The purpose of this study was to examine the physical activity patterns of older adults with intellectual disabilities (ID) in comparison with younger adults with ID and older adults without ID. A sample of 109 participants was included in the study. Sophisticated data reduction, time stamped technology, and multiple objective measures (i.e., pedometers and accelerometers) were used to determine physical activity intensities and walking patterns of participants. Results indicate that older adults with ID are performing less physical activity than comparison groups. A small proportion of older adults with ID (6%) met national physical activity recommendations of 150 min of moderate or 75 min of vigorous physical activity in bouts greater than ten minutes across the week (USDHHS, 2008). Sedentary behavior was also an observable factor in this study. These findings demonstrate the need for health promotion efforts for adults with ID across the lifespan.

PURPOSE: The use of medical scribes has emerged as a strategy to increase clinic workflow efficiency and reduce physician burnout. While oncology clinics may be ideally suited to scribe integration because of the high burden of documentation, oncology-specific scribe research has been limited. The objective of this study was to determine the effect of scribe integration on clinic workflow efficiency and physician satisfaction and quality of life in outpatient oncology clinics. METHODS: We conducted a retrospective, concurrent qualitative and quantitative analysis of patient visit durations and survey data for 129 attending physicians affiliated with an academic hospital’s cancer center between January 2017 and January 2019. Thirty-three physicians were paired with scribes in each physician’s individual clinic or clinics. RESULTS: In terms of clinic efficiency, physicians with scribes had a 12.1% decrease in their overall average patient visit duration compared with their own time before receiving a scribe ( P < .0001) and spent significantly less time completing charts at the end of the day ( P = .04). Compared with their peers, oncologists with scribes showed a 10%-20% decrease in the duration of all patient visits. Scribes also contributed to patient care, as shown by 90% of physicians surveyed who strongly agreed that they spent less time at the computer and more time with patients; 100% of physicians surveyed strongly agreed that scribes improved their quality of life. CONCLUSION: The integration of medical scribes into oncology clinics across several oncologic disciplines has the potential to reduce burnout through increasing physician satisfaction and quality of life, improving patient care, and streamlining clinic workflow.

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