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Examining Nurse Resiliency & A Mindfulness-Based Stress Reduction Intervention To Prevent Nurse Burnout, Allegra Grannell 2019 Children's Mercy Hospital

Examining Nurse Resiliency & A Mindfulness-Based Stress Reduction Intervention To Prevent Nurse Burnout, Allegra Grannell

Posters

Nurses continually give of themselves at work, as well as outside of work. This results in extensive stress, physiological distress, and ultimately burnout for individuals in the nursing profession. Nurses that work in high-stress environments, such as critical care, pediatrics, and oncology, are at a significantly increased risk of manifesting physical and psychological symptoms of burnout syndrome, compassion fatigue, and post-traumatic stress disorder (PTSD). Many of these factors are leading to nurses leaving the profession prematurely, resulting in significantly high turnover rates. High burnout and turnover rates of nurses result in the lack of adequate nursing staff in hospitals, which ...


Burnout: Moving Beyond The Status Quo, Renzo Bianchi, Irvin Sam Schonfeld, Éric Laurent 2019 Université de Neuchâtel

Burnout: Moving Beyond The Status Quo, Renzo Bianchi, Irvin Sam Schonfeld, Éric Laurent

Publications and Research

Burnout has been defined as a job-induced syndrome combining emotional exhaustion, depersonalization/cynicism, and a sense of reduced personal accomplishment. In this article, we expand on past analyses of burnout by reviewing key, yet overlooked, problems affecting the construct. We concomitantly examine the implications of these problems for the overall validity of burnout research. Our work shows that burnout research is undermined by 4 main problems. First, what constitutes a case of burnout is unclear. Second, the basic conceptualization and operationalization of burnout are ill aligned. Third, burnout is unlikely to be the specifically job-induced syndrome it has been posited ...


Rationale And Design Of A Remote Web-Based Daily Dairy Study Examining Sexual Minority Stress, Relationship Factors, And Alcohol Use In Same-Sex Female Couples Across The United States: Study Protocol Of Project Relate, Kristin E. Heron, Robin J. Lewis, Alexander T. Shappie, Charlotte A. Dawson, Rachel Amerson, Abby L. Braitman, Barbara A. Winstead, Michelle L. Kelley 2019 Old Dominion University

Rationale And Design Of A Remote Web-Based Daily Dairy Study Examining Sexual Minority Stress, Relationship Factors, And Alcohol Use In Same-Sex Female Couples Across The United States: Study Protocol Of Project Relate, Kristin E. Heron, Robin J. Lewis, Alexander T. Shappie, Charlotte A. Dawson, Rachel Amerson, Abby L. Braitman, Barbara A. Winstead, Michelle L. Kelley

Psychology Faculty Publications

Background: The Healthy People 2020 initiative aims to reduce health disparities, including alcohol use, among sexual minority women (SMW; eg, lesbian, bisexual, queer, and pansexual). Compared with heterosexual women, SMW engage in more hazardous drinking and report more alcohol-related problems. Sexual minority stress (ie, the unique experiences associated with stigmatization and marginalization) has been associated with alcohol use among SMW. Among heterosexuals, relationship factors (eg, partner violence and drinking apart vs together) have also been associated with alcohol use. Negative affect has also been identified as a contributor to alcohol use. To date, most studies examining alcohol use among SMW ...


Psychological Factors Related To Resilience And Vulnerability Among Youth With Hiv In An Integrated Care Setting., Tiffany Chenneville, Kemesha Gabbidon, Courtney Lynn, Carina Rodriguez 2019 University of South Florida St. Petersburg

Psychological Factors Related To Resilience And Vulnerability Among Youth With Hiv In An Integrated Care Setting., Tiffany Chenneville, Kemesha Gabbidon, Courtney Lynn, Carina Rodriguez

Faculty Publications

Approximately 22% of HIV diagnoses in 2015 occurred among youth aged 13–24. Much is known about the risk factors and psychopathology present in youth living with HIV (YLWH), however, relatively little is known about resiliency in this population. The current study sought to assess factors related to resilience and vulnerability among YLWH as well as the impact of psychosocial factors on these constructs using existing clinical data from an integrated care clinic serving YLWH in the southeastern United States. Data included findings from mental health screeners administered as part of the standard protocol of care for youth aged 13 ...


Supporting Marin County Youth Suffering From Anxiety And Depression, Victoria L. Grajeda 2019 Dominican University of California

Supporting Marin County Youth Suffering From Anxiety And Depression, Victoria L. Grajeda

Student Research Posters

This toolkit was created to help shed light on the impact a stressful high school environment can have on today’s youth, and provide teachers and parents with up-to-date information on what resources are available within the county of Marin. When working with adolescents, it is important to consider environmental threats to their mental health (i.e., lack of sleep) in order to make proper referrals and treatment plans. A study done by Kelley, Lockley, Kelley, & Evans (2017) implemented a 10:00 a.m. start time at an urban school in England. By delaying school start times, Kelley et. al found that absences related to illness were reduced by 50 percent compared to national rates. In general, school systems in the United States are not currently structured to ensure students can function at their maximum potential, and their academics, health, and relationships are deteriorating as a result. More importantly, suicide is becoming more prevalent in high schools within the United States, which means prevention programs need to be reevaluated or implemented to help Marin youth cope with existing trauma. This guide will psychoeducate the community on anxiety and depression; potential risk factors, how to help, and what treatment options are available.


Weight Loss And Self-Monitoring Among Young Men In A Technology-Driven Weight Loss Intervention, Jean M. Reading, Jessica G. LaRose 2019 Virginia Commonwealth University

Weight Loss And Self-Monitoring Among Young Men In A Technology-Driven Weight Loss Intervention, Jean M. Reading, Jessica G. Larose

Graduate Research Posters

Background

Young men with obesity have double the mortality risk compared to young men with a healthy weight, but are notoriously challenging to recruit for behavioral weight loss (BWL) programs. Emerging evidence suggests that young men might prefer self-guided or low touch interventions, but limited data are available as to their effectiveness. To inform future efforts, we conducted a secondary analysis of young men’s performance in a technology-driven BWL trial developed specifically for young adults. Objectives were to: 1) examine young men’s enrollment rates; and 2) compare young men and women’s weight loss outcomes and self-regulation behaviors ...


Health Equity Through Spatial Justice: A Critical Phenomenology Of Urban Trail Makers, Arvin Simon 2018 Duquesne University

Health Equity Through Spatial Justice: A Critical Phenomenology Of Urban Trail Makers, Arvin Simon

Electronic Theses and Dissertations

Research has increasingly demonstrated that race, class and place are powerful predictors of health and social justice. This study was conducted to identify the lived experiences of individuals who were hired and trained as part of a green job program that created trails within a city park in Pittsburgh’s Mount Washington Community. This program has historically hired individuals who were formerly incarcerated, many of whom identify as African American. We explored the personal and social experiences of working in nature to better appreciate the intersections of race, class and environment in an urban community. This current study is based ...


Psychological Outcomes Associated With Crossfit, Jessica Fell, GLENN GEHER 2018 SUNY New Paltz

Psychological Outcomes Associated With Crossfit, Jessica Fell, Glenn Geher

Journal of Evolution and Health

CrossFit is an exercise program that was theoretically designed to map onto ancestral forms of exercise and movement. Whether CrossFit actually matches the kinds of movements that were regularly implemented by our pre-Agrarian ancestors is up for debate. Assuming that CrossFit, regardless of its actual evolutionary relevance, may have some benefits, the current work examined whether CrossFit is associated with psychological and social benefits to individuals compared with a more traditional exercise regimen (Gold’s Gym). This study included 188 participants, 69 Gold’s Gym members and 119 CrossFit members who completed an online survey. In addition to several questions ...


Screen Time, Sleep, And Mental Health: An Investigation Of Electronics Use And Sleep Habits, Robert Nicks 2018 Stephen F. Austin State University

Screen Time, Sleep, And Mental Health: An Investigation Of Electronics Use And Sleep Habits, Robert Nicks

Electronic Theses and Dissertations

Internet addiction (IA) is classified as a compulsive-impulsive behavior disorder involving excessive use of the internet, withdrawal, tolerance, and negative repercussions (Block, 2007). Internet usage is becoming more widespread across all industrialized people, and younger people are using the internet more and more as it becomes more ubiquitous (Rideout, Foehr, & Roberts, 2010). The purpose of the current study is to investigate internet usage habits, sleep disturbance, and IA as it appeared in a national United States sample, and a sample seeking clinical psychological help in the Southwestern United States. The results of the current study suggested that IA predicted sleep ...


The Role Of Retail Pharmacy In The Treatment Of Mental Illness, Melissa Sturgill 2018 Marian University - Indianapolis

The Role Of Retail Pharmacy In The Treatment Of Mental Illness, Melissa Sturgill

Undergraduate Research Symposium (URS)

Mental illness treatment in the United States has developed and changed drastically in the past century. Where in the early 1900s,one with a severe mental illness would be institutionalized, today, the same person could be treated with psychotherapy and medications.

Pharmacists are the modern bridge to aid those with mental illness to live on their own and contribute to society.


Reluctance Of Adolescents With Cerebral Palsy To Participate In An Online Intervention On Self-Management: Lessons Learned From A Randomized Control Trial, Cynthia T. Thompson 2018 University of Massachusetts Medical School

Reluctance Of Adolescents With Cerebral Palsy To Participate In An Online Intervention On Self-Management: Lessons Learned From A Randomized Control Trial, Cynthia T. Thompson

Graduate School of Nursing Dissertations

Purpose: Assess the effectiveness of an online intervention to encourage self-management in adolescents with cerebral palsy (CP).

Specific Aims: (a) assess effectiveness of an online intervention to promote readiness for self-management in adolescents with CP, (b) describe health literacy and associations with readiness to assume self-management, and (c) evaluate adolescents’ exposure to the online intervention.

Hypotheses: (a) intervention subjects would demonstrate improvement in self-management, and (b) subjects with higher health literacy would demonstrate higher self-management capabilities.

Framework: Transtheoretical Model of Health Behavior Change

Design: Randomized control trial, performed in a multidisciplinary CP clinic at a university based children’s hospital ...


Alcohol Expectancies Among Sudents In The City Of Pokhara, Nepal, Niran Tamrakar 2018 University of Nebraska-Lincoln

Alcohol Expectancies Among Sudents In The City Of Pokhara, Nepal, Niran Tamrakar

Public Access Theses and Dissertations from the College of Education and Human Sciences

Alcohol plays a vital role in various aspects of Nepalese society. It also presents public health risks. Though adolescents in Nepal are at high risk for negative consequences from alcohol use, there is limited information available on their alcohol behaviors and beliefs. The present study aims to describe alcohol expectancies among a sample of secondary students in Nepal to identify and understand motivations underlying their alcohol-related behaviors. A self-report survey was administered to 591 students from different Englishmedium schools in the city of Pokhara. This study began with the Chinese Adolescent Alcohol Expectancy Questionnaire (CAAEQ), then used qualitative methods to ...


Exited Prostitution Survivor Policy Platform, Marian Hatcher, Alisa L. Bernard, Allison Franklin, Audrey Morrissey, Beth Jacobs, Cherie Jimenez, Kathi Hardy, Marlene Carson, Nikki Bell, Rebecca Bender, Rebekah Charleston, Shamere McKenzie, Vednita Carter 2018 Cook County Sheriff's Office

Exited Prostitution Survivor Policy Platform, Marian Hatcher, Alisa L. Bernard, Allison Franklin, Audrey Morrissey, Beth Jacobs, Cherie Jimenez, Kathi Hardy, Marlene Carson, Nikki Bell, Rebecca Bender, Rebekah Charleston, Shamere Mckenzie, Vednita Carter

Dignity: A Journal on Sexual Exploitation and Violence

Survivors of prostitution propose a policy reform platform including three main pillars of priority: criminal justice reforms, fair employment, and standards of care. The sexual exploitation of prostituted individuals has lasting effects which can carry over into many aspects of life. In order to remedy these effects and give survivors the opportunity to live a full and free life, we must use a survivor-centered approach to each of these pillars to create change. First, reform is necessary in the criminal justice system to recognize survivors as victims of crime and not perpetrators, while holding those who exploited them fully responsible ...


Censored Count Data Analysis – Statistical Techniques And Applications, Xiao Yu 2018 UTHealth SPH

Censored Count Data Analysis – Statistical Techniques And Applications, Xiao Yu

UT School of Public Health Dissertations (Open Access)

Count data are commonly used to report frequency statistics of diverse health outcomes. However, some data are marked intentionally to avoid leaking information that could be used to identify individuals when population sizes are small. The situation hinders the further use from those data in public health research. Thus, an accurate and efficient method for dealing with censored count data is needed.

We developed Integrated Nested Laplace Approximation algorithm to censored Poisson regression model to deal with censored count data and improve the computational efficiency. In addition, we applied three methods to deal with censored count data: 1) multiple imputation ...


Sex-Specific Effects And Gene-Sex Interactions In Serum Metabolome Levels: The Atherosclerosis Risk In Communities Study, Zhe Wang 2018 UTHealth SPH

Sex-Specific Effects And Gene-Sex Interactions In Serum Metabolome Levels: The Atherosclerosis Risk In Communities Study, Zhe Wang

UT School of Public Health Dissertations (Open Access)

Metabolomic signatures associated with complex disease have been identified. Metabolomic profiling and the integration of genomic data have proven to be powerful tools to investigate genetic effects underlying intermediate phenotype levels and may facilitate improved understanding of pathophysiologic processes of disease. However, most published studies did not consider sex as an effect modifier, analyze sex-specific effects, nor gene by sex interactions. One reason can be incomplete knowledge of the power of statistical methods used in a given dataset.

I first investigated sex-specific genetic effects by performing sex-stratified exome-wide association studies for 271 chromatography-mass spectrometry measured metabolites in the Atherosclerosis Risk ...


Bayesian Based Semiparametric Multidimensional Approaches To Analysis Parkinson's Disease, Jun Zhang 2018 UTHealth SPH

Bayesian Based Semiparametric Multidimensional Approaches To Analysis Parkinson's Disease, Jun Zhang

UT School of Public Health Dissertations (Open Access)

In the slow progression of Parkinson's Disease (PD), impairments arise and affect multiple domains (e.g., motor, cognitive, and behavioral). Mixed types, multivariate longitudinal data are commonly used in PD studies. Challenges exist in assessing PD status and investigating disease progression due to lack of biomarkers and ubiquitous impairment in the disease. We proposed a model framework by combining the semi-parametric approach and multi- dimensional framework, and used the proposed model to investigate the heterogeneous disease development and the non-linear treatment effects in the multiple domains predefined in PD.

Furthermore, we extended the semi-parametric multidimensional approach to the data ...


Hemoglobin A1c Improvements And Better Diabetes-Specific Quality Of Life Among Participants Completing Diabetes Self-Management Programs: A Nested Cohort Study, Abhinav Khanna 2018 UTHealth School of Public Health

Hemoglobin A1c Improvements And Better Diabetes-Specific Quality Of Life Among Participants Completing Diabetes Self-Management Programs: A Nested Cohort Study, Abhinav Khanna

UT School of Public Health Dissertations (Open Access)

Background: Numerous primary care innovations emphasize patient-centered processes of care. Within the context of these innovations, greater understanding is needed of the relationship between improvements in clinical endpoints and patient-centered outcomes. To address this gap, we evaluated the association between glycosylated hemoglobin (HbA1c) and diabetes-specific quality of life among patients completing diabetes self-management programs.

Methods: We conducted a retrospective cohort study nested within a randomized comparative effectiveness trial of diabetes self-management interventions in 75 diabetic patients. Multiple linear regression models were developed to examine the relationship between change in HbA1c from baseline to one-year follow-up and Diabetes-39 (a diabetes-specific quality ...


Factors Contributing To Lower Cancer Screening Utilization In A Sub-Sample Of United Way 2-1-1 Callers, Jason M. Rhoton 2018 UTHealth SPH

Factors Contributing To Lower Cancer Screening Utilization In A Sub-Sample Of United Way 2-1-1 Callers, Jason M. Rhoton

UT School of Public Health Dissertations (Open Access)

This dissertation was a secondary analysis of data from a Cancer Prevention Research Institute of Texas (CPRIT)-funded [grant # PP100077 & PP120086] cancer-control intervention with The University of Texas Health Science Center at Houston (UTHealth) School of Public Health and United Way 2-1-1. The aims of the three dissertation papers were addressed by examining a sub-sample of 2-1-1 callers that were drawn from the parent study baseline data. Participants were required to need at least once cancer prevention service to be included in the parent study and dissertation analyses. This dissertation was a cross-sectional analysis of de-identified data examining the associations between perceived neighborhood problems and cancer screening, perceived neighborhood problems and cancer fatalism, and perceived discrimination and cancer screening. Paper one examined the association between perceived neighborhood problems and colorectal, cervical and breast cancer screening. Adjusted logistic regression results showed that perceived neighborhood problems were not associated with colorectal cancer screening, cervical screening, or breast cancer screening. However, participants that had either public or private insurance had higher odds of being screened for colorectal cancer, cervical cancer, and breast cancer, compared to participants without insurance. Paper two examined the association between perceived neighborhood problems and cancer fatalism. The results of the multiple regression analysis showed that perceived neighborhood problems were associated with fatalism [R2 = .21, F(11, 556) = 13.09, p < 0.0001]. Paper 3 examined how perceived medical and interpersonal discrimination were independently associated with cancer screening. Adjusted logistic regression showed that perceived medical discrimination was associated with a reduced likelihood of being screened for colorectal cancer screening (OR=0.59; 95% CI 0.31, 0.99), but not cervical or breast cancer screening. Perceived interpersonal discrimination was not associated with colorectal, cervical, and breast screening. Additionally, participants that had insurance had higher odds of being screened for cervical cancer (aOR= 2.33, 95% CI = 1.79, 3.03), and breast cancer (aOR= 5.84, 95% CI = 3.72, 9.17), but not colorectal cancer (aOR= 0.28, 98% CI= 0.14, 0.55). The results of all papers 2 and ...


Observed Cooking Behaviors Of Families With And Without Childhood Cancer Survivors And The Development Of A Healthy Cooking Assessment Tool, Margaret Pleta Raber 2018 UTHealth School of Public Health

Observed Cooking Behaviors Of Families With And Without Childhood Cancer Survivors And The Development Of A Healthy Cooking Assessment Tool, Margaret Pleta Raber

UT School of Public Health Dissertations (Open Access)

Diet is a modifiable risk factor for several cancers and other chronic diseases. Cooking skills are a target for dietary intervention, with much of the general population reporting infrequent and inadequate home preparation of meals. Childhood cancer survivors (CCS) are a population at high risk of several chronic conditions including secondary cancers that may be influenced by home cooking behaviors. We conducted observations of food preparation practices in 29 parents of healthy school-aged children and 11 parents of CCS. Observations included an audio and video recording of one evening meal per family. Parents were asked to wear a small body ...


The Relationship Between Neuroticism, Self-Esteem, And Disordered Eating Attitudes: Examining The Health At Every Size Theory, Liana Cho 2018 Grand Valley State University

The Relationship Between Neuroticism, Self-Esteem, And Disordered Eating Attitudes: Examining The Health At Every Size Theory, Liana Cho

Masters Theses

Background. In the modern day treatment of overweight/obesity, conflicting recommendations regarding treatment have been released by the Academy of Nutrition and Dietetics (AND) and advocates of the Health at Every Size (HAES) movement. While the AND have indicated their support for self-monitoring practices, such as keeping a food diary or tracking calories, HAES advocates have claimed that these restrictive practices may result in increased disordered eating tendencies and poor self-esteem.

Subjects. The participants for this study included 410 students at Grand Valley State University. Almost 80% of participants were female, and just over 85% of participants identified as white ...


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