Equity concerns in the context of a serious illness: Changes over time, associations with relationship quality and well-being, and moderator effects.

2004 ◽  
Author(s):  
R. Kuijer
Keyword(s):  
Relationship Quality ◽  
Well Being ◽  
Serious Illness ◽  
Moderator Effects ◽  
Changes Over Time ◽  
Over Time

Effect of Erythropoietin Treatment on Nutritional Status of Continuous Ambulatory Peritoneal Dialysis Patients

1993 ◽  
Vol 13 (2_suppl) ◽  
pp. 544-549 ◽  
Author(s):  
Elias V. Balaskas ◽  
I. Rogers Melamed ◽  
Amit Gupta ◽  
Joanne Bargman ◽  
Dimitrios G. Oreopoulos
Keyword(s):  
Nutritional Status ◽  
Serum Albumin ◽  
Absolute Lymphocyte Count ◽  
Well Being ◽  
Underlying Disease ◽  
Phosphate Binders ◽  
Self Assessment ◽  
Erythropoietin Treatment ◽  
Changes Over Time ◽  
Over Time

Seventeen patients -10 females, 7 males -mean age 52 years (range: 21–77 years), on CAPD for an average of 35 months (range 10–160 months) were studied. Mean initial dose of EPO was 114±45 U/kg/week subcutaneously (range: 59–209). The dose was adjusted to achieve and maintain a target Hb of 100 g/L and Hct 30%. Fifteen of the patients (88.2%) achieved this target within 6 months [baseline to month 6 changes: Hb 72±10 g/L to 107±12 g/L (p=0.0001); Hct 22±3% to 33±4% (p=0.0001)]. Serum total protein also increased significantly over the time of EPO use (p=0.0133); changes from baseline were significant by the fourth month [68±9 g/L to 72±9 g/L (p=0.0115)]. Serum albumin also increased significantly over time (p=0.0157). The change from the baseline result (37±4 g/L) was statistically significant by month 2 (p=0.0060) and was maintained over the following 4 months [month 6 result: 40±3 g/L (p=0.0180)]. The increase was greater for 8 patients with initial serum albumin <35 g/L (mean change 5.75 g/L) than for the 9 subjects with levels >35 g/L (mean change 0.11 g/L). In a comparison group of 17 patients (matched for age, sex, duration of CAPD, underlying disease and antihypertensive treatment), who did not receive EPO treatment, albumin and protein did not appear to increase over time. Mean body weight increased from 60.9± 14.0 kg at the start to 62.1± 13.9 kg at month 6 (p=0.281) and the absolute lymphocyte count from 1.6±0.8 x 109/L to 1.8±1.0 x 109/L (p=0.0472). Serum potassium, urea, creatinine, phosphorus, cholesterol, tri. glycerides, WBC and platelets did not show significant changes over time. Serum phosphorus increased at the end of the second and third months (from 1.6±0.5 mmol/L to 1.9±0.4 and 1.8±0.4 mmol/L and then decreased at the sixth month (1.7±0.5 mmol/L); this is probably due to an increase in phosphate binders in 9 of 17 patients. An improvement in appetite, sleep and well-being, by patients’ self-assessment, was noted during the treatment. We conclude that the treatment with EPO is associated with improvement of the nutritional status of patients on CAPD.

Hand-in-Hand Combat: Affectionate Touch Promotes Relational Well-Being and Buffers Stress During Conflict

2018 ◽  
Vol 45 (3) ◽  
pp. 431-446 ◽  
Author(s):  
Brittany K. Jakubiak ◽  
Brooke C. Feeney
Keyword(s):  
Relationship Quality ◽  
Well Being ◽  
Conflict Behavior ◽  
Couple Conflict ◽  
Real Experiment ◽  
Relational Conflict ◽  
State Security ◽  
Considerable Impact ◽  
Over Time ◽  
Excess Stress

Relational conflict has a considerable impact on relational and personal well-being, but whether that impact is positive or negative depends on how the conflict is managed. Individuals struggle to have constructive conflicts that protect their relationships and avoid excess stress, which can lead to declines in relationship quality over time. The current set of experiments tested whether a brief touch intervention would promote relational well-being and prevent stress during couple conflict discussions. Results indicated that engaging in touch prior to and during conflict was effective to improve couple-members’ conflict behavior and to buffer stress in real (Experiment 1) and imagined (Experiments 2a and 2b) contexts. The results of these experiments suggest that touch may be a simple yet effective intervention for improving couple conflict discussions. In addition, we provide initial evidence that enhanced state security and cognitive interdependence serve as mechanisms underlying these effects.

Is self-esteem a resource for the parental couple? A longitudinal study on the quality of the romantic and coparental relationships

2019 ◽  
Vol 36 (11-12) ◽  
pp. 3773-3795
Author(s):  
Nahema El Ghaziri ◽  
Joëlle Darwiche ◽  
Jean-Philippe Antonietti
Keyword(s):  
Relationship Quality ◽  
Well Being ◽  
Self Esteem ◽  
The Self ◽  
Family Unit ◽  
The Family ◽  
Parental Couple ◽  
The Relationship ◽  
Over Time

The aim of this study is to investigate the longitudinal influence of self-esteem on romantic and coparental relationship quality. The data were drawn from the German Family Panel, pairfam. Parents ( n couples = 2,364) were assessed three times over 4 years. The results indicated that romantic and coparental quality decreased over time, while self-esteem remained stable. The self-esteem of both parents predicted initial romantic and coparental quality. Additionally, mothers’ self-esteem reduced the decline in romantic quality. Finally, romantic quality mediated the relationship between parents’ self-esteem and coparental quality. These results suggest that self-esteem might be a resource for the parental couple and even for the family unit, as romantic and coparental quality are key elements for the well-being of both parent and child.

Effectiveness of Lifestyle Interventions in an Active Duty Air Force Population

2021 ◽  
pp. 089011712199730
Author(s):  
Nicole H. Armitage ◽  
M. Kaye Kramer ◽  
Mary S. Nelson ◽  
DawnKimberly Hopkins ◽  
Ruby Langeslay ◽  
...  
Keyword(s):  
Lifestyle Intervention ◽  
Diabetes Prevention Program ◽  
Well Being ◽  
Active Duty ◽  
Intervention Programs ◽  
Abdominal Circumference ◽  
Military Population ◽  
Improvement Program ◽  
Changes Over Time ◽  
Over Time

Purpose: To examine the effectiveness of 3 lifestyle intervention programs in an active duty military population. Design: Experimental design with stratified random assignment to 1 of 3 intervention groups. Measures were taken at baseline, 3 months and 6 months. Setting: A Military Treatment Facility in the western U.S. Subjects/Intervention: 122 active duty service members were enrolled and randomly assigned to 1 of 3 lifestyle intervention programs: the Diabetes Prevention Program-Group Lifestyle Balance (DPP-GLB), the Better Body Better Life (BBBL) program or the Fitness Improvement Program (FIP). Measures: weight, abdominal circumference, lipid and HbA1c levels, physical activity, and well-being as measured by the RAND SF-36 questionnaire. Analysis: Statistical analyses were performed to assess changes over time. Results: 83 participants completed the study (BBBL N = 23, FIP N = 30, DPP-GLB N = 30). The DPP-GLB participants had statistically significant decreases in weight (-3.1 pounds, p = .01) and abdominal circumference (-0.9 inches; p = .01) over time. HbA1c was also significantly lower in this group at 6 months compared to baseline ( p = .036). There were no statistically significant changes in weight, abdominal circumference, or HbA1c in the FIP or BBBL groups. No significant changes were observed in lipids in any of the groups. Conclusion: Results from this study indicate that the DPP-GLB program may be effective in reducing weight, abdominal circumference, and HbA1c in an active duty U.S. military population.

scholarly journals Changes Over Time in Good-Parent Beliefs Among Parents of Children with Serious Illness: Two Year Cohort Study (TH320B)

2018 ◽  
Vol 55 (2) ◽  
pp. 570
Author(s):  
Douglas Hill ◽  
Jennifer Faerber ◽  
Karen Carroll ◽  
Victoria Miller ◽  
Wynne Morrison ◽  
...  
Keyword(s):  
Cohort Study ◽  
Parent Beliefs ◽  
Serious Illness ◽  
Good Parent ◽  
Changes Over Time ◽  
Over Time

Mood and Psychiatric Disturbance in HIV and AIDS: Changes Over Time

1993 ◽  
Vol 162 (5) ◽  
pp. 604-610 ◽  
Author(s):  
Mary Fell ◽  
Stanton Newman ◽  
Mary Herns ◽  
Pauline Durrance ◽  
Hadi Manji ◽  
...  
Keyword(s):  
Well Being ◽  
Hiv And Aids ◽  
Psychiatric History ◽  
Bisexual Men ◽  
Psychiatric Disturbance ◽  
Symptomatic Group ◽  
And Bisexual ◽  
Changes Over Time ◽  
Hiv Seropositive ◽  
Over Time

A sample of 26 HIV seronegative, 59 HIV seropositive asymptomatic and 7 HIV seropositive symptomatic homosexual and bisexual men were assessed over two visits, a mean of 11 months apart, using the BDI, STAI, and CIS. Significant differences emerged between the symptomatic group and the other two groups. Past psychiatric history and the somatic items in the assessments accounted for some of these differences. The seropositive asymptomatic and the seronegative groups did not differ on any of the mood or psychiatric assessments, suggesting minimal effect on psychological well-being of seroconversion in the absence of symptoms.

scholarly journals Tracking and treating malnutrition: a retrospective observational study of the nutritional status of vulnerable people accessing a meals-on-wheels (MOW) service

2020 ◽  
Vol 21 ◽  
Author(s):  
Michelle Dewar ◽  
Angela Dickinson ◽  
Nigel Smeeton
Keyword(s):  
Nutritional Status ◽  
Well Being ◽  
Initial Visit ◽  
Meals On Wheels ◽  
Need For Support ◽  
The Uk ◽  
Changes Over Time ◽  
Health And Well Being ◽  
Over Time

Abstract Aim: The aims of the study were to describe the characteristics of meals-on-wheels (MOW) recipients, including prevalence of malnutrition amongst those who have received input from the Nutrition and Wellbeing Service (NWS) and to explore whether the NWS had an impact on the nutritional status (malnutrition risk) of recipients over time. Background: Support services, for example, MOW, play an important role in the prevention and treatment of malnutrition in the community. In the UK, MOW services are under threat. However, little is known about how they support the health and well-being of older people. This study reports on the characteristics of MOW recipients and investigates change in nutritional status over time. Methods: A retrospective study of MOW recipients of nutritional concern who were offered a check through the NWS was conducted. Demographic, social and health information were gathered at the initial visit. Nutritional status (risk of malnutrition) was obtained using the validated Malnutrition Universal Screening Tool (MUST), at the initial and subsequent visits. Changes over time were investigated for recipients receiving at least two follow-up visits. Findings: An initial visit was made to 399 MOW recipients, and 148 recipients had two or more follow-up visits. At initial screening, 177 (44%) of recipients were at medium or high risk of malnutrition. Frailty was significantly related to malnutrition risk (P = 0.049). At follow-up, there was a reduction in malnutrition risk. Conclusions: The MOW service was associated with a reduction in malnutrition risk. By offering well-being visits within a MOW service, malnutrition can be identified early. Future studies into how MOW services might delay or prevent the need for support from acute health services and social care are warranted.

scholarly journals Changes Over Time in Good-Parent Beliefs Among Parents of Children With Serious Illness: A Two-Year Cohort Study

2019 ◽  
Vol 58 (2) ◽  
pp. 190-197 ◽  
Author(s):  
Douglas L. Hill ◽  
Jennifer A. Faerber ◽  
Yimei Li ◽  
Victoria A. Miller ◽  
Karen W. Carroll ◽  
...  
Keyword(s):  
Cohort Study ◽  
Parent Beliefs ◽  
Serious Illness ◽  
Good Parent ◽  
Changes Over Time ◽  
Over Time
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