Karen J Luken

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BACKGROUND The need for evidence-based health promotion interventions for women with intellectual and developmental disabilities is critical. However, significant barriers impede them from participating in research, including those related to recruitment and obtaining informed consent. METHODS This study describes a procedure for the recruitment and(More)
Peer Education and Advocacy through Recreation and Leadership (PEARL) is an intervention based on principles of peer helping and psychosocial rehabilitation. Trained peers working as recreation advocates provided support to peers in psychosocial rehabilitation settings. Advocates promoted peer involvement in recreation and community activities as a strategy(More)
OBJECTIVES Given the lack of screening mammography studies specific to women with disabilities, we compared reasons offered by women with and without disabilities for not scheduling routine screening visits. METHODS We surveyed women in the Carolina Mammography Registry aged 40 to 79 years (n = 2970), who had been screened from 2001 through 2003 and did(More)
BACKGROUND Little information exists on the receipt of mammography by African American women with intellectual disabilities. Given the high rates of mortality from breast cancer among African American women and low screening rates among women with intellectual disabilities, it is important to understand the health screening behavior of this population. (More)
OBJECTIVE We examined receipt of cervical cancer screening and determinants of screening for women with intellectual disabilities in one Southeastern state. METHODS Using medical records data from 2006 through 2010 for community-dwelling women with intellectual disabilities who were 18-65 years of age (n=163), we employed descriptive and bivariate(More)
Background: Women with developmental disabilities are much less likely than nondisabled women to receive cervical and breast cancer screening according to clinical guidelines. One barrier to receipt of screenings is a lack of knowledge about preventive screenings. Method: To address this barrier, we used a randomized control trial (n 1⁄4 175 women) to test(More)
Women with developmental disabilities are significantly less likely than women without disabilities to receive cervical and breast cancer screening according to clinical guidelines. The reasons for this gap are not understood. The present study examined the extent of women's knowledge about cervical and breast cancer screening, with the intention of(More)
BACKGROUND Prior research has described general barriers to breast cancer screening for women with disabilities (WWD). We explored specific accommodations described as necessary by WWD who have accessed screening services, and the presence of such accommodations in community-based screening programs. METHODS We surveyed WWD in the Carolina Mammography(More)
If you suddenly were incapacitated, wouldn't you expect your health care team to use interventions that were cost-effective, relevant to your recovery goals, and conducive to improved functional outcomes? Recreational therapy (RT), also known as therapeutic recreation, is a value-added treatment mode that contributes to improved functioning, independence,(More)