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Han J, Dai W, Chen L, Huang Z, Li C, Wang K. Elevated triglyceride-glucose index associated with increased risk of diabetes in non-obese young adults: a longitudinal retrospective cohort study from multiple Asian countries. Front Endocrinol (Lausanne) 2024; 15:1427207. [PMID: 39175577 PMCID: PMC11338785 DOI: 10.3389/fendo.2024.1427207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/03/2024] [Accepted: 07/24/2024] [Indexed: 08/24/2024] Open
Abstract
Objective Previous studies have confirmed a positive correlation between the Triglyceride-Glucose (TyG) index and future risk of diabetes. However, evidence of this association in non-obese young populations remains limited. This study aims to investigate the relationship between the TyG index and the future risk of diabetes among non-obese young adults. Methods This retrospective cohort study included 113,509 non-obese young adults from China and 9,549 from Japan. The mean age was 35.73 ± 6.38 years, and 56,469 participants (45.89%) were male. The median follow-up duration was 3.38 years. The association between baseline TyG index and risk of diabetes was examined using Cox proportional hazards regression models. Non-linear relationships between the TyG index and risk of diabetes were identified using cubic splines and smoothed curve fitting in the Cox models. Sensitivity and subgroup analyses were also conducted. Results After adjusting for covariates, the results indicated a positive correlation between the TyG index and risk of diabetes in non-obese young adults (HR=3.57, 95% CI: 2.92-4.36, P<0.0001). A non-linear relationship was observed with an inflection point at 7.3. The HR to the right of this inflection point was 3.70 (95% CI: 3.02-4.52, P<0.0001), while to the left, it was 0.34 (95% CI: 0.06-1.88, P=0.2161). The robustness of our findings was confirmed through a series of sensitivity analyses and subgroup analyses. Conclusion This study reveals a positive and non-linear association between the TyG index and risk of diabetes among non-obese young adults. Interventions aimed at reducing the TyG index by lowering triglycerides or fasting glucose levels could substantially decrease the future likelihood of developing diabetes in this population.
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Affiliation(s)
- Jian Han
- Department of Interventional Radiology and Vascular Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China
| | - Weifeng Dai
- Department of Cardiology, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China
| | - Lixia Chen
- Department of Cardiology, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China
| | - Zhenhua Huang
- Department of Emergency Medicine, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People’s Hospital, Shenzhen, China
| | - Chengzhi Li
- Department of Interventional Radiology and Vascular Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China
| | - Keke Wang
- Department of Emergency Medicine, The First Affiliated Hospital, Sun Yet-sen University, Guangzhou, China
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Nunez AT. College health centers: An update on medical issues. Curr Probl Pediatr Adolesc Health Care 2024; 54:101584. [PMID: 38493024 DOI: 10.1016/j.cppeds.2024.101584] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/18/2024]
Abstract
College health centers are an important source of health care for large numbers of young adults throughout the country. With 16.9 million students enrolled in 2023 in post-secondary institutions in the United States, the potential impact that health centers at these institutions have is significant. Late adolescence and early adulthood is a particularly vulnerable stage of both cognitive and psychosocial development, and college health centers that provide comprehensive medical and mental-health care play an important role in providing comprehensive care for this age group. As we move into a post-pandemic era, colleges and universities across the country continue to navigate all the changes that have been brought about by the COVID-19 pandemic. It is perhaps now more important than ever to review and assess the clinical care college health centers provide, who they provide this care to, and identify opportunities for improvement and where there may be need for change.
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Affiliation(s)
- Ariel Tassy Nunez
- Cohen Children's Medical Center, Division of Adolescent Medicine, Northwell, New Hyde Park, NY, United States.
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3
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Schwartz SE, Ross SG, Bryant JA, Duncan JD. Mental and physical health among students at a private university that held in-person classes during the COVID-19 pandemic. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024; 72:587-597. [PMID: 35298366 DOI: 10.1080/07448481.2022.2052074] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Revised: 09/14/2021] [Accepted: 03/07/2022] [Indexed: 06/14/2023]
Abstract
OBJECTIVE The COVID-19 pandemic is expected to have serious negative consequences on mental and physical health, which may disproportionally affect young adults. The aim of this study was to understand short-term impacts on a population of students at a college that held in-person classes during the pandemic. PARTICIPANTS This study was conducted at a moderately-sized private university in the southeastern United States where approximately 75% of students were enrolled in undergraduate degree programs and 25% in graduate degree programs. METHODS A survey was created to assess anxiety and depression symptoms, psychotherapeutic medication use, healthy living, and coping skills. Links to the electronic form were distributed to students via email in Spring 2020 and Fall 2020. Participation was completely voluntary and responses were collected anonymously. RESULTS The rate of anxiety symptoms in the study cohort was higher than the national average (31%) and increased between Spring 2020 (39%) and Fall 2020 (50%). Rates of psychotherapeutic medication use also rose, with benzodiazepine use increasing from 6% to 11% and antidepressant use increasing from 16% to 20%. Compared to the national average, fewer students in the study cohort rated their overall health as "good" or better (72-76% vs. 82%). Physical exercise, nutrition, and alcohol use worsened between Spring and Fall 2020. Problem-focused engagement was associated with significantly fewer anxiety and depression symptoms. Demographic factors such as gender, race, and sexual orientation interacted with several outcomes studied. CONCLUSIONS Students at a private university that held in-person classes during the COVID-19 pandemic reported high rates of anxiety that increased between Spring and Fall 2020. Self-reported physical health was below average in Spring 2020 but improved in Fall 2020. Appropriate identification and management of the effects of pandemic-related stressors is critical during this uncertain time. Supplemental data for this article can be accessed online at https://doi.org/10.1080/07448481.2022.2052074 .
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Affiliation(s)
- Shaina E Schwartz
- Department of Clinical Sciences, High Point University Fred Wilson School of Pharmacy, One University Parkway, High Point, North Carolina, USA
| | - Sarah G Ross
- Department of Psychology, High Point University David R. Hayworth College of Arts and Sciences, One University Parkway, High Point, North Carolina, USA
| | - Joseph A Bryant
- Department of Clinical Sciences, High Point University Fred Wilson School of Pharmacy, One University Parkway, High Point, North Carolina, USA
| | - Jenna D Duncan
- Department of Psychology, High Point University David R. Hayworth College of Arts and Sciences, One University Parkway, High Point, North Carolina, USA
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4
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Hollowell A, Swartz J, Myers E, Erkanli A, Hu C, Shin A, Bentley-Edwards K. Telemedicine services in higher education: a review of college and university websites. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024; 72:548-553. [PMID: 35298352 PMCID: PMC9481978 DOI: 10.1080/07448481.2022.2047703] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/31/2021] [Revised: 01/20/2022] [Accepted: 02/23/2022] [Indexed: 05/20/2023]
Abstract
OBJECTIVES To identify rates of telemedicine provision during the COVID-19 pandemic and predictive institutional factors among 4-year and graduate colleges and universities. PARTICIPANTS The study (n = 364) included the websites (.edu) of accredited public nonprofit, private nonprofit, and private for-profit institutions of higher education in the United States that award bachelors, masters, or doctoral degrees. METHODS Using digital content analysis, human coders analyzed institution websites for informational text indicating student telemedicine services. RESULTS Findings indicate that a minority of 4-year and above institutions offer telemedicine access. Institution type, institution size, and the presence of campus student health services were predictive. Endowment size and Minority Serving Institution status were not predictive. CONCLUSION This study illustrates the ongoing need for increased access to remote health services across higher education, especially among smaller private and public nonprofit colleges and universities and all private for-profit institutions.
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Affiliation(s)
- Adam Hollowell
- Samuel DuBois Cook Center on Social Equity, Duke University, Durham, NC, United States
| | - Jonas Swartz
- Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, NC, United States
| | - Evan Myers
- Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, NC, United States
| | - Al Erkanli
- Department of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC, United States
| | - Clarice Hu
- Trinity College, Duke University, Durham, NC, United States
| | - Andrew Shin
- Trinity College, Duke University, Durham, NC, United States
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Serbic D, Friedrich C, Murray R. Psychological, social and academic functioning in university students with chronic pain: A systematic review. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023; 71:2894-2908. [PMID: 34871522 DOI: 10.1080/07448481.2021.2006199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Accepted: 11/08/2021] [Indexed: 06/13/2023]
Abstract
OBJECTIVE Chronic pain is a prevalent health issue among young adults; however, there is limited understanding on how it affects university students. This is the first systematic review of evidence relating to the association between chronic pain and psychological, social and academic functioning in university students. Participants: Four databases were searched for relevant published studies. Data from 18 studies including 10,069 university students, of which 2895 reported having chronic pain, were included in the synthesis. Methods: Due to heterogeneity of data and methodologies, meta-analysis was not possible; therefore, data were synthesized narratively. Results: Our findings showed that students with chronic pain have poorer psychological, social and academic functioning and quality of life, compared to students without chronic pain. Conclusions: These findings suggest that chronic pain presents a challenge in university settings. Research is urgently needed to enable an understanding of how universities can support students who experience chronic pain.
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Affiliation(s)
- Danijela Serbic
- Department of Psychology, Royal Holloway, University of London, Egham, Surrey, UK
| | - Claire Friedrich
- Department of Psychology, Royal Holloway, University of London, Egham, Surrey, UK
| | - Romany Murray
- Department of Psychology, Royal Holloway, University of London, Egham, Surrey, UK
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6
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Hardy RY, Babu S, Jackson JL, George S, Andrews JG, Daskalov R, May SC, Miller P, Timmins S, Pike NA. Young adults with congenital heart disease heading to college: Are college health centers and providers prepared? J Am Assoc Nurse Pract 2023; 35:620-628. [PMID: 37471528 DOI: 10.1097/jxx.0000000000000914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2023] [Accepted: 06/01/2023] [Indexed: 07/22/2023]
Abstract
BACKGROUND An estimated 1.4 million adults in the United States have congenital heart disease (CHD). As this population grows and many pursue postsecondary education, these adults' health care needs and concerns should be at the forefront for providers, particularly nurse practitioners, at college health centers. PURPOSE To understand how college health centers and providers identify and manage the care of students with chronic conditions to further support their health care transition, with a focus on students with CHD. METHODOLOGY Qualitative key informant interviews were performed with providers at five college health centers to understand the processes in place and the challenges health care providers on college campuses face when caring for students with CHD. RESULTS Most of the college health centers did not have formalized processes in place to care for these students. Although many felt that they had the capabilities in their health centers to manage these students' maintenance/preventive care needs, fewer felt comfortable with their urgent or emergent care needs. The onus was often on students or parents/guardians to initiate these transitions. CONCLUSIONS This study highlights some challenges to providing care to students with chronic conditions like CHD. More collaborative relationships with specialists may be critical to ensuring that all the care needs of chronic disease students are met on college campuses. IMPLICATIONS Nurse practitioners, who often staff these clinics, are well positioned to support this transition onto campuses and lead the development of processes to identify these students, ease care management transitions, and ensure easy provider communication that allow students with chronic diseases to thrive on campus.
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Affiliation(s)
- Rose Y Hardy
- Center for Child Health Equity, Nationwide Children's Hospital, Columbus, Ohio
| | - Suhas Babu
- Texas A&M University, College Station, Texas
| | - Jamie L Jackson
- Center for Biobehavioral Health, Nationwide Children's Hospital, Columbus, Ohio
| | | | | | | | - Susan C May
- Adult Congenital Heart Association (ACHA), Media, Pennsylvania
| | - Paula Miller
- Adult Congenital Heart Association (ACHA), Media, Pennsylvania
| | - Susan Timmins
- Adult Congenital Heart Association (ACHA), Media, Pennsylvania
| | - Nancy A Pike
- School of Nursing, University of California, Los Angeles, California, USA
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7
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Ruppe NM, Clawson AH, Nwankwo CN, Traino KA, Bakula DM, Sharkey CM, Mullins LL. Depressive Symptoms, Cannabis Use, and Transition Readiness among College Students with and without Chronic Medical Conditions. Subst Use Misuse 2023; 58:1350-1359. [PMID: 37331790 DOI: 10.1080/10826084.2023.2223260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/20/2023]
Abstract
Background: College students experience increased responsibility for healthcare transition. They are at increased risk for depressive symptoms and cannabis use (CU), potentially modifiable predictors of successful healthcare transition. This study investigated how depressive symptoms and CU related to transition readiness, and if CU moderated the association between depressive symptoms and transition readiness for college students. Methods: College students (N = 1,826, Mage=19.31, SD = 1.22) completed online measures of depressive symptoms, healthcare transition readiness, and past-year CU. Regression identified 1) the main effects of depressive symptoms and CU on transition readiness and 2) examined if CU moderated the relationship between depressive symptoms and transition readiness with chronic medical conditions (CMC) status as a covariate. Results: Higher depressive symptoms were correlated with past-year CU (r=.17, p<.001) and lower transition readiness (r=-0.16, p<.001). In the regression model, higher depressive symptoms were related to lower transition readiness (ß=-0.02, p<.001); CU was not related to transition readiness (ß=-0.10, p=.12). CU moderated the relationship between depressive symptoms and transition readiness (B=.01, p=.001). The negative relationship between depressive symptoms and transition readiness was stronger for those with no past-year CU (B=-0.02, p<.001) relative to those with a past-year CU (ß=-0.01, p<.001). Finally, having a CMC was related to CU and higher depressive symptoms and transition readiness. Conclusions: Findings highlighted that depressive symptoms may hinder transition readiness, supporting the need for screening and interventions among college students. The finding that the negative association between depressive symptoms and transition readiness was more pronounced among those with past-year CU was counterintuitive. Hypotheses and future directions are provided.
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Affiliation(s)
- Nicole M Ruppe
- Department of Psychology, Oklahoma State University, Stillwater, OK, USA
- Center for Pediatric Psychology, Oklahoma State University, Stillwater, OK, USA
| | - Ashley H Clawson
- Department of Psychology, Oklahoma State University, Stillwater, OK, USA
- Center for Pediatric Psychology, Oklahoma State University, Stillwater, OK, USA
| | - Cara N Nwankwo
- Department of Psychology, Oklahoma State University, Stillwater, OK, USA
- Center for Pediatric Psychology, Oklahoma State University, Stillwater, OK, USA
| | - Katherine A Traino
- Department of Psychology, Oklahoma State University, Stillwater, OK, USA
- Center for Pediatric Psychology, Oklahoma State University, Stillwater, OK, USA
| | - Dana M Bakula
- Department of Psychology, Oklahoma State University, Stillwater, OK, USA
- Center for Pediatric Psychology, Oklahoma State University, Stillwater, OK, USA
| | - Christina M Sharkey
- Department of Psychology, Oklahoma State University, Stillwater, OK, USA
- Center for Pediatric Psychology, Oklahoma State University, Stillwater, OK, USA
| | - Larry L Mullins
- Department of Psychology, Oklahoma State University, Stillwater, OK, USA
- Center for Pediatric Psychology, Oklahoma State University, Stillwater, OK, USA
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8
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Johnston JD, Roberts EI, Brenman A, Lockard AM, Baker AM. Psychosocial functioning and adjustment to university settings: comparing students with chronic illnesses to healthy peers. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023; 71:1143-1151. [PMID: 34242549 DOI: 10.1080/07448481.2021.1923503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/22/2020] [Revised: 04/09/2021] [Accepted: 04/25/2021] [Indexed: 05/31/2023]
Abstract
Purpose: College students with chronic illnesses are vulnerable to poor adjustment, but it remains unclear how these students differ from healthy peers. This study compares psychosocial adjustment and risky behavior between students with and without chronic illnesses. Participants: Participants (N = 629, 78% Caucasian, 77% Female) were recruited from universities. Methods: Participants completed measures of illness history, anxiety, depression, stressful life events, social support, and risky behavior. Results: College students with chronic illnesses demonstrated significantly greater symptoms of anxiety F(1,620) = 8.742, p < .003, depression F(1,614) = 26.947, p < .001, more stressful life events F(1,476) = 23.671, p < .001, and lower social support F(1,613) = 15.645, p < .001. No differences in risky behaviors between groups emerged F(1,601) = 3.432, p = .064. An indirect effect of health status on risk-taking behavior was observed [b = .677, 95% CI (.351, 1.072)] partially mediated by depression. Conclusion: College students with chronic illnesses demonstrated worse psychosocial outcomes than healthy students, warranting programs to support these students. Depressive symptoms partially mediated risky behavior.
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Affiliation(s)
- Julia D Johnston
- Department of Psychology, Bucknell University, Lewisburg, PA, USA
| | - Emma I Roberts
- Department of Psychology, Bucknell University, Lewisburg, PA, USA
| | - Alison Brenman
- Department of Psychology, Bucknell University, Lewisburg, PA, USA
| | - Alison M Lockard
- Department of Psychology, Bucknell University, Lewisburg, PA, USA
| | - Anna M Baker
- Department of Psychology, Bucknell University, Lewisburg, PA, USA
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Ding Q, Ward MD, Edwards N, Wu EA, Kersey S, Funk M. A mixed-methods approach to understand university students' perceived impact of returning to class during COVID-19 on their mental and general health. PLoS One 2023; 18:e0279813. [PMID: 36595550 PMCID: PMC9810175 DOI: 10.1371/journal.pone.0279813] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2022] [Accepted: 12/15/2022] [Indexed: 01/04/2023] Open
Abstract
PURPOSE This study investigated the prevalence and risk factors of mental and general health symptoms among university students attending in-person and online classes during COVID-19. We also explored their experiences returning to in-person classes and their views on the university's COVID-19-related policies. METHODS In this sequential explanatory mixed-methods study (2020-2021), U.S. university student respondents (N = 1030; 603 women [58.5%], 907 [88.1%] aged 18-24 years) completed a quantitative, cross-sectional survey assessing their mental and general health symptoms experienced while taking classes during the COVID-19 pandemic. The survey link was distributed through social media and email invitations. Three separate follow-up focus groups (n = 27), consisting of an average of nine focus group respondents who had completed the quantitative survey per group, were conducted using a semi-structured interview guide. Focus group respondents provided qualitative responses on their experiences returning to class during COVID-19 and adhering to COVID-19-related policies. RESULTS The prevalence of mental health symptoms among survey respondents were 57.6% (n = 593) for depression, 41.5% (n = 427) for anxiety, and 40.8% (n = 420) for stress. Over 90% of respondents reported perceptions of good general health. Female respondents and respondents identified as non-binary gender had an increased risk for mental health symptoms compared to male respondents. Respondents with preexisting medical conditions had an increased risk for worse general health. Themes identified through qualitative analysis included (1) attending class during COVID-19 is associated with unhealthy behaviors, and poor health, (2) perceived challenges of online learning and increased feelings of isolation, (3) demand for COVID-19 policy reform and greater transparency of COVID-19 statistics; (4) difficulties in adhering to COVID-19 policies; and (5) concerns about acquiring and transmitting COVID-19. CONCLUSIONS Our findings indicate that university students attending classes during the pandemic are experiencing negative mental health impacts. Although students were aware of COVID-19-related policies, many found it challenging to comply. Broad acceptance of COVID-19 policies will require greater transparency and information sharing.
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Affiliation(s)
- Qinglan Ding
- College of Health and Human Sciences, Purdue University, West Lafayette, IN, United States of America
- * E-mail:
| | - Mark Daniel Ward
- College of Science, Purdue University, West Lafayette, IN, United States of America
| | - Nancy Edwards
- School of Nursing, Purdue University, West Lafayette, IN, United States of America
| | - Emily Anna Wu
- Krannert School of Management, Purdue University, West Lafayette, IN, United States of America
| | - Susan Kersey
- School of Nursing, Purdue University, West Lafayette, IN, United States of America
| | - Marjorie Funk
- School of Nursing, Yale University, West Haven, CT, United States of America
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Reeves JJ, Longhurst CA, San Miguel SJ, Juarez R, Behymer J, Ramotar KM, Maysent P, Scioscia AL, Millen M. Bringing student health and Well-Being onto a health system EHR: the benefits of integration in the COVID-19 era. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2022; 70:1968-1974. [PMID: 33180683 DOI: 10.1080/07448481.2020.1843468] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2020] [Revised: 09/08/2020] [Accepted: 10/18/2020] [Indexed: 06/11/2023]
Abstract
ObjectiveTo detail the implementation, benefits and challenges of onboarding campus-based health services onto a health system's electronic health record.ParticipantsUC San Diego Student Health and Well-Being offers medical services to over 39,000 students. UC San Diego Health is an academic medical center.Methods20 workstreams and 9 electronic modules, systems, or interfaces were converted to new electronic systems.Results36,023 student-patient medical records were created. EHR-integration increased security while creating visibility to 19,700 shared patient visits and records from 236 health systems across the country over 6 months. Benefits for the COVID-19 response included access to screening tools, decision support, telehealth, patient alerting system, reporting and analytics, COVID-19 dashboard, and increased testing capabilities.ConclusionIntegration of an interoperable EHR between neighboring campus-based health services and an affiliated academic medical center can streamline case management, improve quality and safety, and increase access to valuable health resources in times of need. Pertinent examples during the COVID-19 pandemic included uninterrupted and safe provision of clinical services through access to existing telehealth platforms and increased testing capacity.
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Affiliation(s)
- J Jeffery Reeves
- Department of Surgery, University of California, San Diego, La Jolla, California, USA
| | - Christopher A Longhurst
- Department of Medicine, Division of Biomedical Informatics, University of California, San Diego, La Jolla, California, USA
| | - Stacie J San Miguel
- Student Health Services, University of California, San Diego, La Jolla, California, USA
| | - Reina Juarez
- Counseling and Psychological Services, University of California, San Diego, La Jolla, California, USA
| | - Joseph Behymer
- Student Health Services, University of California, San Diego, La Jolla, California, USA
| | - Kevin M Ramotar
- Counseling and Psychological Services, University of California, San Diego, La Jolla, California, USA
| | - Patricia Maysent
- University of California, San Diego Health, Office of the CEO, La Jolla, California, USA
| | - Angela L Scioscia
- Student Health and Well-Being, University of California, San Diego, La Jolla, California, USA
| | - Marlene Millen
- Department of Medicine, Division of Biomedical Informatics, University of California, San Diego, La Jolla, California, USA
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11
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Cerqueira A, Botelho Guedes F, Marques-Pinto A, Branco A, Galvão C, Sousa J, Goulao LF, Bronze MR, Viegas W, Gaspar T, Godeau E, de Matos MG. Chronic Conditions and School Participation of First-Year University Students-HOUSE ULisbon Study. CHILDREN (BASEL, SWITZERLAND) 2022; 9:1397. [PMID: 36138706 PMCID: PMC9497637 DOI: 10.3390/children9091397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/30/2022] [Revised: 09/08/2022] [Accepted: 09/12/2022] [Indexed: 12/03/2022]
Abstract
Students with chronic conditions (CC) tend to experience several barriers in terms of their school participation and performance. Therefore, the present study aims to explore the factors related to the time of diagnosis of CC (recent/non-recent), the barriers to participation and academic success (health condition, people's attitude towards CC and school physical environment), the physical and mental health (physical/psychological symptoms and concerns) and school-related variables (relationship with teachers and peers), regarding the school participation of first-year students with CC. This work is part of the HOUSE-Colégio F3 Project, University of Lisbon, which includes 1143 first-year university students from 17 Faculties and Institutes of the University of Lisbon. In this specific study, only the subsample of 207 students with CC was considered, 72.4% of which were female, aged between 18 and 54 years (M = 20.00; SD = 4.83). The results showed that students with a recent diagnosis of CC and students with school participation affected by the CC were those who presented more negative indicators regarding barriers to school participation, physical and mental health, and school-related variables. A greater impact of CC in terms of school participation was associated with having a recent diagnosis, with people's attitude towards CC and with the health condition as barriers, with more psychological symptoms and worse relationships with teachers and peers. This is a relevant message for the organization of health services for students with CC at the beginning of their university studies, especially since they are often displaced from home and managing their health conditions alone (in many cases, for the first time).
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Affiliation(s)
- Ana Cerqueira
- Institute of Environmental Health (ISAMB), Faculty of Medicine, University of Lisbon (FMUL), 1649-028 Lisbon, Portugal
- Faculty of Human Kinetics, University of Lisbon/FMH-UL, 1499-002 Lisbon, Portugal
| | - Fábio Botelho Guedes
- Institute of Environmental Health (ISAMB), Faculty of Medicine, University of Lisbon (FMUL), 1649-028 Lisbon, Portugal
- Faculty of Human Kinetics, University of Lisbon/FMH-UL, 1499-002 Lisbon, Portugal
| | - Alexandra Marques-Pinto
- Research Center for Psychological Science, Faculty of Psychology of the University of Lisbon, 1649-013 Lisbon, Portugal
| | - Amélia Branco
- GHES Research Center—Office of Economic and Social History, ISEG—Lisbon School of Economics & Management of the University of Lisbon, 1249-078 Lisbon, Portugal
| | - Cecília Galvão
- Institute of Environmental Health (ISAMB), Faculty of Medicine, University of Lisbon (FMUL), 1649-028 Lisbon, Portugal
- Institute of Education, University of Lisbon (IEUL), 1649-013 Lisbon, Portugal
| | - Joana Sousa
- Institute of Environmental Health (ISAMB), Faculty of Medicine, University of Lisbon (FMUL), 1649-028 Lisbon, Portugal
- Nutrition Laboratory, Faculty of Medicine, University of Lisbon, 1649-028 Lisbon, Portugal
| | - Luis F. Goulao
- Linking Landscape, Environment, Agriculture and Food (LEAF) Research Unit, School of Agriculture, University of Lisbon (ISA/ULisbon), 1349-107 Lisbon, Portugal
| | - Maria Rosário Bronze
- Faculty of Pharmacy, University of Lisbon (FFULisbon), 1649-003 Lisbon, Portugal
- Institute of Experimental Biology and Technology (iBET), 2780-157 Lisbon, Portugal
| | - Wanda Viegas
- Linking Landscape, Environment, Agriculture and Food (LEAF) Research Unit, School of Agriculture, University of Lisbon (ISA/ULisbon), 1349-107 Lisbon, Portugal
| | - Tania Gaspar
- Institute of Environmental Health (ISAMB), Faculty of Medicine, University of Lisbon (FMUL), 1649-028 Lisbon, Portugal
- Digital Human-Environment Interaction Labs (HEI-LAB), Lusófona University of Humanities and Technologies, 1749-024 Lisbon, Portugal
| | - Emmanuelle Godeau
- French School of Public Health, EHESP, 35043 Rennes, France
- CERPOP—UMR 1295, Unite Mixte UMR INSERM—Université Toulouse III Paul Sabatier—Team SPHERE, 31000 Toulouse, France
| | - Margarida Gaspar de Matos
- Institute of Environmental Health (ISAMB), Faculty of Medicine, University of Lisbon (FMUL), 1649-028 Lisbon, Portugal
- APPSYci, ISPA—University Institute, 1149-041 Lisbon, Portugal
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12
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Lunde CE, Fisher E, Donovan E, Serbic D, Sieberg CB. Cutting the cord? Parenting emerging adults with chronic pain. PAEDIATRIC & NEONATAL PAIN 2022; 4:136-147. [PMID: 36188158 PMCID: PMC9485821 DOI: 10.1002/pne2.12072] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/31/2021] [Revised: 12/08/2021] [Accepted: 01/11/2022] [Indexed: 01/12/2023]
Abstract
The role of parent factors, such as distress and protective behaviors, on pain and functional outcomes of emerging adults living with chronic pain has been largely unexplored. The effects of helicopter parenting and developmental changes occurring during this transition period between adolescence and adulthood (commonly defined as the ages between 18 and 30 years) may exacerbate the pain experience and have the potential to influence chronic pain management. Clinical practice, with an additional focus on supporting the parent(s), may aid in meeting the needs of this population. In this paper, we review the available literature on (a) the socio-cultural shift in parenting over the past decade with a focus on helicopter parenting; (b) the impact of this parenting style on the pain experience and outcomes of emerging adults living with chronic pain; (c) provide recommendations for chronic pain management with a focus on the parent-emerging adult dyad; and (d) conclude with future research recommendations. This narrative review is the first to consider the impacts and outcomes of helicopter parenting on emerging adults with chronic pain.
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Affiliation(s)
- Claire E. Lunde
- Biobehavioral Pediatric Pain LabDepartment of Psychiatry and Behavioral SciencesBoston Children's HospitalBostonMassachusettsUSA
- Pain and Affective Neuroscience CenterDepartment of Anesthesiology, Critical Care, & Pain MedicineBoston Children's HospitalBostonMassachusettsUSA
- Nuffield Department of Women's & Reproductive HealthOxford UniversityOxfordUK
| | - Emma Fisher
- Centre for Pain ResearchUniversity of BathBathUK
- Cochrane Pain, Palliative, and Supportive Care Review GroupsOxford University HospitalsOxfordUK
| | | | - Danijela Serbic
- Department of PsychologyRoyal HollowayUniversity of LondonEghamUK
| | - Christine B. Sieberg
- Biobehavioral Pediatric Pain LabDepartment of Psychiatry and Behavioral SciencesBoston Children's HospitalBostonMassachusettsUSA
- Pain and Affective Neuroscience CenterDepartment of Anesthesiology, Critical Care, & Pain MedicineBoston Children's HospitalBostonMassachusettsUSA
- Department of PsychiatryHarvard Medical SchoolBostonMassachusettsUSA
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13
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Ravert RD, Russell LT. College students' intentions to assist peers with chronic medical conditions. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2022; 70:355-362. [PMID: 32343192 DOI: 10.1080/07448481.2020.1751170] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/13/2018] [Revised: 01/27/2020] [Accepted: 03/29/2020] [Indexed: 06/11/2023]
Abstract
Objective This study identified influences on college students' intentions to assist peers with chronic medical conditions. Participants: A panel of 293 U.S. full-time college students completed online surveys in July, 2017. Methods: Participants reported the number of people they knew with chronic medical conditions, and completed measures of general empathy, stigma toward chronic conditions, self-efficacy to provide support, and expected likelihood of assisting a peer with a chronic medical condition. Path Analysis and mediation tests were performed. Results: Low stigma, and high confidence in providing support were directly associated with intentions to assist student peers if needed. Empathy and number of people known with chronic conditions were additional indirect predictors. Conclusions: Peer support is important for students with chronic medical conditions. Intention to provide assistance if needed is partially explained by holding low stigma and high confidence in providing support, both of which may be enhanced through education and intervention.
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Affiliation(s)
- Russell D Ravert
- Human Development & Family Science, University of Missouri, Columbia, Missouri, USA
| | - Luke T Russell
- Family and Consumer Sciences, Illinois State University, Normal, Illinois, USA
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14
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Wisk LE, Magane KM, Nelson EB, Tsevat RK, Levy S, Weitzman ER. Psychoeducational Messaging to Reduce Alcohol Use for College Students With Type 1 Diabetes: Internet-Delivered Pilot Trial. J Med Internet Res 2021; 23:e26418. [PMID: 34591022 PMCID: PMC8517820 DOI: 10.2196/26418] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2020] [Revised: 04/15/2021] [Accepted: 05/06/2021] [Indexed: 01/24/2023] Open
Abstract
Background College environments promote high-volume or binge alcohol consumption among youth, which may be especially harmful to those with type 1 diabetes (T1D). Little is known about the acceptability and effectiveness of interventions targeting reduced alcohol use by college students with T1D, and it is unclear whether intervention framing (specifically, the narrator of intervention messages) matters with respect to affecting behavior change. Interventions promoted by peer educators may be highly relatable and socially persuasive, whereas those delivered by clinical providers may be highly credible and motivating. Objective The aim of this study is to determine the acceptability and impacts of an alcohol use psychoeducational intervention delivered asynchronously through web-based channels to college students with T1D. The secondary aim is to compare the impacts of two competing versions of the intervention that differed by narrator (peer vs clinician). Methods We recruited 138 college students (aged 17-25 years) with T1D through web-based channels and delivered a brief intervention to participants randomly assigned to 1 of 2 versions that differed only with respect to the audiovisually recorded narrator. We assessed the impacts of the exposure to the intervention overall and by group, comparing the levels of alcohol- and diabetes-related knowledge, perceptions, and use among baseline, immediately after the intervention, and 2 weeks after intervention delivery. Results Of the 138 enrolled participants, 122 (88.4%) completed all follow-up assessments; the participants were predominantly women (98/122, 80.3%), were White non-Hispanic (102/122, 83.6%), and had consumed alcohol in the past year (101/122, 82.8%). Both arms saw significant postintervention gains in the knowledge of alcohol’s impacts on diabetes-related factors, health-protecting attitudes toward drinking, and concerns about drinking. All participants reported significant decreases in binge drinking 2 weeks after the intervention (21.3%; odds ratio 0.48, 95% CI 0.31-0.75) compared with the 2 weeks before the intervention (43/122, 35.2%). Changes in binge drinking after the intervention were affected by changes in concerns about alcohol use and T1D. Those who viewed the provider narrator were significantly more likely to rate their narrator as knowledgeable and trustworthy; there were no other significant differences in intervention effects by the narrator. Conclusions The intervention model was highly acceptable and effective at reducing self-reported binge drinking at follow-up, offering the potential for broad dissemination and reach given the web-based format and contactless, on-demand content. Both intervention narrators increased knowledge, improved health-protecting attitudes, and increased concerns regarding alcohol use. The participants’ perceptions of expertise and credibility differed by narrator. Trial Registration ClinicalTrials.gov NCT02883829; https://clinicaltrials.gov/ct2/show/NCT02883829 International Registered Report Identifier (IRRID) RR2-10.1177/1932296819839503
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Affiliation(s)
- Lauren E Wisk
- Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, United States.,Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, MA, United States.,Department of Pediatrics, Harvard Medical School, Boston, MA, United States
| | - Kara M Magane
- Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, MA, United States
| | - Eliza B Nelson
- Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, MA, United States
| | - Rebecca K Tsevat
- Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, United States
| | - Sharon Levy
- Department of Pediatrics, Harvard Medical School, Boston, MA, United States.,Division of Developmental Medicine, Boston Children's Hospital, Boston, MA, United States
| | - Elissa R Weitzman
- Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, MA, United States.,Department of Pediatrics, Harvard Medical School, Boston, MA, United States.,Computational Health Informatics Program, Boston Children's Hospital, Boston, MA, United States
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15
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Butler SM. How the Health System Overlooks Young Adults With Chronic Conditions. JAMA HEALTH FORUM 2021; 2:e211685. [DOI: 10.1001/jamahealthforum.2021.1685] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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16
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Tran DMT, Silvestri-Elmore A. Healthcare-seeking behaviours in college students and young adults: a review. J Res Nurs 2021; 26:320-338. [PMID: 35251258 DOI: 10.1177/1744987120951594] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND/AIMS To review the literature on college students' healthcare-seeking behaviours to uncover the current evidence and promote better healthcare-seeking behaviours and essentially better health outcomes in young adults. METHODS The researchers conducted an extensive literature review using CINAHL, Cochrane, PubMed, EBSCOhost and Google Scholar in the years 2018 and 2019. The search was limited to the past 18 years (2000-2018) and to studies reported in the English language focused on the general healthcare-seeking behaviour of college students. The search was also extended to young adults (aged 18-39 years). RESULTS A total of 56 articles were identified for abstract review and only 28 articles met the inclusion criteria for the final review. The following themes emerged to organise our findings: healthcare-seeking behaviour among college students, health information resource utilisation and its influence on healthcare-seeking behaviours and barriers to accessing care among college students. CONCLUSIONS This review summarises the current body of knowledge related to healthcare-seeking behaviour among college students, health information resource utilisation and its influence on healthcare-seeking behaviour and barriers to accessing care among this population. Important measures further to address the health needs and interventions for addressing these needs among the college student population are discussed.
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Affiliation(s)
- Dieu-My T Tran
- Assistant Professor, School of Nursing, University of Nevada Las Vegas, USA
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17
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Rogowsky R, Laidlaw A, Ozakinci G. 'Having come to university my care was very much in my hands': exploration of university students' perceptions of health care needs and services using the common-sense model of self-regulation. J Behav Med 2020; 43:943-955. [PMID: 32219601 PMCID: PMC7674182 DOI: 10.1007/s10865-020-00147-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2019] [Accepted: 03/17/2020] [Indexed: 11/26/2022]
Abstract
The health care needs and service experiences of higher education students require more research attention, given the increase in students who have a long-term illness, medical condition, or disability ("condition"). It is also important to consider the experiences of rising numbers of international students. This exploratory qualitative study used face-to-face interviews and the common-sense model of self-regulation to investigate students' perceptions and coping behaviours, in a higher education institution in the UK. Thematic analysis was used to analyse the data. Twenty students who self-identified as having a condition were interviewed. This study adds depth to the understanding of the connections between students' health-related experiences and their personal, academic, and post-graduation aspirations and the support needs of students, including international students. To optimise institutional support, innovations in partnerships with local care organisations and within the university, staff training about conditions, peer mentorship, and information outreach especially to international students, should be considered.
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Affiliation(s)
- Rayna Rogowsky
- School of Medicine, University of St Andrews, St Andrews, Fife, KY16 9TF, Scotland, UK
| | - Anita Laidlaw
- School of Medicine, University of St Andrews, St Andrews, Fife, KY16 9TF, Scotland, UK
| | - Gozde Ozakinci
- School of Medicine, University of St Andrews, St Andrews, Fife, KY16 9TF, Scotland, UK.
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18
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Abshire DA, Graves JM, Dawson RM. Rural-urban differences in college students' cardiovascular risk perceptions. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2020; 68:477-483. [PMID: 30908130 DOI: 10.1080/07448481.2019.1577866] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/14/2018] [Revised: 11/09/2018] [Accepted: 01/29/2019] [Indexed: 06/09/2023]
Abstract
Objective: To examine rural-urban differences in college students' cardiovascular risk perceptions. Participants: College students in rural (n = 61) and urban (n = 57) Kentucky counties were recruited from November 2012 to May 2014. Methods: This was a secondary data analysis of a cross-sectional study examining rural-urban differences in cardiovascular risk factors. Students rated their risk for developing high blood pressure, diabetes, high cholesterol, heart disease, having a stroke, and gaining excess weight. Chi-square and logistic regression were used for data analysis. Results: Rural students had lower odds of perceived high risk for developing high blood pressure compared to urban students (odds ratio (OR): 0.32, 95% CI: 0.11-0.96) after adjusting for race, sex, and body mass index. This association was not observed after adjusting for healthcare access variables. No other significant differences were observed. Conclusions: Efforts to raise perceived risk for developing hypertension among rural college students may be warranted.
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Affiliation(s)
| | - Janessa M Graves
- College of Nursing, Washington State University, Spokane, WA, USA
| | - Robin M Dawson
- College of Nursing, University of South Carolina, Columbia, SC, USA
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19
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Serbic D, Zhao J, He J. The role of pain, disability and perceived social support in psychological and academic functioning of university students with pain: an observational study. Int J Adolesc Med Health 2020; 33:209-217. [PMID: 32562531 DOI: 10.1515/ijamh-2019-0032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2020] [Accepted: 05/06/2020] [Indexed: 06/11/2023]
Abstract
OBJECTIVES University students with pain face unique physical, psychological, social and academic challenges, but research on this is limited. The main aim of this study was to examine how pain, disability and perceived social support relate to psychological and academic outcomes in students with pain. It also compared students with pain and students without pain on measures of depression, anxiety and perceived social support. METHODS Three hundred and eleven students enrolled in Chinese universities took part in the study, 198 with pain (102 reported acute pain and 96 chronic pain) and 113 without pain. They completed measures of perceived social support, depression, anxiety, pain (intensity, frequency, duration), disability and pain interference with academic functioning. RESULTS Students with chronic pain reported higher levels of anxiety and depression and lower levels of perceived social support than students without pain. There were no significant differences between students with acute and chronic pain, and between students with acute pain and those without pain. In the pain sample (containing both acute and chronic pain group), greater interference with academic functioning was predicted by higher levels of pain and disability, and disability also predicted higher levels of depression. After controlling for effects of pain and disability, lower levels of perceived social support predicted higher levels of both anxiety and depression. CONCLUSIONS These results highlight the role of pain and disability in academic functioning and the role of perceived social support in psychological functioning of students with pain.
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Affiliation(s)
- Danijela Serbic
- Department of Psychology, Royal Holloway, University of London, Egham, Surrey, TW20 0EX, UK
| | - Jun Zhao
- Department of Psychology, Royal Holloway, University of London, Egham, Surrey, UK
| | - Jiafan He
- Department of Psychology, Royal Holloway, University of London, Egham, Surrey, UK
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20
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Zeller WP, DeGraff R, Zeller W. Customized treatment for Type 1 diabetes patients using novel software. JOURNAL OF CLINICAL AND TRANSLATIONAL ENDOCRINOLOGY CASE REPORTS 2020. [DOI: 10.1016/j.jecr.2020.100057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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21
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Davis ES, Paro C. College Counselors' Perceptions of Working With First‐Year Students With Chronic Illnesses. JOURNAL OF COLLEGE COUNSELING 2020. [DOI: 10.1002/jocc.12146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- Eric S. Davis
- Department of Counselor EducationUniversity of South Florida
| | - Carly Paro
- Department of CounselingNova Southeastern University–Tampa
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22
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Preston SM, Darrow WW. Are Men Being Left Behind (Or Catching Up)? Differences in HPV Awareness, Knowledge, and Attitudes Between Diverse College Men and Women. Am J Mens Health 2019; 13:1557988319883776. [PMID: 31787066 PMCID: PMC6887835 DOI: 10.1177/1557988319883776] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2019] [Revised: 09/26/2019] [Accepted: 09/27/2019] [Indexed: 11/21/2022] Open
Abstract
The aim of this cross-sectional survey was to assess awareness, knowledge, and attitudes in regard to human papillomavirus (HPV) and vaccination against HPV among college students. From 2015 to 2017, 386 diverse undergraduates were recruited from a south Florida university. A survey, part of which was researcher developed, of HPV awareness, knowledge, and attitudes was conducted. The majority (84%) of participants had heard of HPV, and 70% had favorable attitudes toward vaccination. Only 28% of men and 55% of women had received ≥1 dose vaccine (p = .01), and 4% of all participants reported that they had received 3 doses. Those with ≥1 dose (n = 123, 40.1%) were more knowledgeable about HPV (p = .01). High knowledge scores were recorded for 30% of respondents and were strongly associated with HPV vaccine initiation among both men and women (p < .001) and perceived knowledge among women only (p < .001). Negative attitudes toward HPV vaccine acceptance were associated with low knowledge scores (p = .01) and undervaccination (p < .001). Vaccinated women (n = 95) were over seven times more likely than were unvaccinated women (n = 115) to report positive vaccine attitudes (relative risk = 7.1). HPV vaccination status was not associated with vaccine attitudes among men. HPV knowledge and vaccine uptake remain problematic among college students, and deficits in both are associated with negative HPV vaccine attitudes. Although the knowledge gap is narrowing, HPV vaccination efforts should target young men, as HPV-related cancer morbidity continues to rise in men.
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Affiliation(s)
- Sharice M. Preston
- Department of Health Promotion and Behavioral Sciences, University of Texas Health Science Center School of Public Health, Houston, TX, USA
| | - William W. Darrow
- Department of Health Promotion and Disease Prevention, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA
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23
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Cockroft MC, Bartlett TR, Wallace DC. Sleep, Nutrition, Disordered Eating, Problematic Tobacco and Alcohol Use, and Exercise in College Students With and Without Diabetes. J Psychosoc Nurs Ment Health Serv 2019; 57:23-32. [PMID: 31566702 DOI: 10.3928/02793695-20190919-04] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2019] [Accepted: 07/22/2019] [Indexed: 01/29/2023]
Abstract
The purpose of the current study was to examine the health behaviors of college students with diabetes and compare behaviors to college students without diabetes. This descriptive study used the American College Health Association-National College Health Assessment II and included 1,216 students between ages 18 and 24. Health behaviors related to sleep, nutrition, disordered eating, problematic tobacco and alcohol use, and exercise were examined. Students with diabetes (n = 528) reported a higher frequency of meeting exercise recommendations and less healthy behaviors related to nutrition and problematic tobacco and alcohol use. Both groups of students reported inadequate sleep. Students with diabetes reported more academic problems due to sleep difficulties, disordered eating, and problematic alcohol use. Health behaviors in both groups showed similar needs for improvement. Nurses are in a position to guide new, prospective, and continuing college students with diabetes in practicing behaviors associated with positive health outcomes. Opportunities for interventions are numerous. [Journal of Psychosocial Nursing and Mental Health Services, 57(12), 23-32.].
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24
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Wisk LE, Nelson EB, Magane KM, Weitzman ER. Clinical Trial Recruitment and Retention of College Students with Type 1 Diabetes via Social Media: An Implementation Case Study. J Diabetes Sci Technol 2019; 13:445-456. [PMID: 31010315 PMCID: PMC6501540 DOI: 10.1177/1932296819839503] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
BACKGROUND We sought to quantify the efficiency and acceptability of Internet-based recruitment for engaging an especially hard-to-reach cohort (college-students with type 1 diabetes, T1D) and to describe the approach used for implementing a health-related trial entirely online using off-the-shelf tools inclusive of participant safety and validity concerns. METHOD We recruited youth (ages 17-25 years) with T1D via a variety of social media platforms and other outreach channels. We quantified response rate and participant characteristics across channels with engagement metrics tracked via Google Analytics and participant survey data. We developed decision rules to identify invalid (duplicative/false) records (N = 89) and compared them to valid cases (N = 138). RESULTS Facebook was the highest yield recruitment source; demographics differed by platform. Invalid records were prevalent; invalid records were more likely to be recruited from Twitter or Instagram and differed from valid cases across most demographics. Valid cases closely resembled characteristics obtained from Google Analytics and from prior data on platform user-base. Retention was high, with complete follow-up for 88.4%. There were no safety concerns and participants reported high acceptability for future recruitment via social media. CONCLUSIONS We demonstrate that recruitment of college students with T1D into a longitudinal intervention trial via social media is feasible, efficient, acceptable, and yields a sample representative of the user-base from which they were drawn. Given observed differences in characteristics across recruitment channels, recruiting across multiple platforms is recommended to optimize sample diversity. Trial implementation, engagement tracking, and retention are feasible with off-the-shelf tools using preexisting platforms.
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Affiliation(s)
- Lauren E. Wisk
- Division of Adolescent/Young Adult
Medicine, Boston Children’s Hospital, Boston, MA, USA
- Department of Pediatrics, Harvard
Medical School, Boston, MA, USA
- Division of General Internal Medicine
& Health Services Research, David Geffen School of Medicine at the University of
California, Los Angeles, Los Angeles, CA, USA
- Lauren E. Wisk, PhD, Division of General
Internal Medicine & Health Services Research, David Geffen School of
Medicine at the University of California, Los Angeles, 1100 Glendon Ave, Ste
850, Los Angeles, CA 90024, USA.
| | - Eliza B. Nelson
- Division of Adolescent/Young Adult
Medicine, Boston Children’s Hospital, Boston, MA, USA
| | - Kara M. Magane
- Division of Adolescent/Young Adult
Medicine, Boston Children’s Hospital, Boston, MA, USA
| | - Elissa R. Weitzman
- Division of Adolescent/Young Adult
Medicine, Boston Children’s Hospital, Boston, MA, USA
- Department of Pediatrics, Harvard
Medical School, Boston, MA, USA
- Computational Health Informatics
Program, Boston Children’s Hospital, Boston, MA, USA
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25
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Barsell DJ, Everhart RS, Miadich SA, Trujillo MA. Examining Health Behaviors, Health Literacy, and Self-efficacy in College Students With Chronic Conditions. AMERICAN JOURNAL OF HEALTH EDUCATION 2018. [DOI: 10.1080/19325037.2018.1486758] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
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26
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Saylor J, Lee S, Ness M, Ambrosino JM, Ike E, Ziegler M, Roth CL, Calamaro C. Positive Health Benefits of Peer Support and Connections for College Students With Type 1 Diabetes Mellitus. DIABETES EDUCATOR 2018; 44:340-347. [PMID: 29949457 DOI: 10.1177/0145721718765947] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Purpose The purpose of this study is to examine the characteristics and health outcomes of college students with type 1 diabetes mellitus (T1DM) as it relates to membership in a local university-based diabetes student organization. Methods This descriptive, correlational research design is a secondary analysis of data. The sample consisted of nationally representative young adults in college (n = 317) between 18 and 30 years of age who were diagnosed with T1DM. Data were collected during April 2017 using a secure electronic diabetes management survey to inquire about self-reported barriers to diabetes management, hypoglycemia, and diabetic ketoacidosis of members of a diabetes organization. Results Students were evenly distributed from freshman to senior year of college with a slight decrease at the graduate level. Students who were affiliated members of a student-led diabetes student organization were less likely to report increased levels of isolation, depressive symptoms, and anxiety related to their diabetes than were general members. Conclusion Participation in a university-based diabetes student organization on campus and connecting with other college students with diabetes may have health benefits. In conclusion, the current study underscores the potential importance of peer-led, diabetes-specific support for adolescents emerging into adulthood.
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Affiliation(s)
| | - Sara Lee
- Department of Pediatrics, Case Western Reserve University School of Medicine, Cleveland, Ohio
| | - Michelle Ness
- School of Nursing, University of Delaware, Newark, Delaware
| | - Jodie M Ambrosino
- Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut
| | - Emily Ike
- The College Diabetes Network, Boston, Massachusetts
| | - Melissa Ziegler
- University of Delaware, College of Health Sciences, Biostatistics Core, Newark, Delaware
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27
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Hardy RY, Gurvitz M, Jackson JL, May S, Miller P, Daskalov R, Foster E. College students with congenital heart disease: A critical time for transition. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2018; 66:324-328. [PMID: 29452064 DOI: 10.1080/07448481.2018.1440583] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
UNLABELLED As medical and surgical advances improve, more young adults with congenital heart disease (CHD) are attending college. This case study illustrates some of the issues that these young adults may face as they attend college and discusses the role that college health practitioners can play in easing that transition. PARTICIPANTS A case of a male with CHD presenting to the college health clinic with a new onset headache. METHODS The authors discuss some of the unique challenges that college health practitioners may face when caring for students with CHD. In addition, they make recommendations on how best to care for these patients and how best to coordinate care with CHD students other care providers. RESULTS This student with a history of coarctation of the aorta presented with new onset headaches and was found to have high blood pressure. He was diagnosed with recurrent coarctation, underwent percutaneous treatment with stenting and quickly resumed classes. CONCLUSIONS As more students with CHD enter college, college health providers will need to understand some of the health risks that CHD students face. In addition, understanding some of the optimal ways to coordinate care with CHD providers can ease the transition that CHD students face as they enter college.
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Affiliation(s)
- Rose Y Hardy
- a Department of Health Systems , Management and Policy, Colorado School of Public Health , Aurora , Colorado , USA
| | - Michelle Gurvitz
- b Department of Cardiology , Boston Children's Hospital , Boston , Massachusetts , USA
| | - Jamie L Jackson
- c Center for Biobehavioral Health, Nationwide Children's Hospital , Columbus , Ohio , USA
| | - Susan May
- d Congenital Heart Public Health Consortium, American Academy of Pediatrics , Elk Grove Village , Illinois , USA
| | - Paula Miller
- e Adult Congenital Heart Association , Philadelphia , Pennsylvania , USA
| | - Rachel Daskalov
- d Congenital Heart Public Health Consortium, American Academy of Pediatrics , Elk Grove Village , Illinois , USA
| | - Elyse Foster
- f Division of Cardiology, University of California - San Francisco , San Francisco , California , USA
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28
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Wisk LE, Weitzman ER. Expectancy and Achievement Gaps in Educational Attainment and Subsequent Adverse Health Effects Among Adolescents With and Without Chronic Medical Conditions. J Adolesc Health 2017; 61:461-470. [PMID: 28734632 PMCID: PMC5610930 DOI: 10.1016/j.jadohealth.2017.04.006] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/21/2016] [Revised: 02/16/2017] [Accepted: 04/13/2017] [Indexed: 11/21/2022]
Abstract
PURPOSE While education-based disparities in health are common, the extent to which chronic conditions contribute to education gaps and to consequent health disparities is not fully understood. As such, we sought to investigate educational aspirations, expectations, and attainment among youth with and without chronic conditions and to determine if these relationships mediated subsequent disparities in health and well-being. METHODS Longitudinal data on 3,518 youths are from the 1997-2013 Panel Study of Income Dynamics, a population-based survey. Multivariate regression was used to assess disparities in educational aspirations, expectations, and attainment by chronic conditions and the subsequent effects on health and well-being, adjusting for important potential confounders. RESULTS Youth with chronic medical conditions (YCMCs) did not report significantly lower educational aspirations than their healthy peers; however, YCMC reported lower expectations for their educational attainment and fewer YCMC had earned their desired degree by the end of follow-up (e.g., ≥bachelor's degree: 19.9% for YCMC vs. 26.0% for peers, p < .05). YCMC reported significantly worse general health, lower life satisfaction, and lower psychological well-being in young adulthood than did their healthy peers. These disparities persisted after adjustment for confounders; the association between chronic disease and health was partially, but significantly, mediated by actual educational attainment. CONCLUSIONS Findings suggest an important risk mechanism through which YCMC may acquire socioeconomic disadvantage as they develop and progress through educational settings. Disproportionate lags in education, from expectation to attainment, may in turn increase YCMC's susceptibility to poor health and well-being in the future.
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Affiliation(s)
- Lauren E Wisk
- Department of Population Medicine, Center for Healthcare Research in Pediatrics (CHeRP), Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts; Division of Adolescent and Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.
| | - Elissa R Weitzman
- Division of Adolescent and Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts
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Different Demands, Same Goal: Promoting Transition Readiness in Adolescents and Young Adults With and Without Medical Conditions. J Adolesc Health 2017; 60:727-733. [PMID: 28274737 DOI: 10.1016/j.jadohealth.2017.01.002] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/16/2016] [Revised: 01/02/2017] [Accepted: 01/03/2017] [Indexed: 01/19/2023]
Abstract
PURPOSE This study aimed to examine differences in transition readiness, self-involvement and parental involvement in completing medical tasks, and general self-efficacy between a sample of older adolescents and young adults (AYAs) with medical conditions and a sample of healthy peers. Relations among these variables were also examined. METHODS The sample included 494 AYAs (mean age = 19.30 years, standard deviation = 1.33) who reported on their levels of transition readiness, self-involvement and parental involvement in completing medical tasks, and general self-efficacy. RESULTS AYAs with medical conditions reported significantly higher levels of transition readiness and self-involvement in completing medical tasks and lower levels of parent involvement in completing medical tasks than healthy peers. Parent involvement in completing medical tasks indirectly related to transition readiness through AYA self-involvement in completing medical tasks for both AYAs with medical conditions and healthy peers. CONCLUSIONS AYAs with medical conditions appear to have greater transition readiness skills and demonstrate more independence in completing medical tasks than healthy peers. For AYAs with medical conditions and healthy peers, transition readiness appears to be enhanced as parents decrease their involvement in completing AYAs' medical tasks and AYAs increase self-involvement in completing these tasks. AYAs with medical conditions, as well as healthy peers, may benefit from programming delivered in primary care, specialty clinic, or educational settings that focuses on increasing AYAs' involvement in and responsibility for managing their health care.
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Bouchard LM, Nauta MM. College Students’ Health and Short-Term Career Outcomes. JOURNAL OF CAREER DEVELOPMENT 2017. [DOI: 10.1177/0894845317699517] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This study examined the role of work volition in the relation between college students’ health and several short-term career outcome variables. The responses of 393 students to an online survey revealed that the number of the last 30 days that were deemed unhealthy was significantly related to work volition, and work volition was associated with major satisfaction, leadership aspirations, educational persistence intentions, and real versus ideal career aspiration discrepancy. Path analysis results were consistent with a model specifying work volition as a mediator of the associations between unhealthy days and the career variables. It therefore appears lower work volition may be a risk factor for students with health-related challenges. When conducting career assessment and counseling, career counselors and other providers should consider the perceived career-choice constraints that college students with chronic illnesses and general symptomatology perceive. Limitations and future research directions are discussed.
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Monaghan M, Baumann K. Type 1 diabetes: addressing the transition from pediatric to adult-oriented health care. RESEARCH AND REPORTS IN ENDOCRINE DISORDERS 2016; 6:31-40. [PMID: 27812509 PMCID: PMC5087810 DOI: 10.2147/rred.s56609] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
Adolescents and young adults with type 1 diabetes are at risk for poor health outcomes, including poor glycemic control, acute and chronic complications, and emergency department admissions. During this developmental period, adolescent and young adult patients also experience significant changes in living situation, education, and/or health care delivery, including transferring from pediatric to adult health care. In recent years, professional and advocacy organizations have proposed expert guidelines to improve the process of preparation for and transition to adult-oriented health care. However, challenges remain and evidence-based practices for preparing youth for adult health care are still emerging. Qualitative research suggests that adolescent and young adult patients rely on health care providers to guide them through the transition process and appreciate a gradual approach to preparing for adult-oriented health care, keeping parents in supportive roles into young adulthood. Patients also benefit from specific referrals and contact information for adult care providers. Promising models of transition care include provision of transition navigators, attendance at a young adult bridge clinic, or joint visits with pediatric and adult care providers. However, much of this research is in its early stages, and more rigorous trials need to be conducted to evaluate health outcomes during transition into adult health care. The purpose of this review is to provide an overview of the transition process, patient and health care provider perceptions of transition care, and emerging evidence of successful models of care for engagement in adult-oriented health care. Recommendations and resources for health care providers are also presented.
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Affiliation(s)
- Maureen Monaghan
- Center for Translational Science, Children's National Health System
- George Washington University School of Medicine, Washington, DC, USA
| | - Katherine Baumann
- George Washington University School of Medicine, Washington, DC, USA
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Monaghan M, Helgeson V, Wiebe D. Type 1 diabetes in young adulthood. Curr Diabetes Rev 2015; 11:239-50. [PMID: 25901502 PMCID: PMC4526384 DOI: 10.2174/1573399811666150421114957] [Citation(s) in RCA: 123] [Impact Index Per Article: 13.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/23/2014] [Revised: 02/24/2015] [Accepted: 03/09/2015] [Indexed: 02/08/2023]
Abstract
Type 1 diabetes has traditionally been studied as a chronic illness of childhood. However, young adulthood is a critical time for the development and integration of lifelong diabetes management skills, and research is starting to identify unique challenges faced by youth with diabetes as they age into adulthood. Most young adults experience multiple transitions during this unstable developmental period, including changes in lifestyle (e.g., education, occupation, living situation), changes in health care, and shifting relationships with family members, friends, and intimate others. Young adults with type 1 diabetes must navigate these transitions while also assuming increasing responsibility for their diabetes care and overall health. Despite these critical health and psychosocial concerns, there is a notable lack of evidence-based clinical services and supports for young adults with type 1 diabetes. We review relevant evolving concerns for young adults with type 1 diabetes, including lifestyle considerations, health care transitions, psychosocial needs, and changes in supportive networks, and how type 1 diabetes impacts and is impacted by these key developmental considerations. Specific avenues for intervention and future research are offered.
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Affiliation(s)
- Terrill Bravender
- Department of Pediatrics, University of Michigan, Ann Arbor, Michigan
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