Browsing by Subject "young adulthood"

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    Healthcare Transition Among Young Adults With Childhood-Onset Chronic Pain: A Mixed Methods Study and Proposed Framework
    (Elsevier, 2022) Murray, Caitlin B.; Murphy , Lexa K.; Jordan , Abbie; Owens, Michele Tsai; McLeod , Dorothy; Palermo, Tonya M.; Psychiatry, School of Medicine
    Chronic pain extends from childhood to adulthood for many young people. The transition from pediatric to adult care is a critical, yet understudied, healthcare task facing young adults with chronic pain. The aims of this observational, sequential mixed methods study were to 1) document the healthcare transition status of young adults with chronic pain (Stage 1, quantitative aim), 2) examine young adults' perspectives of barriers and facilitators of healthcare transition (Stage 2, qualitative aim), and 3) integrate findings to construct a theoretical framework of healthcare transition. A cohort was identified with childhood chronic pain and prior care in one of 15 multidisciplinary pediatric pain clinics across the United States and Canada. Approximately 6 years later, 189 young adults (M age = 21.0; age range = 18-24; 81.5% female) from this cohort with continuing chronic pain completed surveys for Stage 1, and a subsample (n = 17) completed qualitative interviews for Stage 2. Quantitative findings demonstrated that young adults may experience lapses in care, with 41.8% indicating they had not transitioned to adult pain services. Qualitative analysis revealed young adults experienced significant barriers (eg, abrupt departure from pediatric care) as well as facilitators (eg, acceptance of pain prognosis) of healthcare transition. Quantitative and qualitative findings were integrated to construct a healthcare transition framework for chronic pain, which highlights transition as a complex process involving multiple pathways, outcomes, and stakeholders. Advancements in research and practice are needed to develop transition services to bridge gaps in care and optimize health outcomes for young people with chronic pain. PERSPECTIVE: This mixed-methods study demonstrated that 41.8% of young adults with chronic pain experience lapses in adult-centered pain care and identified key barriers and facilitators to successful healthcare transition. Findings were integrated to construct the first healthcare transition framework for youth with chronic pain.
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    Women Give 2016
    (2016-11-15) Mesch, Debra; Ottoni-Wilhelm, Mark; Osili, Una; Han, Xiao; Pactor, Andrea; Ackerman, Jacqueline; Tolley, Kathryn
    Women Give 2016 investigates whether generational shifts in charitable giving intersect with women’s changing decision-making roles within families. Earlier this year, the U.S. Census Bureau released new estimates indicating that the Millennial generation (born 1981 and after) has surpassed the Baby Boomers (born 1946-1964) as the country’s largest generation. The interaction of multiple generations in the workplace and in families has attracted attention for several years, yet little empirical research has addressed whether different generations approach charitable giving differently. At the same time, women’s participation in the labor force has risen, leading to women’s increased influence in financial decision making individually and within the family.