Judy A Shea
Dados Biográficos
| ID | 175777 |
|---|---|
| NOME | Judy A Shea |
| PRENOMES | Judy A |
| SOBRENOME | Shea |
| ASSINATURA | SHEA J A |
| AFILIAÇÕES | University of Pennsylvania |
| ORCID | 0000-0002-7334-4192 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 46 |
| TOTAL DE CITAÇÕES | 86 |
| TOTAL COMO AUTOR | 46 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1978 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2023 |
| ÍNDICE H | 4 |
Impact of a Regional Grant Program Through the Lens of Social Cognitive Career Theory
Exploring Residents’ Well-Being and Burnout via Qualitative Ecological Momentary Assessment
PURPOSE: Most of what is known about resident burnout and wellness comes from cross-sectional snapshot surveys. The purpose of this study was to elicit qualitative perspectives on wellness from a cohort of internal residents over time using ecological momentary assessment. METHOD: Drawing on principles of ecological momentary assessment, 13 different open-ended survey prompts were delivered between October and March during the 2019-2020 academic …
The Impact of Socioeconomic Factors on Medical School Acceptance Rates
Purpose: Seventy-five percent of medical students in the United States hail from families in the top 2 income quintiles as defined by the U.S. Census Bureau, while 5% of medical students represent the bottom quintile. 1 Analyses to identify potential barriers contributing to this staggering socioeconomic disparity among our future medical workforce are sparse. Characterization of the exacerbating factors and potential bottlenecks along the premed…
Three key issues for determining competence in a system of assessment
There is widespread agreement that medical education should include multi-source, multi-method, and multi-purpose forms of assessment and thus should move towards cohesive systems of assessment. One possibility that fits comfortably with a system of assessment framework is to organize assessments around a competency based medical education model. However conceptually appealing a competency based medical education model is, discussions are sparse …
Perelman School of Medicine at the University of Pennsylvania
Medical Education Program Highlights The University of Pennsylvania’s Perelman School of Medicine (PSOM), established in 1765, is the oldest medical school in the United States, with a long tradition of academic excellence and scientific discovery. Contemporary highlights include: A beautiful and purposefully designed new space, the Jordan Medical Education Center, opened in 2015. The Center for Student Life, a unique integration of the offices o…
Barriers and Facilitators of PrEP Adherence for Young Men and Transgender Women of Color
Assessing the relationship between housing and health among medically complex, chronically homeless individuals experiencing frequent hospital use in the United States
In the United States and abroad, health systems have begun to address housing insecurity through programs that adhere to the Housing First model. The model provides permanent supportive housing without disqualification due to current mental health problems or substance use, along with optional case management services. This study used qualitative methods to explore how housing stability affected chronic disease management and social and community…
Improving Patient-centered Care
Participants understood the patient centered approach, despite experiencing a lack of resources and training and could push through solutions to patient engagement barriers while working within the limits of their settings
The Development of a Postpartum Weight Management Intervention for Low-Income Women
The tenets of community-engaged research state the necessity of developing community-based interventions with initial input and partnership with the potential end-users. In this study, low-income women were eager to share their thoughts about the postpartum period and potential solutions to correct unhealthy weight, thus completing a critical step in intervention development. The majority of women wanted to manage their weight in the postpartum s…
Identifying Health Experiences of Domestically Sex-Trafficked Women in the USA
Trafficking and Trauma
BACKGROUND: Sex-trafficked persons experience significant trauma while exploited, resulting in complex health issues and barriers to health care. Incorporating survivor perspectives is critical in optimizing health care delivery for this population. OBJECTIVES: We interviewed sex-trafficking survivors regarding their experiences with trauma while being trafficked and elicited advice about health care delivery. RESEARCH DESIGN: Qualitative intervi…
Creating a Toolkit to Reduce Disparities in Patient Engagement
BACKGROUND: Patient engagement has become a major focus of health care improvement efforts nationally. Although evidence suggests patient engagement can be beneficial to patients, it has not been consistently defined, operationalized, or translated into practice. OBJECTIVES: Our objective was to develop a toolkit to help providers increase patient engagement and reduce disparities in patient engagement. RESEARCH DESIGN: We used qualitative interv…
Public engagement with scientific evidence in health
The purpose of this study is to explore the experience and perspective of patients regarding scientific evidence in health and the degree that this information impacts health behavior and medical decision making. A focus group study was conducted. Participants were recruited from an urban primary-care practice. The focus group discussions were audio-recorded, transcribed verbatim, and coded by two independent investigators. Emergent themes were i…
Accelerating medical education
Over one-third of medical schools are considering the development of a 3YPP. While there may be benefits for a select group of students, concerns regarding maturity, depth of clinical exposure, and competency must be addressed for these programs to be well received
Barriers and facilitators to patient retention in HIV care
BACKGROUND: Retention in HIV care improves survival and reduces the risk of HIV transmission to others. Multiple quantitative studies have described demographic and clinical characteristics associated with retention in HIV care. However, qualitative studies are needed to better understand barriers and facilitators. METHODS: Semi-structured interviews were conducted with 51 HIV-infected individuals, 25 who were retained in care and 26 not retained…
Mapping patient-identified barriers and facilitators to retention in HIV care and antiretroviral therapy adherence to Andersen's Behavioral Model
Andersen's Behavioral Model (ABM) provides a framework for understanding how patient and environmental factors impact health behaviors and outcomes. We compared patient-identified barriers/facilitators to retention in care and antiretroviral therapy (ART) adherence and evaluated how they mapped to ABM. Qualitative semi-structured interviews with 51 HIV-infected adults at HIV clinics in Philadelphia, PA, in 2013 were used to explore patients' expe…
Understanding Low-Income African American Women's Expectations, Preferences, and Priorities in Prenatal Care
We aimed to explore factors affecting prenatal care attendance and preferences for prenatal care experiences among low-income black women by conducting a focus group study using a community-based participatory research framework and nominal group technique. Discussions were audiorecorded, transcribed, and coded by trained reviewers. Friends/family and baby's health were the top attendance motivators. Greatest barriers were insurance, transportati…
Racial Differences in Satisfaction with VA Health Care
Adverse Childhood Experiences of Low-Income Urban Youth
BACKGROUND AND OBJECTIVE: Current assessments of adverse childhood experiences (ACEs) may not adequately encompass the breadth of adversity to which low-income urban children are exposed. The purpose of this study was to identify and characterize the range of adverse childhood experiences faced by young adults who grew up in a low-income urban area. METHODS: Focus groups were conducted with young adults who grew up in low-income Philadelphia neig…
Development and Evaluation of the Belief Acceptance Scale
The Belief Acceptance Scale (BAS) is a nine question scale that was developed to evaluate how open and accepting an individual is to other people’s beliefs across interdependent life domains. The purposes of this article are to demonstrate the internal consistency of the BAS and examine the instrument’s substructure and to correlate the BAS with validated measures of religiosity and demographic data gathered from a web-based Survey of Spiritual E…
Prior Experiences of Racial Discrimination and Racial Differences in Health Care System Distrust
PURPOSE: Factors contributing to racial differences in health care system distrust (HCSD) are currently unknown. Proposed potential contributing factors are prior experiences of racial discrimination and racial residential segregation. METHODS: Random digit dialing survey of 762 African American and 1267 white adults living in 40 US metropolitan statistical areas. Measures included the Revised Health Care System Distrust scale, the Experiences of…
Perceived Community Commitment of Hospitals
Hospitals assume broad social roles in their communities as major health service institutions, large employers, and in some cases as philanthropic organizations. These roles create perceptions about the community commitment of hospitals to a local community. How these perceptions toward hospitals influence patients' decisions in choosing a hospital for care and trust in the health care system more generally has not been explored. As part of a stu…
A Framework for Understanding Modifications to Measures for Diverse Populations
The issues open a dialogue about what appropriate guidelines would be for researchers adapting measures in studies of ethnically diverse populations
The Influence of Health Care Policies and Health Care System Distrust on Willingness to Undergo Genetic Testing
PURPOSE: As the potential role of genetic testing in disease prevention and management grows, so does concern about differences in uptake of genetic testing across social and racial groups. Characteristics of how genetic tests are delivered may influence willingness to undergo testing and, if they affect population subgroups differently, alter disparities in testing. METHODS: Conjoint analysis study of the effect of 3 characteristics of genetic t…
Risk Perceptions, Worry, or Distrust
Toward the development of an objective assessment of ego-identity status
The relationship between identity status, locus of control, and ego development
Identifying Health Experiences of Domestically Sex-Trafficked Women in the USA
A Framework for Understanding Modifications to Measures for Diverse Populations
The issues open a dialogue about what appropriate guidelines would be for researchers adapting measures in studies of ethnically diverse populations
Correlates of romantic attachment
Course evaluation in medical education
The limits of suffering
This study explores critical care nurses' beliefs, motivations, and experiences regarding end of life care. We performed a content analysis of the text comments provided by 468 U.S. critical care nurses in response to an anonymous mail survey about euthanasia. These comments reveal that these U.S. critical care nurses' feelings about issues surrounding the end of life are extremely complex. Eight themes emerged from 37 coded concepts, and the med…
Assessing the relationship between housing and health among medically complex, chronically homeless individuals experiencing frequent hospital use in the United States
In the United States and abroad, health systems have begun to address housing insecurity through programs that adhere to the Housing First model. The model provides permanent supportive housing without disqualification due to current mental health problems or substance use, along with optional case management services. This study used qualitative methods to explore how housing stability affected chronic disease management and social and community…
Racial Differences in Satisfaction with VA Health Care
Influence of Maternal Health Literacy on Child Participation in Social Welfare Programs
We examined the influence of maternal health literacy on child participation in social welfare programs. In this cohort, 20% of the mothers had inadequate or marginal health literacy. Initially, more than 50% of the families participated in Temporary Assistance for Needy Families (TANF), the Food Stamp Program, and Special Supplemental Nutrition Program for Women, Infants, and Children, whereas fewer than 15% received child care subsidies or publ…
Factors associated with adolescent use of family planning clinics
Clinic records were reviewed for a sample of 498 adolescent family planning clients to document clinic use patterns. For a subsample of 359 adolescents, relationships are explored between clinic use and contraceptive use, demographic characteristics, social relationships, and contraceptive attitudes. The average adolescent was observed for 15 months and made 3.5 visits to the clinic. Twenty-two per cent of the adolescents never returned after an …
Development of Psychosocial Maturity
Many factors contribute to personality development; many factors remain essentially unexplored
Development of Psychosocial Maturity
Many factors contribute to personality development; many factors remain essentially unexplored
The relationship between identity status, locus of control, and ego development
Toward the development of an objective assessment of ego-identity status
Factors associated with adolescent use of family planning clinics
Clinic records were reviewed for a sample of 498 adolescent family planning clients to document clinic use patterns. For a subsample of 359 adolescents, relationships are explored between clinic use and contraceptive use, demographic characteristics, social relationships, and contraceptive attitudes. The average adolescent was observed for 15 months and made 3.5 visits to the clinic. Twenty-two per cent of the adolescents never returned after an …
Correlates of romantic attachment
Hospital Adoption of Laparoscopic Cholecystectomy
Fendrick, A. Mark MD*,†,‡,§,∥; ESCARCE, JOSÉ J. MD†,‡,§,∥; MCLANE, CLYDE BS§,∥; SHEA, JUDY A. PHD†,‡,§,∥; Schwartz, J. Sanford MD†,‡,§,∥ Author Information
SF-20 Score and Item Distributions in a Human Immunodeficiency Virus-Seropositive Sample
The question of whether the full range of possible health states is measured by the Medical Outcomes Study (MOS) 20-Item Short-Form Health Survey (SF-20) in human immunodeficiency virus (HIV)-seropositive individuals is examined in this article. Ninety-five HIV-seropositive men (37 with asymptomatic infection, 58 with symptomatic infection) from two primary care practices were enrolled. Patients completed the SF-20 evaluating six dimensions of he…
Performance of a new, HIV/Aids-targeted quality of life (HAT-QoL) instrument in asymptomatic seropositive individuals
How Practicing Surgeons Trained for Laparoscopic Cholecystectomy
Escarce, José J. MD, PhD*; Shea, Judy A. PhD*; Schwartz, J. Sanford MD*† Author Information
The limits of suffering
This study explores critical care nurses' beliefs, motivations, and experiences regarding end of life care. We performed a content analysis of the text comments provided by 468 U.S. critical care nurses in response to an anonymous mail survey about euthanasia. These comments reveal that these U.S. critical care nurses' feelings about issues surrounding the end of life are extremely complex. Eight themes emerged from 37 coded concepts, and the med…
A New HIV/Aids-Targeted Quality of Life (HAT-QoL) Instrument
OBJECTIVES: The objectives of this study were to identify quality-of-life concerns, as reported by human immunodeficiency virus (HIV) seropositive individuals, and to develop a measure to assess these concerns. METHODS: The HIV/acquired immunodeficiency syndrome (AIDS)-targeted measure was developed in two linked studies. In study one, group discussions with 42 HIV seropositive individuals were used to generate item content for the new measure. I…
Two approaches to measuring quality of life in the HIV/Aids population
Self-Reported Physician Specialties and the Primary Care Content of Medical Practice
BACKGROUND: Many internal medicine physicians report both primary and secondary specialties in the American Medical Association (AMA) Physician Masterfile. Usually, those represent combinations of general internal medicine and medical subspecialty practice. Whether reported specialty combinations can be used to assess the contribution of specialists to primary care is unknown. OBJECTIVES: To examine whether internists' primary and secondary speci…
Distrust of the health care system and self-reported health in the United States
Clinic-based Treatment for Opioid Dependence
Course evaluation in medical education
Differences in the Patterns of Health Care System Distrust Between Blacks and Whites
The development of the pediatric cardiac quality of life inventory
Disparities in Patient Satisfaction Among Hispanics
Risk Perceptions, Worry, or Distrust
External validity of the pediatric cardiac quality of life inventory
Influence of Maternal Health Literacy on Child Participation in Social Welfare Programs
We examined the influence of maternal health literacy on child participation in social welfare programs. In this cohort, 20% of the mothers had inadequate or marginal health literacy. Initially, more than 50% of the families participated in Temporary Assistance for Needy Families (TANF), the Food Stamp Program, and Special Supplemental Nutrition Program for Women, Infants, and Children, whereas fewer than 15% received child care subsidies or publ…
A Framework for Understanding Modifications to Measures for Diverse Populations
The issues open a dialogue about what appropriate guidelines would be for researchers adapting measures in studies of ethnically diverse populations
The Influence of Health Care Policies and Health Care System Distrust on Willingness to Undergo Genetic Testing
PURPOSE: As the potential role of genetic testing in disease prevention and management grows, so does concern about differences in uptake of genetic testing across social and racial groups. Characteristics of how genetic tests are delivered may influence willingness to undergo testing and, if they affect population subgroups differently, alter disparities in testing. METHODS: Conjoint analysis study of the effect of 3 characteristics of genetic t…
Prior Experiences of Racial Discrimination and Racial Differences in Health Care System Distrust
PURPOSE: Factors contributing to racial differences in health care system distrust (HCSD) are currently unknown. Proposed potential contributing factors are prior experiences of racial discrimination and racial residential segregation. METHODS: Random digit dialing survey of 762 African American and 1267 white adults living in 40 US metropolitan statistical areas. Measures included the Revised Health Care System Distrust scale, the Experiences of…
Medicine (38 obras) · Psychology (36 obras) · Nursing (18 obras) · Family medicine (17 obras) · Health care (14 obras) · Public health (14 obras) · Social Psychology (14 obras) · Environmental health (12 obras) · Political science (12 obras) · Sociology (12 obras)