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Full-Text Articles in Medicine and Health Sciences

Reproducibility And Responsiveness Of Health Status Measures. Statistics And Strategies For Evaluation, Paula Diehr, Richard Deyo Aug 1991

Reproducibility And Responsiveness Of Health Status Measures. Statistics And Strategies For Evaluation, Paula Diehr, Richard Deyo

Paula Diehr

Before being introduced to wide use, health status instruments should be evaluated for reliability and validity. Increasingly, they are also tested for responsiveness to important clinical changes. Although standards exist for assessing these properties, confusion and inconsistency arise because multiple statistics are used for the same property; controversy exists over how to measure responsiveness; many statistics are unavailable on common software programs; strategies for measuring these properties vary; and it is often unclear how to define a clinically important change in patient status. Using data from a clinical trial of therapy for back pain, we demonstrate the calculation of several …


An Existential-Phenomenological Investigation Of The Psychotherapeutic Interpretive Process Enabling Immediate Insight, Paul Murray Ph.D. Jan 1991

An Existential-Phenomenological Investigation Of The Psychotherapeutic Interpretive Process Enabling Immediate Insight, Paul Murray Ph.D.

Dr. Paul Murray

An Existential-Phenomenological Investigation Of The Psychotherapeutic Interpretive Intervention Process Enabling Immediate Insight: Theoretical and technical preoccupations with the value of interpretation in the psychotherapeutic process have established a formal understanding in the literature that has given only oblique reference to the actual experience of the therapist in practice. "Interpretation" has for the most part been left dangling above and beyond the immediate grasp of the novice therapist as an objectified ideal of great importance. Practical application of this intervention has suffered due to a mystification of its lived nature in the traditional literature. The current qualitative research study is a …


The Palmer Philosophy Of Chiropractic – An Historical Perspective., Dennis M. Richards Jan 1991

The Palmer Philosophy Of Chiropractic – An Historical Perspective., Dennis M. Richards

Dennis M Richards

This paper presents the Palmer philosophy of chiropractic from an historical viewpoint. It examines how influences in the life of DD Palmer, such as spiritualism, theosophy and magnetic healing helped to shape the chiropractic philosophy expressed by him. It also oulines the philosophy of BJ Palmer, explaining how it may have been influenced by legal challenges to the early pioneers of chiropractic. Contemporary expression of the Palmer philosophy, as articulated by Strang, is also noted.


Estimating County Percentages Of People Without Health Insurance, Paula Diehr Jan 1991

Estimating County Percentages Of People Without Health Insurance, Paula Diehr

Paula Diehr

County data on the percentage of people without health insurance are seldom available, although state program planning requires such information. As part of an evaluation of Washington's Basic Health Plan (BHP), we conducted a telephone survey in nine Washington counties to estimate the percentage of people under the age of 65 who were uninsured. We used regression analysis to estimate the percentage uninsured in a county as a function of the percentage unemployed. Two validation approaches yielded very good results, suggesting that the equation could be used to estimate the percentage uninsured in unsurveyed counties. The variation ranged from 15% …


Relationships Among Perceived Stress, Trait Anger, Modes Of Anger Expression And Health Status Of College Men And Women, Sandra Thomas, R.L. Williams Jan 1991

Relationships Among Perceived Stress, Trait Anger, Modes Of Anger Expression And Health Status Of College Men And Women, Sandra Thomas, R.L. Williams

Sandra Thomas

Relationships among perceived stress, trait anger (general propensity to become angry), modes of anger expression, and health status were examined in a sample of 720 college students, using Caplan's conceptualization of stress as the study's framework. Propensity toward anger was assessed by the 10-item form of the Trait Anger Scale (Spielberger et al.), modes of anger expression were assessed by the Framingham Anger Scales, perceived stress was operationalized by the Perceived Stress Scale (Cohen, Kamarck, and Mermelstein), and current health status was assessed by Ware's 9-item Current Health Scale. As hypothesized, stress was a positive correlate of trait anger and …