Digital Commons Network^™

Stress, Depression, And Anxiety, Oh My: Examining The Effects Of A Single-Session Seminar On Depression And Anxiety Symptomatology, Katelyn Sharpe

Electronic Theses and Dissertations

Young adults (aged 18-25) were identified as the most stressed age group due to internal and external factors that are relatively unique to their group. High stress levels are alarming as they coincide with a multitude of adverse effects on psychological health, including difficulty falling and staying asleep, reduction in overall sleep quality, and exacerbated depression and anxiety symptomatology. Young adults attending post-secondary education institutions are at particular risk for developing and maintaining these adverse psychological effects of stress, especially considering the low rate in which they seek treatment for psychiatric difficulties. Limited literature exists to date regarding condensing a …

Effectiveness Of An Educational Intervention To Reduce Ageism In Undergraduate Students In An Entry-Level Nutrition Class, Ann Irvin Armstrong

Electronic Theses and Dissertations

Although the older adult population continues to increase, ageism remains an issue in the healthcare system and is prevalent among nutrition-related professionals. The aim of our study is to is determine the effectiveness of an educational intervention to reduce ageism among pre-healthcare professionals including Nutrition major students. Undergraduate students enrolled in an entry-level nutrition class were recruited and randomized into an intervention (INT) group (n=30) and a control (CON) group (n=29). The online educational intervention consisted of pre-recorded lectures and videos regarding ageism and myths regarding aging for the INT group, and on cultural competency and biases (other than ageism) …

The Influence Of Emotion Regulation And Family Involvement On Diabetes Distress Among Adults With Type 2 Diabetes, Patric Justin Leukel

Electronic Theses and Dissertations

Adults with diabetes frequently experience diabetes related distress which is associated with negative health outcomes. Family members are commonly involved in patients’ diabetes self-management. However, family involvement can have harmful and/or helpful effects on patients’ diabetes outcomes. Difficulties in regulating emotions may play a role in patients’ interactions with family members and experience of diabetes distress. This study examined the role of emotion regulation and type of family involvement in diabetes distress among 370 adults with type 2 diabetes. Two separate three-step sequential linear regression models were used to test the main and interactive effects of harmful and helpful family …

Can Nostalgia Defend Against Stereotype Threat?, Justin Leroy Thibault-Anderson

Electronic Theses and Dissertations

Stereotype threat causes individuals to perform worse on tasks when they are made aware of a task-relevant negative stereotype for a group to which they belong. Prior research has demonstrated that this effect has been alleviated by using a number of methods including changing test context or bolstering the stereotyped group. One method of bolstering the threatened group is through a self-affirmation of preferred character traits. Nostalgia is a sentimental longing for the past, which has been shown to provide many benefits to an individual, both personally and socially. Research has shown that when told to recall a nostalgic memory, …

Block Periodization Programming: Efficacy In Subjects Of Differing Strength Levels, Paul Moquin

Electronic Theses and Dissertations

Physiological muscle adaptations due to resistance training are still not fully known. The rate and area of hypertrophy could drastically help or hinder athletic performance. The purpose of this study was to observe the changes in lean body mass (and related factors), relative allometrically scaled strength and absolute strength through an 11-week block periodized resistance training program. The subjects (n = 15) realized an increase in total body water (pre = 49.77Kg; post = 51.70Kg), lean body mass (pre = 67.98Kg; post = 70.63Kg), adjusted lean body mass (pre = 20.35Kg; post = 21.03Kg) and cross sectional area (pre = …

Age Bias In Clinical Judgment: Moderating Effects Of Ageism And Multiculturalism, Kristin Pyne

Electronic Theses and Dissertations

The proportion of older adults in the United States is growing rapidly (U.S. Census Bureau, 2014) and mental health concerns in older adults are expected to increase rapidly (Choi, DiNitto & Marti, 2015). Despite increasing caseloads of older adults, few practicing psychologists have received specific training or specialization in geropsychology (American Psychological Association, 2016). Simultaneously, a growing body of literature demonstrates differential treatment of older adults in psychotherapy (Kessler & Bowen, 2015, Kessler & Schneider, 2016, Mejia et al., 2018). The present study aimed to examine the prevalence of clinical bias toward older adults among clinical trainees and to explore …

Determining Nurse Practitioner Core Competencies Utilizing A Delphi Approach, Tracey Chan

Electronic Theses and Dissertations

Background: Competency-based education (CBE) has been recommended for nurse practitioner (NP) education. To implement CBE, existing NP core competencies need to be reduced in number and refined.

Purpose: This study refined and reduced redundancy in the National Organization of Nurse Practitioner Faculties (NONPF) and American Association of Colleges of Nursing (AACN) NP core competencies through the consensus of experts in NP practice. This study used the current NP Core Competencies (NONPF, 2017), the Essentials of Doctoral Education for Advanced Nursing Practice (AACN, 2006), and the Common Advanced Practice Registered Nurse Doctoral-Level Competencies,(AACN, 2017a) …

Age And Seasonal Change In The Chronobiology Of A Spider With An Exceptionally Long-Period Circadian Clock, Shae Crain

Electronic Theses and Dissertations

This study examines locomotor activity in samples of Frontinella pyramitela collected over its active season (April-October) to investigate whether seasonality and/or age may help explain the exceptional variability typically found in spider clock systems. Despite its noteworthy variability (%CV= 7.7), we have found that Frontinella has a mean free-running period of 28.4±2.18 hours that does not significantly vary over time. There is no correlation between day length and free-running period, indicating that varying length of FRP is not a function of photoperiod length. In LD 12:12 h, the window of activity is significantly smaller in April, gradually widening as the …

Contemporary Nursing In Rural Appalachia: A Hermeneutic Study, Evelyn Brewer

Electronic Theses and Dissertations

Nurses make up a significant source of direct care for individuals, families, and communities. The problematic distribution of nurses and the potential to lose practicing nurses emphasizes the importance of retention and support of nursing professionals, especially in rural locations. One of the best ways to discover what is important to nurses is to ask and listen to the replies.

The focus for this dissertation is the lived experience of registered nurses in a six-county area in three adjoining states in rural South Central Appalachia. The purpose of this study is to interpret and understand the lived experience of contemporary …

A Rhetoric And Philosophy Of Interprofessional Healthcare Education: Communication Ethics In Action, Matthew Corr

Electronic Theses and Dissertations

Healthcare professionals belong to a moral community. Caring for patients is a community act carried out by healthcare professionals working in teams within complex political and organizational systems. This teamwork is crucial to quality patient outcomes; however, incivility threatens to derail necessary and effective collaboration towards the common organizational good. Necessarily, interprofessional healthcare education is becoming a required element for pre-health professionals. Currently, schools are using competency-based approaches to interprofessional education to teach ethics/values, roles/responsibilities. communication, and teamwork. For reasons explicated throughout this dissertation, the categorizing of these particular elements as competencies is problematic and cultivated within a positivistic and …

Testing A Modified Model Of Stress Process For Understanding Quality Of Life Among Informal Caregivers And Assessing Their Formal Service Use, Nilesh V. Gangan

Electronic Theses and Dissertations

Informal caregivers provide timely care to family members who are disabled or have a chronic condition that requires close monitoring or constant assistance. To provide adequate support to informal caregivers there is a need to assess ways to improve their quality of life (QOL) and understand how formal services can be improved. This dissertation strives to extend the knowledge available for policy makers by examining the factors that can be targeted by policy makers to improve QOL of informal caregivers as well as the factors that enable the use of formal services provided to support informal caregivers. The psychometric properties …

End Of Life Costs In Medicare Beneficiaries With Parkinson’S Disease, Sasikiran Nunna

Electronic Theses and Dissertations

Parkinson's disease (PD) is a chronic and progressive neurodegenerative disorder which is characterized by motor and non-motor disorders. The prevalence of PD is high among elderly patients. Due to the chronic nature of PD, increasing prevalence and ageing population, it is important to understand the burden of PD at various stages of patient’s life so that value of PD therapies can be assessed. While direct healthcare costs during the life time of PD were assessed in previous studies, there is lack of information about end of life costs in PD patients. This dissertation aimed at filling the gap in literature …

Motivational Factors And Barriers Affecting Seniors' Decision To Relocate To A Senior Living Facility, Suja Chaulagain

Electronic Theses and Dissertations

This study aimed to explore factors affecting seniors' intention to relocate to a senior living facility. More specifically, the purpose of this study was to examine the influence of push and pull motivational factors and perceived barriers on seniors' intention to relocate to a senior living facility (SLF). In addition, the mediating role of perceived barriers on the relationships between push motivational factors and intention to relocate and pull motivational factors and intention to relocate were explored. The data of the study was collected from 363 seniors. Structural equation modeling (SEM) analysis was conducted to test the study hypotheses. The …

Fostering Compassionate Care For Persons With Alzheimer's Disease In Nursing Facilities., Sam Gilbert Cotton

Electronic Theses and Dissertations

The aim of this dissertation study was to examine the impact of the implementation of a new Compassionate Care (CC) curriculum on the quality of care provided by Certified Nursing Assistants (CNAs) to residents with Alzheimer’s disease (AD). More specifically, this dissertation used Kirkpatrick’s model of evaluation to assess the reactions, learning, and behavior change of the CNAs exposed to the curriculum, and ultimately the impact of the curriculum on the stress levels of residents with AD. To accomplish this, we had two studies that aligned with the Kirkpatrick model of evaluation. For Study #1, the evaluation of the compassionate …

A Study Of The Effect On Organizational Factors On Job Satisfaction Of Geriatric Practitioners Between Millennials And Older Generations, Peter (Minsuk) Jang

Electronic Theses and Dissertations

The purpose of this paper is to recognize and improve the understanding of social workers’ job satisfaction in the geriatric area. Low job satisfaction makes social workers want to move their field and change their career. The research is the conceptual model of the moderating effect of patient engagement. The hypothesis is that the organizational factors of this model (climate, workplace, pay, supervision) lead to low job satisfaction for social workers and the generation gap between Millennials and older generations will result in different job satisfaction. The assumption was that among the factors (climate, workplace, pay, supervision), salary has the …

Rediscovering The Art Of Nursing For Nursing Practice, Deborah Henry

Electronic Theses and Dissertations

The art of nursing is discussed throughout nursing literature but research on the topic is lacking. The purpose of this research was to reveal experiences of the art of nursing. Nurses were asked to describe experiences about the art of nursing from their own nursing practice. This study was qualitative in nature and used a phenomenological approach to answer the research question, “What is the experience of the art of nursing in nursing practice?” The study was guided by the philosophical stance of Merleau-Ponty and the research strategies of Thomas and Pollio. Participants included nurses who had experience using the …

Differences In Perceived Stress, Locus Of Control, And Coping Styles Used By Male And Female Stem And Human Service Majors, Dawn M. Lowe

Electronic Theses and Dissertations

The current study sought to determine if program type along with gender could predict the type of coping styles students are more likely to use. Secondly, it endeavored to uncover whether a college student’s gender and program type might affect their locus of control and the amount of perceived stress reported. It was hypothesized that female students in Human Service programs would exhibit the most adaptive coping styles, while males in Science, Technology, Engineering, and Mathematics (STEM) programs utilize the most maladaptive coping styles. Moreover, it was postulated that females in Human Service programs would report a more internalized locus …

Implementation Of Emergency Preparedness In Long Term Care And Rogers' Diffusion Of Innovation Theory., Elizabeth M. Shiels

Electronic Theses and Dissertations

Kentucky is one of the top ten states in the U.S. in the number of Presidential Declarations of Disaster (PDD) over the past ten years. This is due to its geology and weather patterns. The far western portion of Kentucky lies on the New Madrid Seismic Zone, one of the most dangerous fault lines in the United States; and natural hazards such as tornadoes, earthquakes, flash floods, severe storms offer only minutes or even seconds of advance notice. These “no-notice” emergencies with no timely warnings are the most common hazards experienced in Kentucky. In these events, individual long term care …

Aging Well: How Subjective Age, Playfulness, And Depression Influence Quality Of Life Among Older Adults, Yvette Saliba El Habre

Electronic Theses and Dissertations

Given the growing population of aging adults, there is a need for research examining factors that enhance quality of life for older adults (QoL; Colby & Ortman, 2014). Changes in health, relationships, support systems, and social identity are inevitable throughout the lifespan. Therefore, research focused on lessening the negative effects of changes due to aging while also improving QoL is warranted. As such, the aim of the current research study was to examine the extent to which subjective age (SA; how old or young an individual feels), playfulness (PF; "the ability to frame or reframe everyday situations to experience them …

An Exploration Of Dementia Friendly Communities From The Perspective Of Persons Living With Dementia, Catherine Hebert

Electronic Theses and Dissertations

The growing global prevalence of dementia coupled with a shift in public perception from a hopeless disease to the possibility of living well with dementia has led to the formation of dementia friendly communities (DFC). DFCs are a new phenomenon in the United States, with a gap in knowledge on input from people living with dementia (PLWD). This study investigated DFCs from the perspective of PLWD in Western North Carolina, with the following research questions:

1. How are interactions and relationships experienced by persons living with dementia in the community?
2. How is community engagement experienced by PLWD?
3. To what extent and …

Advancing Sylvia Wynter's Reimagination Of The Human And Counter-Poetics: A Critique Of Contemporary Western Science Discourse In Cosmos—A Spacetime Odyssey, With Host Neil Degrasse Tyson, Claire E. Slattery-Quintanilla

Electronic Theses and Dissertations

This thesis investigates the entanglements of "modernity/coloniality," Western conceptualizations of time and space, and questions of the "human" as they are situated in contemporary Western science discourse and thought. Through a textual analysis of the 2014 science television documentary series Cosmos: A Spacetime Odyssey presented by famous black astrophysicist Neil deGrasse Tyson, I argue Tyson refuses to discuss race as it relates to Western science on three levels in Cosmos: the racialized logic inherent in Western science, the sociohistorical relationship between European colonial racial subjugation and the emergence of contemporary Western science, and Tyson's experience as a black man …

Development Of The Ableist Microaggression Scale And Assessing The Relationship Of Ableist Microaggressions With The Mental Health Of Disabled Adults, Shanna Katz Kattari

Electronic Theses and Dissertations

Approximately 20% of U.S. residents are currently living with a disability. Ableism values a specific type of physical, mental and/or emotional capital as well as supports socially constructed expectations of ability, valuing these expectations over different types of ability and disability. One way in which ableism is perpetuated is through microaggressions, at the more interpersonal, or micro level. Microaggressions are everyday interactions that perpetuate inequalities and stereotypes against people who belong to marginalized communities. Experiencing multiple microaggressions has been referred to as death by a thousand paper cuts, indicating the severity of the sum total of these casual types of …

Consumers' Perceptions Of Voluntary And Involuntary Deconsumption: An Exploratory Sequential Scale Development Study, Kranti K. Dugar

Electronic Theses and Dissertations

This exploratory sequential mixed methods study of scale development was conducted among baby boomers in the United States to render conceptual clarity to the concepts of voluntary and involuntary deconsumption, to explore deconsumption behavior under the tenets of the attribution theory of motivation, and to examine the components, structures, uses, and measurement properties of scales of voluntary and involuntary deconsumption. It was also an attempt to reiterate the importance of the baby boomer segment(s) for marketing practitioners based on growth, economic viability, and the power of influence, and to establish a deep understanding of the deconsumption processes, which could enable …

An Investigation Of Geriatric Microaggressions, Relations With Depression In Later Life, And The Moderating Effect Of Coping, Lisa Zimmerman

Electronic Theses and Dissertations

This quantitative study examined the relationships between experiences of geriatric microaggressions, mental health, coping, and demographic characteristics. Geriatric microaggressions are subtle forms of discrimination experienced by the older adult population based upon negative societal perceptions of aging. Previous research has found relations among other forms of microaggressions, such as racial and sexual orientation, and mental health and coping; however, age related microaggressions remain relatively unexplored. The present sample consisted of 163 adults, age 60 and older, who were recruited primarily from the Western Pennsylvania area. The results revealed significant demographic differences in regard to the experiences of geriatric microaggressions. The …

Dose-Response Association Between Acute Exercise Duration, Exercise Recovery And Cognitive Function, Elizabeth Ann Crush

Electronic Theses and Dissertations

Previous studies have shown moderate intensity exercise to be a desired intensity level to optimize cognitive function, however, this research has mostly been conducted among older adults despite the claim that cognitive function may start to decline in the early years (i.e., 20s). Another research gap within this population is our limited understanding of the effects of different exercise durations and recovery periods on cognitive function. Thus, the purpose of this study was to examine the effects of different exercise durations and recovery periods on cognition using a treadmill-based protocol. In a counterbalanced, cross-over randomized controlled design, 352 participants, ages …

Effects Of Acute Exercise On Postprandial Lipemia And Postprandial Glycemia, Stephen Decker

Electronic Theses and Dissertations

Introduction: Moderate-intensity aerobic exercise has been shown to attenuate the rise in triglycerides in during the postprandial period, however the effects of acute bouts of high-intensity exercise on postprandial lipemia and glycemia have not been explored. The purpose of this study was to examine the effects of acute high-intensity interval training on postprandial lipemia and postprandial glycemia.

Methods: Ten healthy males participated in a randomized crossover design consisting of one high-intensity exercise session and one sedentary control session, followed by consumption of a mixed meal. Blood triglyceride and glucose concentrations were monitored following the consumption of the meal.

Results: High-intensity …

Ageism: Abilene Christian University Students’ Perception Of Aging Adults, Taylor A. Nix

Electronic Theses and Dissertations

The world is aging at a rapid pace. This creates a need for society to focus attention toward issues that are affecting the elderly population. This shift in focus regarding the elderly population also calls for the need of additional geriatric education as well as training while working with this vulnerable population. Research targeting college students’ shows that there is a lack of desire among students for working with the aging adult population. This lack of desire to work with the elderly population is associated with ageism; or, biased perceptions about age. The purpose of this study was to determine …

The Effect Of Vestibular Stimulation Exercises On Balance In Children With Down Syndrome., Sarah Sunderman

Electronic Theses and Dissertations

Children with Down Syndrome (DS) are delayed in motor development and coordination which contributes to poor balance. Purpose: The aim of this study was to investigate whether the utilization of vestibular stimulation exercises would influence balance in children with DS. Methods: Eighteen participants (13years ±4.923) completed the study. Group one consisted of 10 (6 male, 4 female) participants with DS and ranged in age from 5-14 years. Group two consisted of eight (4 male, 4 female) participants with DS and ranged in age from 15-20 years. Eight subtests of the Bruininks-Oseretsky Test of Motor Proficiency (BOTMP) were used for pre …

Strategies Of Balancing: Regulation Of Posture As A Complex Phenomenon, Allison Leich Hilbun

Electronic Theses and Dissertations

The complexity of the interface between the muscular system and the nervous system is still elusive. We investigated how the neuromuscular system functions and how it is influenced by various perturbations. Postural stability was selected as the model system, because this system provides complex output, which could indicate underlying mechanisms and feedback loops of the neuromuscular system. We hypothesized that aging, physical pain, and mental and physical perturbations affect balancing strategy, and based on these observations, we constructed a model that simulates many aspects of the neuromuscular system. Our results show that aging changes the control strategy of balancing from …

Emergency Room Utilization Disparities Among Older Adults Treated By Rural Health Clinics, Matt Bagwell

Electronic Theses and Dissertations

Examining the persistence of disparities over time is an important obligation in terms of rectifying, maintaining, and improving community health and social well-being for all. This study analyzed the individual factors of (a) race/ ethnicity and (b) dual eligibility, as a proxy measure of socioeconomic status, as well as the environmental factor of (c) place of residence, and the organizational factor of (d) Rural Health Clinic (RHC) type on emergency room (ER) utilization of older adult Medicare patients treated by RHCs within the Department of Health and Human Services' (DHHS) Region 4. A prospective, multi-level, longitudinal design was employed to …