First name
Jeanhee
Last name
Moon

Title

Responsiveness of Children's Global Health to Improvements in Acute Asthma.

Year of Publication

2018

Number of Pages

1-22

Date Published

2018 May 01

ISSN Number

1532-4303

Abstract

<p><strong>OBJECTIVE: </strong>To evaluate the reliability and validity of the PROMIS Pediatric Global Health scale, a 7-item measure of perceived physical, mental, and social health, in children with asthma.</p>

<p><strong>METHODS: </strong>From February 2014 to February 2015, convenience samples of children 8-17 years-old (n = 182) and parents of children 5-17 years-old (n = 328) visiting an emergency department for treatment of asthma were enrolled. The Asthma Control Test was used to characterize children as controlled versus not controlled, and the PROMIS Asthma Impact Scale was used to assess the effects of asthma symptoms on functional status. We conducted longitudinal analyses among 92 children and 218 parents at 3 weeks, and 74 children and 171 parents at 8 weeks after enrollment.</p>

<p><strong>RESULTS: </strong>The PGH-7 reliability across the three time points ranged from 0.66 to 0.81 for child-report and 0.76 to 0.82 for parent-proxy. In cross-sectional analyses, children with controlled asthma had PGH-7 scores 0.40-0.95 standard deviation units higher than those who were uncontrolled. The PGH-7 was responsive to changes in overall general health between time points, with moderate effect sizes (0.5-0.6 standard deviation units). In longitudinal analyses, PGH-7 scores were no different between those who stayed uncontrolled versus became controlled at 3 weeks of follow-up; however, by 8 weeks of follow-up, the differences between these groups was 0.7-0.8 standard deviation units, indicative of large effects.</p>

<p><strong>CONCLUSIONS: </strong>The PGH-7 is a reliable and valid patient-reported outcome for assessing general health among children with asthma. It is a useful complement to other asthma-specific outcome measures.</p>

DOI

10.1080/02770903.2018.1471701

Alternate Title

J Asthma

PMID

29712498

Title

Continuity of public insurance coverage: a systematic review of the literature.

Year of Publication

2014

Number of Pages

115-37

Date Published

2014 Apr

ISSN Number

1552-6801

Abstract

<p>Publicly financed insurance programs are tasked with maintaining coverage for eligible children, but published measures to assess coverage have not been evaluated. Therefore, we sought to identify and categorize measures of health insurance continuity for children and adolescents. We conducted a systematic review of Medline and HealthStar databases, review of reference lists of eligible articles, and contact with experts. We categorized measures into 8 domains based on a conceptual framework. We identified 147 measures from 84 eligible articles. Most measures evaluated the following domains: always insured (41%), repeatedly uninsured (36%), and transition out of coverage (29%), while fewer assessed single gap in coverage, always uninsured, transition into coverage, change in coverage, and eligibility. Only 18% of measures assessed associations between continuity of coverage and child and adolescent health outcomes. These results suggest that a number of measures of continuity of coverage exist, but few measures have assessed impact on outcomes.</p>

DOI

10.1177/1077558713504245

Alternate Title

Med Care Res Rev

PMID

24227811

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