Digital Commons Network^™

Consumer Satisfaction With Gluten-Free Yeast-Raised Doughnuts For Commercial Production, Kevin Thomas Cavanagh

2010-2016 Archived Posters

The demand for gluten-free baked goods has been growing. Currently the baking industry has been unable to produce a yeast-raised gluten-free doughnut to meet this demand. This study tested one formula, and sought to discover the feasibility. Research into gluten-free baked goods offers celiac suffers more versatility in their diet.

Independent Living Oldest-Old And Their Primary Health Provider: A Mixed Method Examination Of The Influence Of Patient Personality Characteristics, Lee Stadtlander, Martha Giles, Amy Sickel, Emma Brooks, Cherri L. Brown, Melissa Cormell, Lara Ewing, Delores Hart, Dawn Koons, Christie Olson, Pamela Parker, Veronica Semenova, Shawna Stoneking

Walden Faculty and Staff Publications

This convergent mixed methods study examined 35 healthy, independent living individuals' (over 85 years) perceptions of their relationship with their primary health provider (PHP) and health practices. The relationship between PHP relationship perceptions and locus of control (LOC), resilience, and self-efficacy was explored through surveys and interviews. The majority indicated they visited their PHP just for preventative care; the number of PHP visits per year was significantly lower than reported for individuals over 85 by the CDC, possible reasons for this finding are provided. A positive relationship between LOC, resiliency, and self-efficacy for the oldest-old was found. Few participants indicated …

Changes In Quality Of Life And Physiologic Measures In Heart Failure Patients Related To Gender And Race, Linda Steele

2010-2016 Archived Posters

Heart failure (HF) is a major health problem, with approximately 6 million people currently living with HF in the United States. It is estimated that HF will cost $39.2 billion annually (2012) inclusive of health care services, medications, and lost productivity. Two nonmodifiable risk factors for developing HF are race and gender. HF is a complex cardiovascular illness associated with diminished quality of life, decreased exercise tolerance, and increasing disease severity. This study examined the relationship between quality of life and selected physiologic variables and race aand gender on 54 patients over a six month time period.

Weight Loss Surgery Maintenance And Psychosocial Development: A Narrative Perspective, Carrie J. L. Hickman

Walden Dissertations and Doctoral Studies

Bariatric surgery is not the panacea it was once thought to be for weight loss. Due to patient noncompliance issues, many weight loss surgery patients are relapsing and regaining the significant amounts of weight that bariatric surgery had initially helped them to lose. This failure is costly monetarily, psychologically, and medically to both the patient and to society. Using the narratives of 32 post-weight loss surgery patients, this narrative study explored: (a) whether Erikson's psychosocial stages of development occur after weight loss surgery, (b) whether successful patients (defined as those who are able to maintain their weight loss long term) …

Malnutrition In Sickle Cell Anemia: Implications For Infection, Growth And Maturation, Hyacinth I. Hyacinth, Oluwatoyosi A. Adekeye, Christopher S. Yilgwan

Journal of Social, Behavioral, and Health Sciences

Sickle cell anemia (SCA) is a genetic disease that affects mostly individuals of African and/or Hispanic descent, with the majority of cases in sub-Saharan Africa. Individuals with this disease show slowed growth, delayed sexual maturity, and poor immunologic function. These complications could partly be explained by the state of undernutrition associated with the disease. Proposed mechanism of undernutrition include protein hypermetabolism, decreased dietary intake possibly from interleukin-6-related appetite suppression, increased cardiac energy demand/expenditure, and increased red cell turnover. All the above mechanisms manifest as increased resting energy expenditure. Nutritional intervention utilizing single or multiple nutrient supplementation has led to improved …

The Road To “Severe Obesity”: Weight Loss Surgery Candidates Talk About Their Histories Of Weight Gain, Julia Temple Newhook, Deborah Gregory, Laurie Twells

Journal of Social, Behavioral, and Health Sciences

Much research focuses on the causes of weight gain, but few studies examine the perspectives of those who have been categorized as “severely obese.” This paper discusses the findings of 54 interviews with weight loss surgery candidates in Newfoundland and Labrador, Canada. We explore participants’ perspectives on their histories of weight gain, focusing on their explanations for weight gain as well as the emotions surrounding their weight gain experiences. We find that the dominant individualized, medicalized construction of obesity both (1) adds to the burden of blame for weight loss surgery candidates, with potential emotional health implications, and (2) overlooks …

Self-Regulatory Skills For Controlled Eating Emanating From Newly Initiated Physical Activity, James J. Annesi Ph.D., Kandice Johnson Porter

Journal of Social, Behavioral, and Health Sciences

The relationship of physical activity with weight loss may largely be due to its association with psychosocial factors. The goal of this research was to clarify such relationships using a field design lasting 24 weeks. In Study 1, change in self-regulation for controlled eating, but not energy expenditure, mediated the relationship between changes in physical activity and weight in formerly sedentary, severely obese adults (n = 174). In Study 2 (n = 148), the addition of a cognitive-behavioral nutrition treatment was associated with significantly greater improvement in self-regulation for eating. Physical activity-related self-regulation changes were related to those …

The Relationship Between Eating School Lunch And Overweight Or Obesity In Elementary School Children, Doret Ledford

2010-2016 Archived Posters

Childhood obesity has become a grave concern in the U.S. and globally today. The purpose of this study was to investigate the impact of school lunch on overweight or obesity in elementary school children. The results revealed that eating school lunch was significantly related to increased risk of overweight or obesity in school children.

A Nhanes 2005-2006 Data Analysis Examining Early Childhood Factors, Food Security, Medical Insurance, And Childhood Obesity, Assanatu Iyatunde Savage

Presidential Alumni Research Dissemination Award

The purpose of this study, and primary research question, was to examine the relationships among early childhood factors, food security, and family medical insurance and childhood obesity. There are many factors associated with the overweight and obesity epidemic. Hence, creating solutions must be addressed on various platforms such as early childhood influences, food security/insecurity, and family availability of health insurance. Relevant and aggregate data on factors affecting childhood obesity could potentially lead to age appropriate interventions to prevent childhood obesity and its sequelae. The literature noted the social cognitive theory in addressing the relationship between parents, the environment, and childhood …

A Multiple Case Study Analysis Of The Positive Deviance Approach In Community Health, Piroska Bisits Bullen

Harold L. Hodgkinson Award for Outstanding Dissertation

The positive deviance (PD) approach involves finding individuals who have solved a problem and spreads their unique solutions to others. While there have been calls for PD to become a standard tool in community health, there has been little research on the approach. This study investigated how PD is used in practice and evidence of its effectiveness by analyzing case studies of 40 PD programs and 32 PD inquiries implemented in a range of high, middle, and low income countries by both national and international organizations. Case studies were developed using data from publicly available documents. Qualitative within-case and cross-case …

Scholarly Inbreeding In Latin American Academically Managed Journals, Erwin Krauskopf

Higher Learning Research Communications

From a bibliometric perspective, scholarly inbreeding has been identified in journals through the excessive use of both author and journal self-citations. However, editorial bias toward researchers from the same institution as the editorial management team has seldom been considered. According to the Spanish Foundation for Science and Technology, this occurs when a journal publishes more than 20% of documents authored by researchers affiliated with the same institution as the editorial management team. The purpose of this study is to establish the extent to which 81 Latin American journals managed by universities publish intramural documents (defined as those published by its …

Enhancing Student Learning With Case-Based Teaching And Audience Response Systems In An Interdisciplinary Food Science Course, Davide Giacalone

Higher Learning Research Communications

A growing body of research in higher education suggests that teachers should move away from traditional lecturing towards more active and student-focus education approaches. Several classroom techniques are available to engage students and achieve more effective teaching and better learning experiences. The purpose of this paper is to share an example of how two of them – case-based teaching, and the use of response technologies – were implemented into a graduate-level food science course. The paper focuses in particular on teaching sensory science and sensometrics, including several concrete examples used during the course, and discussing in each case some of …

Working To Educate Global Citizens And Create Neighborly Communities Locally And Globally: Penn’S Partnerships In West Philadelphia As A Democratic Experiment In Progress, Ira Harkavy, Matt Hartley, Joann Weeks, Rita Hodges

Higher Learning Research Communications

In the rapidly accelerating global era in which we now live, human beings must solve a vast array of unprecedently complex problems. Perhaps the most complex and significant problems facing society today are persistent, widening, and increasingly destructive social, economic, and political inequality; globally destructive, man-made climate change; and increasingly frequent and savage terrorist acts. Given their proclaimed dedication to critical intelligence, and their unique constellation of formidable resources to develop it, institutions of higher education, we submit, have a unique responsibility to help solve these problems—indeed all the problems intensified by globalization.

Dietary Education In School-Based Childhood Obesity Prevention Programs, Manoj Sharma

Walden Faculty and Staff Publications

The purpose of this article was to review school based interventions designed to prevent childhood and adolescent obesity that focused on modifying dietary behavior and were published between 2000 and May 2009. A total of 25 interventions met the criteria. The grade range of these interventions was from K to 12; 13 studies exclusively targeted elementary school, 2 targeted both elementary and middle school, 9 exclusively targeted middle school, and 1 targeted high school. The majority of the interventions focused on both dietary and physical activity behaviors, whereas 8 interventions focused exclusively on dietary behaviors. Approximately one-half of the interventions …

Lessons Learned Conducting Breastfeeding Intervention Research In Two Northern Plains Tribal Communities, Mary Beth Stepans, S Wilhelm, K Rodehorst-Weber, T Aguirre, M Hertzog, M Clarke, A Herboldsheimer

Walden Faculty and Staff Publications

AIM:

The overall purpose of this article was to describe the challenges and benefits of conducting breastfeeding intervention research with two Native American Tribal communities.

METHODS:

A focus group with an interpretive approach was used to collect data within this qualitative study as a means of incorporating a complex, holistic, subjective interpretation of the case managers' perceptions and experiences. In addition, researchers' field notes were used. Findings are discussed in relation to Rogers' Diffusion of Innovation Framework.

RESULTS:

Themes that emerged during the focus group discussions were related to innovation, relative advantage, complexity, compatibility, trialability, and observability.

CONCLUSIONS:

Conducting research …

The Efficacy Of Sheltered Instruction Observation Protocol (Siop) In Mathematics Instruction On English Language Learner Students, Jose L. Vidot

Walden Dissertations and Doctoral Studies

Studies by the National Association for Educational Progress found that English Language Learner (ELL) students perform poorly compared to other students on standardized mathematics exams. The research problem addressed how Sheltered Instruction Observation Protocol (SIOP) affected the instructional practices of high school mathematics teachers. The purpose of this evaluative case study approach was to explore the extent to which the implementation of SIOP influenced mathematics instruction in a mid-sized rural high school. The conceptual framework for this study was formed by combining Krashen's i+1 nativist theory for language acquisition through comprehensible input, Long's interactionist theory for acquisition of knowledge and …

Patients' Perspectives On Discussing Complementary And Alternative Medicine Therapies With Conventional Doctors, Deborah A. Mcninch

Walden Dissertations and Doctoral Studies

Currently, little is known about patients' perceptions and beliefs in discussing complementary and alternative medicine (CAM) with their conventional medical (CM) doctor. The purpose of this descriptive research was to show whether CAM-using patients have an interest in discussing CAM treatments with their CM doctor for comprehensive care as described by the health belief model (HBM) constructs of perceived susceptibility, perceived seriousness, and perceived benefits of taking action. A sample of 165 participants age 18 or older from 2 chiropractic clinics in the midwestern United States completed a Likert-scaled survey. The data were analyzed using descriptive statistics and multiple regression …

Association Between Vegan, Vegetarian, And Omnivorous Diets And Overweight And Obesity, Daniel Sullivan

Walden Dissertations and Doctoral Studies

Overweight and obesity and associated health risks have become epidemic in several regions around the world. Numerous studies have addressed the dietary habits of vegetarians and vegans in terms of disease prevention and nutritional deficiencies but the relationship between overweight and obesity and the demographic, psychosocial, lifestyle, and dietary intake of omnivores, vegetarians, and vegans has received less attention. Guided by the social-ecological model, this study included a cross-sectional, quantitative, anonymous web-based survey to obtain dietary information on omnivores, vegetarians, and vegans. Vegans demonstrated a significantly lower mean and median body mass index ( p=0.00) than omnivores, semi-vegetarians, and vegetarians. …

Hardiness And Attitude On Hypertension Treatment Adherence Among Nigerian Health Care Workers, Chinwe N. Egwuagu-Ndubisi

Walden Dissertations and Doctoral Studies

Racial and ethnic minorities in the United States have higher rates of hypertension than European Americans. In this ethnographic study, 30 Nigerian immigrant health care workers with hypertension described their self-efficacy management of the disease to ascertain the relationship between health-related hardiness, individual attitudes on compliance, and medication adherence self-efficacy. Using a mixed methods designs comprised of survey tools and focus-group questionnaires, the research questions were focused on understanding attitudes and health practices within Nigerian culture that support self-efficacy management. The theoretical framework for this study is the social learning theory and the social cognitive theory postulated by Bandura. Content …

Relationship Satisfaction Among Married Or Cohabitating Heterosexual And Homosexual Couples In The State Of Hawaii, Adrianna Marie Flavin

Walden Dissertations and Doctoral Studies

The purpose of this study was to explore relationship satisfaction among adult, cohabitating heterosexual and homosexual dyads. The United States has the highest rate of divorce among all the industrialized nations. Divorce has been linked to declines in mental and physical health, financial and social instability, unhealthy patterns of over-compensation, and higher levels of separation among the offspring of such couples. Hawaii has the fourth lowest rate of divorce in the country, despite also having the one of the highest rates of interethnic marriage worldwide. Researchers of relationship satisfaction and minority issues have yet to explore the correlates of relationship …

Assessment, Referral, And Self Perception In Binge Eating And Obesity Among Adults, Mary Solberg

Walden Dissertations and Doctoral Studies

In the past 30 years, binge eating and obesity has increased among all age groups due to lifestyle, environment, social, and biological reasons. To change eating habits, individuals may have to collaborate with others beyond the medical professional. Societal impacts of binge eating and obesity include increases in insurance rates, medical costs, and increased early-age mortality. The purposes of this study were to assess how individuals are referred to other professionals if they self-identify as binge eaters or obese and to understand personal awareness individuals had of binge eating and obesity. Cognitive behavioral theory was used as the theoretical foundation. …

A Sibling Case-Control Study Of Maternal Prenatal Body Mass Index As A Risk Factor For Autism Spectrum Disorder, Ruth Ann Hendrix

Walden Dissertations and Doctoral Studies

The prevalence of autism spectrum disorder (ASD) is estimated to be one in every 150 births. While both genetic and postpartum environmental exposure have been linked to ASD, prenatal maternal weight has not been investigated. The objective of the study is to assess whether overweight or obesity at pregnancy is an important risk factor for the diagnosis of ASD in offspring. A case-control study was designed to answer this question using the public health ecosocial theory. The study population consisted of 70 mothers, who were recruited via the Internet using the viral expansion loop. Multiple logistic regression analysis was used …

The Effectiveness Of Exercise And Nutritional Counseling On Decreasing Body Composition And Increasing Fitness Levels In Firefighters, Michelle R. Mcnear

Walden Dissertations and Doctoral Studies

Cardiovascular disease is the leading cause of death in the United States; firefighters are at a greater risk for both the disease and death. Their exposure to stress, toxic fumes and smoke, unhealthy eating habits, excessive weight, and low levels of physical activity are all contributing risk factors to this disease. The purpose of this quantitative study was to determine the effectiveness of a multi-faceted program of exercise and nutritional counseling to decrease body fat composition and increase fitness levels nine months after initial implementation among a sample of 202 firefighters. Social learning theory was the theoretical foundation for the …

Predicting Breast Cancer Screening Among African American Lesbians And Bisexual Women, Cheryl B. Fields

Walden Dissertations and Doctoral Studies

In 2009, 713,220 new cases of cancer were diagnosed for women in the United States with more than a quarter million deaths. African American women and lesbians exhibit behavioral risk factors as well as diminished access to and utilization of breast cancer screening that reduces opportunities for early detection. This secondary analysis of a national convenience-based study examined screening compliance among 647 African American lesbian and bisexual women. Barriers to accessing screening represented the theoretical framework for this study. Bivariate chi square analysis was used to assess the association between independent variables: sociodemographic characteristics; participation in wellness activities; sexual orientation/gender …

Physician Decision Criteria Regarding Omega-3 Dietary Supplements, Warren P. Lesser

Walden Dissertations and Doctoral Studies

American Heart Association officials and other expert cardiologists recommend omega-3 (n-3) dietary supplementation for the secondary prevention of cardiovascular disease, a prevalent health problem in the United States. Physicians' lack of understanding of possible n-3 preventive health benefits results in underprescribing n-3 dietary supplements and lower n-3 dietary supplement product sales. N-3 dietary supplement marketers do not understand physician n-3 prescribing decision criteria enough to optimize high-impact communication to physicians to increase n-3 dietary supplement product use. The purpose of this phenomenological research study was to improve n-3 marketers' understanding of how physicians reach decisions to prescribe or recommend products …

Educational Stakeholders' Perspectives On School-Based Obesity Prevention Programs, Todd Yatchyshyn

Walden Dissertations and Doctoral Studies

Childhood obesity is a worldwide problem that can lead to adverse health conditions. In several rural Pennsylvania communities, over one third of elementary students are characterized as overweight, having a body mass index above the 85th percentile. The purpose of the study was to investigate educational stakeholders' perspectives about school-based obesity-prevention programs. The conceptual framework focused on cognitive theory, the theory of planned behavior, and the trans-theoretical model of health behavior change, which postulates that an individual's readiness to change is the most important factor of intervention programs. Qualitative interview data were gathered from 18 educational stakeholders. Inductive code-based analysis …

The Impact Of Nutrition-Teaching Self-Efficacy On Daily Fruit And Vegetable Intake, Leslie E. Rawls Hoglund

Walden Dissertations and Doctoral Studies

Lack of fruit and vegetable (FV) consumption is directly linked to the prevalence of obesity and chronic disease in the United States. The USDA Fresh Fruit and Vegetable Program (FFVP) offers elementary school teachers access to healthy foods as part of the public school classroom experience. The purpose of this study---which was based on self-efficacy theory and the socio-ecological model---was to examine if an association exists between selected factors: (a) daily fruit and vegetable consumption, training status in the USDA Fresh Fruit and Vegetable Program (FFVP), and an established school nutrition policy and (b) nutrition-teaching self-efficacy (NTSE) among elementary school …

The Experience Of Menopause As Reported By Sedentary Women, April Elizabeth Ann Rietdyk

Walden Dissertations and Doctoral Studies

Limited research exists on the experiences of sedentary women as they transition through menopause. This gap creates difficulty for public health practitioners as they strive to develop resources, implement programs, or influence policy change at the community level for this group of marginalized women. Keeping women healthy throughout the aging process, including menopause, improves their quality of life and decreases the impact aging has on the health care system. This phenomenological study, through in-depth interviews, provided the opportunity for sedentary women to share their thoughts and experiences of menopause. Thirteen sedentary women between the ages of 40 and 60, experiencing …

Effects Of Home Exercise On Immediate And Delayed Affect And Mood Among Rural Individuals At Risk For Type 2 Diabetes, Kevin S. Masters, Glen I. Spielmans, Rick A. Lacaille, Jason T. Goodson, Brian T. Larsen, Edward M. Heath, Andrea Knestel

Journal of Social, Behavioral, and Health Sciences

Physical activity is important for reducing overweight and obesity and related health consequences. This study examined changes in mood following 16 weeks of exercise in a sample of 29 individuals residing in a rural area and at risk for developing Type 2 diabetes mellitus (T2DM). Significant positive mood changes were detected, with moderate to large effect sizes. Assessments also revealed significant delayed postexercise positive emotion changes. These findings extend research on the mood benefits of exercise to individuals residing in rural settings and at risk for T2DM and suggest that to gain a full understanding of the exercise-affect relation, investigators …

Predictors Of Snack Food Consumption Among Upper Elementary Children Using Social Cognitive Theory, Paul Branscum, Manoj Sharma

Journal of Social, Behavioral, and Health Sciences

This study examined the extent to which the constructs of social cognitive theory (SCT) can predict snack food consumption among elementary school-age children. A valid and reliable 22-item instrument was administered to 212 children. Snack food consumption was evaluated by asking children to recall and report all foods consumed outside of meals in the previous 24 hours. On average, the children consumed 513 calories from snack foods per day. Most came from sugar-sweetened beverages and calorically dense snacks. Fruit and vegetable snacks were positively predicted by self-control ( R2

= 0.017), and sugar-sweetened beverage snacks were negatively predicted by …