Karen Kuhlthau
Datos Biográficos
| ID | 234597 |
|---|---|
| NOMBRE | Karen Kuhlthau |
| NOMBRES | Karen |
| APELLIDO | Kuhlthau |
| FIRMA | KUHLTHAU K |
| AFILIACIONES | Massachusetts General Hospital |
| ORCID | 0000-0001-7315-3882 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 18 |
| TOTAL DE CITAS | 55 |
| TOTAL COMO AUTOR | 18 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1989 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 3 |
Building a Community Partnership to Meet the Needs of Parents of Neurodivergent Children
Building a Community Partnership to Meet the Needs of Parents of Neurodivergent Children
Background: Massachusetts General Hospital and the Federation for Children with Special Needs staff partnered to conduct the Supporting Parents Raising Kids trial. Supporting Parents Raising Kids compares a mind body intervention, stress management and relaxation training (SMART) learning and attentional disabilities (LAD), and a comparison health promotion intervention, Health Enhancement Program, for parents of children with LAD. Objectives: We…
Development of a Health Insurance Navigation Program for Long-Term Childhood Cancer Survivors
Adapting interventions to new contexts requires consideration of the needs, norms, and delivery structures of the new setting. We describe how we followed the ORBIT model of intervention development to create Health Insurance Navigation Tools (HINT), a health insurance patient navigation intervention for childhood cancer survivors. By engaging stakeholders and leveraging institutional resources, we identified and preemptively addressed real-world…
Multi-sector stakeholder's perceptions of determinants of successful implementation of a pediatric weight management intervention
Background: Multi-sector stakeholder engagement is essential in the successful implementation, dissemination, and sustainability of pediatric weight management interventions (PWMI), particularly in low-income settings where sustainability relies on external policies and reimbursement. The objective of this study was to engage stakeholders (1) to inform the creation of the intervention with adaptations needed for a successful PWMI in a primary car…
Characteristics and Experiences of Parents of Children with Learning and Attention Disabilities and Autism Spectrum Disorder
Parents of children with learning and attention disorders (LAD) and autism spectrum disorder (ASD) experience chronic parenting stress due to the challenges in raising a child with special needs. We used a mixed methods design to examine characteristics and experiences of stress and coping among parents of children with LAD and ASD. We conducted 20 semi-structured focus group interviews with parents of children with LAD ( n = 11) and ASD ( n = 9)…
A Virtual Resiliency Intervention Promoting Resiliency for Parents of Children with Learning and Attentional Disabilities
Family-Centered Care
Family-centered care (FCC) is a partnership approach to health care decision-making between the family and health care provider. FCC is considered the standard of pediatric health care by many clinical practices, hospitals, and health care groups. Despite widespread endorsement, FCC continues to be insufficiently implemented into clinical practice. In this paper we enumerate the core principles of FCC in pediatric health care, describe recent adv…
Psychological Distress as a Barrier to Preventive Healthcare Among U.S. Women
The Well-Being of Parental Caregivers of Children with Activity Limitations
State Policy Environment and Delayed or Forgone Care Among Children with Special Health Care Needs
Unmet Need among Children with Special Health Care Needs in Massachusetts
Are Minority Children the Last to Benefit from a New Technology
BACKGROUND: Racial and ethnic disparities in health and health care have been well documented, but few studies have addressed how disparities may change over time. OBJECTIVE: We sought to determine the change in relative rates over time of corticosteroid metered dose inhaler (MDI) use in minority and nonminority populations with asthma. DESIGN AND SETTING: We used a cross-sectional survey for 5 periods of 2 years' each (1989-1990, 1991-1992, 1993…
Financial Burden for Families of Children with Special Health Care Needs
Pharmacy- and Diagnosis-Based Risk Adjustment for Children With Medicaid
BACKGROUND: Risk adjustment is useful for adjusting health care payments based on patients' health status. OBJECTIVE: This work seeks to examine how well pharmacy- and diagnosis-based risk adjusters predict child health expenditures in Medicaid populations. RESEARCH DESIGN: We used 1994-1995 Medicaid claims files for all children ages 0-18 years who were not covered by managed care in 3 states: Georgia, New Jersey, and Wisconsin. We examined sepa…
State variations in supplemental security income enrollment for children and adolescents
OBJECTIVES: The purpose of this study was to determine the effects of poverty, program generosity, and health on state variations in enrollment of children and adolescents in the Supplemental Security Income (SSI) program during recent program expansions. METHODS: The relationship of state SSI rates for 1989 and 1992 to child poverty, health, and program generosity were determined by multiple regression. RESULTS: The mean percentage of children e…
Market Child Care Versus Care by Relatives
We study the determinants of whether mothers of preschool-aged children use market child care versus care by relatives to assess the importance of economics versus preferences. The evidence suggests that employed mothers turn to relatives for child care partly out of preference, not just because relatives are inexpensive. Public policies that encourage the use of relatives for child care might therefore increase parental satisfaction and quality …
The perceived impact of child care costs on women’s labor supply and fertility
In a sample of Detroit-area mothers of preschool-aged children interviewed in 1986, one-third reported that child care problems had constrained their employment. Such reports were relatively prevalent among poor women. those without relatives nearby, and those willing to entrust the care of their children to nonfamily members. Only one-tenth of the sample reported a similar child care constraint on fertility, a phenomenon unrelated to income but …
Determinants of Child Care Ideals among Mothers of Preschool-Aged Children
This paper explores the extent to which care by a childs parents is considered ideal at different preschool ages using data collected in 1986 for a probability sample of 1302 mothers of preschool-aged children living in the greater Detroit metropolitan area. Womens current use of child care marital and employment status income youngest childs age gender role ideology religion religiosity education race proximity to relatives and place of residenc…
The perceived impact of child care costs on women’s labor supply and fertility
In a sample of Detroit-area mothers of preschool-aged children interviewed in 1986, one-third reported that child care problems had constrained their employment. Such reports were relatively prevalent among poor women. those without relatives nearby, and those willing to entrust the care of their children to nonfamily members. Only one-tenth of the sample reported a similar child care constraint on fertility, a phenomenon unrelated to income but …
Determinants of Child Care Ideals among Mothers of Preschool-Aged Children
This paper explores the extent to which care by a childs parents is considered ideal at different preschool ages using data collected in 1986 for a probability sample of 1302 mothers of preschool-aged children living in the greater Detroit metropolitan area. Womens current use of child care marital and employment status income youngest childs age gender role ideology religion religiosity education race proximity to relatives and place of residenc…
Market Child Care Versus Care by Relatives
We study the determinants of whether mothers of preschool-aged children use market child care versus care by relatives to assess the importance of economics versus preferences. The evidence suggests that employed mothers turn to relatives for child care partly out of preference, not just because relatives are inexpensive. Public policies that encourage the use of relatives for child care might therefore increase parental satisfaction and quality …
State variations in supplemental security income enrollment for children and adolescents
OBJECTIVES: The purpose of this study was to determine the effects of poverty, program generosity, and health on state variations in enrollment of children and adolescents in the Supplemental Security Income (SSI) program during recent program expansions. METHODS: The relationship of state SSI rates for 1989 and 1992 to child poverty, health, and program generosity were determined by multiple regression. RESULTS: The mean percentage of children e…
Determinants of Child Care Ideals among Mothers of Preschool-Aged Children
This paper explores the extent to which care by a childs parents is considered ideal at different preschool ages using data collected in 1986 for a probability sample of 1302 mothers of preschool-aged children living in the greater Detroit metropolitan area. Womens current use of child care marital and employment status income youngest childs age gender role ideology religion religiosity education race proximity to relatives and place of residenc…
The perceived impact of child care costs on women’s labor supply and fertility
In a sample of Detroit-area mothers of preschool-aged children interviewed in 1986, one-third reported that child care problems had constrained their employment. Such reports were relatively prevalent among poor women. those without relatives nearby, and those willing to entrust the care of their children to nonfamily members. Only one-tenth of the sample reported a similar child care constraint on fertility, a phenomenon unrelated to income but …
Market Child Care Versus Care by Relatives
We study the determinants of whether mothers of preschool-aged children use market child care versus care by relatives to assess the importance of economics versus preferences. The evidence suggests that employed mothers turn to relatives for child care partly out of preference, not just because relatives are inexpensive. Public policies that encourage the use of relatives for child care might therefore increase parental satisfaction and quality …
State variations in supplemental security income enrollment for children and adolescents
OBJECTIVES: The purpose of this study was to determine the effects of poverty, program generosity, and health on state variations in enrollment of children and adolescents in the Supplemental Security Income (SSI) program during recent program expansions. METHODS: The relationship of state SSI rates for 1989 and 1992 to child poverty, health, and program generosity were determined by multiple regression. RESULTS: The mean percentage of children e…
Financial Burden for Families of Children with Special Health Care Needs
Pharmacy- and Diagnosis-Based Risk Adjustment for Children With Medicaid
BACKGROUND: Risk adjustment is useful for adjusting health care payments based on patients' health status. OBJECTIVE: This work seeks to examine how well pharmacy- and diagnosis-based risk adjusters predict child health expenditures in Medicaid populations. RESEARCH DESIGN: We used 1994-1995 Medicaid claims files for all children ages 0-18 years who were not covered by managed care in 3 states: Georgia, New Jersey, and Wisconsin. We examined sepa…
Are Minority Children the Last to Benefit from a New Technology
BACKGROUND: Racial and ethnic disparities in health and health care have been well documented, but few studies have addressed how disparities may change over time. OBJECTIVE: We sought to determine the change in relative rates over time of corticosteroid metered dose inhaler (MDI) use in minority and nonminority populations with asthma. DESIGN AND SETTING: We used a cross-sectional survey for 5 periods of 2 years' each (1989-1990, 1991-1992, 1993…
State Policy Environment and Delayed or Forgone Care Among Children with Special Health Care Needs
Unmet Need among Children with Special Health Care Needs in Massachusetts
The Well-Being of Parental Caregivers of Children with Activity Limitations
Psychological Distress as a Barrier to Preventive Healthcare Among U.S. Women
Family-Centered Care
Family-centered care (FCC) is a partnership approach to health care decision-making between the family and health care provider. FCC is considered the standard of pediatric health care by many clinical practices, hospitals, and health care groups. Despite widespread endorsement, FCC continues to be insufficiently implemented into clinical practice. In this paper we enumerate the core principles of FCC in pediatric health care, describe recent adv…
A Virtual Resiliency Intervention Promoting Resiliency for Parents of Children with Learning and Attentional Disabilities
Multi-sector stakeholder's perceptions of determinants of successful implementation of a pediatric weight management intervention
Background: Multi-sector stakeholder engagement is essential in the successful implementation, dissemination, and sustainability of pediatric weight management interventions (PWMI), particularly in low-income settings where sustainability relies on external policies and reimbursement. The objective of this study was to engage stakeholders (1) to inform the creation of the intervention with adaptations needed for a successful PWMI in a primary car…
Characteristics and Experiences of Parents of Children with Learning and Attention Disabilities and Autism Spectrum Disorder
Parents of children with learning and attention disorders (LAD) and autism spectrum disorder (ASD) experience chronic parenting stress due to the challenges in raising a child with special needs. We used a mixed methods design to examine characteristics and experiences of stress and coping among parents of children with LAD and ASD. We conducted 20 semi-structured focus group interviews with parents of children with LAD ( n = 11) and ASD ( n = 9)…
Development of a Health Insurance Navigation Program for Long-Term Childhood Cancer Survivors
Adapting interventions to new contexts requires consideration of the needs, norms, and delivery structures of the new setting. We describe how we followed the ORBIT model of intervention development to create Health Insurance Navigation Tools (HINT), a health insurance patient navigation intervention for childhood cancer survivors. By engaging stakeholders and leveraging institutional resources, we identified and preemptively addressed real-world…
Building a Community Partnership to Meet the Needs of Parents of Neurodivergent Children
Building a Community Partnership to Meet the Needs of Parents of Neurodivergent Children
Background: Massachusetts General Hospital and the Federation for Children with Special Needs staff partnered to conduct the Supporting Parents Raising Kids trial. Supporting Parents Raising Kids compares a mind body intervention, stress management and relaxation training (SMART) learning and attentional disabilities (LAD), and a comparison health promotion intervention, Health Enhancement Program, for parents of children with LAD. Objectives: We…
Medicine (15 obras) · Nursing (10 obras) · Health care (9 obras) · Public health (8 obras) · Family medicine (7 obras) · Family and Disability Support Research (6 obras) · Psychology (5 obras) · Demography (4 obras) · Economic growth (4 obras) · Economics (4 obras)