المؤلفون: Collins, Catherine, Chan, Titus, Roberts, Joan S., Haaland, Wren L., Wright, Davene R.

المصدر: Hospital Pediatrics; Aug2017, Vol. 7 Issue 8, p451-459, 9p

المؤلفون: Sauder, Katherine A, Stafford, Jeanette M, Mayer-Davis, Elizabeth J, Jensen, Elizabeth T, Saydah, Sharon, Mottl, Amy, Dolan, Lawrence M, Hamman, Richard F, Lawrence, Jean M, Pihoker, Catherine, Marcovina, Santica, D'Agostino, Ralph B, Dabelea, Dana, Afkarian, Maryam, Amrhein, James, Beauregard, Natalie, Bell, Ronny, Bellatorre, Anna, Bloch, Clifford A., Bowlby, Deborah, D'Agostino, Ralph, Dabelea, Dana, Daniels, Stephen, Divers, Jasmin, Dolan, Lawrence M., Gaur, Vinod P., Goldstein, Maureen T., Greenbaum, Carla, Hamman, Richard F., Harting, Jessica, Henkin, Leora, Hirsch, Irl, Holmquist, Kim, Imperatore, Giuseppina, Isom, Scott, Jackson, Malaka, Kahn, Michael G., Kearns, Sue, Kim, Grace, Klingensmith, Georgeanna J., Klingsheim, Mary, Knight, Lisa, Koebnick, Corinna, Lawrence, Jean M., Li, Xia, Liese, Angela D., Linder, Barbara, Liu, Lenna L., Loots, Beth, Love-Osborne, Kathy, Maahs, David, Marcovina, Santica M., Mayer-Davis, Elizabeth J., Merchant, Anwar, Merjaneh, Lina, Morgan, Timothy, Mottl, Amy, Nandi-Munshi, Debika, Neff, John, Nelson, Bryce, Pascual, Michael, Pettitt, David J., Pierce, June, Pihoker, Catherine, Powell, Jeffrey, Reboussin, Beth, Rewers, Marian J., Reynolds, Kristi, Sauder, Katherine A, Saydah, Sharon H., Stafford, Jeanette, Standiford, Debra A., Strylewicz, Greg, Taplin, Craig, Testaverde, Lisa, Thomas, Joan, Wadwa, Paul, Wagenknecht, Lynne E., Wilkening, Greta, Williams, Carrie, Wright, Davene, Yi-Frazier, Joyce

المصدر: The Lancet Child & Adolescent Health; January 2019, Vol. 3 Issue: 1 p35-43, 9p

مستخلص: One in three adolescents and young adults with type 1 diabetes have at least one early diabetes-related complication or comorbidity. We aimed to examine the prevalence and pattern of co-occurring complications in this population, as well as the related risk factors.

المؤلفون: Wright, Davene R., Wittenberg, Eve, Swan, J. Shannon, Miksad, Rebecca A., Prosser, Lisa A.

المصدر: PharmacoEconomics ; volume 27, issue 9, page 713-723 ; ISSN 1170-7690

مصطلحات موضوعية: Public Health, Environmental and Occupational Health, Health Policy, Pharmacology

الإتاحة: https://doi.org/10.2165/11317060-000000000-00000Test

المؤلفون: Lettmeier, Beate, Mühlberger, Nikolai, Schwarzer, Ruth, Sroczynski, Gaby, Wright, Davene, Zeuzem, Stefan, Siebert, Uwe

المصدر: Journal of Hepatology ; volume 49, issue 4, page 528-536 ; ISSN 0168-8278

مصطلحات موضوعية: Hepatology

الإتاحة: https://doi.org/10.1016/j.jhep.2008.04.021Test
https://api.elsevier.com/content/article/PII:S0168827808003516?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:S0168827808003516?httpAccept=text/plainTest

المؤلفون: Bryan, Mersine A., Desai, Arti D., Wilson, Lauren, Wright, Davene R., Mangione-Smith, Rita

المصدر: Pediatrics; Mar2017, Vol. 139 Issue 3, p1-8, 8p

المؤلفون: Lion, K. Casey, Wright, Davene R., Desai, Arti D., Mangione-Smith, Rita

المصدر: Hospital Pediatrics; Feb2017, Vol. 7 Issue 2, p70-78, 9p

المؤلفون: Wright, Davene R.¹ (AUTHOR) davene.wright@seattlechildrens.org, Austin, S. Bryn² (AUTHOR), Noh, H. LeAnn³ (AUTHOR), Yushan Jiang⁴ (AUTHOR), Sonneville, Kendrin R.⁵ (AUTHOR)

المصدر: American Journal of Public Health. Sep2014, Vol. 104 Issue 9, p1774-1782. 9p. 1 Diagram, 2 Charts, 1 Graph.

مصطلحات موضوعية: *COST effectiveness, *MATHEMATICAL models, *MULTIVARIATE analysis, *QUESTIONNAIRES, *RESEARCH funding, *ODDS ratio, DIAGNOSIS of eating disorders, CONFIDENCE intervals, EATING disorders, MEDICAL care costs, STUDENT health, PATIENT participation, THEORY, EVALUATION of human services programs, CHILDREN

مستخلص: Objectives. We aimed to assess the value of school-based eating disorder (ED) screening for a hypothetical cohort of US public school students. Methods. We used a decision-analytic microsimulation model to model the effectiveness (life-years with ED and quality-adjusted life-years [QALYs]), total direct costs, and cost-effectiveness (cost per QALY gained) of screening relative to current practice. Results. The screening strategy cost $2260 (95% confidence interval [Cl] = $1892, $2668) per student and resulted in a per capita gain of 0.25 fewer life-years with ED (95% Cl = 0.21, 0.30) and 0.04 QALYs (95% Cl = 0.03, 0.05) relative to current practice. The base case cost-effectiveness of the intervention was $9041 per life-year with ED avoided (95% Cl = $6617, $12 344) and $56 500 per QALY gained (95% Cl = $38 805, $71 250). Conclusions. At willingness-to-pay thresholds of $50 000 and $100 000 per QALY gained, school-based ED screening is 41% and 100% likely to be cost- effective, respectively. The cost-effectiveness of ED screening is comparable to many other accepted pediatric health interventions, including hypertension screening. [ABSTRACT FROM AUTHOR]

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المؤلفون: Wright, Davene R.¹ davene.wright@seattlechildrens.org, Taveras, Elsie M.² etaveras@partners.org, Gillman, Matthew W.^3,4 matthew_gillman@harvardpilgrim.org, Horan, Christine M.² choran2@partners.org, Hohman, Katherine H.⁵ katherine.hohman@ymca.net, Gortmaker, Steven L.⁶ sgortmak@hsph.harvard.edu, Prosser, Lisa A.^3,7 lisapros@med.umich.edu

المصدر: BMC Health Services Research. 2014, Vol. 14 Issue 1, p1-16. 16p. 3 Charts.

مصطلحات موضوعية: *PRESCHOOL children, *DISEASES, *CHILDREN'S health, *CHILDHOOD obesity, *MEDICAL care costs, *SCHOOL food, *THERAPEUTICS, *DIAGNOSIS, SOCIAL aspects

مستخلص: Background United States pediatric guidelines recommend that childhood obesity counseling be conducted in the primary care setting. Primary care-based interventions can be effective in improving health behaviors, but also costly. The purpose of this study was to evaluate the cost of a primary care-based obesity prevention intervention targeting children between the ages of two and six years who are at elevated risk for obesity, measured against usual care. Methods High Five for Kids was a cluster-randomized controlled clinical trial that aimed to modify children's nutrition and TV viewing habits through a motivational interviewing intervention. We assessed visit-related costs from a societal perspective, including provider-incurred direct medical costs, provider-incurred equipment costs, parent time costs and parent out-of-pocket costs, in 2011 dollars for the intervention (n = 253) and usual care (n = 192) groups. We conducted a net cost analysis using both societal and health plan costing perspectives and conducted one-way sensitivity and uncertainty analyses on results. Results The total costs for the intervention group and usual care groups in the first year of the intervention were $65,643 (95% CI [$64,522, $66,842]) and $12,192 (95% CI [$11,393, $13,174]). The mean costs for the intervention and usual care groups were $259 (95% CI [$255, $264]) and $63 (95% CI [$59, $69]) per child, respectively, for a incremental difference of $196 (95% CI [$191, $202]) per child. Children in the intervention group attended a mean of 2.4 of a possible 4 in-person visits and received 0.45 of a possible 2 counseling phone calls. Provider-incurred costs were the primary driver of cost estimates in sensitivity analyses. Conclusions High Five for Kids was a resource-intensive intervention. Further studies are needed to assess the cost-effectiveness of the intervention relative to other pediatric obesity interventions. [ABSTRACT FROM AUTHOR]

المؤلفون: WRIGHT, DAVENE¹ (AUTHOR), CHALMERS, KRISTEN¹ (AUTHOR), LEBLANC, JESSICA L.¹ (AUTHOR), YI-FRAZIER, JOYCE¹ (AUTHOR), SHAH, SEEMA K.¹ (AUTHOR), GARVEY, KATHARINE¹ (AUTHOR), SENTURIA, KIRSTEN¹ (AUTHOR), PIHOKER, CATHERINE¹ (AUTHOR), MALIK, FAISAL¹ (AUTHOR)

المصدر: Diabetes. 2021 Supplement 1, Vol. 70, pN.PAG-N.PAG. 1p.

مستخلص: Purpose: Adolescents with type 1 diabetes (T1D) often struggle with diabetes self-care tasks and achieving optimal glycemic control. Financial incentive (FI) programs may improve T1D self-care and health outcomes. We aimed to quantify adolescent preferences for the structure of FI. Methods: We performed a discrete choice experiment with 12-18 year-olds with T1D from two pediatric hospital endocrinology clinics in Seattle (n = 185) and Boston (n = 141). We used a literature review and focus groups to identify key attributes of FI: (1) monthly value of the reward, (2) payment structure (positive vs. negative reinforcement), and (3) difficulty of behaviors being incentivized. Using these three attributes, we generated a balanced set of profiles representing hypothetical FI using a fractional factorial design. In twelve choice questions, adolescents were shown a pair of profiles and chose the FI option more likely to motivate them to increase adherence to recommended self-care. The options presented were tailored to adolescents' modes of insulin administration and glucose monitoring and to adolescents' individual rating of the difficulty of completing each behavior. We used a multinomial logit choice model to analyze data. Results: The value of the reward was the primary driver of preferences, accounting for 50% of preferences. Adolescents significantly preferred FI with a positive vs. negative reinforcement payment structure ($5.17 (95% CI: $4.11, $6.25)) and preferred higher FI for performing hard vs. easier behaviors ($6.95 (95% CI: $4.57, $8.33)). Preferences were associated with respondent age and HbA1c (p<0.05). Conclusions: Adolescent stated preferences should inform the design of a T1D FI intervention, which can then be tested in randomized controlled trials to determine the impact of FI on T1D self-care adherence and health outcomes. Latent class analyses can identify subgroups with differential preferences and will explore subgroup characteristics. Disclosure: D. Wright: None. K. Chalmers: None. J. L. Leblanc: None. J. Yi-frazier: None. S. K. Shah: None. K. Garvey: None. K. Senturia: None. C. Pihoker: None. F. Malik: None. Funding: American Diabetes Association (1-18-ICTS-100 to D.W.) [ABSTRACT FROM AUTHOR]

المؤلفون: Shah, Seema, Malik, Faisal, Senturia, Kristen D, Lind, Cara, Chalmers, Kristen, Yi-Frazier, Joyce, Pihoker, Catherine, Wright, Davene

المصدر: Journal of Medical Ethics; 2021, Vol. 47 Issue: 12 pe55-e55, 1p

مستخلص: BackgroundTo assess ethical concerns associated with participation in a financial incentive (FI) programme to help adolescents with type 1 diabetes improve diabetes self-management.MethodsFocus groups with 46 adolescents with type 1 diabetes ages 12–17 and 38 of their parents were conducted in the Seattle, Washington metropolitan area. Semistructured focus group guides addressed ethical concerns related to the use of FI to promote change in diabetes self-management. Qualitative data were analysed and emergent themes identified.ResultsWe identified three themes related to the ethical issues adolescents and parents anticipated with FI programme participation. First, FI programmes may variably change pressure and conflict in different families in ways that are not necessarily problematic. Second, the pressure to share FIs in some families and how FI payments are structured may lead to unfairness in some cases. Third, some adolescents may be likely to fabricate information in any circumstances, not simply because of FIs, but this could compromise the integrity of FI programmes relying on measures that cannot be externally verified.ConclusionsMany adolescents with type 1 diabetes and their parents see positive potential of FIs to help adolescents improve their self-management. However, ethical concerns about unfairness, potentially harmful increases in conflict/pressure and dishonesty should be addressed in the design and evaluation of FI programmes.