Publications by authors named "R Van Coller"

Pediatric home health care represents a vital system of care for children with disability and medical complexity, encompassing services provided by family caregivers and nonfamily home health care providers and the use of durable medical equipment and supplies. Home health care is medically necessary for the physiologic health of children with disability and medical complexity and for their participation and function within home, school, and community settings. While the study of pediatric home health care in the United States has increased in the last decade, its research remains primarily methodologically limited to observational studies.

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Article Synopsis
  • Non-motor fluctuations (NMF) in Parkinson's disease (PD) substantially impact patients' quality of life but remain largely unrecognized and poorly understood despite being identified for over 20 years.
  • NMF, which can overlap with motor fluctuations (MF), are categorized into neuropsychiatric, sensory, and autonomic subtypes, leading to variability in their prevalence and severity due to differences in patient populations and assessment methods.
  • There is a pressing need for high-quality research to better understand the complex nature of NMF, improve diagnostic accuracy, and enhance treatment options for PD patients in clinical settings.
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Background: Digital health interventions are a promising method for delivering timely support to underresourced family caregivers. The uptake of digital health interventions among caregivers may be improved by engaging caregivers in participatory design (PD). In recent years, there has been a shift toward conducting PD remotely, which may enable participation by previously hard-to-reach groups.

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Objective: Health literacy is the ability to find, understand, and use information and services to inform health-related decisions and actions. Inadequate health literacy is associated with health disparities, poor health outcomes, and increased emergency department (ED) visits and hospitalizations. Children with medical complexity (CMC) have high rates of acute health care utilization.

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