- Geriatric Care and Nursing Homes
- Healthcare Policy and Management
- Emergency and Acute Care Studies
- Adolescent and Pediatric Healthcare
- Child and Adolescent Health
- Health disparities and outcomes
- Primary Care and Health Outcomes
- Childhood Cancer Survivors' Quality of Life
- Family and Disability Support Research
- Delphi Technique in Research
- Chronic Disease Management Strategies
- Asthma and respiratory diseases
- School Health and Nursing Education
Texas A&M University
2011-2022
Public Policy Institute of California
2011-2022
Mitchell Institute
2011
To test the validity and reliability of scales intended to measure activity limitations faced by children with chronic illnesses living in community. The were based on information provided caregivers service program personnel almost exclusively trained as social workers. items used interRAI supplemented so that they more applicable illnesses. In addition, these analyses may shed light possibility gathering functional can span life course well spanning different care settings. Analyses...
This research investigated the relationship between a child's reported intellectual disability (ID) level and caregivers' reports of health status to predict Medicaid Personal Care Services (PCS) hours authorized for that child. We also how activity limitations in home varied with ID.The sample included 1,108 community-residing children ID Texas system who were assessed PCS program. All data collected Assessment Form (PCAF), an instrument developed by authors evaluating children's needs....
Meeting the personal care challenges of children with special health needs (CSHCN) living in community demands a reliable assessment their abilities to perform activities daily (ADLs). This research investigates factors affecting inter-rater reliability functional assessments CSHCN conducted home.Dual-standardised were 236 community-dwelling seeking or receiving Medicaid Personal Care Services (PCS) single state USA.Analyses revealed that greatest least amount activity limitations exhibited...
To investigate the relationship between Medicaid Personal Care Services (PCS) and caregivers' reports of activity (activities daily living [ADL]) limitations for children with chronic health problems.Primary data collected in 2008 2009. A state program was setting. The focus receiving PCS.Medicaid case managers assessed to determine their need PCS, using information provided by child or informal caregivers. Two thousand seven hundred assessments were researchers directly from...
Purpose: This paper examines the cost-effectiveness of an asthma-related education program. Materials and Methods: Using a pre post approach, calculates first changes in cost due to variations outcome (from baseline follow-up). We also estimate ratios for each eight outcomes (numbers asthma attacks, hospital, ER visits, physical emotional health, activity levels both children family members). Results: The intervention saved household around $36 per day. Cost-effectiveness ranged between less...
This paper details the co-creation of a home health assessment tool for children with disabilities in context state-level systems change from traditional Medicaid to managed care. A community based, sequential, mixed methods design was used co-develop assessment. process evaluation highlighted members' experiences Community members identified issues related appropriateness items and loss services recommended dual address concerns. Results indicated that 72% functioned well. felt...
Abstract We report on the nature and timing of services provided to children with an intellectual disability (ID) identified by a new comprehensive assessment care planning tool used evaluate children's needs for Medicaid Personal Care Services (PCS) in Texas. The procedure resulted from legal settlement advocacy community. Participants study were 1,109 ages 4–20 diagnosis who assessed between January April 2010. need assistance is higher Saturday Sunday, when school are not available....
Background There is a need for medical education on health care transitions youth with special needs. The Texas Transition Toolkit (the tool) supports providers through one-stop shop researching literature transitions, catalog of transition tools, and guides developing programs. Objective This study aims to assess the functionality usability tool working transition-aged children needs (representative users). Methods was evaluated using triangulated mixed methods case approach consisting...
<sec> <title>BACKGROUND</title> There is a need for medical education on health care transitions youth with special needs. The Texas Transition Toolkit (the tool) supports providers through <i>one-stop shop</i> researching literature transitions, catalog of transition tools, and guides developing programs. </sec> <title>OBJECTIVE</title> This study aims to assess the functionality usability tool working transition-aged children needs (representative users). <title>METHODS</title>...