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Purpose: While intermittent catheterization is the "gold-standard" to manage lower urinary tract dysfunction (LUTD), limited data exist on the daily experiences of individuals using intermittent self-catheterization (ISC).1,2 A longitudinal study collecting self-reported data from individuals who perform ISC to manage bladder emptying would provide insight into their daily use, habits, and experiences.3,4 This study aims to build an electronic patient-reported outcomes registry of adults who use ISC long-term. Methodology: ConCaReTM continence care registry is a multinational registry designed as a prospective, observational longitudinal study among individuals who perform ISC. Questionnaires are electronically distributed monthly for one year, then quarterly for up to five years and include the Intermittent Self- Catheterization Questionnaire, EuroQoL-5D, and RAND modified Medical Outcomes Study Social Support Survey, which explore quality of life and satisfaction, health care utilization, and factors influencing catheter choice.5,6,7 Results: To date, baseline data from 93 (71.0% US; 29.0% CA) participants aged 20-86 years (average=51.4; median=53) (73.1% male) are presented. Eighty (80) of the 93 participants (86.0%) reported having conditions associated with neurogenic LUTD. Out of 42 participants with NLUTD surveyed, 45.2% reported a urologist recommended starting ISC. Out of all 80 subjects with NLUTD, most received their initial ISC training from a nurse (71.3%). Fifty-seven (57) of the 80 subjects with neurogenic bladder (71.3%) reported having a spinal cord injury (SCI). Average time since SCI was 9.9 years (range= [1.7, 39.2]; median=5.8). Conclusions: As recruitment approaches the target [600 participants], outcomes will continue to be monitored over time. Data yielded from the ConCaReTM continence care registry will help to characterize ISC utilization in different populations by gender, age, location, and comorbidities. Implications for Practice: A better understanding of the ISC user's experience will help to inform clinical practice to identify areas of unmet patient needs and opportunities for clinician support. [WIRB;IRB Study #: 1304189; ClinicalTrial.gov Identifier NCT04924569] [ABSTRACT FROM AUTHOR]

Most high school adolescents have reported past year gambling, and males gamble more frequently and problematically than females. Ethnic minority adolescents appear to be gambling at a higher rate than Caucasian adolescents. There is evidence indicating that adolescent gambling outcome expectancies are correlated with gambling behavior, but limited evidence that this relation differs by gender. In the present study gender was evaluated as a moderator in the relation between gambling outcome expectancies and gambling behaviors in an African-American high school sample. Males gambled more frequently, gambled more problematically and held more positive gambling outcome expectancies than females. Gender was found to moderate the relations between gambling frequency and the expectations of material gain, affect, self-evaluation and parental approval. Gender also moderated the relations between gambling problems and expectations of affect and self-evaluation. These findings should inform future adolescent gambling prevention and intervention programs. [ABSTRACT FROM AUTHOR]

Background: There is growing evidence that specialized clinical services targeted toward individuals early in the course of a psychotic illness may be effective in reducing both the clinical and economic burden associated with these illnesses. Unfortunately, the United States has lagged behind other countries in the delivery of specialized, multi-component care to individuals early in the course of a psychotic illness. A key factor contributing to this lag is the limited available data demonstrating the clinical benefits and cost-effectiveness of early intervention for psychosis among individuals served by the American mental health system. Thus, the goal of this study is to present clinical and cost outcome data with regard to a first-episode psychosis treatment center within the American mental health system: the Early Psychosis Intervention Center (EPICENTER). Methods: Sixty-eight consecutively enrolled individuals with first-episode psychosis completed assessments of symptomatology, social functioning, educational/vocational functioning, cognitive functioning, substance use, and service utilization upon enrollment in EPICENTER and after 6 months of EPICENTER care. All participants were provided with access to a multi-component treatment package comprised of cognitive behavioral therapy, family psychoeducation, and metacognitive remediation. Results: Over the first 6 months of EPICENTER care, participants experienced improvements in symptomatology, social functioning, educational/vocational functioning, cognitive functioning, and substance abuse. The average cost of care during the first 6 months of EPICENTER participation was lower than the average cost during the 6-months prior to joining EPICENTER. These savings occurred despite the additional costs associated with the receipt of EPICENTER care and were driven primarily by reductions in the utilization of inpatient psychiatric services and contacts with the legal system. Conclusions: The results of our study suggest that multi-component interventions for first-episode psychosis provided in the US mental health system may be both clinically-beneficial and cost-effective. Although additional research is needed, these findings provide preliminary support for the growing delivery of specialized multi-component interventions for first-episode psychosis within the United States. [ABSTRACT FROM AUTHOR]