Browsing by keyword "emerging adults"
Now showing items 1-8 of 8
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Patterns of Psychotherapy Attendance in Emerging and Mature AdultsApproximately 760,000 emerging adults use outpatient psychotherapy in the U.S. each year (Olfson et al.,2002). Emerging adults are 1.6-7.9 times more likely to drop out of mental health treatment than fully mature adults (Edlund et al., 2002; Olfson et al., 2002). This Study compared temporal patterns of attendance and non attendance between emerging and mature adults
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Patterns of Psychotherapy Attendance in Emerging and Mature AdultsApproximately 760,000 emerging adults use outpatient psychotherapy in the U.S. each year (Olfson et al.2002). Emerging adults are 1.6-7.9 times more likely to drop out of mental health treatment than Fully mature adults (Edlund et.al., 2002; Olfson Et al., 2002).This Study compared temporal patterns of attendance and non attendance between emerging and mature adults.
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Predictors of Online Patient Portal Use Among a Diverse Sample of Emerging Adults: Cross-sectional SurveyBackground: Health self-management is increasingly being influenced by emerging health information technologies (IT), especially online patient portals. Patient portals provide patients with direct access to their health information, electronic tools to manage their health, and additional opportunities to engage with their care team. Previous studies have found that patient portal use is highest among patients with high eHealth literacy, the ability to find health information from electronic sources and apply the knowledge gained to solve a health problem. The role of eHealth literacy on patient portal use appears to be especially strong among older adults with chronic diseases. The use of patient portals among emerging adults (ages 18-29) is much less understood. Although generally healthy, emerging adults are more regular IT users and just beginning to independently navigate the health care system. A good understanding of how emerging adults are using online patient portals and what factors, including eHealth, impact portal use is lacking. Objective: The aim of this study is to describe patient portal use and explore the predictors of portal use among a diverse sample of emerging adults. Methods: A cross-sectional survey study that used convenience sampling was conducted at two universities. Data on demographics, health care encounters, eHealth literacy, patient engagement, and use of patient portal features (administrative and clinical) were obtained via self-report and summarized. Logistic regression models were used to examine factors associated with portal use. Results: Of the 340 emerging adults, 257 (76%) were female, 223 (65%) White, 156 (47%) low income, and 184 (54%) reported having patient portal access. Of those reporting access, 142 (77%) used at least 1 portal feature and 42 (23%) reported using none. Significant predictors were patient engagement (odds ratio [OR] 1.08, 95% CI 1.04-1.13, P=.001) and total encounters (OR 1.23, 95% CI 1.05-1.44, P=.009) but not eHealth literacy. Hispanic and Asian emerging adults were more likely to be frequent users of clinical portal features than White emerging adults (Hispanic: OR 2.97, 95% CI 1.03-8.52, P=.04; Asian: OR 4.28, 95% CI 1.08-16.89, P=.04). Conclusions: We found that about half of emerging adults had access to a patient portal. Among those with access, a majority reported using at least one portal feature. Factors associated with increased portal use included increased patient engagement and total clinical encounters. Self-reported eHealth literacy was not associated with patient portal use in this diverse sample of emerging adults. This may have been due to high overall eHealth literacy levels in this population of frequent IT users. There may also be racial/ethnic differences that are important to consider, as we found Hispanic and Asian emerging adults reported more frequent portal use than White emerging adults. Interventions to promote patient portal use among emerging adults should include strategies to increase awareness of portal access and engagement among patients with fewer clinical encounters, with a focus on preventative health management.
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Sleep, self-management, neurocognitive function, and glycemia in emerging adults with Type 1 diabetes mellitus: A research protocolType 1 Diabetes (T1D) affects 1.6 million Americans, and only 14% of emerging adults ages 18-25 years achieve targets for glycemic control (A1C < 7.0%). Sleep deficiency, including habitual short sleep duration ( < 6.5 hr total sleep time and high within-person variability in total sleep time), is associated with poorer glycemic control. Emerging adults with T1D have a more pronounced sleep extension on weekends compared with matched controls, consistent with sleep deficiency; however, associations among sleep variability and glycemic control have not been explored in this population. Sleep deficiency may affect the complex higher-order neurocognitive functioning needed for successful diabetes self-management (DSM). We report the protocol for an ongoing study designed to characterize sleep and the associations among sleep deficiency, neurocognitive function, DSM, diabetes quality of life, and glycemia among a sample of 40 emerging adults with T1D. We monitor sleep via wrist-worn actigraphy and glucose via continuous glucose monitoring concurrently over 14 days. We are collecting data on self-report and objective sleep, a 10-min psychomotor vigilance test on a PVT-192 device, a 3-min Trail Making Test on paper, and questionnaires, including twice-daily Pittsburgh sleep diaries using Research Electronic Data Capture (REDCap)(TM) . Results from this study will be used to support the development and testing of the efficacy of a tailored sleep self-management intervention that may improve total sleep time, sleep variability, neurocognitive function, DSM, glycemic control, and glucose variability among emerging adults with T1D.
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Testing Whether Multisystemic Therapy for Emerging Adults Can Reduce Their Justice System InvolvementDrs. Maryann Davis of the Transitions to Adulthood Center for Research at the University of Massachusetts Medical School and Ashli Sheidow and Michael McCart of the Oregon Social Learning have previously demonstrated that Multisystemic Therapy for Emerging Adults (MST-EA) is an intervention that successfully engages and retains young adults with serious mental health conditions in treatment. This Research in the Works is about a new trial awarded by NIMH called Effectiveness Trial of Treatment to Reduce Serious Antisocial Behavior in Emerging Adults with Mental Illness. This study builds on Drs. Davis and Sheidow’s previous work and is a randomized controlled trial comparing outcomes of 240 participants assigned to either the MST-EA intervention or enhanced treatment as usual. This study will determine if MST-EA is a more effective treatment than the enhanced usual treatment for this population. Currently, there is no intervention with proven efficacy to reduce criminal behavior for emerging adults with serious mental health conditions and this study is an important step in developing one.
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Transdiagnostic Motivational Enhancement Therapy to Reduce Treatment Attrition: Use in Emerging AdultsImproving outcomes of youth with mental health (MH) needs as they transition into adulthood is of critical public health significance. Effective psychotherapy MH treatment is available, but can be effective only if the emerging adult (EA) attends long enough to benefit. Unfortunately, completion of psychotherapy among EAs is lower than for more mature adults (Edlund et al., 2002; Olfson, Marcus, Druss, and Pincus, 2002). To target the high attrition of EAs in MH treatment, investigators adapted a developmentally appropriate brief intervention aimed at reducing treatment attrition (TA) in psychotherapy and conducted a feasibility study of implementation. The intervention employs motivational interviewing strategies aimed at engaging and retaining EAs in outpatient MH treatment. Motivational enhancement therapy for treatment attrition, or MET-TA, takes only a few sessions at the outset of treatment as an adjunct to usual treatment. Importantly, it can be used for TA with psychotherapy for any MH condition; in other words, it is transdiagnostic. This article presents the first description of MET-TA, along with a case example that demonstrates important characteristics of the approach, and then briefly describes implementation feasibility based on a small pilot randomized controlled trial.
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TTYL: Keeping in Contact With Your Professional [English and Spanish versions]2011-01-01Tip sheet for youth and young adults with serious mental health conditions about simple ways of keeping in communication with professionals (doctors, counselors, psychiatrists, etc.) via cell phones, texting, and internet. Also includes tips for mental health professionals for keeping in contact with young adults. A Spanish translation of this publication is available for download. Originally published as: Transitions RTC Northeast Massachusetts Community of Practice Tip Sheet, 2011.
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Using Life Coaches to Provide Vocational Supports to Emerging AdultsFindings presented on using life coaches to provide vocational supports to emerging adults including statistics, types of services, a curriculum and skills inventory.
