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Relations Of Changes In Self-Efficacy, Exercise Attendance, Mood, And Perceived And Actual Physical Changes In Obese Women: Assessing Treatment Effects Using Tenets Of Self- Efficacy Theory, James J. Annesi, Jennifer L. Unruh, Ann C. Whitaker

Journal of Social, Behavioral, and Health Sciences

Obese and sedentary women ( N = 76) initiated an exercise and nutrition program based on self-efficacy theory. Significant within-group improvements in body fat, waist size, and body mass index were found over 6 months. Changes in Physical Self-Concept (task self-efficacy) and Exercise Self-Efficacy (self-regulatory efficacy) scores, together, accounted for a significant portion of the variance in exercise session attendance, R2 = .24, F = 11.67, p < .001, with both significantly contributing to the overall explained variance. Exercise attendance was significantly related to changes in Body Areas Satisfaction (β = .39) and Total Mood Disturbance (β = -.27) scores. Findings suggested a path from increased self-efficacy, to exercise attendance, to improvements in body satisfaction and overall mood. Suggestions for replication and extensions were given.

Effects Of The Youth Fit For Life Protocol On Physiological Factors, Mood, Self-Appraisal, Voluntary Physical Activity, And Fruit And Vegetable Consumption In Children Enrolled In Ymca After-School Care, James J. Annesi, Avery D. Faigenbaum, Wayne L. Westcott, Alice E. Smith, Gayle M. Dixon

Journal of Social, Behavioral, and Health Sciences

Changes associated with the Youth Fit For Life physical activity intervention were assessed with 5- to 12-year-old children in after-school care ( N = 477). Body mass index (BMI), strength, and flexibility significantly improved over 12 weeks. Initial BMI was negatively related to observed changes, r = -.29, p < .001. Significant within-group improvements in tension, vigor, and physical self-concept scores, and levels of voluntary moderate-to-vigorous physical activity/week were also found in the 9- to 12-year-olds (n = 91). Multiple regression analysis indicated that changes in physical self-concept, exercise self-efficacy, and general self scores explained a portion of the variance in changes in voluntary physical activity that approached significance, R2 = .08, F = 2.55, p = .06. Revisions and extensions of the protocol were suggested.

A Study Of The Decision To Remove Children From Their Parents By Child Welfare Supervisors, Charles F. Lorbeer

Walden Dissertations and Doctoral Studies

A STUDY OF THE DECISION TO REMOVE CHILDREN FROM THEIR PARENTS BY CHILD WELFARE SUPERVISORS

by Charles F. Lorbeer

Dissertation Chair: Dr. Aqueil Ahmad

Committee Members: Dr. Aqueil Ahmad, Dr. Robert Butters, and Dr. Ashakant Nimbark,

The goal of this study was to analyze the decision by child welfare supervisors to remove children from their parents. This was accomplished by studying the effect that three specific factors have on that decision. The three factors were 1) physical abuse, 2) domestic violence and substance abuse, and 3) availability of services to help the family.

Decision theory provided the conceptual framework for …

Impact Of Central Venous Catheter Type And Methods On Catheter-Related Colonization And Bacteraemia, E. W. Moretti, C. Ofstead, R. M. Kristy, H. P. Wetzler

Walden Faculty and Staff Publications

A prospective, randomized, controlled, multi-centre clinical trial was performed to test the effectiveness of an antimicrobial central venous catheter (CVC) made of polyurethane integrated with silver, platinum and carbon black (Vantex). Adults expected to require a CVC for more than 60 h were eligible, and were randomized to receive the test or control catheter. All CVCs were inserted with new venipunctures using full aseptic technique. Following catheter removal, the distal tip and an intracutaneous segment were removed and cultured using semiquantitative and quantitative methods. Peripheral blood samples were obtained and cultured to confirm cases of catheter-related bloodstream infection (CRBSI). Bacterial …

An Analysis Of Physicians' Reluctance To Follow Terminally Ill Patients' Advance Directives, Norma Poirier

Harold L. Hodgkinson Award for Outstanding Dissertation

This explanatory study examined the reasons why physicians have difficulty respecting the wishes of terminally ill patients who refuse treatment. Consistent with the relevant literature, three alternative explanations were hypothesized in answering the question: fear of litigation, religious beliefs, and medical professional values.

Evidence was gathered from three different sources. Semistructured interviews were carried out with 24 emergency physicians from the Moncton Area in the Canadian province of New Brunswick and submitted to both quantitative and qualitative content analysis. Nineteen cases of terminally ill patients whose wishes not to be treated were not respected were collected and submitted to content …

Early Intervention And Parenting Support In The Public Schools: An Inalienable Right For All, Heidi Berlinger

Walden Dissertations and Doctoral Studies

The present study was designed to document the effects of early intervention and parenting support, and to provide a model program proposal for federal adoption. Specifically, this paper redefines the term "readiness" to recognize the diverse needs of infants and their families.

Research indicates several factors influence school readiness: physical well-being and motor development including proper prenatal, perinatal, and early childhood care and nutrition; social and emotional development; approaches toward learning; language usage; and cognition and general knowledge. Parental understanding of how to facilitate the advancement of young children in these areas is extremely important. Without this knowledge parents are …

The Impact Of A Nursing Case Management Model On Quality Of Care As Defined By Length Of Stay, Health Outcomes, And Patient Satisfaction, Gladeen A. Ayer

Walden Dissertations and Doctoral Studies

The purpose of this research was to investigate the impact of a nursing case management model versus a traditional modified primary care model on quality of care. Quality of care in this study was defined (by the provider) as length of stay, (by the client) as patient satisfaction and (by the professional) as meeting outcomes of appropriate clinical standards of care.

The study used a quasi-experimental design on the experimental (case managed) and control (modified primary care) groups. A non-random sample was selected for the patient population due to existing hospital protocol. The sample consisted of 100 patients (641 total …

To What Extent Current In Service Education Programs At Hospital Level In Puerto Rico Help The Newly Professional And Technical Nurse In The Development Of Practical Nursing Skills, Andrea Guzman Berrios

Walden Dissertations and Doctoral Studies

THE PROBLEM

This study was directed to determine to What Extent Inservice Educational Programs in Puerto Rico help the Newly Professional and Technical Nurse in the Development of Practical Nursing skills and Fulfillment of Needs.

PROCEDURE

Eight current inservice educational programs were analyzed from four private and four state hospitals. The sample was composed of two hundred professional and technical nurses both sexes, plus a number of forty seven administrative nursing personnel included in the study, based on their relationship within inservice programs and graduate nurses' performance in practice. The main instrument used in the study was a questionnaire validated …

Health Counseling For The Overweigh Adolescent Girl, Elizabeth J. Handley

Walden Dissertations and Doctoral Studies

This study was undertaken for the purpose of seeing how a health counseling program for overweight adolescent girls could be developed in a secondary high school setting. Initially, the study developed out of an awareness and concern for the problem of obesity among teenage girls, especially those in a secondary school. To provide a strong background for the use in both planning and executing a health counseling program, the study reviewed the health literature dealing especially with several topics:

a. The prevalence of obesity.

b. The relationship of obesity to mental and physical health.

c. The influence of food faddisms …

Implementation Of Migrant Education Program In The Richgrove School District, Bob L. Blancett

Walden Dissertations and Doctoral Studies

Justification of the problem.

A significant percentage of the children attending school in the Richgrove School District are identified as migrant students. Migratory children often were two or more grades below grade level in reading, spoke little or no English, tended to withdraw from the school environment, had poor self-concepts, lacked nutritionally balanced meals, and had few, if any, previous health records.

The present study is an outgrowth of the Richgrove School District's effort to develop and provide an educational program designed to meet the needs of migratory children residing within its attendance boundaries.

The problem.

The problem was to …

A Comparison Of Third Grade Reading Practices, Objectives, And Achievment Test Results Between A Conventional Program And A Behavioral Objective Approach Program, Charles Henry Massey

Walden Dissertations and Doctoral Studies

The study was concerned with investigating student achievement testing results, age and sex differences, and teaching practices between a behavioral objective type program and a convetional type program (arbitrarily defined) for the teaching of reading to third grade children as measured by standardized test instruments.

Thirty-one third grade students (16 boys and 15 girls) in the experimental class, with a median age of eight years, were compared with a control class of 33 students (19 boys and 14 girls), with a median age of nine years, as available small samples. Both groups were taught by one teacher.

The instructional materials …