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Evolution And Functional Morphology Of The Cephalic Lobes In Batoids, Samantha Lynn Mulvany Dec 2013

Evolution And Functional Morphology Of The Cephalic Lobes In Batoids, Samantha Lynn Mulvany

USF Tampa Graduate Theses and Dissertations

Cephalic lobes are unique structures derived from the anterior pectoral fins, found in select myliobatid stingrays. Many benthic batoids utilize undulatory locomotion and use their pectoral fins for both locomotion and prey capture. Pelagic myliobatids that possess cephalic lobes utilize oscillatory locomotion, using their pectoral fins to locomote and their cephalic lobes for prey capture. Despite differences in habitat usage and locomotor modes, these batoids feed on very similar benthic organisms. The purpose of this study was to 1.) compare the morphology of the cephalic lobes and anterior pectoral fins in lobed and lobeless species, looking at skeletal elements, musculature …


Using Habit Reversal To Decrease Filled Pauses And Nervous Habits In Public Speaking, Carolyn Joanne Mancuso Dec 2013

Using Habit Reversal To Decrease Filled Pauses And Nervous Habits In Public Speaking, Carolyn Joanne Mancuso

USF Tampa Graduate Theses and Dissertations

ABSTRACT

Public speaking is a challenge faced by people from all walks of life. Research in the area of public speaking has focused on examining techniques to reduce public speaking anxiety. Very little research, however, has focused on the acquisition of public speaking skills. While presenting speeches, many people engage in nervous habits that have the potential to decrease the effectiveness of the speech and their credibility as a speaker. This study evaluated the effectiveness of simplified habit reversal in reducing three of these nervous habits: filled pauses, tongue clicking, and inappropriate use of the word like. Following baseline, participants …


An Exploration Of Threatened Harm As A Type Of Maltreatment And Its Relation To Recurrence Of Maltreatment, Roxann Mcneish Dec 2013

An Exploration Of Threatened Harm As A Type Of Maltreatment And Its Relation To Recurrence Of Maltreatment, Roxann Mcneish

USF Tampa Graduate Theses and Dissertations

There were no studies found in the literature that primarily focused on threatened harm as type of maltreatment. This study utilized Florida's child welfare administrative data to explore threatened harm as a type of maltreatment, particularly as a predictor of recurrence of maltreatment within six and 12 months for children who had a verified report of maltreatment in FY2005-2006. Threatened harm was examined in three ways; when it was reported as the only maltreatment, the initial maltreatment, and in situations where there was a prior report. The most prevalent acts of threatened harm were examined separately. It was examined as …


Contrast Adaptation In The Lateral Eye Of Limulus Polyphemus, Tchoudomira Valtcheva Nov 2013

Contrast Adaptation In The Lateral Eye Of Limulus Polyphemus, Tchoudomira Valtcheva

USF Tampa Graduate Theses and Dissertations

Luminance and contrast adaptation are neuronal mechanisms that the retina applies for continuous adjustment to light sensitivity though a collection of cellular and synaptic mechanisms distributed across the retinal network, thus accommodating the wide input range of the visual system within the constricted output range of retinal ganglion cells. Luminance mean adaptation has been demonstrated in the output neurons of the invertebrate eye (eccentric cells), and the aim of the study was to investigate whether the homology in visual processing extends to luminance variance (contrast) adaptation as well. The spike trains of individual eccentric cells were recorded from live horseshoe …


Factors Influencing Vaccination Decisions In African American Mothers Of Preschool Age Children, Chauntel Mckenzie Mcnair Nov 2013

Factors Influencing Vaccination Decisions In African American Mothers Of Preschool Age Children, Chauntel Mckenzie Mcnair

USF Tampa Graduate Theses and Dissertations

Rates and coverage levels of immunizations of African-American children are reduced compared to other races. Few studies have identified factors that influence vaccination decisions of African-American mothers. This study assessed the mothers' vaccination decisions using a self-administered questionnaire and a screening instrument for determining health literacy. This instrument is called Rapid Estimate of Adult Literacy in Medicine (REALM). The sample was 92 African American mothers, recruited from a large metropolitan church in Jacksonville, Florida, who had at least one child under the age of seven. A cross-sectional research design was used to administer survey instruments to identify and interpret parental …


The Professionalization And Practice Of Lactation Consulting: Medicalized Knowledge, Humanistic Care, Aimee R. Eden Jan 2013

The Professionalization And Practice Of Lactation Consulting: Medicalized Knowledge, Humanistic Care, Aimee R. Eden

USF Tampa Graduate Theses and Dissertations

Breastfeeding support for mothers and their babies historically was the informal work of family and community members. In the United States today, breastfeeding support is embedded in the biomedical system, and is provided by a new allied health professional: the International Board Certified Lactation Consultant (IBCLC). This dissertation explores this professionalization of breastfeeding support and the origins of this new profession. It studies how IBCLCs working in the U.S. cultural context perceive and practice the profession and examines the relationship between the profession of lactation consulting and the medicalization of breastfeeding. Oral history interviews with 17 founders of the profession, …


An Exploration Of The Meaning And Consequences Of Unintended Pregnancy Among Latina Cultural Subgroups: Social, Cultural, Structural, Historical And Political Influences, Natalie Dolores Hernandez Jan 2013

An Exploration Of The Meaning And Consequences Of Unintended Pregnancy Among Latina Cultural Subgroups: Social, Cultural, Structural, Historical And Political Influences, Natalie Dolores Hernandez

USF Tampa Graduate Theses and Dissertations

In the United States, prominent racial/ethnic and socioeconomic disparities in rates of unintended pregnancy, abortion, and unintended births exist. Recent analysis suggests that Latinas are three times more likely to experience an unintended pregnancy than non-Latina white women. More than half of pregnancies among Latinas (53%) in the United States are unintended and have higher unintended births as they are less likely than black women to have an abortion. In addition, in 2006 the unintended pregnancy rate was highest among women aged 20-24. Little research has 0been conducted to understand unintended pregnancy particularly among young adult Latina women.

The purpose …


The Water Culture Beliefs Of Embera Communities And Maternal And Child Health In The Republic Of Panama, Ilenia Anneth Forero Jan 2013

The Water Culture Beliefs Of Embera Communities And Maternal And Child Health In The Republic Of Panama, Ilenia Anneth Forero

USF Tampa Graduate Theses and Dissertations

Water has cultural and spiritual values to indigenous people. These beliefs expose them to unsafe water sources and make them vulnerable to waterborne diseases. This background is not taken into account when countries write their water legislations, therefor imposing a management of water not readily accepted by them. The Embera group is one of the indigenous groups from the Republic of Panama, who have strong water beliefs. They live along the shore of rivers in houses built on high stilts away from urban areas. The purpose of this cross-sectional community based study is to describe through a survey the relation …


Verbal Operant Transfer With Mands And Tacts Using Multiple Exemplars, Jessica Lauren Shea Jan 2013

Verbal Operant Transfer With Mands And Tacts Using Multiple Exemplars, Jessica Lauren Shea

USF Tampa Graduate Theses and Dissertations

Research on the functional independence of tacts and mands is mixed. The conditions under which tact training transfers to mands are unclear. The current study evaluated whether multiple exemplars of tact training followed by mand training would result in the independent transfer from tacts to mands. It was shown that all three participants started manding for the item independently during tact training after one sequence of tact training followed by mand training.


Evaluating The Effectiveness Of An Internet-Based Behavioral Program For Increasing Physical Activity With And Without A Behavioral Coach, Diego Alejandro Valbuena Jan 2013

Evaluating The Effectiveness Of An Internet-Based Behavioral Program For Increasing Physical Activity With And Without A Behavioral Coach, Diego Alejandro Valbuena

USF Tampa Graduate Theses and Dissertations

Obesity is a problem of vast social concern in the United States. One factor that has been linked to reduction in body fat and the health problems associated with obesity is increasing physical activity. Although in-person behavioral interventions have been shown effective at increasing physical activity, attention is now being placed on disseminating these interventions through the use of technology. Several internet-based interventions have been developed and are readily available. The purpose of this study was to evaluate "Fitbit," a web-based behavioral intervention for increasing physical activity and losing weight. Additionally, this study examined if the addition of contact from …


"When You Tell Them, Your Secret Is Out There": Experiences Of Sexuality And Intimacy Among Hiv Positive Black Women, Mackenzie Rae Tewell Jan 2013

"When You Tell Them, Your Secret Is Out There": Experiences Of Sexuality And Intimacy Among Hiv Positive Black Women, Mackenzie Rae Tewell

USF Tampa Graduate Theses and Dissertations

HIV/AIDS infections disproportionately impact African Americans within the United States. In 2010, black Americans made up 12 percent of the United States population, yet accounted for 44 percent of new HIV/AIDS infections (Kaiser Family Foundation 2013). The majority of black women (85 percent) are infected with the virus through heterosexual contact, meaning it is critical examine their sexual lives in order to gain insight into this infection within this population (CDC 2011b). Through semi-structured interviews at a Tampa, Florida AIDS service organization, this study presents the experiences of sexuality and intimacy among HIV positive black women. Results demonstrate that HIV …


Uncontrolled Hypertension And Associated Factors In Hypertensive Patients At The Primary Healthcare Center Luis H. Moreno, Panama: A Feasibility Study, Roderick Ramon Chen Camano Jan 2013

Uncontrolled Hypertension And Associated Factors In Hypertensive Patients At The Primary Healthcare Center Luis H. Moreno, Panama: A Feasibility Study, Roderick Ramon Chen Camano

USF Tampa Graduate Theses and Dissertations

Background: According to the World Health Organization (WHO), hypertension is a major risk factor for cardiovascular disease (CVD), renal impairment, peripheral vascular disease, and blindness. In Panama, a recent study estimated the prevalence of hypertension at 38.5% in the two main provinces of the country, with a rate of uncontrolled hypertension of 47.2%.

Objectives: The aims of this study were to assess the feasibility of the study design and to describe the characteristics of the hypertensive population and the physician's adherence to Panamanian antihypertensive protocols and their relationship with uncontrolled hypertension.

Methods: This is a cross-sectional study of adult hypertensive …


Effects Of Speech Production Ability On A Measure Of Speech Perception Capacity In Young Children With Cochlear Implants And Their Articulation-Matched Peers, Victoria Beatriz Gonzalez Jan 2013

Effects Of Speech Production Ability On A Measure Of Speech Perception Capacity In Young Children With Cochlear Implants And Their Articulation-Matched Peers, Victoria Beatriz Gonzalez

USF Tampa Graduate Theses and Dissertations

With reductions in the age criterion for cochlear implantation, the need for age-appropriate measures of speech perception skills has increased. One recently developed tool that shows great promise for the clinical assessment of auditory speech perception capacity in young children with cochlear implants is the On-Line Imitative Test of Speech-Pattern Contrast Perception (OlimSpac). The OlimSpac requires a child to imitate nonword utterances by providing a verbal response. The child's perceptual abilities are inferred from the child's productions through having a listener, who is masked to the stimulus select the utterance produced by the child in an eight-alternative force-choice task. Although …


Development Of A Confirmatory Pcr Assay To Detect Onchocerca Volvulus In Pools Of Vector Black Flies, Alex Jeanne Talsma Jan 2013

Development Of A Confirmatory Pcr Assay To Detect Onchocerca Volvulus In Pools Of Vector Black Flies, Alex Jeanne Talsma

USF Tampa Graduate Theses and Dissertations

Onchocerciasis, or river blindness, has historically represented one of the significant neglected tropical diseases on the planet in terms of socio-economic impact. The discovery that ivermectin was a safe and effective treatment for onchocerciasis, together with the decision of the manufacturer to donate the drug for the treatment of this disease became the basis for several large international programs to control and eventually eliminate the infection. These programs have managed to virtually eliminate transmission of the parasite causing Onchocerca volvulus from many foci in Africa and the Americas. Verifying that transmission has been halted requires sensitive and specific assays to …


Race/Ethnicity, Subjective And Objective Sleep Quality, Physical And Psychological Symptoms In Breast Cancer Survivors, Pinky H. Budhrani Jan 2013

Race/Ethnicity, Subjective And Objective Sleep Quality, Physical And Psychological Symptoms In Breast Cancer Survivors, Pinky H. Budhrani

USF Tampa Graduate Theses and Dissertations

Breast cancer is a major health problem and comprises the largest population of cancer survivors in the United States, estimated at 2.9 million women, accounting for 22% of all cancer survivors (National Cancer Institute, 2013). The advances in breast cancer screening, diagnosis and treatment has increased the importance of survivorship needs. A major concern among breast cancer survivors (BCS) is sleep disturbances. This study used an innovative approach to examine ethnic and racial disparities in sleep disturbances present in BCS. In addition, this study also explored sleep disturbances across different races/ethnicities. This study was a secondary data analysis of baseline …


Knowledge, Attitudes And Traditions Regarding Water Consumption And Sanitary Practices Of The Ngäbe-Buglé Indigenous Women In The Chiriquí Province In Panama, Natalia Vega Jan 2013

Knowledge, Attitudes And Traditions Regarding Water Consumption And Sanitary Practices Of The Ngäbe-Buglé Indigenous Women In The Chiriquí Province In Panama, Natalia Vega

USF Tampa Graduate Theses and Dissertations

Background: In 2007, approximately 66.2% of the population of the Comarcas (indigenous reservations) in Panama had access to potable water. However, over 50% of this population lacked access to sanitation. As a result, the leading causes of death in the Comarca Ngäbe-Buglé are due to severe diarrhea and gastroenteritis of infectious origin. The present project assessed the need for an in-depth understanding of the Ngäbe-Buglé women and their communities regarding their knowledge, attitudes, beliefs and behaviors about water and sanitation. Methodology: In this cross-sectional exploratory study, a convenience sample of 52 women were interviewed, utilizing a questionnaire guided by the …


Desert In The Springs: Ethnography Of A Food Desert, Margeaux Alana Chavez Jan 2013

Desert In The Springs: Ethnography Of A Food Desert, Margeaux Alana Chavez

USF Tampa Graduate Theses and Dissertations

"Food desert" commonly describes food insecure areas with few fresh food outlets. Though used in a number of sources, the definition of "food desert" remains largely undeveloped and research is often deficit oriented, failing to account for community assets that may exist within food deserts but are underutilized or under-supported. Using an assets-based, ethnographic approach, this study combines GIS and survey methodology with participant observation and qualitative interviews to assess the potential positive effect of urban agriculture on food accessibility in Sulphur Springs, a USDA identified urban food desert in Tampa, Florida.

Ethnographic data suggest that within this neighborhood, residents …


Factors Predicting Pap Smear Adherence In Hiv-Infected Women: Using The Health Belief Model, Crystal L. Chapman Lambert Jan 2013

Factors Predicting Pap Smear Adherence In Hiv-Infected Women: Using The Health Belief Model, Crystal L. Chapman Lambert

USF Tampa Graduate Theses and Dissertations

Women infected with the human immunodeficiency virus are at increased risk for developing cervical cancer. Current guidelines reflect that Pap smears should be performed twice during the first year after diagnosis with HIV and annually thereafter. However, women with HIV are not obtaining Pap smears per the current guidelines. The purpose of this study was to evaluate HIV-infected women's attitudes toward cervical cancer and cervical cancer screening. The research design is an exploratory, cross-sectional, quantitative design. The sample of convenience consisted of participants recruited from two ambulatory HIV clinics in Florida. Attitudes were assessed using Champion's Health Belief Model and …


Examination Of The Relationship Of Community College Opticianry Student Outcomes With Instructional Delivery Method And Student Age, William Brent Underwood Jan 2013

Examination Of The Relationship Of Community College Opticianry Student Outcomes With Instructional Delivery Method And Student Age, William Brent Underwood

USF Tampa Graduate Theses and Dissertations

The purpose of this study was to determine whether student outcomes are a function of participation in different modes of delivery in an Opticianry program at the community college level. First, the intent was to determine whether differences in instructional delivery methods and background characteristics impact student performance in an Opticianry program. The three instructional delivery methods were traditional face-to-face instruction, online delivery, and a hybrid format where students take theory courses online and attend face-to-face laboratories on campus. A second objective was to determine the role of background variables such as student age, which was the age when entering …


The Effects Of Temporal Preparation On Reaction Time, Glen Robert Forester Jan 2013

The Effects Of Temporal Preparation On Reaction Time, Glen Robert Forester

USF Tampa Graduate Theses and Dissertations

When responding to external stimuli, preparation reduces Reaction Time (RT). One form of preparation known as temporal preparation results from advance knowledge about when a stimulus will appear. We used Event Related Potentials to investigate how increasing temporal preparation decreases RT during a speeded, choice RT task by manipulating temporal preparation within subjects. In order to determine which cognitive processes are speeded, the latencies of the Lateralized Readiness Potential (LRP) and P300 were examined across two levels of temporal preparation. In line with previous research the stimulus locked LRP, but not the response locked LRP, was speeded when temporal preparation …


Proteolytic Processing Of The Amyloid Precursor Protein During Apoptosis And Cell Cycle: Implications For Alzheimer's Disease, Tina N. Fiorelli Jan 2013

Proteolytic Processing Of The Amyloid Precursor Protein During Apoptosis And Cell Cycle: Implications For Alzheimer's Disease, Tina N. Fiorelli

USF Tampa Graduate Theses and Dissertations

Alzheimer's disease is characterized by the presence of amyloid plaques, made up primarily of Aϐ peptides, and neurofibrillary tangles, containing hyperphosphorylated tau. Aϐ is generated by sequential proteolysis of the amyloid precursor protein (APP) by beta and gamma secretases. The leading hypothesis of Alzheimer's disease pathogenesis is the amyloid cascade hypothesis, which suggests that amyloid is central to the disease process. However, tau pathology correlates more closely with cognitive dysfunction and follows a predictable anatomical course through the brain. We hypothesize that if Aϐ is upstream of tau pathology and tau pathology follows this predictable course through the brain, Aϐ …


Brain Electrophysiological Correlates Of Masked Picture Priming In Fluent And Stuttering Adults, Kalie B. Morris Jan 2013

Brain Electrophysiological Correlates Of Masked Picture Priming In Fluent And Stuttering Adults, Kalie B. Morris

USF Tampa Graduate Theses and Dissertations

Abstract

Objective: The aim of the present study was to investigate mechanisms of real-time language production of adults who stutter.

Method: Data were analyzed for 19 typically fluent young adults (TFA) and 19 young adults who stutter (AWS). Participants performed a masked picture priming task where priming stimuli consisted of two conditions 1) Identity- a masked printed prime word identical to the picture target label, and 2) Unrelated- a masked printed prime word unrelated to the picture target label. Brain event-related potentials (ERPs), time-locked to pictures eliciting spontaneous naming, were recorded, as well as naming accuracy and reaction times.

Results: …


Eco-Epidemiology Of Eastern Equine Encephalitis Virus, Patrick Vander Kelen Jan 2013

Eco-Epidemiology Of Eastern Equine Encephalitis Virus, Patrick Vander Kelen

USF Tampa Graduate Theses and Dissertations

ABSTRACT

Eastern Equine Encephalitis virus (EEEV) is an alphavirus with high pathogenicity in both humans and horses. Florida continues to have the highest occurrence of human cases in the USA, with four fatalities recorded in 2010. Unlike other states, Florida supports year-round EEEV transmission. This research uses Geographic Information Science (GIS) to examine spatial patterns of documented sentinel seroconversions and horse cases in order to understand the relationships between habitat and transmission intensity of EEEV in Florida. Sentinel sites were categorized as enzootic, periodically enzootic, and negative based on the amount of chicken seroconversions to EEEV. Sentinel sites were analyzed …


A Critical Ethnography Of Globalization In Lesotho, Africa: Syndemic Water Insecurity And The Micro-Politics Of Participation, Cassandra Lin Workman Jan 2013

A Critical Ethnography Of Globalization In Lesotho, Africa: Syndemic Water Insecurity And The Micro-Politics Of Participation, Cassandra Lin Workman

USF Tampa Graduate Theses and Dissertations

In spite of decades-long development programs, Lesotho faces an ongoing problem of water insecurity with far- reaching individual and social impacts. The purpose of this research was to understand how women in Lesotho are impacted by the synergistic epidemics, or syndemics, of water insecurity and HIV/AIDS and how they respond to these forces. Little has been done to address how water insecurity, defined in terms of both sufficient amount and quality of water, catalyzes the syndemic impact on the people of Lesotho. Access to safe and reliable sources of water is crucial for all individuals, particularly those who have been …


An Evaluation Of Check-In/Check-Out With Accountability Tracking For At-Risk Students In A High-Need Elementary School, Ashley Lauren Barber Jan 2013

An Evaluation Of Check-In/Check-Out With Accountability Tracking For At-Risk Students In A High-Need Elementary School, Ashley Lauren Barber

USF Tampa Graduate Theses and Dissertations

A multi-tiered system of supports offers a comprehensive model for the prevention of academic and behavior problems in schools. To date, research has emphasized the impact of universal and intensive interventions. However, the need for research on secondary or targeted group interventions (Tier 2) for those students who do not respond to the universal level of support is growing. This study evaluated CICO, a Tier 2 intervention, in improving student behavior when it is used with three elementary students from a high-need population and in conjunction with student accountability tracking, designed to promote parental involvement. Functional assessments indicated that all …


Referral Tracking Pilot And Referral Outcome Rates For The School Health Program In Panama, Jesica Eileen Candanedo Jan 2013

Referral Tracking Pilot And Referral Outcome Rates For The School Health Program In Panama, Jesica Eileen Candanedo

USF Tampa Graduate Theses and Dissertations

Background: The School Health Program (SHP) in the Republic of Panama includes preventive healthcare services delivery and referral issuing at elementary schools nationwide. Despite these early prevention efforts, a majority of referrals are apparently not achieving their desired outcome. This idea is supported by the SHP data showing preventable diseases on the rise. Thus, learning the outcome rates of particular referral outcomes may provide a basis for appropriately targeted action.

Methods: Three focus groups were conducted with health workers, medical records staff, and teachers, respectively. Following systems thinking and framework analysis, a pilot plan for referral tracking and referral outcome …


Evaluation Of Occupational Risk Factors For Nurses And Cnas: Analysis Of Florida Workers' Compensation Claims Database, Sheila Mohammed Jan 2013

Evaluation Of Occupational Risk Factors For Nurses And Cnas: Analysis Of Florida Workers' Compensation Claims Database, Sheila Mohammed

USF Tampa Graduate Theses and Dissertations

Musculoskeletal injuries lead to most claims even though needlestick injuries receive the most attention. In 2010, health expenditures in the United States neared $2.6 trillion. CNAs, orderlies, and attendants had the highest rates of musculoskeletal disorders of all occupations with an incidence of 249 per 10,000 compared to 34 per 10,000 for all workers. The financial burden of back injuries in the healthcare industry is estimated to add up to $20 billion annually. Data was extracted for cause of injury, nature of injury and body part injured. Extracted data was analyzed both descriptively and by logistic and linear regression using …


Quantifying The Ergonomic Impact On Healthcare Workers Using A Needle-Free Injector Device, Humberto Jose Olivero Lara Jan 2013

Quantifying The Ergonomic Impact On Healthcare Workers Using A Needle-Free Injector Device, Humberto Jose Olivero Lara

USF Tampa Graduate Theses and Dissertations

Background: Jet injectors are advantageous over needle injectors by eliminating sharps hazards. The Government Accountability Office estimates 29% preventable sharp injuries with an estimated direct cost of more than $500 million out of the CDC's reported incidence of 385,000 needle stick injuries per year among US hospital healthcare workers. Yet the forces required to set and trigger devices using spring mechanisms for medication delivery have not been explored. This laboratory experiment measured forces exerted by healthcare workers (HCWs) using a particular jet injector approved by FDA in 2011.

Objectives: In order to quantify the ergonomic impact on HCWs using a …


Evaluating Check-In Check-Out With Peer Tutors For Children With Attention Maintained Problem Behaviors, Sindy Sanchez Jan 2013

Evaluating Check-In Check-Out With Peer Tutors For Children With Attention Maintained Problem Behaviors, Sindy Sanchez

USF Tampa Graduate Theses and Dissertations

An educational framework known as School Wide Positive Behavior Support being implemented in school systems across the country provides the schools with three tiers of support to address both academic and behavior challenges. The purpose of this study was to evaluate the use of peer tutors when applied to a Tier 2 intervention known as Check-In Check-Out (CICO). Peer tutors performed the morning check-in with the tutees by setting the expectations for the day and giving the tutees their Daily Progress Report (DPR) form. Throughout the day, the tutees took the DPR form to each class where they received a …


The Effects Of The A Matter Of Balance Program On Falls, Physical Risks Of Falls, And Psychological Consequences Of Falling Among Older Adults, Tuo Yu Chen Jan 2013

The Effects Of The A Matter Of Balance Program On Falls, Physical Risks Of Falls, And Psychological Consequences Of Falling Among Older Adults, Tuo Yu Chen

USF Tampa Graduate Theses and Dissertations

The effectiveness of the A Matter of Balance (MOB) program, a multifactorial falls prevention intervention, is uncertain. Although targeting multiple risk factors of falling at the same time seems reasonable and desirable, in that falls are often caused by several risk factors, results from previous studies investigating the effects of multifactorial falls prevention interventions are inconsistent. In addition, research shows that single factor interventions (e.g., exercise) can produce the same effects. The cost-effectiveness of multifactorial falls prevention interventions has varied across studies (e.g., Jenkyn, Hoch, & Speechley, 2012; Tinetti, Baker, et al., 1994). Despite the fact that the American Geriatrics …