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Teen, Parent, And Clinician Expectations About Obesity And Related Conditions During The Annual Well-Child Visit, Andrew S. Bossick, Charles Barone, Gwen L. Alexander, Heather A. Olden, Tanya Troy, Andrea E. Cassidy-Bushrow 2017 Henry Ford Health System

Teen, Parent, And Clinician Expectations About Obesity And Related Conditions During The Annual Well-Child Visit, Andrew S. Bossick, Charles Barone, Gwen L. Alexander, Heather A. Olden, Tanya Troy, Andrea E. Cassidy-Bushrow

Journal of Patient-Centered Research and Reviews

Purpose: This study aimed to examine family (patient, parent/guardian) and clinician preferences for identification and management of obesity and obesity-related conditions during the well-child visit.

Methods: Four focus groups with teen patients (n = 16), four focus groups with parents (n = 15) and one focus group with providers (n = 12) were conducted using a structured moderator guide tailored to each population. Eligible patients had a well-child visit during the past 12 months and a diagnosis of overweight, obesity, hyperlipidemia or elevated blood pressure. Parents who attended their child’s well-child visit and whose child met the diagnostic criteria were eligible ...


Racial Differences In Neighborhood Perceptions And Their Influences On Physical Activity Among Urban Older Women, Wenjun Li, Elizabeth Procter-Gray, Gretchen A. Youssef, Scott E. Crouter, Jie Cheng, Kristen Brown, Linda C. Churchill, Anthony Clarke, Judith K. Ockene, Michelle F. Magee 2017 University of Massachusetts Medical School

Racial Differences In Neighborhood Perceptions And Their Influences On Physical Activity Among Urban Older Women, Wenjun Li, Elizabeth Procter-Gray, Gretchen A. Youssef, Scott E. Crouter, Jie Cheng, Kristen Brown, Linda C. Churchill, Anthony Clarke, Judith K. Ockene, Michelle F. Magee

Judith K. Ockene

Background: Proper levels of physical activity (PA) are important to healthy aging. Little is known about racial differences in influences of neighborhood perceptions (NP) on PA and use of neighborhood resources among community-dwelling older women.

Materials and methods: In 2014 and 2015, 49 white and 44 black women of age 65 and older living in Washington, DC were queried about their PA, NP, use of neighborhood resources and sociodemographic characteristics. They wore an accelerometer and a Global Positioning System device concurrently for 7 consecutive days. Data were analyzed by race.

Results: Compared to Whites, Blacks had lower NP scores (71 ...


Racial Differences In Neighborhood Perceptions And Their Influences On Physical Activity Among Urban Older Women, Wenjun Li, Elizabeth Procter-Gray, Gretchen A. Youssef, Scott E. Crouter, Jie Cheng, Kristen Brown, Linda C. Churchill, Anthony Clarke, Judith K. Ockene, Michelle F. Magee 2017 University of Massachusetts Medical School

Racial Differences In Neighborhood Perceptions And Their Influences On Physical Activity Among Urban Older Women, Wenjun Li, Elizabeth Procter-Gray, Gretchen A. Youssef, Scott E. Crouter, Jie Cheng, Kristen Brown, Linda C. Churchill, Anthony Clarke, Judith K. Ockene, Michelle F. Magee

Wenjun Li

Background: Proper levels of physical activity (PA) are important to healthy aging. Little is known about racial differences in influences of neighborhood perceptions (NP) on PA and use of neighborhood resources among community-dwelling older women. Materials and methods: In 2014 and 2015, 49 white and 44 black women of age 65 and older living in Washington, DC were queried about their PA, NP, use of neighborhood resources and sociodemographic characteristics. They wore an accelerometer and a Global Positioning System device concurrently for 7 consecutive days. Data were analyzed by race. Results: Compared to Whites, Blacks had lower NP scores (71 ...


The Feasibility Of Incentivizing Participation In An Online Social Network Weight Loss Program, Sherry L. Pagoto, Molly E. Waring, Effie Olendzki, Jessica L. Oleski, Christine N. May, Martinus M. Evans 2017 University of Massachusetts Medical School

The Feasibility Of Incentivizing Participation In An Online Social Network Weight Loss Program, Sherry L. Pagoto, Molly E. Waring, Effie Olendzki, Jessica L. Oleski, Christine N. May, Martinus M. Evans

Molly E. Waring

Engagement in online social network-delivered weight loss interventions is a predictor of weight loss. Incentivizing engagement in a subset of participants may increase group engagement and subsequent weight loss. In a pilot feasibility trial, 56 adults with obesity were randomized to two Facebook-delivered weight loss interventions, one had 10% users incentivized to engage daily and the other did not. We compared conditions on engagement and weight loss, and then compared incentivized users and natural high engagers on weight loss. Participants were 46.3 (SD: 10.3) years and 89% female. The incentivized user condition had greater total engagement (p=0 ...


The Role Of Attitude, Control And Intention To Explain Fruit And Vegetable Intake Among Racial/Ethnic Minority Women With Low Socioeconomic Status, Michele DeBiasse, Deborah J. Bowen, Sherry L. Pagoto, Joseph M. Massaro, N. Istfan, Lisa M. Quintiliani 2017 Boston University

The Role Of Attitude, Control And Intention To Explain Fruit And Vegetable Intake Among Racial/Ethnic Minority Women With Low Socioeconomic Status, Michele Debiasse, Deborah J. Bowen, Sherry L. Pagoto, Joseph M. Massaro, N. Istfan, Lisa M. Quintiliani

Sherry L. Pagoto

Objective: Fruit and Vegetable (FV) intake-a modifiable risk factor for chronic diseases-is lower among racial/ethnic minorities and low Socio- Economic Status (SES) groups when compared to other populations. The Theory of Planned Behavior (TPB) is one theoretical model studied to explain and influence individual health behaviors, including FV intake, in middle class populations, but not exclusively in diverse, low SES groups. This cross-sectional study evaluated the utility of select TPB variables to explain intention to consume and intake of FV in this population.

Design: Demographics, BMI, select TPB variables, and FV intake were measured via survey. Bivariate analyses were ...


Slipbuddy: A Mobile Health Intervention To Prevent Overeating, Bengisu Tulu, Carolina Ruiz, Joshua Allard, Joseph Acheson, Andrew Busch, Andrew Roskusku, Gage Heeringa, Victor Jaskula, Jessica Oleski, Sherry L. Pagoto 2017 Worcester Polytechnic Institute

Slipbuddy: A Mobile Health Intervention To Prevent Overeating, Bengisu Tulu, Carolina Ruiz, Joshua Allard, Joseph Acheson, Andrew Busch, Andrew Roskusku, Gage Heeringa, Victor Jaskula, Jessica Oleski, Sherry L. Pagoto

Sherry L. Pagoto

Obesity is one of the top health issues around the globe. Rapid adoption of smartphones presents an opportunity for delivering technology-based interventions that are designed to tackle behaviors that contribute to weight gain. Research shows that the vast majority of weight loss apps in the market place do not go beyond deploying tracking based strategies that are burdensome to the users. In this study, we present a new mobile app and an intervention system called SlipBuddy that puts less burden on users and implements stimulus control strategy to help users lose weight. We describe the SlipBuddy system in detail and ...


Recruiting Low Income Post-Partum Women Into A Weight Loss Trial: In-Person Versus Facebook Delivery, Valerie J. Silfee, Andrea Lopez-Cepero, Stephenie C. Lemon, Milagros C. Rosal 2017 University of Massachusetts Medical School

Recruiting Low Income Post-Partum Women Into A Weight Loss Trial: In-Person Versus Facebook Delivery, Valerie J. Silfee, Andrea Lopez-Cepero, Stephenie C. Lemon, Milagros C. Rosal

Milagros C. Rosal

Several studies, such as the Diabetes Prevention Program (DPP), have provided foundational evidence for the effect of lifestyle modification interventions on diabetes prevention and weight loss. However, translating these programs to the real-world has proven difficult. There remains a need to increase the feasibility and reach of translational weight loss interventions.

PURPOSE: To compare the recruitment rates of overweight low income postpartum women into a DPP-adapted behavioral weight loss program delivered in-person versus delivered via Facebook.

METHODS: We compared two 8-week pilot behavioral weight loss trials; one delivered via weekly in-person group sessions and the other delivered entirely via Facebook ...


Recruiting Low Income Post-Partum Women Into A Weight Loss Trial: In-Person Versus Facebook Delivery, Valerie J. Silfee, Andrea Lopez-Cepero, Stephenie C. Lemon, Milagros C. Rosal 2017 University of Massachusetts Medical School

Recruiting Low Income Post-Partum Women Into A Weight Loss Trial: In-Person Versus Facebook Delivery, Valerie J. Silfee, Andrea Lopez-Cepero, Stephenie C. Lemon, Milagros C. Rosal

Stephenie C. Lemon

Several studies, such as the Diabetes Prevention Program (DPP), have provided foundational evidence for the effect of lifestyle modification interventions on diabetes prevention and weight loss. However, translating these programs to the real-world has proven difficult. There remains a need to increase the feasibility and reach of translational weight loss interventions.

PURPOSE: To compare the recruitment rates of overweight low income postpartum women into a DPP-adapted behavioral weight loss program delivered in-person versus delivered via Facebook.

METHODS: We compared two 8-week pilot behavioral weight loss trials; one delivered via weekly in-person group sessions and the other delivered entirely via Facebook ...


Emotional Eating Is Associated With Intake Of Energy-Dense Foods In Latinos, Andrea Lopez-Cepero, Christine Frisard, Stephenie C. Lemon, Milagros C. Rosal 2017 University of Massachusetts Medical School

Emotional Eating Is Associated With Intake Of Energy-Dense Foods In Latinos, Andrea Lopez-Cepero, Christine Frisard, Stephenie C. Lemon, Milagros C. Rosal

Milagros C. Rosal

Background: Latinos experience profound health disparities in diet-related chronic conditions. Emotional eating (EE) has been positively associated with such conditions, however, little is known about the relationship between EE and energy-dense food intake that may influence risk for developing these conditions. Objective: To examine associations between EE and energy-dense food intake in Latino men and women. Methods: Latino individuals were recruited from a community health center in Lawrence, MA. Participants completed standardized assessments. EE was measured with the Three Factor Eating Behavior Questionnaire R18-V2. Dietary intake was measured with a culturally tailored Food Frequency Questionnaire. Energy-dense food groups defined as ...


The Home Matters: Adolescents Drink More Ssbs When Available At Home, Christina F. Haughton, Molly E. Waring, Lori Pbert, Milagros C. Rosal, Stephenie C. Lemon 2017 University of Massachusetts Medical School

The Home Matters: Adolescents Drink More Ssbs When Available At Home, Christina F. Haughton, Molly E. Waring, Lori Pbert, Milagros C. Rosal, Stephenie C. Lemon

Molly E. Waring

Objective: Sugar sweetened beverage (SSB) consumption has increased by 300% in the past three decades and the largest source of both added sugar and calories in the diets of US adolescents. It has been argued that the increased intake of SSBs has contributed to the rising prevalence of obesity. The availability and accessibility of foods/drinks in multiple levels of an adolescent’s environment can influence one’s choices and impact consumption. The aim of this study is to examine the association between adolescent self-report of the availability of SSBs in their home and SSB consumption and whether neighborhood and ...


The Home Matters: Adolescents Drink More Ssbs When Available At Home, Christina F. Haughton, Molly E. Waring, Lori Pbert, Milagros C. Rosal, Stephenie C. Lemon 2017 University of Massachusetts Medical School

The Home Matters: Adolescents Drink More Ssbs When Available At Home, Christina F. Haughton, Molly E. Waring, Lori Pbert, Milagros C. Rosal, Stephenie C. Lemon

Stephenie C. Lemon

Objective: Sugar sweetened beverage (SSB) consumption has increased by 300% in the past three decades and the largest source of both added sugar and calories in the diets of US adolescents. It has been argued that the increased intake of SSBs has contributed to the rising prevalence of obesity. The availability and accessibility of foods/drinks in multiple levels of an adolescent’s environment can influence one’s choices and impact consumption. The aim of this study is to examine the association between adolescent self-report of the availability of SSBs in their home and SSB consumption and whether neighborhood and ...


The Home Matters: Adolescents Drink More Ssbs When Available At Home, Christina F. Haughton, Molly E. Waring, Lori Pbert, Milagros C. Rosal, Stephenie C. Lemon 2017 University of Massachusetts Medical School

The Home Matters: Adolescents Drink More Ssbs When Available At Home, Christina F. Haughton, Molly E. Waring, Lori Pbert, Milagros C. Rosal, Stephenie C. Lemon

Lori Pbert

Objective: Sugar sweetened beverage (SSB) consumption has increased by 300% in the past three decades and the largest source of both added sugar and calories in the diets of US adolescents. It has been argued that the increased intake of SSBs has contributed to the rising prevalence of obesity. The availability and accessibility of foods/drinks in multiple levels of an adolescent’s environment can influence one’s choices and impact consumption. The aim of this study is to examine the association between adolescent self-report of the availability of SSBs in their home and SSB consumption and whether neighborhood and ...


Pilot And Feasibility Test Of An Implementation Intention Intervention To Improve Fruit And Vegetable Intake Among Women With Low Socioeconomic Status, Michele A. DeBiasse PhD, RDN, Deborah J. Bowen PhD, Sherry L. Pagoto PhD, Joseph M. Massaro PhD, Nawfal Istfan MD, PhD, Lisa M. Quintiliani PhD, RD 2017 Boston University/College of Health & Rehabilitation Sciences: Sargent College

Pilot And Feasibility Test Of An Implementation Intention Intervention To Improve Fruit And Vegetable Intake Among Women With Low Socioeconomic Status, Michele A. Debiasse Phd, Rdn, Deborah J. Bowen Phd, Sherry L. Pagoto Phd, Joseph M. Massaro Phd, Nawfal Istfan Md, Phd, Lisa M. Quintiliani Phd, Rd

Journal of Health Disparities Research and Practice

Fruit and vegetable intake (FVI), a modifiable risk factor for chronic diseases, is lower in low socioeconomic status (SES) populations. Implementation intentions (a specific type of planning that extends the Theory of Planned Behavior) has been studied to improve FVI, but not exclusively with low SES groups. Using mixed methods, we evaluated the feasibility, acceptability, and preliminary efficacy of an implementation intention intervention (versus a general plan) to increase FVI in women with low SES. For the pilot randomized controlled trial, demographics, body mass index, attitude, perceived behavioral control, goal intention strength, and FVI were measured at baseline and FVI ...


New Approaches To Melanoma Prevention, June K. Robinson, Katie Baker, Joel J. Hillhouse 2017 Northwestern University

New Approaches To Melanoma Prevention, June K. Robinson, Katie Baker, Joel J. Hillhouse

ETSU Faculty Works

Skin cancer is a major public health concern, and tanning remains a modifiable risk factor. Multidimensional influences, including psychosocial, individual, environmental, and policy-related factors, create the milieu for individuals to engage in tanning. Parents and physicians can modify the behavior of teens and young adults using strategies based on harm reduction. Environmental and policy-related factors similar to those used to limit smoking by restricting access of minors to cigarettes in the United States in the 20th century need to be created. Federal regulations can restrict direct advertising and the excise tax can be increased to a prohibitive amount. Social networking ...


Education Program Using Non-Pharmacologic Support During Benzodiazepine Reduction In Patients With Anxiety Disorders, Kelly D. Kearney DNP, RN, PMHNP-BC, Diane Wardell PhD, WHNP-BC 2017 The University of Texas Health Science Center at Houston, School of Nursing

Education Program Using Non-Pharmacologic Support During Benzodiazepine Reduction In Patients With Anxiety Disorders, Kelly D. Kearney Dnp, Rn, Pmhnp-Bc, Diane Wardell Phd, Whnp-Bc

Journal of Nursing & Interprofessional Leadership in Quality & Safety

A private mental health clinic developed an initiative to aid patients with anxiety disorders to taper their use of benzodiazepines. Based on best practices, a treatment protocol was developed in which patients attended 4 sessions (1 per month) in which they combined instruction in non-pharmaceutical anti-anxiety techniques (guided imagery, mindfulness meditation, deep breathing, progressive muscle relaxation, exercise, emotional freedom) with cognitive behavioral therapy and use of selective serotonin re uptake inhibitors. Participants experienced a reduction in benzodiazepine use. This small scale initiative showed that the holistic approach to anxiety management was an effective plan to decrease the use of benzodiazepines ...


Change In Physical Activity And Sitting Time After Myocardial Infarction And Mortality Among Postmenopausal Women In The Women's Health Initiative-Observational Study, Anna M. Gorczyca, Charles Eaton, Michael J. Lamonte, JoAnn E. Manson, Jeanne D. Johnston, Aurelian Bidulescu, Molly E. Waring, Todd Manini, Lisa W. Martin, Marcia L. Stefanick, Ka He, Andrea K. Chomistek 2017 The University of Kansas Medical Center

Change In Physical Activity And Sitting Time After Myocardial Infarction And Mortality Among Postmenopausal Women In The Women's Health Initiative-Observational Study, Anna M. Gorczyca, Charles Eaton, Michael J. Lamonte, Joann E. Manson, Jeanne D. Johnston, Aurelian Bidulescu, Molly E. Waring, Todd Manini, Lisa W. Martin, Marcia L. Stefanick, Ka He, Andrea K. Chomistek

Molly E. Waring

BACKGROUND: How physical activity (PA) and sitting time may change after first myocardial infarction (MI) and the association with mortality in postmenopausal women is unknown. METHODS AND RESULTS: Participants included postmenopausal women in the Women's Health Initiative-Observational Study, aged 50 to 79 years who experienced a clinical MI during the study. This analysis included 856 women who had adequate data on PA exposure and 533 women for sitting time exposures. Sitting time was self-reported at baseline, year 3, and year 6. Self-reported PA was reported at baseline through year 8. Change in PA and sitting time were calculated as ...


Exploring The Impact Of Olfaction On Short-Term And Long-Term Maternal Recognition In Peromyscus Californicus, Mariah F. Conley 2017 Seattle Pacific University

Exploring The Impact Of Olfaction On Short-Term And Long-Term Maternal Recognition In Peromyscus Californicus, Mariah F. Conley

Honors Projects

Previous studies have established a connection between social behavior and olfaction, in that as anosmia causes a decrease in perception of social cues, social behavior itself decreases. Studies investigating maternal behavior specifically have focused on foster care, in which the behaviors formed during parturition are conserved and displayed with unrelated pups. The combination of long-term retention of maternal behavior, maternal recognition, and olfaction has yet to be explored. In this study, I induced anosmia in Peromyscus californicus, a monogamous, biparental species, and analyzed their behavior with their own pups and with foreign pups in the days after birth, as well ...


Examination Of The Monoamine Oxidase A Gene Promoter On Motivation To Exercise And Levels Of Voluntary Physical Activity, Erin M. Kinney 2017 Linfield College

Examination Of The Monoamine Oxidase A Gene Promoter On Motivation To Exercise And Levels Of Voluntary Physical Activity, Erin M. Kinney

Senior Theses

Purpose: The purpose of this study was to examine the genetic basis underlying voluntary exercise. Monoamine oxidase A (MAO-A) is an enzyme that acts on monoamine neurotransmitters, such as dopamine, to cause inactivation. There are several polymorphisms in the promoter region of the MAO-A gene, and these variations change transcriptional activity and the amount of MAO-A produced, leading to alterations in available dopamine levels. Interestingly, polymorphisms in MAO-A have been associated recently with physical activity level. This study sought to determine whether there is an association between motivation to exercise, levels of voluntary physical activity, and MAO-A gene polymorphisms.

Methods ...


Exploring The Relationship Between Occupational Burnout And The Behavioral Well-Being Of Social Workers, Damian A. Pisapia 2017 California State University - San Bernardino

Exploring The Relationship Between Occupational Burnout And The Behavioral Well-Being Of Social Workers, Damian A. Pisapia

Electronic Theses, Projects, and Dissertations

The purpose of this study was to determine if there was a relationship between occupational burnout and the behavioral well-being of social workers. Burnout is a multidimensional syndrome where workers experience feelings of emotional exhaustion, depersonalization, and reduced personal accomplishment as a consequence of work related stress and overwhelming job demands. Burnout can negatively affect organizational functioning, work performance, and pose significant health risks to workers. There are a limited number of studies focusing on the impact of occupational burnout on the behavioral well-being of workers. The findings of this study indicated that there was a significant relationship between burnout ...


Sensation Seeking Impact On Skin Conductance Measures Of Deception And Memory, Andrew David Manson, Suzanna Lagerroos, Phillip Janz, Adam Lawson, Jonathan Gore 2017 Eastern Kentucky University

Sensation Seeking Impact On Skin Conductance Measures Of Deception And Memory, Andrew David Manson, Suzanna Lagerroos, Phillip Janz, Adam Lawson, Jonathan Gore

EKU Faculty and Staff Scholarship

No abstract provided.


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