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Full-Text Articles in Arts and Humanities
The Development And Management Of A Primary Care Research Network, 1978-87, Donald Iverson, B Calonge, R Miller, L Niebauer, F Reed
The Development And Management Of A Primary Care Research Network, 1978-87, Donald Iverson, B Calonge, R Miller, L Niebauer, F Reed
Don C. Iverson
The Ambulatory Sentinel Practice Network (ASPN) was created to increase the knowledge of primary care. Building on the experiences of other national and regional primary care research networks, ASPN has evolved as a North American network including practices in 25 U.S. states and four Canadian provinces in 1987. This paper summarizes ASPN's growth and development since 1978, the involvement of the ASPN practices, and the mechanisms used in developing and managing studies.
The Promotion Of Physical Activity In The United States, Donald Iverson, Jonathan Fielding, Richard Crow, Gregory Christenson
The Promotion Of Physical Activity In The United States, Donald Iverson, Jonathan Fielding, Richard Crow, Gregory Christenson
Don C. Iverson
While the medical care encounter is considered an ideal situation in which patients are encouraged to increase their physical activity levels, very little research has been conducted in this setting. In fact, with the exception of the physical activity components of cardiac rehabilitation programs, few formal physical activity programs are available in medical care settings. Although the workplace is currently the focus of the greatest interest by those persons who implement physical activity programs, there is little precision in defining what constitutes a worksite physical activity program. A number of researchers and authors, using program experience rather than empirical findings, …
Making A Case For Health Promotion., Donald Iverson
Making A Case For Health Promotion., Donald Iverson
Don C. Iverson
No abstract provided.
Evolution Of The National Disease Prevention And Health Promotion Strategy: Establishing A Role For The Schools, Donald Iverson, Lloyd Kolbe
Evolution Of The National Disease Prevention And Health Promotion Strategy: Establishing A Role For The Schools, Donald Iverson, Lloyd Kolbe
Don C. Iverson
The history and evolution, during the past decade, of the national disease prevention and health promotion strategy is recounted, culminating with a description of the national prevention objectives. Objectives that directly could be attained by: (1) school health education; (2) school health services; (3) efforts to ensure healthy school environments; and (4) school physical education programs are delineated, as are objectives that could be influenced in important ways by school health programs. The nation's schools could contribute significantly and measurably toward improving the health of all Americans, if school health professionals, individually as well as within their various organizations, could …
Health Behavior Models Compared, P Mullen, James Hersey, Donald Iverson
Health Behavior Models Compared, P Mullen, James Hersey, Donald Iverson
Don C. Iverson
This study compares the health belief, Fishbein/Ajzen, and PRECEDE models to predict changes in smoking, exercise, and consumption of sweet and fried foods over an eight-month interval. Data were collected from a panel of 326 adults in two large cities of the western United States. The PRECEDE model accounted for more variance in behavior than both the Fishbein/Ajzen and health belief models, but it required far more questions. Fishbein/Ajzen and PRECEDE provide a limited theoretical basis for selecting specific types of beliefs or predisposing factors without turning to the health belief model, making the health belief model complementary to either …
Promoting Health Through The Schools: A Challange For The Eighties, Donald Iverson
Promoting Health Through The Schools: A Challange For The Eighties, Donald Iverson
Don C. Iverson
No abstract provided.
The Juvenile Intervention Program: Results Of The Process, Impact And Outcome Evaluations, Donald Iverson, Tom Roberts
The Juvenile Intervention Program: Results Of The Process, Impact And Outcome Evaluations, Donald Iverson, Tom Roberts
Don C. Iverson
Data were analyzed for a random sample of sixty-four juvenile participants who completed the program between January 1, 1977 and April, 1978 and a random sample of forty-seven juvenile participants who completed the program between May, 1978 and August, 1979. In order to assess program impact, all the juvenile participants are administered a pretest during the first JIP session and a posttest after the last session. Follow-up data on impact measures are collected six months after program completion. In addition, participants are asked to complete a one-page questionnaire assessing their participation at the completion of each of the seven JIP …
The Association Between Job Demands/Control And Health In Employed Parents: The Mediating Role Of Work-To-Family Interference And Enhancement, Christopher Magee, Natalie Stefanic, Peter Caputi, Donald Iverson
The Association Between Job Demands/Control And Health In Employed Parents: The Mediating Role Of Work-To-Family Interference And Enhancement, Christopher Magee, Natalie Stefanic, Peter Caputi, Donald Iverson
Don C. Iverson
"This paper examined whether work-to-family interference (WFI) and work-to-family enhancement (WFE) mediated the association between job demands/control and self-reported mental and physical health. Data were from the Household, Income and Labor Dynamics in Australia survey and included 1,404 Australian adults aged 18-64 years at baseline; 820 participants provided data at three time points (baseline, 12-month follow-up, and 24-month follow-up). Self-report questionnaires assessed mental and physical health, WFI and WFE, and job demands/control. Mediation analyzes performed on the longitudinal data indicated that WFI mediated the relationships between job demands/control and self-reported mental and physical health. The findings have implications for improving …
The Health Promotion Sciences In Chronic Disease Prevention. The Scientific Basis Of Health Promotion, Donald Iverson
The Health Promotion Sciences In Chronic Disease Prevention. The Scientific Basis Of Health Promotion, Donald Iverson
Don C. Iverson
No abstract provided.
Perspectives On Reach To Recovery And Cansurmount: Informing The Evaluation Model, C Cameron, F Ashbury, Donald Iverson
Perspectives On Reach To Recovery And Cansurmount: Informing The Evaluation Model, C Cameron, F Ashbury, Donald Iverson
Don C. Iverson
The Canadian Cancer Society requested that the Centre for Behavioural Research and Program Evaluation of the National Cancer Institute of Canada evaluate Reach to Recovery and CanSurmount, 1-on-1 peer-support programs that provide information and support to individuals with cancer and their families. Key informant interviews (with program participants and volunteer visitors) were conducted to gather qualitative data and to help us develop a framework and tools to evaluate these programs. We found that 1) there are program objectives from the perspective of volunteers and participants in addition to those outlined in the program materials; 2) there are variations in how …
Using Interviews And Peer Pairs To Better Understand How School Environments Affect Young Children's Playground Physical Activity Levels: A Qualitative Study, Anne-Maree Parrish, Heather Yeatman, Donald Iverson, Ken Russell
Using Interviews And Peer Pairs To Better Understand How School Environments Affect Young Children's Playground Physical Activity Levels: A Qualitative Study, Anne-Maree Parrish, Heather Yeatman, Donald Iverson, Ken Russell
Don C. Iverson
School break times provide a daily opportunity for children to be active; however, research indicates this time is underutilized. Reasons for low children’s playground activity levels have primarily focused on physical barriers. This research aimed to contribute to physical environmental findings affecting children’s playground physical activity levels by identifying additional variables through the interview process. Thirteen public schools were included in the sample (total 2946 children). Physical activity and environmental data were collected over 3 days. Environmental variables were manually assessed at each of the 13 schools. Observational data were used to determine which three schools were the most and …
Family Practice Residents' Identification And Management Of Obesity, R Mcartor, Donald Iverson, D Benken, L Dennis
Family Practice Residents' Identification And Management Of Obesity, R Mcartor, Donald Iverson, D Benken, L Dennis
Don C. Iverson
This study, involving 25 family practice residents and 2746 patients in a family practice residency programme, addressed four hypotheses regarding the identification and management of obesity in the primary care setting: (i) the physician-identified prevalence of obesity is significantly lower than the actual prevalence in the population, (ii) obesity is more likely to be addressed with management actions when it is recorded on the medical record problem list than when it is not recorded, (iii) physician actions dealing with obesity are influenced by the patient's age, sex, level of motivation, and body mass index (BMI) value, and (iv) the type …
Comparison Of Hiv-Risk Behaviors And Demographics Of Adolescents Tested Or Not Tested For Hiv Infection, D Main, Donald Iverson, J Mcgloin
Comparison Of Hiv-Risk Behaviors And Demographics Of Adolescents Tested Or Not Tested For Hiv Infection, D Main, Donald Iverson, J Mcgloin
Don C. Iverson
In a survey of 2,548 adolescents, 11.5 percent reported ever having had the human immunodeficiency virus (HIV) antibody test. Those who had been tested were significantly more likely to be male, black, and to reside in metropolitan areas than those who had not been tested. Tested adolescents were more than three times as likely to report having injected drugs and were more than twice as likely to have had sexual intercourse, had sexual intercourse at earlier ages, and with multiple partners. More than half of adolescents who had been HIV-tested had no reported risks for HIV infection. More than one-quarter …
Carpal Tunnel Syndrome In Primary Care: A Report From Aspn. Ambulatory Sentinel Practice Network, R Miller, Donald Iverson, R Fried, L Green, Paul Nutting
Carpal Tunnel Syndrome In Primary Care: A Report From Aspn. Ambulatory Sentinel Practice Network, R Miller, Donald Iverson, R Fried, L Green, Paul Nutting
Don C. Iverson
Carpaltunnelsyndrome is the entrapment neuropathy of the medign nerve at the wrist. It is the most common nerve compression disorder seen by physicians, affecting women up to five times more frequently than men, especially during the reproductive years. Carpaltunnelsyndrome is known to be aggravated during pregnancy and menopause. Primary care physicians can expect to see approximately 1.01 cases of carpaltunnelsyndrome per 1,000 office encounters, with a female age-adjusted rate of 1.49 per 1,000 person-years. Physicians can identify this syndrome with an accurate and detailed history and physical exam. In most cases, electrodiagnostic studies, such as nerve conduction velocities and/or electromyography, …
Design Of The School Health Education Evaluation, Walter Gunn, Donald Iverson, Martha Katz
Design Of The School Health Education Evaluation, Walter Gunn, Donald Iverson, Martha Katz
Don C. Iverson
The nation's public schools can systematically promote the knowledge, attitudes, and skills necessary for good health. The U.S. Department of Health and Human Services contracted to evaluate the School Health Curriculum Project and three other approaches. The design, implementation, and benefits of the School Health Education Evaluation (SHEE) are discussed.
Physician Assessment Of Patient Motivation: Influence On Disposition For Follow-Up Care, R Mcartor, Donald Iverson, D Benken, Valerie Gilchrist, L Dennis, R Broome
Physician Assessment Of Patient Motivation: Influence On Disposition For Follow-Up Care, R Mcartor, Donald Iverson, D Benken, Valerie Gilchrist, L Dennis, R Broome
Don C. Iverson
This study of 3,318 outpatient visits evaluated the influence of the physician-assessed level of patient motivation on the level of physician involvement in follow-up care. Data collected included patient demographics, health risk factors, physician-assessed level of patient motivation, and the disposition for follow-up care (return office visit or self-care). Physicians more frequently scheduled patients for a return office visit, regardless of assessed level of patient motivation, when they presented with a traditional biomedical problem. Patients with health promotion-disease prevention problems were more frequently relegated to self-care; patients physicians judged to be poorly motivated were four times as likely to be …
Trial Of Print And Telephone Delivered Interventions To Influence Walking, Nancy Humpel, Donald Iverson, A Marshall, Eva Leslie, Neville Owen
Trial Of Print And Telephone Delivered Interventions To Influence Walking, Nancy Humpel, Donald Iverson, A Marshall, Eva Leslie, Neville Owen
Don C. Iverson
Both self-help print materials and telephone-assisted counseling have generally proved useful strategies to increase physical activity. This study examined their effectiveness in an intervention aimed specifically at promoting walking for specific purposes. Methods: Participants (n = 399) were randomly allocated to one of two 3-week intervention programs. The Print program comprised multiple mailing of brochures that emphasized walking within the local community environments. The Print plus Telephone program received the same brochures plus three telephone calls. Data collected via mailed self-completed surveys were analyzed by exploring outcomes related to walking for specific purposes. Results: There were no significant differences between …
Integrating School Of Community Efforts To Promote Health: Strategies, Policies, And Methods, Lloyd Kolbe, Donald Iverson
Integrating School Of Community Efforts To Promote Health: Strategies, Policies, And Methods, Lloyd Kolbe, Donald Iverson
Don C. Iverson
The purposeful integration of school and community efforts indeed may be the critical element in a formula to promote the health of school-aged children and youth. Obviously there are numerous strategies, policies, and methods to functionally integrate school and community activities. As concluded by the Director of the U.S. Office of Maternal and Child Health in a paper on "New Policies in School Health": What is required, then, are not new policies in school health, but, a reaffirmation and implementation of policies that have been with us for many years.
Charting The Ncic's Future: Stakeholder Support For Identified Options, F Ashbury, Donald Iverson, P Shepherd, C Hachey
Charting The Ncic's Future: Stakeholder Support For Identified Options, F Ashbury, Donald Iverson, P Shepherd, C Hachey
Don C. Iverson
The National Cancer Institute of Canada (NCIC) conducted a survey of representatives of its stakeholder populations (members of the cancer research and control communities, past and present NCIC grantees, senior administrators in academic institutions, NCIC governing committee representatives and major partners) to get input on proposals to restructure the NCIC's research programs. The survey results demonstrate support for changes that are likely to significantly alter how the NCIC operates as well as the programs it sponsors. The results suggest support for increasing the percentage of NCIC funds allocated to the Individual Operating Grants area and for changing the NCIC's programs …
Prostate Cancer Screening In The Midst Of Controversy: Canadian Men's Knowledge, Beliefs, Utilization, And Future Intentions, Shawna Mercer, Vivek Goel, Isra Levy, F Ashbury, Donald Iverson, Neill Iscoe
Prostate Cancer Screening In The Midst Of Controversy: Canadian Men's Knowledge, Beliefs, Utilization, And Future Intentions, Shawna Mercer, Vivek Goel, Isra Levy, F Ashbury, Donald Iverson, Neill Iscoe
Don C. Iverson
Despite controversy about prostate cancer screening, administrative data show that the use of prostate specific antigen (PSA) testing in Canada has increased. This study sought to determine awareness and knowledge of prostate cancer and screening, use to date, and future intentions to have a digital rectal examination (DRE) and PSA test among Canadian men aged 40 and over. Data were collected through a Canada-wide cross-sectional random digit dial telephone survey of 629 men. Awareness of DRE and PSA, use to date, and future intended use varied with age and education. Although only 9% of respondents had had PSA testing for …
Does Family Practice At Residency Teaching Sites Reflect Community Practice?, Valerie Gilchrist, William Gillanders, Donald Iverson, Mark Krell, Everett Logue, Rebecca Miller, D Scheid, A Oprandi, D Weldy
Does Family Practice At Residency Teaching Sites Reflect Community Practice?, Valerie Gilchrist, William Gillanders, Donald Iverson, Mark Krell, Everett Logue, Rebecca Miller, D Scheid, A Oprandi, D Weldy
Don C. Iverson
Family medicine has aspired to train residents and conduct research in settings that closely resemble community practice. The purposre of this study was to compare the patient characteristics of the ambulatory teaching centers of a consortium of seven community-based university-affiliated familyu practice residency programs in northeast Ohio with the National Ambulatory Medical Care Survey (NAMCS) results for family physicians (FPs) and general practitioners (GPs). Ninety-eight faculty and resident physicians at the residency training site of the Northeastern Ohio Universities College of Medicine collected data on all ambulatory patient visits (N = 1498) for one randomly chosen week between July 1, …
Defining Research Priorities For Pancreatic Cancer In Australia: Results Of A Consensus Development Process, Monica Robotin, Sandra Jones, Andrew Biankin, Louise Waters, Donald Iverson, Helen Gooden, Bruce Barraclough, Andrew Penman
Defining Research Priorities For Pancreatic Cancer In Australia: Results Of A Consensus Development Process, Monica Robotin, Sandra Jones, Andrew Biankin, Louise Waters, Donald Iverson, Helen Gooden, Bruce Barraclough, Andrew Penman
Don C. Iverson
Introduction: Pancreatic cancer (PC) is the sixth leading cause of cancer death in Australia and the fourth in the United States, yet research in PC is lagging behind that in other cancers associated with a high disease burden. In the absence of agreed processes to reliably identify research areas which can deliver significant advances in PC research, the Cancer Council NSW established a strategic partnership with the NSW Pancreatic Cancer Network to define critical research issues and opportunities that could accelerate progress in this field in Australia. Materials and methods: The process consisted of five distinct stages: a literature review …
Health Education Research: Accomplishment Or Exercise, Donald Iverson, M Hosakawa
Health Education Research: Accomplishment Or Exercise, Donald Iverson, M Hosakawa
Don C. Iverson
No abstract provided.
Perceived Environment Attributes, Residential Location And Walking For Particular Purposes, Nancy Humpel, Donald Iverson, Neville Owen, Eva Leslie, Adrian Bauman
Perceived Environment Attributes, Residential Location And Walking For Particular Purposes, Nancy Humpel, Donald Iverson, Neville Owen, Eva Leslie, Adrian Bauman
Don C. Iverson
BACKGROUND: Identifying environmental factors that can influence physical activity is a public health priority. We examined associations of perceived environmental attributes with walking for four different purposes: general neighborhood walking, walking for exercise, walking for pleasure, and walking to get to and from places. METHODS: Participants (n =399; 57% women) were surveyed by mail. They reported place of residence, walking behaviors, and perceptions of neighborhood environmental attributes. RESULTS: Men with the most positive perceptions of neighborhood "aesthetics" were significantly more likely (odds ratio [OR]=7.4) to be in the highest category of neighborhood walking. Men who perceived the weather as not …
Propositions For An Alternate And Complementary Health Education Paradigm, Lloyd Kolbe, Donald Iverson, M Kreuter, G Hochbaum, G Christensen
Propositions For An Alternate And Complementary Health Education Paradigm, Lloyd Kolbe, Donald Iverson, M Kreuter, G Hochbaum, G Christensen
Don C. Iverson
No abstract provided.
Issues Related To Designing And Conducting School Health Education Research, Donald Iverson
Issues Related To Designing And Conducting School Health Education Research, Donald Iverson
Don C. Iverson
Investigators interested in conducting school health research face many important challenges. First, an appropriate research course for school health must be charted so the most important research issues are addressed in a systematic way. Second, there is a continuing need to develop scientifically sound research methods that can be used in the school setting. Third, there is the immediate need to identify ways of overcoming the usual problems encountered in the conduct of school health research. This paper focuses on the third challenge, via an analysis of the research design and measurement issues that most frequently confront school health researchers. …
Sun Protecting And Sun Exposing Behaviors: Testing Their Relationship Simultaneously With Indicators Of Ultraviolet Exposure Among Adolescents, Melinda Williams, Peter Caputi, Sandra Jones, Don Iverson
Sun Protecting And Sun Exposing Behaviors: Testing Their Relationship Simultaneously With Indicators Of Ultraviolet Exposure Among Adolescents, Melinda Williams, Peter Caputi, Sandra Jones, Don Iverson
Don C. Iverson
The aim of this study was to build on existing understanding of adolescent sun-related behavior by combining sun protecting and sun exposing behaviors and testing their relationship simultaneously with indicators of ultraviolet (UV) exposure. Data were collected for 692 adolescents aged between 12 and 18 years. General linear modeling was undertaken to test the relationship of sun-related behaviors with indicators of UV exposure. Overall, the combined sun protection and sun exposing behaviors accounted for 13.8% of the variance in the number of sunburns, 28.1% of the variance in current tan and 57.5% of the variance in desired tan, respectively. Results …
The Older Patient, The Doctor And The Trainee: Patients' Attitudes And Implications For Models Of Care, Andrew Bonney, Sandra Jones, Donald Iverson
The Older Patient, The Doctor And The Trainee: Patients' Attitudes And Implications For Models Of Care, Andrew Bonney, Sandra Jones, Donald Iverson
Don C. Iverson
Aims & rationale/Objectives Population ageing poses major challenges for health systems. Additionally, training future general practitioners in the management of older and chronically ill patients is potentially hampered by the reluctance of these patients to consult trainees for chronic care. This paper reports a cross-sectional study investigating the attitudes of older patients to trainees, to inform strategies to improve older patient-trainee interaction. Methods The survey instrument was distributed to 1900 patients aged 60 and over from 38 training practices from five Australian states using a stratified, randomised cluster sampling process. Generalised estimating equation models were used for analysis. Principal findings …
Examining The Pathways Linking Chronic Sleep Restriction To Obesity, Christopher A. Magee, Xu-Feng Huang, Donald C. Iverson, Peter Caputi
Examining The Pathways Linking Chronic Sleep Restriction To Obesity, Christopher A. Magee, Xu-Feng Huang, Donald C. Iverson, Peter Caputi
Don C. Iverson
A growing number of studies have identified chronic sleep restriction as a potential risk factor for obesity. This could have important implications for how obesity is prevented and managed, but current understanding of the processes linking chronic sleep restriction to obesity is incomplete. In this paper, we examined some of the pathways that could underlie the relationship between chronic sleep restriction and obesity. This involved exploring some of the potential environmental, health, behavioral, and sociodemographic determinants of chronic sleep restriction, which require further investigation in this context. Three pathways that could potentially link chronic sleep restriction to obesity were then …
Patients' Attitudes To General Practice Registrars: A Review Of The Literature, Andrew Bonney, Lyn Phillipson, Samantha Reis, Sandra Jones, Donald Iverson
Patients' Attitudes To General Practice Registrars: A Review Of The Literature, Andrew Bonney, Lyn Phillipson, Samantha Reis, Sandra Jones, Donald Iverson
Don C. Iverson
Introduction With the population ageing, it is imperative for training practices to provide GP registrars with sound experience in managing the health problems of older persons, especially chronic conditions. However, it is reported that a significant proportion of these patients will be resistant to consulting registrars, with concerns regarding disruption of continuity of care being a significant factor. The challenge for training practices is to identify approaches to engage registrars in the management of older patients whilst maintaining patient satisfaction. This paper presents a review of the literature on patient attitudes to general practice registrars to better understand the nature …