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Full-Text Articles in Arts and Humanities

Smoking Control Programs: Premises And Promises, Donald Iverson Jun 2012

Smoking Control Programs: Premises And Promises, Donald Iverson

Don C. Iverson

No abstract provided.


Reassessment Of The Knowledge/Attitude/Behavior Triad, Donald Iverson, Barry Portnoy Jun 2012

Reassessment Of The Knowledge/Attitude/Behavior Triad, Donald Iverson, Barry Portnoy

Don C. Iverson

No abstract provided.


Factors Influencing Mammogram Ordering At The Time Of The Office Visit, C Conry, D Main, R Miller, Donald Iverson, B Calonge Jun 2012

Factors Influencing Mammogram Ordering At The Time Of The Office Visit, C Conry, D Main, R Miller, Donald Iverson, B Calonge

Don C. Iverson

Breast cancer is the second most common cause of cancer death in women, with mammographic screening the only modality shown to decrease the death rate. However, only 17% to 41% of women have ever been screened, and multiple barriers to screening have been identified. This study examined physician and patient factors at a single encounter to explore components influencing mammography ordering. Ten family physicians in a primary care research network completed daily data cards on encounters with women presenting for annual examinations, chronic problems, or breast-related complaints. Information collected included patient age, personal or family history of breast cancer, physician's …


Let's Combat Aids On The Front Lines, Donald Iverson, W Popham Jun 2012

Let's Combat Aids On The Front Lines, Donald Iverson, W Popham

Don C. Iverson

Presents a condensation from the September 1992 `The School Administrator.' Asserts that despite widespread media attention to AIDS, few students have altered their sexual behaviors. Survey of 14- to 19-year-olds in San Francisco health clinic; Specific objectives for HIV education programs; Program design suggestions; Follow-up responsibility of educators.


Prestige Of Health Educators Within The Health Care Delivery System, Raymond Nakamura, Donald Iverson Jun 2012

Prestige Of Health Educators Within The Health Care Delivery System, Raymond Nakamura, Donald Iverson

Don C. Iverson

No abstract provided.


An Assessment Of Student Health Needs: Implications For The Planning And Utilization Of College Health Services, Lloyd Kolbe, Donald Iverson Jun 2012

An Assessment Of Student Health Needs: Implications For The Planning And Utilization Of College Health Services, Lloyd Kolbe, Donald Iverson

Don C. Iverson

Since many students plan to utilize college health services, it is important that the services offered are adequate to meet the needs of the students.


Australian Women's Awareness Of Breast Cancer Symptoms And Responses To Potential Symptoms, Sandra Jones, Parri Gregory, Caroline Nehill, Lance Barrie, Karen Luxford, A. Nelson, Helen Zorbas, Donald Iverson Jun 2012

Australian Women's Awareness Of Breast Cancer Symptoms And Responses To Potential Symptoms, Sandra Jones, Parri Gregory, Caroline Nehill, Lance Barrie, Karen Luxford, A. Nelson, Helen Zorbas, Donald Iverson

Don C. Iverson

Poor awareness of breast cancer symptoms has been associated with patient delay in seeking help; thus reduced survival, more aggressive treatment, and fewer treatment choices. The aim of this study was to develop a representative picture of Australian women’s knowledge of symptoms, experienced potential symptoms, and behavioral responses. A general population sample of approximately 3,000 women aged 30–69 completed a telephone survey; results were compared to previous surveys conducted in 1996 and 2003. The most commonly cited potential symptom of breast cancer was a lump in the breast, identified by 86% of respondents (an increase from 75% in 2003). Other …


Qualitative Methods For Evaluative Research In Health Education Programs, Patricia Mullen, Donald Iverson Jun 2012

Qualitative Methods For Evaluative Research In Health Education Programs, Patricia Mullen, Donald Iverson

Don C. Iverson

Qualitative methods can play a significant role in both formative and summative evaluations. There are at least six functions of qualitative methods in evaluation. Tables and figures present information on characteristics of qualitative and quantitative methods, selected qualitative evaluation models, and a checklist of evaluation situations for which qualitative methods are appropriate.


School Health Education, Lawrence Green, Donald Iverson Jun 2012

School Health Education, Lawrence Green, Donald Iverson

Don C. Iverson

In this review we assess the recent developments in research and practice pertaining to health education in schools. We begin by defining school health education within the broader framework of community health education and promotion. The shifting priorities, purposes, and assumptions of school health education are traced and attributed. They lead to a new generation of problems and methods that call for a concentration of research on ways to combine the classroom contributions of health education with the broader organizational, economic, and environmental supports that will predispose, enable, and reinforce behavior conducive to health.


Predictive Models For Frequency And Proficiency Of Bse Performance, C Chrvala, Donald Iverson Jun 2012

Predictive Models For Frequency And Proficiency Of Bse Performance, C Chrvala, Donald Iverson

Don C. Iverson

No abstract provided.


The Development And Management Of A Primary Care Research Network, 1978-87, Donald Iverson, B Calonge, R Miller, L Niebauer, F Reed Jun 2012

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 Jun 2012

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, …


Evolution Of The National Disease Prevention And Health Promotion Strategy: Establishing A Role For The Schools, Donald Iverson, Lloyd Kolbe Jun 2012

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 Jun 2012

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 Jun 2012

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 Jun 2012

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 Jun 2012

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 Jun 2012

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 Jun 2012

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 …


Family Practice Residents' Identification And Management Of Obesity, R Mcartor, Donald Iverson, D Benken, L Dennis Jun 2012

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 Jun 2012

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 Jun 2012

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 Jun 2012

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 Jun 2012

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 Jun 2012

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 Jun 2012

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 Jun 2012

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 Jun 2012

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 Jun 2012

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 Jun 2012

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 …