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Quality of life has been defined as "the extent to which our hopes and ambitions are matched by experience." To improve a patient's quality of life through medical care would be to "narrow the gap between a patient's hopes and expectations and what actually happens." Using the above definition as a conceptual basis, we produced a self-administered,(More)
OBJECTIVES To evaluate a faith-based intervention (Sisters in Motion) intended to increase walking in older, sedentary African-American women. DESIGN Randomized controlled trial using within-church randomization. SETTING Three Los Angeles churches. PARTICIPANTS Sixty-two African-American women aged 60 and older who reported being active less than 30(More)
To investigate how weight loss correlates with changes in generic and weight-specific quality of life (QoL). Youth generic (YQOL-S) and weight-specific instruments (YQOL-W) from 133 youth age 11–19 were analyzed at the beginning and end of 4-week immersion camp sessions known to produce weight loss. Paired samples t tests were used to test mean difference(More)
OBJECTIVE Investigate the "salmon-bias" hypothesis, which posits that Mexicans in the U.S. return to Mexico due to poor health, as an explanation for the Hispanic health paradox in which Hispanics in the United States are healthier than might be expected from their socioeconomic status. METHOD Sample includes Mexicans age 50 years or above living in the(More)
OBJECTIVE Quality-of-life (QOL) measures targeting youth with hearing loss are useful in population needs assessment, educational placement, and program design and evaluation. This study assesses the cross-sectional validity of the Youth Quality of Life Instrument-Deaf and Hard of Hearing Module (YQOL-DHH). STUDY DESIGN. Instrument development and(More)
BACKGROUND Many smartphone applications (apps) for weight loss are available, but little is known about their effectiveness. OBJECTIVE To evaluate the effect of introducing primary care patients to a free smartphone app for weight loss. DESIGN Randomized, controlled trial. (ClinicalTrials.gov: NCT01650337). SETTING 2 academic primary care clinics. (More)
BACKGROUND The safety net system remains an important part of the health care system for uninsured and minority populations, however, the closure of safety net hospitals changes the availability of care. Using community-based participatory research methods, we explored the impact of hospital closure among late middle aged and elderly racial/ethnic(More)
OBJECTIVE To measure the extent and timing of physicians' documentation of communication with patients and families regarding limitations on life-sustaining interventions, in a population cohort of adults who died within 30 days after hospitalization for ischemic stroke. METHODS We used the California Office of Statewide Health Planning and Development(More)
BACKGROUND A higher frequency of nonmonogamy, due in part to lower marriage prevalence, may contribute to elevated human immunodeficiency virus (HIV)/sexually transmitted disease rates among older blacks. METHODS To examine race and gender differences in nonmonogamy, time spent single (i.e., not married or cohabiting), and HIV testing in older adults, we(More)
BACKGROUND AND OBJECTIVES Despite previous studies demonstrating no difference in mortality or morbidity, the various surgical approaches for necrotizing enterocolitis (NEC) in infants have not been evaluated economically. Our goal was to compare total in-hospital cost and mortality by using propensity score-matched infants treated with peritoneal drainage(More)