online: Association of antiseizure medication adherence with illness perceptions in adults with epilepsy.

    Choi, Hyunmi / Wetmore, John B / Camarillo, Itzel A / Misiewicz, Sylwia / Siegel, Karolynn / Chung, Wendy K / Leu, Cheng-Shiun / Phelan, Jo C / Yang, Lawrence H / Ottman, Ruth

    Epilepsy & behavior : E&B

    2023  Volume 145, Page(s) 109289

    Abstract: Objective: We assessed the relationship of epilepsy illness perceptions to antiseizure medication (ASM) adherence.: Methods: Surveys were completed by 644 adult patients with epilepsy of unknown cause. We used the Morisky Medication Adherence Scale-8 ...

    Abstract Objective: We assessed the relationship of epilepsy illness perceptions to antiseizure medication (ASM) adherence.
    Methods: Surveys were completed by 644 adult patients with epilepsy of unknown cause. We used the Morisky Medication Adherence Scale-8 (MMAS-8) to define "high" adherence (score = 8) and "low-medium" adherence (score < 8). We evaluated epilepsy illness perceptions using seven items from the Brief Illness Perception Questionnaire (BIPQ), each scored from 0-10, measuring participants' views of the overall effect of epilepsy on their lives, how long it would last, how much control they had over their epilepsy, the effectiveness of their treatment, level of concern about epilepsy, level of understanding of epilepsy, and emotional impact of epilepsy. We investigated the association of each BIPQ item with medication adherence using logistic regression models that controlled for potential confounders (age, race/ethnicity, income, and time since the last seizure).
    Results: One hundred forty-nine patients (23%) gave responses indicating high adherence. In the adjusted models, for each 1-unit increase in participants' BIPQ item scores, the odds of high adherence increased by 17% for understanding of their epilepsy (OR = 1.17, 95% CI 1.07-1.27, p < 0.001), decreased by 11% for overall life impact of epilepsy (OR = 0.89, 95% CI 0.82-0.97, p = 0.01) and decreased by 6% for emotional impact of epilepsy (OR = 0.94, 95% CI 0.86-0.99, p = 0.03). No other illness perception was associated with high adherence. Depression, anxiety, and stigma mediated the inverse relationships of high adherence to the overall life impact of epilepsy and the emotional impact of epilepsy. These measures did not mediate the relationship of high adherence to the perceived understanding of epilepsy.
    Conclusion: These results indicate that a greater perceived understanding of epilepsy is independently associated with high ASM adherence. Programs aimed at improving patients' understanding of their epilepsy may help improve medication adherence.
    MeSH term(s) Humans ; Adult ; Epilepsy/psychology ; Surveys and Questionnaires ; Emotions ; Anxiety ; Medication Adherence/psychology
    Language English
    Publishing date 2023-06-12
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 2010587-3
    ISSN 1525-5069 ; 1525-5050
    ISSN (online) 1525-5069
    ISSN 1525-5050
    DOI 10.1016/j.yebeh.2023.109289
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    Zs.A 5289: Show issues Location:
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  6. Article ; Online: Knowledge and beliefs about epilepsy genetics among Hispanic and non-Hispanic patients.

    Trujillo, Shannon / Wetmore, John B / Camarillo, Itzel A / Misiewicz, Sylwia / May, Halie / Choi, Hyunmi / Siegel, Karolynn / Chung, Wendy K / Phelan, Jo C / Yang, Lawrence H / Leu, Cheng-Shiun / Bergner, Amanda L / Ottman, Ruth

    Epilepsia

    2023  Volume 64, Issue 9, Page(s) 2443–2453

    Abstract: Objective: Hispanics continue to face challenges when trying to access health care, including epilepsy care and genetic-related health care services. This study examined epilepsy genetic knowledge and beliefs in this historically underserved population.! ...

    Abstract Objective: Hispanics continue to face challenges when trying to access health care, including epilepsy care and genetic-related health care services. This study examined epilepsy genetic knowledge and beliefs in this historically underserved population.
    Methods: Questionnaires were completed by 641 adults with epilepsy without identified cause, of whom 122 self-identified as Hispanic or Latino and 519 as non-Hispanic. Participants were asked about their views on the contribution of genetics to the cause of their epilepsy ("genetic attribution"), optimism for advancements in epilepsy genetic research ("genetic optimism"), basic genetic knowledge, and epilepsy-specific genetic knowledge. Generalized linear models were used to compare the two groups in the means of quantitative measures and percents answered correctly for individual genetic knowledge items. Analyses were adjusted for age, sex, education, religion, family history of epilepsy, and time since last seizure.
    Results: Hispanics did not differ from non-Hispanics in genetic attribution, genetic optimism, or number of six basic genetic knowledge items answered correctly. The number of nine epilepsy-specific genetic knowledge items answered correctly was significantly lower for Hispanics than non-Hispanics (adjusted mean = 6.0 vs. 6.7, p < .001). After adjustment for education and other potential mediators, the proportion answered correctly was significantly lower for Hispanics than non-Hispanics for only two items related to family history and penetrance of epilepsy-related genes. Only 54% of Hispanics and 61% of non-Hispanics answered correctly that "If a person has epilepsy, his or her relatives have an increased chance of getting epilepsy."
    Significance: Despite large differences in sociodemographic variables including education, most attitudes and beliefs about genetics were similar in Hispanics and non-Hispanics. Epilepsy-specific genetic knowledge was lower among Hispanics than non-Hispanics, and this difference was mostly mediated by differences in demographic variables. Genetic counseling should address key concepts related to epilepsy genetics to ensure they are well understood by both Hispanic and non-Hispanic patients.
    MeSH term(s) Adult ; Female ; Humans ; Male ; Educational Status ; Epilepsy/epidemiology ; Epilepsy/genetics ; Hispanic or Latino/genetics ; Hispanic or Latino/statistics & numerical data ; Surveys and Questionnaires ; Health Knowledge, Attitudes, Practice/ethnology ; United States/epidemiology
    Language English
    Publishing date 2023-07-06
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 216382-2
    ISSN 1528-1167 ; 0013-9580
    ISSN (online) 1528-1167
    ISSN 0013-9580
    DOI 10.1111/epi.17701
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  7. Article: An Analysis of Chaplains' Narrative Chart Notes Describing Spiritual Care Visits with Gender Affirmation Surgical Patients.

    Hirschmann, Jo / Kozato, Aki / Sharma, Vansh / Villagra, Cristina / Wetmore, John / Jandorf, Lina / Pang, John Henry / Reynolds, Mackenzie / Dodge, Leanne / Mejía, Silvia / Safer, Joshua D

    Transgender health

    2022  Volume 7, Issue 1, Page(s) 92–100

    Abstract: Purpose: The benefit of spiritual care for patients is well described, but little is known about the role of spiritual care in transgender and nonbinary patients recovering from gender affirming surgeries (GASs).: Methods: A single-center ... ...

    Abstract Purpose: The benefit of spiritual care for patients is well described, but little is known about the role of spiritual care in transgender and nonbinary patients recovering from gender affirming surgeries (GASs).
    Methods: A single-center retrospective chart review was performed on patients who underwent GAS in 2017. Demographic information, surgery type, and chaplains' narrative notes were examined.
    Results: A total of 145 chaplain visits were identified in 103 inpatient stays among 98 patients at the Mount Sinai Center for Transgender Medicine and Surgery in New York. Analysis was performed on narrative notes authored by a single chaplain, which included 132 visits among 78 transfeminine and 11 transmasculine patients. Fifty-four patients (61%) expressed gratitude for the chaplain visit and/or hospital experience overall. Seven patients (8%) described movement between religious denominations over the course of their lives, and 7 (8%) described supportive belief systems. Fifty-seven patients (64%) had a family member or friend present during the perioperative process, 13 (15%) described support systems, and 9 (10%) described supportive practices, activities, and/or coping methods. Twenty-one patients (24%) expressed concerns about current symptoms or the recovery process, and 32 (36%) received a prayer or blessing from the chaplain. Fifty-two patients (58%) consented to a follow-up call.
    Conclusion: Almost 50% of patients expressed gratitude for the chaplain's visit and more than half consented to a follow-up call from the chaplain, suggesting a chaplain can provide a welcome layer of support to postoperative GAS patients. The authors recommend integrating spiritual care into perioperative care.
    Language English
    Publishing date 2022-02-14
    Publishing country United States
    Document type Journal Article
    ISSN 2688-4887
    ISSN 2688-4887
    DOI 10.1089/trgh.2020.0030
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  8. Article ; Online: Estimating lifetime risk for breast cancer as a screening tool for identifying those who would benefit from additional services among women utilizing mobile mammography.

    Wetmore, John B / Otarola, Lyshsae / Paulino, Lewis J / Henry, Brittney R / Levine, Alec F / Kone, Djeneba / Ulloa, Jennifer / Jandorf, Lina / Margolies, Laurie / Vang, Suzanne

    Journal of cancer policy

    2022  Volume 34, Page(s) 100354

    Abstract: Background: To estimate lifetime risk of breast cancer among women utilizing mobile mammography and to determine the proportion that might benefit from additional services, such as genetic counseling and educational programs.: Methods: Retrospective ... ...

    Abstract Background: To estimate lifetime risk of breast cancer among women utilizing mobile mammography and to determine the proportion that might benefit from additional services, such as genetic counseling and educational programs.
    Methods: Retrospective analysis of electronic health records for 2214 women screened for breast cancer on a mobile mammography van was conducted. Participants answered questions about their demographic characteristics, breast health, and family history of cancer. Logistic regression analyses were used to assess the odds of being recommended for additional services by the Tyrer-Cuzick (TC) lifetime risk score.
    Results: The average TC ten-year risk score was 2.76 % ± 2.01 %, and the average TC lifetime risk score was 7.30 % ± 4.80 %. Using lifetime risk scores ≥ 10 %, it was determined that 444 patients (20.23 %) could be referred to additional services. Less than one percent of patients had been tested for the BRCA genes previously. The odds of being recommended for additional services by the TC model were significantly greater among those who were eligible for the New York Cancer Services Program (i.e., a proxy for lack of insurance) when compared to those who were ineligible (OR=1.31, 95 % CI: 1.03-1.66). After adjustment, screening borough and race/ethnicity were not significantly associated with being recommended for services.
    Conclusion: Genetic counseling and education are some of the tools available to promote awareness and early detection of breast cancer; however, screening guidelines do not mandate genetic counseling or referrals for individuals at high-risk.
    Policy summary: Patients and providers should have discussions about predicted TC lifetime risk scores at follow-up breast cancer screening appointments, as this is a missed opportunity to improve care at both fixed sites and mobile clinics.
    MeSH term(s) Humans ; Female ; Breast Neoplasms/diagnosis ; Retrospective Studies ; Early Detection of Cancer ; Mammography ; Mass Screening
    Language English
    Publishing date 2022-08-19
    Publishing country England
    Document type Journal Article
    ISSN 2213-5383
    ISSN (online) 2213-5383
    DOI 10.1016/j.jcpo.2022.100354
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  9. Article ; Online: Reproduction and genetic causal attribution of epilepsy.

    Ottman, Ruth / Wetmore, John B / Camarillo, Itzel A / Rodriguez, Sophia / Misiewicz, Sylwia / Siegel, Karolynn / Chung, Wendy K / Phelan, Jo C / Leu, Chen-Shiun / Yang, Lawrence H / Choi, Hyunmi

    Epilepsia

    2022  Volume 63, Issue 9, Page(s) 2392–2402

    Abstract: Objective: This study addresses the contribution of genetics-related concerns to reduced childbearing among people with epilepsy.: Methods: Surveys were completed by 606 adult patients with epilepsy of unknown cause at our medical center. Poisson ... ...

    Abstract Objective: This study addresses the contribution of genetics-related concerns to reduced childbearing among people with epilepsy.
    Methods: Surveys were completed by 606 adult patients with epilepsy of unknown cause at our medical center. Poisson regression analysis was used to assess the relations of number of offspring to: (1) genetic attribution (GA: participants' belief that genetics was a cause of their epilepsy), assessed via a novel scale developed from four survey items (Cronbach's alpha = .89), (2) participants' estimates of epilepsy risk in the child of a parent with epilepsy (1%, 5%-10%, 25%, and 50%-100%), and (3) participants' reports of the influence on their reproductive decisions of "the chance of having a child with epilepsy" (none/weak/moderate, strong/very strong). Analyses were adjusted for age, education, race/ethnicity, religion, type of epilepsy (generalized, focal, and both/unclassifiable), and age at epilepsy onset (<10, 10-19, and ≥20 years).
    Results: Among participants 18-45 years of age, the number of offspring decreased significantly with increasing GA (highest vs lowest GA quartile rate ratio [RR] = .5, p < .001), and increasing estimated epilepsy risk in offspring (with 5%-10% as referent because it is closest to the true value, RR for 25%: .7, p = .05; RR for 50%-100%: .6, p = .03). Number of offspring was not related to the reported influence of "the chance of having a child with epilepsy" on reproductive decisions. Among participants >45 years of age, the number of offspring did not differ significantly according to GA quartile or estimated offspring epilepsy risk. However, those reporting a strong/very strong influence on their reproductive decisions of "the chance of having a child with epilepsy" had only 60% as many offspring as others.
    Significance: These findings suggest that overestimating the risk of epilepsy in offspring can have important consequences for people with epilepsy. Patient and provider education about recurrence risks and genetic testing options to clarify risks are critical, given their potential influence on reproductive decisions.
    MeSH term(s) Adult ; Child ; Epilepsy/genetics ; Genetic Testing ; Humans ; Reproduction/genetics ; Social Perception ; Surveys and Questionnaires
    Language English
    Publishing date 2022-07-10
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 216382-2
    ISSN 1528-1167 ; 0013-9580
    ISSN (online) 1528-1167
    ISSN 0013-9580
    DOI 10.1111/epi.17349
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  10. Article: Psychometric Properties of the Apathy Scale in Advanced Parkinson's Disease.

    Wetmore, John B / Arbelo, José Matías / Catalán, María José / Valldeoriola, Francesc / Rodriguez-Blazquez, Carmen / Martinez-Martin, Pablo

    Parkinson's disease

    2019  Volume 2019, Page(s) 1965394

    Abstract: Objectives: To assess the psychometric attributes of the Apathy Scale- (AS-) Spanish version in patients with advanced Parkinson's disease (APD).: Materials and methods: Over 6 months, 61 patients participated in a clinical study of levodopa- ... ...

    Abstract Objectives: To assess the psychometric attributes of the Apathy Scale- (AS-) Spanish version in patients with advanced Parkinson's disease (APD).
    Materials and methods: Over 6 months, 61 patients participated in a clinical study of levodopa-carbidopa intestinal gel (LCIG) and were evaluated using the AS and other clinical tools. Various psychometric attributes of the AS were assessed.
    Results: Patients (60.7% men) were aged 68.02 ± 7.43 years, with 12.57 ± 5.97 years from PD diagnosis. Median HY of patients in "on state" was 2 (range, 1-4), and mean levodopa equivalent daily dose was 1455.98 ± 456.00 mg. Overall, the parameters of feasibility/acceptability were satisfactory, except for a moderate-to-high floor effect in AS items but not in its total score (both 3.3%). Cronbach's alpha was 0.78, while item homogeneity coefficient was 0.21. Almost all items (11/14) reached acceptable item-total corrected correlations (
    Conclusions: The AS showed satisfactory feasibility, acceptability, scaling assumptions, internal consistency, and convergent validity. Responsiveness parameters were poor, probably due to the characteristics of the clinical study from which these data came. This trial is registered with NCT02289729.
    Language English
    Publishing date 2019-03-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2573854-9
    ISSN 2042-0080 ; 2090-8083
    ISSN (online) 2042-0080
    ISSN 2090-8083
    DOI 10.1155/2019/1965394
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