Background: Gonorrhea is the second most common bacterial sexually transmitted infection in the United States, with rising rates. Emerging antimicrobial resistance threatens public health, and vaccines are in development. This study documents patient-reported gonorrhea symptoms and health-related quality-of-life (HRQoL) impact in women who have sex with men (WSM), men who have sex with women (MSW), and men who have sex with men (MSM).
View Article and Find Full Text PDFPurpose: Spasticity is common in multiple sclerosis (MS), often leading to functional limitations and disability. We developed a conceptual model of spasticity in MS integrating expert opinion, recent literature, and experiences of clinicians and people with MS spasticity.
Methods: A conceptual model was developed based on a targeted literature review of articles published between 2014 and 2019, followed by input from clinicians, then input from participants with MS spasticity.
Background: Hypertrophic cardiomyopathy (HCM) is a primary myocardial disorder defined by left ventricular hypertrophy that cannot be explained by another cardiac or systemic disease. There is a general lack of knowledge about patients' perspectives on the symptoms and day-to-day limitations they experience as a result of HCM. We therefore sought an in-depth understanding of patients' experiences of obstructive (oHCM) and nonobstructive (nHCM) forms of the disease, including symptoms and their quality of life impacts, and to develop a conceptual model to capture them.
View Article and Find Full Text PDFInt J Chron Obstruct Pulmon Dis
January 2019
Background: Early morning respiratory symptoms impact quality of life and are often the most troublesome for patients with COPD. Reduction in symptoms and their impact are important treatment outcomes for COPD. The Early Morning Symptoms of COPD Instrument (EMSCI) is a daily diary designed to collect patients' report of the occurrence, severity, and impact of morning COPD symptoms.
View Article and Find Full Text PDFInt J Technol Assess Health Care
January 2018
Objectives: Patient preferences should be a central consideration in healthcare decision making. However, stories of patients challenging regulatory and reimbursement decisions has led to questions on whether patient voices are being considered sufficiently during those decision making processes. This has led some to argue that it is necessary to quantify patient preferences before they can be adequately considered.
View Article and Find Full Text PDFIntroduction: To examine the symptomatic burden of endometriosis on health-related quality of life (HRQL) in women in the United States (US).
Methods: A cross sectional web-based survey study was conducted among women using survey panels. The survey included study-specific questions and standardized HRQL questionnaires.
Background: Comparisons of the use of aclidinium bromide and tiotropium bromide for the treatment of chronic obstructive pulmonary disease often concentrate on key end points (exacerbations) at the expense of other benefits and risks. Multicriteria decision analysis (MCDA) can help overcome this by using stakeholder preferences to combine multiple end points into an overall value estimate.
Objectives: To evaluate the use of aclidinium bromide twice daily via Pressairâ„¢ (AstraZeneca Pharmaceuticals LP, Wilmington, DE) and of tiotropium once daily via HandiHaler (Boehringer Ingelheim Pharmaceuticals, Inc.
Appl Health Econ Health Policy
April 2017
Background: Qualitative methods tend to be used to incorporate patient preferences into healthcare decision making. However, for patient preferences to be given adequate consideration by decision makers they need to be quantified. Multi-criteria decision analysis (MCDA) is one way to quantify and capture the patient voice.
View Article and Find Full Text PDFInt J Chron Obstruct Pulmon Dis
December 2015
Background: Nighttime symptoms can negatively impact the quality of life of patients with chronic obstructive pulmonary disease (COPD). The Nighttime Symptoms of COPD Instrument (NiSCI) was designed to measure the occurrence and severity of nighttime symptoms in patients with COPD, the impact of symptoms on nighttime awakenings, and rescue medication use. The objective of this study was to explore item reduction, inform scoring recommendations, and evaluate the psychometric properties of the NiSCI.
View Article and Find Full Text PDFJ Pers Soc Psychol
October 2013
How are intergroup conciliatory acts (apologies and reparations) evaluated by members of the perpetrator group offering them? This research tests whether these outcomes can be predicted by obligation shifting: the perception that a conciliatory act has shifted the onus away from the perpetrators and onto the victim group. Four experiments in different contexts examined 3 possible outcomes for members of the perpetrator group: satisfaction with the act, negative feelings toward the victims, and support for future assistance. Across all 4 experiments, perceptions of obligation shifting predicted satisfaction with conciliatory acts, as did the perception that the ingroup's image had improved.
View Article and Find Full Text PDFWhat aspects of ingroup identification can lead people to resist justice for the victims of their ingroup's mistreatment? In three studies carried out in the United States and United Kingdom, in which participants read reports of mistreatment of prisoners and civilians by coalition troops in the Iraq war, ingroup glorification, but not ingroup attachment or other individual-difference variables, was a key predictor of lesser demands for justice, but only when the perpetrators belonged to the ingroup. This effect of glorification was mediated by two moral disengagement mechanisms focusing on the outgroup: minimization of the emotional suffering of the victims' families and explicit dehumanization of the victim group. These findings further reinforce the difference between glorification and other forms of ingroup identification, demonstrating that glorification is problematic in maintaining and fostering intergroup relations because of its connection to moral disengagement.
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