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Nutritional and Metabolic Diseases Commons

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Pursuing Equity In Diabetes Population, Aisha Rawlinson 2017 The University of San Francisco

Pursuing Equity In Diabetes Population, Aisha Rawlinson

Master's Projects and Capstones

Abstract

Background

Poor glycemic control (HbA1c >8) overtime leads to microvascular and macrovascular complications after the first and third years respectively, ultimately resulting in death after five years (Karter, 2016). Current Kaiser Permanente (KP) data stratified by race, ethnicity, age, and gender shows a significant disparity gap between Hispanics/Latino and Caucasian populations. The Pursuing IHI initiative is over a 2-year period completed at a microsystem that is focusing on health equity practices to reduce disparity gaps.

Project aim

KP Riverside, microsystem selected has a large population of Hispanic/Latino KP members, with focus on health equity. The project aim ...


Optimizing Heart Failure Outcomes Through Diet: A Review, Farley B. Neasman III 2017 Marshall University Cardiology

Optimizing Heart Failure Outcomes Through Diet: A Review, Farley B. Neasman Iii

Marshall Journal of Medicine

Heart failure is a growing epidemic that will add significant monetary and human costs to an already overtaxed health-care system. Though promising new medications have recently been approved, this complex condition is largely preventable through aggressive risk factor modification, with diet being shown to have a greater effect than exercise. An underrated component of a healthy diet is the simple addition of nuts – the anti-inflammatory fatty acids, healthy proteins, and general availability have been shown to improve survival and reduce the primary risk factors contributing to heart failure, making the addition of nuts and legumes to the diet an attractive ...


Residential Segregation, Neighborhood Social And Physical Context In Obesity Disparities In Hispanic Preschoolers: A Conceptual Model, Catherina Chang Martinez PhD(c), Nasar U. Ahmed PhD, Ruby A. Natale PhD, PsyD 2017 Robert Stempel College of Public Health and Social Work, Florida International University

Residential Segregation, Neighborhood Social And Physical Context In Obesity Disparities In Hispanic Preschoolers: A Conceptual Model, Catherina Chang Martinez Phd(C), Nasar U. Ahmed Phd, Ruby A. Natale Phd, Psyd

Journal of Health Disparities Research and Practice

During the last decade, there has been a significant inclusion in obesity prevention studies from individual characteristics to household factors then neighborhood factors. The study of place in the context of early childhood obesity studies has been limited to the food and physical built environment. With the persistent disparities in the prevalence of childhood obesity, and Hispanic minorities being increasingly affected, there is a need to reexamine existing models and develop new model conceptual frameworks to examine the role of place and residential segregation in the context of race, ethnicity, social position, and socioeconomic disparities. In the context of place ...


Tracking Energy Balance In Adolescents: Levels Of Compliance, Energy Flux, And Learning, Senlin Chen, Xihe Zhu, Gregory J. Welk, Youngwon Kim 2017 Old Dominion University

Tracking Energy Balance In Adolescents: Levels Of Compliance, Energy Flux, And Learning, Senlin Chen, Xihe Zhu, Gregory J. Welk, Youngwon Kim

Senlin Chen

Background/Objective: Advancing knowledge about energy balance (EB) is important for helping to reverse the obesity epidemic in many modern societies. This study examined adolescents' experience and perception of using an objective self-monitoring tool (SenseWear armband; SWA) and a portable diet journal to track EB for 7 days.

Methods: Forty-five 6th grade students in a midwestern state of the United States [Caucasian: n = 34, 76%; age: 11.7 ± 1.8 years; body mass index (BMI): 20.84 ± 3.94] participated in the study. The SWA, diet journal, and semistructured individual interview were used to measure energy expenditure (EE) and physical ...


Group Participants' Experiences Of A Patient-Directed Group-Based Education Program For The Management Of Type 2 Diabetes Mellitus, Kate Odgers-Jewell, Elisabeth A Isenring, Rae Thomas, Dianne P Reidlinger 2017 Bond University

Group Participants' Experiences Of A Patient-Directed Group-Based Education Program For The Management Of Type 2 Diabetes Mellitus, Kate Odgers-Jewell, Elisabeth A Isenring, Rae Thomas, Dianne P Reidlinger

Rae Thomas

OBJECTIVE: The objective of this study was to explore the experiences of individuals who participated in a group-based education program, including their motivators in relation to their diabetes management, and the perceived impact of group interactions on participants' experiences and motivation for self-management. Understanding individuals diagnosed with diabetes experiences of group-based education for the management of type 2 diabetes mellitus may guide the development and facilitation of these programs. METHODS: Semi-structured interviews were conducted with all individuals who participated in the intervention. Using thematic analysis underpinned by self-determination theory, we developed themes that explored participants' motivators in relation to diabetes ...


Group Participants' Experiences Of A Patient-Directed Group-Based Education Program For The Management Of Type 2 Diabetes Mellitus, Kate Odgers-Jewell, Elisabeth A Isenring, Rae Thomas, Dianne P Reidlinger 2017 Bond University

Group Participants' Experiences Of A Patient-Directed Group-Based Education Program For The Management Of Type 2 Diabetes Mellitus, Kate Odgers-Jewell, Elisabeth A Isenring, Rae Thomas, Dianne P Reidlinger

Liz Isenring

OBJECTIVE: The objective of this study was to explore the experiences of individuals who participated in a group-based education program, including their motivators in relation to their diabetes management, and the perceived impact of group interactions on participants' experiences and motivation for self-management. Understanding individuals diagnosed with diabetes experiences of group-based education for the management of type 2 diabetes mellitus may guide the development and facilitation of these programs. METHODS: Semi-structured interviews were conducted with all individuals who participated in the intervention. Using thematic analysis underpinned by self-determination theory, we developed themes that explored participants' motivators in relation to diabetes ...


The Contribution Of Differences In Adiposity To Educational Disparities In Mortality In The United States, Yana Vierboom 2017 University of Pennsylvania

The Contribution Of Differences In Adiposity To Educational Disparities In Mortality In The United States, Yana Vierboom

Population Center Working Papers (PSC/PARC)

Background: There are large differences in life expectancy by educational attainment in the United States. Previous research has found obesity’s contribution to these differences to be small. Those findings may be sensitive to how obesity is estimated. Methods: This analysis uses discrete time logistic regressions with data from the National Health and Nutrition Examination Survey (NHANES), pooled from 1988-1994 and 1999-2010, to estimate the contribution of differences in adiposity, or body fat, to educational differences in mortality. I show that results depend upon the measure of adiposity used: body mass index (BMI) at survey or lifetime maximum BMI. Results ...


The Effects Of Yoga On Adults With Type Ii Diabetes: A Systematic Review And Meta-Analysis, Herpreet Thind, Lori Scott-Sheldon, Ryan Lantini, Brittany Balletto, Marissa Donahue, Melissa Feulner, Elena Salmoirago-Blotcher, Beth C. Brock 2017 University of Massachusetts Lowell

The Effects Of Yoga On Adults With Type Ii Diabetes: A Systematic Review And Meta-Analysis, Herpreet Thind, Lori Scott-Sheldon, Ryan Lantini, Brittany Balletto, Marissa Donahue, Melissa Feulner, Elena Salmoirago-Blotcher, Beth C. Brock

UMass Center for Clinical and Translational Science Research Retreat

Objective: The purpose of this meta-analysis was to examine the effects of yoga for glycemic control among adults with type II diabetes (T2DM).

Methods: Comprehensive electronic databases searches located 2,559 unique studies with relevant key terms. Studies were included if they a) evaluated a yoga intervention to promote T2DM management, b) used an objective measure to assess glycemic control at post-intervention, and c) had follow-up length or post-test of at least 8 weeks from baseline. Studies were excluded if yoga was not the primary intervention focus (e.g., if yoga was part of a mindfulness-based intervention). Independent raters coded ...


The Effectiveness Of Tablet-Based Application For Older Adults With Diabetes Mellitus Type Ii: A Pilot Study, Mohammad Alkawaldeh, Jacelon Cynthia, Jeungok Choi, Jenna Marquard, John Ridgway 2017 University of Massachusetts Amherst

The Effectiveness Of Tablet-Based Application For Older Adults With Diabetes Mellitus Type Ii: A Pilot Study, Mohammad Alkawaldeh, Jacelon Cynthia, Jeungok Choi, Jenna Marquard, John Ridgway

UMass Center for Clinical and Translational Science Research Retreat

Introduction: Advances in technological applications such as tablet-based computers is growing dramatically in the field of healthcare, as there is a considerable eagerness for mobile health interventions. Tablet-based interventions can have positive effects on both health and health service delivery processes (Free et al, 2013). Technological applications have been developed for a wide range of healthcare needs, including patient registration, data management, and self- management applications.

Background: The usefulness of technology and the powerful capabilities of technological applications have led to a significantly increased interest in finding novel approaches to support older adults’ self-management.Self-management technological applications have been used ...


Group Participants' Experiences Of A Patient-Directed Group-Based Education Program For The Management Of Type 2 Diabetes Mellitus, Kate Odgers-Jewell, Elisabeth A Isenring, Rae Thomas, Dianne P Reidlinger 2017 Bond University

Group Participants' Experiences Of A Patient-Directed Group-Based Education Program For The Management Of Type 2 Diabetes Mellitus, Kate Odgers-Jewell, Elisabeth A Isenring, Rae Thomas, Dianne P Reidlinger

Faculty of Health Sciences & Medicine Publications

OBJECTIVE:

The objective of this study was to explore the experiences of individuals who participated in a group-based education program, including their motivators in relation to their diabetes management, and the perceived impact of group interactions on participants' experiences and motivation for self-management. Understanding individuals diagnosed with diabetes experiences of group-based education for the management of type 2 diabetes mellitus may guide the development and facilitation of these programs.

METHODS:

Semi-structured interviews were conducted with all individuals who participated in the intervention. Using thematic analysis underpinned by self-determination theory, we developed themes that explored participants' motivators in relation to diabetes ...


Exploring Autonomy Support In Shared Decision Making And Patient Activation Of Diabetes Self-Care Behaviors, Carol Mahler Hamersky 2017 Seton Hall University

Exploring Autonomy Support In Shared Decision Making And Patient Activation Of Diabetes Self-Care Behaviors, Carol Mahler Hamersky

Seton Hall University Dissertations and Theses (ETDs)

Introduction:

Chronic disease places a different set of demands on an individual and family. Self-care behaviors and daily decision making is an integral part of diabetes management. According to the CDC (2014), the prevalence of Diabetes is estimated at 29.1 million and an alarming 86 million Americans have Pre-diabetes. Despite a plethora of evidence on the importance of diabetes self-care behaviors on clinical outcomes, studies have highlighted the current disconnect of patients not able to follow self-care behavior recommendations and not asking for help from their health care providers. There is no literature on the impact of an autonomy ...


Effect Of Activity Trackers And Text Messaging On Exercise, Fitness, And Physical Activity Self-Efficacy Of Middle School Students, Alison F. Pittman 2017 University of Texas at Tyler

Effect Of Activity Trackers And Text Messaging On Exercise, Fitness, And Physical Activity Self-Efficacy Of Middle School Students, Alison F. Pittman

Nursing Theses and Dissertations

A decrease in physical activity as children age is a contributing factor to the U.S. obesity epidemic. Middle school children are particularly vulnerable to sedentary activities. Activity trackers show promise as a means to motivate children and adults to increase physical activity (PA). This study examined the effect of a text messaging intervention and use of activity trackers with a companion social website on the body mass index (BMI), body fat percentage, physical fitness, and PA self-efficacy of middle school children. Children aged 11-14 (n=102) were randomly assigned to one of three groups for a 10-week intervention: activity ...


A1c - Spanish, Michele Spatz, Ruth Dallas 2017 Pacific University

A1c - Spanish, Michele Spatz, Ruth Dallas

Diabetes Patient Education Tools

This low literacy A1C patient education tool explains the test and illustrates healthy levels for diabetic patients. (Spanish)


Blood Glucose, Blood Pressure & Exercise Goals For Diabetics - English, Michele Spatz, Ruth Dallas 2017 Pacific University

Blood Glucose, Blood Pressure & Exercise Goals For Diabetics - English, Michele Spatz, Ruth Dallas

Diabetes Patient Education Tools

One page handout for diabetics illustrating blood glucose, blood pressure and exercise goals.


Blood Glucose Goals - Spanish, Michele Spatz, Ruth Dallas 2017 Pacific University

Blood Glucose Goals - Spanish, Michele Spatz, Ruth Dallas

Diabetes Patient Education Tools

Simple, one page handout illustrating blood glucose goals. (Spanish)


Blood Glucose Log 4x/Day - Spanish, Michele Spatz, Ruth Dallas 2017 Pacific University

Blood Glucose Log 4x/Day - Spanish, Michele Spatz, Ruth Dallas

Diabetes Patient Education Tools

A simple log to record blood glucose levels 4 times/day for diabetics. (Spanish)


Food Label - English, Michele Spatz, Ruth Dallas 2017 Pacific University

Food Label - English, Michele Spatz, Ruth Dallas

Diabetes Patient Education Tools

Illustrated food label for diabetics to explain how to identify total carbohydrates.


Healthy Plate - English, Michele Spatz, Ruth Dallas 2017 Pacific University

Healthy Plate - English, Michele Spatz, Ruth Dallas

Diabetes Patient Education Tools

Healthy eating tips for diabetics using the Healthy Plate.


Hypoglycemia Treatment - English, Michele Spatz, Ruth Dallas 2017 Pacific University

Hypoglycemia Treatment - English, Michele Spatz, Ruth Dallas

Diabetes Patient Education Tools

An illustrated handout for diabetics on recognizing the symptoms of low blood sugar (hypoglycemia) and treating it.


Insulin Instructions - Spanish, Michele Spatz, Ruth Dallas 2017 Pacific University

Insulin Instructions - Spanish, Michele Spatz, Ruth Dallas

Diabetes Patient Education Tools

A one page handout for diabetic patients explaining how to administer their insulin and safely store it. (Spanish)


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