Publications by authors named "Michael Boring"

Introduction: Little is known about the recency, correlates, and content of health care provider (HCP) counseling about physical activity (PA) among adults with arthritis.

Methods: We analyzed data from the Porter Novelli FallStyles cross-sectional survey of noninstitutionalized US adults. Among adults with arthritis, we assessed the recency of HCP counseling about PA; counseling content, including PA assessment/screening and advice/counseling; and recommendations.

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Objective: This study examined the racial and ethnic differences in individuals with self-reported and doctor-diagnosed arthritis, severe joint pain, and provider counseling for physical activity among US adults with arthritis.

Methods: We estimated prevalence by race and ethnicity among 31,997 adults aged ≥18 years in the 2019 National Health Interview Survey. We used multiple logistic regression models to investigate associations between outcomes and race and ethnicity.

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Arthritis is a chronic inflammatory condition and a leading cause of chronic pain and disability. Because arthritis prevalence is higher among U.S.

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Arthritis includes approximately 100 conditions that affect the joints and surrounding tissues. It is a leading cause of activity limitations, disability, and chronic pain, and is associated with dispensed opioid prescriptions, substantially contributing to health care costs. Combined 2019-2021 National Health Interview Survey data were analyzed to update national prevalence estimates of self-reported diagnosed arthritis.

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Arthritis affects persons of all ages, including younger adults, adolescents, and children; however, recent arthritis prevalence estimates among children and adolescents aged <18 years are not available. Previous prevalence estimates among U.S.

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Caregiving provides numerous benefits to both caregivers and care recipients; however, it can also negatively affect caregivers' mental and physical health (1-4), and caregiving tasks often require physical exertion (1). Approximately 44% of adults with arthritis report limitations attributable to arthritis, including trouble doing daily activities (5). These limitations might affect caregivers' ability to provide care, but little is known about arthritis among caregivers.

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Article Synopsis
  • - Arthritis leads to joint pain and reduced physical activity, significantly lowering quality of life for affected individuals.
  • - The CDC's analysis of 2019 data revealed high levels of physical inactivity, poor self-rated health, and severe joint pain among adults with arthritis, particularly in southeastern states.
  • - Promoting evidence-based public health interventions could enhance health behaviors and outcomes for those living with arthritis.
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Article Synopsis
  • Arthritis is common among U.S. adults, leading to functional limitations and severe joint pain that negatively impact health and quality of life.
  • Self-management education and physical activity can significantly alleviate pain and enhance overall well-being, but participation rates are low, with only 11.4% in self-management classes and 61.0% engaging in physical activity as of 2014.
  • In 2019, CDC data showed that only 16.2% of adults with arthritis attended a self-management class, while 69.3% received physical activity counseling, with variations based on state, education level, and demographic factors, highlighting the need for health care providers to encourage these resources.
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Primary care providers (PCPs) can offer counseling to adults with arthritis on physical activity, which can reduce pain and improve physical function, mental health, and numerous other health outcomes. We analyzed cross-sectional 2018 DocStyles data for 1,366 PCPs who reported they always or sometimes recommend physical activity to adults with arthritis. Most PCPs sampled (88.

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Article Synopsis
  • Arthritis is the leading cause of disability among U.S. adults for over 15 years, with annual costs exceeding $300 billion in 2013 and a projected 49% increase in prevalence by 2040.
  • Current data from 2016-2018 estimates that 58.5 million U.S. adults (23.7%) have arthritis, with 25.7 million (10.4% overall) experiencing arthritis-attributable activity limitation (AAAL), especially among those with physical limitations and poor health.
  • Strategies to lessen arthritis prevalence should focus on expanding evidence-based community interventions and addressing social factors affecting health, such as economic opportunities and mental health support.*
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The numerous health benefits of physical activity include reduced risk for chronic disease and improved mental health and quality of life (1). Physical activity can improve physical function and reduce pain and fall risk among adults with arthritis, a group of approximately 100 conditions affecting joints and surrounding tissues (most commonly osteoarthritis, fibromyalgia, gout, rheumatoid arthritis, and lupus) (1). Despite these benefits, the 54.

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Objective: A review of current practices of educational interventions for lifestyle medicine was performed to inform the design of interventions with long-term goals of improving patient outcomes.

Methods: Systematic review of PubMed, MedEdPORTAL, and Cochrane using keywords "lifestyle medicine," "education," "medical students," and "medical school" was done by 3 independent reviewers. Location, learner, curricular hours, focus, outcomes, and impact are reported.

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A 56-year-old woman presented with an enlarging soft-tissue mass of the left ring finger, causing worsening range of motion in the metacarpophalangeal and interphalangeal joints. Excision of the mass was performed and a 3.5×3.

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The purpose of this study was to examine both the distribution of payers for inpatient hospitalizations (all-ages) by principal diagnosis status (epilepsy versus nonepilepsy) and selected organizational- and community-level factors associated with hospitalizations using the Agency for Healthcare Research and Quality's (AHRQ) Healthcare Utilization Project 2016 National Inpatient Sample (NIS) database. We compared cases with epilepsy (any ICD-10CM diagnostic code beginning with "G40") as a principal diagnosis ("epilepsy discharges") versus cases without epilepsy as the principal diagnosis ("nonepilepsy discharges"). Accounting for the complex survey design, we examined how the principal payer source, median income for Zip Code, admission type, hospital location, teaching status, and hospital region varied by principal diagnosis status.

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Article Synopsis
  • A study examined opioid prescription use among U.S. adults with arthritis, revealing that 29.6% of these individuals received at least one prescription in 2015, nearly double the 15.4% prevalence among all adults.
  • Adults with arthritis accounted for over half (55.3%) of all adults prescribed opioids, with many receiving multiple prescriptions (43.2% had 4 or more).
  • The research identified strong links between the number of healthcare visits (both ambulatory and emergency room) and opioid prescriptions, highlighting the need for improved pain management strategies for this population.
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Objective: To examine the relationship between depressive symptoms, arthritis, and employment, and to determine whether this relationship differs across young, middle-age, and older working-age adults with arthritis.

Methods: Data from the US National Health Interview Survey from 2013-2017 were analyzed. Analyses were restricted to adults with doctor-diagnosed arthritis of working age (ages 18-64 years) with complete data on depressive symptoms (n = 11,380).

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Approximately 3 million American adults reported active epilepsy* in 2015 (1). Active epilepsy, especially when seizures are uncontrolled, poses substantial burdens because of somatic, neurologic, and mental health comorbidity; cognitive and physical dysfunction; side effects of antiseizure medications; higher injury and mortality rates; poorer quality of life; and increased financial cost (2). Thus, prompt diagnosis and seizure control (i.

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Arthritis affects an estimated 54 million U.S. adults and, as a common comorbidity, can contribute arthritis-specific limitations or barriers to physical activity or exercise for persons with diabetes, heart disease, and obesity (1).

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Introduction: In 2016, leisure time physical activity among U.S. adults aged ≥18 years with and without arthritis was studied to provide estimates using contemporary guidelines (2008 Physical Activity Guidelines for Americans) and population-based data (U.

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Rural populations in the United States have well documented health disparities, including higher prevalences of chronic health conditions (1,2). Doctor-diagnosed arthritis is one of the most prevalent health conditions (22.7%) in the United States, affecting approximately 54.

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