Thesis (M. Med. Sc.)--University of Hong Kong, 2001. / Includes bibliographical references (leaves 80-85).

Thesis (M.S.)--West Virginia University, 2004. / Title from document title page. Document formatted into pages; contains viii, 92 p. : ill. (some col.). Vita. Includes abstract. Includes bibliographical references (p. 71-76).

Thesis (Ph. D.)--Mississippi State University. Department of Industrial Engineering. / Title from title screen. Includes bibliographical references.

Thesis (Ph. D.)--University of Missouri--Columbia, 2003. / "May 2003." Typescript. Vita. Includes bibliographical references (leaves 24-27, 70-73).

Thesis (M.S.W.)--University of Hong Kong, 1976. / Typewritten.

Thesis (M.S.W.)--University of Hong Kong, 1987.

Thesis (M.S.W.)--University of Hong Kong, 1980.

The purpose of this study was to revise the Lunch Box Program using the Intervention Mapping process to design a program for parents of preschool age children in the childcare setting. Program development was guided by input from group interviews (n = 3) that were held with parents (n = 31) at three child care centers. Four major themes were revealed 1) interest in receiving information in written format; 2) activities that stimulate parent interaction; 3) workshops and activity stations; and 4) recommendations for support from local supermarkets. Lunch Is In The Bag emphasizes packing fruits, vegetables and whole grains in lunch daily. In a quasi-experimental design, six childcare centers were paired by size before being randomly assigned to intervention (n=3) and comparison (n=3) groups. The parents with primary lunch packing responsibility for the three to five year old children were enrolled as parent-child dyads. Primary outcome measures included lunch contents of fruits, vegetables and whole grains. Secondary outcome measures included change in behavioral constructs and process outcome measures included fit of program into operations and curriculum. A total of 132 parent-child dyads completed the study, 81 in the intervention group and 51 in the comparison group. Direct observation of children’s lunches from the intervention group showed a significant increase in predicted mean number of servings of vegetables, from 0.41 to 0.65 (P < 0.001) and whole grains, from 0.54 to 1.06 (P < 0.001), but not fruit. The intervention demonstrated a significant effect on knowledge of meal patterns (p = 0.010); outcome expectations for packing whole grains (p < 0.001); and subjective norms for packing fruit (p = 0.002), vegetables (p = 0.046), and whole grains (p = 0.015). Perceived behavioral control (p = 0.000), expectations (p = 0.007), and intentions (p = 0.048) were significant independent predictors for packing vegetables. Knowledge significantly predicted packing whole grains (p = 0.000). Process outcome data indicated Lunch is in the Bag was a feasible nutrition education program that fit well into both the childcare center operations and curriculum. / text

Asthma is a complex, chronic disorder of the airways that is characterized by underlying inflammation, airflow obstruction, and bronchial hyperresponsiveness. Asthma symptoms can be frightening and can have an effect on the emotional functioning Quality of Life (QOL) of school-aged children who have asthma. The purpose of this exploratory, descriptive, cross-sectional, correlational study was to explore the influence of factors identified in the literature on school-aged children’s emotional responses to asthma. Guiding this study was a theoretical model that proposed that the impact of chronic illness severity on QOL is potentially mediated by both resource and barrier factors. The population of interest was 85 school-aged children (ages 6-12) and parents of children who have asthma that were recruited from participants already enrolled in year 4 of the Asthma in Central Texas (ACT) study (R01NR007770, Sharon D. Horner, P.I.) at The University of Texas at Austin. Significant inverse correlations were found between asthma related child emotional functioning QOL and each of the following variables: asthma severity, r = -.30, p < .01; child internalizing behaviors, r = -.26, p < .05, and child externalizing behaviors, r = -.43, p < .001. Significant inverse relationships were found between caregiver emotional functioning QOL and each of the following variables: asthma severity, r = -.39, p < .001; child internalizing behaviors, r = -.22, p < .05 and child externalizing behaviors, r = -.25, p < .05. Multiple regression analysis revealed that asthma severity and child externalizing problems accounted for 26% of the variance in child emotional functioning QOL. No moderators or mediators were identified. Findings from this study imply that externalizing problem behaviors of school-aged children may be a predictor of their negative feelings about their asthma. Nursing educators should consider including the emotional impact of asthma on children in nursing curriculums as this may ultimately influence health care providers to more skillfully address this important issue in both assessment and intervention settings. / text

National health expenditures will continue to grow faster than nominal gross domestic product (GDP) in the early 21st century (Heffler et al., 2002; Heffler et al., 2005). Increased Medicaid costs have spurred research to find reliable cost-saving methodologies (Kronick et al., 1996). The Medicaid administrations of some states have chosen risk adjustment as a methodology for savings (Tollen et al., 1998; Weiner et al., 1998), since it can reduce the financial burden of health care providers and distribute medical resources more efficiently. This dissertation presents a risk-adjustment model based on two types of health condition adjusters: diagnosis-based HCC adjusters and pharmacy-based RxRisk adjusters. HCC adjusters were developed from different diagnostic categories from inpatient, outpatient and long-term care data. RxRisk adjusters included diseases inferable from prescription drug usage. The underlying assumption is that using both types of health condition adjusters, rather than relying on either diagnosis-based adjusters or pharmacy-based adjusters alone can help increase predictive power and lower Medicaid's risk of reimbursing inflated medical costs for its beneficiaries. The population in this study consisted of all disabled and aged Florida adults who were eligible for Florida's Medicaid program in state fiscal year (SFY) 2002-03 and state fiscal year 2003-04. The population was broken down into two subpopulations: disabled Medicaid beneficiaries aged 64 and under and beneficiaries aged 65 or over.The proposed regression model includes diagnostic and pharmacy-based adjusters, and this dissertation compares the proposed model with models based solely on pharmacy- or diagnosis-based adjusters.The results presented in this dissertation demonstrate the proposed model has higher predictive power than the diagnosis-based HCC model and the pharmacy-based RxRisk model for the overall population and the subpopulations in this study. Risk-adjustment models using diagnostic and prescription drug information have higher predictive power and decrease the possibility of inappropriate gaming of the Medicaid capitation payment system.