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Biomedical subjects

M G Ory

Publications and source records attributed to M G Ory.

43 records · Page 3Linked to original sources
PubMed1980

Method and design issues in evaluation of community health education programs: a case study in breast and cervical cancer.

Systemic evaluation efforts are often neglected in community health education programs due to lack of financial or technical resources. The utility of including program evaluation at an early state in program development and implementation is demonstrated in this case study of a community-wide breast and cervical cancer education program. A number of methodological issues that the health education practitioner should consider in evaluations of community health programs are identified and discussed including: 1) selection of design; 2) establishing controls; 3) determination of sample size; 4) standardization of instruments; 5) selection bias; and 6) participant attrition. Implications for program development are examined.

Adult↗
PubMedDate not supplied

Measuring the quality of life of the elderly in health promotion intervention clinical trials.

The Multicenter Trials of Frailty and Injuries: Cooperative Studies of Intervention Techniques (FICSIT) is a series of clinical trials of biomedical, behavioral, and environmental interventions to reduce the risks of frailty and injury among the elderly. Reliable assessment of the quality of life reported by the subjects is a central issue in evaluating the interventions. An intervention may have a significant impact on an elderly person's sense of well-being, even though significant improvement is not observed in selected physical outcome measures. Elderly persons' compliance with particular intervention regimens may be influenced by the quality of life effects that they perceive in relation to the intervention. The researchers review the definition and measurement of quality of life in the trials, with particular attention to issues in determining common measures used at all study locations. Practical considerations in the selection and use of quality of life measures in both community and institutional populations are addressed. Topics discussed include the interrelation of aging, functional capacities, and quality of life; the multi-dimensionality of quality of life in relation to differential intervention effects; and age-related issues in the collection of quality of life data. Preliminary observations are reviewed, and potential contributions of FICSIT to intervention-sensitive quality of life assessments among the elderly are noted.

Activities of Daily Living↗
PubMedDate not supplied

Women and aging.

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Aged↗
PubMedDate not supplied

Child maltreatment and the use of social services.

A secondary analysis of 100 cases histories selected from social service records in a county department of social services (DSS) was conducted to examine the amount and kind of social services that persons identified as having maltreated a child received. Other objectives of the analysis were to observe the pattern of social service utilization over time and to discover what, if any, factors were associated with receiving social services. To accomplish these study objectives, two groups were selected for analysis: a target group of 50 families that had been reported to the county DSS for child maltreatment and a group of 50 families that had never been so reported. Both groups were composed mainly of young and socioeconomically deprived families that were characterized by poor incomes, little education, and low occupational levels. Analyses revealed significant differences in the amount and type of social services used by families in the target group and the comparison group. Although family structure was found to be related to the total amount of social service utilization, the degree of social disorganization within the family did not correlate with utilization. The study results indicate that the level of social services that protective service clients need and the level that they are actually getting should be re-examined.

Adolescent↗
PubMedDate not supplied

Influence of functional, urological, and environmental characteristics on urinary incontinence in community-dwelling older women.

The purpose of this study was to explore the relationships of functional, urological, and environmental characteristics to the frequency of urinary incontinence in 131 community-dwelling older women. Subjects with detrusor instability with or without concomitant genuine stress incontinence had significantly more impaired physical functioning, slower gait speeds, smaller bladder capacities, and less ability to delay voiding than subjects with genuine stress incontinence alone. Age, distance to toilet used most, and toilet-gait speed explained 17% of the variance in incontinence severity. Younger age, slower mobility, and a shorter distance to reach the toilet were associated with a higher frequency of incontinence. Physical functional status and urological characteristics, including urodynamic diagnosis, did not predict incontinence severity. These findings confirm, in part, the commonly held assumption that mobility and the environment influence urinary incontinence.

Activities of Daily Living↗