George Kephart
Biographic Data
| ID | 1561042 |
|---|---|
| NAME | George Kephart |
| GIVEN NAMES | George |
| FAMILY NAME | Kephart |
| SIGNATURE | KEPHART G |
| AFFILIATIONS | Dalhousie University |
| ORCID | 0000-0001-7376-9695 |
| VERIFIED | Yes |
| TOTAL WORKS | 16 |
| TOTAL CITATIONS | 356 |
| WORKS AS AUTHOR | 16 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 1988 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 4 |
The Patient Reported Inventory of Self-Management of Chronic Conditions (PRISM-CC)
Developed simultaneously in English and Swedish, the Patient Reported Inventory of Self-Management of Chronic Conditions (PRISM-CC) assesses patients’ perceived difficulty managing life with long-term health conditions. This study assessed the comparability of the PRISM-CC across sociodemographic groups, number of health conditions and language (English and Swedish). Differential item functioning (DIF) and differential test functioning (DTF) were…
Creating an Inclusive Definition for High Users of Inpatient Hospital Systems That Considers Different Levels of Rurality
Multiple definitions have been used to identify individuals who are high system users (HSUs), through economic costs, frequency of use, or length of stay for inpatient care users. However, no definition has been validated to be representative of those residing in rural communities, who face unique service accessibility. This paper identifies an HSU definition for rural Canada that is inclusive of various levels of rurality, longitudinal patient e…
Leveraging context-specific behavioral economic principles to enable patients to change their physical activity patterns
This study explores how context-specific behavioral economic principles could be employed to tailor interventions to support patients' efforts to modify day-to-day routines. Using adapted geo-ethnography techniques, interviews collected in-depth descriptions about facilitators and barriers to physical activity (PA), and contexts influencing decisions about day-to-day activities. Data were analyzed using the COM-B model for behavior change and MIN…
Time-Use Sequences
This study demonstrates the potential for interventions to integrate tools for collecting and communicating spatial and temporal contexts of patient routines, such as the types of activities that characterize how patients spend significant portions of time and identification of when, where, and how to encourage health-promoting changes in routine activities. Time-use patterns provide insight for tailoring behavior change interventions so that cli…
Item selection, scaling and construct validation of the Patient-Reported Inventory of Self-Management of Chronic Conditions (PRISM-CC) measurement tool in adults
The PRISM-CC overcomes limitations of assessment tools currently available to measure patient self-management of chronic health conditions. This study provides strong evidence for the internal consistency and construct validity of the PRISM-CC as an instrument to assess patient-reported difficulty in self-managing different aspects of daily life with one or more chronic conditions. Further research is needed to assess its measurement equivalence …
The structural and convergent validity of three commonly used measures of self-management in persons with neurological conditions
Validation of the Patient Activation Measure (PAM-13) among adults with cardiac conditions in Singapore
Misclassification errors from postal code-based geocoding to assign census geography in Nova Scotia, Canada
The Patient Activation Measure
Whiners and deniers - What does self-rated health measure
Human Resources Planning and the Production of Health
Traditional approaches to health human resources planning emphasize the effects of demographic change on the needs for health human resources. Planning requirements are largely based on the size and demographic mix of the population applied to simple population-provider or population-utilization ratios. We develop an extended analytical framework based on the production of health-care services and the multiple determinants of health human resourc…
Individual and Neighbourhood Determinants of Health Care Utilization
Socioeconomic differences in the use of physician services in Nova Scotia
OBJECTIVES: Socioeconomic differences in use of physician services in Nova Scotia, Canada were examined. METHODS: The study was based on survey data, containing information on socioeconomic status, linked to physician claims data. Socioeconomic differences in use of physician services were estimated, adjusted for age, sex, and region of residence. RESULTS: Large socioeconomic differences were observed in the use of physician services, with use in…
Race and the Retreat From Marriage
We provide a search-theoretic model of the transition to first marriage among young [black and white] women in the United States. We measure directly the pool of unmarried men relative to unmarried women in local marriage markets as well as the economic attractiveness of available men for each unmarried woman in the NLSY [National Longitudinal Survey of Youth]....Our event-history analysis evaluates the contextual effects of marriage market condi…
The Effects of Breastfeeding and Contraception on the Natural Rate of Increase
The prevalence of intentional control of reproduction increases in developing countries in which there is rapid modernization, and there are also important changes in breastfeeding practices. The effects of increased contraception and reduced breastfeeding on the pace and level of fertility and on the patterns and levels of infant and early childhood mortality are in opposite directions. In this paper we propose a technique to estimate the net ef…
Heterogeneity and the implied dynamics of regional growth rates
The spatial units of analysis employed in urban and regional research display considerable internal heterogeneity in terms of the social, demographic, and economic variables used to describe them. One implication of this has been overlooked in the literature, namely, that aggregate rates may have an implicit dynamic of change. Differential internal rates modify the composition of the aggregate, changing the relative importance of subareas in dete…
Race and the Retreat From Marriage
We provide a search-theoretic model of the transition to first marriage among young [black and white] women in the United States. We measure directly the pool of unmarried men relative to unmarried women in local marriage markets as well as the economic attractiveness of available men for each unmarried woman in the NLSY [National Longitudinal Survey of Youth]....Our event-history analysis evaluates the contextual effects of marriage market condi…
Whiners and deniers - What does self-rated health measure
Individual and Neighbourhood Determinants of Health Care Utilization
Socioeconomic differences in the use of physician services in Nova Scotia
OBJECTIVES: Socioeconomic differences in use of physician services in Nova Scotia, Canada were examined. METHODS: The study was based on survey data, containing information on socioeconomic status, linked to physician claims data. Socioeconomic differences in use of physician services were estimated, adjusted for age, sex, and region of residence. RESULTS: Large socioeconomic differences were observed in the use of physician services, with use in…
Human Resources Planning and the Production of Health
Traditional approaches to health human resources planning emphasize the effects of demographic change on the needs for health human resources. Planning requirements are largely based on the size and demographic mix of the population applied to simple population-provider or population-utilization ratios. We develop an extended analytical framework based on the production of health-care services and the multiple determinants of health human resourc…
Heterogeneity and the implied dynamics of regional growth rates
The spatial units of analysis employed in urban and regional research display considerable internal heterogeneity in terms of the social, demographic, and economic variables used to describe them. One implication of this has been overlooked in the literature, namely, that aggregate rates may have an implicit dynamic of change. Differential internal rates modify the composition of the aggregate, changing the relative importance of subareas in dete…
The Effects of Breastfeeding and Contraception on the Natural Rate of Increase
The prevalence of intentional control of reproduction increases in developing countries in which there is rapid modernization, and there are also important changes in breastfeeding practices. The effects of increased contraception and reduced breastfeeding on the pace and level of fertility and on the patterns and levels of infant and early childhood mortality are in opposite directions. In this paper we propose a technique to estimate the net ef…
Heterogeneity and the implied dynamics of regional growth rates
The spatial units of analysis employed in urban and regional research display considerable internal heterogeneity in terms of the social, demographic, and economic variables used to describe them. One implication of this has been overlooked in the literature, namely, that aggregate rates may have an implicit dynamic of change. Differential internal rates modify the composition of the aggregate, changing the relative importance of subareas in dete…
The Effects of Breastfeeding and Contraception on the Natural Rate of Increase
The prevalence of intentional control of reproduction increases in developing countries in which there is rapid modernization, and there are also important changes in breastfeeding practices. The effects of increased contraception and reduced breastfeeding on the pace and level of fertility and on the patterns and levels of infant and early childhood mortality are in opposite directions. In this paper we propose a technique to estimate the net ef…
Race and the Retreat From Marriage
We provide a search-theoretic model of the transition to first marriage among young [black and white] women in the United States. We measure directly the pool of unmarried men relative to unmarried women in local marriage markets as well as the economic attractiveness of available men for each unmarried woman in the NLSY [National Longitudinal Survey of Youth]....Our event-history analysis evaluates the contextual effects of marriage market condi…
Socioeconomic differences in the use of physician services in Nova Scotia
OBJECTIVES: Socioeconomic differences in use of physician services in Nova Scotia, Canada were examined. METHODS: The study was based on survey data, containing information on socioeconomic status, linked to physician claims data. Socioeconomic differences in use of physician services were estimated, adjusted for age, sex, and region of residence. RESULTS: Large socioeconomic differences were observed in the use of physician services, with use in…
Individual and Neighbourhood Determinants of Health Care Utilization
Human Resources Planning and the Production of Health
Traditional approaches to health human resources planning emphasize the effects of demographic change on the needs for health human resources. Planning requirements are largely based on the size and demographic mix of the population applied to simple population-provider or population-utilization ratios. We develop an extended analytical framework based on the production of health-care services and the multiple determinants of health human resourc…
Whiners and deniers - What does self-rated health measure
The Patient Activation Measure
Validation of the Patient Activation Measure (PAM-13) among adults with cardiac conditions in Singapore
Misclassification errors from postal code-based geocoding to assign census geography in Nova Scotia, Canada
The structural and convergent validity of three commonly used measures of self-management in persons with neurological conditions
Item selection, scaling and construct validation of the Patient-Reported Inventory of Self-Management of Chronic Conditions (PRISM-CC) measurement tool in adults
The PRISM-CC overcomes limitations of assessment tools currently available to measure patient self-management of chronic health conditions. This study provides strong evidence for the internal consistency and construct validity of the PRISM-CC as an instrument to assess patient-reported difficulty in self-managing different aspects of daily life with one or more chronic conditions. Further research is needed to assess its measurement equivalence …
Time-Use Sequences
This study demonstrates the potential for interventions to integrate tools for collecting and communicating spatial and temporal contexts of patient routines, such as the types of activities that characterize how patients spend significant portions of time and identification of when, where, and how to encourage health-promoting changes in routine activities. Time-use patterns provide insight for tailoring behavior change interventions so that cli…
Creating an Inclusive Definition for High Users of Inpatient Hospital Systems That Considers Different Levels of Rurality
Multiple definitions have been used to identify individuals who are high system users (HSUs), through economic costs, frequency of use, or length of stay for inpatient care users. However, no definition has been validated to be representative of those residing in rural communities, who face unique service accessibility. This paper identifies an HSU definition for rural Canada that is inclusive of various levels of rurality, longitudinal patient e…
Leveraging context-specific behavioral economic principles to enable patients to change their physical activity patterns
This study explores how context-specific behavioral economic principles could be employed to tailor interventions to support patients' efforts to modify day-to-day routines. Using adapted geo-ethnography techniques, interviews collected in-depth descriptions about facilitators and barriers to physical activity (PA), and contexts influencing decisions about day-to-day activities. Data were analyzed using the COM-B model for behavior change and MIN…
The Patient Reported Inventory of Self-Management of Chronic Conditions (PRISM-CC)
Developed simultaneously in English and Swedish, the Patient Reported Inventory of Self-Management of Chronic Conditions (PRISM-CC) assesses patients’ perceived difficulty managing life with long-term health conditions. This study assessed the comparability of the PRISM-CC across sociodemographic groups, number of health conditions and language (English and Swedish). Differential item functioning (DIF) and differential test functioning (DTF) were…
Medicine (12 works) · Population (8 works) · Psychology (8 works) · Environmental health (6 works) · Health disparities and outcomes (6 works) · Chronic Disease Management Strategies (5 works) · Computer Science (5 works) · Economics (5 works) · Demography (4 works) · Economic growth (4 works)