<h3>Objective</h3> To test the effect of prenatal and infancy home visits by nurses on 12-year-old, firstborn children's use substances, behavioral adjustment, academic achievement. <h3>Design</h3> Randomized controlled trial. <h3>Setting</h3> Public system obstetric pediatric care in Memphis, Tennessee. <h3>Participants</h3> We studied children (n = 613) primarily African American, economically disadvantaged women (743 randomized during pregnancy). <h3>Intervention</h3> Program nurses....

<h3>Objective</h3> To test, among an urban primarily African American sample, the effects of prenatal and infancy home visiting by nurses on mothers' fertility, partner relationships, economic self-sufficiency government spending through age 12 years their firstborn child. <h3>Design</h3> Randomized controlled trial. <h3>Setting</h3> Public system obstetric pediatric care in Memphis, Tennessee. <h3>Participants</h3> A total 594 economically disadvantaged mothers (among 743 who registered...

Purpose: To assess the preliminary effects of a new course entitled Freshman 5 to Thrive/COPE Healthy Lifestyles on cognitive beliefs, knowledge, mental health outcomes, healthy lifestyle choices, physical activity, and retention college freshmen. Data sources: Measures included demographics, nutrition perceived difficulty, Beck Youth Inventories-II (anxiety, depression, anxiety, destructive behavior), step count via pedometer, retention. Conclusions: The experimental COPE (Creating...

Objective This study examined the short‐ and long‐term effects of a community‐based lifestyle intervention among Latino youth with obesity. Methods adolescents (14‐16 years old) were randomized to 3‐month ( n = 67) or comparison control 69) followed for 12 months. The included weekly nutrition health classes delivered groups families exercise sessions (3 days/week) adolescents. Comparison received laboratory results general information. Primary outcomes insulin sensitivity weight‐specific...

Objective: Patients’ cultural health beliefs and behaviors may conflict with biomedical healthcare values practices potentially leading to non-adherence asthma treatment regimens. To optimize shared decision-making, providers should understand be sensitive these negotiate an management plan acceptable parents. The purpose of this study was obtain the perspective Mexican mothers regarding (1) their experiences living a child asthma, (2) understanding nature (3) how influence management....

Researchers tend to study Latinos as a single group, but recent asthma research confirmed differences among Latino subgroups. Variations in controller medication adherence may be factor the observed health disparities between Mexican and Puerto Rican children. Adherence is not stable phenomenon; however, there paucity of data on patterns adherence, sociodemographic predictors patterns, variations asthma-related acute healthcare use by pattern

Undertreatment and poor adherence remain prevalent for children with persistent asthma. School-based asthma therapy (SBAT) provides guideline-based treatment by systematic school-based screenings direct administration of daily controller medications. We examined control health care utilization enrolled in the SBAT program Columbus, Ohio, from 2013 to 2019. Six-year retrospective medical records were reviewed 1 year before after enrollment aged 5 19 years 2 metropolitan school districts....

Breastfeeding provides numerous benefits for mothers and infants, but there are disparities in breastfeeding rates by race ethnicity the United States. Our study aimed to identify extent which Baby Friendly Hospital Initiative (BFHI) key clinical practices during birth hospitalization influenced success ethnicity. This was a secondary analysis of 2016 2019 National Pregnancy Risk Assessment Measurement System (PRAMS), cross-sectional survey. sample included 60,395 who initiated with healthy,...

Objectives: Human papillomavirus (HPV) is a leading cause of several cancers, yet HPV vaccination rates among U.S. young adults remain low. This study evaluated the effect brief educational video, co-developed with college students, in increasing intention unvaccinated college-aged individuals. Methods: A two-group randomized controlled trial was conducted 215 students aged 18–26 who had not received vaccine. Participants were randomly assigned to two interventions: video group (n = 111) or...

The majority of adults with persistent asthma have chronically uncontrolled disease and interventions to improve outcomes are needed. We evaluated the efficacy, feasibility, acceptability a multi-component smartphone-telemedicine program (TEAMS) deliver care remotely, support provider adherence management guidelines, patient outcomes.TEAMS utilized: (1) remote symptom monitoring, (2) nurse-led self-management training for patients, (3) Electronic medical record-based clinical decision...

Objective: Since the Affordable Care Act's implementation, emergency department (ED) visits have increased. Poor asthma control increases risk of acute exacerbations and preventable ED visits. The Centers for Medicare Medicaid Services support reduction to reduce healthcare spending. Implementation interventions avoid has become a priority many systems yet little data exist examining children's missed management primary care (PC) appointments subsequent Methods: Longitudinal, retrospective...

Asthma is the most common childhood chronic condition and a major contributor to school absences lost instructional time. Children with asthma have higher risk of internalizing disorders, such as anxiety depression, which can further complicate management. The purpose this pilot study was assess feasibility, acceptability, preliminary effects manualized, cognitive-behavioral skills-building intervention for children anxiety. design one-group, pre/posttest preexperimental 6-week follow-up....

Objectives: A previous definition of adolescent asthma self-management was derived from interviews with clinicians/researchers and published literature; however, it did not incorporate perspectives teens or parents. Therefore, we conducted in-depth parents synthesized present findings the prior analysis to develop a more encompassing model. Methods: Focal concepts were qualitatively extracted 14-day voice-diaries (n = 14) 1-hour 42) (28 individuals) along found in clinical/research oriented...

There exists large ethnic disparities in asthma among Latino children; Puerto Ricans (PRs) are disproportionately affected, while Mexicans have the lowest prevalence and morbidity. Disparities poorly understood, however, acculturation social support suggested to influence control children. This study investigated relationship between acculturation, PR Mexican children their caregivers.

Rationale: Underperception of asthma symptoms is associated with poor outcomes. Objectives: We assessed the effects a behavioral intervention for improving perception airflow limitation and Methods: A two-arm randomized controlled trial compared peak expiratory flow (PEF) feedback versus supportive counseling. Latino Black adolescents ages 10-17 years old caregivers were recruited from hospitals in Bronx, New York. PEF sessions reviewed accuracy guesses medication adherence data targeted...

Introduction Technology-based interventions that can function within real-world practice and improve outcomes without increasing provider burden are needed, yet few successfully cross the research-to-practice divide. This paper describes process of developing a clinically integrated smartphone-telemedicine program for adults with asthma results from proof-of-concept testing. Methods We used contextually grounded intervention development approach May's implementation theory to design...

Abstract Background Accurate symptom assessment remains challenging in teen populations. Little is known of usual symptom/response patterns, and self‐reported paper diaries have traditionally low compliance rates. Therefore, we used concurrent digital voice to capture daily asthma experiences. Objective (a) To qualitatively explore patterns self‐management responses (b) quantitatively relationships between severity sentiment scores (a marker emotional response events). Methods Fourteen...