Publications by authors named "Lauren Shepler"
Background: Burn survivors report limited resources as they transition to their communities after initial hospitalization. The aim of this project is to review literature that identifies resources provided to burn survivors and their supporters after discharge to their communities.
Methods: The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines were used to examine the following literature databases: PubMed, EMBASE, Web of Science, PsycInfo, and CINAHL.
Article Synopsis
- - This study investigates how insurance status impacts long-term health outcomes, particularly physical and mental health, in burn patients using national data from 1997 to 2020.
- - It found that most burn patients had private insurance, and those with Medicaid or Medicare reported significantly worse mental and physical health scores at various time points compared to those with private insurance.
- - The conclusion highlights that having Medicaid or Medicare is linked to a lower quality of life in burn patients long after their injury, regardless of other factors like demographics or the severity of the burn.
Balance is an important component of daily function and impairments can lead to injury and quality-of-life limitations. Balance is not well studied in the burn population. This study examines the frequency of long-term balance impairments and associated factors after a burn injury.
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- Voice is critical for communication, but acute burn care procedures like intubation and tracheostomy can negatively affect voice quality.
- A study from 2015-2023 involving 582 burn survivors found that 65 reported voice changes, with prevalence noted at discharge and lasting up to 60 months.
- Factors such as type of burn and duration of mechanical ventilation significantly correlated with the likelihood of experiencing these long-term voice changes.
Objective: To examine the moderation effects of daily behavior on the associations between symptoms and social participation outcomes after burn injury.
Design: A 6-month prospective cohort study.
Setting: Community.
Objective: This study attempts to examine long-term pain medication usage after burn injury and its association with functional and psychosocial outcomes.
Design: This is a multicenter retrospective cohort study utilizing the Burn Model System National Longitudinal Database. Participants injured from 2015 to 2021 were divided into two groups, those taking and not taking prescription pain medication at 12 mos after injury.
Introduction: The association between military service history and long-term outcomes after burn injury is unknown. This study uses data from the Burn Model System National Database to compare outcomes of individuals with and without self-reported military service history.
Methods: Outcome measures were assessed at 12 months after injury including the Veterans Rand-12 Item Health Survey/Short Form-12, Satisfaction With Life Scale, Patient Reported Outcomes Measure Information System 29, 4-D Itch scale, Post Traumatic Stress Disorder Check List - Civilian Version, self-reported Post Traumatic Stress Disorder, and employment status.
Objective: To identify clinical factors (physical and psychological symptoms and post-traumatic growth) that predict social participation outcome at 24-month after burn injury.
Design: A prospective cohort study based on Burn Model System National Database.
Setting: Burn Model System centers.
This review aims to identify and evaluate digital interventions for social participation in the growing population of adults with long-term physical conditions. Articles were sourced from MEDLINE, EMBASE, CINAHL and PsycINFO databases using subject headings and keywords related to "social participation" and "digital technology". Studies that adopted digital technology interventions to improve social participation in adults with long-term physical conditions were included.
View Article and Find Full Text PDFObjective: This study aimed to examine the COVID-19 pandemic's impact on fire service safety culture, behavior and morale, levers of well-being, and well-being outcomes.
Methods: Two samples (Stress and Violence against fire-based EMS Responders [SAVER], consisting of 3 metropolitan departments, and Fire service Organizational Culture of Safety [FOCUS], a geographically stratified random sample of 17 departments) were assessed monthly from May to October 2020. Fire department-specific and pooled scores were calculated.
Introduction: FOCUS, the Fire Service Organizational Culture of Safety survey, has evolved from a research to practice enterprise within the United States fire and rescue service. The FOCUS tool was developed through a FEMA Assistance to Firefighters Research & Development grant. Then it moved to practice in the field.
View Article and Find Full Text PDFEmergency Medical Service (EMS) responders deliver patient care in high-risk, high-stress, and highly variable scenarios. This unpredictable work environment exposes EMS responders to many risks, one of which is violence. The primary goals of this systematic literature review were to (1) define the issue of violence experienced by EMS responders and (2) identify the risk factors of violence associated with the EMS profession.
View Article and Find Full Text PDFBetween 57 and 93% of Emergency Medical Services (EMS) responders reported having experienced verbal or physical violence at least once in their career. Therefore, the primary goal of this study was to develop a systems-level checklist for violence against fire-based EMS responders using findings from a systematic literature review and outcomes from a national stakeholder meeting. First, a literature review of violence against EMS responders resulted in an extensive list of 162 academic and industrial publications.
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