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2019

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“Wellness Through Action”: Assisting Community Dwelling Haitian American Older Adults In Adopting Habit Forming Activities To Address Depression, Madeline Michel Jan 2019

“Wellness Through Action”: Assisting Community Dwelling Haitian American Older Adults In Adopting Habit Forming Activities To Address Depression, Madeline Michel

Electronic Theses and Dissertations 2010 - 2019

Depressive symptoms are one of the factors that can accelerate aging and may negatively affect cognitive status of older adults, rendering them dependent on caregivers as they age. In general, depression can be the catalyst of physical inactivity in older adults and a mediator of cardiovascular events, and mortality. Furthermore, depression can be linked with increased disability, chronic medical conditions, and stressful life events; hence, placing significant burden on patients, their families, their communities, the economy, and the healthcare system. In South Florida, many older Haitian American (HA) adults living in our local community experience depression and lack of participation …

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Improving Behavioral And Psychological Symptoms And Cognitive Status Of Participants With Dementia Through The Use Of Toy Interactive Pets, Bryanna Streit Jan 2019

Improving Behavioral And Psychological Symptoms And Cognitive Status Of Participants With Dementia Through The Use Of Toy Interactive Pets, Bryanna Streit

Electronic Theses and Dissertations 2010 - 2019

Background: In the US, one in three older adults die with Alzheimer’s or related dementia (Gaugler et al., 2019). Currently, there is no cure for the rapidly growing burden, but there are pharmacological treatments to manage the symptoms, which lead to numerous side effects (Kales et al., 2015). Method: We tested the effectiveness of a non-pharmacological toy interactive pet (TIP) in improving mood/behavior and cognition among twelve persons with mild-severe dementia attending an adult day center (ADC) over 12 visits. Mood/behavioral symptoms were assessed using the Alzheimer’s Disease and Related Dementias Mood Scale (AD-RD), Observed Emotion Rating Scale (OERS), and …

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Breast Cancer Screening In Uninsured Women, Carla Porter Jan 2019

Breast Cancer Screening In Uninsured Women, Carla Porter

Electronic Theses and Dissertations 2010 - 2019

Breast Cancer is the most common cancer in women worldwide. African American and Hispanic women have a higher incidence of breast cancer mortality rate than their counterparts. Minority women are more are unlikely to receive breast cancer screening and are often diagnosed at later stages. Women diagnosed with abnormal breast screening can experience barriers to timely follow-up care resulting in delays in cancer diagnosis. Early cancer screening and prevention does reduce mortality rates. Despite breast cancer screening programs, minority women continue to have lower screening rates compared to non-minority women. A non-profit Community Health Center (CHC) in South Florida serves …

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Sun Protective Behavior Counseling In Parents Of Children Aged Six Months And Older, Stephanie Queen Jan 2019

Sun Protective Behavior Counseling In Parents Of Children Aged Six Months And Older, Stephanie Queen

Electronic Theses and Dissertations 2010 - 2019

Ultraviolet radiation exposure (UVR) is the most significant modifiable risk factor in preventing skin cancer. Seeking shade, and wearing hats, photoprotective clothing, sunscreen, and sunglasses are effective sun protective behaviors proven to reduce long-term morbidity and mortality from UVR. To be effective, these behaviors must be practiced consistently and adopted early within childhood. This quality improvement project explores the impact of sun protective behavior counseling in parents with children aged six months or older. Sun protective behavior counseling was given to parents in conjunction with evidence-based supplemental infographics along with examples of appropriate clothing, sunglasses, hats, and sunscreens. Successes of …

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Lipids, Learning, And Lifestyle: Improving Cholesterol Levels In A Rural Health Clinic Through Enhanced Care-Coordinator Education, Stefanie Warren Jan 2019

Lipids, Learning, And Lifestyle: Improving Cholesterol Levels In A Rural Health Clinic Through Enhanced Care-Coordinator Education, Stefanie Warren

Electronic Theses and Dissertations 2010 - 2019

Having high cholesterol levels raises the risk for heart disease, the leading cause of death in the United States. High cholesterol is considered a silent preventable condition. Uncontrolled cholesterol levels increase health disparities experienced by patients of low-socioeconomic status. The purpose of this quality improvement (QI) project is to determine the effect of an evidence-based cholesterol education program in enhancing hyperlipidemia management strategies among Care Coordinators at a Federally Qualified Health Center (FQHC). The overall goal of the project is to improve patient’s cholesterol levels over a 3-month period. This project supports the implementation of enhanced hyperlipidemia education for Care …

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Using Educational Materials To Increase Colorectal Cancer Screening Rates, Loreta D. Padron Jan 2019

Using Educational Materials To Increase Colorectal Cancer Screening Rates, Loreta D. Padron

Electronic Theses and Dissertations 2010 - 2019

Colorectal cancer (CRC) is the second leading, and third most preventable cancer in the United States (U.S.) (Center for Disease Control [CDC], 2019a) As the second leading cause of deaths in the U.S., more than 90% of CRC cases occur in people age 50 and older (CDC, 2019a). Roughly about 21.7 million of those at greatest risk of developing CRC have not been screened as recommended (CDC, 2019b). According to the national guidelines, the United States Preventative Service Task Force [USPSTF] recommends screening for CRC using a fecal occult blood testing (FIT or gFOBT) yearly, a sigmoidoscopy every 5 years …

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Use Of The Hypertension Self-Care Profile Tool And Dash Diet For Self-Care Management Among African American Adults With Hypertension, Charity H. Denson Jan 2019

Use Of The Hypertension Self-Care Profile Tool And Dash Diet For Self-Care Management Among African American Adults With Hypertension, Charity H. Denson

Electronic Theses and Dissertations 2010 - 2019

Although there are clinical guidelines in place for the treatment of hypertension (HTN), many African Americans (AA) fail to reach controlled levels within the primary care setting. The ultimate goal of this quality improvement project is to provide evidence-based information that could be used to improve HTN care and decrease the rates of uncontrolled HTN among AA adults with HTN. The project was conducted at a Federally Qualified Health Center in Fort Pierce, Florida. The intention of this quality improvement project is to address the need for attention to this concerning issue, to highlight best current evidence, and to provide …

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Improving Hypertension: Engagement In A Walking Exercise Program In A Primary Care Setting, Ana Favareto Jan 2019

Improving Hypertension: Engagement In A Walking Exercise Program In A Primary Care Setting, Ana Favareto

Electronic Theses and Dissertations 2010 - 2019

Background: Hypertension (HTN) is a very common, undertreated, and costly disease. Despite effective treatment strategies available, uncontrolled hypertension remains a persistent problem in the primary care setting. Purpose: The purpose of this Doctor of Nursing Practice (DNP) project was to assess the effectiveness of a walking exercise program (WEP) on blood pressure in adults diagnosed with uncontrolled hypertension in a primary care setting. Goals were targeted to decrease blood pressure, decrease BMI, and increase physical activity. Methods: Using Bandura’s Social Cognitive theory as a framework, a walking exercise was offered at a primary care clinic, to assess the effectiveness of …

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Improving Hemoglobin A1c Using The 4 Steps To Manage Your Diabetes For Life, Brittany Murray Jan 2019

Improving Hemoglobin A1c Using The 4 Steps To Manage Your Diabetes For Life, Brittany Murray

Electronic Theses and Dissertations 2010 - 2019

Diabetes is the seventh leading cause of death in the U.S. where 1.5 million Americans are diagnosed each year. This evidence-based quality improvement project showed the effects of diabetes self-management education on lowering hemoglobin A1c levels and improving self-management behaviors. Education from the National Diabetes Education Program using the 4 Steps to Manage Your Diabetes for Life booklet along with follow up phone calls, a pre and post- Diabetes Self-Management Questionnaire were administered to twelve participants at the clinic. Descriptive statistics and a paired sample T-test were used to analyze data on the hemoglobin A1c and the Diabetes Self-Management Questionnaire. …

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Screening Time: Increased Colorectal Cancer Screening Among Haitian Americans, Tarah Roch Jan 2019

Screening Time: Increased Colorectal Cancer Screening Among Haitian Americans, Tarah Roch

Electronic Theses and Dissertations 2010 - 2019

The American College of Gastroenterology and the American Cancer Society (2018) issued new guidelines recommending adults aged 45 years and older with an average risk of colorectal cancer undergo regular screening. When colorectal cancer is diagnosed at earlier stages, available treatments are more successful. Haitian immigrants are among the fastest growing group of immigrants in the US with Florida being the second largest number of people of Haitian heritage. National studies do not distinguish Haitians from the other Blacks subgroups and there are no specific statistics within African descent subgroups on colorectal cancer incidence and rate of screening. Based on …

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An Evaluation Of A Diabetes Self-Management Education Program In A Community Health Clinic, Daniela Chetan Jan 2019

An Evaluation Of A Diabetes Self-Management Education Program In A Community Health Clinic, Daniela Chetan

Electronic Theses and Dissertations 2010 - 2019

The incidence of uncontrolled diabetes among the adult population of the United States, especially individuals over 65 years, remains a critical issue and is on the rise. Florida is one of the most affected states with the largest population of adults ages 65 and older in the nation (FDAC, 2017). Adults within minority groups face the greatest hardships as they often do not have access to proper diabetes educational programs resulting in a higher prevalence of diabetes with a higher risk for developing diabetes-related complications (Ricci-Cabello et al., 2014). Diabetes is a chronic disease that requires a person to make …

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