form of health insurance, with over a third covered by public insurance (primarily Medicaid and the Children’s Health Insurance Program), 6 many patients still face barriers to care, including limited access to care. For example, in a nationwide survey of randomly selected orthopedic clinics, 38% did
Search Results
The Effect of Insurance Type on Time to Anterior Cruciate Ligament Reconstruction in Pediatric Patients: A Critically Appraised Topic
Alexis P. Tucker, Marc F. Norcross, Kimberly S. Hannigan, and Samuel T. Johnson
Mental Health Services for Canadian University Student-Athletes: An Exploratory Survey
Sara L. Giovannetti, Jessica R.G. Robertson, Heather L. Colquhoun, and Cindy K. Malachowski
University student-athletes are equally vulnerable to mental health challenges compared to their non-athlete peers, but they access mental health services with less frequency. This study sought to explore the mental health issues experienced by Canadian student-athletes in order to address the question: how can Canadian universities better meet the mental health needs of student-athletes? An electronic survey was distributed to student-athletes at a large Canadian university. Data from 113 respondents were analyzed using descriptive statistics and content analysis. Stress and pressure were reported as the most prevalent contributors to mental health issues, and 47% of respondents indicated that there was a time in which they wanted to seek services for their mental health, but chose not to. Respondents identified mental health education for coaches and designating a healthcare professional within the athletic department as beneficial resources. Findings from this study can inform local and national mental health service planning for student-athletes.
Learn to Run for Anxiety Sensitivity: A Short-Term, Community-Based, Accessible Physical Activity Intervention for Women
Janine V. Olthuis, Margo C. Watt, Christopher E. J. DeWolfe, Emma Connell, Emily N. Wright, and Laura Sevigny
Women, relative to men, are at particularly high risk for anxiety and depression, perhaps in part due to their heightened levels of anxiety sensitivity (AS). Physical activity (PA) is an accessible mental health intervention that may be particularly beneficial for women. Using a within-subjects pre-post mixed methods design, this study tested the acceptability, appropriateness, feasibility, and evidence-base of a community-based PA intervention for AS among women at high risk for anxiety and depression. Participants were 45 women with high AS who completed an 8-week group PA intervention. Data were collected via self-report questionnaires, interviews, and recruitment, participation, and retention rates. Results suggest the intervention is acceptable, appropriate, and feasible. Interviews reveal high intervention satisfaction and perceived benefits beyond AS reduction. There was a relatively high attrition rate that suggests room for improvement. The intervention significantly reduced AS, as well as panic, social anxiety, generalized anxiety, and depression symptoms. In the context of the preliminary nature of this study, results suggest the use of community-delivered, group-based PA as a mental health intervention strategy for women is worth further exploration. There is potential for collaboration between the health system, PA delivery professionals, and community organizations to improve access to care.
Exercise Capacity and Biomarkers Among Children and Adolescents With Sickle Cell Disease
Lea Barbetta Pereira da Silva, Gilmar Mercês de Jesus, José de Bessa Junior, Valter Abrantes Pereira da Silva, Ivanilde Guedes de Mattos, Coretta Melissa Jenerette, and Evanilda Souza de Santana Carvalho
are avoided through access to care. Thus, death during childhood is a rare event, with > 90% of children with SCD surviving to adulthood. This is in stark contrast to children born in low-resource settings, where most births take place. Of the estimated 312,000 annual births homozygous for Hb SS, >90
Parental Perceptions of the Importance and Effectiveness of Patient-Centered Care Delivery
Sadie Rose Adado and Kenneth E. Games
. Access to care Note . HCPs = healthcare providers; PCC = patient-centered care. Healthcare was defined as the participants’ child receiving one or more of the following interventions: injury/illness assessment, evaluation, treatment, and/or diagnostic testing on one or more occasion(s) by a healthcare
Conceptualizing Obesity as a Chronic Disease: An Interview With Dr. Arya Sharma
Arya M. Sharma, Donna L. Goodwin, and Janice Causgrove Dunn
, there are very complex neuroendocrine factors that defend body weight against weight loss—and that is why it is chronic disease. Recognizing obesity as a chronic disease will hopefully provide better access to care by fundamentally changing how we think about helping people live with this disease. In
Children With Cardiac Disease and Heat Exposure: Catastrophic Converging Consequences?
Luc Souilla, Pascal Amedro, and Shawnda A. Morrison
access to care and mortality rates for children with heart disease in diverse socioeconomic countries. There remain significant gaps in this research area. Thus, the “Top 4” suggestions for managing increased heat risk projections for children with cardiac conditions are: (1) health professionals
Physical Activity Among Utah Cancer Survivors: Analysis From a Population-Based Statewide Survey
Morgan M. Millar, Sandra L. Edwards, Rachel R. Codden, Blessing S. Ofori-Atta, Kimberly A. Herget, Marjorie E. Carter, Anne C. Kirchhoff, Adriana M. Coletta, and Carol Sweeney
combined); and (3) evaluate meeting guidelines for aerobic exercise and strength training separately. In selecting covariates, we included demographic, cancer, and physical health/limitations-related variables consistent with existing literature. 6 , 16 , 22 We also evaluated indicators of access to care
Essentials for Best Practice: Treatment Approaches for Athletes With Eating Disorders
Jenny H. Conviser, Amanda Schlitzer Tierney, and Riley Nickols
-Borgen & Torstveit, 2004 ), with some rates of EDs among athletes appear to be increasing ( Chatterton & Petrie, 2013 ). Eating disorders are substantially different from more common eating-related and body-related frustrations and, once established, do not remit without professional treatment. Timely access to care
The Perceptions and Experiences Among Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, and Agender Patients of Quality of Care With Health Care Services
Lauren G. Ford, Connor Lewis, and Jennifer Lynn Volberding
LGBT or something other than heterosexual. 2 This statistic is double from 2012. Now, nearly one in five Generation Z adults identify as LGBT. 2 The research conducted in this critically appraised topic demonstrates that there is still LGBTQ bias within health care which influences access to care
