Digital Commons Network^™

Health Hub Program Evaluation, Natalie Macias

Master's Projects and Capstones

This paper examines and evaluates the work of LIFT-Levántate a non-profit organization in San Rafael, California on their school-based nutritional education “health hub,” through health promotion interventions with adolescents. The James B. Davidson Middle School health hub educates students on topics related to nutrition and physical activity with the goal of providing access and increasing consumption of fruits and vegetables while lowering students’ intake of high-fat and sugary processed foods. Through research and observations of the students and families in this community, the data seems to indicate apparent disparities which vary by ethnicity, socioeconomic status and access. Underserved populations, including …

Physical Activity Behaviors Of Prehypertensive And Stage I Hypertensive African American Women, Hope Jackson

Theses & Dissertations

The purpose of this study was to describe the physical activity (PA) behaviors and PA biomarkers of prehypertensive and stage I hypertensive African American women (AAW) and to examine the relationships between PA and personal factors and selected behavior-specific influences (perceived barriers to and interpersonal support for PA). Pender’s Health Promotion Model was the conceptual framework for the study.

A cross sectional design and convenience sample were used. Personal factors examined were: systolic and diastolic blood pressure [BP], body mass index [BMI], and waist circumference. Other variables measured were: International Physical Activity Questionnaire, 400 meter walk test, Borg perceived exertion …

School Design To Promote Physical Activity, Jeri Brittin

Theses & Dissertations

Increasing children’s physical activity (PA) at school is a national focus to address childhood obesity. Research has demonstrated associations between school built environments and students’ PA, but has lacked a comprehensive synthesis of evidence. Chapter 1 presents new evidence-, theory-, and practice-informed school design guidelines, including evidence substantiality ratings, to promote PA in school communities. These guidelines delineate strategies for school designers, planners, and educators to create K-12 school environments conducive to PA. They also engage public health scientists in needed transdisciplinary perspectives.

There have been few longitudinal studies to verify causal relationships between the school built environment and PA. …

The Evolution Of Physical Activity Promotion, Elizabeth Richards

School of Nursing Faculty Publications

Overview: A physically active lifestyle has numerous physical and mental health benefits for patients of all ages. Despite these significant benefits, a majority of Americans do not meet current physical activity guidelines. Health care providers, especially nurses, play a vital role in physical activity promotion. Over the past several decades, exercise and physical activity guidelines have evolved from a focus on structured, vigorous exercise to a focus on moderate-intensity “lifestyle” physical activity. The author updates nurses on physical activity guidelines and provides tips for promoting physical activity, with a focus on lifestyle activities such as walking to work. This article …

Effects Of A Clinician Referral And Exercise Program For Men Who Have Completed Active Treatment For Prostate Cancer: A Multicenter Cluster Randomized Controlled Trial (Engage)., Patricia M. Livingston, Melinda J. Craike, Jo Salmon, Kerry S. Courneya, Cadeyrn J. Gaskin, Steve F. Fraser, Mohammadreza Mohebbi, Suzanne Broadbent, Mari Botti, Bridie Kent, Engage Uro-Oncology Clinicians' Group

School of Nursing and Midwifery

BACKGROUND: The purpose of this study was to determine the efficacy of a clinician referral and exercise program in improving exercise levels and quality of life for men with prostate cancer. METHODS: This was a multicenter cluster randomized controlled trial in Melbourne, Australia comprising 15 clinicians: 8 clinicians were randomized to refer eligible participants (n = 54) to a 12-week exercise program comprising 2 supervised gym sessions and 1 home-based session per week, and 7 clinicians were randomized to follow usual care (n = 93). The primary outcome was self-reported physical activity; the secondary outcomes were quality of life, anxiety, …

Fruit And Vegetable Consumption, Fat Intake, And Physical Activity Participation In Relation To Socio-Demographic Factors Among Medically Underserved Adults, Amir Alakaam, Jennifer Lemacks

Faculty Publications

Fruit and vegetable intake as well as physical activity participation in Mississippi is consistently lower than recommendations. We conducted a cross-sectional study to examine fruit and vegetables consumption, fat intake, and moderate-intensity physical activity participation and how these variables relate to socio-demographic factors among medically underserved adults in south Mississippi. Fruit and vegetable consumption and fat intake along with physical activity participation and socio-demographic characteristics was collected from a sample of 161 (48 male and 113 female) adults in south Mississippi. A majority (81.9%) of participants reported consuming less than five servings of fruits and vegetables per day and 54% …

College Students As Facilitators In Reducing Adolescent Obesity Disparity In Southern Appalachia: Team Up For Healthy Living, Deborah Slawson, William T. Dalton, Taylor Mckeehan Dula, Jodi Southerland, Liang Wang, Mary Ann Littleton, Diana Mozen, George Relyea, Karen Schetzina, Elizabeth F. Lowe, James M. Stoots, Tiejian Wu

ETSU Faculty Works

The proportion of obese adolescents in Southern Appalachia is among the highest in the nation. Through funding from the National Institute on Minority Health and Health Disparities — National Institutes of Health, the Team Up for Healthy Living project was a cluster-randomized trial targeting obesity prevention in adolescents through a cross-peer intervention. The specific aims of the project were to: 1) develop a peer-based health education program focusing on establishing positive peer norms towards healthy eating and physical activity (PA) among high school students, 2) test program efficacy, and 3) explore mechanisms underlying the program. The study was guided by …

Does Physical Inactivity Increase Personalised Cardiovascular Risk In Males And Females Aged 40-80 Years?, Joanne West

The Plymouth Student Scientist

Background: Various modifiable risk factors have been associated with increased risk of cardiovascular disease, with physical activity known to provide multiple health benefits, whilst inactivity is linked to increased prevalence of multiple cardiovascular risk factors. Objective: The aim of this study was to explore the association between physical activity level and personalised cardiovascular risk, in addition to the association between this risk behaviour and other modifiable cardiovascular risk factors. Method: Data was collected from 863 patients aged 40-80 years (54% male, aged 62.18 ± 12.35 years) including, age, body mass index, blood pressure, total cholesterol and HDL cholesterol, smoking status, …

Measuring Recess Activity Using Soplay Revealed Sex And Seasonal Differences, Challenges In Fuel For Fun Impact Assessment, Matthew Cady, Barbara Lohse, Stephanie Smith, Claudio Nigg, Leslie Cunningham-Sabo

Presentations and other scholarship

Examines outcomes and feasibility of measuring change in recess activity using System for Observing Play and Leisure Activity in Youth (SOPLAY) in impact assessment of Fuel for Fun, a school-based nutrition education program.

Ethno-Racial Disparities In Health Outcomes: Evidence From The Aging Population, Olufolake Odufuwa

Economics ETDs

This dissertation assesses racial and ethnic disparities in health outcomes of the aging population, with focus on improving functional health, health status and quality of life at both individual and community levels. Chapter 2 examines racial and ethnic disparities in willingness to pay (WTP) for improved health among an aging population sample while also examining the impact of health status and risky health behaviors. Results indicate that racial and ethnic minorities are more likely to have a positive WTP for improved health than non-Hispanic Whites. However, WTP for minorities is found to be significantly lower than for non-Hispanic Whites. However, …

Economic Freedom And Participation In Physical Activity, Joshua C. Hall, Brad R. Humphreys, Jane E. Ruseski

Economics Faculty Working Papers Series

Physical activity is an important part of a healthy lifestyle and influences a variety of health outcomes. A recent paper has found economic freedom to be positively associated with greater participation in physical activity in a sample of 34 European countries. We empirically investigate the relationship between economic freedom and physical activity across U.S. states. Contrary to the cross-country results, we find that states with higher levels of economic freedom have lower rates of participation in physical activity.

Ecpat: Development And Testing Of Mobile Technology To Engage Youth In Active Living Policy, Systems, And Environmental Health Promotion Efforts, Gina M. Besenyi

Theses and Dissertations

Modifying the built environment is a promising way to promote youth physical activity and reduce obesity. Parks, in particular, are key intervention venues given their low cost and legislated ubiquity. Creating healthy communities, including better parks, will require the interest and participation of multiple constituencies, including youth. Creation of mobile technology environmental audit tools can provide a more interactive way for youth to engage with communities and facilitate participation in participatory action research (PAR) and health promotion efforts.

The purpose of the first study was to describe the development and validity and reliability testing of an electronic version of the …

The Association Between Sleep Quality, Physical Inactivity, And Risk Of Developing Metabolic Syndrome, Matthew Scott

Masters Theses, 2010-2019

Abstract

Purpose The aim of this study is to assess the independent effects of sedentary time, sleep quality, and physical activity on risk factors for Metabolic Syndrome (MetS) in college students.

Methods 40 college aged students were recruited from James Madison University. Height, weight, blood pressure, waist circumference, and body composition were assessed on visit 1. Blood pressure, blood glucose, and lipid profile were assessed on visit 2. Subjects were required to wear an Actigraph GT3x accelerometer, which measured physical activity, sedentary time, and sleep quality for 7 days and nights. Univariate Pearson correlation analyses were performed to determine the …

Exploring The Duration Of The Effects Of Classroom-Based Physical Activity On Elementary Student Engagement, Cheryl Maykel

Doctoral Dissertations

Less than half of U.S. children and adolescents receive the recommended daily amounts of physical activity (PA). Schools can be an ideal setting for increasing PA in our youth, though many school leaders are concerned that increasing time for PA would be costly or would negatively affect students’ achievement scores. However, studies show that PAs can be conducted in the classroom without any additional equipment or personnel. Further, school-based PA has had a positive impact on student cognition and academic engagement, as well as on achievement over time. This study extended previous research in this area by observing students and …

Bones Of Contention: Bone Mineral Density Recovery In Celiac Disease—A Systematic Review, Patricia Grace-Farfaglia

Nutrition Sciences Faculty Publications

Metabolic bone disease is a frequent co-morbidity in newly diagnosed adults with celiac disease (CD), an autoimmune disorder triggered by the ingestion of dietary gluten. This systematic review of studies looked at the efficacy of the gluten-free diet, physical activity, nutrient supplementation, and bisphosphonates for low bone density treatment. Case control and cohort designs were identified from PubMed and other academic databases (from 1996 to 2015) that observed newly diagnosed adults with CD for at least one year after diet treatment using the dual-energy x-ray absorptiometry (DXA) scan. Only 20 out of 207 studies met the inclusion criteria. Methodological quality …

Associations Between Family Functioning And Adolescent Health Behaviors, Megan S. Fleming

Senior Honors Projects

Background: The obesity epidemic has been a concern across the globe, affecting about 20% of adolescents in the U.S. Physical activity and nutrition-related behaviors that develop during adolescence carry through into adulthood. Adolescents’ perceptions of how their family functions may be associated with health behaviors, including physical activity and diet.

Objective: To determine whether there is an association between perceived family functioning and adolescent health behaviors among a national sample of adolescents aged 11 to 16 who participated in the 2009-2010 Health Behaviors of School-Aged Children survey.

Methods: Participants reported on demographics and measures of family function, which included …

The Effect Of Physical Activity Levels On Hydration Markers In Non-Athletic Free-Living Individuals, Mikell Lucas Hammer

Graduate Theses and Dissertations

Higher levels of physical activity requires increased fluid intake due to increased water losses via sweating. PURPOSE: To determine the effect of physical activity on hydration status and water intake. METHODS: This study involved 8 visits to the Human Performance Laboratory over 22 days. Body weight and urine measurements were taken every visit. Physical activity was assessed by the International Physical Activity Questionnaire (IPAQ), water intake by the Water Frequency Questionnaire (WFQ), and hydration status by urine osmolality (UOsm), urine specific gravity (USG), and urine color (UC). From the IPAQ subjects were classified as low, moderate and high physical activity …

Psychosocial Determinants Of Physical Activity In Children Attending Afterschool Programs : A Path Analysis., Jiying Ling, Lorraine B. Robbins, Valerie L. Mccarthy, Barbara J. Speck

Faculty and Staff Scholarship

Background: Physical activity (PA) is important for controlling childhood obesity, but a comprehensive PA model for school-aged children is lacking.

Objectives: Guided by the youth PA promotion (YPAP) model, this study estimated the direct and indirect effects of self-efficacy, enjoyment, parental influence, and environment on self-reported PA and pedometer steps. A secondary purpose was to explore the association between self-reported PA and pedometer steps.

Methods: An observational and prospective study was conducted among 133 children, aged 8–11 years old, from 10 elementary schools with afterschool programs in a Midwestern U.S. school district from August through October 2013. …

Sparc – A Community-Based Participatory Research Project With Youth With Autism Spectrum Disorders, Richard Fleming

Office of Community Partnerships Posters

SPARC (Supporting Physical Activity and Recreation in the Community) aims to meet a community-identified need for more physical activity programming for youth with autism spectrum disorders (ASD). SPARC’s collaborative approach addresses the unique social, cognitive, behavioral, and physical needs of this growing population of children by infusing diverse perspectives into its model. This project incorporated a CBPR conceptual and methodological model, a strong community partnership, and an evidenced-based instructional approach, to develop and evaluate a community-based walking program for adolescents with ASD.

The Effects Of Nutrition And Physical Activity Education On Knowledge And Glycemic Control Among Persons With Type 2 Diabetes, Alexandra Harris

Evidence-Based Practice Project Reports

Diabetes affects millions of people worldwide. Approximately 29.1 million people or 9.3% of the United States population has diabetes (Centers for Disease Control (CDC), 2014). Diabetes was the seventh leading cause of death in the United States in 2010 and is projected by the World Health Organization (WHO) to be the seventh leading cause of death globally by 2030. The purpose of this evidence-based project was to provide nutrition and physical activity education in an effort to improve diabetes knowledge and glycemic control among persons with type 2 diabetes. Hemoglobin A1c levels and Diabetes Knowledge Test scores were compared from …

The Feasibility Of Delivering A Home-Based Motivational Exercise Program To African-American Breast Cancer Survivors, Denise Spector, Claudio Battaglini

Journal of Health Disparities Research and Practice

Most African-American breast cancer survivors do not meet current exercise recommendations for cancer survivors, which include both aerobic and strength-training exercises. This pilot study tested the feasibility of delivering a home-based exercise intervention to African-American breast cancer survivors. Sedentary African-American breast cancer survivors were recruited for a 16-week motivational home-based progressive aerobic and strength-training exercise pilot study. Participants completed weekly exercise logs and received weekly phone calls. To assess feasibility, we evaluated recruitment, retention, and adherence rates, as well as participant acceptance and safety. 17 women enrolled; 13 completed the intervention (76%). Participants had moderately-high adherence (70%) to walking goals, …

Gathering Perspectives On Extended Family Influence On African American Children's Physical Activity, Natasha A. Brown, Katherine Clegg Smith, Rachel L.J. Thornton, Janice V. Bowie, Pamela J. Surkan, Darcy A. Thompson, David M. Levine

Journal of Health Disparities Research and Practice

Background: The family environment is a key determinant of children’s physical activity. The importance of the extended African American family is well established, but there is little research on its influence on school age children’s physical activity. Methods: We recruited eight families in which grandparents and other adult relatives played a central role in child supervision. Semi-structured interviews with parents, other adult relatives, and children revealed various perspectives on the influences of culture and families on children’s weight-related behaviors. Results: Children were between the ages of 6 and 11, and five of the families resided in neighborhoods in which at …

Physical Activity And Time-On-Task, Lisa Mouw

Master of Education Program Theses

This action research project explored the effects of physical activity to time-on-task. The participants in this study were 24 sixth grade students in a language arts classroom at a PK-8 Christian elementary school in the mid-western states. Students were observed to determine time-on-task for the first twenty-five minutes of class. A no-treatment period was observed in order to create a baseline, followed by a treatment period to demonstrate any increase or decrease in overall time-on-task. Three-minute activity breaks were implemented at the beginning of the class time during the treatment period. These breaks included a combination of cardio- and skill-based …

Effectiveness Of Two Various Types Of School-Based Instruction Methods In Relation To Bmi, Physical Activity, And Nutrition Outcomes, Sherri Bakland, Elizabeth Moore-Jones

Graduate Research Projects

No abstract provided.

Measuring Enjoyment Of Ballroom Dancing In Filipino Americans Using The Physical Activity Enjoyment Scale, Alona Dalusung-Angosta, Reimund Serafica, Sheniz Moonie Phd

Asian/Pacific Island Nursing Journal

To advance knowledge about ways to promote physical activity in Filipino Americans, this feasibility study evaluated whether they enjoyed ballroom dancing and at the same time tested the validity of the Physical Activity Enjoyment Scale (PACES) for assessing enjoyment in this population. This study consisted of a single group of healthy Filipino Americans (N = 41) aged between 35 and 65 years residing in southern Nevada. Participants danced 45 min per week for 12 weeks and completed the PACES questionnaire to measure enjoyment at two time points (Week 4 and Week 12). Four participants dropped out during Weeks 2 …

The Obese And The Elite: Using Law To Reclaim School Sports, Dionne L. Koller

All Faculty Scholarship

Sports in schools are a uniquely American phenomenon. Athletic programs flourish in high schools, colleges, and universities with traditionally very little interference by legislatures or courts. The most notable, if not limited, exception to this deference is Title IX of the Civil Rights Act of 1964 (Title IX), which prohibits educational institutions receiving federal financial assistance from discriminating on the basis of gender. As applied to athletic programs, Title IX is often cited as a public policy success. The law has led to the creation of meaningful sports participation opportunities for women and girls and shaped new norms for sports …

The Influence Of Health Assessments On Motivating College Students To Become More Physically Active, Keith Lawrence Mckelphin

Doctoral Dissertations and Projects

Motivating individuals has become a major initiative in higher education, and many different strategies are being implemented on campuses. The purpose of this study was to examine the influence of health assessments on motivating college students to become more physically active. The research aimed to interpret the knowledge gained from an individual's health assessments as an effective strategy. The knowledge gained can be used to assist the college-aged population in adopting active lifestyles that will lower their health risks. The researcher used the self-determination theory to examine community college students' motivation to be physically active; the transtheoretical model of change …

Sequential Online Wellness Programming Is An Effective Strategy To Promote Behavior Change, Lindsay R. Macnab, Sarah L. Francis

Journal of Extension

The growing number of United States youth and adults categorized as overweight or obese illustrates a need for research-based family wellness interventions. Sequential, online, Extension-delivered family wellness interventions offer a time- and cost-effective approach for both participants and Extension educators. The 6-week, online Healthy Families Challenge (HFC) resulted in increased daily fruit and vegetable servings and leisure-time physical activity. These findings suggest that an Extension-delivered, sequential, online family wellness program is an effective education strategy.

Associations Between Physical Activity And Weight Status With Grade-School Performance, Taylor Panfil

Theses and Dissertations

Physical activity and weight control are predictive of childhood health, but more recent research suggests they may also be associated with academic success.

PURPOSE: To explore the relationships between physical activity, weight status, and academic performance in children.

METHODS: 614 third-to-fifth grade children (53.9% female, age 9.6 ± 0.9 years) from two Midwestern communities participated. Physical activity was assessed using a Digiwalker 200-SW pedometer worn for seven consecutive days. Teachers provided an estimate of general academic performance, and children were categorized into three performance groups (high, moderate, low). School behavior (attentiveness, staying on task, interruptive behavior) was assessed by the …

Using Token Reinforcement To Increase Walking For Adults With Intellectual Disabilities, Haley Nicole Krentz

USF Tampa Graduate Theses and Dissertations

Adults with intellectual disabilities (ID) are at risk for negative health conditions due to high levels of sedentary behavior. Walking and cycling are the most common forms of physical activity engaged in by adults with ID. Research is limited in evaluating physical activity interventions for this population. The purpose of this study will be to evaluate the effectiveness of a token reinforcement intervention to increase distance walked for adults with mild to moderate ID at adult day training centers.