Social and Behavioral Sciences Commons^™

Ethnic And Gender Differences In Psychosocial Factors In Native Hawaiian, Other Pacific Islanders, And Asian American Adults With Type 2 Diabetes, Jillian Inouye, Dongmei Li, James Davis, Richard Arakaki

Journal of Health Disparities Research and Practice

This study examined the differences between 207 Asians and Native Hawaiian, other Pacific Islanders (NHOPI) with type 2 diabetes among various psychosocial measures. Responses to five multivariable regression models including the Diabetes Quality of Life Questionnaire (DQOL) and Short Form -36® Health Survey (SF-36) were analyzed. Differences were determined by linear contrasts in the multivariate linear regression models after adjusted for multiple demographic and socioeconomic variables. Compared to Asians, NHOPIs perceived a lower impact of diabetes on their quality of life; highlighting differences in perceptions of self-efficacy and self-care activities. Females did better on their diet while males perceived better …

A Practical Scale For Multi-Faceted Organizational Health Climate Assessment, Zandra M. Zweber

Master's Theses

The current study sought to develop a practical scale to measure workplace health climate in a way that has not previously been conceptualized – as a three-faceted approach from the employee perspective serving as an indicator of a healthy organization. The goal was to create a short, useable yet comprehensive scale that could translate into practical use by organizations and occupational health professionals planning workplace interventions. To accomplish this, the proposed multi-faceted organizational health climate scale (MOHCA) assesses three-facets which match up with three organizational levels: 1) organization 2) supervisor and 3) workgroup. Ten items were developed and tested on …

Prevalence Of Smoking And Other Health Risk Factors In People Attending Residential Substance Abuse Treatment, Peter J. Kelly, Amanda L. Baker, Frank P. Deane, Frances Kay-Lambkin, Billie Bonevski, Jenna Tregarthen

Frank Deane

Introduction and Aims. People attending substance abuse treatment have an elevated risk of developing cardiovascular disease (CVD) and cancer. Consequently, there have been increasing calls for substance abuse treatment services to address smoking.The current study examined smoking behaviours of people attending residential substance abuse treatment. Additionally, the study examined rates of other potentially modifiable health risk factors for the development of CVD and cancer. Design and Methods. A cross-sectional survey was completed by participants attending Australian Salvation Army residential substance abuse treatment services (n = 228). Rates of smoking, exercise, dietary fat intake, body mass index and depression were identified …

A Taxonomy For Homework Used By Mental Health Case Managers When Working With Individuals Diagnosed With Severe Mental Illness, Peter Kelly, Frank P. Deane, Robert King, Nikolaos Kazantzis, Trevor P. Crowe

Trevor Crowe

A survey was completed by 122 case managers describing the types of homework assignments commonly used with individuals diagnosed with severe mental illness (SMI). Homework types were categorized using a 12-item homework description taxonomy and in relation to the 22 domains of the Camberwell Assessment of Need (CAN). Case managers predominately reported using behaviourally based homework tasks such as scheduling activities and the development of personal hygiene skills. Homework focused on CAN areas of need in relation to Company, Psychological Distress, Psychotic Symptoms and Daytime Activities. The applications of the taxonomy for both researchers and case managers are discussed.

Parallel Processes In Clinical Supervision: Implications For Coaching Menthal Health Practitioners, Trevor P. Crowe, Lindsay G. Oades, Frank P. Deane, Joseph Ciarrochi, Virginia C. Willliams

Trevor Crowe

No abstract provided.

Does Health Capital Have Differential Effects On Economic Growth?, Arusha V. Cooray

Arusha Cooray

Investigating the impact of health capital disaggregated by gender on economic growth in a sample of 210 countries over the 1990-2008 period, this study suggests that the influence of health capital across countries cannot be generalised. Results for the full sample indicate that health capital does not have a robust and significant effect on economic growth unless through their interactions with health expenditure and education. The results disaggregated by income group reveal that health capital has a positive robust influence on economic growth in high and upper middle income economies. In low and low middle income economies, health capital gains …

Stress Spillover Of Health Symptoms From Healthy Spouses To Patient Spouses In Older Married Couples Managing Both Diabetes And Osteoarthritis, Jeremy B. Yorgason, Susanne O. Roper, Jonathan G. Sandberg, Cynthia A. Berg

Faculty Publications

Many studies examining illness within marriage have investigated how illness in one spouse influences the other spouse. In later-life marriages, where both spouses are more likely to have health challenges, there is an increased likelihood that health symptoms from both spouses affect each other. In the current study we examined how health symptoms in a “healthy” spouse may exacerbate health problems in a partner (the patient) who is managing multiple chronic illnesses. Surveys were collected across 14 days from 27 later-life couples where patients had both diabetes and osteoarthritis. Results indicated that higher healthy spouse symptoms were generally associated with …

Enhancing Patient Adherence: Outcomes Of Medication Alliance Training On Therapeutic Alliance, Insight, Adherence, And Psychopathology With Mental Health Patients, Mitchell Byrne, Frank Deane

Mitchell K Byrne

The results of interventions to enhance patient adherence to medication have been inconsistent. This research investigated the utility of an enhanced adherence training programme to ascertain its effectiveness and the possible mechanisms of that effect. Forty-six clinicians were trained in 'medication alliance', and data were collected from 51 patients matched to the clinician. Data on clinician changes in skills, knowledge, and attitudes, in relation to enhancing patient adherence and patient changes in adherence, insight, and psychopathology were collected at baseline and at 6 and 12 months. The quality of the therapeutic relationship between the clinician and the patient was also …

Mental Health Clinicians' Beliefs About Medicines, Attitudes, And Expectations Of Improved Medication Adherence In Patients, Mitchell Byrne, Peter Caputi, Frank Deane

Mitchell K Byrne

Nonadherence to antipsychotic medications remains a major factor in poor clinical outcomes. This study sought to identify clinician beliefs about patients who do not adhere to treatment, the clinicians' own beliefs about medicines, and the impact of beliefs on efforts to enhance patient adherence. In total, 292 clinicians responded to an anonymous questionnaire that included questions about their beliefs and their efforts to enhance adherence. Results indicated that clinicians' beliefs about their own adequacy to enhance adherence significantly predicted actual efforts to enhance adherence. Both pessimism about outcomes and empathy for the patient predicted outcome expectancy. It was concluded that …

A Strong Commitment To Mental Health Nursing, Renee Brighton, Angela Brown, Terence Froggatt, Susan Liersch

Angela M Brown

The School of Nursing, Midwifery and Indigenous Health (SNMIH) at the University of Wollongong, places great emphasis on providing nursing students with fundamental education and knowledge in mental health nursing. There are two dedicated undergraduate mental health subjects delivered within the Bachelor of Nursing (BN) program. Both subjects are placed in adjacent sessions to provide a consolidated speciality experience for all BN students. The two subjects incorporate core values and principles to guide the teaching of mental health nursing, learning outcomes that reflect the Australian Nursing and Midwifery Council (ANMC) competencies and are based on recommendations from the Mental Health …

Usability Testing Of Public Health Web-Based Information Systems, Sumayya Banna, Kholoud Alkayid, Helen M. Hasan, Joseph A. Meloche

Sumayya a Banna

While the Internet provides many opportunities for increased levels of care and access to information services in the area of public health, many web designers are not yet taking full advantage of its potential. This study looks at Intensive Care and Palliative Care, as important instances where health informatics could improve public web-based services, in meeting the particular information needs of family members of critically and chronically ill patients. This study is significant in adopting an approach to the usability testing of websites based on concepts from Activity Theory. This takes a realistic and practical approach, which identifies the purpose …

Opportunities For Interactivity In Public Health Websites: A Content Analysis Approach, Sumayya Banna, Helen M. Hasan, Joseph A. Meloche

Sumayya a Banna

The Internet has many advantages over other media in the provision of information services in the area of public health. However many designers are not yet taking full advantage of its potential for interactivity. This paper examines the development of interactivity in public health websites in the increasingly important area of Palliative Care. Content analysis is used here to map the interactivity in a sample of 30 existing websites along with Heeter’s six dimensions (content and availability of choice, effort users must exert, responsiveness to the users, and the ease of adding information, monitoring the information and the system use, …

Coping Strategies And Health Among Call Centre Operators, Richard Hicks, Verity Stoker-Biersteker

Richard Hicks

One of the most demanding jobs that modern workers have to cope with is that of working in busy, noisy, call centres and coping with the requests, complaints, and often the frustration and rudeness of customers. This chapter reports on the results of a study on how Australian call centre operators survive such a hectic job. The study of 65 internet respondents emphasised the stresses they faced; the coping strategies that call centre employees used ’at work and at home’ indicated that they were under considerable stress and pressure at work. The results indicated that individuals used similar coping strategies …

The Long Term Effect Of Parental Involvement In A Child's Education: A Ten-Step Approach, Eraina Ross-Aseme

Doctoral Dissertations and Projects

Parental Involvement in a child's education is very important to the child becoming a productive citizen. Some parents find themselves getting in at the start of their child entering elementary school; parental involvement should begin before the school age years. Research has demonstrated the effectiveness of establishments such as schools, churches and businesses partnering in a child's education. The goal of this project is to empower parents to build stronger support systems with schools, neighborhoods, churches and communities. Its aim is to show parents, school systems and businesses that collaboration in the education arena can be strengthened to achieve a …

Use Of Homework By Mental Health Case Managers In The Rehabilitation Of Persistent And Recurring Psychiatric Disability, Peter Kelly, Frank P. Deane, Nikolaos Kazantzis, Trevor P. Crowe, Lindsay G. Oades

Frank Deane

Background: Homework refers to between-session activities that are tied to therapeutic goals. Homework has been suggested as being an important clinical adjunct to case management practices, however, to date, research has not examined case managers’ use of homework. Aims: To identify the degree that case managers use homework within their clinical practice and explore the way it is administered with people diagnosed with a persistent and recurring psychiatric illness. Method: A survey was completed by 122 case managers (63% of those approached) comprising nurses, psychologists, social workers, occupational therapists and welfare/support workers. Results: Ninety-three percent of case managers implement homework, …

Slides: Impacts Of Energy Deficits In Cooking, Illumination, Water, Sanitation, And Motive Power, Paul S. Chinowsky

2012 Energy Justice Conference and Technology Exposition (September 17-18)

Presenter: Dr. Paul Chinowsky, Director, Mortenson Center in Engineering for Developing Communities; Professor, University of Colorado

25 slides

Rural Caregiver Network Project Final Summative Internal Evaluation Report, University Of Maine Center On Aging

Maine Center on Aging Research and Evaluation

The Rural Caregiver Network Project is an initiative to support caregivers through both formal and informal resources in order to establish support systems in rural Washington and Hancock Counties. The focus of this project was to maximize residents’ ability to access home and community-based services at a lower cost. The sources of information for this report include the following: 88 intake surveys gathered from caregivers, 69 follow-up surveys from caregivers, 84 caregiver and professional training surveys, and 26 project partner process survey responses. The project has majorly served white, female caregivers in households with an aggregate income of less than …

Gender Discrimination And Quality Of Life: A Perspective Of The Health Care Delivery In Zuba District, Federal Capital Territory, Nigeria, Tanimu T. Zakariah, Esther Englama

Confluence Journal Environmental Studies (CJES), Kogi State University, Nigeria

The study seeks to find out the reasons for gender discrimination in health care service provision having established that gender discrimination exists in the area. The paper also examines the implications and the impact of this discrimination on the quality of life in the area. The instrument used to generate data for the study was the questionnaire two hundred questionnaire copies were administered by the researchers with the help of the research assistant. The data generated were analyzed using the mean and standard deviation, while the hypothesis was tested with student, t-test. It was discovered that women are discriminated in …

Usability Testing Of Public Health Web-Based Information Systems, Sumayya Banna, Kholoud Alkayid, Helen M. Hasan, Joseph A. Meloche

Helen Hasan

While the Internet provides many opportunities for increased levels of care and access to information services in the area of public health, many web designers are not yet taking full advantage of its potential. This study looks at Intensive Care and Palliative Care, as important instances where health informatics could improve public web-based services, in meeting the particular information needs of family members of critically and chronically ill patients. This study is significant in adopting an approach to the usability testing of websites based on concepts from Activity Theory. This takes a realistic and practical approach, which identifies the purpose …

Opportunities For Interactivity In Public Health Websites: A Content Analysis Approach, Sumayya Banna, Helen M. Hasan, Joseph A. Meloche

Helen Hasan

The Internet has many advantages over other media in the provision of information services in the area of public health. However many designers are not yet taking full advantage of its potential for interactivity. This paper examines the development of interactivity in public health websites in the increasingly important area of Palliative Care. Content analysis is used here to map the interactivity in a sample of 30 existing websites along with Heeter’s six dimensions (content and availability of choice, effort users must exert, responsiveness to the users, and the ease of adding information, monitoring the information and the system use, …

A Seat At The Table: A Nonconformist Approach To Grassroots Participation In The Articulation Of Health Standards, Leanne Bekeris

Electronic Thesis and Dissertation Repository

This paper assesses the need to articulate standard protocol in regards to decision making and monitoring of biomedical and ecosystem health in Canadian Aboriginal communities. This is critical, as standards in Aboriginal communities are applied by external regulators. Absence of collaboration between the Aboriginal community, healthcare institutions, and the federal government has perpetuated the deterioration of health among Aboriginal people through structural violence. This thesis utilizes toxicity results from the University of Western Ontario’s Ecosystem Health Team’s biomonitoring study of Walpole Island First Nation, which reveals that the absence of community input regarding health standards, combined with a fear of …

Health And Religious Commitment Among College Students: The Effects Of Health Behavior, Mental Health, And Social Support, Monica Yvette Jones

Theses and Dissertations

Empirical findings supporting the connection between religion and spirituality and health have been consistently found in the literature, whereas the factors explaining this relationship have lacked clarity. The present study sought to explore this relationship and establish health behavior, mental health, and social support as mediating factors to the proposed association between religious commitment and physical health. Physical health was measured by a number of indicators: body mass index, self-reported medical conditions, prescription drug use, over-the-counter medication usage, and problem use of drugs and alcohol. A sample of 150 college students from a university in Central Virginia participated in this …

Public Health Information Service In The Northern Region Of Bangladesh: An Exploratory Study, A.K.M. Eamin Ali Akanda, Kazi Mostak Gausul Hoq

Library Philosophy and Practice (e-journal)

Abstract

Public health information service plays a crucial role in upgrading the health status of the population of any country by providing valuable information on issues like health, sanitation, nutrition and family planning.Bangladesh, with one of the highest concentrations of non government organizations in the world, has been grappling with many health related problems including weak and insufficient infrastructure, corruption, population explosion, lack of health professionals, lack of awareness, etc. Although the organizations working in the region are making considerable efforts for reaching out to the larger cross-sections of rural people, their efforts are hampered by various socio-economic problems and …

Evolution And Sustainability Of The Helping Hands Volunteer Program: Consumer Recovery And Mental Health Comparisoins Six Years On, Frank P. Deane, Retta Andresen

Frank Deane

The Helping Hands program commenced in 1999 and partners volunteers with mental health consumers for support and to increase social contact, recreational and friendship opportunities. The aim of the present study is to describe the evolution and sustainability of the program over the first 6 years. A description of consumers accessing the program using recovery-oriented measures and traditional measures of behavioural functioning is also provided. Service data was collected on the development of the program, service utilisation, volunteer participation and funding patterns. Cross-sectional measures of recovery and baseline and follow-up Health of the Nation Outcome Scales (HoNOS) were collected on …

Benchmarking Across Sectors: Comparisons Of Residential Dual Diagnosis And Mental Health Programs, Frank P. Deane, Peter Kelly, Talia Gonda, Ganapathi Murugesan, Robyn Jeffrey

Frank Deane

[extract] A Question to Ponder: How does your service compare to other similar services in the industry? How would knowing this help your organisation?

A Taxonomy For Homework Used By Mental Health Case Managers When Working With Individuals Diagnosed With Severe Mental Illness, Peter Kelly, Frank P. Deane, Robert King, Nikolaos Kazantzis, Trevor P. Crowe

Frank Deane

A survey was completed by 122 case managers describing the types of homework assignments commonly used with individuals diagnosed with severe mental illness (SMI). Homework types were categorized using a 12-item homework description taxonomy and in relation to the 22 domains of the Camberwell Assessment of Need (CAN). Case managers predominately reported using behaviourally based homework tasks such as scheduling activities and the development of personal hygiene skills. Homework focused on CAN areas of need in relation to Company, Psychological Distress, Psychotic Symptoms and Daytime Activities. The applications of the taxonomy for both researchers and case managers are discussed.

Analyzing Nurse-Physician Discursive Practices In Acute Patient Care, John Dinolfo

All Dissertations

This mixed methods study in inter-professional health communication assesses the pedagogical role of writing and visual communication in the education of non-traditional and traditional Nursing students as they interpret and apply the concepts of message framing and message reception in nurse-physician communication. To achieve that goal, this study analyzes the dynamics of terministic screens as message frames that can determine message reception in nurse-physician communication regarding the status of an acute care patient.
The study was conducted in two Nursing writing and communication classes during the Spring 2011 semester. Two study groups (combined across classes) included a mixed population of …

Improving Therapeutic Use Of Homework: Suggestions From Mental Health Clinicians, Peter Kelly, Frank P. Deane

Peter Kelly

Background. The majority of mental health clinicians report the use of homework to support their case management, but practitioner surveys indicate that homework is not routinely used. Aims. To examine barriers that mental health case managers experience in implementing homework and to identify strategies to promote successful homework administration. Method. One hundred thirty-four surveys were completed by mental health case managers. The survey examined their use of homework for individuals diagnosed with a severe mental health problem. It also asked them to identify barriers to regularly implement homework and describe strategies to promote more regular use of homework. Results. On …

Benchmarking Across Sectors: Comparisons Of Residential Dual Diagnosis And Mental Health Programs, Frank P. Deane, Peter Kelly, Talia Gonda, Ganapathi Murugesan, Robyn Jeffrey

Peter Kelly

[extract] A Question to Ponder: How does your service compare to other similar services in the industry? How would knowing this help your organisation?

Use Of Homework By Mental Health Case Managers In The Rehabilitation Of Persistent And Recurring Psychiatric Disability, Peter Kelly, Frank P. Deane, Nikolaos Kazantzis, Trevor P. Crowe, Lindsay G. Oades

Peter Kelly

Background: Homework refers to between-session activities that are tied to therapeutic goals. Homework has been suggested as being an important clinical adjunct to case management practices, however, to date, research has not examined case managers’ use of homework. Aims: To identify the degree that case managers use homework within their clinical practice and explore the way it is administered with people diagnosed with a persistent and recurring psychiatric illness. Method: A survey was completed by 122 case managers (63% of those approached) comprising nurses, psychologists, social workers, occupational therapists and welfare/support workers. Results: Ninety-three percent of case managers implement homework, …