Changing factors associated with parent activation after pediatric hematopoietic stem cell transplant

To identify factors associated with parent activation in parents of children undergoing pediatric hematopoietic stem cell transplant (HSCT) in the 6 months following HSCT, and to address if their association with parent activation changes over time

Factors Associated With Parental Activation in Pediatric Hematopoietic Stem Cell Transplant

Patient activation, the extension of self-efficacy into self-management, is an essential component of effective chronic care. In pediatric populations, caregiver activation is also needed for proper disease management. This study investigates the relationships between parental activation and other characteristics of parent–child dyads (N = 198) presenting for pediatric hematopoietic stem cell transplant. Parental activation concerning their child’s health was assessed using the Parent Patient Activation Measure (Parent-PAM), a modified version of the well-validated Patient Activation Measure (PAM). Using hierarchical linear regression and following the Belsky process model for determining parenting behaviors, a multivariate model was created for parental activation on behalf of their child that showed that the parent’s age, rating of their own general health, self-activation, and duration of the child’s illness were significantly related to Parent-PAM score. Our findings characterize a potentially distinct form of activation in a parent–child cohort preparing for a demanding clinical course

Summation of visual attributes in auditory‐visual crossmodal

Crossmodal correspondences are a feature of human perception in which two or more sensory dimensions are linked together; for example, high‐pitched noises may be more readily linked with small objects than large objects. However, no study yet has systematically examined the interaction between different visual‐auditory crossmodal correspondences. We investigated how the visual dimensions of luminance, saturation, size and vertical position can influence decisions when matching particular visual stimuli with high‐pitched or low‐pitched auditory stimuli. For multi‐dimensional stimuli, we found a general pattern of summation of individual crossmodal correspondences, with some exceptions that may be explained by Garner interference. These findings have applications for the design of sensory substitution systems, which convert information from one sensory modality to another

Variables Associated with Patient Activation in Persons with Multiple Sclerosis

Identifying variables associated with patient activation in the multiple sclerosis population could serve to facilitate better multiple sclerosis self-management behaviors. Using a cross-sectional survey design, 199 participants were recruited from a multiple sclerosis center in the Southeastern United States. Depression, multiple sclerosis quality of life, and multiple Sclerosis self-efficacy were all significantly correlated with patient activation. Results of a hierarchical regression indicated that patient activation was significantly related to educational attainment, depression, and self-efficacy but not to quality of life. The results suggest several possible targets for intervention to increase patient activation, including health literacy, depression symptoms, and self-efficacy for multiple sclerosis disease management

An overall health and well-being data model for employer-sponsored personal health records

With the need for employee-directed health management in organisations, employers have started to utilise personal health records' (PHRs) potential to shift health management responsibility to employees. Whilst the overall well-being of employees in organisations has become the trend in wellness activities at work, existing literature has paid less attention to identifying proper data organisation and management in employer-sponsored personal health records (ESPHRs) for overall health and well-being management of employees. We conducted three focus group discussions with 26 participants comprised of employees and employers to identify information concerns in occupational health and well-being management. We found that health and well-being data can be organised into six main domains when considering the overall health and well-being of employees. Consequently, a survey was conducted among 360 respondents to identify employees' and employers' perception of the usefulness of having overall health and well-being information in ESPHRs. We found that both parties accept the importance of all health and well-being information domains in ESPHRs. However, employees believe there is more usefulness in having physical health and healthy behaviour information in ESPHRs, while employers see the importance of work environment, emotional health, basic access and life evaluation information as more useful to have in ESPHRs. Information concerns identified through a thematic analysis were then used to develop an overall health and well-being data model for ESPHRs. These findings suggest that a new data organisation in ESPHRs when profiling employee health and well-being data has a high chance of achieving effective ESPHR system use in organisations

Changing factors associated with parent activation after pediatric hematopoietic stem cell transplant

PURPOSE: To identify factors associated with parent activation in parents of children undergoing pediatric hematopoietic stem cell transplant (HSCT) in the 6 months following HSCT, and to address if their association with parent activation changes over time. METHODS: Measures for this analysis, including the Parent Patient Activation Measure (Parent-PAM), were completed by parents (N=198) prior to their child’s HSCT preparative regimen and again at 6 months post-HSCT. Clinical data were also collected. A repeated measures model was built to estimate the association between clinical and demographic factors and parent well-being on Parent-PAM scores. Interactions with time were considered to test for changing effects over time. RESULTS: Throughout the HSCT course, older parent age was associated with lower Parent-PAM scores (β=−0.29, p=0.02) and never being married was associated with higher scores (versus married, β=12.27, p=0.03). While higher parent emotional functioning scores were not associated with activation at baseline, they were important at 6 months (baseline: β=−0.002, p=0.96; interaction: β=0.14, p=0.03). At baseline longer duration of illness was associated with increased activation, but this effect diminished with time (baseline: β=3.29, p=0.0002; interaction: β=−2.40, p=0.02). Activation levels dropped for parents of children who went from private to public insurance (baseline: β=2.95, p=0.53; interaction: β=−13.82, p=0.004). Clinical events did not affect Parent-PAM scores. CONCLUSIONS: Our findings reveal important changes in the factors associated with parent activation in the first 6 months after pediatric HSCT. These findings may reflect the emotional and financial toll of pediatric HSCT on parent activation