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Biomedical subjects

R J Jannarone

Publications and source records attributed to R J Jannarone.

5 recordsLinked to original sources

The association of positive and negative events with depressive symptomatology among caregivers.

A pilot study of eighty-two caregivers was conducted in South Carolina in 1991 to identify positive and negative factors associated with caregiving. Through home visits, interviewers obtained data on a variety of physical and mental health measures, including two new scales designed to measure perceived "positive" and "negative" events that had occurred in the previous month. The Center for Epidemiologic Studies Depression scale was used as a measure of depressive symptomatology. For the new scales, only items that were significantly correlated with depressive symptomatology (p < 0.01) were retained. The new "positive" event scale (8 items) and the new "negative" event scale (16 items) had alpha coefficients of 0.79 and 0.86, respectively. These scales may be useful to researchers in sorting out mediating factors related to the burden of caregiving and in providing points for intervention.

Adaptation, Psychological↗

A measure of perceived burden among caregivers.

This report describes an easily administered scale for measuring perceived burden among caregivers of family members with dementia. During home interviews conducted in 1991, 82 caregivers rated their family member with dementia on several items related to functional ability, the type of care provided, and associated stress. The resulting measure of perceived burden, based on 15 internally consistent items (alpha = 0.87), is significantly correlated with depressive symptomatology (r = 0.38, p = 0.0004). This measure is useful in assessing perceived stress associated with specific caregiving responsibilities. It can be used, along with other measures of patient functional status, to assess overall caregiver burden and to target intervention strategies.

Black or African American↗

Factor structure of the Heiby Self-Reinforcement Questionnaire.

In order to assess the psychometric properties of the Heiby Self-Reinforcement Questionnaire, 570 undergraduate student volunteers were administered the scale and a factor analysis was performed. The most interpretable analysis resulted in five factors, which are discussed relative to Rehm's formulations with regard to the components of self-reinforcement, with suggestions for the improvement of the questionnaire.

Adult↗

Evaluating interrater agreement through "case-control" sampling.

An approach to evaluating interrater agreement is presented that is based on "case-control" sampling scheme, in which individuals are classified by one rating method and stratified prior to being classified by a second rating method. A new estimate of the kappa interrater agreement index that is based on the case-control scheme is also presented. Power and other economic considerations are discussed, indicating that the new approach may be useful in practice.

Biometry↗

Levator muscle reconstruction: resulting velopharyngeal competence--a preliminary report.

The purpose of this study was to evaluate a levator muscle reconstruction procedure on the basis of resulting velopharyngeal competence. Ages of the patients at time of surgery ranged from 5 months to 7 years. The patients were reevaluated postoperatively. If the patients were judged to have normal nasality and no nasal emission, the procedure was considered to have yielded a satisfactory result. If hypernasality and nasal emission resulted, the patients were examined utilizing nasoendoscopy and/or videofluoroscopy. If velopharyngeal incompetence was confirmed, the operative procedure was judged to be successful. Results showed that 60 percent success was achieved. The age range which yielded the best results (73 percent satisfactory) was 37 to 60 months. The data also revealed that the more severe the cleft, the less likely this operative procedure is to produce satisfactory results. The authors recommend continued evaluation of this procedure, preferably utilizing prospective studies.

Age Factors↗