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Item Barriers to Medicaid Enrollment: A Study of the Texas Healthy Kids Corporation(2000-12-01) Barlow, Daphne J.; Doug A. Mains; Sally BlakleyBarlow, Daphne J., Barriers to Medicaid Enrollment: A Study of the Texas Healthy Kids Corporation. Masters of Public Health (Health Administration), December, 2000, 38 pp., 18 tables, References, 13 titles. Recently Medicaid eligibility was expanded to include more children than ever before in Texas. However, many Medicaid eligible families have not obtained benefits. This study concerns potentially Medicaid eligible families who applied to the Texas Health Kids Corporation. A random telephone survey of these applicants examined the outcome of Medicaid eligibility notification. Data was analyzed to determine the predictors of attempting or completing an application. No significant sensitivity to profilers such as primary language, race/ethnicity, education level or age was detected. Instead, having prior knowledge of Medicaid eligibility and being female were predictive factors to consider when engineering outreach programs. While these results indicated a statistical significance, further study of repeat notification and gender in order to conclusively recommend policy change. These results have implicated for the Texas CHIP program.Item Converting from Paper-Based to Electronic Data Capture and Record Keeping in Clinical Trial Management: Benefits, Challenges and Practical Considerations(2015-12-01) Castle, Colton; Gwirtz, Patricia A.; Bell, April M.; Hodge, Lisa M.Clinical research has lagged behind the technological advance of other healthcare fields. Most investigational sites depend on a paper‐based data capture and record retention system. This practicum project examined the various benefits and challenges of electronic data capture and electronic record keeping systems. Electronic systems can improve data integrity, reduce trial cost and increase efficiency in the course of a clinical trial. However, electronic systems can also pose some challenges, including implementation and training cost, decreased productivity, and issues with data security and health record privacy. This project discussed some practical considerations for investigational sites transitioning to electronic systems. These aims were accomplished by review of the literature and consulting investigational sites through an email questionnaire.Item Development of a Subjective Comfort Questionnaire for Hydrogel Contact Lens Wearers(2003-12-01) Hays, Brian Hunter; Sheedlo, Harold; Stein, Jerry; Atiles, LuisThroughout this paper it is written that I would complete this study in its entirety. Due to time constraints and the length of this study, it was planned from the beginning that I would only accomplish the beginning phases, phases one and two. The reason why this paper was written this way, planning the complete research plan, is to aid the individuals that will finish this study in its entirety. I. Purpose. The purpose of this project is to develop a questionnaire that can be used as a tool to measure the subjective symptoms of ocular comfort or discomfort reported by soft contact lens wearers. After a questionnaire has been developed, it will be tested to determine its reliability and validity in capturing the ocular sensations experienced by hydrogel contact lens wearers. II. Overview of the study. The research for the study will be conducted in six phases while pursuing three specific aims. The phases will consist of: A. reviewing literature in the form of reported soft contact lens symptomatology and interviewing skill improvement, compiling and B. examining previously developed questionnaires, developing open-ended interview questions and collecting data from the field. C. developing preliminary questionnaire items based on data gained during the first phase. D. administering the preliminary questionnaire to receive feedback from volunteers with regards to each item’s appropriateness, and tallying the volunteer's responses to graphically analyze each item’s answer distribution. E. refining each item based on the data obtained during the third phase to create a revised draft of the questionnaire. F. determining if the revised draft conveyed and captured the ideas reported by the volunteers by receiving feedback after it is administered. G. demonstrating reliability and validity by psychometrically validating the questionnaire. During each administrational phase of the study (phases three, five and six) two groups of volunteers will be used to gain a broader spectrum of data. Each group will be composed of a sub-set of previously interviewed volunteers and a sub-set of new volunteers. Before any information is obtained, a confidentiality agreement will be discussed with each volunteer. All volunteers will be given a simple, easy to read informed consent form and a randomly assigned number.Item Presentation of a Sample Case Studies from a Phase 4 Clinical Trial, "Communit-Based Research Assessment Investigating Clobetasol Proplonate 0.05% Spray for the Treatment of Chronic Plaque Psorias - The COBRA Trial"(2008-03-01) Kulkarni, Gopal; Gwritz, Patricia A.; Colon, Luz E.; Johnson, Lori A.Internship Project. Title of the Project. Presentation of Sample Case Studies from phase 4 clinical trial, “Community-Based Research Assessment Investigating Clobetasol Propionate 0.05% Spray for the Treatment of Chronic Plaque Psoriasis- the COBRA trial” Specific Aims. The specific aims of the practicum were to: 1) Select 50 subjects who had photographs available from the Data Listing (database) of the COBRA trial subjects; 2) Collect data for each case from the database provided; 3) Classify the collected data into efficacy, safety, subject satisfaction, compliance and quality of life evaluations; 4) Generate a presentation (slide kit) of the selected case studies for educational and training purposes. Signficance. Case study presentations are a tool to demonstrate the performance of a drug used in a clinical trial. Due to the large scale of the COBRA trial, there was to a need to generate a reference presentation using data belonging to a sample of subjects from the trial. This reference presentation may be useful for educational and training purposes. This chapter describes the process of development of these case study presentations from the data obtained in the COBRA trial.