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Impact of Nurse Practitioner Practice Regulation on Access to Healthcare Services
(2014-09-26)
representative of the “always enrolled” Medicare beneficiary population (N = 15,027, weighted sample = 45,205,096). Descriptive statistics are given to describe the population of interest. Covariates used in the regression analysis were: urbanicity, nursing home...
Impact of the Implementation of Accountable Care Organizational Structure on Pediatric Emergency Department Visits
(2016)
In 2010, the United States was spending more per capita on healthcare than other
similar countries but did not have better outcomes and spending was increasing at an
unsustainable rate. That same year, the Patient ...
The STRATA Study: Structural Antecedents of Tdap Administration in Obstetrical Practices in the Midwestern United States
(University of Missouri -- Kansas City, 2019)
Every year in the United States, young infants die from pertussis. The incidence of
pertussis among infants exceeds that of all other age groups. Protection is only available if
the mother receives the tetanus, diphtheria, ...
Influences on contraceptive use among college women
(2015-05-19)
likely to report they did not intend to use contraception. If a participant intended to use contraception, they were 15 times more likely to report contraceptive use, and if a participant had health insurance that paid for contraception, they were six...
Distress and Caregiver Appraisal in Pediatric Critical Care Unit Nurses when Withdrawing Life-Sustaining Treatment
(University of Missouri--Kansas City, 2018)
Distress, defined as anxiety, sorrow, and/or pain, among nurses is a pervasive
problem. When elevated or uncompensated, distress may contribute to deleterious
consequences for the nurse, patient outcomes, the nursing ...
“Now there's a good woman”: how rural life course events shape the response to cognitive decline in older women
(University of Missouri--Kansas City, 2012-05-22)
Aims: This dissertation aimed to: (1) analyze the life-course experiences of rural, older women and the impact of those experiences on their values, health-illness behaviors and decision-making, particularly surrounding ...
Physical activity in adolescents with orthopedic limitations: The use of human-animal interaction in the form of dog-walking
(2015)
Nine out of ten adolescents fail to achieve Healthy People 2020 recommended levels of aerobic and muscle-strengthening physical activity leading to deleterious consequences for individuals and a public health epidemic (US ...
What college women know, think, and do about Human Papillomavirus (HPV) and HPV vaccine
(University of Missouri--Kansas City, 2012-08-27)
Background: The development of cervical cancer nearly always begins with a sexuallytransmitted
Human Papillomavirus (HPV) infection. Approximately 20 million Americans
between the ages of 15 and 49 are currently infected ...
Feasibility and Acceptability of a SystemCHANGE™ Intervention to Improve Medication Adherence in Older Adult Stroke Survivors: A Pilot Randomized Controlled Trial
(University of Missouri -- Kansas City, 2018)
Purpose: The purpose of this study is to evaluate the feasibility, intervention
mechanism, and potential effectiveness of the SystemCHANGE™ (Change Habits by
Applying New Goals and Experiences) intervention in older ...
Impact of SystemCHANGE™ Intervention on Medication Adherence in Older Adults with Heart Failure: A Mixed Methods Feasibility Study
(University of Missouri -- Kansas City, 2018)
Background: Nearly 50% of people with heart failure do not adhere to their
medication regimens, leading to increased health care costs and poor patient outcomes. The
purpose of this study was to examine the feasibility ...
Impact of a psychoeducational intervention on dementia caregiving
(University of Missouri--Kansas City, 2011-12-16)
have shown positive results with psychoeducational interventions on caregiver health and stress. This study examined the impact of a psychoeducational intervention, the Family Series Workshop, on levels of coping, caregiving competence, and stress among...
Provider Perceptions of a Mature School-Based Health Center's Effect on Adolescent Health and Wellness: A Case Study
(2015-06-02)
School-based health centers (SBHCs) have emerged as a model of care that enhances
utilization of health care services for U.S. adolescents. Staffed by interdisciplinary teams,
physicians play a largely supervisory role ...
Social Support and Smoking among Midwest LGBT Adults
(2014-09-30)
Lesbian, gay, bisexual, and transgender (LGBT) populations have smoking rates twice that of their heterosexual counterparts. To design effective outreach, prevention, and treatments for these individuals, a comprehensive ...
Survival Stories: Relationships of Justice-involved Women with History of Trauma
(University of Missouri--Kansas City, 2017)
Over one million women are incarcerated in local and county jails or placed under community supervision of the criminal justice system in the U.S. each year. Women with history of incarceration have higher rates of many ...
Impact of a novel relaxation method of touch on neonatal neurobehavioral development among very preterm infants
(2013)
Infants born very preterm (< 30 weeks estimated gestational age [EGA])
annually and are at greatest risk to develop significant neurodevelopmental
abnormalities. These neurodevelopmental abnormalities are the result of ...