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Racial/Ethnic Disparities In Diabetes Care And Outcomes: A Mixed Methods Study, Yhenneko J. Taylor, Marion E. Davis, Rohan Mahabaleshwarkar, Melanie D. Spencer 2018 Atrium Health

Racial/Ethnic Disparities In Diabetes Care And Outcomes: A Mixed Methods Study, Yhenneko J. Taylor, Marion E. Davis, Rohan Mahabaleshwarkar, Melanie D. Spencer

Journal of Health Disparities Research and Practice

Limited research has examined racial/ethnic differences in diabetes care and outcomes among primary care patients. This study examined racial/ethnic differences in diabetes care and outcomes among an ambulatory patient population and explored patient perceptions of the patient-provider relationship to inform strategies to improve care delivery. Using data from 62,149 adults with diabetes who received care within Atrium Health in 2013, regression models assessed associations between race/ethnicity and the following outcomes: glycated hemoglobin (HbA1c) tests, low density lipoprotein (LDL) and blood pressure (BP) screening, foot and eye exams, and HbA1c, LDL, and BP control. Eleven patients with ...


Marketing Theory And Pregnancy Help Centers: A Unified Pregnancy Help Center Brand, Allison Schmidt 2018 Liberty University

Marketing Theory And Pregnancy Help Centers: A Unified Pregnancy Help Center Brand, Allison Schmidt

Masters Theses

Starting as a grassroots movement formed by individuals who are opposed to abortion, pregnancy help centers commonly provide resources to help women during and after their unplanned pregnancy. Planned Parenthood and other abortion clinics serve as primary competition to pregnancy help centers. Planned Parenthood has branded themselves as the number one nonprofit relating to women's healthcare, sex education, birth control, and abortion. Planned Parenthood clinics are united under national branding and engage their audience through comprehensive sex education and healthcare services while embracing innovative digital technology. By researching how different demographics influence abortion attitudes, different market segments can be ...


Changing Seasons: A Language Arts Curriculum For Healthy Aging, Denise Calhoun 2018 Purdue University

Changing Seasons: A Language Arts Curriculum For Healthy Aging, Denise Calhoun

Purdue University Press Book Previews

Effective communication enhances quality of life. In Changing Seasons: A Language Arts Curriculum for Healthy Aging,Denise Calhoun provides a language-based, interdisciplinary program to help older adults improve their communication skills. Each activity reveals new, creative, and fun ways to get individuals to speak, think, write, engage with others, and use their imagination. As the activities promote meaningful interactions and the creation of a stimulating environment, Changing Seasons underscores the importance of sustaining quality of life as we and those we love age.


All Good And Well?: The State Of Forensic Health And Wellness Scholarship, Carson S. Kay 2018 Ohio University

All Good And Well?: The State Of Forensic Health And Wellness Scholarship, Carson S. Kay

Speaker & Gavel

Forensic educators and students face many competitive challenges while vying for trophies and titles. However, maintaining one’s health while preparing, traveling, and competing too often falls by the wayside. Although scholars have examined the health of forensic educators and students in the past, few current research agendas address the health concerns of the forensic community. With the exception of Carmack (2016) and her collaboration with Holm (2005, 2013, 2015), forensic scholars have not actively discussed how the activity affects student and educator wellbeing since 2004. Questions still remain regarding how the speech and debate community might feasibly promote a ...


Wait Time Reality Check: The Convergence Of Process, Perception, And Expectation, Marian Hill, Lorianne Classen, Andrea Romay, Erika Diaz 2018 Texas Children's Hospital

Wait Time Reality Check: The Convergence Of Process, Perception, And Expectation, Marian Hill, Lorianne Classen, Andrea Romay, Erika Diaz

Patient Experience Journal

There are few experiences as ubiquitous to patients as the experience of waiting. It is an occurrence that transcends diagnosis, is common to all demographics, and is shared across the continuum of care. The experience can be frustrating and full of ambiguity for patients and their families. Wait time and delays can lead to patients sensing a loss of control and magnify the feelings of anxiety they may already be suffering. In an effort to improve patient experience, a framework was developed to examine patient satisfaction as a function of expectations, perceptions, and reality. The process domain focused on the ...


Getting To The Heart Of It: Examining Intergenerational Sensemaking Of Heart Disease, Sarah R. Petitte 2018 University of Nebraska–Lincoln

Getting To The Heart Of It: Examining Intergenerational Sensemaking Of Heart Disease, Sarah R. Petitte

Communication Studies Theses, Dissertations, and Student Research

Using Communicated Narrative Sense-Making Theory (Koenig Kellas, 2018), this study tested how grandchildren’s perceptions of risk and knowledge about heart disease in the family, as well as relational satisfaction, changed over the course of 3 weeks as a result of engaging in a storytelling experiment. Participants included 17 grandchild participants who interviewed their grandparents to tell stories about family heart health or discuss everyday events based on random assignment into a treatment or comparison group. Additionally, participants completed measures surrounding their knowledge of heart disease, relational satisfaction with their grandparent, and their perception of risk to develop heart disease ...


Exploring The Clinical Utility Of Mobile Applications For Promoting Affect Regulation Among Clients With Behavioral Health Problems, Caroline Fenkel 2018 University of Pennsylvania

Exploring The Clinical Utility Of Mobile Applications For Promoting Affect Regulation Among Clients With Behavioral Health Problems, Caroline Fenkel

Doctorate in Social Work (DSW) Dissertations

Nearly 25 percent of adults in the United States are diagnosed with a behavioral health condition, most commonly depression, anxiety disorders and substance use disorders. Each of these diagnoses is associated with significant disruptions in affect regulation which encompasses the capacity to up and down regulate emotions. Best practice treatment for these conditions includes psychotropic medications combined with individual or group-based psychotherapeutic modalities which regardless of the therapist’s theoretical orientation attempt to promote affect regulation through skill transfer and strategies for observing one’s ability to regulate emotions. Similarly, attention to regulatory capacity is central to many emerging self-help ...


Using The Habit App For Weight Loss Problem Solving: Development And Feasibility Study, Sherry Pagoto, Bengisu Tulu, Emmanuel Agu, Molly E. Waring, Jessica L. Oleski, Danielle E. Jake-Schoffman 2018 University Of Connecticut

Using The Habit App For Weight Loss Problem Solving: Development And Feasibility Study, Sherry Pagoto, Bengisu Tulu, Emmanuel Agu, Molly E. Waring, Jessica L. Oleski, Danielle E. Jake-Schoffman

Open Access Articles

BACKGROUND: Reviews of weight loss mobile apps have revealed they include very few evidence-based features, relying mostly on self-monitoring. Unfortunately, adherence to self-monitoring is often low, especially among patients with motivational challenges. One behavioral strategy that is leveraged in virtually every visit of behavioral weight loss interventions and is specifically used to deal with adherence and motivational issues is problem solving. Problem solving has been successfully implemented in depression mobile apps, but not yet in weight loss apps.

OBJECTIVE: This study describes the development and feasibility testing of the Habit app, which was designed to automate problem-solving therapy for weight ...


A Narrative And Performative Methodology For Understanding Adolescent Cancer Stories, Patrick Mcelearney 2018 Louisiana State University

A Narrative And Performative Methodology For Understanding Adolescent Cancer Stories, Patrick Mcelearney

LSU Doctoral Dissertations

The field of health communication places considerable attention on coping with cancer, typically using social scientific approaches to investigate uncertainty, information, and/or social networks. Social scientific models of coping with adolescent cancer often measure how behaviors seek to manage cancer’s uncontrollability and/or uncertainty; however, how adolescents cope with cancer has been unclear. Short-term studies show adolescents typically and atypically cope. Long-term studies show a significant portion of survivors exhibit post-traumatic stress. The narrative and performative turns expose the role narratives and performatives play in shaping human subjects as meaning makers rather than merely information sharers. A narrative ...


Discourses Of Diabetes Management In Patient-Physician Interactions, Laura L. O'Hara 7131097, Carolyn K. Shue PhD 2018 Ball State University

Discourses Of Diabetes Management In Patient-Physician Interactions, Laura L. O'Hara 7131097, Carolyn K. Shue Phd

The Qualitative Report

Discussions of diabetes management are challenging for patients and physicians during treatment plan appointments—in large part because “diabetes management” has multiple, competing meanings. Our goal in this study was to examine talk between patients and physicians over multiple visits to: (1) determine the multiple meanings of diabetes management, and (2) determine the specific ways these meanings compete with each other. To accomplish this goal, we gathered data at a family medicine residency clinic in the Midwestern United States, video-recording the interactions of six different patient-physician dyads over multiple visits. Next, we performed in-depth analyses of these interactions using Baxter ...


Understanding Regenerative Medicine And Its Position In Healthcare, Tyler F. Ward 2018 Eastern Kentucky University

Understanding Regenerative Medicine And Its Position In Healthcare, Tyler F. Ward

Kentucky Journal of Undergraduate Scholarship

Abstract: Regenerative medicine is an emerging field of the healthcare industry that has the potential to treat a myriad of health conditions. Induced pluripotent stem cells, human embryonic stem cells, and tissue engineering are a few of the treatment methods that may be delivered by healthcare professionals in personalized medicine. Food and Drug Administration (FDA) approval is necessary within the United States before any of these treatment options are available. Specific cellular therapies are currently undergoing clinical trials and it may be years before approval is acquired. The National Institute of Health is proactively working to ensure that healthcare policies ...


Conspiracy Theories And The Zika Epidemic, Shawn Smallman 2018 Portland State University

Conspiracy Theories And The Zika Epidemic, Shawn Smallman

International & Global Studies Faculty Publications and Presentations

After a Zika outbreak began in Brazil in April 2015, narratives blamed the virus on a variety of international actors, including chemical companies and the Gates Foundation. Many of these narratives drew upon older conspiracy theories that had circulated in Latin America during the 2009 H1N1 influenza pandemic. Whether these narratives denounced transgenic mosquitoes or pesticides, they reflected not only the fear created by a mysterious wave of birth defects but also a profound mistrust of health authorities and transnational corporations. This paper will examine the narratives that circulated on YouTube, blogs, podcasts, and other alternative media sources, which typically ...


Effect Of Source In Online Video Training For Cattle Producers, Joseph Chapes 2018 University of Kansas

Effect Of Source In Online Video Training For Cattle Producers, Joseph Chapes

Online Journal of Rural Research & Policy

Escherichia Coli (E. Coli) contamination has been a long-existing concern for the cattle production industry, often causing negative public health and economic consequences. The existence of pre-harvest practices that reduce E. coli contamination creates the opportunity to support human health by modifying behaviors in cattle production through educational communication. It is vital to consider how communication can be modified to persuade the audience. This study examined the effects of having different sources, such as a veterinarian or cattle producer, present the message in a training video. An experimental design was used to examine how the source is identified relates to ...


Individualizing Care For Pediatric Patients With Autism Spectrum Disorder In Perioperative Services, Erin Scheller 2018 The University of San Francisco

Individualizing Care For Pediatric Patients With Autism Spectrum Disorder In Perioperative Services, Erin Scheller

Master's Theses

This research explores solutions for individualizing and improving care for pediatric patients with Autism Spectrum Disorder in the Perioperative Setting of an Outpatient Surgery Center. Specifically, it seeks to determine if providing parent and staff resources on Autism Spectrum Disorder is significantly helpful in increasing confidence in the staff by the parents and the staff themselves. Participants included thirty-five surveyed families who had pediatric patients visiting perioperative services and staff who work on the unit. Methods used include information dissemination with the use of printable and online evidence-based resources, an in-person education event for staff, and a pilot study of ...


Development Of A Culturally Appropriate Smokeless Tobacco Cessation Program For American Indians, Kathryn Rollins, Charley Lewis, T. Edward Smith, Ryan Goeckner, Jason Hale, Niaman Nazir, Babalola Faseru, K Allen Greiner, Sean M. Daley, Won S. Choi, Christine M. Daley 2018 University of Kansas Medical Center

Development Of A Culturally Appropriate Smokeless Tobacco Cessation Program For American Indians, Kathryn Rollins, Charley Lewis, T. Edward Smith, Ryan Goeckner, Jason Hale, Niaman Nazir, Babalola Faseru, K Allen Greiner, Sean M. Daley, Won S. Choi, Christine M. Daley

Journal of Health Disparities Research and Practice

This study describes a multiphasic approach to the development of a smokeless tobacco cessation program targeted for American Indians (AI) of different tribal nations. The authors gathered formative data from a series of focus groups and interviews to investigate the knowledge, attitudes, and beliefs of AI and smokeless tobacco (SLT) use. Predominant themes emerged from four major topic areas (SLT use, initiation and barriers, policy, and program development) across both studies. This study further assessed educational materials developed for the cessation program for scientific accuracy, readability, and cultural appropriateness. Program materials were scientifically accurate and culturally appropriate. The average corrected ...


The Rhetoric Of The Opioid Crisis And Addiction To Prescription Pain Medicine, Rachel Kaplan 2018 Duquesne University

The Rhetoric Of The Opioid Crisis And Addiction To Prescription Pain Medicine, Rachel Kaplan

Electronic Theses and Dissertations

In this historical moment, the United States is amidst an opioid crisis killing the young and the old; at least seventy-eight people die every day from an opioid-related overdose (Enomoto in Murthy III). Changing mindsets of the doctors who prescribe opioids is just as important as asking the patients who are prescribed them to demand an alternative medication. The different parties involved in the crisis all have a different agenda and their rhetorical bias is explored throughout this project. The pharmaceutical companies have launched aggressive marketing campaigns expressing the benefits of opioids and encouraged physicians to prescribe, the CDC has ...


Optimism And Compliance: An Examination Of Disempowering Processes Within Online Patient Communities, Wendi F. Coleman 2018 Minnesota State University, Mankato

Optimism And Compliance: An Examination Of Disempowering Processes Within Online Patient Communities, Wendi F. Coleman

Technical Communication Capstone Course

Patients diagnosed with long-term conditions (LTCs) are now being asked of medical practitioners to take an active role in their own health care as “expert patients.” This trend has accelerated the increase in people with LTCs who are using the internet for both information and social support. A valuable resource to these patients, and of interest to researchers, is a new type of online space: online patient communities (OPCs) created for patients suffering from specific illnesses. In order to better understand potential disempowering processes within OLPs, I follow the research and examine the illness narratives, focusing on their various external ...


Reactions To Fda E-Cigarette Regulation : How Vape Shops In Different Socioeconomic Areas Of Kentucky Use Facebook., Brooke A. Moody 2018 University of Louisville

Reactions To Fda E-Cigarette Regulation : How Vape Shops In Different Socioeconomic Areas Of Kentucky Use Facebook., Brooke A. Moody

College of Arts & Sciences Senior Honors Theses

In May 2016 the FDA deemed e-cigarettes a tobacco product. The “deeming rule” gave regulation to e-cigarettes where none had existed prior. Some of the regulations included: prohibiting the sale of e-cigarettes to minors, prohibiting giving away free e-cigarette products, requiring FDA-approved warning labels on e-cigarette packaging, and requiring pre-market authorization of all new e-cigarette products. The consequences of these regulations primarily affected e-cigarette manufacturers and vape shops, where most e-cigarette sales take place. In July 2017 the FDA announced an extended timeline for some e-cigarette regulations, citing the reason as having limited research on if, and how, e-cigarettes can ...


Name Of The Game: A Media Analysis Of Concussion Terminology In Documentary Film, Kaitlyn Graham 2018 Bryant University

Name Of The Game: A Media Analysis Of Concussion Terminology In Documentary Film, Kaitlyn Graham

Honors Projects in Communication

This project explores the way concussions are communicated to us through the use of documentary film. By examining the use of concussion related terms, as well as the tone and general word choice, it can be seen that there are certain words and phrases that are commonly left out, and others that are used too much. The differences in the usage of these words and tones reflects the current concussion crisis occurring in many contact sports around the world. This media analysis was conducted with the goal of finding trends in how concussions are discussed depending on the sport and ...


Efficacy Of Technology-Based And In-Person Health Education For Behavior Change In College-Aged Women, Madeline Bremel 2018 College of Saint Benedict/Saint John's University

Efficacy Of Technology-Based And In-Person Health Education For Behavior Change In College-Aged Women, Madeline Bremel

All College Thesis Program, 2016-present

Purpose: The purpose of this study was to determine whether an in-person or technology based bone health intervention improved bone health knowledge and behaviors in college-aged women. Methods: 30 college-aged women were randomly divided into three groups: personal intervention (n = 10), technological intervention (n = 10), and control (n = 10). Both intervention groups received identical information regarding the importance of bone health and the appropriate behaviors for maintaining strong bones including weight-bearing exercise, calcium consumption, and vitamin D consumption. The technology group received the information via an online video, and the personal group via a one-on-one health intervention. Changes in bone ...


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