Cayla R. Teal

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BACKGROUND AND OBJECTIVE To test unidimensionality and local independence of a set of shoulder functional status (SFS) items, develop a computerized adaptive test (CAT) of the items using a rating scale item response theory model (RSM), and compare discriminant validity of measures generated using all items (theta(IRT)) and measures generated using the(More)
OBJECTIVES To examine the relationship between a global measure of Medicare program familiarity and a broad set of measures of actual and perceived healthcare access. DESIGN Mailed survey in fall of 2004 (2,997 completed surveys; 53% response rate). SETTING Metropolitan and nonmetropolitan areas across the United States. PARTICIPANTS White, black, and(More)
CONTEXT For the last 30 years, developments in cognitive sciences have demonstrated that human behaviour, beliefs and attitudes are shaped by automatic and unconscious cognitive processes. Only recently has much attention been paid to how unconscious biases based on certain patient characteristics may: (i) result in behaviour that is preferential toward or(More)
BACKGROUND A variety of factors are predictors of breast cancer risk. However, the studies conducted to establish these risk factors have rarely included African American women. The few studies with sufficient numbers of African-American women suggest that risk factors for breast cancer among African-American women are similar to those of white women.(More)
In June 2004, the National Cancer Institute and the Drug Information Association co-sponsored the conference, “Improving the Measurement of Health Outcomes through the Applications of Item Response Theory (IRT) Modeling: Exploration of Item Banks and Computer-Adaptive Assessment.” A component of the conference was presentation of a psychometric and content(More)
OBJECTIVE To introduce this supplemental issue on measurement within health services research by using the population of U.S. veterans as an illustrative example of population and system influences on measurement quality. PRINCIPAL FINDINGS Measurement quality may be affected by differences in demographic characteristics, illness burden, psychological(More)
Identifying impairments in the capacity to make and execute decisions is critical to the assessment and remediation of elder self-neglect. Few capacity assessment tools are available for use outside of healthcare settings, and none have been validated in the context of elder self-neglect. Health and social services professionals are in need of validated(More)
BACKGROUND The purpose of this study is to develop and test reliability, validity, and utility of the Goal-Setting Evaluation Tool for Diabetes (GET-D). The effectiveness of diabetes self-management is predicated on goal-setting and action planning strategies. Evaluation of self-management interventions is hampered by the absence of tools to assess quality(More)
OBJECTIVE To examine and compare the prevalence and functional impact of depressive symptoms for older adult stroke and nonstroke rehabilitation inpatients. DESIGN Case-control study examining functional outcome using a 2 (stroke, nonstroke) by 2 (depression, no depression) design. SETTING Urban hospital rehabilitation unit. PARTICIPANTS A total of(More)
Implicit bias can impact physician–patient interactions, alter treatment recommendations, and perpetuate health disparities. Medical educators need methods for raising student awareness about the impact of bias on medical care. Seventy-two third-year medical student volunteers participated in facilitated small group discussions about bias. We tested an(More)