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Full-Text Articles in Counseling Psychology
A Stakeholder Examination Of Gestational Weight Gain Guidelines, Melissa Kwitowski
A Stakeholder Examination Of Gestational Weight Gain Guidelines, Melissa Kwitowski
Theses and Dissertations
Obesity is a significant health concern for women of childbearing age. More than 40% of women have a Body Mass Index (BMI) in the overweight or obese ranges at the time they conceive, posing significant health risks for both mother and child. Excessive weight gain during pregnancy is common and associated with numerous deleterious complications. The Institute of Medicine published gestational weight gain (GWG) guidelines based on prepregnancy BMI. However, more than 50% of women gain in excess of these recommendations. Further, many women report receiving minimal guidance from their healthcare providers regarding weight gain, nutrition, and physical activity during …
Pathways Linking Sleep Timing To Obesity In Midlife Women, Dana R. Schreiber
Pathways Linking Sleep Timing To Obesity In Midlife Women, Dana R. Schreiber
Theses and Dissertations
Midlife women are vulnerable to developing obesity. Both sleep timing and negative emotion are risk factors, yet limited research has explored their role on weight outcomes in this population. The current investigation explored the association of sleep timing (i.e., mean sleep time, sleep time variability) and obesity (i.e., BMI, waist circumference) in midlife women, considering emotional pathways (i.e., depressive symptoms, anger) that might mediate this association. PROCESS parallel mediation models assessed direct and indirect pathways. In follow-up analyses, sleep duration was explored as an indirect pathway linking sleep timing to obesity. Results demonstrated that sleep timing does not directly predict …
Nourish-C: Implementing A Family Based Weight Loss Intervention In A Church Community, Jacqueline Woods
Nourish-C: Implementing A Family Based Weight Loss Intervention In A Church Community, Jacqueline Woods
Theses and Dissertations
Increasing rates of obesity across all race, ethnic, gender, and age groups over the past thirty years have generated significant public health concern. Black children face disproportionately higher risk for overweight and obesity compared with their White peers. Substantial evidence suggests that parent involvement improves pediatric obesity treatment outcomes. Moreover, churches are feasible and culturally congruent places to host health promotion interventions within the Black community. The current study examined the feasibility of disseminating an existing pediatric obesity intervention, NOURISH, in Black church communities. Twenty-five families participated in baseline assessment of the NOURISH-C. Five churches hosted the intervention and eight …
An Exploration Of Factors Influencing Attrition From A Pediatric Weight Management Intervention, Melissa Ann Kwitowski
An Exploration Of Factors Influencing Attrition From A Pediatric Weight Management Intervention, Melissa Ann Kwitowski
Theses and Dissertations
Childhood obesity is a serious health problem in the United States. Numerous weight management programs attempt to address this issue. However, attrition poses significant treatment efficacy challenges. Understanding attendance and attrition from childhood obesity programs is crucial for effective and appropriate resource utilization. NOURISH+ is a community-based treatment program for parents of overweight and obese children (age 5–11 years, BMI ≥ 85th percentile). The current study investigated attrition from NOURISH+ to enhance understanding of pediatric obesity treatment retention factors. NOURISH+ participants (n=70) completed a questionnaire assessing barriers to adherence and general program feedback. Data were analyzed using frequencies, …
Parental And Family Predictors Of Adolescent Weight Loss And Health Change In A Multidisciplinary Obesity Intervention, Jacqueline Woods
Parental And Family Predictors Of Adolescent Weight Loss And Health Change In A Multidisciplinary Obesity Intervention, Jacqueline Woods
Theses and Dissertations
The home environment, parental health attitudes, and parental diet and exercise behaviors have been associated with childhood obesity. The current study utilized a family systems framework to examine the effect of these variables on weight and health changes in a primarily Black sample of 530 parent-adolescent dyads enrolled in a multidisciplinary weight loss intervention. Parent-reported psychosocial variables and demographic information were used to test models predicting changes in adolescents’ body mass index, cholesterol, and percentage body fat over the first six months of the intervention. The effect of parent participation in a psycho-education parent group on adolescent health outcomes was …
Adolescent Girls' Experience Of Binge And Loss Of Control Eating, Allison Palmberg
Adolescent Girls' Experience Of Binge And Loss Of Control Eating, Allison Palmberg
Theses and Dissertations
The current investigation used qualitative methodology to examine adolescent girls’ perceptions of control over their eating, as well as triggers, and consequences of binge and related eating behaviors. Focus groups were completed with 19 adolescent girls (aged 13-17, 58% African American, 41% White) who endorsed the behaviors. Responses to focus group questions were qualitatively analyzed using a grounded theory approach and constant comparison coding. Results reflected a fundamental lack of awareness of the loss of control (LOC) eating behaviors. Yet, the data did reflect a central theme of the need to affirm independence and autonomy through eating behaviors via three …