92 research outputs found
An exploration of parentsâ preferences for foot care in juvenile idiopathic arthritis: a possible role for the discrete choice experiment
Background:
An increased awareness of patientsâ and parentsâ care preferences regarding foot care is desirable from a clinical perspective as such information may be utilised to optimise care delivery. The aim of this study was to examine parentsâ preferences for, and valuations of foot care and foot-related outcomes in juvenile idiopathic arthritis (JIA).<p></p>
Methods:
A discrete choice experiment (DCE) incorporating willingness-to-pay (WTP) questions was conducted by surveying 42 parents of children with JIA who were enrolled in a randomised-controlled trial of multidisciplinary foot care at a single UK paediatric rheumatology outpatients department. Attributes explored were: levels of pain; mobility; ability to perform activities of daily living (ADL); waiting time; referral route; and footwear. The DCE was administered at trial baseline. DCE data were analysed using a multinomial-logit-regression model to estimate preferences and relative importance of attributes of foot care. A stated-preference WTP question was presented to estimate parentsâ monetary valuation of health and service improvements.<p></p>
Results:
Every attribute in the DCE was statistically significant (pâ<â0.01) except that of cost (pâ=â0.118), suggesting that all attributes, except cost, have an impact on parentsâ preferences for foot care for their child. The magnitudes of the coefficients indicate that the strength of preference for each attribute was (in descending order): improved ability to perform ADL, reductions in foot pain, improved mobility, improved ability to wear desired footwear, multidisciplinary foot care route, and reduced waiting time. Parentsâ estimated mean annual WTP for a multidisciplinary foot care service was ÂŁ1,119.05.<p></p>
Conclusions:
In terms of foot care service provision for children with JIA, parents appear to prefer improvements in health outcomes over non-health outcomes and service process attributes. Cost was relatively less important than other attributes suggesting that it does not appear to impact on parentsâ preferences.<p></p>
Attentional Performance in Children and Adolescents with Tic Disorder and Co-Occurring Attention-Deficit/Hyperactivity Disorder: New Insights from a 2âĂâ2 Factorial Design Study
The aim of the present study was to investigate the effect of both tic disorder (TD) and attention-deficit/hyperactivity disorder (ADHD) on attentional functions. Nâ=â96 children and adolescents participated in the study, including nâ=â21 subjects with TD, nâ=â23 subjects with ADHD, nâ=â25 subjects with TD+ADHD, and nâ=â27 controls. Attentional performance was tested based on four computerized attention tasks (sustained attention, divided attention, go/nogo and set shifting). The effect of TD as well as ADHD on attentional performance was tested using a 2âĂâ2 factorial approach. A diagnosis of TD had no negative impact on attentional functions but was associated with improved performance in the set shifting task. By contrast, regardless of a diagnosis of TD, subjects with ADHD were found to perform worse in the sustained attention, divided attention and go/nogo task. No interaction effect between the factors TD and ADHD was revealed for any of the attention measures. Our results add to findings from other areas of research, showing that in subjects with TD and ADHD, ADHD psychopathology is often the main source of impairment, whereas a diagnosis of TD has little or no impact on neuropsychological performance in most cases and even seems to be associated with adaptive mechanisms
Radical tendencies in the Seattle labor movement as reflected in the proceedings of its central body
Thesis(MA Economics)--University of Washington, 1925The city of Seattle has long been recognized as a
stronghold of organized labor; but since the occurrence of
the general strike in February 1919 it has acquired the less
savory reputation of being a hot-bed of radicalism, bolshevism
and anarchism; This notoriety may be imputed to the colorful
tales of impressionistic observers and to the machinations of
those individuals and organizations whose economic interests,
fear, or malice leads them to thwart and discredit organized
labor at every opportunity. Hot that there is no truth in the
allegations but the truth is so mixed with fiction, the facts
so clouded by emotion, that to the unwary reader or the uninformed
listener, an utterly false picture is presented
School of Naval Command and Staff: U.S. Counterinsurgency Assistance to Rural Vietnam in 1964
This study focuses on the South Vietnamese rural situation in 1964. Since that time, a number of changes have occurred in the administration of various U.S. programs in South Vietnam
ACCUMULATION OF EOSINOPHILS IN RESPONSE TO INTRACUTANEOUS PAF-ACETHER AND ALLERGENS IN MAN
Globale Erfassung der aktuellen zellvermittelnden ImmunreaktivitÀt mit Hilfe des Multitest Mérieux
Late cutaneous reactions to common allergens in patients with delayed pressure urticaria
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