Seeking American Society of Clinical Oncology-Quality Oncology Practice Initiative (ASCO-QOPI) certification in a northern New England rural health system and cancer care network.

In 2006 following several years of preliminary study, the American Society of Clinical Oncology (ASCO) launched the Quality Oncology Practice Initiative (QOPI). This cancer-focused quality initiative evolved considerably over the next decade-and-a-half and is expanding globally. QOPI is undoubtedly the leading standard-bearer for quality cancer care and contemporary medical oncology practice.

"Letting Go and Staying Connected": Substance Use Outcomes from a Developmentally Targeted Intervention for Parents of College Students.

We present results of a randomized, controlled, efficacy trial of a handbook intervention for parents of first-year college students. The aim of the interactive intervention was to decrease risk behaviors by increasing family protective factors. The handbook, based in self-determination theory and the social development model, provided evidence-based and developmentally targeted suggestions for parents to engage with their students in activities designed to support successful adjustment to college.

Investigating the Relationship between University Students' Psychological Flexibility and College Self-Efficacy.

For many, college is a period of transition, marked with acute stress, threats to success, and decreases in self-efficacy. For certain groups of students, the risk of these poor outcomes is elevated. In this study, 348 students from a large residential university in the western United States were surveyed to understand the role of psychological flexibility and inflexibility on self-efficacy and the potential moderating impact of year in college and underrepresented racial minority (URM) status.

Patterns and Implications of Values Similarity, Accuracy, and Relationship Closeness between Emerging Adults and Mothers.

This study evaluated associations between similarity in personal values, accuracy of values perceptions, and relationship closeness among emerging adults and their mothers (dyads = 99). Contrary to previous studies, values similarity and accuracy were largely unrelated to relationship closeness. This was reinforced by Latent Profile Analysis (LPA), which revealed three unique patterns of values similarity, values accuracy, and closeness between emerging adults and mothers: 1) high relationship closeness, similar values and accurate perceptions; 2) moderate relationship closeness, dissimilar values and inaccurate perceptions; and 3) low relationship closeness but similar values and accurate perceptions.

Investigating the efficacy of a self-directed parenting intervention to reduce risky behaviors among college students: Study protocol for a multi-arm hybrid type 2 randomized control trial.

Background: Early adulthood is a critical developmental period when many youth transition from living at home to the relative autonomy of college. This transition results in increased opportunity for positive growth and identity development - and for risky substance use and sexual behaviors. Parents continue to influence young adult behavior even from a distance; however, few studies have rigorously tested parent-college student interventions.

PREDICTORS AND IMPLICATIONS OF VALUES CLARITY IN FIRST-YEAR COLLEGE STUDENTS.

The importance of clarifying personal values has gained popularity in brief interventions recently, but little is known about factors that predict clarity in values or the benefits of values clarity in non-clinical populations. First-year college students and their mothers (99 dyads) completed an online survey where they rated the importance of 20 values and students indicated how they thought their mothers would rate each value. An overall values clarity score was created for both dyad members by taking the mean across the 20 values.

From uptake to access: a decade of learning from the ACOG LARC program.

The Long-Acting Reversible Contraception (LARC) Program at the American College of Obstetricians and Gynecologists (ACOG) celebrated its 10 anniversary in 2018. This Viewpoint article reviews opportunities, challenges, and lessons learned by the ACOG LARC Program throughout the last decade. Housed within the largest medical organization representing women's health providers, the LARC Program supports change by developing resources for clinicians, healthcare systems, healthcare organizations, and policy makers.

An exploration of engagement and effectiveness of an online values affirmation.

Brief social-psychological interventions, like the values affirmation (VA), that target individual feelings of competency and buffer against social threats, have been shown to effectively reduce achievement gaps in randomised controlled trials. In the current study, underrepresented minority and first-generation college students in their first university semester ( = 496) were randomly assigned to receive the VA electronically or complete an online survey (control). Results revealed: (a) VA participants did not engage with the intervention in a manner typical of past VA studies that delivered the intervention as a class activity; (b) VA students had semester grade point averages (GPAs) than control students; and (c) contrary to previous studies, neither stereotype threat nor social belonging moderated the effectiveness of the VA.

Moving Beyond Drinking to Have a Good Time: a Person-Centered Approach to Identifying Reason Typologies in Legal-Aged College Student Drinkers.

Alcohol use, reasons for use, and consequences of use continue to be a major concern in college student populations. This is especially true for students of legal drinking age who may experience different reasons for and greater negative consequences of alcohol use than students under 21 years old. Although multiple studies have used person-centered approaches to understand motivations for and ultimately prevent alcohol use, few have identified multiple typologies of reasons for alcohol use.

Pretransplantation Supportive and Palliative Care Consultation for High-Risk Hematopoietic Cell Transplantation Patients.

Early palliative care (EPC) for patients with metastatic solid tumors is now standard of care, but the effect of EPC in hematopoietic cell transplantation (HCT) is less well understood. We studied the acceptability of pre-HCT EPC as measured by trial participation, changes in patient-reported outcomes, and follow-up with palliative care providers. English-speaking adults (age >17 years) with an HCT comorbidity index of ≥ 3, relapse risk > 25%, or planned HLA-mismatched allogeneic or myeloablative HCT received EPC before HCT admission with monthly or more frequent visits.

Motivating effort: a theoretical synthesis of the self-sufficiency and two-market theories.

We conducted two experimental studies to examine the effect of introducing social and monetary incentives on participants' (1) effort and (2) willingness to participate in a study. We found that extra credit invoked both communal sharing (CS, social reward) and market pricing (MP, monetary reward) schemas, thus leading to higher willingness to participate and greater effort in an experiment compared to an equivalent cash reward. Consistent with the potential combinational nature of different labour markets proposed by the relational theory, our results suggest that the labour market framework of monetary versus social incentive is not mutually exhaustive of all types of incentive, and the combinational effect created by introducing both labour markets may be the best motivator.

Involvement in internet aggression during early adolescence.

The current study examined concurrent and longitudinal predictors of early adolescents' involvement in Internet aggression. Cross-sectional results (N = 330; 57% female) showed that the likelihood of reporting Internet aggression was higher among youth who spent more time using Internet-based technologies to communicate with friends and who were themselves targets of Internet aggression. Offline relational aggression and beliefs supportive of relational and physical aggression also predicted concurrent involvement in Internet aggression.

Patients' perceptions of the effectiveness of guided imagery and progressive muscle relaxation interventions used for cancer pain.

Relaxation and guided imagery are useful strategies for cancer pain; however, their effects vary from patient to patient. Patients' perceptions of these treatments and factors that contribute to their effectiveness have not previously been described. Data from interviews conducted after a trial of guided imagery and progressive muscle relaxation (PMR) interventions were analyzed to compare patients' perceptions of treatment effects with observed changes in pain scores, and to explore patients' ideas about factors that contributed to the effectiveness of each intervention.

Individual difference variables and the effects of progressive muscle relaxation and analgesic imagery interventions on cancer pain.

Clinicians in acute care settings are often called upon to manage cancer pain unrelieved by medications. Cognitive-behavioral strategies, such as relaxation and imagery, are recommended for cancer pain management; however, there appear to be individual differences in their effects. This pilot study examined variation in pain outcomes achieved with progressive muscle relaxation (PMR) and analgesic imagery interventions among hospitalized patients with cancer pain, and assessed the influence of four individual difference variables (cognitive ability, outcome expectancy, previous experience, and concurrent symptoms) on pain relief achieved with each intervention.

Oncology nurses' use of nondrug pain interventions in practice.

Cancer pain management guidelines recommend nondrug interventions as adjuvants to analgesic medications. Although physicians typically are responsible for pharmacologic pain treatments, oncology staff nurses, who spend considerable time with patients, are largely responsible for identifying and implementing nondrug pain treatments. Oncology nurses' use of nondrug interventions, however, has not been well studied.

How do parents learn about adolescents' experiences? Implications for parental knowledge and adolescent risky behavior.

Cluster analysis was used to identify groups defined by the patterning of fathers' and mothers' sources of knowledge about adolescents' experiences in a sample of 179 families with adolescents (M = 16.5 years). Three clusters emerged for fathers (relational, relies on spouse, relies on others) and mothers (relational, questioners, relies on others).

Parental autonomy granting during adolescence: exploring gender differences in context.

This study investigated the ways in which 2 indicators of parental autonomy granting, adolescents' decision-making input and parental knowledge of adolescents' daily experiences, differed as a function of contextual factors (i.e., parents' gender role attitudes or sibling dyad sex composition) and boys' and girls' personal qualities (i.

Linking parents' work pressure and adolescents' well-being: insights into dynamics in dual-earner families.

This study focused on the connections between mothers' and fathers' work pressure and the psychological adjustment of their older (M = 15 years) and younger (M = 12.5 years) adolescent offspring in a sample of 190 dual-earner families. Structural equation models revealed that the effects of work pressure on adolescent well-being were mediated by parental role overload and parent-adolescent conflict.

Medicare risk contracting: analyzing managed care for the aging population in the USA.

This paper focuses on Medicare risk contracting in the USA. The issue of the current method of reimbursement versus Medicare risk contracting is explored. Risk sharing and payment mechanisms are described and analyzed.

Retiree health benefits in the United States: a strategic critical management review.

This article provides a critical review of studies associated with retiree health benefits in the United States. An attempt is made to determine if logical conclusions or trends could be identified regarding this issue of health care policy debate. The forms of retiree health benefits are covered, as is a discussion of Medigap policies and insurance coverage for the elderly.

Renin-angiotensin mediation of adrenal catecholamine secretion induced by hypoglycaemia in the cat.

1 The mechanism involved in catecholamine (CA) release from the cat adrenal gland in response to insulin hypoglycaemia was studied. In intact cats, hypoglycaemia induced an 11 fold increase in adrenomedullary CA secretion. 2 Acute bilateral nephrectomy nearly abolished the increased CA release from the adrenal gland during hypoglycaemia.

Angiotensin II mediation of adrenal catecholamine secretion induced by intrarenal isoprenaline infusion.

Isoprenaline infusion into the renal artery of the cat induced an increase in the catecholamine (CA) secretion rate from the adrenal gland. CA release by isoprenaline was preferentially noradrenaline. Intravenous infusion of an angiotensin II (A II) antagonist abolished adrenal CA response to intrarenal isoprenaline injection.