Digital Commons Network^™

Improving Depression Care For Older Home Health Patients, Sarah R. Schirmer

DNP Projects

Rates of depression in older home healthcare (HH) patients are highly prevalent. Although depression in this population is associated with increased rates of re-hospitalization, falls, and suicides, it is frequently under diagnosed and under treated. This Capstone Report examined this problem through three interrelated manuscripts. The first manuscript explored the problem through a review of the literature. This review determined that while there are many barriers to adequate depression care, programs that train clinicians to screen for depression and connect patients to depression care encourage adequate evaluation and treatment and can result in clinically significant changes in depression scores. This …

2013 Jin Shin Jyutsu® Patient Response, Nathan Garrett

DNP Projects

Background: Pain and stress are symptoms experienced by many patients with cancer. Integrative therapies including energy therapies can help manage these symptoms. Jin Shin Jyutsu (JSJ) is one such energy therapy, but there is limited research regarding its utility on pain and stress for patients with cancer.

Objectives: The following study had two main objectives: 1) evaluate the self-reported perception of pain and stress before and after a first-time JSJ session, and 2) examine gender differences in perceptions of pain and stress following JSJ.

Methods: A retrospective study employing a pretest-posttest design was used to examine the perceptions of pain …

Exercise Motivations Of Older Adults, Laura J. Attaway

All Master's Theses

This study examined and compared activity levels and motives in 103 older (over 50 years of age) competitive athletes (CA) and non-competitive fitness exercisers (NCF). The findings indicate that the CA group was significantly higher in the motives of enjoyment, competition, and social recognition. Ranking of the strength of the motivation factors for each group indicated that enjoyment was the strongest motivating factor for both groups, health ranked high for both groups, and social recognition ranked lowest in both groups. Findings related to rankings were not tested for significance, so are more tentative.

Loyalty Cards And The Problem Of Captcha: 2nd Tier Security And Usability Issues For Senior Citizens, David M. Cook, Apoorv Kumar, Charwina Unmar-Satiah

Australian Information Security Management Conference

Information Security often works in antipathy to access and useability in communities of older citizens. Whilst security features are required to prevent the disclosure of information, some security tools have a deleterious effect upon users, resulting in insecure practices. Security becomes unfit for purpose where users prefer to abandon applications and online benefits in favour of non-digital authentication and verification requirements. For some, the ability to read letters and symbols from a distorted image is a decidedly more difficult task than for others, and the resulting level of security from CAPTCHA tests is not consistent from person to person. This …

Gender And Caregiving Network Differences In Adult Child Caregiving Patterns: Associations With Care-Recipients’ Physical And Mental Health, Hongjin Yan

Public Health Theses

Abstract

Purpose of the study: To examine gender and caregiving network differences in the care provided to older adults by adult children and the association with care-recipients’ physical and mental health at baseline and longitudinally. To test the hypothesis that poorer health at baseline and better health over time will be observed in care-recipients with multiple caregivers compared to care-recipients with one caregiver.

Design and Method: A secondary analysis of the most recent national cross sectional survey – National Health and Aging Trends Study (NHATS) conducted from 2011 to 2013 with 5616 older adults (65 years of age or older). …

Nursing Care At The End Of Life: What Every Clinician Should Know, Susan E. Lowey

Milne Open Textbooks

Nursing Care at the End of Life: What Every Clinician Should Know should be an essential component of basic educational preparation for the professional registered nurse student. Recent studies show that only one in four nurses feel confident in caring for dying patients and their families and less than 2% of overall content in nursing textbooks is related to end-of-life care, despite the tremendous growth in palliative and end-of-life care programs across the country. The purpose of this textbook is to provide an indepth look at death and dying in this country, including the vital role of the nurse in …

Misinformation And Need For Cognition: How They Affect False Memories, Lilyeth Antonio

UNF Graduate Theses and Dissertations

The purpose of this study was to gain a better understanding of false memories and Need for Cognition (NFC). The relationship was examined using a typical misinformation paradigm where participants viewed a video clip which depicted a museum burglary and were later presented with an auditory narrative that contained misleading information about the video they previously saw. Half of the participants were exposed to warnings of misinformation. Additionally, the effect of question type (e.g., central, peripheral, and neutral) was taken into account. A main effect for NFC was found indicating that high NFC individuals had fewer false memories for the …

Mennonite College Of Nursing Annual Report, 2014-2015, Mennonite College Of Nursing

Annual Reports - Mennonite College of Nursing

Annual report of the Mennonite College of Nursing at Illinois State University

Psychobiobehavioral Model For Preterm Birth In Pregnant Women In Low- And Middle-Income Countries, Shahirose S. Premji, Ilona S. Yim, Aliyah Dosani (Mawji), Zeenatkhanu Kanji, Salima Sulaiman, Wangira Musana, Pauline Samia, Kiran Shaikh, Nicole Letourneau

School of Nursing & Midwifery, East Africa

Preterm birth (PTB) is a final common outcome resulting from many interrelated etiological pathways; of particular interest is antenatal psychosocial distress (i.e., stress, anxiety, and depression). In LMI countries, both exposure to severe life stressors and rate of PTB are on average greater when compared with high-income countries. In LMI countries women are exposed to some of the most extreme psychosocial stress worldwide (e.g., absolute poverty, limited social resources). High prevalence of antenatal stress and depression have been observed in some studies from LMI countries. We propose a psychosocial, biological, and behavioral model for investigating the complex multisystem interactions in …

Board Minutes From January 29, 2015-December 8, 2023, Texas Silver-Haired Legislature

Texas Silver-Haired Legislature

Texas Silver-Haired Legislature Foundation and Texas Silver-Haired Legislature Amended Bylaws from 2021 and 2023.

Spatiotemporal Changes Posttreatment In Peripheral Arterial Disease, Sara A. Myers, Neil B. Huben, Jennifer M. Yentes, John D. Mccamley, Elizabeth E. Lyden, Iraklis I. Pipinos, Jason M. Johanning

Journal Articles

Accumulating evidence suggests revascularization of peripheral arterial disease (PAD) limbs results in limited improvement in functional gait parameters, suggesting underlying locomotor system pathology. Spatial and temporal (ST) gait parameters are well studied in patients with PAD at baseline and are abnormal when compared to controls. The purpose of this study was to systematically review and critically analyze the available data on ST gait parameters before and after interventions. A full review of literature was conducted and articles were included which examined ST gait parameters before and after intervention (revascularization and exercise). Thirty-three intervention articles were identified based on 154 articles …

The Effects Of Muscle Cross-Sectional Area On The Physical Working Capacity At The Fatigue Threshold, Meghan B. Barry, Jorge M. Zuniga, Makenna M. Brown, William M. Garnett, Zachary V. Hadden, Paul K. Nguyen, Geoffrey A. Supplee, Claire J. Svobada

Journal Articles

Purpose: The purpose of this study was to examine the effects of quadriceps cross-sectional area (CSA) of the dominant quadriceps muscle in the assessment of the physical working capacity at the fatigue threshold (PWCFT) during incremental cycle ergometry. Methods: Eighteen adults (9 men and 9 women; mean age ± SD = 20.5 ± 1.04 yr; mean body weight ± SD = 73.9 ± 18.2 kg; mean height ± SD = 172.3 ± 11.5 cm; mean dominant quadriceps CSA ± SD = 68.7 ± 14.5 cm2) performed an incremental cycle ergometry test to exhaustion while the electromyographic (EMG) signals …

Addressing The Union Of Counselor Education And Military Families : Creating Best Practices, Katherine M. Wix

Graduate Research Theses & Dissertations

This qualitative study explored how counselor educators infuse military culture in counseling curriculum as public policy suggests professional counselors will be called upon to provide services to military and veteran populations. The National Defense Authorization Act for Fiscal Year 2011 authorized the Department of Defense (DoD) to publish standards allowing Licensed Professional Counselors to practice and bill TRICARE, or The Triple Option Benefit Plan for military families. However, TRICARE requires counselors providing services to military families to be graduates of CACREP accredited programs although CACREP standards do not currently address military culture. In order to effectively and efficiently help military …

Awaken Your Agepotential, Exploring Chosen Paths Of Thrivers, Skye N. Leedahl

Human Development and Family Science Faculty Publications

No abstract provided.

Health Status, Medicare Part D Enrollment, And Prescription Drug Use Among Older Adults, Jin Kim

The Journal of Sociology & Social Welfare

To account for potential selection factors in the observed relationship between Medicare Part D coverage and prescription drug use, this study uses data from the 2010 and 2012 waves of the Health and Retirement Study (HRS) to first examine the determinants of Medicare Part D enrollment, paying particular attention to the role of functional health status on the enrollment decision. Next, the study assesses whether and to what extent Medicare Part D coverage moderates the effect of functional health status on prescription drug use and monthly out-of-pocket spending among older adults. As prior studies indicate, the findings reveal that individuals …

The Influence Of Age And Sex On Genetic Associations With Adult Body Size And Shape: A Large-Scale Genome-Wide Interaction Study, Llida Barata, Mary F. Feitosa, Jacek Czajkowski, Jeannette Simino, Pamela A. F. Madden, Yun Ju Sung, Andrew C. Heath, Treva K. Rice, D. C. Rao, Et Al.

Open Access Publications

No abstract provided.

Pathogenesis Of Bone Diseases: The Role Of Immune System, Giacomina Brunetti, Giorgio Mori, Patrizia D'Amelio, Roberto Faccio

Open Access Publications

No abstract provided.

Evaluation Of The Productive Efficiency Of Nurse Practitioners In A Nurse Managed Center In A Highly Restrictive Scope-Of-Practice State, Faraz Ahmed

All ETDs from UAB

The purpose of this study is to determine the productive efficiency of Nurse Practitioners (NP) in a Nurse Managed Center (NMC) in a highly restrictive Scope-of-Practice (SOP) state. NPs are skilled, cost effective and quality health care providers and are considered a highly competitive option for increasing access while reducing health care costs. However, it is not clearly known if NPs are the most productively efficient at delivering this reduced cost of health care. The theories of Complex Adaptive Systems (CAS) and Resource Based View (RBV) were used as a framework to develop the hypotheses that examined the productive efficiency …

Exploring Body Image And The Association Between Body Image Dissatisfaction And Waist Circumference Among Overweight And Obese Rural African American Women Participating In A Weight Loss Program, Erica Rayshelle Johnson

All ETDs from UAB

African American (AA) women are disproportionately burdened by obesity, an epidemic with implications that reach beyond physiological consequences. Given that perceptions of body image may impact health-promoting behaviors and weight management efforts, we sought to evaluate the presence and magnitude of body image dissatisfaction (BID) and explore its relationship with waist circumference (WC), independent of weight among overweight and obese treatment-seeking rural AA women. Participants referred to images from the Pulvers Figure Rating Scale that included nine body silhouettes to answer: “How I think I look now” (i.e., current body image) and “How I would like to look” (i.e., desired …

Evolution Of A 90-Day Model Of Care For Bundled Episodic Payments For Congestive Heart Failure In Home Care, April Feld

Yale School of Nursing Digital Theses

CMMI’s Episode Based Payment initiatives propose a large opportunity to reduce cost from waste and variation and stand to align hospitals, physicians and post acute providers in the redesign of care that achieves savings and improve quality. Community-based organizations are at the forefront of this care redesign through innovative models of care aimed at bridging gaps in care coordination and reducing hospital readmissions. This article describes a community-based provider’s approach to participation under the Bundled Payment for Care Improvement Initiative and a 90-day model of care for Congestive Heart Failure in home care.

Enhancing Scholarship Of Teaching And Learning Through Micro-Level Collaboration Across Two Disciplines, Nancy M. Arrington, Adrienne L. Cohen

Teaching & Learning: Faculty Publications

Two professors from two disciplines—education and sociology—analyzed the commonalities, differences, successes, and challenges of conducting cross-disciplinary Scholarship of Teaching and Learning (SoTL) research at the course level (micro-level). This case study of their collaboration resulted in a series of lessons learned which add to the literature base on the process of SoTL collaboration. The results of their professional collaboration at this level provide a validation for increased communication and alignment during the development and implementation of the projects developed to enhance teaching and learning in their respective courses. This erudition illuminates the potential of increased SoTL collaborations across disciplines at …

Worlds Of Connection: A Hermeneutic Formulation Of The Interdisciplinary Relational Model Of Care, Susana Lauraine Mccune

Antioch University Dissertations & Theses

Despite a general agreement across health care disciplines that Advanced Care Planning (ACP) and Advanced Directives (ADs) add important elements to a patient's end-of-life care desires, and can inform their loved ones and advocates, help create ease of mind, and enhance quality of care, they continue to remain significantly underused. More than half of Americans transition to chronic and terminal illness without having completed them. The aim of this study was to increase the frequency and enhance the quality of communication about Advance Directives and Advance Care Planning within the clinical relationship. The resulting Interdisciplinary Relational Model of Care (IRMOC) …

Eye Movements Of Individuals With Aphasia During Reading And Scene Viewing, Kimberly G. Smith

Theses and Dissertations

Purpose: This project characterized eye movements of individuals with aphasia and age-matched participants during reading and scene viewing.

Methods: Individuals with aphasia (N=24) and age-matched controls participants (N=24) completed three eye tracking studies. Study 1 examined task-related changes in eye movements for scene search, scene memorization, text-reading, and pseudoreading. Ex-Gaussian, analysis of variance, and correlational analyses were used to compare differences in eye movements across tasks and participant groups. Study 2 examined how oculomotor and linguistic processing influence eye movements for textreading and pseudo-reading. In addition to the statistical analyses used in Study 1, four case studies were carried out …

Paradoxes In Physical Health, Robert Crosnoe, Aida Ramos-Wada, Claude Bonazzo

Faculty Publications - Department of Sociology

This chapter reviews the evidence from social science and medical research that sheds light on this potential immigrant paradox in health -- when, where, and for whom it holds or does not apply. In doing so, two important points need to be kept in mind. First, the existence of the paradox does not necessarily mean that immigrants are doing than everyone else. Rather, it means that they are doing better than social and economic positions suggest that they should be. Second, paradox may apply in general but not hold in specific domains of health for certain subgroups or at certain …

Association Of Knowledge, Preventive Counseling And Personal Health Behaviors On Physical Activity And Consumption Of Fruits Or Vegetables In Community Health Workers, Alex A. Florindo, Ross C. Brownson, Gregore I. Mielke, Grace Ao Gomes, Diana C. Parra, Fernando V. Siqueira, Felipe Lobelo, Eduardo J. Simoes, Luiz R. Ramos, Mario M. Bracco, Pedro C. Hallal

Open Access Publications

No abstract provided.

Asset-Based Community Development Practices In International Service-Learning: A Content Analysis Of Short-Term Programs In Nicaragua, Kara Christine Poppe

Honors Program Theses

The purpose of the study is to explore how students on short-term international service-learning programs in Nicaragua interact with local communities by analyzing the structure of the programs as evidenced by course syllabi and website content. After extensive online research of international service-learning programs offered in Nicaragua, seven programs became the focus of the study. The four research questions included: 1) In what ways do the international service-learning programs support key components of service-learning, such as academic connections and reflection? 2) In what ways do the international service-learning program structure the time in the host country for service and tourism? …

Dementia And Primary-Care Health Measures:Hearing, Gait, And Markers Of Inflammation, Elsa Lindgren

Honors Theses and Capstones

Dementia is a syndrome associated with declining cognitive function that has a variety of types and causes, and is encountered frequently in general medical practice. Researchers are actively exploring possible risk factors for dementia. The St. Louis University Mental Status (SLUMS) exam is a dementia-screening exam used in primary care visits to detect cognitive impairment that may be a sign of dementia. This study compared scores on the SLUMS exam to other measures recorded in a typical primary care visit in 86 patients of age 65 and older to look for correlations between indicators of health, such as physical examination …

University Of San Diego Graduate Course Catalog 2015-2016, University Of San Diego

Graduate Course Catalogs (1971-)

234 pages

2015 Usd Fact Book, University Of San Diego

USD Fact Books (1985- )

No abstract provided.

The Role Of Self-Efficacy And Social Support In Emerging Adults' Physical Activity, Nicole M. Silva

Graduate Theses, Dissertations, and Problem Reports (ETD)

Emerging adulthood is a time where emerging adults develop health behaviors that persist throughout the life span (Barnett et al., 2014). However, only 55.4% of emerging adults engage in the recommended amount of physical activity each week (U.S. Department for Health and Human Services, 2013). The current study examined two factors that are associated with physical activity, specifically self-efficacy and social support, in 403 (M age = 19.25, SD = 1.12) emerging adults. Linear regressions indicated that emerging adults who reported higher levels of general self-efficacy (beta = .13, p < .05), domain self-efficacy (beta = .33, p < .05), and support from the entire social network (beta = .50, p < .001) engaged in more physical activity. Support from the entire social network still accounted for a significant portion of the variance in physical activity when accounting for general or domain self-efficacy (beta for support = .48, p < .001 and .30, p < .05, respectively). The differential effects of source of support (i.e., family and friends) and type of support (i.e., esteem support, informational support, and companionship support) were also examined. Emerging adults who reported higher levels of support from family (beta = .22, p < .001) and friends (beta = .33, p < .001) engaged in more physical activity. Although emerging adults reported receiving more esteem support from family (M = 2.95, SD = 1.23) compared to friends (M = 2.74, SD = 1.15), esteem support from friends (beta = .33, p < .001) had a larger effect on physical activity than esteem support from family (beta = .21, p < .05).