ABSTRACT To investigate whether women between the ages of 14 and 25 years with a past unplanned p... more ABSTRACT To investigate whether women between the ages of 14 and 25 years with a past unplanned pregnancy were more likely to use a contraceptive method compared with women without a history of unplanned pregnancy. We analyzed baseline data of 424 nonpregnant women between the ages of 14 and 25 years enrolled in a randomized trial to prevent sexually transmitted diseases and unplanned pregnancy (Project PROTECT). Women at high risk for sexually transmitted diseases or unplanned pregnancy were included. Participants completed a demographic, substance use, and reproductive health questionnaire. We compared women with and without a history of unplanned pregnancy using bivariate analysis and log binomial regression. The prevalence of past unplanned pregnancy in this sample was 43%. Women reporting an unplanned pregnancy were older, and had less education, and were more likely to be nonwhite race or ethnicity. History of an unplanned pregnancy was not associated with usage of a contraceptive method (relative risk 1.01, 95% confidence interval 0.87-1.16) in bivariate analysis or when potential confounders were accounted for in the analysis (adjusted relative risk 1.10, 95% confidence interval 0.95-1.28). Several factors were associated with both unplanned pregnancy and overall contraceptive method use in this population. However, a past unplanned pregnancy was not associated with overall contraceptive method usage. Future studies are necessary to investigate the complex relationship between unplanned pregnancy and contraceptive method use. II-2.
The heavy reliance on single occupancy vehicles used by commuters is one of the most preventable ... more The heavy reliance on single occupancy vehicles used by commuters is one of the most preventable contributors to the carbon footprint of campuses and communities. Besides technical innovations, behavior change is pivotal to reducing SOV (single occupancy vehicle) travel. This proposal addresses the NEUTC theme strategic management of disruptive change in transportation systems. It is designed to apply the Transtheoretical Model of Change (TTM) to baby boomer populations to improve transportation choices, help the environment, and the quality of life in campus communities. Given the tremendous success of TTM in other areas of behavior change this team has developed an innovative project, which can serve as a model for sustainable transportation for campuses and communities nationwide. The work presented here reflects the findings of a multi-year, multi-site interdisciplinary project designed to promote alternative/sustainable transportation and to encourage mode shift from single occupancy vehicle commuting to transit, carpooling, walking or biking. A study of faculty, staff and students at two public universities in the Northeast was designed to develop and test the methodology of applying the TTM to transportation behavior.
Journal of Pain and Symptom Management, Oct 1, 2021
Context:Advance care planning remains underutilized. A better understanding of the role of educat... more Context:Advance care planning remains underutilized. A better understanding of the role of education in promoting engagement is needed.Objectives:To examine advance care planning knowledge and its relationship to engagement in middle-aged and older adults.Methods:This cross-sectional study utilized baseline data from 921 participants age ≥55 years enrolled in the STAMP randomized controlled trial, including a knowledge scale consisting of seven questions regarding the purpose and mechanisms of advance care planning and measures of participation.Results:Only 11.9% of participants answered all 7 questions correctly, and 25.6% of participants answered ≤ 3 correctly (defined as “low knowledge”). Low knowledge was independently associated with male gender (OR 2.1, 95% CI: 1.5, 3.0), non-white race (OR 1.5, 95% CI: 1.1, 2.2), older age (OR 2.2, 95% CI: 1.4, 3.4), lower income (OR 1.5, 95% CI: 1.1, 2.1), and lower education level (OR 2.9, 95% CI: 2.0, 4.1). Higher knowledge was independently associated with communicating with a loved one about quality versus quantity of life (OR 1.7, 95% CI: 1.2, 2.4) and with living will completion (OR 1.6, 95% CI: 1.0, 2.5), but not with healthcare agent assignment. Factors including race and education remained associated with engagement after accounting for knowledge.Conclusion:Knowledge deficits regarding advance care planning are common and associated with the same sociodemographic factors linked to other healthcare disparities. While improving knowledge is an important component of intervention, it is unlikely sufficient in and of itself to increase engagement.
Journal of the Transportation Research Forum, 2016
This paper presents findings of a two-campus project designed to assess alternative/sustainable t... more This paper presents findings of a two-campus project designed to assess alternative/sustainable transportation (AT), which is defined as commuting via non-SOVs (single occupancy vehicles) such as transit, carpooling, walking, or biking. One of the objectives was to test the application of a well-known behavior change model, the Transtheoretical Model of Change (TTM), to transportation behaviors. Additionally, geospatial analysis and visualization were applied using the TTM measures. The survey results show that commuting distances, transit connectivity, and status (i.e., students, staff, and faculty) affected commute modes and stages of readiness to use AT. Another important finding was that the survey data for AT replicated TTM relationship predictions between constructs and stages of change.
ABSTRACT To investigate whether women between the ages of 14 and 25 years with a past unplanned p... more ABSTRACT To investigate whether women between the ages of 14 and 25 years with a past unplanned pregnancy were more likely to use a contraceptive method compared with women without a history of unplanned pregnancy. We analyzed baseline data of 424 nonpregnant women between the ages of 14 and 25 years enrolled in a randomized trial to prevent sexually transmitted diseases and unplanned pregnancy (Project PROTECT). Women at high risk for sexually transmitted diseases or unplanned pregnancy were included. Participants completed a demographic, substance use, and reproductive health questionnaire. We compared women with and without a history of unplanned pregnancy using bivariate analysis and log binomial regression. The prevalence of past unplanned pregnancy in this sample was 43%. Women reporting an unplanned pregnancy were older, and had less education, and were more likely to be nonwhite race or ethnicity. History of an unplanned pregnancy was not associated with usage of a contraceptive method (relative risk 1.01, 95% confidence interval 0.87-1.16) in bivariate analysis or when potential confounders were accounted for in the analysis (adjusted relative risk 1.10, 95% confidence interval 0.95-1.28). Several factors were associated with both unplanned pregnancy and overall contraceptive method use in this population. However, a past unplanned pregnancy was not associated with overall contraceptive method usage. Future studies are necessary to investigate the complex relationship between unplanned pregnancy and contraceptive method use. II-2.
The heavy reliance on single occupancy vehicles used by commuters is one of the most preventable ... more The heavy reliance on single occupancy vehicles used by commuters is one of the most preventable contributors to the carbon footprint of campuses and communities. Besides technical innovations, behavior change is pivotal to reducing SOV (single occupancy vehicle) travel. This proposal addresses the NEUTC theme strategic management of disruptive change in transportation systems. It is designed to apply the Transtheoretical Model of Change (TTM) to baby boomer populations to improve transportation choices, help the environment, and the quality of life in campus communities. Given the tremendous success of TTM in other areas of behavior change this team has developed an innovative project, which can serve as a model for sustainable transportation for campuses and communities nationwide. The work presented here reflects the findings of a multi-year, multi-site interdisciplinary project designed to promote alternative/sustainable transportation and to encourage mode shift from single occupancy vehicle commuting to transit, carpooling, walking or biking. A study of faculty, staff and students at two public universities in the Northeast was designed to develop and test the methodology of applying the TTM to transportation behavior.
Journal of Pain and Symptom Management, Oct 1, 2021
Context:Advance care planning remains underutilized. A better understanding of the role of educat... more Context:Advance care planning remains underutilized. A better understanding of the role of education in promoting engagement is needed.Objectives:To examine advance care planning knowledge and its relationship to engagement in middle-aged and older adults.Methods:This cross-sectional study utilized baseline data from 921 participants age ≥55 years enrolled in the STAMP randomized controlled trial, including a knowledge scale consisting of seven questions regarding the purpose and mechanisms of advance care planning and measures of participation.Results:Only 11.9% of participants answered all 7 questions correctly, and 25.6% of participants answered ≤ 3 correctly (defined as “low knowledge”). Low knowledge was independently associated with male gender (OR 2.1, 95% CI: 1.5, 3.0), non-white race (OR 1.5, 95% CI: 1.1, 2.2), older age (OR 2.2, 95% CI: 1.4, 3.4), lower income (OR 1.5, 95% CI: 1.1, 2.1), and lower education level (OR 2.9, 95% CI: 2.0, 4.1). Higher knowledge was independently associated with communicating with a loved one about quality versus quantity of life (OR 1.7, 95% CI: 1.2, 2.4) and with living will completion (OR 1.6, 95% CI: 1.0, 2.5), but not with healthcare agent assignment. Factors including race and education remained associated with engagement after accounting for knowledge.Conclusion:Knowledge deficits regarding advance care planning are common and associated with the same sociodemographic factors linked to other healthcare disparities. While improving knowledge is an important component of intervention, it is unlikely sufficient in and of itself to increase engagement.
Journal of the Transportation Research Forum, 2016
This paper presents findings of a two-campus project designed to assess alternative/sustainable t... more This paper presents findings of a two-campus project designed to assess alternative/sustainable transportation (AT), which is defined as commuting via non-SOVs (single occupancy vehicles) such as transit, carpooling, walking, or biking. One of the objectives was to test the application of a well-known behavior change model, the Transtheoretical Model of Change (TTM), to transportation behaviors. Additionally, geospatial analysis and visualization were applied using the TTM measures. The survey results show that commuting distances, transit connectivity, and status (i.e., students, staff, and faculty) affected commute modes and stages of readiness to use AT. Another important finding was that the survey data for AT replicated TTM relationship predictions between constructs and stages of change.
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Papers by Colleen A Redding