scholarly journals Older Adult Use and Outcomes in a Digital Musculoskeletal (MSK) Program, by Generation

2021 ◽  
Vol 3 ◽  
Author(s):  
Grace Wang ◽  
Jeannie F. Bailey ◽  
Manshu Yang ◽  
Jeffrey Krauss
Keyword(s):  
Clinical Outcomes ◽  
Baby Boomers ◽  
Regression Models ◽  
Program Completion ◽  
Descriptive Statistics ◽  
Depression And Anxiety ◽  
Silent Generation ◽  
Pain Outcomes ◽  
Working Age ◽  
Gen X

Objective: We investigated use and clinical outcomes in a digital musculoskeletal (MSK) program, by generation.Method: This longitudinal study uses retrospective data collected online or by app. The study included adults with 12 or more weeks of pain who took part in a digital MSK program. We compared Gen Z and Millennials, Gen X, working age Baby Boomers, and retiree age Baby Boomer and Silent Generation. Program use outcomes were program start, program completion, and number of exercises, educational articles, and messages to coaches. Clinical outcomes were changes in pain, depression, and anxiety from baseline to 12 weeks. We calculated descriptive statistics and conducted adjusted regression models.Results: Odds of starting the program were significantly higher for Gen Xers (OR: 1.12) and working age Baby Boomers (OR: 1.37) vs. Gen Zers and Millennials. Compared to Gen Zers and Millennials, we observed significantly higher odds of program completion among Gen Xers (OR: 1.62), working age Baby Boomers (OR: 2.24), and retirees (OR: 2.36). Compared to Gen Zers and Millennials, retirees had 19 more exercise sessions (IRR: 1.69), accessed 11 more articles (IRR: 1.84), and sent 4 more messages to coaches (IRR: 1.26). Compared to Gen Z and Millennials, we observed no significant differences in change in pain for Gen Xers, working age Baby Boomers, or retirees.Conclusions: Adults from multiple generations took part in a digital MSK program. Findings suggest that older generations used a digital MSK program more than younger generations, but had similar pain outcomes.

scholarly journals Service Use, Drop-Out Rate and Clinical Outcomes: A Comparison Between High and Low Intensity Treatments in an IAPT Service

2014 ◽  
Vol 42 (6) ◽  
pp. 747-759 ◽  
Author(s):  
Stella W. Y. Chan ◽  
Malcolm Adams
Keyword(s):  
Clinical Outcomes ◽  
High Intensity ◽  
Recovery Rate ◽  
Service Use ◽  
Evaluation Study ◽  
Drop Out ◽  
Stepped Care ◽  
Depression And Anxiety ◽  
Low Intensity ◽  
Drop Out Rate

Background: The IAPT services provide high and low intensity psychological treatments for adults suffering from depression and anxiety disorders using a stepped care model. The latest national evaluation study reported an average recovery rate of 42%. However, this figure varied widely between services, with better outcomes associated with higher “step-up” rates between low and high intensity treatments. Aims: This study aimed to compare the two intensity groups in an IAPT service in Suffolk. Method: This study adopted a between groups design. A sample of 100 service users was randomly selected from the data collected from an IAPT service in Suffolk between May 2008 and February 2011. The treatment outcomes, drop-out rate, and other characteristics were compared between those who received high and low intensity treatments. Results: The high intensity group received, on average, more sessions and contact time. They received more CBT sessions and less guided self-help. There were no group differences in terms of the drop-out and appointment cancellation rates. Analyses on clinical outcomes suggested no group difference but demonstrated an overall recovery rate of 52.6% and significant reduction in both depression and anxiety symptoms. Conclusions: Despite methodological limitations, this study concludes that the service as a whole achieved above-average clinical outcomes. Further research building upon the current study in unpacking the relative strengths and weaknesses for the high and low intensity treatments would be beneficial for service delivery.

Time Allocation Behavior of Twentieth-Century American Generations: GI Generation, Silent Generation, Baby Boomers, Generation X, and Millennials

2018 ◽  
Vol 2672 (49) ◽  
pp. 69-80 ◽  
Author(s):  
Annesha Enam ◽  
Karthik C. Konduri
Keyword(s):  
Baby Boomers ◽  
Generation X ◽  
Time Use ◽  
Time Allocation ◽  
Structural Changes ◽  
Demographic Variables ◽  
Silent Generation ◽  
Two Generations ◽  
American Heritage ◽  
Using Data

In recent years, time engagement behaviors of two generations, namely Baby Boomers and Millennials have sparked much interest because these generations constitute the bulk of the American population today and they also exhibit “atypical” activity–travel patterns compared with other generations. The objective of the current research is to conduct a systematic study of the time engagement behaviors of five American generations: the GI Generation (birth year: 1901–1924), the Silent Generation (birth year: 1925–1943), Baby Boomers (birth year: 1944–1964), Generation X (birth year: 1965–1981), and Millennials (birth year: 1982–2000). Particularly, the study aims at isolating heterogeneity in behaviors associated with structural changes in the society from those associated with inherent generational characteristics. Using data from four waves (1965, 1985, 2005, and 2012) of the American Heritage and Time Use Study, the analysis explores the time engagement behaviors while accounting for the age, period, and cohort effects in addition to different socioeconomic and demographic variables. The analysis reveals that Millennials have generally delayed participation in life-changing events such as marriage and workforce entry, and have exhibited prolonged student status compared with previous generations. Millennials show lower participation in work and higher participation in discretionary activities compared with individuals of the same age group from previous generations. On the other hand, Baby Boomers clearly exhibited increased travel engagement compared with the previous generations at different stages of their lives.

scholarly journals Characterizing COVID-19 clinical phenotypes and associated comorbidities and complication profiles

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248956
Author(s):  
Elizabeth R. Lusczek ◽  
Nicholas E. Ingraham ◽  
Basil S. Karam ◽  
Jennifer Proper ◽  
Lianne Siegel ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Regression Models ◽  
Principal Component ◽  
Hospitalized Patients ◽  
Future Research ◽  
Ensemble Clustering ◽  
Multinomial Regression ◽  
Tailored Therapy ◽  
Clinical Phenotypes ◽  
Multivariable Models

Purpose Heterogeneity has been observed in outcomes of hospitalized patients with coronavirus disease 2019 (COVID-19). Identification of clinical phenotypes may facilitate tailored therapy and improve outcomes. The purpose of this study is to identify specific clinical phenotypes across COVID-19 patients and compare admission characteristics and outcomes. Methods This is a retrospective analysis of COVID-19 patients from March 7, 2020 to August 25, 2020 at 14 U.S. hospitals. Ensemble clustering was performed on 33 variables collected within 72 hours of admission. Principal component analysis was performed to visualize variable contributions to clustering. Multinomial regression models were fit to compare patient comorbidities across phenotypes. Multivariable models were fit to estimate associations between phenotype and in-hospital complications and clinical outcomes. Results The database included 1,022 hospitalized patients with COVID-19. Three clinical phenotypes were identified (I, II, III), with 236 [23.1%] patients in phenotype I, 613 [60%] patients in phenotype II, and 173 [16.9%] patients in phenotype III. Patients with respiratory comorbidities were most commonly phenotype III (p = 0.002), while patients with hematologic, renal, and cardiac (all p<0.001) comorbidities were most commonly phenotype I. Adjusted odds of respiratory, renal, hepatic, metabolic (all p<0.001), and hematological (p = 0.02) complications were highest for phenotype I. Phenotypes I and II were associated with 7.30-fold (HR:7.30, 95% CI:(3.11–17.17), p<0.001) and 2.57-fold (HR:2.57, 95% CI:(1.10–6.00), p = 0.03) increases in hazard of death relative to phenotype III. Conclusion We identified three clinical COVID-19 phenotypes, reflecting patient populations with different comorbidities, complications, and clinical outcomes. Future research is needed to determine the utility of these phenotypes in clinical practice and trial design.

scholarly journals ÖRGÜTSEL SÜREÇLERDEKİ KUŞAKLARARASI ÇATIŞMALARDA KÜLTÜREL DEĞİŞİMLERİN ROLÜ: AKADEMİSYENLERE YÖNELİK BİR ARAŞTIRMA

2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Sena ERDEN AYHÜN
Keyword(s):  
Baby Boomers ◽  
Family Environment ◽  
Gender Segregation ◽  
Cultural Dimensions ◽  
Reverse Direction ◽  
Survey Method ◽  
Positive Direction ◽  
Silent Generation ◽  
Intergenerational Conflicts ◽  
And Performance

The phenomenon of change in the cultural structure brought about differences in values, beliefs and behavior in the social structure. The fact that the phenomenon of change is not acknowledged by adult generations, the inability to understand the behaviors of new generations brings about the possibility of conflicts between new and adult generations. The conflicts that individuals primarily experience in the family environment also manifest themselves when they are beginning to work within an institution. Many theoretical-based studies in the literature show that conflicts that occur during generations may be related to cultural changes.In the study, it was tried to determine whether the X generation academicians working at the universities had experienced conflict with the Y generation of the younger generation. In addition, the Y generation academics were investigated whether they lived in conflict with the elderly generations, named  X generation,, Baby Boomers generation and silent generation. In addition in the survey; the relation between the avoidance of variables measuring the cultural dimensions and uncertainty, power distance, collectivism I, collectivism II, assertiveness, gender segregation, being orientation for future and performance, differentiations in humanistic approach and intergenerational conflicts are searched.Data are collected over the web sites by survey method, face to face meeting and via fax and 428 applicable interview results have been provided.  In the analysis of the data, the structural equality model was utilized. As a result of the analyzes made; It has been determined that the X generation is rarely conflict with Y generation, the Y generation is rarely conflict with X generation, Baby Boomers generation and silent generation. Collectivism II and performance orientation and relation of intergenerational conflicts has been found in reverse direction where the relation of intergenerational conflicts with gender apartheid dimension was in positive direction.

Effect of the Containment Type on Clinical Outcomes in Osteochondral Lesions of the Talus Treated With Autologous Osteochondral Transplantation

2018 ◽  
Vol 46 (9) ◽  
pp. 2096-2102 ◽  
Author(s):  
Yoshiharu Shimozono ◽  
Johanna C.E. Donders ◽  
Youichi Yasui ◽  
Eoghan T. Hurley ◽  
Timothy W. Deyer ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Clinical Outcomes ◽  
Multivariate Regression ◽  
Regression Models ◽  
Short Form ◽  
Osteochondral Lesions ◽  
Osteochondral Transplantation ◽  
Autologous Osteochondral Transplantation ◽  
Type Group

Background: Uncontained-type osteochondral lesions of the talus (OLTs) have been shown to have inferior clinical outcomes after treatment with bone marrow stimulation. While autologous osteochondral transplantation (AOT) is indicated for larger lesions, no study has reported on the prognostic significance of the containment of OLTs treated with the AOT procedure. Purpose: To clarify the effect of the containment of OLTs on clinical and radiological outcomes in patients who underwent AOT for OLTs. Study Design: Case control study; Level of evidence, 3. Methods: A retrospective cohort study comparing patients with contained-type and uncontained-type OLTs was undertaken to include all patients who underwent AOT for the treatment of OLTs between 2006 and 2014. Analyses were performed by grouping the patients according to the containment type. Clinical outcomes were evaluated using the Foot and Ankle Outcome Score (FAOS) and the 12-Item Short Form Health Survey (SF-12) preoperatively and at final follow-up. Magnetic resonance imaging (MRI) at 2 years’ follow-up was evaluated with the modified magnetic resonance observation of cartilage repair tissue (MOCART) score. Multivariate regression models were used to evaluate factors affecting postoperative FAOS, SF-12, and MOCART scores. Results: Ninety-four patients were included: 31 patients with a contained-type OLT and 63 patients with an uncontained-type OLT. The median patient age was 34 years (interquartile range [IQR], 28-48 years) in the contained-type group and 36 years (IQR, 27-46 years) in the uncontained-type group. The median follow-up time was 45 months (IQR, 38-63 months) in the contained-type group and 52 months (IQR, 40-66 months) in the uncontained-type group. The median FAOS and SF-12 scores improved significantly after surgery in both contained-type and uncontained-type lesions ( P < .001). The median postoperative FAOS score of patients with contained-type OLTs was higher than that of patients with uncontained-type OLTs (91.7 vs 85.0, respectively; P = .009), but no significant differences were found between the contained-type and uncontained-type groups for postoperative SF-12 and MOCART scores. The multivariate regression models showed that patients with contained-type OLTs had an approximately 10-point better score on the FAOS compared with patients with uncontained-type OLTs ( P = .006). There was a nonsignificant trend for the rate of cystic occurrence in uncontained-type OLTs to be higher than that of contained-type OLTs (55.6% vs 38.7%, respectively; P = .125). Conclusion: Patients with contained-type OLTs experienced better clinical outcomes than those with uncontained-type OLTs after AOT for the treatment of OLTs. However, the AOT procedure still provided good clinical and MRI outcomes in both contained-type and uncontained-type OLTs at midterm follow-up.

Lucille

2020 ◽  
pp. 305-325
Author(s):  
Elise Johns
Keyword(s):  
Baby Boomers ◽  
Behavioral Therapy ◽  
The United States ◽  
Counseling Competencies ◽  
Multicultural Competencies ◽  
Physical Ability ◽  
Silent Generation ◽  
Loss Of Autonomy ◽  
Definition Of

The percentage of the population in the United States comprised of older adults (65+), sometimes referred to as Baby Boomers (birth year 1946 – 1964) and the Silent Generation (birth year 1925 – 1945), is steadily on the rise. This population is often overlooked and has a unique subset of issues when it comes to counseling competencies. Layered multicultural competencies affecting these individuals include race, gender, sexual orientation, religion, and ageism. Counseling concerns related to age include but are not limited to loss of autonomy, loss of physical ability, loss of loved ones, and changing definition of self. From an existential therapeutic background blended with Cognitive Behavioral Therapy (CBT) interventions, the author reviews the case study of Lucille with a focus on therapeutic intervention and Multicultural and Social Justice Counseling Competencies (MSJCCs).

scholarly journals STAFF EXPENSES AND ITS EFFECT ON THE BANK'S NET PROFIT

2018 ◽  
Vol 3 (3) ◽  
pp. 63-71
Author(s):  
Prem Bahadur Budhathoki ◽  
Chandra Kumar Rai
Keyword(s):  
Regression Models ◽  
Annual Report ◽  
Pearson Correlation ◽  
Predictor Variable ◽  
Descriptive Statistics ◽  
Fiscal Year ◽  
Research Journal ◽  
Net Profit ◽  
Multiple Regression Models ◽  
The Relationship

The aim of the study is to explore the relationship between a net profit of Nepalese commercial banks with staff expenses and staff bonus. This study is based on panel data which is collected from five sampled banks through the review of the annual report during the study period of fiscal year 2012/13 to 2016/17. These collected data are analyzed by using descriptive statistics, Pearson correlation coefficient, and log-log multiple regression models. The Mini-Tab software is used for the analysis of data. The results indicate that the predictor variable staff expenses do not significantly impact on net profits of the bank even though they are positively correlated. On the other hand, the response variable (net profit) is significantly affected by the predictor variable staff bonus. Researcher: A Research Journal of Culture and SocietyVol. 3, No. 3, January 2018, Page: 63-71 

scholarly journals Electoral Competition and Social Spending in the Argentine Provinces

2017 ◽  
Vol 9 (1) ◽  
pp. 91-124 ◽  
Author(s):  
Lucas González
Keyword(s):  
Developing Countries ◽  
Panel Data ◽  
Regression Models ◽  
Political Competition ◽  
Electoral Competition ◽  
Descriptive Statistics ◽  
Social Spending ◽  
Social Policies

What is the effect of political competition on subnational social spending? Using descriptive statistics and regression models for original budget panel data for the 24 Argentine provinces between 1993 and 2009, the study finds that social spending increases the more electorally secure governors are and the longer they have been in office. It also finds that other arguments in the literature are relevant in explaining variations on types of spending, such as partisan fragmentation in the districts. The article discusses these findings for the Argentine provinces and explores their implications with regard to the debates on the effects of electoral competition and the design of social policies, especially in developing countries and federal democracies.

Indoor and outdoor environmental determinants on the perceived housing affordability for senior households

2018 ◽  
Vol 29 (3) ◽  
pp. 331-342 ◽  
Author(s):  
Suk-Kyung Kim ◽  
Jaechoon Lee
Keyword(s):  
United States ◽  
Regression Models ◽  
Correlation Coefficients ◽  
The United States ◽  
Housing Affordability ◽  
Descriptive Statistics ◽  
Environmental Determinants ◽  
Relevant Research ◽  
Ageing In Place ◽  
Indoor And Outdoor

The primary purpose of this research is to determine influential indoor and outdoor environmental elements that affect senior households’ perceptions of housing affordability. This paper proposes major considerations for indoor and outdoor environmental elements which could make homes for senior households to be affordable and thus support their ageing in place. Our research adopted an empirical approach based on a survey. Relevant research was reviewed to identify potential indoor and outdoor environmental elements that could affect senior residents’ opinions about housing affordability. Sixteen indoor and outdoor environmental elements were selected. The survey targeted senior residents living in the central Michigan area in the United States. The results of this paper were based on descriptive statistics, mean difference tests, correlation coefficients and regression models to explain the relationships between indoor and outdoor environmental elements and senior residents’ perceptions of their housing affordability. Major findings proved statistically significant correlations between interior environmental elements and senior households’ perceived housing affordability. Most housing programmes and policies for housing affordability have focused on financial elements. Findings from this research, however, added several indoor and neighbourhood environmental elements for consideration to improve senior households’ perceived housing affordability and support their ageing in place.

scholarly journals Improvements in Pain Outcomes in a Canadian Pediatric Teaching Hospital Following Implementation of a Multifaceted, Knowledge Translation Initiative

2012 ◽  
Vol 17 (3) ◽  
pp. 173-179 ◽  
Author(s):  
Lisa M Zhu ◽  
Jennifer Stinson ◽  
Lori Palozzi ◽  
Kevin Weingarten ◽  
Mary-Ellen Hogan ◽  
...  
Keyword(s):  
Pain Management ◽  
Knowledge Translation ◽  
Clinical Outcomes ◽  
Pain Assessment ◽  
Management Practices ◽  
Audit And Feedback ◽  
Opioid Administration ◽  
Pain Outcomes ◽  
Pain Prevalence ◽  
The Impact

BACKGROUND: A previous audit performed at a tertiary/quaternary pediatric hospital in Toronto, Ontario, demonstrated suboptimal assessment and treatment of children’s pain. Knowledge translation (KT) initiatives (education, reminders, audit and feedback) were implemented to address identified care gaps; however, the impact is unknown.OBJECTIVES: To determine the impact of KT initiatives on pain outcomes including process outcomes (eg, pain assessment and management practices) and clinical outcomes (eg, pain prevalence and intensity); and to benchmark additional pain practices, particularly opioid administration and painful procedures.METHODS: Medical records at The Hospital for Sick Children (Toronto, Ontario) were reviewed on a single day in September 2007. Pain assessment and management practices, and pain prevalence and intensity in the preceding 24 h were recorded on a standardized data collection form. Where possible, pain outcomes were compared with previous audit results.RESULTS: Records of 265 inpatients were audited. Sixty-three per cent of children underwent a documented pain assessment compared with 27% in an audit conducted previously (P<0.01). Eighty-three per cent of children with documented pain received at least one pain management intervention. Overall, 51% of children received pharmacological therapy, and 15% received either a psychological or physical pain-relieving intervention. Of those assessed, 44% experienced pain in the previous 24 h versus 66% in the previous audit (P<0.01). Fewer children experienced severe pain compared with the first audit (8.7% versus 26.1%; P<0.01). One-third of children received opioids; 19% of these had no recorded pain assessment. Among 131 children who underwent a painful procedure, 21% had a concurrent pain assessment. Painful procedures were accompanied by a pain-relieving intervention in 12.5% of cases.CONCLUSIONS: Following KT initiatives, significant improvements in pain processes (pain assessment documentation and pain management interventions) and clinical outcomes (pain prevalence, pain intensity) were observed. Further improvements are recommended, specifically with respect to procedural pain practices and opioid utilization patterns.

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