Public Health Education and Promotion Commons^™

Organizational Culture Change In A Texas Hospital, Alberto Coustasse-Hencke M.D., M.B.A., M.P.H.

Alberto Coustasse, DrPH, MD, MBA, MPH

Coustasse-Hencke, Alberto, MD, MBA, MPH, Organizational Culture Change in a Texas Hospital. Doctor of Public Health (Health Behavior), June 2004, 329 pp., 11 tables, 8 illustrations, bibliography, 198 titles. The purpose of this research was to analyze a Balanced Scorecard (BSC) approach in a Texas hospital with a main focus in Patient Satisfaction (PS), and to measure organizational change and its impact on PS. This dissertation also applied a "Shared Vision" of the organization as the central process in bringing forth the knowledge shared by members of the community hospital who were both subjects and research participants. The development of …

Factor Structure Of The Chinese Service Quality Assessment Scale, Siu-Yin Cheung, Eddie Lam, Jia-Wen Shao, Jennifer Mak

Jennifer Y Mak

The quality of service has been the major subject of interest for business and academia. The aims of this study were to investigate the service quality of fitness clubs in Hong Kong and Guangzhou and to examine the underlying factor structure of the Service Quality Assessment Scale (SQAS; Lam, Zhang, & Jensen, 2005) in the Chinese context.

Co-Active Life Coaching As A Treatment For Adults With Obesity, Courtney Newnham-Kanas, Jennifer Irwin, Don Morrow

Donald Morrow

This study evaluates the impact of one-on-one coaching on the waist circumference, BMI, self-esteem, self-efficacy, physical activity, and functional health status of adults with obesity. A one-group within- subjects, pre-test post-test study design was used. The study took place at the University of Western Ontario from June-October 2007. A total of 20 men and women aged 35-55, with a BMI ≥ 30 participated in the study. Each engaged in six to eight 35-minute sessions with a Certified Professional Co-Active Coach during which they explored desired changes and how to achieve them. Paired t-tests were used to analyse the pre- and …

Co-Active Coaching As An Intervention For Obesity Among Female University Students, Melissa Van Zandvoort, Jennifer Irwin, Don Morrow

Donald Morrow

Purpose: The purpose of this study was to assess the impact of Co-active coaching on obese female university students’ body mass index (BMI), waist circumference (WC), functional health status and self-esteem, and conjointly to identify the coaching skills and primary agenda topics that facilitate coaching’s efficacy as an intervention for obesity.

Design: A multiple-baseline, single-subject research design was utilized.Methods: Two certified coaches provided an average of nine, 35-minute, one-on-one sessions with five students whose BMI?30kg/m2 (obesity threshold). Measures included BMI, WC, the Short-Form 36 (SF-36) Health Survey, and the Rosenberg Self-Esteem Scale. Visual inspection was used to analyze changes in …

The Impact Of Co-Active Life Coaching On Female University Students With Obesity, Melissa Van Zandvoort, Jennifer Irwin, Don Morrow

Donald Morrow

The purpose of this qualitative study was to explore the impact of Co-active life coaching on obese female university students. Five obese (BMI ≥ 30kg/m2), female university students received an average of nine weekly, 35-minute, one-on-one sessions with a certified coach. Semi- structured, in-depth interviews before and after participating in the coaching intervention were conducted, and inductive content analysis was utilized. Strategies to enhance data trustworthiness were incorporated throughout. Participants initially reported: struggling with barriers and experiencing pressure from family to lose weight; negative relationships with themselves; feeling self-conscious and remorse for their size and lifestyle choices. At the conclusion …

The Impact Of Co-Active Coaching On Physically Inactive 12 To 14 Year Olds In Ontario, Paul Gorczynski, Don Morrow, Jennifer Irwin

Donald Morrow

This study assessed the impact of life coaching on physical activity participation, self-efficacy, social support, and perceived behavioural control among physically inactive youth between the ages of 12 and 14 years in London, Ontario. The multiple-baseline across participants single case-experimental design study consisted of five 12 to 14 year olds. Six coaching sessions were conducted over two months by a certified professional Co-active coach. Physical activity increased for one participant while the other participants’ physical activity remained unchanged. No significant changes occurred in self-efficacy, social support, and perceived behavioural control with specific regard to becoming more physically active. Results indicted …

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 …

Hepatitis C Screening And Testing: A Call For A National Response., Donna M. Zucker Rn, Phd, Faan

Donna M. Zucker

The purpose of this brief is to convey the immediate need to coordinate and integrate hepatitis C virus (HCV) screening and testing for HIV co-infected and HCV infected clients, into primary care. In 2000, 1.25 million persons were estimated to be chronically infected with hepatitis B virus (HBV), and 2.7 million are chronically infected with HCV. Furthermore, 55% to 85% of new HCV infections become chronic. Of the 1.0 million people chronically infected with HIV, 250,000 also have HBV, and ~50,000 also have HCV, the leading cause of hepatocellular carcinoma. Liver disease is now the leading cause of death in …

Inadequate Feeding Of Infant And Young Children In India: Lack Of Nutritional Information Or Food Affordability?, Nisha Malhotra

Nisha Malhotra

Why does child malnutrition persist in India? Amongst the fastest growing economies over the last two decades, India has struggled to make progress in the health of its children. In this article the author argues that the reason malnutrition persists is not limited to poverty or inadequate access to food; but that a lack of nutritional knowledge amongst families plays a very important role.

Scientific Abstract Objective: Despite a rapidly growing economy and rising income levels in India, improvements in child malnutrition have lagged. Data from the most recent National Family Health Survey reveal that the infant and young child …

Results Of A Preliminary Shoreline Shellfish Sanitary Survey Near Banjul, Gambia Conducted On 18 June 2011, Kanyi Babanding, Michael A. Rice

Michael A Rice

A preliminary shoreline survey was conducted along the Bund Road (frequently referred to as Bond Road) levee and the Banjul-Serrekunda Highway in the northern Tanbi Wetlands oyster harvesting area in the metropolitan Banjul area. In part this was designed as a training exercise for Gambian officials will be assuming responsibility for future shoreline surveys in the Gambia. Key identified areas of concern include the Banjul fish landing area on Bund Road utilized by a number of artisanal fishers; an over-water toilet facility for fishers near the fish landing site; evidence of illegal waste and rubbish dumping along Bund Road; an …

Understanding Screen-Related Sedentary Behavior And Its Contributing Factors Among School-Aged Children: A Social-Ecologic Exploration, Meizi He, Stewart Harris, Leonard Piché, Charlene Beynon

Leonard Piché

Purpose: To explore the factors that contribute to children's screen-related sedentary (S-RS) behaviors. Settings: Elementary schools. Subjects: A random sample of children in grades five and six and their parents. Measures: The outcome measure was children's S-RS activity level measured by a self-administered questionnaire. A full spectrum of potential contributing factors for children's S-RS behaviors was obtained through surveys. Multilevel linear regression methods were used to determine the associations between these factors and children's screen time (hours per day) and results were expressed as regression coefficients (g). Results: Of 955 child-parent pairs in 14 participating schools, 508 pairs (53%) completed …