OBJECTIVES:To compare the satisfaction and knowledge of patients who have their warfarin managed by their physician or by a multidisciplinary, telephone-based anticoagulation service (ACS) and to assess referring physicians' satisfaction with the ACS. DESIGN AND PARTICIPANTS:We surveyed 300 patients taking warfarin (mean age 73 years): 150 at health centers randomized to have access to an ACS, and 150 at control health centers without ACS access. We also surveyed 17 physicians who refer patients to the ACS. SETTING:Eight outpatient health centers in Missouri and Southern Illinois. MEASUREMENTS:We asked patients about the timeliness of international normalized ratio (INR) monitoring, perceived safety of warfarin, overall satisfaction with their warfarin management, and knowledge of what a high INR meant. We asked physicians at ACS-available health centers how many minutes they saved per INR by referring patients to the ACS, their satisfaction with the ACS, and their willingness to recommend the ACS to a colleague. MAIN RESULTS:As compared with patients at control health centers, patients at ACS-available health centers were more satisfied with the timeliness of getting blood test results (mean 4.31 vs 4.03, P = .02), were more likely to know what a safe INR value was (45% vs 15%, P = .001), and felt safer taking warfarin (mean 5.7 vs 5.2, P = .04). Physicians reported that using the ACS saved, on average, four minutes of their time and 13 minutes of their staff's time, per INR. All physicians recommended use of the ACS to a colleague and were highly satisfied with the ACS. CONCLUSIONS:A telephone-based ACS can be endorsed by primary-care physicians and improve patients' satisfaction with and knowledge about their antithrombotic therapy.

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In 14 focus group interviews, sixth- to eighth-grade high-ability students from high- ( n = 36) and low-income ( n = 45) families were asked to describe the barriers they perceived to their academic success. Three themes were identified through the qualitative analysis: Constraining Environments, Integration versus Isolation, and Resource Plenty versus Resource Poor. Students in both groups experienced environments not conducive to learning, inhibiting peers, and teachers as a barrier. Students in the low-income group described mayhem in their schools, which interfered significantly with learning. These students were highly integrated in their school community, whereas the students in the high-income group were socially isolated from both peers and teachers. Both groups exhibited issues of poor fit within their schools: autonomy and competence for both, relatedness for students in the high-income group. Attention to these issues will help support these students in achieving their potential.

The study of skin color and its relationship to body (dis)satisfaction and self‐esteem is critical to expanding upon the research that explores the intersection between body image and the sociocultural experience of women of the African diaspora. To this end, the relationships between skin color satisfaction, body dissatisfaction, and self‐esteem were examined in a sample of 328 women of African descent. Results revealed a significant effect for ethnicity and employment status on body dissatisfaction, skin color satisfaction, and self‐esteem. Follow‐up analyses revealed that Afro‐Caribbean women were the most satisfied with their body shape, biracial women were most satisfied with their skin color, and women who self‐identified as professionals had the highest self‐esteem. Implications for the findings are discussed.

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