Browsing by Subject "young adults"
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Item BE YOUR OWN BOSS: A CHRONIC DISEASE SELF-MANAGEMENT PROGRAM(Office of the Vice Chancellor for Research, 2012-04-13) Gladstone, Erin B.; Bhargava, Aakriti; Ciccarelli, Mary R.Objective: Describe the pilot of a peer-led chronic disease self-management workshop for youth aged 13-24 years old. Background: Fifteen to eighteen percent of children in the United States live with a chronic health condition (Perrin et al., Journal of the American Medical Association 2007, 297:2755). The Stanford chronic disease self-management program (CDSMP) has demonstrated improved self-care and health outcomes in older adults. Alberta Health Services has adapted this program from Stanford University for youth and young adults. CYACC is col-laborating with Alberta to evaluate the effectiveness of the adapted version in adolescents and young adults. Methods: Train the trainer sessions were completed to develop an initial cadre of lay leaders to implement the workshop sessions. Participants with any chronic condition attend 2 hour peer-led sessions once per week for six weeks. During the sessions, individuals with a variety of chronic diseases learn the skills needed in self-management of their condition and mainte-nance of general well-being and life’s activities. Data is collected on self-efficacy, pain, adherence, and other outcomes through pre- and post- as-sessment surveys. Results: Fourteen individuals participated in the pilot phase of the pro-gram; 5 in Lafayette, IN and 8 in Indianapolis, IN. A total of 14 pre-surveys were collected, while 10 post-surveys were collected. Analyses of the sur-veys show beneficial topics , while also indicating which topics should receive additional focus. Areas of the program identified as needing attention include recruitment, risk management, transportation issues, participant dropout rates, logistics of workshops, continued training of lay leaders, and stand-ardization of survey responses. Conclusion: The pilot study identified the importance and need for a self-management program for youth and young adults with chronic conditions. This program has the potential to improve health and self-management in the study population. Limitations of the program were addressed and will be improved for the next round of workshops.Item Indiana Partnerships for Success Young Adult Interview Results(Richard M. Fairbanks School of Public Health, 2019-06) Childress, Samantha; Nannery, Rebecca; Greene, Marion; Watson, DennisBetween January and March of 2019, the Eagleton Center for Public Interest Polling (ECPIP) at Rutgers University administered the second phase of the Indiana Young Adults Survey to a sample of the young adult population between the ages of 18-25 in each of the 10 PFS counties. Sampling included email and text message recruitment of those who completed the first phase of data collection and agreed to be contacted again, as well as text recruitment from two approved vendor lists, including both registered and non-registered voters. An oversample was done in Cass, Clark, Lake, Porter, and Vanderburgh counties to ensure the minimum number of respondents was met. A total of 887 individuals completed the survey, exceeding the target.Item The New Treatment of Osteosarcoma by Biologic Response Modifiers(Office of the Vice Chancellor for Research, 2016-04-08) Chen, Xiaoping; Zhao, Huadong; Cheng, LiangOsteosarcoma is a kind of bone cancer mainly affecting children and young adults and is lethal in about a third of cases. The treatment of osteosarcoma has evolved greatly during the last 40 years, however, the great progress that was seen in the 1970s and early 1980s has since stalled. The main challenge now is that advanced combination treatment can’t continue prolong the survival. Based on the micro-metastatic disease related to shorter survival, biologic response modifiers become a new treatment which can stimulate the immune system to eradicate minimal residual disease post-surgery, chemotherapy and radiotherapy. This kind immune treatment may improve the disease-free and long-term survival rates of patients. Mifamurtide is a novel biologic response modifier which is indicated for the treatment of highgrade, non-metastasizing, resectable osteosarcoma following complete surgical removal in children, adolescents, and young adults. In our study, we searched for non-phase l Mifamurtide clinical studies on osteosarcoma through Medline, Google Scholar, and Clinical Trial Government Database. Among six clinical studies we found, two phase ll trials, one phase lll trial, one patient-access study, one decision study, and one cohort study. We systematically analyzed these studies and further evaluated the efficacy, side effects and safety of Mifamurtide on osteosarcoma.Item Research on Clinical Preventive Services for Adolescents and Young Adults: Where Are We and Where Do We Need to Go?(Elsevier, 2017-03) Harris, Sion K.; Aalsma, Matthew C.; Weitzman, Elissa R.; Garcia-Huidobro, Diego; Wong, Charlene; Hadland, Scott E.; Santelli, John; Park, M. Jane; Ozer, Elizabeth M.; Department of Pediatrics, School of MedicineWe reviewed research regarding system- and visit-level strategies to enhance clinical preventive service delivery and quality for adolescents and young adults. Despite professional consensus on recommended services for adolescents, a strong evidence base for services for young adults, and improved financial access to services with the Affordable Care Act's provisions, receipt of preventive services remains suboptimal. Further research that builds off successful models of linking traditional and community clinics is needed to improve access to care for all youth. To optimize the clinical encounter, promising clinician-focused strategies to improve delivery of preventive services include screening and decision support tools, particularly when integrated into electronic medical record systems and supported by training and feedback. Although results have been mixed, interventions have moved beyond increasing service delivery to demonstrating behavior change. Research on emerging technology—such as gaming platforms, mobile phone applications, and wearable devices—suggests opportunities to expand clinicians' reach; however, existing research is based on limited clinical settings and populations. Improved monitoring systems and further research are needed to examine preventive services facilitators and ensure that interventions are effective across the range of clinical settings where youth receive preventive care, across multiple populations, including young adults, and for more vulnerable populations with less access to quality care.Item Retention and adherence: global challenges for the long-term care of adolescents and young adults living with HIV(Wolters Kluwer, 2018-05) Enane, Leslie A.; Vreeman, Rachel C.; Foster, Caroline; Pediatrics, School of MedicinePurpose of review Adolescents living with HIV are the only age group with increasing HIV mortality at a time of global scale-up of access to antiretroviral therapy (ART). As a ‘treat all’ strategy is implemented worldwide, it is critically important to optimize retention and adherence for this vulnerable group. Recent findings Adolescents and young adults living with HIV have poorer outcomes when compared with adults at each stage of the HIV care cascade, irrespective of income setting. Rates of viral suppression are lowest for adolescents living with HIV, and adherence to ART remains an enormous challenge. High-quality studies of interventions to improve linkage to, and retention in, care on suppressive ART are starkly lacking for adolescents and young adults living with HIV across the globe. However, examples of good practice are beginning to emerge but require large-scale implementation studies with outcome data disaggregated by age, route of infection, and income setting, and include young pregnant women and key populations groups. Summary There is an urgent need for evidence-based interventions addressing gaps in the adolescent HIV care cascade, including supporting retention in care and adherence to ART.Item Role of Positive and Negative Urgency and Social Context on Problematic Alcohol Use Behaviors(Office of the Vice Chancellor for Research, 2015-04-17) Entezari, Andree B.; Karyadi, Kenny A.; Cyders, Melissa A.Social context influences drinking behaviors; in particular, problematic alcohol use among adolescents and young adults is more frequent in those who drink in more social contexts or who drink for social reasons. Moreover, although positive and negative urgency (i.e., the tendency to act rashly in response to extreme positive or negative emotional states, respectively) also relate to problematic alcohol use, it is unclear whether these impulsivity traits affect problematic alcohol use through social context. As such, the current study examined how positive and negative urgency influence problematic alcohol consumption through the social context of drinking. Participants (n = 348, n = 70 men; Mean age = 20 (SD= 4.5); 78.2% Caucasian) were recruited from the Introduction to Psychology course from IUPUI and received course credit for the completion of an online survey. A series of correlation and mediation analyses were conducted. Problematic alcohol use was significantly related to positive urgency (r=0.33, p<.001) and negative urgency (r= 0.29, p<.001). Although contextual drinking factors did not mediate the relationship between urgency and problematic alcohol use, the relationship between urgency and problematic alcohol use was significantly mediated by the endorsement of social drinking motives (e.g., I drink in order to be more social) (indirect effect of positive urgency b = 1.85, indirect effect of negative urgency b =2.02). Even though social drinking context was not a significant mediator, likely due to very few people reporting drinking in isolation in the current sample, the endorsement of drinking for social reasons might partially explain how urgency influences problematic alcohol use. In this way, intervening on social drinking motives might mitigate the effects of urgency on problematic alcohol use, particularly among college students at risk for alcohol use problems.Item Substance Use Among Young Adults in Indiana Who Are Not Enrolled in College(Richard M. Fairbanks School of Public Health, 2015-09) Kooreman, Harold; Kouns, Lyndy; Greene, Marion; Watson, Dennis; Golembiewski, ElizabethThe primary purpose of this study was to gather information on patterns and trends of substance use; reasons for using (or not using); and perceptions and beliefs regarding substance use within one’s social circle (peers) from our target population, i.e., Indiana residents ages 18 to 25 who do not attend, nor have graduated from, college.Item Transitioning Young Adults with Neurogenic Bladder – Are We Asking Too Much?(Elsevier, 2019) Roth, Joshua D.; Szymanski, Konrad M.; Ferguson, Ethan J.; Cain, Mark P.; Misseri, Rosalia; Pediatrics, School of MedicineIntroduction Significant numbers of young adults with chronic health conditions fail to transition. Objective We aimed to evaluate how ready urologic patients who have transitioned were actually prepared for that process. Due to the cognitive impairments frequently seen with spina bifida (SB), we hypothesize that these individuals will be less prepared to transition medical care to adult providers compared to their healthy counterparts. Methods Participants included consecutive patients in the transitional SB clinic at our institution and controls (college student without obvious physical disability or interest in healthcare related fields aged 18-25). Both groups were administered the Transition Readiness Assessment Questionnaire (TRAQ) over a nine-month period. Five TRAQ domains assess 20 skills necessary to transition. Likert scale responses range from 1 “No, I do not know how” to 5 “Yes, I always do this when I need to” (which we considered appropriate for transitioned patients). Demographics and the number of daily medications taken were collected. Patients and healthy controls were compared using 1) total and domain TRAQ scores, 2) the proportion of non-transitioned skills (“1”) and 3) fully transitioned skills (“5”). Non-parametric statistics were used. Results 43 unique SB patients (30.8% shunted, 46.5% female) and 100 controls were enrolled. SB patients were older than controls (21 vs 20 years, p<0.001). There was no gender difference between groups (p=0.33). Transitioned patients and college students were fully transitioned only in the “Talking with Providers” domain ( Figure ). College students performed significantly better than patients in the domains of “Appointment Keeping” (p=0.04) and “Tracking Health Issues” (p=0.02). Transitioned patients were less likely to be interested in learning how to perform skills in the domains of “Appointment Keeping” and “Tracking Health Issues” (p<0.001 for both domains). Discussion We describe the transition readiness of young adults with SB compared to healthy controls and other youths with chronic health conditions. Limitations include the small sample size, potentially limiting generalizability, as well as cross-sectional nature. Conclusion “Transitioned” patients with SB had lower TRAQ scores in some domains compared to healthy college students, who themselves had scores indicating that they were not fully ready for transition. Increased attention to transition readiness in people with SB is necessary, as even healthy young adults struggle with these tasks and are poorly prepared for transition.Item Young Adults' COVID-19 Testing Intentions: The Role of Health Beliefs and Anticipated Regret(Elsevier, 2021-03) Ravert, Russell D.; Fu, Linda Y.; Zimet, Gregory D.; Pediatrics, School of MedicinePurpose Young adults are at high risk for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and transmission due to their social behaviors. The purpose of this study was to determine their attitudes toward coronavirus disease 2019 (COVID-19) testing, an important approach for minimizing infection and transmission. Methods One hundred seventy eight US individuals aged 19–25 years completed an online survey measuring COVID-19 health beliefs and testing intentions. Multivariable logistic regression evaluated the association of heath belief measures (perceived COVID-19 susceptibility, COVID-19 severity, barriers and benefits to testing, and social concerns) with testing intentions. Results Most respondents (86.0%) intended to accept a COVID-19 test if recommended by a health professional. High social concern and low perceived obstacles were associated with intent to get tested. Conclusions In this sample, most young adults intended to accept COVID-19 testing. Health beliefs predicted testing intention and point to possible intervention approaches to increase willingness to accept COVID-19 testing.