Medicine and Health Sciences Commons^™

Health Promotion Theory In Practice: An Analysis Of Co-Active Coaching, Jennifer Irwin, Don Morrow

Donald Morrow

According to the World Health Organization (1986), “health promotion is the process of enabling people to increase control over, and to improve their own health.” To bring this process and its desired outcomes to fruition, many theories and models for understanding and altering health behaviours have been designed and utilized (Ajzen, 1988; Bandura, 1986; Fishbein & Ajzen; 1975; Freire, 1973, 1974; Jessor & Jessor, 1977; Prochaska, 1979). Practitioners of behaviour change implementation are legion, as therapists, counsellors, social workers and so forth. Coaching (in various iterations such as life coaching, personal coaching, executive coaching) is a recent and growing behavioural …

The Impact Of A One-Day Applied Training In Motivational Interviewing On Health Practitioners' Perceived Competence, Autonomy, Efficacy, And Attitudes To Facilitate Behavior Change: A Pilot Study, Erin Wiley, Don Morrow, Jennifer Irwin

Donald Morrow

Objective: Because the practical application of motivational interviewing (MI) for health practitioners has been highlighted as a limitation to the approach, the purpose of this pilot study was to assess the impact of a one-day training workshop in MI applied through Co-Active life coaching (CALC) skills on health care practitioners’ perceived competence, autonomy and attitudes toward facilitating health-behavior changes. Methods: A pre-test/post-test multiple baseline design was used with 10 health care practitioners. Data was collected beginning 25 days prior and for 4 weeks post-training. Participants received a 7.5 hour interactive workshop in January 2011. The Perceived Competence Scale, the Perceived …

Assessing Motivational Interviewing Through Co-Active Life Coaching Tools As A Smoking Cessation Intervention: A Demonstration Study, Tara Mantler, Jennifer Irwin, Don Morrow

Donald Morrow

The objective of this study was to explore smoking triggers and obstacles to cessation, and intervention experiences among nine 19-28 year old smokers who participated in a 3-month coaching-administered Motivational Interviewing (MI) intervention. In addition to qualitative methods, quantitative trends regarding self-efficacy, self-esteem, cigarette dependency, and average daily cigarettes use were assessed via a repeated measures design. Participants engaged in 9 sessions with a certified coach over 3-months. In-depth interviews and previously validated quantitative assessments were conducted at baseline, 1, 3, and 6-months. Qualitatively, stress and social situations were primary smoking triggers. Cessation obstacles were a sense of personal identify …

Participants' Perceived Utility Of Motivational Interviewing Using Co-Active Life Coaching Skills On Their Struggle With Obesity, Courtney Newnham-Kanas, Don Morrow, Jennifer Irwin

Donald Morrow

The purpose of this qualitative study was to investigate the impact of Motivational Interviewing (MI) using Co-Active Life Coaching skills as a treatment for adults (age, 35–55 years) struggling with obesity. Eight women (BMI≥30) who reside in London, Ontario, received 18 coaching sessions over six months with a Certified Professional Co-Active (CPCC) coach. Participants engaged in semi-structured pre- and post-interviews, along with a focus group six months after the last coaching session. The study's CPCC was also interviewed post-intervention to gain an understanding of what it was like coaching this population. All interviews were analysed using inductive content analysis. Following …

Fertility Desires Among Hiv-Infected Men And Women In Los Angeles County: Client Needs And Provider Perspectives, Sebastian Linnemayr, Deborah Mindry, Glenn Wagner, Jordan Lake, Amber Smith, Molly Quinn, Risa Hoffmann

Sebastian Linnemayr

Combination antiretroviral therapy for persons living with HIV/AIDS (PLHA) has extended life expectancy, and enabled PLHA to live productive lives that can include having children. Despite calls to address childbearing for PLHA there has been limited attention to developing safe conception programs. This research sought to assess the childbearing desires of PLHA and the experiences of health care providers serving this population. Research entailed a brief cross-sectional client survey given to HIV-infected men and women over age 18 at two Los Angeles County clinics administered over an 8-week period. Focus group discussions were conducted with providers at each clinic site. …

U.S. Policies To Enhance Older Driver Safety: A Systematic Review Of The Literature, Elizabeth Dugan

Elizabeth Dugan

The purpose of this study was to conduct a systematic review of the literature related to state policies concerning older drivers and to draw policy conclusions about what policies appear to work to reduce older driver crashes and to identify areas needed for further research. Specific policies examined in this paper concern medical reporting and medical review, license renewal processes, and driver testing. A study was included in the systematic review if it met the following criteria: published in English between 1991and January 2013; included data on human subjects aged 65 and older residing in the United States; included information …

Social Determinants Of Health: A View On Theory And Measurement, John Mazzeo

John Mazzeo, Ph.D.

No abstract provided.

Care Transitions Programs: A Review Of Hospital-Based Programs Targeted To Reduce Readmissions, Dennis Delisle, Mhsa, Pmp

Dennis Delisle, Sc.D, FACHE

No abstract provided.

Big Things Come In Bundled Packages: Implications Of Bundled Payment Systems In Health Care Reimbursement Reform, Dennis Delisle, Mhsa, Pmp

Dennis Delisle, Sc.D, FACHE

No abstract provided.

Research Budget Overhaul, Chiehwen Ed Hsu

Chiehwen Ed Hsu

No abstract provided.

Medicare Payment Reform And Provider Entry And Exit, Peter Huckfeldt, Neeraj Sood, John Romley, Alessandro Malchiodi, Jose Escarce

Peter J. Huckfeldt

Objective. To understand the impacts of Medicare payment reform on the entry and exit of post-acute providers. Data Sources. Medicare Provider of Services data, Cost Reports, and Census data from 1991 through 2010. Study Design. We examined market-level changes in entry and exit after payment reforms relative to a preexisting time trend. We also compared changes in high Medicare share markets relative to lower Medicare share markets and for freestanding relative to hospital-based facilities. Data Extraction Methods. We calculated market-level entry, exit, and total stock of home health agencies, skilled nursing facilities, and inpatient rehabilitation facilities from Provider of Services …

The Impact Of Natural Disasters On Child Health And Investments In Rural India, Sebastian Linnemayr, Ashlesha Datar, Jenny Liu, Chad Stecher

Sebastian Linnemayr

No abstract provided.

Gifts From The Elders: Honouring The Past For A Healthier Tomorrow, Chantelle Richmond, James Fortier

Chantelle Richmond

“Gifts from the Elders” follows five Anishinaabe youth on a summer research project with their Elders, whose stories guide them on a journey back to proceeding generations that lived a healthy lifestyle off of the land. Their stories chronicle the devastating impact that environmental and cultural dispossession had on the flow of knowledge from Elders to youth, and ultimately on the health of their people. As their summer comes to an end, the youth emerge with “gifts” of knowledge and teachings from their Elders, inspiring a renewed determination to forge a hopeful and healthy future for the next generation.

Using Focus Groups To Explore Health Literacy And Health Numeracy In Hispanic Adults Living In Northeast Texas, Cheryl Cooper

Cheryl Cooper