A5049946638- Childhood Cancer Survivors' Quality of Life
- Acute Lymphoblastic Leukemia research
- Family Support in Illness
- Adolescent and Pediatric Healthcare
- Chemotherapy-induced cardiotoxicity and mitigation
- Global Cancer Incidence and Screening
- Cancer Risks and Factors
- Heart Failure Treatment and Management
- Behavioral Health and Interventions
- Health and Wellbeing Research
- Geriatric Care and Nursing Homes
- Cancer survivorship and care
- School Health and Nursing Education
- Food Security and Health in Diverse Populations
- Obesity, Physical Activity, Diet
- Palliative Care and End-of-Life Issues
- Motivation and Self-Concept in Sports
- Resilience and Mental Health
- Health disparities and outcomes
- Adolescent Sexual and Reproductive Health
- Breastfeeding Practices and Influences
- Nursing Education, Practice, and Leadership
- Esophageal Cancer Research and Treatment
- Health Systems, Economic Evaluations, Quality of Life
- Asthma and respiratory diseases
Sanofi (United States)
2025
Charleston Area Medical Center
2024
West Virginia University
2024
Memorial Sloan Kettering Cancer Center
2014-2023
St. Jude Children's Research Hospital
2008-2020
University of Rochester
1984-2015
Maria Fareri Children's Hospital
2015
Fred Hutch Cancer Center
2009-2014
Cancer Research Center
2009-2014
Donaldson (United States)
2011
Research Associate Department of Public Health Nursing University Illinois College Chicago,
Young adult survivors of childhood brain tumors (BTs) may have late effects that compromise physical performance and everyday task participation. The objective this study was to evaluate muscle strength, fitness, performance, participation among BTs.In-home evaluations interviews were conducted for 156 participants (54% men). Results on measures compared between BT members a population-based comparison group by using chi-square statistics 2-sample t tests. Associations evaluated in...
Purpose Childhood cancer survivors treated with anthracyclines and cardiac radiation are at risk for late-onset cardiotoxicity. The purpose of this study was to delineate the relationship between clinical factors abnormalities noninvasive testing (NICT). Patients Methods Participants were recruited from a long-term follow-up clinic. Study measures comprised physical examination, laboratory evaluation, echocardiogram, ECG. Mean fractional shortening (FS) afterload compared who did (at [AR])...
Additional reliability, validity, and information on health behavior correlates for a recently developed measure of intrinsic motivation in are reported. A randomly selected sample 379 elders responded to structured interview containing the Health Self-determinism Index (HSDI) other relevant variables. The overall reliability HSDI was supported with an alpha coefficient 0.78. multidimensionality instrument reconfirmed through principal components analysis, factor invariance across study...
Abstract BACKGROUND: Although physical activity may modify the late effects of childhood cancer treatment, from 20% to 52% adult survivors are sedentary. The authors this report sought identify modifiable factors that influence survivors' participation in activity. METHODS: Structural equation modeling data were derived Childhood Cancer Survivors Study (current mean age, 30.98 years; years since diagnosis, 23.74; age at 9.25 years) who diagnosed between 1970 and 1986. RESULTS: Approximately...
Abstract Background/Objective: Adult survivors of childhood cancer can have altered social functioning. We sought to identify factors that predict marriage and divorce outcomes in this growing population. Methods: This was a retrospective cohort study 8,928 ≥5-year adult malignancy 2,879 random sibling controls participating the Childhood Cancer Survivor Study. Marital status, current health, psychological neurocognitive functioning were determined from surveys validated instruments....
This study describes skeletal, neuromuscular and fitness impairments among 109 children (median age 10 [range 4-18] years, 65.1% male, 63.3% white) with acute lymphoblastic leukemia (ALL). Outcomes were measured 7-10 days after diagnosis compared to age- sex-specific expected values. Associations between function health-related quality of life (HRQL) evaluated logistic regression. Children ALL had sub-optimal bone mineral density (BMD) Z-score/height (mean ± standard error: - 0.53 0.16 vs....
Many Childhood Cancer Survivor Study (CCSS) participants are at increased risk for obesity. The etiology of their obesity is likely multifactorial but not well understood.
Abstract Background Adult survivors of childhood cancer and their siblings are compared on one the most salient developmental milestones adulthood, ability to live independently. Procedure cancers (n = 6,047) 2,326), all 25 years age older, completed a long‐term follow‐up questionnaire that assessed adaptive, neurocognitive, psychological functioning, as well demographic health status. Multivariable logistic regression analyses structural equation modeling (SEM) were used identify predictors...
Abstract Background The early effects of childhood acute lymphoblastic leukemia (ALL) include decreased physical function, bone mineral density (BMD/g/cm 2 ), and health‐related quality life (HRQL). We assessed the capacity a therapy motivation‐based intervention, beginning after diagnosis continuing through end treatment, to positively modify these factors. Procedure A 2.5‐year randomized controlled trial 73 patients aged 4–18.99 years within 10 days ALL BMD at baseline (T 0 ) 3 strength,...
To determine whether the addition of advanced-practice nurse (APN) telephone counseling to a printed survivorship care plan (SCP) significantly increases proportion at-risk survivors who complete cardiomyopathy screening.
To determine the relationship between beliefs, motivation, and worries about physical activity participation in persons with rheumatoid arthritis (RA).A cross-sectional study used baseline data from 185 adults RA enrolled a randomized clinical trial assessing effectiveness of an intervention to promote activity. Data included patients' self-reported beliefs that can be beneficial for their disease, motivation participation, average daily accelerometer counts over week's time. Body mass index...
Background The late effects of radiation and chemotherapy increase childhood cancer survivors' risk chronic health problems. Survivors' behavior is important in modifying this risk, yet adolescent young adult survivors fail to engage health-promoting behaviors frequently practice high-risk behaviors. This secondary analysis re-evaluated a multi-component behavior-change intervention that had previously demonstrated no impact cancer. Procedure parent trial compared 132 the arm with 135...
This study is a psychometric evaluation of new measure motivation in health behavior. The Health Self-Determinism Index was completed by 202 randomly selected adults via mail survey. multidimensionality the construct supported through factorial isolation four subscales: self- determined judgments, self-determined behavior, perceived competency matters, and internal- external cue responsiveness. These factors accounted for 56% total explained variance measure. alpha reliability coefficient...
This longitudinal study involving twenty-four community health nurses was designed to determine the impact of a two-week continuing education offering on subsequent nursing practice course participants. Pre-course and post-course testing done differences between initial knowledge bases; pre- clinical chart audits were as late six months one year after extent application content. The main results confirm content within this did increase nurses' base incorporated into their practice....
Abstract The general concepts, variables, and relationships described by the Interaction Model of Client Health Behavior (IMCHB) were used to guide a secondary data analysis 203 women's decisions request an amniocentesis. Step‐wise multiple regression explained 58% variance in these jointly examining factors which define client as unique her responses at‐risk pregnancy, well describing client‐provider interaction. women could be correctly classified users or nonusers prenatal diagnosis with...
Purpose/Objectives: To identify factors that predict or modify substance use in childhood cancer survivors and to describe how a risk-counseling intervention reduced young survivors' use.
The Interaction Model of Client Health Behavior (IMCHB) was used to direct a systematic and comprehensive description community-based elders. abstract concepts, constructs, factors, variables described by one element the model were able account for 54% variance in elders' health status 47% their well-being. model, as operationalized this study, pointed clear demographic, social, profiles that identified elder at risk decreased health, well-being, self-care potential. IMCHB would appear be...
Despite their risk for serious late sequelae, survivors of childhood cancer do not adhere to recommended medical screening guidelines. We identified treatment, survivor, physician, and contextual factors that may influence survivor adherence echocardiography bone densitometry screening.Structural equation modeling data from the Childhood Cancer Survivor Study; 838 participants had received a diagnosis were treated pediatric cancers between 1970 1986.Survivors at cardiac sequelae (n = 316;...