Publications by authors named "Megan Ware"

Importance: Data characterizing the severity and changing prevalence of bone mineral density (BMD) deficits and associated nonfracture consequences among childhood cancer survivors decades after treatment are lacking.

Objective: To evaluate risk for moderate and severe BMD deficits in survivors and to identify long-term consequences of BMD deficits.

Design, Setting, And Participants: This cohort study used cross-sectional and longitudinal data from the St Jude Lifetime (SJLIFE) cohort, a retrospectively constructed cohort with prospective follow-up.

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Article Synopsis
  • The study examines patient activation, which refers to the willingness of individuals to manage their health, focusing on childhood cancer survivors and its effect on psychological outcomes and health behaviors.
  • Among 2,708 childhood cancer survivors, lower levels of activation were observed compared to the control group, with survivors demonstrating more instances of low activation and fewer high activation levels.
  • The results indicate that higher activation is linked to better mental health, quality of life, and adherence to physical activity guidelines, suggesting that enhancing patient activation could provide significant benefits for survivors' overall well-being.
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Purpose: Perceived cancer impact (PCI) is the degree to which one feels cancer has impacted one's life. It is unknown if PCI is associated with health behaviors. The aim of this study is to determine associations between PCI and health behaviors in childhood cancer survivors.

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Introduction: This study aimed to assess longitudinal associations between lifestyle and subsequent malignant neoplasms (SMNs) in young adult childhood cancer survivors.

Methods: Members of the St. Jude Lifetime Cohort (SJLIFE) aged ≥18 years and surviving ≥5 years after childhood cancer diagnosis were queried and evaluated for physical activity, cardiorespiratory fitness (CRF), muscle strength, body mass index (BMI), smoking, risky drinking, and a combined lifestyle score.

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Background: Lifestyle is associated with meningioma risk in the general population.

Aims: We assessed longitudinal associations between lifestyle-associated factors and subsequent meningiomas in childhood cancer survivors.

Methods And Results: Childhood cancer survivors age ≥18 years in the St.

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Article Synopsis
  • Successful translation of exercise interventions into clinical practice requires a balance between treatment fidelity (how closely the intervention follows the original plan) and adaptability (making changes to fit different settings).
  • The study analyzed behavioral coaches' experiences through surveys, team meeting transcripts, and session audits to identify challenges and adaptations made during the STEP for MS Trial, particularly during the COVID-19 pandemic.
  • Key findings showed that coaches adapted the program by shifting to virtual sessions, modifying equipment, and adjusting delivery methods while ensuring the core components of the exercise program remained intact, proving that fidelity can be maintained even with necessary changes.
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Purpose: Cancer-related worry (CRW; concerns related to cancer and its late effects) is prevalent among childhood cancer survivors. Elevated CRW has been associated with self-reported suboptimal physical activity. The aim of this investigation was to describe associations between CRW and objectively assessed physical activity in childhood cancer survivors.

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Background: Fatigue is a particularly debilitating symptom for people with multiple sclerosis (MS). Although personality traits and MS have been studied, interoception and emotional susceptibility and their links to fatigue have not yet been explored.

Methods: Study participants provided demographic information and completed standardized patient-reported outcomes of walking function, physical activity, subjective fatigue, interoceptive awareness, and emotional susceptibility.

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Background: Promoting physical activity soon after treatment for childhood cancer may benefit health because sedentary lifestyle during curative therapy may perpetuate physical and emotional complications. The primary goals of this study are to evaluate the effects of a 6-month web-based, rewards-based physical activity intervention on fitness, biomarkers of cardiometabolic health, inflammation, adipokine status, quality of life and school attendance, and determine if effect of intervention on markers of cardiometabolic health is mediated by changes in fitness. The primary outcome of interest is fitness (physiological cost index, six-minute walk test) measured at end of intervention.

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Purpose: This study is a secondary analysis of data from a mixed methods exploration of fatigue in people with multiple sclerosis (MS), a chronic autoimmune disease affecting the central nervous system. During initial analysis, worry emerged during discussions of the fatigue experience. The purpose of this study is to explore worry in relationship to exercise and physical activity behavior.

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Purpose: Adopting and continuing physical activity (PA) is critical for the management of multiple sclerosis (MS). The role that spouses or partners play in the adoption and continuation of PA in women with MS has yet to be explored.

Methods: Nine women with MS and their respective spouses volunteered for in-depth, semi-structured interviews that lasted approximately an hour.

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Background: For individuals with disabilities, adherence and participation in wellness programs is a challenge. Adherence and participation were explored in a wellness class for people with disabilities.

Objective: Understand what factors impact participant adherence and participation in the wellness class.

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Few studies have addressed impact of participation in exercise programs on caregivers or family members of individuals with disabilities. To evaluate the impact of interaction rich wellness program on family members or caregivers of participants. Nine family members or caregivers were selected for interviews.

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Selenium (Se) leaches into water from agricultural soils and from storage sites for coal fly ash. Se toxicity causes population and community level effects in fishes and birds. We used the laboratory aquarium model fish, Japanese medaka (Oryzias latipes), an asynchronous breeder, to determine aspects of uptake in adults and resultant developmental toxicity in their offspring.

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