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Provider and Patient Perspectives of Integrated Perinatal Care: An Exploratory Study
No full textThe World Health Organization (WHO, 2016) estimates that at least 10% of pregnant women and 13% of women who have just given birth will experience a serious mental illness. Evidence has shown that ante and postpartum PMAD are part of a process rather than two discrete experiences thus shifting best practice protocols to include PMAD screening during pregnancy. Integrated care models have been used to incorporate behavioral health into maternal health to support early intervention efforts. Current integrated primary care research has shown that if providers and patients positively regard integration, integrated care programs are more likely to succeed. Provider access to the behavioral health consultant and patient trust and confidence in their provider lead to higher levels of satisfaction. Limited integrated perinatal care research has similar outcomes for provider satisfaction with little to none regarding patient satisfaction.
The researcher collaborated with two integrated perinatal care clinics in Portland Oregon, Legacy Maternal Fetal Medicine and Legacy Midwifery. To investigate the success of integration at both clinics, all providers and patients were invited to participate via completion of satisfaction surveys. Provider and patient perspectives of integration were explored using a quasi-experimental design. Themes emerged via responses to open-ended questions indicating that access and trust increase satisfaction. Small sample size hindered causal analysis however participant responses were summarily positive and aligned with results seen in similar integrated primary care research. Results indicated that providers and patients at both clinics would benefit from education regarding integrated BHS as well as increased access to BHCs
Health Beliefs and Knowledge Related to HPV Vaccination
No full textBackground: Human Papillomavirus (HPV) is the most common sexually transmitted infection (STI) and is the necessary precursor for various types of cancer. Though a vaccine was developed that protects against the most virulent strands of HPV infection, vaccination rates remain much lower than other pediatric vaccines (e.g., Tdap and MMR). Males in particular have lower rates of vaccination uptake and exhibit less HPV-related knowledge. This gender disparity may be attributed to differences in health beliefs and the constructs of the Health Belief Model (HBM): (1) perceived susceptibility, (2) perceived severity, (3) potential benefits, and (4) perceived barriers.
Purpose: The purpose of this study was to explore gender differences that exist in health beliefs related to HPV and HPV vaccination, particularly among individuals who have not received the HPV vaccine.
Method: Two-hundred 18 – 26 year-olds who had not received the HPV vaccine were recruited through Amazon’s MechanicalTurk. Online surveys were given that assessed HBM constructs pertaining to HPV and current levels of HPV-related knowledge.
Results: No significant differences were found between males and females for the four HBM constructs. Males on average scored significantly lower on HPV knowledge compared to females. Males and females endorsed a similar number of barriers to the vaccine and similar types of barriers, with “money/insurance” cited as the main barrier to receiving the HPV vaccine.
Conclusions: The findings support a gap in HPV-related knowledge for males and an overall lack of awareness of the burden of HPV for both sexes. There is an urgent need to improve health promotion, education, and reduce the barriers to HPV vaccination in order to increase vaccination uptake and begin to ameliorate this public health issue
Technology, Relationship Satisfaction, and Online Infidelity Behavior
No full textThe present study is an exploration of the relationships that exist between technology use, relationship satisfaction, and online infidelity behaviors. The current study aims to determine relationships between enhancing and deterring uses of technology, relationship satisfaction and attachment style (anxious and avoidant), and hypothetical online infidelity behaviors (self and partner). Participants completed a series of questionnaires including a demographic questionnaire and measures of technology use, online infidelity, relationship satisfaction, and experiences in close romantic relationships. It was found that relationship satisfaction negatively correlated with relationship reducing uses of technology while relationship satisfaction was not correlated with enhancing uses of technology. It was also found that both enhancing and reducing uses of technology were positively correlated with attachment-anxiety. In addition, no relationship was found between attachment-avoidance and uses of technology in a relationship. When looking at relationship satisfaction, uses of technology and perceptions of online infidelity behaviors, significant relationships between the variables were largely not found. Significant paired samples t-test indicated people were more likely to rate behaviors more highly as being seen as infidelity when they did the behavior themselves versus when their partner engaged in the same behavior. Findings and future directions of the research are discussed
Fostering Computational Thinking and Problem Solving Skills in Early Education: A Meta-Analytic Review
No full textResearch has shown that students can gain learning skills through computer programming. A lot these programs are online and assessable to the public. As a result, schools and programs are imbedding these programs and using them as an educational tool within their curriculums. A few prominent themes being investigated are its relationship between computational thinking and problem solving. Prior research has paved the way to determine whether these outcomes stem from computer programming. Many studies mention 1 of 3 different kinds of technological mediums: visual programming language, robotics curriculum and game-based design as predictors of these outcomes. This meta-analysis examines whether students (in elementary or secondary school) develop computational thinking or problem solving skills over time. The 10 primary studies involved in this analysis revealed that the students in this sample did develop computational thinking skills over time. Two moderators were speculated in this study: technological medium and teacher workshops. All 3 different technological mediums had significant average effect sizes; however, they were not significantly different from each other. Discussion and recommendations include implementing better research designs and looking into the effectiveness of teacher workshops prior to experimentation
MMPI-2 Codetype Variation Across Service Eras in Veterans Diagnosed with PTSD
No full textMinnesota Multiphasic Personality Inventory-2 (MMPI-2) clinical scale elevations were examined through retroactive analysis of comprehensive posttraumatic stress disorder (PTSD) evaluations of military veterans. Clinical scale elevations and MMPI-2 codetypes were compared across samples organized by the era in which the veterans served. Mean and mode codetypes were then compared to standards outlined by Watson et al.’s (n.d.) Best Practice Manual for Posttraumatic Stress Disorder (PTSD) Compensation and Pension Examinations for the U.S. Department of Veterans Affairs. Mean codetypes of the sample were largely consistent across service eras with the expected 28/82 MMPI-2 codetype outlined by Watson et al. However, modal codetypes varied significantly within and across service eras. The mode codetype findings are consistent with other literature indicating mean codetypes are often consistent with the Watson et al. standards, however, the expected codetypes do not occur frequently enough to be statistically meaningful within any service era examined
Basic Diabetes Class Handout without Goals - Spanish
Get PDFThis diabetic patient handout reviews A1C test results and simply illustrates what the patient can do to stay healthy. (Spanish
Monographs, Manuscripts, and Mountaineering: An Overview of the Mazama Library and Historical Collections
Get PDFFounded on the summit of Mount Hood in 1894, the Mazamas is a non-profit mountaineering organization with a legacy of promoting the Northwest culture of exploration and stewardship of its mountain environments. Headquartered in Portland, the Mazamas leads over 700 hikes and 350 climbs annually. It offers a variety of classes and activities for every skill and fitness level, all of which are open to both members and non-members.
Capturing the history of this mountaineering legacy and providing a variety of contemporary resources for Mazamas members and the public is the aim of the Mazama Library and Historical Collections (LHC). Occupying most of the lower level of the Mazama Mountaineering Center, the circulating library, established in 1915, is joined by a collection of climbing artifacts and an archival collection. It makes available a wide range of records that chronicle the history of the Mazamas and the organization’s place in Pacific Northwest outdoor recreation. Additionally, the LHC serves to document and preserve the actions and activities of the Mazamas committees and past and current members
Building Community at the Library With Coffee and Conversation
Get PDFAs communities and individuals struggle with houselessness and housing insecurity, library staff must adapt in order to help our patrons fulfill needs. In 2013, Multnomah County Library (MCL) and the Multnomah County Department of County Human Services surveyed library patrons about library use. The survey identified that about 18.6 percent of visitors to Central Library—the county system’s main branch, located in downtown Portland— are people experiencing houselessness. These patrons visit the library more frequently than patrons who are not experiencing houselessness, and they tend to stay at the library longer than the latter group.
Because patrons experiencing houselessness may have negative experiences interacting with staff in businesses, government offices, and other public institutions like libraries, it’s important to start any engagement by building relationships. Staff members need to help these patrons find resources and library materials, assist them with account issues, and show them that the library is the right place for them by making them feel welcome. In order to address this need, staff looked for a way to build relationships between staff and patrons and to create a welcoming environment in the library