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Some Lone Tree residents may already be signed up for a previous system that all jurisdictions within the county used. County and municipal agencies are no longer using that system. Though contact information was transferred to the new system, it is suggested all residents and businesses sign up for the new system to ensure they are included in this important effort.
Like the former system, CodeRED alerts may be implemented in situations such as police activity in the area, an Amber Alert, wildfires or other emergency incidents. However, the system does not include weather alerts. The City of Lone Tree encourages residents and businesses to stay tuned to weather radios and local media for information during severe weather.
In order for CodeRED to perform at its best, it needs an accurate database of contact information, associated with addresses. That's why the public's help is needed. To ensure your information is included in this database, you must sign up. Registering is free.
Required information includes: First and last name, street address (no P.O. Boxes), city, state, ZIP code and primary phone number. All data will be kept confidential.
Residents can also sign up using cell phone numbers and emails, because dispatch centers can also use CodeRED to send messages via text message or email. Signing up allows residents to set their contact preferences. Should residents move, they will need to register again with the new address.
9220 Kimmer Dr., Suite 100
(303) 708-1818
© The City of Lone Tree


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The Northwest Film Center presents
A SPECIAL COMMUNITY SCREENING OF MIND ZONE: THERAPISTS BEHIND THE FRONT LINES--A rarely seen glimpse of psychology in war zones
July 19 at 7 p.m.
Northwest Film Center welcomes Jan Haaken (QUEENS OF HEART, GUILTY EXCEPT FOR INSANITY) for a work-in-progress screening of her new film about the work of clinicians that deploy with Army combat stress control units in Afghanistan. Their mission is to help protect soldiers from battle fatigue and post-traumatic stress—while keeping them battle-ready. Although the team is equipped with a wide arsenal of psychological techniques, the reality of balancing soldiers' interests with the Army's needs confronts sobering front-line realities and raises disturbing questions about the psychological costs of warfare. (50 mins.)
The event is an opportunity for community members and supporters to comment on the production before final completion. Discussion with director follows the screening.
See Mind Zone: Therapists Behind the Front Lines as part of the Film Center's Northwest Tracking Series, which showcases the work of independent filmmakers living and working in the Northwest—Alaska, British Columbia, Idaho, Montana, Oregon, and Washington.
The Northwest Film Center is a regional media arts resource offering a variety of exhibition and education programs to the residents of the Northwest. The Center's Whitsell Auditorium screens a program of foreign, classic, experimental, and independent works year-round. For more information, visit www.nwfilm.org.
Northwest Film Center's Whitsell Auditorium Portland Art Museum—1219 SW Park Avenue
Admission: $9 General; $8 Students, Seniors
Advance tickets: http://www.nwfilm.org/screenings/41/429/#2486
Watch the Democracy Now! interview with director Jan Haaken: http://www.democracynow.org/2012/3/16/mind_zone_new_film_tracks_therapists
BACKGROUND: Dr. Jan Haaken, professor emeritus of psychology at Portland State University, a clinical psychologist and documentary filmmaker, followed the 113th Combat Stress Control Unit through their pre-deployment training at Fort Lewis-McChord before embedding with the unit as they deployed to Kandahar, Afghanistan in summer 2011. Filming included clinicians working at the Portland VA Medical Center and resiliency training through the Oregon Army National Guard.
For further information, go to www.mindzonemovie.com.
Contact Jan Haaken at firstname.lastname@example.com, phone 503.657.1601
# # #
Contact: Jessica Lyness, PR/Marketing Manager
503-221-1156 x 14 | email@example.com
Thursday, July 5, 2012


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Lipscomb senior track and field athlete John Clevenger will be writing a blog for the remainder of the year describing track meets and the happenings around the program. Clevenger is a native of Chattanooga, Tenn.
Most athletes would agree that being on an athletic team at Lipscomb is like being in your own elite social club. Practices are like pledging and competition is like formal events.
You develop a closer bond with the people on your team because you lift, run, sweat, win, and lose with them. Anybody can give you a summary of the game. They can tell you the score. They can give you a player-by-player stat recap. They can tell you who won and lost.
The things that they cannot tell you are what went on behind the scenes. These are the little secrets that form the foundation resulting in a team that is built to succeed.
This week the Lipscomb Track & Field team split up into two teams. One team (the middle distance group) flew out to Boulder, Colo., where they competed in the 800, 4x4 and 1500. The other group traveled down to Birmingham, Ala., for the second weekend in a row. I was a part of the second group. We ran, jumped, vaulted, and threw at Samford University in their Samford Multi and Invitational Meet. We did well as a team, and I feel that we were pleased with how the meet went.
It was difficult at times to focus on the meet. Everyone is technically on spring break. It was hard to focus on the events and competition when the dreams of being on the beach were just on the other side of the meet.
We were forced to find ways to entertain ourselves and keep morale for the Bisons up. I am going to tell all of you about how the track & field team finds ways to have some good old Lipscomb approved fun and love doing it.
When we first got to Samford, we found out the heptathlon had already started. This is a grueling event because it forces the entry to compete in seven events over the course of two days.
Unfortunately, our teammate Katie Collier had arrived late, and she had missed the first event, the 100-meter hurdles (one of her better events). But Katie is a singular fighting Bison. She knew she was going to need to perform well in the remaining events to make up the points, and with the help of her team she did.
Here's the thing about a collegiate track and field team: there's like 80 of us. When you compete, you've got your own fan nation. We were stomping and cheering, hootin' and hollerin'. Once the Track & Field Bisons start cheering we don't let up until the last event is completed.
The last event of the first day was the long jump. We had three entries and the biggest cheering section at the meet. We had Caleb Love, Nelson Scott, and Jalen Thompson jumping. It was around 8:30 p.m. and the team hadn't eaten since lunch. But if you were another team at the meet you wouldn't have been able to tell that because we were having an absolute blast cheering for our teammates, and they all jumped really well. When they finished, we were done for the day.
Coach Luke Syverson had the bus driver take us to a shopping center in Birmingham for dinner. We were allowed to go to the restaurants that lined the parking lot of the mall. There were three options Olive Garden, California Pizza Kitchen and Ruby Tuesday's. The team broke up into three groups. I chose to go with the Olive Garden crowd.
Logan Ray, another senior, and myself walked off early from the bus meeting because the speech about keeping up with receipts and the change hasn't changed in four years. We've heard it, and we know what to keep up with.
We also knew that we could better serve our team by going ahead to Olive Garden and getting in line because it was Friday night and we wanted a table for 26 people. We had already counted the Olive Garden crew and went on our way to make a reservation.
We were casually walking when we heard a stampede behind us. Next thing we knew, we were lying face down on the ground, having been trampled by five or so freshmen who thought that they needed to get their own small table in order to get food faster.
A little agitated by the immaturity of the freshmen, the senior in me wanted to tear into them with yelling and screaming. But the maturity that comes from being an upperclassman provided a better way to handle the situation.
When we arrived at Olive Garden, Logan and I, along with one of our captains Adam Austin (affectionately called Space), went to get in line for a table big enough for 26 people. They told us that it would take about 35-to-45 minutes for a table, so we went outside to relay the information to our group.
We told them about the wait time and that if people didn't want to wait that long they could go to one of the other options. Well, that group of freshmen who sprinted to the restaurant started poking fun at the rest of the team saying that they only had to wait 10-to-15 minutes. The seniors then calmly and appropriately worked together to teach an important lesson to some of the freshman class.
Space said, "Hey, that's cool. I'm glad you guys are getting a table that fast."
To which Logan added, "Yeah, I don't think I would want to sit in a separate group at a place as pricey as this."
The freshmen were still laughing at their unknown failure.
"Yeah guys," I added, "How much are you all expecting to pay? I mean, this is a pretty pricey sit-down and eat kind of place. I couldn't imagine paying that much out of my own pocket when coach offered to get us dinner."
That's when the looks of concern and confusion began to creep into their eyes.
One freshman asked, "The team isn't paying for dinner?"
I smiled as Space said, " Oh, the team is paying for dinner, but you have to sit with the team."
They began to panic.
"We are sitting with the team," they said. Yeah, all five of us are on the team. Why can't the team pay for our table too? This isn't fair!"
Logan calmly held up the buzzer that restaurants give you when you place a reservation and said, "This is for the team table, and we put in a reservation for 21 people."
Space held up the money and said, "This is the team's eating money. I've got to get a receipt and exact change to avoid an NCAA violation coming down on us."
I added, "Yeah, two receipts just wouldn't work out. There's too much room for error. It's probably safer for you all to just pay for yourselves."
They looked so sad.
Space laughed and told them, "We're just kidding. The reservation is for 26. You guys can sit with us."
To which I clarified the lesson we were trying to teach, "But from now on, you guys need to know that if we rode here as a team, then we are going to sit together and eat together as a team."
They got the message. They returned their buzzer and apologized to the maître d.
The food was delicious. Everyone ordered water to drink and pasta to eat, and everyone filled the air with stories and laughter. It was a fantastic time. When it was time to go, we paid our bill, got our receipt and change, and then we went on our way. Now, is when everyone started to just get goofy and have fun.
As I mentioned earlier, the last event that we saw was the men's long jump. We only sent one Bison to finals at this meet, and it was our sophomore, Caleb Love. He had a huge personal best, and he was still riding that victory.
After we left the restaurant he was running around outside. He wasn't really running from the group so much as just running with us. He was talking to one of our girl jumpers, a freshman named Bethany Imperial, when he ran face first into a stop sign.
It was almost cartoonish the way that his face stopped moving when it made contact with the sign but his feet kept going forward. He reached a parallel position to the ground and then he plummeted to it. He let out this muffled sound of sheer pain as he cupped his hands to his nose and mouth.
Everyone gathered around him and we were all genuinely worried about him. Bethany felt terrible and was about to cry when Caleb sat up and started laughing. He had meant to run into the sign, and had actually hit it with his hand. He wasn't hurt. He was just pulling a prank on us. Bethany got a little mad that he had gotten her so worried, but she was mostly glad that he wasn't hurt.
We got on the bus and continued to the hotel. Everyone got his or her rooming assignments, went upstairs, and turned-in for the night. We woke up the next morning and went straight to the track. The day started at 9:30 a.m. for the Bisons. We cheered louder than any other team all-day long until after our final thrower, Houston Ward, heaved his final shot put at 8:45 p.m.
We cheered for over 11 hours of events and competition. Lipscomb should be proud not only of the performances by the track team on the results sheets, but also by our attitudes and camaraderie off of the track as well.
As I said, it was a good meet for us, but there is always room to improve. We will keep training, competing, and in the end no matter what we will always give the glory to God. Win or lose, we are Bisons.


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Wednesday, July 15, 2009
Wordless Wednesday: In Our Yard Today
3 comments:
I LOVE gold finches. I haven't been a very good bird feeder in the past two summers. The feeders are all still up, but no food. I meant to correct that situation this summer, but here it is almost August and I haven't been to the bird store. I love your little fellow.ReplyDelete
Yup, we love him, too. We're getting a lot of action - finches, sparrows, cardinals, nuthatches, woodpeckers, plus ground feeders. There's a blackbird who's big enough to cause the cage (i.e., the squirrel-proofing mechanism) to go down, but he can still get his long beak in there. The woodpeckers are as stunning as this finch, with very strong contrast in the black and white markings. I'm a beginner, so it's still work figuring all the different types. Sometimes all four ports are filled, with three or four more hanging on and a bunch lined up on the deck railing waiting for their turn. And the fights are hysterical. Little birds can be so fierce! We eventually want to get a couple more feeders, but first we're going to get a birdbath. So now we're going to be not just crazy little old cat people, but crazy little old bird people, too.ReplyDelete
Pretty pictures-pretty yard!ReplyDelete


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India & History's Ghosts: Raqs Media Collective
6:30pm October 29, 2014
Diana Event Oval, Barnard College
This event is free and open to the public.
About the event:
The Barnard International Artists Series is proud to welcome the Delhi-based trio Raqs Media Collective: Jeebesh Bagchi, Monica Narula and Shuddhabrata Sengupta. The work of these world-renowned artists is located at the intersection of contemporary art, historical enquiry and philosophical speculation. In part, their work is a response to history's ghosts, restlessness, and today's India. In the words of The Guardian: "They make videos, high-tech objects, installations and online projects exploring a world reshaped by globalization." This will be a rare opportunity to hear the artists discuss their work and the ideas that inspire them.
About Raqs:
Raqs Media Collective is a group of three media practitioners—Jeebesh Bagchi (New Delhi, 1965), Monica Narula (New Delhi, 1969) and Shuddhabrata Sengupta (New Delhi, 1968)—based in New Delhi. Raqs is best known for its contribution to contemporary art, and has presented work at most of the major international shows, from Documenta to the Venice Biennale; but the collective is active in an unusually wide range of domains, and it is perhaps this breadth that gives their work its originality and scope. In 2008, the members of Raqs were co-curators of the European Biennial of Contemporary Art. More recently, their work has been exhibited at the Baltimore Museum of Art; the Ullens Centre for Contemporary Art in Beijing; the Contemporary Art Centre, New Orleans; The Photographers' Gallery, London; and Frith Street Gallery.
Join us for an interdisciplinary conversation exploring how food shapes culture and politics.
SNEAK PREVIEW: Faculty panelists offer insights from their research.
What is misogyny, humanly and socially? And why have commentators leveled the charge against "Just Like a Woman" and other Bob Dylan classics?


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Subscribe To Johnny Depp May Be Joined By Gwyneth Paltrow And Ewan McGregor In Mortdecai Updates
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Johnny Depp won't be the only A-lister starring in the upcoming mystery film Mortdecai. According to Variety, Gwyneth Paltrow and Ewan McGregor are now both in talks to co-star in the movie, which is being directed by Premium Rush's David Koepp.
Based on the book "The Great Mortdecai Moustache Mystery" by English author Kyril Bonfiglioli and adapted by On The Line screenwriter Eric Aronson, the story centers on a rogue/art dealer named Charles Mortdecai who travels around the world on the hunt for a stolen painting that contains a code that will give him access to a bank account filled with Nazi gold. Along the way he must face off against Russian gangsters, agents from MI5, his wife, and an international terrorist. Unfortunately, the trade doesn't specify what roles Paltrow and McGregor will be playing in the movie. The book the story is based on is actually the first in a trilogy, so it's possible that this could be the start of a franchise for the stars involved.
The film is coming along faster than it was originally expected to.When Depp walked away from the Whitey Bulger biopic Black Mass in May it opened up a hole in his schedule that Mortdecai now looks to fill. Lionsgate is fast tracking the project and apparently they are looking to get cameras rolling before the end of the year. Depp will next be making Rob Marshall's Into The Woods at Disney and at the start of 2014 he will begin shooting Pirates of the Caribbean 5. The movie will be the second time that the star has worked with Koepp as a director, as they previously collaborated on the horror film Secret Window.
Though she's only been in one movie so far in 2013, Paltrow is having a pretty damn good year - after all, that particular title is ranked as the fifth highest grossing film of all time worldwide. She'll soon be seen in the sex addiction dramedy Thanks For Sharing, which will be in theaters on September 20th. She could potentially have a role in Joss Whedon's upcoming The Avengers: Age of Ultron, but with Iron Man 4 not coming any time in the foreseeable future, she could have some time on her schedule to potentially start a new franchise.
McGregor's 2013, meanwhile, has had its ups and downs. While he earned positive marks for the Oscar-nominated drama The Impossible, critics were much less kind to Bryan Singer's Jack The Giant Slayer. He will soon be back on the big screen in the adaptation of the Tracy Letts play August: Osage County - which pairs him with great actors like Meryl Streep, Benedict Cumberbatch, Julia Roberts and more - and he most recently worked on the much-discussed western Jane Got A Gun.
If production on the film is starting up before the end of 2014, we can probably assume that Lionsgate will release the movie in either the summer or fall of 2014. Stay tuned for updates.


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Mason's Retreat
G.K. Hall, 1996 - Fiction - 402 pages
Unfolding with the grandeur and suspenseful inevitability of real life, Mason's Retreat tells the story of a family on the Eastern Shore of Maryland on the eve of World War II. After many years of extravagant expatriate living in England, Edward and Edith Mason and their sons, Sebastien and Simon, sail to America to take up residence at the Retreat, the crumbling Mason family estate on the Chesapeake Bay. A man of large appetite and grand illusion, Edward Mason is determined to make a go of it as a gentleman farmer, even though events always seem to conspire against him. Edith and their two sons begin to flourish in America, tasting for the first time the happiness that comes from a sense of freedom and belonging. Yet the family's drift toward destruction inexorably quickens, exposing at the heart of this remarkable novel the powerful interconnections between character, history, and fate; the isolation of class and race; and the corrosive effect of secrets within a family.
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MASON'S RETREATUser Review - Kirkus
A superb first novel from Tilghman (the collection In a Father's Place, 1990) that portrays with tenacious intelligence and wrenching intensity the nuances of family unhappiness and conflict. The ... Read full review
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The author of In a Father's Place (LJ 5/15/90) writes of a family's return to their ancestral land in Maryland after residing in England for many years. Read full review
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ain't answered Aquitania asked bastien Bitsy boat boys breath cattails Chester River Christopher Tilghman colored creek damn dark door Eastern Shore Edith Mason England everything eyes face farm father feel felt gone hand happen Harry Hazelton head hear heard imagine Kent Island kitchen laughed light living looked Loretta Mansion House Maryland Mason Mason Creek McCready McCready's Miss Edith Miss Mary Miss Mary's Mister Ed Mister Edward morning mother moved Nancy Cooke never Neville Chamberlain night Normandie Okay Paca perhaps plans pulled Retreat Robert sail Sebastien knew seemed shack side Simon sitting smell smile sound stood stopped sure talk tell thank things thought Tolchester Beach told took truth trying Tuckertown turned Valerie voice waiting walked wanted ward watched wind Winnetka winter woman women wondered


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KARNS CITY — Dalton Beham understands and appreciates Karns City football tradition.
This year, he became a big part of it.
The Gremlins' senior running back rushed for 1,343 yards and 26 touchdowns — including playoffs — this season. He scored 120 points during the regular season to capture the Butler Eagle Scoring Trophy.
Beham edged out Grove City's Trey Adams (118 points) to lead the Butler County area in scoring. Butler's Luke Michalek was third with 90 points.
He becomes the seventh Karns City player to win the trophy, joining Rick Belles (1993), Jeremy Scherer (1995), Billy Graham (2001), Matt Carnahan (2002), Josh Fiscus (2003-04) and Kaiden Powers last year.
"It's an honor," Beham said of gaining the trophy. "It's a tribute to our offensive line as much as anything. Those guys helped me achieve what I did."
So did off-season work in the weight room.
"Dalton's always had the speed and the quickness," KC coach Ed Conto said. "After his junior season, he worked hard the entire off-season.
"From being an average back, he turned himself into a very good back."
Beham has been playing football since age 7, when he joined the East Butler Bulldogs. He will not be playing college ball, pursuing a career as an electrician or some type of machinist work instead.
"I'm going right into the work force," said Beham, who has been taking Vo-Tech classes. "But I loved playing football. Growing up, I couldn't wait to put on this uniform.
"I admired guys like Glenn Toy and Tristan Rhoades as I was coming up through the system. I wanted to be like them."
Rhoades was a junior wide receiver at Allegheny this season who was second on the team with 41 receptions for 759 yards and five touchdowns.
"Both of those guys battled injuries here," Conto recalled. "Glenn Toy lost his senior year to an injury or he might have run for 2,000 yards. He was that good.
"Dalton won that trophy this year despite his sprained ankle. That coat him two and a half games. The fact he was still able to win it — along with the fact we use so many kids in the running game — shows how productive he was."
Beham sprained his ankle in the sixth week of the season.
He admitted the sprained ankle bothered him later in the year because "that kind of thing never goes away." But he learned to deal with it.
"I just had to fight through it if I was gonna play," he said.
Though Beham's last game was a 67-17 PIAA Class 3A playoff loss to Sharon, he rushed for 188 yards and a touchdown in that contest.
"We got beat pretty good, but Dalton still did his thing," Conto said. "They didn't stop him.
"He could have made a good slot-back for a Division III college team, no doubt in my mind. He has very good hands. But he's preparing himself to make a good living and he'll do that."
Conto was familiar with the Eagle Scoring Trophy before even coming to Karns City. A few of his A-C Valley players won the award when he was coaching the Falcons.
A-C Valley graduate Jason Hackwelder, the 1996 winner, was running backs coach for Karns City this year.
"Jason enjoyed playing a part in helping Dalton win it," Conto said.
And Beham is grateful for having his name put on the trophy with so many Gremlin running backs before him.
"My goal this year was to have a 1,000-yard season," he said. "Now to be part of this ... It means a lot."


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Satellite Healthcare is a successful, nonprofit organization that has improved the lives of people living with kidney disease since 1973. We earn our national reputation for excellent patient care each day by offering a complete range of dialysis therapy choices, personalized clinical services, and unparalleled wellness education.
Satellite Healthcare provides expert, personalized kidney care at over 80 centers across the U.S. as well as at acute dialysis locations in California and Texas. Learn more about Satellite Healthcare at www.satellitehealth.com.
The Float Pool Nurse functions as a coordinator of patient care collaborating with other care providers and health team members to provide required care. The Float Pool Nurse acts as a patient teacher and advocate, assisting the patient in seeking information, assuring the patient has the opportunity for informed consent for treatment decisions, and promotes the maximum level of patient-desired independence.
The Float Pool Nurse is an integral part of the team with the opportunity to utilize the nursing care processes across multiple modalities to include Chronic, Home Therapies and Acutes. The Float Pool Nurse floats to a variety of centers as needed to meet staffing needs, and is available for assignment on an ad hoc basis, usually to assist in times of unusually heavy workloads or to assume the duties of absent nursing personnel.
The Float Pool Nurse will maintain adherence to duties and functions identified to the modality specific descriptions for Staff Nurse, Advanced Beginner Home Therapies Dialysis Nurse and Acute Dialysis Nurse.
Essential Functions: The essential functions listed are not a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. All employees must work in accordance with Satellite's I-CARE Standards. Employees must abide by all Satellite's standards of patient care, patient's rights and ethical treatment, and adhere to safety and quality programs.
Minimum Qualifications : Education: Graduation from an accredited nursing school or equivalent, BSN preferred
Minimum Knowledge, Skills & Abilities:


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Adherence to Self-care Regimens for Young People With Food Allergy
|The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
|ClinicalTrials.gov Identifier: NCT01006382
Recruitment Status : Completed
First Posted : November 2, 2009
Last Update Posted : June 22, 2011
|Tracking Information
|First Submitted Date
|October 30, 2009
|First Posted Date
|November 2, 2009
|Last Update Posted Date
|June 22, 2011
|Study Start Date
|January 2010
|Actual Primary Completion Date
|March 2011 (Final data collection date for primary outcome measure)
|Current Primary Outcome Measures
|Self-reported adherence to self-care regimens of adolescents and young adults with food allergy [ Time Frame: Upon receipt of questionnaire ]
|Original Primary Outcome Measures
|Same as current
|Change History
|Complete list of historical versions of study NCT01006382 on ClinicalTrials.gov Archive Site
|Current Secondary Outcome Measures
|Not Provided
|Original Secondary Outcome Measures
|Not Provided
|Current Other Pre-specified Outcome Measures
|Not Provided
|Original Other Pre-specified Outcome Measures
|Not Provided
|Descriptive Information
|Brief Title
|Adherence to Self-care Regimens for Young People With Food Allergy
|Official Title
|To What Extent do Social Cognition Models Explain Adherence to Self-care Regimens in Adolescents and Young Adults With Food Allergy
|Brief Summary
Anaphylaxis is a severe and potentially life threatening allergic reaction which can affect the airway, breathing and/or circulation. This reaction can be triggered by a number of different allergens but the most common are food, medications, insect venom and latex. Because these reactions occur suddenly and are potentially very serious, the best management lies in the correct use of the prescribed emergency medication. Epinephrine, or adrenaline as it is more commonly known, is the recommended drug for the treatment of anaphylaxis. Injecting the epinephrine into the outer thigh muscle is the preferred route of administration. For health professionals, patients and carers, this rapid administration is facilitated by the manufacture of preloaded syringes and autoinjectors. Despite the availability of these devices, a review of studies shows poor knowledge and skills amongst both health professionals and patients with regards to using autoinjectable epinephrine devices correctly. These studies found that as well as poor knowledge in using the autoinjectors, there was a lack of confidence amongst patients and an unwillingness to carry the device with them at all times.
In other disease groups like asthma and diabetes, psychological models which involve asking people how they think about their illness and their related behaviours, have been found to help in the understanding of why some people follow or adhere to health professionals advice and why others do not. Based on these findings, this study will look at two appropriate psychological models and their ability to predict variation in adherence to self-care regimens in adolescents and young adults with food allergy related anaphylaxis.
|Detailed Description
Study Design: Cross-sectional comparison of the Self Regulatory Model (Leventhal, 1984) and The Health Belief Model (Rosenstock, 1966) by which the models will be used to predict and understand adherence to selfcare regimens of adolescents and young adults with food allergy.
Proposed Sample Size / Power Calculations:
The power calculation was based on multiple regression analysis for all predictor variables, 25 in total. To predict a minimum of 10% of the variance in adherence with an alpha=0.05 and power=0.90, a minimum proposed sample size of 275 participants will be needed. A 40% attrition rate has been anticipated due to the use of postal questionnaires and so a minimum of 459 participants will need to be recruited.
Analyses Nonparametric item response theory analysis, univariate correlations and multiregressional analysis for predictor models will be conducted. Structural equation modelling will also be applied to assess the goodness of fit of the two social cognition models.
Setting This study will be based in an outpatients setting and in the community. Participants will be identified and recruited from their hospital allergy clinic either whilst attending an appointment or from a hospital mail out. The third method of recruitment will involve participants from a convenience sample of the universities of Sussex and Brighton.
Procedure Phase 1 Recruitment and consent The recruitment of study participants will involve three methods. The first method will involve recruiting participants in person from their hospital allergy clinic. Eligible individuals identified by clinic staff will be given a participant information leaflet and asked if they are interested in taking part in the study. Once verbal consent is given, participants will be directed to the chief investigator who will be present in clinic. Interested individuals would then have the opportunity to discuss the research with the chief investigator and/or the clinic staff. If still interested, individuals (aged 16-21 or parents of those aged 13-15) will be asked to sign two consent forms (one copy to keep for themselves) and be given a questionnaire. The participants will be given the opportunity to complete the questionnaire within the clinic, or take it home to complete. If the latter option is chosen, a freepost envelope addressed to the research team will be provided. Participants will also be given a correspondence slip on which to write their contact details to return separately to the research team if they are interested in receiving a summary of findings.
The second method of recruitment will involve a patient database search by clinic staff and subsequent mail out to eligible individuals. Clinic staff will search their patient records for individuals who fit the inclusion criteria. The consultant in charge will confirm their eligibility and sign the invitation letter prepared on hospital headed paper. This will be put in an envelope together with the participant information leaflet, two consent forms (one copy for the participant to keep and the other to be returned), the questionnaire, future correspondence slip and freepost envelope addressed to the research team.
The third method of recruitment will be a convenience sample through the Universities of Sussex and Brighton. A generic email will be sent to staff and students consisting of the participant information leaflet and detailing the main inclusion criteria. Individuals who are eligible and interested in taking part in the research will be asked to reply to the email with their contact details. Similarly to those recruited from the clinic mail out, these participants will be sent a pack containing another participant information leaflet, two consent forms, a questionnaire, a correspondence slip and a freepost envelope addressed to the research team.
Phase 2 - Questionnaire In order to measure the models, carefully constructed and piloted questionnaires have been developed. Each participant will be asked to complete one questionnaire on one occasion. The questionnaire will collect demographic details, assess knowledge of how and when to use medication, confidence in the individual's own ability to use the medication, management of food allergy, the Revised Illness Perception Questionnaire (Moss-Morris et al., 2002) which is the validated questionnaire to measure items from the Self-Regulatory Model (Leventhal, 1984), items which relate to factors found within the Health Belief Model (Rosenstock, 1966) and finally the Revised Life Orientation Test (Scheier et al., 1994). The questionnaire completion time has been confirmed with individuals within the targeted age range and is expected to take no longer than 40 minutes to complete. In order to improve the response rate of questionnaires, a second mail out will be sent to all eligible participants one month after the initial mail out.
Phase 3 - Feedback to participants Those participants who expressed an interest in receiving a summary of findings and provided contact details will be sent a summary document upon completion of the study.
Measures Demographic/background Participants will be asked their age, gender, ethnicity, size of family, history of food allergy and anaphylaxis, use of the emergency medication autoinjectable epinephrine, membership of an allergy support group, possession of a management plan for their food allergy.
Knowledge Knowledge about how and when to use an autoinjectable epinephrine device will be measured and the individuals confidence in their ability to do so correctly will also be looked at. This will enable us to explore whether underuse is as a result of poor knowledge or whether this can be better explained by other factors.
Adherence Adherence will be measured by asking participants about their current methods of managing their food allergy. This will include questions on allergen avoidance and carrying emergency medication (auto-injectable epinephrine and additional medicines they may use to treat their food allergy).
Revised Illness Perception Questionnaire (Moss-Morris et al., 2002), Health Belief Model (Rosenstock, 1966) items and the Revised Life Orientation Test (Scheier et al., 1994) The Revised Illness Perception Questionnaire (Moss-Morris et al., 2002) measures constructs from the Self-Regulatory Model (Leventhal, 1984) which include symptoms, the duration of food allergy, the consequences of having food allergy, the personal control an individual feels they have over their food allergy, the amount the individual feels the treatment can control their food allergy, emotions they associate with their food allergy, how much they comprehend their food allergy and what they believe are the causes. The Health Belief Model (Rosenstock, 1966) similarly looks at attitudes but in this case how susceptible and serious individuals feel suffering an allergic reaction would be, the barriers and benefits to following recommended advice and what prompts these individuals to follow this advice. The Revised Life Orientation Test (Scheier et al., 1994) will also be measured to determine levels of optimism which has been found in other studies to impact on the way participants respond to items on questionnaires.
|Study Type
|Study Design
|Time Perspective: Cross-Sectional
|Target Follow-Up Duration
|Not Provided
|Not Provided
|Sampling Method
|Non-Probability Sample
|Study Population
|Hospital and community sample
|Food Allergy
|Not Provided
|Study Groups/Cohorts
|Adolescents and young adults with food allergy
Adolescents aged 13-21 years with a diagnosis of food allergy
|Publications *
|Not Provided
* Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
|Recruitment Information
|Recruitment Status
|Estimated Enrollment
|Original Estimated Enrollment
|Same as current
|Actual Study Completion Date
|March 2011
|Actual Primary Completion Date
|March 2011 (Final data collection date for primary outcome measure)
|Eligibility Criteria
Inclusion Criteria:
Exclusion Criteria:
|13 Years to 21 Years (Child, Adult)
|Accepts Healthy Volunteers
|Contact information is only displayed when the study is recruiting subjects
|Listed Location Countries
|United Kingdom
|Removed Location Countries
|Administrative Information
|NCT Number
|Other Study ID Numbers
|Has Data Monitoring Committee
|U.S. FDA-regulated Product
|Not Provided
|IPD Sharing Statement
|Not Provided
|Responsible Party
|Miss Christina Jones, Brighton & Sussex Medical School
|Study Sponsor
|Brighton & Sussex Medical School
|PRS Account
|Brighton & Sussex Medical School
|Verification Date
|October 2009