A National Survey of Data Currently being Collected by Adult Day Service Centers Across the United States

2021 ◽  
pp. 073346482110139
Author(s):  
Tina Sadarangani ◽  
Keith Anderson ◽  
Paayal Vora ◽  
Lydia Missaelides ◽  
William Zagorski
Keyword(s):  
Data Collection ◽  
Large Scale ◽  
Well Being ◽  
The United States ◽  
Current Data ◽  
Assessment Tools ◽  
Willingness To Participate ◽  
Electronic Survey ◽  
Level Data ◽  
Additional Funding

An understanding of adult day service centers’ (ADC) impacts on clients’ health and well-being has been hampered by a lack of large-scale data. Standardizing data collection is critical to strengthening ADC programs, demonstrating their effectiveness, and enabling them to leverage additional funding streams beyond Medicaid. We distributed an electronic survey on current data collection efforts to ADCs nationally to determine categories of data ADCs are collecting related to clients’ health. In our sample ( N = 248), only 32% of ADCs collected patient-level data for research and analysis—most commonly on activities of daily living, cognition, nutrition, and caregiver strain. However, validated assessment tools were used in less than 50% of the cases. ADCs are willing to collect data: More than 70% reported a willingness to participate in future studies. National studies piloting data collection protocols with uniform outcome measures are needed to advance the understanding of ADCs’ capabilities and impacts.

scholarly journals Evidence for the Need to Standardize Data Collection on Patient Outcomes Across Adult Day Centers in the United States

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 618-618
Author(s):  
Tina Sadarangani ◽  
William Zagorski ◽  
Lydia Missaelides
Keyword(s):  
United States ◽  
Data Collection ◽  
Large Scale ◽  
The United States ◽  
Current Data ◽  
Assessment Tools ◽  
Nutritional Risk ◽  
Pool Data ◽  
Adult Day Centers ◽  
The Impact

Abstract Researchers’ ability to measure the impact of adult day centers (ADCs) on participants’ health has been hampered by a lack of large-scale data. We examined categories of data ADCs across the United States are collecting related to patients’ health and health outcomes with the idea of developing a future national cohort of centers. We distributed an electronic survey to ADCs in 50-states on current data collection efforts. Forty states were represented (N=250). Only 32% of ADCs collect patient level data for research and analysis. Vital signs, nutritional risk, falls, and activities of daily living data were most commonly collected. However, validated assessment tools were used in less than 50% of cases. Researchers’ ability to pool data on clinical outcomes among ADC users is limited by lack of data collection and use of uniform outcome measures across ADCs. Standardizing data collection is critical to strengthening ADC programs and demonstrating their effectiveness.

Psychosocial Consequences of Body Weight and Obesity

2018 ◽  
pp. 274-286
Author(s):  
Deborah Carr ◽  
Vera K. Tsenkova
Keyword(s):  
Body Weight ◽  
Interpersonal Relationships ◽  
Large Scale ◽  
Well Being ◽  
The United States ◽  
Overweight And Obesity ◽  
The Body ◽  
Integrative Health ◽  
Psychosocial Consequences ◽  
Adults And Children

The body weight of U.S. adults and children has risen markedly over the past three decades. The physical health consequences of obesity are widely documented, and emerging research from the Midlife in the United States study and other large-scale surveys reveals the harmful impact of obesity on adults’ psychosocial and interpersonal well-being. This chapter synthesizes recent research on the psychosocial implications of body weight, with attention to explanatory mechanisms and subgroup differences in these patterns. A brief statistical portrait of body weight is provided, documenting rates and correlates of obesity, with a focus on race, gender, and socioeconomic status disparities. The consequences of body weight for three main outcomes are described: institutional and everyday discrimination, interpersonal relationships, and psychological well-being. The chapter concludes with a discussion of the ways that recent integrative health research on the psychosocial consequences of overweight and obesity inform our understanding of population health.

Quality of Life and the Carbon Footprint: A Zip-Code Level Study Across the United States

2021 ◽  
Vol 30 (4) ◽  
pp. 323-343
Author(s):  
Matthew Thomas Clement ◽  
Chad L. Smith ◽  
Tyler Leverenz
Keyword(s):  
Quality Of Life ◽  
United States ◽  
Carbon Footprint ◽  
Ecological Impact ◽  
Well Being ◽  
The United States ◽  
Alternative Measure ◽  
Level Data ◽  
Zip Code

Much sustainability scholarship has examined the environmental dimensions of subjective and objective well-being. As an alternative measure of human well-being, we consider the notion of quality of life and draw on a framework from the sustainability literature to study its association with ecological impact, specifically the carbon footprint. We conduct a quantitative analysis, combining zip-code level data on quality of life and the carbon footprint per household for the year 2012 across the continental United States ( n=29,953). Findings consistently show a significant, negative association between quality of life and the carbon footprint. Our findings point to the potential advantages of utilizing robust objective measures of quality of life that extends beyond economic well-being and life expectancy alone. Furthermore, our findings question the conventional wisdom that sustainability requires sacrifices, while suggesting opportunities for how increased levels of sustainability may be achieved while retaining high levels of quality of life.

scholarly journals College Students’ Well-being during the COVID-19 Pandemic: A Systematic Review of the Literature

2021 ◽  
Vol 4 (4) ◽  
pp. p1
Author(s):  
Michaela Q. Iglesia ◽  
Ming-Tsan Lu
Keyword(s):  
United States ◽  
College Students ◽  
Systematic Review ◽  
Large Scale ◽  
Psychological Impact ◽  
Well Being ◽  
The United States ◽  
Socioeconomic Impacts ◽  
Health Lifestyle ◽  
Gender Minorities

Studies have shown increased levels of distress during the coronavirus disease-19 (COVID-19) pandemic, and college students are becoming more recognized as a vulnerable population. This narrative systematic review aims to synthesize the current understanding of mental health, lifestyle, and socioeconomic impacts that the pandemic had on college students in the United States. A search was conducted on PubMed, PsycInfo, and Web of Science. A total of 34 observational studies were included which examined aspects of college students’ health and experiences during the COVID-19 pandemic in the United States. A great deal of students was shown to experience a moderate level of stress and subsyndromal depression and anxiety in the early months of the COVID-19 pandemic. Several risk and protective factors have been characterized. Students experienced various academic, financial, and housing disruptions. Studies have highlighted the need for institutional support to reduce the adverse psychological impact of the pandemic. There is a need for further large-scale research to assess the scope of COVID-19-related biopsychosocial impact, especially in vulnerable populations such as racial/ethnic and sexual/gender minorities.

scholarly journals Screens, Teens, and Psychological Well-Being: Evidence From Three Time-Use-Diary Studies

2019 ◽  
Vol 30 (5) ◽  
pp. 682-696 ◽  
Author(s):  
Amy Orben ◽  
Andrew K. Przybylski
Keyword(s):  
Time Use ◽  
Large Scale ◽  
Well Being ◽  
The United States ◽  
Psychological Research ◽  
Research Area ◽  
Self Report ◽  
Clear Cut ◽  
Diary Studies ◽  
Psychological Evidence

The notion that digital-screen engagement decreases adolescent well-being has become a recurring feature in public, political, and scientific conversation. The current level of psychological evidence, however, is far removed from the certainty voiced by many commentators. There is little clear-cut evidence that screen time decreases adolescent well-being, and most psychological results are based on single-country, exploratory studies that rely on inaccurate but popular self-report measures of digital-screen engagement. In this study, which encompassed three nationally representative large-scale data sets from Ireland, the United States, and the United Kingdom ( N = 17,247 after data exclusions) and included time-use-diary measures of digital-screen engagement, we used both exploratory and confirmatory study designs to introduce methodological and analytical improvements to a growing psychological research area. We found little evidence for substantial negative associations between digital-screen engagement—measured throughout the day or particularly before bedtime—and adolescent well-being.

Lifetime and 12-month prevalence of mental disorders in the Nigerian Survey of Mental Health and Well-Being

2006 ◽  
Vol 188 (5) ◽  
pp. 465-471 ◽  
Author(s):  
Oye Gureje ◽  
Victor O. Lasebikan ◽  
Lola Kola ◽  
Victor A. Makanjuola
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Large Scale ◽  
Unmet Need ◽  
Composite International Diagnostic Interview ◽  
Well Being ◽  
Traditional Healers ◽  
Assessment Tools ◽  
Sub Saharan Africa ◽  
Post Traumatic Stress

BackgroundLarge-scale community studies of the prevalence of mental disorders using standardised assessment tools are rare in sub-Saharan Africa.AimsTo conduct such a study.MethodMultistage stratified clustered sampling of households in the Yoruba-speaking parts of Nigeria. Face-to-face interviews used the World Mental Health version of the Composite International Diagnostic Interview (WMH-CIDI).ResultsOf the 4984 people interviewed (response rate 79.9%), 12.1% had a lifetime rate of at least one DSM–IV disorder and 5.8% had 12-month disorders. Anxiety disorders were the most common (5.7% lifetime, 4.1% 12-month rates) but virtually no generalised anxiety or post-traumatic stress disorder were identified. Of the 23% who had seriously disabling disorders, only about 8% had received treatment in the preceding 12 months. Treatment was mostly provided by general medical practitioners; only a few were treated by alternative practitioners such as traditional healers.ConclusionsThe observed low rates seem to reflect demographic and ascertainment factors. There was a large burden of unmet need for care among people with serious disorders.

scholarly journals Practitioners’ and Policymakers’ Successes, Challenges, Innovations, and Learning in Promoting Children’s Well-being During COVID-19: Protocol for a Multinational Smartphone App Survey (Preprint)

2021 ◽  
Author(s):  
Jennifer C Davidson ◽  
Dimitar Karadzhov ◽  
Graham Wilson
Keyword(s):  
Data Collection ◽  
Local Governments ◽  
Large Scale ◽  
Health And Safety ◽  
Well Being ◽  
Health Impact ◽  
Smartphone App ◽  
Children And Families ◽  
Children’S Wellbeing ◽  
Smartphone Technology

BACKGROUND The advent of COVID-19 abruptly thrust the health and safety of children and families into greater risk around the world. As regional and local governments, nongovernmental organizations, communities, families, and children grapple with the immediate public health impact of COVID-19, the rights and well-being of children, especially those who are already marginalized, have been overlooked. Those working with children have likely encountered unprecedented challenges and responded in innovative ways in efforts to address the needs and rights of all children. OBJECTIVE This paper presents a protocol for a large-scale, multinational study using a new smartphone app to capture the real-time experiences and perspectives of practitioners and policymakers supporting children and families during the COVID-19 pandemic around the globe in relation to a children’s human rights <i>4P</i> framework of protection, provision, prevention, and participation. METHODS This protocol describes a mixed methods survey utilizing a custom-built iOS and Android smartphone app called the COVID 4P Log for Children’s Wellbeing, which was developed in close consultation with 17 international key partner organizations. Practitioners and policymakers working with and for children’s well-being across 29 countries and 5 continents were invited to download the app and respond to questions over the course of 8 weeks. The anticipated large amount of qualitative and quantitative response data will be analyzed using content analysis, descriptive statistics, and word frequencies. RESULTS Formal data collection took place from October 2020 until March 2021. Data analysis was completed in July 2021. CONCLUSIONS The findings will directly inform the understanding of the ways in which COVID-19 has impacted practitioners’, managers’, and policymakers’ efforts to support children’s well-being in their practices, services, and policies, respectively. Innovative and ambitious in its scope and use of smartphone technology, this project also aims to inform and inspire future multinational research using app-based methodologies—the demand for which is likely to continue to dramatically rise in the COVID-19 era. Mitigating the risks of longitudinal remote data collection will help maximize the acceptability of the app, respondents’ sustained engagement, and data quality. INTERNATIONAL REGISTERED REPORT DERR1-10.2196/31013

scholarly journals Nature-Based Solutions in Poland against Climate Change

Energies ◽  
2022 ◽  
Vol 15 (1) ◽  
pp. 357
Author(s):  
Edyta Małecka-Ziembińska ◽  
Izabela Janicka
Keyword(s):  
Climate Change ◽  
Land Use Planning ◽  
Large Scale ◽  
Well Being ◽  
Single Family ◽  
Electronic Survey ◽  
Level Of Activity ◽  
Public Areas ◽  
Cheap Method ◽  
Survey Results

One of the currently promoted methods of counteracting climate change is nature-based climate solutions, which harness the power of nature to reduce greenhouse gas emissions. Sustainable management of ecosystems is a guarantee for sustained human well-being. This underestimated, but extremely efficient and cheap method of integrating nature resources into the urban fabric is an economic “injection” for communal authorities. These “green” benefits should be standard in land-use planning in the era of anthropocentrism. Solutions based on nature were the reason for investigating their perception by Polish municipalities. The survey covered the entire country (all 2477 municipalities) from 20 July to 31 August 2021 through an electronic survey, obtaining 2128 responses (85.9% return rate). In the final result, data were obtained that support the hypotheses posed in the study. The main objective of the research was to check the level of activity of municipalities in Poland in the field of proecological activities using nature-based solutions (NbS). The survey results confirmed little knowledge of nature-based solutions, at the same time giving it an educational dimension. Half of the respondents declared that they learned about NbS only from the survey. Polish decision makers and municipal authorities introduce some solutions based on nature without being aware of their European classification and adequate nomenclature. Environmental awareness in Poland remains largely the domain of urban municipalities, with higher current budget revenues per capita and in the central and western parts of the country. NbS are marginal in rural municipalities, which can be explained by the lack of ecological specialists, less car traffic and more single-family houses and thus modest public areas. The following surveys covering the entire territory of Poland are the first to be carried out on such a large scale.

An Exploration of the Effectiveness of the Fun For Wellness Online Intervention to Promote Health in Adults With Obesity: A Randomized Controlled Trial

2020 ◽  
pp. 263207702096873
Author(s):  
Isaac Prilleltensky ◽  
Adam McMahon ◽  
Nicholas D. Myers ◽  
Ora Prilleltensky ◽  
Samantha Dietz ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Health Status ◽  
Self Efficacy ◽  
Large Scale ◽  
Controlled Trial ◽  
Well Being ◽  
The United States ◽  
Double Blind ◽  
Randomized Controlled ◽  
Positive Direct

Fun For Wellness (FFW) is an online behavioral intervention developed to promote well-being by enhancing the self-efficacy of participants. The objective of this study was to evaluate the effectiveness of FFW to promote health in adults with obesity in the United States in a relatively uncontrolled setting. The study design was a large-scale, prospective, double-blind, parallel group randomized controlled trial. Data collection occurred at three time points: baseline, 30 days, and 60 days after baseline. There was evidence for a positive direct effect of FFW on physical health status ([Formula: see text] = 1.33, p = .005, d = 0.24) at 60 days after baseline. In addition, there was evidence of a positive indirect effect of FFW on mental health status at 60 days after baseline through psychological well-being self-efficacy ([Formula: see text] = 0.44, [0.05, 0.94]).

Telehealth Services for Substance Use Disorders: A 3-month Longitudinal Assessment of Intensive Outpatient Programming and Data Collection Practices During the COVID-19 Pandemic (Preprint)

2022 ◽  
Author(s):  
Kate Gliske ◽  
Justine Welsh ◽  
Jacqueline E. Braughton ◽  
Lance A. Waller ◽  
Quyen M. Ngo
Keyword(s):  
Substance Use ◽  
Data Collection ◽  
Addiction Treatment ◽  
Well Being ◽  
The United States ◽  
Treatment Center ◽  
Post Discharge ◽  
Health Crisis ◽  
Outcome Monitoring ◽  
Intensive Outpatient

BACKGROUND The onset of the COVID-19 pandemic necessitated the rapid transition of many types of substance use disorder (SUD) treatment to telehealth formats, despite limited information about what makes treatment effective in this novel format. OBJECTIVE To examine the feasibility and effectiveness of virtual intensive outpatient program (IOP) treatment for SUD in the context of a global pandemic, while considering the unique challenges posed to data collection during an unprecedented public health crisis. METHODS The study is based on a longitudinal study with a baseline sample of 3,642 patients who enrolled in intensive outpatient addiction treatment (in-person, hybrid, or virtual) from January 2020 to March 2021 at a large substance use treatment center in the United States. The analytical sample consisted of patients who completed the 3-month post-discharge outcome survey as part of routine outcome monitoring (n = 1,060) (response rate = 29%). RESULTS No significant differences were detected by delivery format in continuous abstinence (χ2 = 0.42, P = .81), overall quality of life (F(2,826) = 2.06, P = .13), financial well-being (F(2,767) = 2.30, P = .10), psychological well-being (F(2,918) = 0.72, P = .49), and confidence in one’s ability to stay sober (F(2,941) = 0.21, P = .81). Individuals in hybrid programming were more likely to report a higher level of general health than those in virtual IOP (F(2,917) = 4.19, P = .01). CONCLUSIONS Virtual outpatient care for the treatment of SUDs is a feasible alternative to in-person only programming leading to similar self-reported outcomes at 3-months post-discharge. Given the many obstacles presented throughout data collection during a pandemic, further research is needed to better understand under what conditions telehealth is an acceptable alternative to in-person care.

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