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Graduate Theses, Dissertations, and Problem Reports

Theses/Dissertations

2008

Public health

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Obesity And Spatial Context In Appalachia, Roberta J. Alt Dec 2008

Obesity And Spatial Context In Appalachia, Roberta J. Alt

Graduate Theses, Dissertations, and Problem Reports

The prevalence of obesity has increased substantially over the past 30 years. Obesity is a multi-factorial disorder, which is often associated with many other significant diseases such as diabetes, hypertension and other cardiovascular diseases, osteoarthritis and certain cancers. For these reasons, it is a complex health issue to address. The objective of this study is to identify the factors which are responsible for the spatial variation of adult obesity throughout the Appalachian region. In addition, preliminary examinations are made to identify potential associations between geographic variability in the prevalence of obesity and the characteristics of individuals and places with variable …


Impact Of A Physical Activity Intervention For Weight Loss: A Qualitative Analysis Of Participant Perceptions And Expectations, Jessica Anne Creasy Jan 2008

Impact Of A Physical Activity Intervention For Weight Loss: A Qualitative Analysis Of Participant Perceptions And Expectations, Jessica Anne Creasy

Graduate Theses, Dissertations, and Problem Reports

The purpose of this study was to investigate perceptions of self-esteem and body image and expectations for success among participants enrolled in a physical activity and nutritional intervention for weight loss. Qualitative research methods (individual interviews) were conducted to assess how participants felt about themselves, their bodies, and the intervention. In all, 10 participants were interviewed; five were in the initial week of the weight loss intervention (Phase I) and five had been enrolled in the intervention between 9--13 months (Phase II). Weight in pounds and body fat percentage were obtained for all participants at time of enrollment, and at …


Development And Validation Of A Diabetes-Specific Health State Classification System And Valuation Function Based On The Multi-Attribute Theory, Murali Sundaram Jan 2008

Development And Validation Of A Diabetes-Specific Health State Classification System And Valuation Function Based On The Multi-Attribute Theory, Murali Sundaram

Graduate Theses, Dissertations, and Problem Reports

Preference-Based Measures of Health (PBMH) provide 'preference' or 'utility' weights that enable the calculation of quality-adjusted life years for the economic evaluations of interventions. The Diabetes Utility Index (DUI) was developed as a two-page, self-administered diabetes-specific PBMH that can replace expensive time-consuming interviews with patients to estimate their health state utilities. Inputs from theory, an existing diabetes-specific measure of quality of life, and statistical analyses were submitted to a clinical expert panel. After three rounds of pilot surveys (n1=52, n2=65, n3=111) at primary care clinics in Morgantown, WV, five attributes and severity categories for each attribute were finalized on the …