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28 results on '"Hill, Douglas"'

4. Effects of a Randomized Weight Loss Intervention Trial in Obese Adolescents on Tibia and Radius Bone Geometry and Volumetric Density

Author

Kelley, Jennifer C, primary, Stettler-Davis, Nicolas, additional, Leonard, Mary B, additional, Hill, Douglas, additional, Wrotniak, Brian H, additional, Shults, Justine, additional, Stallings, Virginia A, additional, Berkowitz, Robert, additional, Xanthopoulos, Melissa S, additional, Prout-Parks, Elizabeth, additional, Klieger, Sarah B, additional, and Zemel, Babette S, additional

Published
2018
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18. Beyond Stereotypes

Author

Boylan, Colin R., primary, Hill, Douglas M., additional, Wallace, Andrew R., additional, and Wheeler, Alan E., additional

Published
1992
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28. Problems and hopes perceived by mothers, fathers and physicians of children receiving palliative care.

Author

Hill DL, Miller VA, Hexem KR, Carroll KW, Faerber JA, Kang T, and Feudtner C

Subjects
Adolescent, Child, Child, Preschool, Decision Making, Female, Humans, Infant, Infant, Newborn, Male, Professional-Family Relations, Quality of Life, Young Adult, Fathers psychology, Hope, Mothers psychology, Palliative Care psychology, Physicians, Problem Solving
Abstract

Background: The quality of shared decision making for children with serious illness may depend on whether parents and physicians share similar perceptions of problems and hopes for the child., Objective: (i) Describe the problems and hopes reported by mothers, fathers and physicians of children receiving palliative care; (ii) examine the observed concordance between participants; (iii) examine parental perceived agreement; and (iv) examine whether parents who identified specific problems also specified corresponding hopes, or whether the problems were left 'hopeless'., Method: Seventy-one parents and 43 physicians were asked to report problems and hopes and perceived agreement for 50 children receiving palliative care. Problems and hopes were classified into eight domains. Observed concordance was calculated between parents and between each parent and the physicians., Results: The most common problem domains were physical body (88%), quality of life (74%) and medical knowledge (48%). The most common hope domains were quality of life (88%), suffering (76%) and physical body (39%). Overall parental dyads demonstrated a high percentage of concordance (82%) regarding reported problem domains and a lower percentage of concordance on hopes (65%). Concordance between parents and physicians regarding specific children was lower on problem (65-66%) and hope domains (59-63%). Respondents who identified problems regarding a child's quality of life or suffering were likely to also report corresponding hopes in these domains (93 and 82%, respectively)., Conclusion: Asking parents and physicians to talk about problems and hopes may provide a straightforward means to improve the quality of shared decision making for critically ill children., (© 2013 John Wiley & Sons Ltd.)

Published
2015
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