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(Rebecca Schnall)

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https://www.readbyqxmd.com/read/29861318/supervised-physical-activity-and-improved-functional-capacity-among-adults-living-with-hiv-a-systematic-review
#1
Natalie Voigt, Hwayoung Cho, Rebecca Schnall
Physical activity (PA) combats the effects of multimorbidity and antiretroviral therapy in people living with HIV (PLWH), but PLWH often don't meet recommended PA guidelines. The purpose of our review was to investigate whether supervised PA improved functional capacity in PLWH. Preferred Reporting Items for Systematic Reviews and Meta-Analyses were followed. Five databases were searched for randomized controlled trials in English, with participants ages 18 years and older, and a supervised PA intervention...
May 31, 2018: Journal of the Association of Nurses in AIDS Care: JANAC
https://www.readbyqxmd.com/read/29857399/usability-testing-of-a-mhealth-app-to-support-self-management-of-hiv-associated-non-aids-related-symptoms
#2
Samantha Stonbraker, Hwayoung Cho, Gabriella Hermosi, Adrienne Pichon, Rebecca Schnall
Mobile health (mHealth) applications (apps) are uniquely poised to offer the information that persons living with HIV (PLWH) need to manage the symptoms associated with their chronic condition. The purpose of this study was to assess the usability of a mHealth app designed to help PLWH self-man-age the symptoms associated with their HIV and HIV-associated non-AIDS (HANA) conditions. We conducted a heuristic evaluation with five experts in informatics and end-user testing with 20 PLWH. End-users completed the PSSUQ and Health-ITUES validated measures of system usability...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29857362/development-of-mypeeps-mobile-a-behavioral-health-intervention-for-young-men
#3
Rebecca Schnall, Lisa Kuhns, Marco Hidalgo, Sabina Hirshfield, Cynthia Pearson, Asa Radix, Uri Belkind, Joshua Bruce, D Scott Batey, Robert Garofalo
The MyPEEPS Mobile intervention is a novel evidence-driven intervention using mobile technology to deliver HIV prevention information. This is the first study to test the efficacy of a scaled-up, mobile version of an existing HIV prevention intervention originally developed, designed, and piloted for, a diverse group of YMSM. We used an iterative design process incorporating feedback from experts and end-users to update the user-interface and content of the MyPEEPS Mobile Intervention.
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29727776/knee-adduction-moment-peak-and-impulse-do-not-change-during-the-first-six-months-of-walking-with-a-prosthesis
#4
Rebecca L Krupenevich, Ross H Miller, Brad D Hendershot, Barri L Schnall, Alison L Pruziner
BACKGROUND: Individuals with unilateral lower limb loss are at increased risk for developing knee osteoarthritis in their contralateral limb. The mechanisms underlying this phenomenon are unknown, but large or unusual loads on the limb are thought to contribute to osteoarthritis development. Yet, to our knowledge, there have been no longitudinal assessments of knee joint kinetics to assist with identifying the origin or progression of such loads. RESEARCH QUESTION: This study aimed to examine knee joint kinetics of individuals with lower limb loss as a function of time from independent ambulation...
April 26, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29511850/using-information-technology-in-the-assessment-and-monitoring-of-geriatric-oncology-patients
#5
REVIEW
Kah Poh Loh, Colin McHugh, Supriya G Mohile, Karen Mustian, Marie Flannery, Heidi Klepin, Rebecca Schnall, Eva Culakova, Erika Ramsdale
PURPOSE OF REVIEW: Older adults with cancer have complex medical needs and often experience higher rates of treatment-related toxicities compared to their younger counterparts. The advent of health information technologies can address multiple gaps in the care of this population. We review the role of existing and emerging technologies in facilitating the use of comprehensive geriatric assessment (CGA) in routine clinics, promoting symptom reporting, and monitoring medication adherence...
March 6, 2018: Current Oncology Reports
https://www.readbyqxmd.com/read/29509596/in-people-living-with-hiv-plwh-menopause-natural-or-surgical-contributes-to-the-greater-symptom-burden-in-women-results-from-an-online-us-survey
#6
Rebecca Schnall, Haomiao Jia, Susan Olender, Melissa Gradilla, Nancy Reame
OBJECTIVE: The majority of people living with HIV in the United States are now over the age of 50, but symptom burden research has seldom included older women or the potential role of menopause. The aim of the study was to examine the influence of menopause as part of sex differences in HIV symptom burden. METHODS: A cross-sectional study was conducted that included both a sex-based analysis of previously reported HIV symptom characteristics of 1,342 respondents to an online survey (males, n = 957; female, n = 385) and a follow-up online survey of menstrual bleeding patterns (inferred menopause) in eligible females (n = 242) from the respondent pool...
March 5, 2018: Menopause: the Journal of the North American Menopause Society
https://www.readbyqxmd.com/read/29425620/information-sources-of-self-care-strategies-for-persons-living-with-hiv
#7
Rebecca Schnall, Jianfang Liu, Sarah Iribarren
OBJECTIVES: A number of studies have been conducted to identify the self-care strategies that are used by persons living with chronic illnesses to manage their symptoms, but little work has been done to identify the primary information source for these self-care strategies. METHODS: We conducted an anonymous online survey with 1373 persons living with HIV to identify the self-care strategies they use to manage 28 commonly experienced symptoms. Following their report of their symptoms and self-care strategies, we asked an open-ended question to identify where the participant obtained the information...
March 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29353489/racial-and-socioeconomic-disparities-in-the-symptom-reporting-of-persons-living-with-hiv
#8
Rebecca Schnall, Karolynn Siegel, Haomiao Jia, Susan Olender, Sabina Hirshfield
Persons living with HIV (PLWH) today can survive decades with the disease, making the symptom experience much more relevant to their lifestyle and health outcomes. The goal of the research reported here was to assess the symptom reporting of PLWH in the Unites States (US) in the combined antiretroviral therapy (cART) age of the epidemic. We conducted an anonymous online survey of symptomatic PLWH in the US and asked participants to report the frequency and intensity of 28 frequently occurring symptoms in the past 30 days...
June 2018: AIDS Care
https://www.readbyqxmd.com/read/29305343/health-information-technology-usability-evaluation-scale-health-itues-for-usability-assessment-of-mobile-health-technology-validation-study
#9
Rebecca Schnall, Hwayoung Cho, Jianfang Liu
BACKGROUND: Mobile technology has become a ubiquitous technology and can be particularly useful in the delivery of health interventions. This technology can allow us to deliver interventions to scale, cover broad geographic areas, and deliver technologies in highly tailored ways based on the preferences or characteristics of users. The broad use of mobile technologies supports the need for usability assessments of these tools. Although there have been a number of usability assessment instruments developed, none have been validated for use with mobile technologies...
January 5, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29299790/mobile-health-technology-for-improving-symptom-management-in-low-income-persons-living-with-hiv
#10
Rebecca Schnall, Hwayoung Cho, Alexander Mangone, Adrienne Pichon, Haomiao Jia
Persons living with HIV (PLWH) are living longer but experiencing more adverse symptoms associated with the disease and its treatment. This study aimed to examine the impact of a mHealth application (app) comprised of evidence-based self-care strategies on the symptom experience of PLWH. We conducted a 12-week feasibility study with 80 PLWH who were randomized (1:1) to a mHealth app, mobile Video Information Provider (mVIP), with self-care strategies for improving 13 commonly experienced symptoms in PLWH or to a control app...
January 3, 2018: AIDS and Behavior
https://www.readbyqxmd.com/read/29056437/texting-to-increase-contraceptive-initiation-among-adolescents-in-the-emergency-department
#11
Lauren S Chernick, Melissa S Stockwell, Mengfei Wu, Paula M Castaño, Rebecca Schnall, Carolyn L Westhoff, John Santelli, Peter S Dayan
PURPOSE: To evaluate the feasibility and acceptability of a text messaging intervention to increase contraception among adolescent emergency department patients. METHODS: A pilot randomized controlled trial of sexually active females aged 14-19 receiving 3 months of theory-based, unidirectional educational and motivational texts providing reproductive health information versus standardized discharge instructions. Blinded assessors measured contraception initiation via telephone follow-up and health record review at 3 months...
December 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/29039384/a-mobile-video-information-provider-vip-for-dissemination-of-evidence-from-patient-centered-outcomes-research-for-improving-symptom-management
#12
Rebecca Schnall, Hwayoung Cho, Adrienne Pichon, Alexander Mangone
No abstract text is available yet for this article.
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28941571/characteristics-of-persons-living-with-hiv-who-have-informal-caregivers-in-the-cart-age-of-the-epidemic
#13
Rebecca Schnall, Sabina Hirshfield, Jianfang Liu, Karolynn Siegel, Melissa Gradilla
People living with HIV (PLWH) are aging and many suffer with multimorbidities, making caregiving a relevant and important area of study. The purpose of our study was to understand the occurrence and role of informal caregivers in the current stage of the HIV epidemic. We conducted a Web-based survey with 1,373 PLWH to assess: how many had an informal, unpaid caregiver; the type of relationship with the informal caregiver; and the number of hours the caregiver provided support each day. Among respondents, 333 had an informal caregiver...
March 2018: Journal of the Association of Nurses in AIDS Care: JANAC
https://www.readbyqxmd.com/read/28488165/self-management-strategies-for-coping-with-adverse-symptoms-in-persons-living-with-hiv-with-hiv-associated-non-aids-conditions
#14
Sarah Iribarren, Karolynn Siegel, Sabina Hirshfield, Susan Olender, Joachim Voss, Joseph Krongold, Heidi Luft, Rebecca Schnall
People living with HIV (PLWH) are living longer, but many are now affected by HIV-associated non-AIDS (HANA) conditions and their associated adverse symptoms. An online survey was conducted with 769 PLWH with HANA conditions in the US. Information was elicited on symptoms experienced, self-management strategies employed, and the helpfulness of these strategies. Open ended responses were collected for self-management strategies. A qualitative data analytic approach was used to organize the 4036 self-management strategies into thematic categories, with eight main categories emerging, including: taking medication, modifying activity, altering diet, seeking help, waiting, substance use, managing thoughts and attitudes, and altering the physical environment...
January 2018: AIDS and Behavior
https://www.readbyqxmd.com/read/28401246/technology-mediated-interventions-and-quality-of-life-for-persons-living-with-hiv-aids-a-systematic-review
#15
REVIEW
Hwayoung Cho, Sarah Iribarren, Rebecca Schnall
BACKGROUND: As HIV/AIDS is considered a chronic disease; quality of life (QoL) has become an important focus for researchers and healthcare providers. Technology-mediated interventions have demonstrated improved clinical effectiveness in outcomes, such as viral suppression, for persons living with HIV/AIDS (PLWH). However, the evidence to support the impact of these interventions on QoL is lacking. OBJECTIVES: The aim of this paper was to assess the impact of technology-mediated interventions on QoL and to identify the instruments used to measure the QoL of PLWH...
April 12, 2017: Applied Clinical Informatics
https://www.readbyqxmd.com/read/28347445/scoping-review-and-evaluation-of-sms-text-messaging-platforms-for-mhealth-projects-or-clinical-interventions
#16
REVIEW
Sarah J Iribarren, William Brown, Rebecca Giguere, Patricia Stone, Rebecca Schnall, Nancy Staggers, Alex Carballo-Diéguez
OBJECTIVES: Mobile technology supporting text messaging interventions (TMIs) continues to evolve, presenting challenges for researchers and healthcare professionals who need to choose software solutions to best meet their program needs. The objective of this review was to systematically identify and compare text messaging platforms and to summarize their advantages and disadvantages as described in peer-reviewed literature. METHODS: A scoping review was conducted using four steps: 1) identify currently available platforms through online searches and in mHealth repositories; 2) expand evaluation criteria of an mHealth mobile messaging toolkit and integrate prior user experiences as researchers; 3) evaluate each platform's functions and features based on the expanded criteria and a vendor survey; and 4) assess the documentation of platform use in the peer-review literature...
May 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/28168120/medial-knee-joint-contact-force-in-the-intact-limb-during-walking-in-recently-ambulatory-service-members-with-unilateral-limb-loss-a-cross-sectional-study
#17
Ross H Miller, Rebecca L Krupenevich, Alison L Pruziner, Erik J Wolf, Barri L Schnall
BACKGROUND: Individuals with unilateral lower limb amputation have a high risk of developing knee osteoarthritis (OA) in their intact limb as they age. This risk may be related to joint loading experienced earlier in life. We hypothesized that loading during walking would be greater in the intact limb of young US military service members with limb loss than in controls with no limb loss. METHODS: Cross-sectional instrumented gait analysis at self-selected walking speeds with a limb loss group (N = 10, age 27 ± 5 years, 170 ± 36 days since last surgery) including five service members with transtibial limb loss and five with transfemoral limb loss, all walking independently with their first prosthesis for approximately two months...
2017: PeerJ
https://www.readbyqxmd.com/read/28118922/predictors-of-willingness-to-use-a-smartphone-for-research-in-underserved-persons-living-with-hiv
#18
Rebecca Schnall, Hwayoung Cho, Allison Webel
OBJECTIVES: The burden of HIV/AIDS is borne disproportionally by a growing number of racial and ethnic minorities and socioeconomically disadvantaged individuals. Developing mHealth interventions for the everyday self-management needs of persons living with HIV (PLWH) can be challenging given the current constraints of the U.S. healthcare system, especially for those from underserved communities. In order to develop effective, evidence-based mHealth self-management interventions, we need a better understanding of the factors associated with mHealth research...
March 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/28051875/a-health-related-quality-of-life-measure-for-use-in-patients-with-hiv-a-validation-study
#19
Rebecca Schnall, Jianfang Liu, Hwayoung Cho, Sabina Hirshfield, Karolynn Siegel, Susan Olender
In the United States, HIV has evolved from an acute disease to a chronic illness making health-related quality of life a pre-eminent goal for many persons living with HIV (PLWH). There have been a number of HIV-specific quality-of-life instruments developed, but little attention has been paid to the validation of standardized nondisease-specific quality-of-life instruments tailored to PLWH. The goal of this research was to validate the Patient-Reported Outcomes Measurement Information System (PROMIS)-29, a questionnaire that measures health-related quality of life in PLWH...
February 2017: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/27965842/a-head-and-neck-cancer-intervention-for-use-in-survivorship-clinics-a-protocol-for-a-feasibility-study
#20
Talya Salz, Mary S McCabe, Kevin C Oeffinger, Stacie Corcoran, Andrew J Vickers, Andrew L Salner, Ellen Dornelas, Rebecca Schnall, Nirupa J Raghunathan, Elizabeth Fortier, Shrujal S Baxi
BACKGROUND: Head and neck cancer survivors commonly experience severe long-term toxicities, late-occurring symptoms, and significant risks of the second primary malignancy and comorbid illnesses. With multiple simultaneous health issues, these complex cancer survivors often do not receive comprehensive health care that addresses their needs. A tool is needed to streamline and standardize comprehensive care for this cohort. METHODS/DESIGN: We designed the Head and Neck Survivorship Tool: Assessment and Recommendations (HN-STAR) to address health care challenges for head and neck cancer survivors...
2016: Pilot and Feasibility Studies
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