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2022

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Effective Management Of Diabetes Mellitus Type Ii In A Military Treatment Facility, Jozy Merizier Smarth Jan 2022

Effective Management Of Diabetes Mellitus Type Ii In A Military Treatment Facility, Jozy Merizier Smarth

Walden Dissertations and Doctoral Studies

In the United States, 34 million people have diabetes and 79 million have prediabetes. Currently, one in nine Americans are diagnosed with diabetes and it is projected that one in five will have diabetes by 2025 and one in three by 2050. The practice-focused question answered by this project addressed the question if implementing a staff education program improved staff’s knowledge about self-management education and intent for providers and staff to promote a formal diabetes self-management education (DSME) program in an overseas military treatment facility. The site has 47% of empaneled beneficiaries with diabetes mellitus Type II with an elevated …

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Exploring Promotoras As Influencers Of Physical Activity And Diet Acceptability Among Latinas, Gladys Orock Tataw-Ayuketah Jan 2022

Exploring Promotoras As Influencers Of Physical Activity And Diet Acceptability Among Latinas, Gladys Orock Tataw-Ayuketah

Walden Dissertations and Doctoral Studies

Promotoras are frontline community health workers who help link Latino community members to health and social services. Latino women have high rates of attrition and lack of participation in weight loss programs due to various barriers, and the promotora model is vital to address these concerns. The approach incorporates strong family support and influence to address health and social issues through interdependent ties of promotoras and families who live and work within the community they serve. The purpose of this qualitative study was to explore how promotoras influenced the acceptability of and participation in physical activity and dietary modification programs …

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Evaluating The 2012 Vaccination Reporting Mandate: Applications To Adventist Health Network, May Abdalla Jan 2022

Evaluating The 2012 Vaccination Reporting Mandate: Applications To Adventist Health Network, May Abdalla

Walden Dissertations and Doctoral Studies

Influenza is a public health concern that claims up to 56,000 lives annually in the United States, though it is a vaccine-preventable disease. Influenza vaccination among health care personnel (HCP) is highly encouraged to prevent influenza transmission in health care settings. The objective of this study was to examine the relationship between mandatory reporting of HCP influenza vaccination rates (implemented in 2012) and HCP influenza vaccination intake in a health care network with 20 hospitals. The protection and motivation theory was used as the theoretical framework. Data collected from surveys of hospital administrators and archives of the Center for Medicare …

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Whole Health Peer Pathway And Conventional Medicine To Promote Health In Diabetic Veterans, Delcina D Augustin Doreus Jan 2022

Whole Health Peer Pathway And Conventional Medicine To Promote Health In Diabetic Veterans, Delcina D Augustin Doreus

Walden Dissertations and Doctoral Studies

AbstractThe Veterans Health Administration has been one of the first to adopt the Whole Health approach in combination with therapeutic treatment, which is recommended to promote disease management and prevention of comorbidities associated with diabetes. However, this modality has not been adopted by the health care system. The purpose of this study was to examine the association between the veterans who have been in the Whole Health Program in combination with therapeutic treatment and those who have only been focusing on the therapeutic treatment regimen. The variables were A1C levels and adhering to medication renewal to determine whether veterans in …

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Food Availability And Sanitation Conditions In Pademba Road Prisons, A Case Study, Santos Alimamy Bangura Jan 2022

Food Availability And Sanitation Conditions In Pademba Road Prisons, A Case Study, Santos Alimamy Bangura

Walden Dissertations and Doctoral Studies

Abstract Prisons generally suffer from poor sanitation and food shortages that undermine the health and overall quality of inmates’ lives. Focusing on Pademba Road Prison in Freetown, Sierra Leone, the purpose of this study was to provide policy recommendations that benefit the inmates by ensuring they receive nutritious meals and improved conditions of hygiene. The following research question shaped the study: What policies can be formulated that would give inmates access to adequate food and improved sanitation at Pademba Road Prison? This qualitative case study took place in single research setting and focused on the dilemma of the workers and …

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A Staff Education Program To Improve Nurses’ Knowledge Of Managing Type 2 Diabetes, Steven Essien Jan 2022

A Staff Education Program To Improve Nurses’ Knowledge Of Managing Type 2 Diabetes, Steven Essien

Walden Dissertations and Doctoral Studies

AbstractOlder adults residing in long-term care facilities (LTCFs) have high prevalence rates of Type 2 diabetes (T2D). However, registered nurses practicing in these settings often lack the essential knowledge to manage the condition. The staff development activity developed for this project was to improve LTCF registered nurses' knowledge of understanding of the American Diabetes Association (ADA) position statement on the management of diabetes in LTCFs. The project was grounded in Knowles's adult learning theory. Lynn's content validity model was used to evaluate the staff development activity. The project's practice-focused questions concerned whether the educational sessions met Lynn's evaluation criteria and …

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Experiences Of Rural Female Caregivers Of Loved Ones Diagnosed With Chronic Pain And Mental Health Care, Anne Banner Hatfield Jan 2022

Experiences Of Rural Female Caregivers Of Loved Ones Diagnosed With Chronic Pain And Mental Health Care, Anne Banner Hatfield

Walden Dissertations and Doctoral Studies

AbstractThe complex diagnosis of chronic pain can include both physiological and psychological symptoms resulting in a need for caregivers to assist their loved ones and become involved in their mental health care treatment. As the aging population and the number of individuals diagnosed with chronic pain increases, the number of caregivers who assist them also increases. Critical to addressing the psychological symptoms of chronic pain is knowing how caregivers experience their involvement in mental health treatment. This research addressed the need for an understanding of caregivers’ experiences of caregiving and involvement with health care providers of mental health treatment for …

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Exploring African American Women’S Experiences With Breastfeeding Support In Health Services, Jennifer Johnson Jan 2022

Exploring African American Women’S Experiences With Breastfeeding Support In Health Services, Jennifer Johnson

Walden Dissertations and Doctoral Studies

Breastfeeding provides complete nutrition to infants and reduces the risk of many chronic diseases among infants and their mothers, yet disparities exist. African American mothers have the lowest breastfeeding rates compared to other ethnic groups in the United States. There is limited qualitative research on health services support from the African American mother’s perspective. Understanding health behaviors may improve programming, reduce racial and ethnic disparities, and address social determinants of health. The purpose of this study was to explore African American women’s beliefs, experiences, perspectives, and opinions around breastfeeding support provided in healthcare settings by healthcare professionals. From a conceptual …

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Coping Strategies Linked To African Americans With Chronic Kidney Disease, Gabrielle Lawrence Jan 2022

Coping Strategies Linked To African Americans With Chronic Kidney Disease, Gabrielle Lawrence

Walden Dissertations and Doctoral Studies

Chronic kidney disease (CKD) is a health problem that affects African Americans more often than Whites and other ethnic groups. Individuals with CKD need to develop strategies to help with the disease and life challenges. Social support, self-management, and self-efficacy are factors that may influence how individuals with CKD cope with the disease. This quantitative correlational study examined the relationships among self-management, self-efficacy, and coping behaviors in African Americans with CKD in Stages 3 or 4. In addition, the moderating effect of social support on the extent to which self-management and self-efficacy account for the variance of coping behaviors in …

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Association Between Family Structure And Childhood Obesity In Essex County, Nj., Chima Tony Onyeagoro Jan 2022

Association Between Family Structure And Childhood Obesity In Essex County, Nj., Chima Tony Onyeagoro

Walden Dissertations and Doctoral Studies

Obesity is one of the most prevalent nutritional disorders in children in the United States. There are many factors associated with childhood obesity, but there is limited information about the association between family structure and childhood obesity. This quantitative retrospective cross-sectional study, guided by the Social Ecological Model, was carried out to identify the effect of family structure on childhood obesity. For this study, the 2017 National Survey of Children’s Health (NSCH) of children 6-13 years old residing in the state of New Jersey was analyzed. Binary logistic regression was used to determine the relationship between family structure and obesity, …

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Children's Body Mass Index Before And After Covid-19 Related Childcare Center Closures, Ericka L. Peterson Jan 2022

Children's Body Mass Index Before And After Covid-19 Related Childcare Center Closures, Ericka L. Peterson

Walden Dissertations and Doctoral Studies

Prolonged childcare center closures due to COVID-19 restrictions have changed children’s health-related behaviors that may result in an increased risk in childhood obesity. Grounded in the social ecological model, the purpose of this study was to examine the differences in body mass index (BMI), physical activity, consumption of sugar-sweetened beverages (SSBs), and screen time among preschool aged children enrolled in the Merced County Office of Education Head Start program before and after COVID-19 related Head Start center closures. A quantitative, longitudinal study design using secondary data from ChildPlus was used. The paired t-test and Wilcoxon signed-rank test was used to …

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Influences Of 12-Hour Shifts On Unhealthy Eating Habits Of Acute Care Nurses, Ruth Sawdy Jan 2022

Influences Of 12-Hour Shifts On Unhealthy Eating Habits Of Acute Care Nurses, Ruth Sawdy

Walden Dissertations and Doctoral Studies

Shift work is a necessary part of a nurses’ work schedule to patients who need 24 hours of continuous care. Eating habits of nurses are influenced by working long hours, not having adequate time to take a meal break, and not having access to healthy food choices which can cause stress and exhaustion and results in weight gain and obesity. The purpose of this quantitative logistic regression analysis, guided by the health belief model and the theory of planned behavior, was to determine if there was a relationship between shift work and the unhealthy eating habits/obesity rates of acute care …

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Mental Health Counselors’ Use Of Complementary And Alternative Approaches For Treating Individuals With Anxiety Disorders, Jane Rose Simmons Jan 2022

Mental Health Counselors’ Use Of Complementary And Alternative Approaches For Treating Individuals With Anxiety Disorders, Jane Rose Simmons

Walden Dissertations and Doctoral Studies

Anxiety disorders are one of the most prevalent mental health disorders worldwide. Traditional counseling approaches do not address the evolving needs of individuals with anxiety disorders, and information is scarce regarding counselors’ use of complementary and alternative approaches in treating anxiety disorders. The purpose of this quantitative survey study was to investigate whether counselors’ knowledge, perceptions, intentional practices, and openness predicted their use of complementary and alternative approaches in counseling individuals with anxiety disorders. The integrative mental health model for the conceptual framework guided this study. The research questions examined how five variables—spirituality, specialization, types of anxiety disorders treated, training, …

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Nursing Staff Education On The Use Of The American Diabetes Association Guidelines, Terrie Hattie Allen Jan 2022

Nursing Staff Education On The Use Of The American Diabetes Association Guidelines, Terrie Hattie Allen

Walden Dissertations and Doctoral Studies

AbstractDiabetes mellitus is a complex chronic condition that requires continuous care and management. Approximately 34 million Americans are diagnosed with diabetes and around 90%–95% suffer from Type 2 diabetes. The problem identified in this project was the need to follow the American Diabetes Association guidelines in place at the study site clinic but are not adhered to by the staff. Framed within the analysis, design, development, implementation, and evaluation model of instructional design, the purpose of this project was to plan, implement, and evaluate a nursing staff education program on the use of the American Diabetes Association Guidelines for diabetes. …

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Psychosocial Complexities Of American Black Women’S Experiences With Weight Loss Or Obesity, Danielle Atkins Jan 2022

Psychosocial Complexities Of American Black Women’S Experiences With Weight Loss Or Obesity, Danielle Atkins

Walden Dissertations and Doctoral Studies

Weight loss and obesity among American Black women (including African American and Caribbean Black women) is a growing issue in the United States. However, a notable gap exists in the literature regarding research into this population’s lived experiences with weight loss or obesity, specifically regarding underlying psychosocial needs, such as cultural influences, self-care, and social networks, which are not being met to support them in making behavioral changes. A greater understanding of the impact of American Black women’s psychosocial underlying experiences may help mental health professionals support them in their efforts toward a healthier lifestyle. Using Bronfenbrenner’s ecological systems model …

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Prophylactic Antimalarial Intermittent Preventive Therapy In Pregnancy And Birth Weight In Togo, Epiphane Awokou Jan 2022

Prophylactic Antimalarial Intermittent Preventive Therapy In Pregnancy And Birth Weight In Togo, Epiphane Awokou

Walden Dissertations and Doctoral Studies

In Togo, prophylactic antimalarial intermittent preventive therapy in pregnancy (IPTp) is provided to disrupt suboptimal pathways leading to the issue of low birth weight. However, there is a lack of nationally representative data on the determinants of this adverse birth outcome. The purpose of this quantitative cross-sectional study was to determine pregnancy-related determinants of low birth weight through a nationally representative dataset. Bronfenbrenner’s ecological systems model guided this study to explore potential associations between the covariates IPTp, utilization of long-lasting insecticidal bed nets, age of pregnant women, socioeconomic status of pregnant women, and gravidity type of pregnant women and the …

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Economic Challenges Faced By African American Teenage Parents While Parenting During The Coronavirus Pandemic, Peace A. Barrigah Jan 2022

Economic Challenges Faced By African American Teenage Parents While Parenting During The Coronavirus Pandemic, Peace A. Barrigah

Walden Dissertations and Doctoral Studies

U.S. African American teenage parents are at a disproportionately high risk of experiencing stressors associated with the financial demands of parenting during the COVID-19 pandemic. The purpose of this qualitative descriptive study was to explore the socioeconomic challenges that African American teenage parents living in U.S. northeastern state face during events such the COVID-19 pandemic that limit the provision of human services, which the research question was designed to answer. The framework used in this study was social learning theory. A sample of 10 Black teenage parents residing in the northeastern United States were recruited. Data were collected through interviews …

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Policy Sustainability Issues: Case Study Of Cassava Farmers In Ikorodu. Lagos, Nigeria, Medinat Oluwatoyin Adetunji Jan 2022

Policy Sustainability Issues: Case Study Of Cassava Farmers In Ikorodu. Lagos, Nigeria, Medinat Oluwatoyin Adetunji

Walden Dissertations and Doctoral Studies

The inconsistency and lack of continuity of Nigeria's agricultural policies impact the cassava sector. Despite being the world's biggest producer, the country is yet to benefit from the advantage due to a lack of sustainable growth. The situation manifests in terms of low productivity, low production level, and poor income to the farmers. The purpose of this qualitative study was to investigate the experiences and perceptions of the cassava farmers on cassava policies and the effect on their income and livelihoods in the Ikorodu local government of Lagos State. This qualitative study adopted a case study research design using participatory …

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Applied Behavior Analysis Therapy For Children With Autism Spectrum Disorder And The Impact Of Environment On Treatment Outcomes, James Adkins Jan 2022

Applied Behavior Analysis Therapy For Children With Autism Spectrum Disorder And The Impact Of Environment On Treatment Outcomes, James Adkins

Walden Dissertations and Doctoral Studies

Autism spectrum disorder (ASD) effects growing numbers of children and effective treatment is essential for families to overcome the challenges associated with ASD. Applied behavior analysis treatment has been tailored to address the unique learning needs of children with ASD. The purpose of this study was to examine the extent to which treatment environment impacted language milestones and barriers among children with ASD. Behaviorism and applied behavior analysis served as the framework for the study. A nonexperimental quantitative mixed design with two independent variables was used. The between-subjects independent variable was type of treatment environment (home vs. clinic). The within-subjects …

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The Biopsychosocial Impact Of Racial Discrimination Among African Americans, Amy Renae Amin Jan 2022

The Biopsychosocial Impact Of Racial Discrimination Among African Americans, Amy Renae Amin

Walden Dissertations and Doctoral Studies

The purpose of this study was to explore the relationship between racial discrimination and anger, stress, and obesity. The stress-disease model provided a theoretical perspective of the biological, psychological, and social pathways from stress. Past research regarding the correlation between racial discrimination, anger, stress, and obesity reported a possible connection, but results have been mixed. This research expanded upon existing literature that proposed that blatant or subtle experiences of racial discrimination are pathways to mental and physical health consequences. The hypothesis was that there was a significant relationship between racial discrimination and the levels of stress, anger, and obesity. Racial …

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Perceptions Of Hypertensive Adults With Low Health Literacy About Self-Management Of Hypertension, Ngozi Scholar Chukwuemeka Jan 2022

Perceptions Of Hypertensive Adults With Low Health Literacy About Self-Management Of Hypertension, Ngozi Scholar Chukwuemeka

Walden Dissertations and Doctoral Studies

AbstractHypertension (HTN) is one of the most significant risk factors for morbidity and mortality worldwide and is responsible for the annual deaths of approximately 9 million people globally. A major problem with HTN self-management (SM) is low health literacy (HL), which is associated with poor health outcomes and self-care. The purpose of this explanatory sequential, mixed method study, guided by Pender’s health promotion model, was to explore the perceptions of adults with HTN and low HL about the SM of their HTN. A total of 32 adults with HTN were screened using the Newest Vital Sign health literacy screening tool. …

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Alternative Diet Practices As Predictors For Vaccine Confidence, Nancy Dolin Jan 2022

Alternative Diet Practices As Predictors For Vaccine Confidence, Nancy Dolin

Walden Dissertations and Doctoral Studies

Perceived risks and side effects have left some with a lack of confidence in the safety and efficacy of vaccines. This may lead to not adhering to the recommended vaccination schedule and result in outbreaks that have the potential to harm those who are unable to get vaccinated due to age or infirmity. It is vital to seek and address the characteristics that may predict one’s confidence in vaccines. The aim of this study was to identify whether an individual’s alternative diet behavior may be able to predict their confidence in the measles, mumps, and rubella (MMR) vaccine. The theoretical …

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Conceptions Of Service Provider Preparedness, Aaron Engstrom Jan 2022

Conceptions Of Service Provider Preparedness, Aaron Engstrom

Walden Dissertations and Doctoral Studies

Victims of human trafficking often need a variety of services to recover from their experiences. Service providers are organizations that aim to meet the personal and environmental needs of survivors by providing resources and guidance. However, the efficacy of services offered to survivors has not been robustly studied, which could leave unsuccessful survivor outcomes unnoticed. The purpose of this case study was to learn how service provider employees prepared to meet survivors’ needs. The combination of social cognitive theory and social constructionist theory served as the lens through which service provider employee conceptions of preparedness were explored. Four service provider …

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Length Of Stay In A Homeless Shelter And Mitigating Homelessness, Uwemedimo S. Etteyit Jan 2022

Length Of Stay In A Homeless Shelter And Mitigating Homelessness, Uwemedimo S. Etteyit

Walden Dissertations and Doctoral Studies

AbstractHomelessness is a major public health issue in the United States. Every night, thousands of people have no residence to call their own. Most homeless persons turn to homeless shelters for help. Despite the homeless shelters, the problem of homelessness persists. This study examined the concept that the length of time spent at a homeless shelter is related to the homeless persons mitigating their homelessness through home placement, jobs, and healthcare access. Homelessness was examined using the socioecological model with its attendant levels of influence. On the intrapersonal level, socioeconomic status, education, old age, veteran status, and disability were factors. …

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Effects Of Peer Relationships On The Relationship Between Avoidant Attachment And Romantic Intimacy Among Adolescents, Selina Johnson Jan 2022

Effects Of Peer Relationships On The Relationship Between Avoidant Attachment And Romantic Intimacy Among Adolescents, Selina Johnson

University of the Pacific Theses and Dissertations

Adolescence is a time when interacting with the opposite sex tends to increase and become more serious, and romantic relationships start to form. However, for some adolescents, specifically adolescents who have an avoidant state of mind in regards to attachment, romantic relationships and particularly intimacy is an experience they may find challenging. Given the importance of intimacy in an adolescent’s life, this study proposes to investigate whether the quality of peer relationships can influence romantic intimacy among adolescents with an avoidant attachment. Friendship quality was chosen as a mediating variable in the present study to examine if the quality of …

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Optimization Of The Structure Of Ttr Ligands For Half-Life Extension (Tlhe), Guanming Jiang Jan 2022

Optimization Of The Structure Of Ttr Ligands For Half-Life Extension (Tlhe), Guanming Jiang

University of the Pacific Theses and Dissertations

Many potential therapeutic agents face challenges for their clinical development due to short circulation half-life. As a result, prolonging the half-life of therapeutic drugs in circulation while preserving their hydrophilicity and small size will be a key step toward more effective and safe pharmacological molecules. Our lab developed a new approach for enhancing the safety and efficacy of therapeutic agents. By endowing therapeutic agents with a hydrophilic small molecule (a derivative of the clinical candidate, AG10) which reversibly binds to the serum protein transthyretin (TTR), the half-life of the therapeutic agent should be extended by binding to the TTR in …

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Regulation Of Ppp1r15a (Gadd34) And Ppp1r15b (Crep) Mrna Expression And Localization In The Unfolded Protein Response, Krithika Giresh Jan 2022

Regulation Of Ppp1r15a (Gadd34) And Ppp1r15b (Crep) Mrna Expression And Localization In The Unfolded Protein Response, Krithika Giresh

University of the Pacific Theses and Dissertations

The failure to balance protein synthesis, folding, and degradation in the endoplasmic reticulum (ER) leads to the accumulation of unfolded proteins, leading to ER stress. Cells respond to this stress by activating a response signaling pathway known as the Unfolded Protein Response (UPR). One of the branches of the UPR induces the phosphorylation of eIF2α (Eukaryotic Initiation Factor 2) to attenuate global protein synthesis, allowing for a chance to clear misfolded and unfolded proteins. This phosphorylation of eIF2α is opposed by a phosphatase, containing a catalytic subunit, Protein Phosphatase 1, and a scaffolding protein, either GADD34 or CReP. Inhibition of …

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Developmental Plasticity Of Stress Tolerance And Life-History Strategy To Artificial Light At Night, Alyssa M. Bonfoey Jan 2022

Developmental Plasticity Of Stress Tolerance And Life-History Strategy To Artificial Light At Night, Alyssa M. Bonfoey

University of the Pacific Theses and Dissertations

Artificial light at night (ALAN), or ecological light pollution, is increasingly prevalent worldwide. Exposure to ALAN tends to negatively impact animals—particularly, nocturnal animals—but life-history strategies may mitigate these costs. Animals in many regions are also increasingly exposed to climate-related stressors, such as heat and drought. Yet, interactions among ALAN, life-history strategy, and stress tolerance are unknown. Therefore, I determined if developmental ALAN exposure (1) affects development, (2) affects adult phenotype, including heat and desiccation tolerance, and (3) affects and/or interacts with life-history strategy. To address my aims, I used the variable field cricket (Gryllus lineaticeps) because its geographic range is …

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Evaluating The Effects Of Client-Set Versus Coach-Set Goals In The Context Of A Health-Coaching Intervention For Physical Activity, J. Logan Gibson Jan 2022

Evaluating The Effects Of Client-Set Versus Coach-Set Goals In The Context Of A Health-Coaching Intervention For Physical Activity, J. Logan Gibson

University of the Pacific Theses and Dissertations

Health coaching is a relatively new integrated health role in which practitioners use a combination of behavioral interventions to evoke health-related behavior changes; however, there is a lack of valid evidence to support health-based claims. We investigated the effect of an approximation of a health coaching intervention on three college students' number of steps per day. We provided participants with weekly telehealth coaching sessions focused on goal-setting and feedback and used Fitbits to track the results. We used a multiple baseline across participants design to compare daily steps across four phases; self-monitoring, self-monitoring with experimenter-set goals and feedback, self-monitoring with …

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The Interrelationship Between Treatment, Ethnicity, And Structured Exercise In Clinical Populations, Amanda M. F. Lopez Jan 2022

The Interrelationship Between Treatment, Ethnicity, And Structured Exercise In Clinical Populations, Amanda M. F. Lopez

University of the Pacific Theses and Dissertations

Cancer is the second leading cause of death, with about approximately 1.9 million Americans being diagnosed each year. Yet, it has high survival rates with the help of advancing treatments like radiation therapy. Cancer patients and survivors are contingent on experiencing a decline in physical functioning, quality of life, and physiological parameters. Treatment is effective and can prolong life expectancy but can be deleterious to a patient’s health. Parallel with cancer's impact on Americans is cardiovascular disease. Cardiovascular disease is responsible for 1 in 4 deaths. The development of cardiovascular disease is not spread accordantly among all ethnicities. Hispanics are …

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