Publications by authors named "Julie Koch"

Background : As issues related to transgender and gender diverse individuals gain more national media attention, professional organizations that promote mental health and LGBTQ + rights continue to advocate for equality and inclusion. Barriers to equality and inclusion for transgender and gender diverse individuals can include a variety of factors including discrimination in educational and workplace settings, and issues related to housing, poverty, and homelessness.

Aim : To examine the impact of a media intervention on changing attitudes toward transgender and gender diverse individuals.

View Article and Find Full Text PDF

LGB people may become less accessible to health professionals as technology reshapes LGB social connections. Though electronic forms of health promotion are effective, some interventions must be delivered in person. We use GIS to analyze characteristics (e.

View Article and Find Full Text PDF
A potentially deadly influenza mimic.

J Am Assoc Nurse Pract

April 2020

This case challenge presents a rare but potentially fatal condition initially mistaken for influenza. Prodromic manifestations are not uncommon at the time of diagnosis or in the preceding days in this idiopathic condition. Untreated, mortality rates are extremely high, but initiation of appropriate therapy has significantly improved survival.

View Article and Find Full Text PDF

In a doctoral clinical psychology program, students are frequently challenged to learn and implement new skills to improve the lives of their clients. Conducting a program evaluation, from beginning to end, is one such example. This article describes the experience of its authors in completing a program evaluation for a local agency in Louisville, KY as a class project.

View Article and Find Full Text PDF

We tested the relationships among work schedule, race, and psychological distress in impoverished working mothers. Baseline data from a longitudinal cohort study of impoverished mothers (N = 285) were analyzed. The Brief Symptom Inventory (BSI) was utilized to measure levels of psychological distress.

View Article and Find Full Text PDF

Scholars indicate that rates of mental and physical health issues (e.g., substance use, anxiety, depression) may be much higher among transgender individuals relative to the general population.

View Article and Find Full Text PDF

Myasthenia gravis (MG) is a chronic neuromuscular disorder characterized by fluctuating skeletal muscle weakness and fatigue. This rare autoimmune condition can present a diagnostic challenge for the advanced practice nurse (APN). Because of its low incidence in clinical practice and frequently unrecognized symptoms, a delay of 1 to 2 years prior to diagnosis is not uncommon.

View Article and Find Full Text PDF

Health care systems and policy changes have been critical in increasing pneumococcal vaccination rates to current levels. Still, numerous barriers to immunization persist. To assist clinicians caring for older adults, an integrative review of the literature was performed to examine interventions demonstrating efficacy in office settings.

View Article and Find Full Text PDF

Purpose: To determine whether aging African-American women with a diagnosis of type 2 diabetes mellitus who maintain a regular exercise regimen possess different health beliefs and benefit from greater glycemic control than those who do not exercise regularly.

Data Sources: A 32-item health belief model diabetes scale was administered to a convenience sample of 31 African-American women with type 2 diabetes.

Conclusions: A group t-test identified statistically significant differences between "exercisers" and "non-exercisers" in perceived benefits and barriers to exercise and glycemic control.

View Article and Find Full Text PDF