Adolescent self-efficacy and resilience in participants attending A diabetes camp.

Adolescents with type 1 diabetes mellitus (T1DM) often speak of the importance of attending a diabetes camp. In an effort to identify the effect of a diabetes camp on participants, a descriptive comparative pilot study was undertaken. Adolescents 10 to 16 years of age with T1DM attending a residential diabetes camp (N = 81) were recruited to explore the concept of self-efficacy and resilience, two possible mediators influenced by attending camp.

Assessment of depressive symptoms during post-transplant follow-up care performed via telehealth.

Telehealth provides a successful medium for the treatment of depression and other mental health illnesses. Often, inadequate treatment for this condition is found in patients with chronic co-morbid conditions such as those presented by the transplant recipient, a population at risk for depression. One concern of healthcare providers is the inability to adequately screen for symptoms of depression.

Infection, rejection, and hospitalizations in transplant recipients using telehealth.

Context: Telehealth technology serves individuals who live in geographical areas that prohibit easy access to specialized health care and can provide transplant recipients with access to transplant center personnel for adjunctive follow-up care.

Objective: To compare infection, rejection, and hospitalization events in subjects randomized to telehealth or to standard posttransplant care. STUDY DESIGN, STUDY PARTICIPANTS, SETTING AND RESEARCH PROCEDURE: This longitudinal prospective study compared transplant outcomes (infections, rejections, and hospitalizations) of 106 subjects who were randomized to either the telehealth (n = 53) or standard care (n = 53) group and met the 6-month study end point.

Implementing randomized assignment in a nursing clinical randomized control trial.

During the design phase of any research, an investigator addresses internal and external threats to validity and develops mechanisms to minimize these threats. Controlling for threats to study validity enhances the meaningfulness and generalizability of study outcomes. Representativeness of the study sample is one key design feature undertaken to ensure study validity; however, during clinical trials the investigator must stay attuned to ongoing situations that can alter sample representativeness.