Author
Daniela Golinelli
Bio: Daniela Golinelli is an academic researcher from RAND Corporation. The author has contributed to research in topics: Population & Poison control. The author has an hindex of 39, co-authored 112 publications receiving 5618 citations.
Topics: Population, Poison control, Social support, Anxiety, Anxiety disorder
Papers published on a yearly basis
Papers
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TL;DR: How residents in low-income, minority communities use public, urban neighborhood parks and how parks contribute to physical activity are studied to find public parks are critical resources for physical activity in minority communities.
Abstract: Objectives. Parks provide places for people to experience nature, engage in physical activity, and relax. We studied how residents in low-income, minority communities use public, urban neighborhood parks and how parks contribute to physical activity.Methods. In 8 public parks, we used direct observation to document the number, gender, race/ethnicity, age group, and activity level of park users 4 times per day, 7 days per week. We also interviewed 713 park users and 605 area residents living within 2 miles of each park.Results. On average, over 2000 individuals were counted in each park, and about two thirds were sedentary when observed. More males than females used the parks, and males were twice as likely to be vigorously active. Interviewees identified the park as the most common place they exercised. Both park use and exercise levels of individuals were predicted by proximity of their residence to the park.Conclusions. Public parks are critical resources for physical activity in minority communities. B...
863 citations
TL;DR: SOPARC is a reliable and feasible instrument for assessing physical activity and associated contextual data in community settings and met acceptable criteria for area contexts.
Abstract: Background: New tools are needed to examine physical activity and the contexts in which it occurs. Community parks contribute to physical activity, but measuring activity and associated variables in them is challenging because area contexts change and the numbers and characteristics of users are highly variable. Methods: We developed SOPARC (System for Observing Play and Recreation in Communities) and tested its use by observing 16,244 individuals in 165 park areas. Reliabilities included 472 simultaneous measures by independent observers. Results: Correlations between observers on number of area participants was 0.99 for female and male park users. Reliabilities (i.e., percent agreement) for age (89%, females; 85%, males), race/ethnic (80%, females; 82%, males), and activity level (80%, females; 88%, males) groupings met acceptable criteria. Reliabilities for area contexts (i.e., usable, accessible, supervised, organized, equipped) exceeded 94%. Conclusions: SOPARC is a reliable and feasible instrument for assessing physical activity and associated contextual data in community settings.
455 citations
TL;DR: For patients with anxiety disorders treated in primary care clinics, CALM compared with UC resulted in greater improvement in anxiety symptoms, depression symptoms, functional disability, and quality of care during 18 months of follow-up.
Abstract: {CI}, �3.59 to �1.40], �2.63 [95% CI, �3.73 to �1.54], and �1.63 [95% CI, �2.73 to �0.53] at 6, 12, and 18 months, respectively). At 12 months, response and remission rates (CALM vs UC) were 63.66% (95% CI, 58.95%-68.37%) vs 44.68% (95% CI, 39.76%-49.59%), and 51.49% (95% CI, 46.60%-56.38%) vs 33.28% (95% CI, 28.62%-37.93%), with a number needed to treat of 5.27 (95% CI, 4.18-7.13) for response and 5.50 (95% CI, 4.32-7.55) for remission. Conclusion For patients with anxiety disorders treated in primary care clinics, CALM compared with UC resulted in greater improvement in anxiety symptoms, depression symptoms, functional disability, and quality of care during 18 months of follow-up.
409 citations
TL;DR: Delivery of evidence-based CBT and medication using the collaborative care model and a CBT-naive, midlevel behavioral health specialist is feasible and significantly more effective than usual care for primary care panic disorder.
Abstract: Objective: To implement and test the effectiveness of a combined pharmacotherapy and cognitive-behavioral intervention for panic disorder tailored to the primary care setting. Design: Randomized, controlled study comparing intervention to treatment as usual. Setting: Six primary care clinics associated with 3 university medical schools, serving an ethnically and socioeconomically diverse patient population. Participants: Two hundred thirty-two primary care patients meeting DSM-IV criteria for panic disorder. Comorbid mental and physical disorders were permitted, provided these did not contraindicate the treatment to be provided and were not acutely life threatening. Intervention: Patients were randomized to receive either treatment as usual or an intervention consisting of a combination of up to 6 sessions (across 12 weeks) of cognitivebehavioral therapy (CBT) modified for the primary care setting, with up to 6 follow-up telephone contacts during the next 9 months, and algorithm-based pharmacotherapy provided by the primary care physician with guidance from a psychiatrist. Behavioral health specialists, the majority inexperienced in CBT for panic disorder, were trained to deliver the CBT and coordinated overall care, including pharmacotherapy. Main Outcomes Measures: Proportion of subjects remitted (no panic attacks in the past month, minimal anticipatory anxiety, and agoraphobia subscale score 10 on Fear Questionnaire) and responding (Anxiety Sensitivity Index score 20) and change over time in World Health Organization Disability Scale and short form 12 scores. Results: The combined cognitive-behavioral and pharmacotherapeutic intervention resulted in sustained and gradually increasing improvement relative to treatment as usual, with significantly higher rates at all points of both the proportion of subjects remitted (3 months, 20% vs 12%; 12 months, 29% vs 16%) and responding (3 months, 46% vs 27%; 12 months, 63% vs 38%) and significantly greater improvements in World Health Organization Disability Scale (all points) and short form 12 mental health functioning (3 and 6 months) scores. These effects were obtained in spite of similar rates of delivery of guideline-concordant pharmacotherapy to the 2 groups. Conclusion: Delivery of evidence-based CBT and medication using the collaborative care model and a CBTnaive, midlevel behavioral health specialist is feasible and significantly more effective than usual care for primary care panic disorder. Arch Gen Psychiatry. 2005;62:290-298
289 citations
TL;DR: In this paper, the authors evaluated the impact of outdoor exercise equipment (FZ, Fitness Zones) in 12 parks serving diverse populations and found that self-reports of being a new park user increased more in FZ parks, and estimated energy expenditure in fitness zones was higher at both follow-ups than at baseline.
175 citations
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3,152 citations
TL;DR: In this paper, the authors reviewed the Anglo-American literature on urban green space, especially parks, and compared efforts to green US and Chinese cities and found that the distribution of such space often disproportionately benefits predominantly white and more affluent communities.
2,459 citations
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TL;DR: This article presents an introduction to the Health Belief Model (HBM), which states that the perception of a personal health behavior threat is influenced by at least three factors: general health values, interest and concern about health; specific beliefs about vulnerability to a particular health threat; and beliefs about the consequences of the health problem.
Abstract: This article presents an introduction to the Health Belief Model (HBM). The HBM states that the perception of a personal health behavior threat is influenced by at least three factors: general health values, interest and concern about health; specific beliefs about vulnerability to a particular health threat; and beliefs about the consequences of the health problem. Once an individual perceives a threat to his health and is simultaneously cued to action, if his perceived benefits outweighs his perceived costs, then the individual is most likely to undertake the recommended preventive health action. Key words: health promotion, health belief model, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, self-efficacy. Content available only in Romanian.
2,163 citations
TL;DR: Although traditional clinical effectiveness and implementation trials are likely to remain the most common approach to moving a clinical intervention through from efficacy research to public health impact, judicious use of the proposed hybrid designs could speed the translation of research findings into routine practice.
Abstract: Objectives:This study proposes methods for blending design components of clinical effectiveness and implementation research. Such blending can provide benefits over pursuing these lines of research independently; for example, more rapid translational gains, more effective implementation strategies,
2,126 citations
TL;DR: This survey of sexual practices in the United States has been combed by the media for items of interest to the public: monogamous sex is much more widespread in this country than has been thought.
Abstract: This survey of sexual practices in the United States has been combed by the media for items of interest to the public: monogamous sex is much more widespread in this country than has been thought; infidelity is less frequent than presumed; vaginal intercourse is the defining experience of heterosexual behavior; watching one's partner undress is stimulating to many people; married couples have more sex than single people (unmarried, cohabiting couples have the most sex of all); the majority of couples experience sex twice a week to several times a month; 2.8% of men identify themselves as homosexual and 1.4% of women do so, but a higher percentage of people consider a same-gender experience to have some appeal; 75% of men always experience orgasm compared with 28.6% of women, but more nearly equal numbers of men and women declare themselves satisfied with their sexual experiences. The book is, in fact, a
1,810 citations