Care plan for individuals at risk for preeclampsia: shared approach to education, strategies for prevention, surveillance, and follow-up.

Preeclampsia is a multisystemic disorder of pregnancy that affects 250,000 pregnant individuals in the United States and approximately 10 million worldwide per annum. Preeclampsia is associated with substantial immediate morbidity and mortality but also long-term morbidity for both mother and offspring. It is now clearly established that a low dose of aspirin given daily, beginning early in pregnancy modestly reduces the occurrence of preeclampsia.

Development of the Sleep Health in Preschoolers (SHIP) intervention: Integrating a theoretical framework for a family-centered intervention to promote healthy sleep.

The purpose of this paper is to describe the development and design of a theoretically derived, family centered, and home-delivered health behavior change intervention to address behavioral sleep problems in young children, including modifications responsive to pilot study experiences. Sleep Health in Preschoolers (SHIP) is an intervention grounded in Bandura's Social Cognitive Theory and Bronfenbrenner's Socioecological framework that integrates an individualized, stepwise approach to include self-management skills and the inherent and dynamic interactions between individual child, parent, and family level factors and diverse socioecologic factors. SHIP is a personalized, tailored intervention that partners with parents to provide knowledge, motivation, and skills for setting and achieving goals, adapting to setbacks, and problem-solving in an iterative fashion to improve their child's sleep.

Hope, HIV and health: a prospective study.

In this study we examined the impact of trait hope on the health of 16 HIV+ individuals. In 2006, hopefulness was assessed with a comprehensive measure derived from an integrative theory of hope. At this time, we also collected self-reported health data as well as blood samples that provided an index of immunological status (CD4).

Barriers and facilitators in the delivery of environmental risk reduction by public health nurses in the home setting.

Objective: The goal of this study was to identify the factors that contributed to or detracted from the ability of public health nurses (PHNs) to deliver environmental risk reduction (ERR) in the home setting.

Design And Sample: Structured one-to-one interviews were conducted with 10 PHNs from 2 county health departments in the western United States that were delivering an ERR intervention in a randomized clinical trial.

Results: Barriers to incorporating ERR into PHN practice were: a change in the perceived mission of public health, nurses' lack of environmental health (EH) training, the absence of a strong relationship with EH, the multidimensional role of PHNs, presentation of nurse participation by management, incorporation of ERR visits into nursing schedules, and challenges engaging parents in EH.