Browsing by Author "Ikenberg, Carin"

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    Human-Technology Interaction Factors Associated With the Use of Electronic Personal Health Records Among Younger and Older Adults: Secondary Data Analysis
    (JMIR Publications, 2021) Luo, Yan; Dozier, Krystal; Ikenberg, Carin; University of Alabama Tuscaloosa
    Background: An electronic personal health record (ePHR), also known as a personal health record (PHR), has been broadly defined as an electronic application through which individuals can access, manage, and share their health information in a secure and confidential environment. Although ePHRs can benefit individuals as well as caregivers and health care providers, the use of ePHRs among individuals continues to remain low. Objective: The current study aims to examine the relationship between human-technology interaction factors and ePHR use among adults and then to compare the different effects of human-technology interaction factors on ePHR use between younger adults (18-54 years old) and older adults (55 years of age and over). Methods: We analyzed data from the Health Information National Trends Survey (HINTS 5 cycle 3) collected from US adults aged 18 years old and over in 2019. Descriptive analysis was conducted for all variables and each item of ePHR use. Bivariate tests (Pearson correlation coefficient for categorical variable and F test for continuous variables) were conducted over 2 age groups. Finally, after adjustments were made for sociodemographics and health care resources, a weighted multiple linear regression was conducted to examine the relationship between human-technology interaction factors and ePHR use. Results: The final sample size of 1363 (average age 51.19) was divided into 2 age groups: 18 to 54 years old and 55 years old and older. The average level of ePHR use was low (mean 2.76, range 0-8). There was no significant difference in average ePHR use between the 2 age groups. Including clinical notes was positively related to ePHR use in both groups: 18 to 54 years old (beta=.28, P=.005), 55 years old and older (beta=.15, P=.006). Although accessing ePHRs using a smartphone app was only associated with ePHR use among younger adults (beta=.29; P<.001), ease of understanding health information in ePHRs was positively linked to ePHR use only among older adults (beta=.13; P=.003). Conclusions: This study found that including clinical notes was positively related to ePHR use in both age groups, which suggested that including clinical notes as a part of ePHRs might improve the effective use of ePHRs among patients. Moreover, accessing ePHRs using a smartphone app was associated with higher ePHR use among younger adults while ease of understanding health information in ePHRs was linked to higher ePHR use among older adults. The design of ePHRs should provide the option of being accessible through mobile devices to promote greater ePHR use among young people. For older adults, providers could add additional notes to explain the health information recorded in the ePHRs.
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    "It Was a Curse, It Was a Generational Cycle": Understanding the Lived Experience of Sibling Abuse and Survovors of Intimate Partner Violence.
    (University of Alabama Libraries, 2021) Ikenberg, Carin; Carlson, Catherine E; University of Alabama Tuscaloosa
    The purpose of this qualitative, hermeneutic phenomenological study with interpretive phenomenological analysis, was to explore my participants' experiences of sibling abuse in childhood and intimate partner violence in adulthood, as well as explore connections between the types of abuse and abusers. This study is novel in examining the long-term impact of sibling abuse in the context of intimate partner violence victimization outcomes. By examining participants' descriptions of their experiences, several nuances came to light about the experience of sibling abuse, and how it impacted participants' vulnerability to violence in adulthood. The most notable finding was the lack of parental support for both types of victimization. In childhood, the parental failure to protect impacted participants in three ways. One, because the sibling abuse was tolerated by their parents, they learned that it was "OK" to be abused. Two, participants came to expect and accept abuse in future relationships based on their childhood experiences. And three, because their parents failed to protect them in childhood, they could not be counted on to help them in adulthood; therefore, participants felt "stuck" in their relationships with intimate partner violence. Current family violence theories may explain the long-term outcome of sibling abuse, but my study, and the current state of the literature around long-term outcomes, may best explain victimization outcomes when the victim of sibling abuse also experiences parental failure to protect. Additionally, because sibling abuse often occurs in homes where there are other types of violence present, more research needs to be done to identify the most significant contributors to a victimization outcome, as well as protective factors in the home that prevent revictimization.
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    Violence against children and intimate partner violence against women: overlap and common contributing factors among caregiver-adolescent dyads
    (BMC, 2020) Carlson, Catherine; Namy, Sophie; Norcini Pala, Andrea; Wainberg, Milton L.; Michau, Lori; Nakuti, Janet; Knight, Louise; Allen, Elizabeth; Ikenberg, Carin; Naker, Dipak; Devries, Karen; University of Alabama Tuscaloosa; Columbia University; University of London; London School of Hygiene & Tropical Medicine
    Background Intimate partner violence against women (IPV) and violence against children (VAC) are both global epidemics with long-term health consequences. The vast majority of research to date focuses on either IPV or VAC, however the intersections between these types of violence are a growing area of global attention. A significant need exists for empirical research on the overlap of IPV and VAC, especially in contexts with particularly high rates of both types of violence. Methods This exploratory study includes secondary analysis of data from a cluster randomized controlled trial in Ugandan schools. Using baseline reports from a random sample of early adolescents attending school and their caregivers, this study uses a probability sample across all eligible schools of adolescent-caregiver dyads (n = 535). We categorized adolescent-caregiver dyads into four groups: those reporting VAC 'only', IPV 'only', both VAC and IPV, or 'no violence'. Two separate multinomial logistic regression models for male and female caregivers explored adolescent and caregiver characteristics associated with the VAC 'only', the IPV 'only', or the both VAC and IPV dyads, each compared to the 'no violence' dyad. Results One third of dyads reported both IPV and VAC and nearly 75% of dyads reported VAC or IPV. Dyads reporting IPV were more likely to also report VAC. Common contributing factors for female caregiver-adolescent dyads with both VAC and IPV include lower SES, less caregiver education, higher caregiver mental distress, more frequent caregiver alcohol use, and caregivers who report less emotional attachment to their intimate partner. Male caregiver-adolescent dyads with both VAC and IPV included caregivers with less emotional attachment to their intimate partner and more attitudes accepting VAC. Conclusions Findings reveal a significant overlap of IPV and VAC and the importance for violence prevention and response programming to consider coordinated or integrated programming. Unique results for female and male caregivers highlight the importance of a gendered approach to addressing IPV and VAC intersections.