Public Health Commons^™

Evaluating The Impact Of Two Different Methods Of Diabetes Self-Management Education On Knowledge, Attitude, And Behaviours Of Patients With Type 2 Diabetes Mellitus, Laura B. Briden

Electronic Thesis and Dissertation Repository

This study compared the effectiveness of diabetes self-management education (DSME) methods by examining changes in knowledge, attitude, and behaviour (KAB) after receiving education. Participants from a convenience sample were randomized into two groups, one receiving education through conversation maps and the other through traditional group education. Participants’ knowledge and attitude changes were measured by using a repeated measures pre-test/post-test design and changes in Hb A1c were observed. Focus groups were conducted after education was received to obtain perceptions and self-reported behaviour changes. Significant knowledge and attitude score changes were observed in the conversation map group after education. When comparing the …

Social Support As A Determinant Of Health Related Quality Of Life In Breast Cancer Survivors In California, Faiza Rab

Electronic Thesis and Dissertation Repository

Objective:

To evaluate the relationship between perceived social support and HRQOL (physical and emotional) in low SES breast cancer survivors.

Methods:

A cross-sectional study design was used to measure perceived social support at 18 months and HRQOL at 3 years after breast cancer diagnosis using MOS SS and MOS SF-36, respectively. Multiple regression analyses were used to evaluate the relationship.

Results:

Menopause at the time of diagnosis, adjunct chemotherapy, adjunct radiation therapy, co-morbidities, treatment side effects and depression were negatively associated with PCS scores (p < 0.01). Treatment side effects, anxiety and depression were negatively associated with MCS scores (p < 0.01).

Conclusions:

Perceived social support was not associated with HRQOL in low SES breast cancer survivors …

The Influence Of The Childcare Environment On Physical Activity Among Preschool-Aged Children: A Feasibility Study, Leigh M. Vanderloo

Electronic Thesis and Dissertation Repository

This study sought to: (1) measure moderate-vigorous physical activity (PA) levels of a sample of preschoolers; (2) assess which attributes (e.g., space, equipment, policies) within centre-based childcare environments influence PA; and, (3) pilot the methodology to ensure the feasibility of undertaking a full-scale study. Thirty-one preschoolers from five childcare centres across London, Canada participated. Actical® accelerometers were worn by participants for one day during childcare hours to assess activity levels using a 15-second epoch length. The Environment and Policy Assessment and Observation instrument was used to conduct a full-day evaluation of the childcare environment. On average, participants engaged in 11.45 …

An Intensive Smoking Intervention For Pregnant Aboriginal And Torres Strait Islander Women: A Randomised Controlled Trial, Sandra J. Eade, Rob W. Sanson-Fisher, Mark Wenitong, Katie Panaretto, Catherine D'Este, Conor Gilligan, Jessica Stewart

Aboriginal Policy Research Consortium International (APRCi)

Objective: To determine the effectiveness of an intensive quit-smoking intervention on smoking rates at 36 weeks’ gestation among pregnant Aboriginal and Torres Strait Islander women. Design: Randomised controlled trial. Setting and participants: Pregnant Aboriginal and Torres Strait Islander women (n= 263) attending their first antenatal visit at one of three Aboriginal community-controlled health services between June 2005 and December 2009. Intervention: A general practitioner and other health care workers delivered tailored advice and support to quit smoking to women at their first antenatal visit, using evidence-based communication skills and engaging the woman’s partner and other adults in supporting the quit …

Physical Activity Among Latino Children In London, Ontario: An Assessment Of Physical Activity Levels, Sedentary Behaviours, And Physical Activity-Related Barriers And Facilitators, Gillian E. Mandich

Electronic Thesis and Dissertation Repository

The purpose of the study was to assess the physical activity (PA) levels, sedentary behaviours, and PA-related barriers and facilitators of a sample of Latino children in London, Canada. Forty boys and 34 girls (mean age = 11.4 years) completed questionnaires related to PA levels, sedentary behaviours, and PA-related barriers and facilitators, and 64 of these children wore an accelerometer for 4 consecutive days. Children spent an average of 53 minutes per day in moderate-to-vigorous PA. The average daily sedentary time for participants was 8.6 hours, and subjective measures revealed that participants spent 3.8 hours per day in front of …

Blunting The Legacy Of Alcohol Abuse In Western Australia, Tony Kirby

Aboriginal Policy Research Consortium International (APRCi)

No abstract provided.

How And When Health-Care Practitioners In Aboriginal Community Controlled Health Services Deliver Alcohol Screening And Brief Intervention, And Why They Don’T: A Qualitative Study, Anton Clifford, Anthony Shakeshaft, Catherine Deans

Aboriginal Policy Research Consortium International (APRCi)

Introduction. Indigenous Australians experience a disproportionately high burden of alcohol-related harm.Alcohol screening and brief intervention (SBI) offers the potential to reduce this harm if barriers to its delivery in Aboriginal Community Controlled Health Services (ACCHSs) can be optimally targeted. Aims. Examine health-care practitioners’ perceptions of, and practices in, alcohol SBI in ACCHSs. Methods. Semi-structured group interviews with 37 purposively selected health staff across five ACCHSs. Results. Alcohol screening independent of standard health assessments was generally selective.The provision of brief intervention was dependent upon factors related to the patient. Four key factors underlying health-care practitioners’ perceptions of alcohol SBI were prominent: …

Promoting Fit Bodies, Healthy Eating And Physical Activity Among Indigenous Australian Men: A Study Protocol, Lina A. Ricciardelli, David Mellor, Marita P. Mccabe, Alexander J. Mussap, David J. Hallford, Matthew Tyler

Aboriginal Policy Research Consortium International (APRCi)

Background: Overall the physical health of Indigenous men is among the worst in Australia. Research has indicated that modifiable lifestyle factors, such as poor nutrition and physical inactivity, appear to contribute strongly to these poor health conditions. To effectively develop and implement strategies to improve the health of Australia’s Indigenous peoples, a greater understanding is needed of how Indigenous men perceive health, and how they view and care for their bodies. Further, a more systematic understanding of how sociocultural factors affect their health attitudes and behaviours is needed. This article presents the study protocol of a community- based investigation into …