Patricia Lester

Kirsten Woodward2
Noelle R Leonard2
William P. Nash1
2Kirsten Woodward
2Noelle R Leonard
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In this paper, we report on the development and dissemination of a preventive intervention, Families OverComing Under Stress (FOCUS), an eight-session family-centered intervention for families facing the impact of wartime deployments. Specific attention is given to the challenges of rapidly deploying a prevention program across diverse sites, as well as to(More)
Recent studies have confirmed that repeated wartime deployment of a parent exacts a toll on military children and families and that the quality and functionality of familial relations is linked to force preservation and readiness. As a result, family-centered care has increasingly become a priority across the military health system. FOCUS (Families(More)
The longitudinal impact of a family-based intervention on grandchildren of parents with HIV (PWH) is evaluated. Because PWH and their daughters demonstrated gains over 6 years when randomized to a coping skills intervention compared with a control condition, the adjustment of the PWH's grandchildren was also compared across conditions. Grandchildren in the(More)
How are children's lives altered when a parent goes off to war? What aspects of combat deployment are most likely to put children at risk for psychological and other problems, and what resources for resilience can they tap to overcome such hardships and thrive? To answer these questions, Patricia Lester and Lieutenant Colonel Eric Flake first examine the(More)
Mobile technology for remotely sensing key health indicators about patients receiving long-term or outpatient care continues to become more affordable and more easily embedded, but there remain certain patient variables, especially mental health and adaptive functioning characteristics, that are difficult to automatically detect or problematic to(More)
Mothers living with HIV (MLH) are at high risk for acute and chronic stress, given challenges related to their HIV status, ethnicity, economic and urban living conditions. Biomarkers combined into a composite index show promise in quantifying psychosocial stress in healthy people, but have not yet been examined among MLH. According, we examined potential(More)
Longitudinal behavioral research with underserved and HIV-affected populations presents enormous challenges to community researchers. Recruitment and retention of participants into intervention trials is vital for the development of empirically validated treatments and prevention programs. Successful recruitment and retention of participants is highly(More)
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