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PURPOSE Current health literacy screening instruments for health care settings are either too long for routine use or available only in English. Our objective was to develop a quick and accurate screening test for limited literacy available in English and Spanish. METHODS We administered candidate items for the new instrument and also the Test of(More)
STUDY OBJECTIVES To compare health-related quality of life (HR-QOL) across subgroups defined by sleep disturbances and ethnicity. METHODS Men (47%) and women (53%) Sleep Heart Health Study participants age 40 and older (N = 5237) underwent overnight polysomnography and completed self-report questionnaires on symptoms of sleep disturbances. The physical(More)
BACKGROUND AND AIMS The causative relationship between obstructive sleep apnea (OSA) and gastroesophageal reflux disease (GERD) remains an area of controversy. The aim of the study is to further explore the relationship between OSA and GERD in a large group of patients with OSA. METHODS One hundred thirty-six patients referred for polysomnographic studies(More)
BACKGROUND Obesity and mental health disorders are 2 major public health problems in American adolescents, with prevalence even higher in Hispanic teens. Despite the rapidly increasing incidence and adverse health outcomes associated with overweight and mental health problems, very few intervention studies have been conducted with adolescents to improve(More)
AIM To examine the psychometric properties of an instrument used to evaluate the work environment of direct care nurses employed in hospital settings. BACKGROUND Healthy work environments are associated with increased retention and high-quality patient care. METHODS Items for the instrument were based on the American Association of Critical Care Nurses'(More)
OBJECTIVES To describe characteristics of health influencers (HIs) prior to training in brief tobacco cessation interventions (BI). METHODS HIs (n=910) in Arizona were recruited for a randomized controlled trial comparing training modalities. RESULTS Typically middle-aged (M=43, SD=14), non-Hispanic white (68%), female (77%), non-tobacco users (93%),(More)
BACKGROUND Implementation of evidence-based practice (EBP) by health professionals is a key strategy for improving health care quality and patient outcomes as well as increasing professional role satisfaction. However, it is estimated that only a small percentage of nurses and other health care providers are consistently using this approach to clinical(More)
OBJECTIVES To examine the beliefs and practices of emergency medicine program directors regarding interactions with the pharmaceutical industry. The authors also sought to study the prevalence of program policies and the desire for organizational policies. METHODS The Board of the Council of Emergency Medicine Residency Directors (CORD) requested and(More)
PURPOSE This study examined the influence of a culturally focused wellness intervention on alcohol consumption, alcohol abstinence self-efficacy, depression, and self-esteem among women of a small American Indian community in the southwestern United States. Participation in two intervention approaches was compared: a curriculum-based health promotion–only(More)
The job satisfaction of physicians, nurse practitioners, and physician assistants was assessed during the course of a multicenter study of Army primary care clinics. All providers in nine clinics at three medical centers who were engaged in adult or family care were invited to participate in the study. Questionnaires on job satisfaction and other practice(More)