Psychology Commons^™

Executive Functioning, Caregiver Monitoring, And Medication Adherence Over Time In Adolescents With Chronic Kidney Disease, Cyd K. Eaton, Kara Mcrae Duraccio, Michelle N. Eakin, Tammy M. Brady, Cozumel S. Pruette, Thomas Eckmann, Susan R. Mendley, Shamir Tuchman, Barbara A. Fivush, Kristen A. Riekert

Faculty Publications

Objective: To evaluate associations between executive functioning and caregiver adherence monitoring with objective antihypertensive medication adherence over 24 months in adolescents with chronic kidney disease (CKD).

Methods: Adolescents (N = 97, 11–20 years old) with CKD taking antihypertensive medication and their caregivers were recruited from three pediatric nephrology clinics. At baseline, adolescents and caregivers reported on adolescents’ executive functioning and caregivers reported on their adherence monitoring. Antihypertensive medication adherence was objectively assessed via electronic monitoring at baseline and every 6 months after for 24 months. Associations between executive functioning, caregiver monitoring, and longitudinal adherence were evaluated with linear mixed models. …

The Efficacy Of Brief Attitudinal Familism And Body Image Interventions On Diet And Exercise Self-Monitoring Adherence In Hispanic/Latinx Women, Kelsey Nicole Serier

Psychology ETDs

Addressing health disparities in overweight/obesity is a key public health issue. Research supports the efficacy of behavioral weight loss (BWL) interventions, however, adherence to these interventions is often low, which negatively impacts outcomes. The efficacy of BWL interventions is consistently lower among communities of color. Thus, there is a strong need to design and test interventions that are culturally sensitive and address predictors of BWL adherence in diverse groups. Previous research suggests that for Hispanic/Latinx women with overweight/obesity, attitudinal familism (“family comes first”) and body dissatisfaction were informative in predicting BWL adherence. The current study builds on this previous research …

Attitudes Toward Mindfulness And Adherence In Chronic Pain Management, Sarah Johnson

Global Honors Theses

Chronic pain is a global public health problem, affecting 10-25% of the population. Mindfulness is an effective treatment but requires consistency. Because of its benefit, it is important to examine obstacles to mindfulness practice. In order to determine if negative attitudes toward mindfulness are related to non-adherence, 748 adults with chronic pain were recruited to fill out a series of questionnaires assessing treatment adherence and attitudes toward mindfulness. We found that positive attitudes toward mindfulness predicted reduced adherence. However, those who had more positive feelings toward mindfulness made more attempts at the therapy. Upper and middle-class participants had more positive …

Why Do Some Americans Resist Covid-19 Prevention Behavior? An Analysis Of Issue Importance, Message Fatigue, And Reactance Regarding Covid-19 Messaging, Hannah Ball, Tayah Renea Wozniak

Communication Faculty Articles and Research

Despite the rapid transmission of and death toll claimed by COVID-19, there is evidence of resistance toward behaviors shown to effectively prevent and slow the spread of the disease, such as mask wearing and social distancing. This study applies psychological reactance theory to examine COVID-19 message factors (i.e., message fatigue, issue importance) that may be linked to nonadherence to CDC recommendations via the experience of reactance. Participants (N = 268) were current U.S. residents over the age of 18 who completed an online survey about their perceptions of COVID-19 messaging in general as well as toward a specific COVID-19 …

Adherence To A Mindfulness App For College Students With Depression: Patterns, Predictors, And Outcomes, Brynn Marie Huguenel

Dissertations

National trends indicate that mental health concerns, particularly rates of depression, continue to rise on college campuses; however, treatment utilization remains low. Technology-based mental health interventions, such as mental health apps (MHapps), are a promising means of overcoming treatment barriers. MHapps are effective in improving psychological outcomes, but low rates of adherence are a noted limitation. The current study explored patterns of adherence to a MHapp, investigated the bidirectional relation between adherence and depression, and identified motivational predictors of adherence rates. Undergraduate students (N= 66) reporting clinically-elevated depressive symptoms completed a three-month trial using Headspace, a mindfulness MHapp. Patterns of …

Exploring Motivation To Adhere Among Crossfit Exercise Participants, Lauren Elizabeth Falgout

Walden Dissertations and Doctoral Studies

Lack of exercise and obesity are prominent social problems in the U.S. population. Therefore, understanding the experiences that promote or hinder motivation and exercise adherence is important. A total of 15 adult participants who engaged in CrossFit for a minimum of 6 months were recruited for this generic qualitative study using purposeful sampling methods. They responded to an invitation on a social media page for CrossFit participants. They shared their exercise adherence experiences and motivation through semi-structured qualitative interviews. Trustworthiness procedures included reflexive journaling, and member checking. Data analysis proceeded from transcript reading to working with broad themes and phrases …

Changes In Patient Knowledge And Adherence To Glaucoma Treatment After Educational Intervention, Stella Stempel

Walden Dissertations and Doctoral Studies

Primary open-angle glaucoma is the most common form of glaucoma and the second-leading cause of preventable blindness worldwide. Although timely diagnosis and proper adherence to therapeutic regimen prevent blindness, patient nonadherence continues to be the greatest challenge to effective treatment. Preliminary research suggested that culturally interactive education delivery may increase patient adherence. However, this education intervention had not occurred with glaucoma treatment. The transtheoretical model of behavior change served as the framework for this study. The research questions addressed the effect that glaucoma education provided by a culturally competent patient navigator had on patient knowledge of glaucoma, adherence to medication …

Decision-Making Involvement, Social Support For Healthy Behaviors, And Nutritional Adherence In Adolescents With Cystic Fibrosis, Jennifer Kelleher

Graduate Theses, Dissertations, and Problem Reports

Background: Adolescents with cystic fibrosis (awCF) exhibit suboptimal adherence to dietary and enzyme recommendations despite the fact that eating a high calorie diet with enzymes significantly improves lung functioning. Furthermore, during adolescence teens and their caregivers begin to negotiate treatment responsibility, shifting treatment tasks to the youth. As such, it is important to understand which aspects of the complex decision-making process (e.g., expressing an opinion, asking for information from parents/adults, making joint decisions with parents) relate to better dietary adherence in adolescents with CF and how parents can best support these healthy behaviors. Thus, this study aimed to identify how …