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Assessing The Impact Of Employee Wellness Programs On Healthcare Employee’S Weight, Reja F. Basyyoni Dec 2023

Assessing The Impact Of Employee Wellness Programs On Healthcare Employee’S Weight, Reja F. Basyyoni

Theses and Dissertations

Introduction: Over 32% of employees in healthcare are clinically overweight with a BMI over 30. This level of obesity is more significant in healthcare than in other professions. (Aldana, 2021). The growing prevalence of diseases among employees in healthcare settings has increased the concern about their health, well-being, and productivity. (Aldana, 2021). Notably, the reduction of obesity rates holds the potential to avert 40 million instances of chronic diseases, encompassing hypertension, diabetes, and cardiovascular ailments. (Milken Institute Study, 2022) Therefore, maintaining a healthy body weight or shedding excess pounds is crucial to reduce the risk of developing these. As a …


Accessiblehomepro As An Educational Intervention: Preparing Occupational Therapy Students To Perform Home Safety Assessments, Laryn O'Donnell Dec 2023

Accessiblehomepro As An Educational Intervention: Preparing Occupational Therapy Students To Perform Home Safety Assessments, Laryn O'Donnell

Theses and Dissertations

The growing aging population of the United States urges occupational therapy practitioners to address the population's home safety needs. However, current occupational therapists need more resources and education to conduct comprehensive home safety evaluations. This study employed a pretest-posttest mixed methods design using occupational therapy students (n=17) to investigate the potential of AccessibleHomePRO as an educational intervention to enhance OT student knowledge of home safety assessments, perceived knowledge, which is known as the belief in your level of knowledge, and self-efficacy, which refers to the confidence in completing a task. AccessibleHomePRO (AHP) is a novel multifaceted assessment that leverages artificial …


Educational Environments And Children's Physical Activity And Sedentary Behaviors, Nathan R. Tokarek May 2023

Educational Environments And Children's Physical Activity And Sedentary Behaviors, Nathan R. Tokarek

Theses and Dissertations

Children and adolescents spend the majority of their day engaged in sedentary behaviors (SB), while also not meeting physical activity (PA) recommendations. The failure to develop and maintain health enhancing behaviors from a young age may impact an individual throughout their life. With children and adolescents spending a large proportion of their waking hours in a school setting, the educational environment presents an opportunity in which children and adolescents’ PA and SB can be positively influenced. Therefore, the purpose of this dissertation was to explore how children and adolescent’s school time PA and SB are associated with the educational setting, …


Impacting Positive Breastfeeding Attitudes Of Prelicensure Nursing Students Using An Evidence-Based Breastfeeding Module, Stephanie D. Uhr Aug 2022

Impacting Positive Breastfeeding Attitudes Of Prelicensure Nursing Students Using An Evidence-Based Breastfeeding Module, Stephanie D. Uhr

Theses and Dissertations

Background: Robust evidence demonstrates optimal breastfeeding behaviors provide unmatched short- and long-term health outcomes. Therefore, breast milk feeding is more than a feeding decision; it is a significant public health concern. Breast milk is species-specific nutrition for a developing infant. The health impact of providing breastmilk extends to the lactating parent. However, the existing breastfeeding education is often inadequate to support the care of the breastfeeding dyad. The dissertation examines the role breastfeeding plays in prelicensure nursing education and analyzes the use of an evidence-based breastfeeding educational module (EBBM) on breastfeeding attitudes.Method: An integrative review analyzed the current state of …


Impact Of Teacher Cognition On The Implementation Of Social- Emotional Learning Practices For El Students, Madeline Bliske Aug 2022

Impact Of Teacher Cognition On The Implementation Of Social- Emotional Learning Practices For El Students, Madeline Bliske

Theses and Dissertations

There is a well-established achievement and graduation rate gap between English Learner (EL) students and their monolingual English-speaking peers (U.S. Department of Education, 2020). The current study focuses on teacher cognition and characteristics that may impact the likelihood that they will implement culturally and linguistically sustaining (CLS) social-emotional learning (SEL) practices for EL students within their classroom. Specifically, I descriptively analyze whether personal, professional, or school characteristics are associated with teachers’ perception of EL students SEL competencies or implementation of CLS SEL practices. Utilizing the Theory of Planned Behavior (TPB), I evaluate whether teacher cognition (i.e., behavioral attitudes, subjective norms, …


Anxiety And Social Withdrawal Among Children: Associations With Emotion Awareness And Emotion Regulation Strategy Use At The Intra- And Interpersonal Levels, Janae Ellen Teer Aug 2021

Anxiety And Social Withdrawal Among Children: Associations With Emotion Awareness And Emotion Regulation Strategy Use At The Intra- And Interpersonal Levels, Janae Ellen Teer

Theses and Dissertations

Anxiety and social withdrawal are two frequently experienced internalizing conditions among children. These early-onset challenges are associated with numerous maladaptive outcomes in the academic, social, and psychological domains (Levitt & Merrill, 2009; Long, 2018; Sanchez et al., 2018; Shernoff et al., 2017). While identifying anxious and socially withdrawn children in the classroom is difficult as symptoms generally occur internally, distinguishing between the conditions is perhaps more challenging as the two are closely associated, oftentimes overlapping constructs (Barzeva et al., 2019; Rubin et al., 2009). Particularly, it is unclear whether anxiety and social withdrawal are similarly or differently associated with key …


The Contributing Factors To Student Nurse Medication Administration Errors And Near Misses In The Clinical Setting As Identified By Clinical Instructors, Kristen M. Selig Dec 2020

The Contributing Factors To Student Nurse Medication Administration Errors And Near Misses In The Clinical Setting As Identified By Clinical Instructors, Kristen M. Selig

Theses and Dissertations

The report, To Err is Human, by the Institutes of Medicine (IOM, 2000) brought attention to medication safety in the United States healthcare system. While advances have been made in patient safety, including electronic medication dispensing systems, electronic medication administration records, and scanning systems, it is estimated that 7,000 to 9,000 people die each year due to medication errors (Tariq et al., 2019). The medication administration process involves steps from prescribing to administration. However, nurses administering the medications are the final check point. James Reasons’ Swiss Cheese Model of Accident Causation illustrates the role that systems play in medical errors. …


Unmet Medical Home Needs And Educational Services Access In Children With Autism Spectrum Disorder, Sabrin Rizk Dec 2020

Unmet Medical Home Needs And Educational Services Access In Children With Autism Spectrum Disorder, Sabrin Rizk

Theses and Dissertations

One in 54 children is diagnosed with an autism spectrum disorder (ASD) in the U.S. The American Academy of Pediatrics (AAP) is a primary care model defined as accessible, continuous, comprehensive, family-centered, coordinated, compassionate, and culturally-effective care for children with ASD, jointly with educational services. Children with ASD use educational services for cognitive, social, and behavioral needs. Educational services include early intervention (EI) through EI plans or school services under special education plans in public schools. Linking health and educational services reduces fragmented care and collaboratively addresses the needs of children with ASD. Although the AAP has asserted efforts to …


A Mixed Methods Evaluation Of An Intersectional Bystander Program Against Sexual Violence Using The Integrated Model Of Behavioral Prediction Within A Cluster Randomized Control Trial, Rose Hennessy Aug 2020

A Mixed Methods Evaluation Of An Intersectional Bystander Program Against Sexual Violence Using The Integrated Model Of Behavioral Prediction Within A Cluster Randomized Control Trial, Rose Hennessy

Theses and Dissertations

Background: Sexual violence is a critical public health problem that is particularly salient on college campuses. Bystander intervention is a prevention approach that teaches students who are not directly affected by a situation to take action to help others. Research is needed to understand the relationship between bystander training and changes in behavior to intervene against sexual violence, racism, and unhealthy alcohol outcomes.

Methods: A cluster randomized waitlist control trial was used to evaluate the bystander program Our School TAKES ACTION. Upper-level undergraduate students were randomized by housing floor from buildings of a private, midwestern university. Data was collected in …


Dialect Use, Language Abilities, And Emergent Literacy Skills Of Prekindergarten Children Who Speak African American English, Erika Rose Baldwin Aug 2020

Dialect Use, Language Abilities, And Emergent Literacy Skills Of Prekindergarten Children Who Speak African American English, Erika Rose Baldwin

Theses and Dissertations

Purpose. The purpose of this study was to gain a better understanding of the complex relationship between spoken language and emergent literacy skills for children who speak African American English (AAE). Therefore, this study examined children’s language proficiency, dialect use, and emergent literacy skills at the beginning of Head Start preschool and throughout the entire academic year.

Methods. This study analyzed scores from a database of 120 preschool children who spoke AAE. Data included narrative retells of the wordless picture book Frog Where Are You? that were transcribed utilizing Systematic Analysis of Language Transcript (SALT) Software. Narrative retells were then …


Trans In Higher Ed: Understanding The Experiences Of Transgender And Nonbinary College Students, Katherine Cochran Aug 2019

Trans In Higher Ed: Understanding The Experiences Of Transgender And Nonbinary College Students, Katherine Cochran

Theses and Dissertations

This qualitative study sought to further explore the lived experiences of trans and nonbinary college students, in attempts to address the empirical gap contributed to by conflation of sexual and gender minorities’ experiences in research. The focus is on the lived experiences of trans and nonbinary college students to explore identity development, their experiences on campus and with mental health services, the nature of help-seeking behaviors, and their recommendations for mental health professionals, allies, and college staff. Data were collected through semi-structured interviews addressing the following research questions: (1) What are the lived experiences of trans and nonbinary college students; …


Simulation Facilitator Competency: Validity And Reliability Of A Self-Assessment Tool, Mary (Molly) Kellgren May 2019

Simulation Facilitator Competency: Validity And Reliability Of A Self-Assessment Tool, Mary (Molly) Kellgren

Theses and Dissertations

The use of simulation as a teaching and learning strategy continues to grow in nursing education. Standards of Best Practice, certification criteria, and simulation theory support the notion that facilitation of simulation requires a specialized skill set that differs from traditional classroom and clinical teaching. The discipline of nursing has already established valid and reliable tools for teachers within the classroom and clinical environments to complete self- and/or peer evaluation to inform teaching effectiveness. The National League for Nursing/Kellgren Simulation Facilitator (NLN/KSF) tool fills a gap in the literature by providing a valid and reliable tool to self-assess comprehensive facilitator …


The Assessment Of Technology Adoption Interventions And Outcome Achievement Related To The Use Of A Clinical Research Data Warehouse, Katie A. Mccarthy May 2019

The Assessment Of Technology Adoption Interventions And Outcome Achievement Related To The Use Of A Clinical Research Data Warehouse, Katie A. Mccarthy

Theses and Dissertations

Introduction: While funding for research has declined since 2004, the need for rapid, innovative, and lifesaving clinical and translational research has never been greater due to the rise in chronic health conditions, which have resulted in lower life expectancy and higher rates of mortality and adverse outcomes. Finding effective diagnostic and treatment methods to address the complex challenges in individual and population health will require a team science approach, creating the need for multidisciplinary collaboration among practitioners and researchers.

To address this need, the National Institutes of Health (NIH) created the Clinical and Translational Science Awards (CTSA) program. The CTSA …


A Preliminary Evaluation Of An Academic Support Program, James Colin Bumby Aug 2018

A Preliminary Evaluation Of An Academic Support Program, James Colin Bumby

Theses and Dissertations

The responsibility for graduating students is a school responsibility. A large urban Midwestern research university created the Nursing Endeavor Program (NEP) to ensure that students from underserved minorities, first generation, and/or low income are enabled to graduate successfully. There is a 100% retention rate for the period from admission to the nursing major in the junior year; however, in the pre-nursing years, the retention rate is only 50%. The role transition from pre-nursing student to student nurse can be challenging and stressful. A qualitative phenomenographic research approach was utilized to identify the factors facilitating and the factors hindering this transition. …


Speech-Language Pathologists' Practices And Attitudes Toward App Use In Therapy, Tessa Alexandra Benedon Aug 2018

Speech-Language Pathologists' Practices And Attitudes Toward App Use In Therapy, Tessa Alexandra Benedon

Theses and Dissertations

Numerous national surveys have established that Americans of all ages are using mobile technologies (e.g. cell phones, smartphones, and tablets) more than ever before (Pew Research Center, 2018; American Academy of Pediatrics, 2016a; American Academy of Pediatrics, 2016b; Reid-Chassiakos et al., 2016; Tsetsi & Rains, 2016; Kabali et al., 2015). In the same vein, Morris, Jones, and Sweatman (2016) found that Americans with visual, hearing, motor, learning, and speech disabilities area also engaging with apps on smartphone and tablet technologies for vocational, educational, and social purposes. Developers of the iOS and Android operating systems have prioritized user-friendly design and accessibility …


Promoting Meaningful Learning Through The Use Of Concept Maps, Duaa Amr Hafez May 2018

Promoting Meaningful Learning Through The Use Of Concept Maps, Duaa Amr Hafez

Theses and Dissertations

Background and significance: There have been dramatic changes in the healthcare system with the high use of technology. The healthcare needs of patients have increased due to the chronic diseases, and an increase in the number of the older population. These changes require nurses with high levels of thinking, knowledge and skills. It is vital to reconsider the teaching and learning methods used in nursing schools to ensure graduating nurses are capable of working in these challenging environments. The purpose of this naturalistic inquiry descriptive study is to explore the experiences and perspectives of undergraduate and graduate nursing students and …


Understanding Public Health Professional Socialization And Professional Identity Formation Experiences, Jennifer M. Freiheit Dec 2017

Understanding Public Health Professional Socialization And Professional Identity Formation Experiences, Jennifer M. Freiheit

Theses and Dissertations

Public health is in unstable times with funding decreasing, an exodus of retirees, and a paradigm shift with emergency preparedness and response critically changing the identity of the profession. Public health is at a grave trigger point where if something is not done, the entire field may be in jeopardy of caving in to consolidations, poor succession planning, and a field that cannot work toward the health of the public if they themselves are not operating well. It is commonly accepted that orientation practices exist in public health agencies, but the orientations that currently exist lack transfer to full socialization …


Wording Matters: The Impact Of Disability Identification In Post-Secondary Education, Jacqueline Marie Love Dec 2017

Wording Matters: The Impact Of Disability Identification In Post-Secondary Education, Jacqueline Marie Love

Theses and Dissertations

Background. The prevalence of students with disabilities (SWD) in postsecondary education has increased over the last 30 years. Moreover, the literature suggests that prevalence statistics may be gross underestimations since large percentages of students have not disclosed their disability to the university they attend. This could have significant negative outcomes. When students do not disclose, the university is less able to accommodate their individual academic needs, resulting in poor academic achievement and even failure to obtaining a degree. Inaccurate identification of SWD also impacts the accuracy of demographic information used to interpret educational research, inform educational policy and can erode …


What Influences School-Based Occupational Therapists’ Decision-Making? A Qualitative Study, Cynthia Helen Clough Aug 2017

What Influences School-Based Occupational Therapists’ Decision-Making? A Qualitative Study, Cynthia Helen Clough

Theses and Dissertations

Background: Occupational therapists in school-based practice make daily service delivery decisions about when, where, and how to provide interventions to children with disabilities. The services provided by these occupational therapists have the potential to support or limit a child’s access to general education curriculum and environments which, in turn, impacts vocational, financial, social, and community life outcomes. Service delivery decisions about pulling children out of classrooms, pushing services into classrooms, and / or providing consultation are made based on the ways therapists define and differentiate their role from that of other school personnel, how they interpret Individual Education Plans for …


The Impact Of Stand-Biased Desks On After-School Physical Activity Behaviors In Children, Nathan Tokarek Aug 2017

The Impact Of Stand-Biased Desks On After-School Physical Activity Behaviors In Children, Nathan Tokarek

Theses and Dissertations

The purpose of this study was to assess changes in after-school time spent performing sedentary behavior (SB), light intensity physical activity (LPA), and moderate to vigorous-intensity physical activity (MVPA) among elementary school children in response to the introduction of stand-biased desks in the classroom. Thirty-one 6th grade participants randomly assigned by their teacher to a traditional (CON) or stand-biased (INT) desk provided complete accelerometer data. After-school PA and SB were measured on four consecutive weekdays at baseline and 10-weeks. Wilcoxon Rank Sum Tests were used to detect significant differences (p<0.10) in changes in the proportion of after-school wear time performing SB and PA between groups. Results suggested no significant differences in changes in after-school time performing SB (p=0.770), LPA (p=0.740), or MVPA (p=0.470). Significant differences in the change in moderate PA (INT: -1.4%; CON: -0.2%, p=0.093) were detected. Stand-biased desks were not detrimental to children’s after-school PA and SB.


Examining The Lived Experience Of Caregivers Learning A Home Program From A Pediatric Occupational Therapist, Michelle Finet Dec 2016

Examining The Lived Experience Of Caregivers Learning A Home Program From A Pediatric Occupational Therapist, Michelle Finet

Theses and Dissertations

The purpose of this study was to examine the lived experiences of family caregivers as they learned a home program from an occupational therapist for their child. Gaining information from the caregiver on experiences with patient education may enable therapists to develop an understanding of the needs of caregivers during the educational process that occurs when a therapist is giving the caregiver a home program. Meeting the learning needs of the caregivers may possibly reduce the amount of overall therapy needed by the child. This phenomenological approach sought to answer the following research questions: (a) what are the lived experiences …


Video Modeling To Increase Interaction For Children With Autism Spectrum Disorder In A Museum Setting Using An Application On A Tablet, Bethany Miota Miota Dec 2016

Video Modeling To Increase Interaction For Children With Autism Spectrum Disorder In A Museum Setting Using An Application On A Tablet, Bethany Miota Miota

Theses and Dissertations

The purpose of this thesis was to perform an exploratory study to determine if the ScanDo! app intervention is an assistive technology that increases interaction for children with Autism Spectrum Disorder (ASD) in a museum setting. The ScanDo! app intervention presented a video demonstration that modeled the interaction for each learning station by scanning the QR code attached to the station. Using a naturally occurring baseline single-subject design with ABA and reversed ABA phases, two children with ASD and their parents visited the grocery store exhibit at a children’s museum. Observers of the trials and questionnaires completed by parents before …


The Influence Of Transcultural Humility Simulation Development Activities On The Cultural Competence Of Baccalaureate Nursing Students, Teresa Hamilton Aug 2016

The Influence Of Transcultural Humility Simulation Development Activities On The Cultural Competence Of Baccalaureate Nursing Students, Teresa Hamilton

Theses and Dissertations

One way to mitigate health disparities in the provision of nursing care and impact social justice with vulnerable populations is the development of cultural competence. Although addressed in nursing curricula, gaps in how to best address cultural competence remain. A study was undertaken to determine whether participation in a researcher-designed intervention, entitled Transcultural Humility Simulation development, based on components of Campinha-Bacote’s model with an emphasis on “becoming” culturally competent, improved cultural competence in graduating baccalaureate nursing students. A longitudinal, descriptive, quasi-experimental, pretest-posttest comparison group design using embedded mixed methods was used. A total of 57 student participants from one baccalaureate …


Relationship Between Financial Support And Retention Of Economically Disadvantaged Students In An Undergraduate Baccalaureate Nursing Program, Karen Lynn O'Brien May 2016

Relationship Between Financial Support And Retention Of Economically Disadvantaged Students In An Undergraduate Baccalaureate Nursing Program, Karen Lynn O'Brien

Theses and Dissertations

Retention in baccalaureate nursing programs has been a concern for administrators and educators for decades. The non-traditional students of the past have become the traditional students of the present and as such lead complex lives. The emerging group of students that requires more attention in nursing education research is the economically disadvantaged students. Economically disadvantaged students typically come to college less prepared for the rigors of higher education and are at-risk for leaving post-secondary education. Retention of economically disadvantaged students can potentially increase the diversity of the nursing workforce since many economically disadvantaged students also come from ethnically diverse background. …


The Effectiveness, Efficiency, And Appeal Of Pediatric Echocardiography Protocol Training For First Year Pediatric Cardiology Fellows, Lynne M. Brown May 2016

The Effectiveness, Efficiency, And Appeal Of Pediatric Echocardiography Protocol Training For First Year Pediatric Cardiology Fellows, Lynne M. Brown

Theses and Dissertations

Echocardiography training for pediatric cardiology fellows is complex and academic hospitals strive to provide high-quality training using limited resources. The purpose of this embedded single case study design was to evaluate the effectiveness, efficiency, and appeal of a newly developed 10-day echocardiography protocol learning module for first year pediatric cardiology fellows. Using blended learning methods that included didactic lectures, online learning activities, and interactive games, the learning module was the first step in the process of training pediatric cardiology fellows to perform echocardiograms independently with limited supervision during their first year of fellowship. At the end of the 10-day module, …


Exploring The Phenomenon Of Presence In An Online Educational Environment Through The Lived Experiences Of Graduate Nursing Faculty, John G. Rosselli Dec 2014

Exploring The Phenomenon Of Presence In An Online Educational Environment Through The Lived Experiences Of Graduate Nursing Faculty, John G. Rosselli

Theses and Dissertations

In this dissertation, the phenomenon of presence in an online educational environment is explored through the lived experiences of graduate nursing faculty who teach online.

Greater understanding of the phenomenon of presence in online educational environments may lead to better learner-instructor relationships, higher levels of inquiry and critical thinking on the part of faculty and students, and ultimately better student outcomes. Utilizing principles of Hermeneutic Phenomenology and deductive inquiry, and based on the learner-centric Being There for the Online Learner Model, the author conducted in-depth interviews with a purposive sample of 13 graduate nursing faculty members who teach online at …


Simulation Design Characteristics: Perspectives Held By Nurse Educators And Nursing Students, Jane Brekke Paige Dec 2013

Simulation Design Characteristics: Perspectives Held By Nurse Educators And Nursing Students, Jane Brekke Paige

Theses and Dissertations

Simulation based learning (SBL) is pedagogical method poised to innovate nursing educational approaches. Yet, despite a growing body of research into SBL, limited investigation exists regarding assumptions and beliefs that underpin SBL pedagogy. Even though key simulation design characteristics exist, the particular methods nurse educators use to operationalize simulation design characteristics and how these choices are viewed from the perspective of nursing students is unknown. Without understanding what motivates educators to design simulations as they do, it is difficult to interpret the evidence that exists to support chosen methods. Through the exploration of perspectives (points-of-view), underlying beliefs can be uncovered. …


Effects On Volunteer Peer Leaders Participating In A Health Promotion Program For U.S. Veterans, Leslie A. Patterson Dec 2013

Effects On Volunteer Peer Leaders Participating In A Health Promotion Program For U.S. Veterans, Leslie A. Patterson

Theses and Dissertations

Health-focused peer-led interventions demonstrate success in reducing risk-related behaviors among participants with chronic illnesses, yet few researchers have explored the effects of such interventions on the health of volunteer peer leaders who participate in the interventions. Using data from the project entitled, An RCT of a Peer Support Intervention to Improve Hypertension, this study explored volunteer peer leaders' self-care behaviors that contribute to blood pressure control in two hypertension interventions for U.S. veterans. Inspection of the study's findings demonstrated that volunteer peer leaders improved their health habits and hypertension knowledge significantly more than the peer groups they served. Findings revealed …


Reading Comprehension And Nursing Education: A Missing Variable Associated With Nursing Student Attrition?, Debra L. Lajoie Aug 2013

Reading Comprehension And Nursing Education: A Missing Variable Associated With Nursing Student Attrition?, Debra L. Lajoie

Theses and Dissertations

ABSTRACT

READING COMPREHENSION AND NURSING EDUCATION:

A MISSING VARIABLE ASSOCIATED WITH

STUDENT ATTRITION?

by

Debra L. Lajoie, MSN

The University of Wisconsin-Milwaukee

December, 2013

Under the Supervision of Susan Dean-Baar, PhD, RN, FAAN

The goals of nursing faculty and administrators are to select students most capable of completing the nursing program and to provide academic support needed for program completion. However, despite stronger entrance requirements, educators are still baffled by the persistent attrition from nursing education programs. The purpose of this study was to describe and compare the level of reading comprehension of two groups of students, a pre-nursing student …


Impact Of The Arthritis Foundation's Walk With Ease Program On Self-Efficacy, Quality Of Life And Pain Reduction In A Group Format, Kelly Nicole Reese Aug 2013

Impact Of The Arthritis Foundation's Walk With Ease Program On Self-Efficacy, Quality Of Life And Pain Reduction In A Group Format, Kelly Nicole Reese

Theses and Dissertations

Objective: To evaluate the effectiveness of the Arthritis Foundation's Walk With Ease Program for individuals with self- or medically-diagnosed arthritis within a group format. The study also investigates the individuals' perceptions on self-efficacy, quality of life and pain reduction pre- and post- intervention.

Background: The prevalence of arthritis is increasing and this places a major burden on individuals, health systems and social care systems globally. Osteoarthritis, the most common arthritis condition, is a major cause of impaired mobility and disability for aging populations. Osteoarthritis affects millions of people around the world. Self-management programs like the Walk With Ease Program have …