Rachel Hess

..We hypothesize that nulliparous women will have more dissatisfaction with childbearing choices and more negative attitudes toward menopause but will experience fewer menopausal symptoms...

..The aim of this study was to determine the concordance of self- and physician-collected samples for VMI and evaluate participant preference for self-collection...

..Patients are responsive to technology. Future work should focus on diabetes-related outcomes assessment and intensifying interventions...

..To determine the impact of hormone therapy (HT) on health-related quality of life (HRQOL) during the menopausal transition and to examine variation based on menopausal symptom status...

..Patient-administered computerized questionnaires represent a novel tool to assist primary care physicians in the delivery of preventive health care...

..As women progress through menopause, they experience changes in sexual functioning that are multifactorial, likely encompassing biological, psychological, and social domains...

..Strengthened regulations concerning privacy of health information are affecting large-scale health outcomes research...

..However, little is known about what influences patients' desires to use this technology...

..44 mm Hg; SD 9.27). An Internet-based lifestyle intervention may overcome significant barriers to preventive counseling and facilitate the incorporation of evidence-based lifestyle interventions into primary care...

..This opposition stems from concerns about fairness and from the recognition that health systems may experience cost savings if patients manage their diabetes successfully...

..To examine patients' perception of how a referral-based online lifestyle intervention contributed to primary care medicine...

..We sought to understand the relationship among components of residency education about hormone therapy (HT), knowledge about HT, and provider attitudes toward HT during a time of rapidly changing practice guidelines...

..However, not all women with vasomotor symptoms, including frequent symptoms, are bothered by them. The primary aim was to identify correlates of vasomotor symptom bother beyond symptom frequency...

..Further study is needed to investigate the impact of a decline in mental health and social functioning on future weight regain...

..We examine the impact of menopausal status, beyond menopausal symptoms, on health-related quality of life (HRQoL)...

..We hypothesized that reported hot flashes would be associated with greater IMT cross-sectionally and with greater IMT progression over 2 years...

..We also examined the strength of association between (1) multidimensional health-related quality-of-life measures and IQOL and (2) psychosocial factors and IQOL...

..The aim of this study was to understand the association between sense of purpose in life and sexual well-being in a cohort of midlife women...

..We hypothesized that women with hot flashes would show reduced flow-mediated dilation and greater coronary artery and aortic calcification compared with women without hot flashes...

..Whereas partner availability and function probably play a role, menopausal symptoms, such as vaginal dryness, are also present. We examine the associations among vaginal dryness, dyspareunia, and frequency of sexual intercourse...

..This requirement is a challenge for programs that use a Veterans Administration Hospital (VA) as the sole site for residents' continuity clinic, because of its predominately a male patient population...

..However, few women discuss this issue with their providers or receive treatment...

..We sought to understand the associations among sleep disturbance and the frequency, bothersomeness, and interference of hot flashes in mid-life women...

..After menopause, leisure physical activity (PA) levels seem to decline for reasons that are not completely understood. This study examines the associations between PA, lapses in PA, and psychosocial factors in early postmenopausal women...

..Women with IUDs can undergo all forms of imaging, including computed tomography and magnetic resonance imaging...

..Our purpose was to estimate the effects of tamoxifen on potentially life-threatening vascular and neoplastic outcomes...

..Although obesity is increasing in older U.S. adults, treatment is controversial in this age group. We sought to examine evidence concerning obesity's health-related risks, diagnostic methods, and treatment outcomes in older individuals...

..Studies suggest that PCPs may deliver suboptimal CKD care. One means to improve PCP treatment of CKD is clinical decision support systems (CDSSs)...

..We explored perceived advantages and disadvantages of video dance as a personal exercise option in postmenopausal women...

..Knowledge concerning hormone replacement therapy (HRT) is rapidly changing...

..The routine use of HRQOL assessments in the care of patients with CKD represents an important opportunity for the nephrologist to better incorporate the values and concerns of the patient into their care...

..These data provide the first indication that particular CD8+ T cell phenotypes are associated with disease outcome following WNV infection...

This proposal is designed to provide Dr. Rachel Hess with the research experience and analytic skills to become an independent health services researcher emphasizing women's health and health related quality of life (HRQOL)...