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Articles 69811 - 69840 of 1824648
Full-Text Articles in Entire DC Network
Line Outage Impact Factors: A New Approach To Line Outage Detection With Machine Learning, Daniel Flores
Line Outage Impact Factors: A New Approach To Line Outage Detection With Machine Learning, Daniel Flores
Open Access Theses & Dissertations
Electric power systems have become one of our most critical infrastructures as we've grown dependent on electricity for everyday tasks. Ensuring power systems provide reliable service is a priority that can be affected by disturbance events. A common event is transmission line outages, where a line in the system becomes disconnected due to varying forms of physical damage. If an outage isn't detected in time, other lines in the system may overload, causing cascading failures that leave many customers without power. Therefore, having a power system that can automatically detect outages is crucial for reliability, as it promotes real-time response …
Environmental Drivers Of Vegetation Dynamics In Constructed And Natural Wetlands Of The Chihuahuan Desert, Enrique David Garcia
Environmental Drivers Of Vegetation Dynamics In Constructed And Natural Wetlands Of The Chihuahuan Desert, Enrique David Garcia
Open Access Theses & Dissertations
Desert wetlands are critical ecosystems that provide water, food, and habitat for many different species at different trophic levels. Additionally, they have the capacity to recharge aquifers, control floods, and purify water, among others. Unfortunately, they have been facing multiple environmental challenges due to different human activities, sometimes with disastrous consequences. There is an urgent need to better understand the structure and function of wetlands of different types and in different biomes in order to conserve, restore, and even create them so we can continue to obtain all the ecological services they provide. In this dissertation, I investigated how environmental …
J Mich Dent Assoc August 2025
The Journal of the Michigan Dental Association
Each month, The Journal of the Michigan Dental Association provides news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200+ members. It stands as the primary publication reaching Michigan dentists. The August issue marks the end of digital only publishing, as the MDA announced it will provide members a bimonthly print issue along with monthly digital distribution. This issue includes:
- A cover feature on the impact on the dental community of the recently adopted Big Beautiful Bill federal budget
- Mandibular Lingual Concavity Evaluation Using CBCT
- A reprinted clinical feature from New York on …
Diagenesis And Controls On Porosity And Permeability In The Upper San Andres Formation Of West Texas, Jack Butcher
Diagenesis And Controls On Porosity And Permeability In The Upper San Andres Formation Of West Texas, Jack Butcher
Electronic Theses and Dissertations
West Texas reservoirs on the Central Basin Platform (CBP) are dominated by Permian-age carbonate deposits, significantly contributing to petroleum production. The Upper Permian-aged San Andres Formation, composed primarily of dolomite and limestone, is a prolific reservoir. This study assesses diagenetic influences on porosity and permeability within the San Andres Formation along the northern CBP. Two cores from the Monument 4-2 and Peterson 1 wells in West Texas were analyzed using core descriptions, thin section petrography, XRD, XRF, and MICP. Results indicate that dolomitization enhances porosity, with intercrystalline and moldic porosity being dominant, while late-stage cementation and compaction reduce permeability. XRD …
Evaluation Of A Forest Restoration Strategy On Small Mammals In Southern Pine Ecosystems, Gage R. Grantham, Jessica L. Glasscock, Christopher M. Schalk, Kathryn R. Kiid, Reuber Antoniazzi
Evaluation Of A Forest Restoration Strategy On Small Mammals In Southern Pine Ecosystems, Gage R. Grantham, Jessica L. Glasscock, Christopher M. Schalk, Kathryn R. Kiid, Reuber Antoniazzi
Electronic Theses and Dissertations
Industrial forestry replanted historic native pine forests (e.g., longleaf pine [Pinus palustris] and shortleaf pine [Pinus echinata]) to homogenous, high-density plantations consisting of native off-site species (e.g., loblolly pine [Pinus taeda]) after intensive harvesting for wood products. The contemporary forest structure that remains, consisting of off-site overstory compositions, can potentially serve as an ecological bridge to facilitate a gradual transition to a more desirable canopy species, thereby conserving biodiversity and ecosystem function. Understanding disturbance-sensitive small mammal communities from restoration strategies (retention) can help achieve long-term management goals for ecosystem conservation across larger scales. I …
Using Silvopasture To Mitigate Heat Stress In Grazing Beef Cattle, Sydney L. Lofland
Using Silvopasture To Mitigate Heat Stress In Grazing Beef Cattle, Sydney L. Lofland
Electronic Theses and Dissertations
This study evaluated the impact of silvopasture on mitigating heat stress in grazing beef cattle by comparing physiological and behavioral responses between shaded and non-shaded pastures. Twenty-two multiparous cows were monitored over a 20-day summer trial in East Texas. Data were collected on respiration rate, heart rate, heat stress scores, and behaviors including eating, ruminating, walking, and resting. Average respiration rates and behavior proportions did not differ significantly between treatments. Afternoon periods showed peak physiological stress across all cattle, but silvopasture appeared to buffer extreme responses. Although limitations such as data gaps and a shortened trial impacted interpretation, findings suggest …
An Evaluation Of Key Components Of Natural Resource Camps, Undergraduate Persistence And Success In Natural Resources, Brandy Bishop
An Evaluation Of Key Components Of Natural Resource Camps, Undergraduate Persistence And Success In Natural Resources, Brandy Bishop
Electronic Theses and Dissertations
This study explores the key components that connect natural resource camps, undergraduate persistence, and overall success through gainful employment within the natural resource industry. The aim of this study was to assess early interest and attitudes towards natural resource career pathways and how education interventions shape students’ career outcomes thus leading to overall success. A longitudinal mixed method design was used combining Conservation Careers Camp survey data (n = 39) with institutional records for Forestry majors (n =655) in the Arthur Temple College of Forestry and Agriculture on the Stephen F. Austin State University campus. Quantitative data was analyzed through …
Stand Strucuture Of Planted Stands In Storm-Water Retention Basins, Jason Lanza
Stand Strucuture Of Planted Stands In Storm-Water Retention Basins, Jason Lanza
Electronic Theses and Dissertations
Trees assist in stormwater retention basin functionality as efficient sources of water removal, and determining stand structure and leaf area of forests can be a measure of their effectiveness. The structure of forest stands on these basins managed for runoff mitigation has received little attention. We investigated the structure and species composition/diversity (tree and herbaceous) of planted, managed stands and naturally regenerated stands on stormwater retention basins managed by Harris County Flood Control District in Harris County, Texas. We determined stand structure variables (trees per hectare, basal area per hectare, quadratic mean diameter, relative density, average tree height, and percent …
Between Compliance And Commitment: Community College Administrators And The Politics Of Dei Policy Implementation, Carol Birth
Between Compliance And Commitment: Community College Administrators And The Politics Of Dei Policy Implementation, Carol Birth
Graduate Theses and Dissertations
This qualitative case study explores how community college administrators navigate the complex and politically charged landscape of diversity, equity, and inclusion (DEI) policy implementation in the face of evolving state legislation. Grounded in Michael Lipsky’s theory of Street-Level Bureaucracy, the research examines how mid- to senior-level administrators perceive their interpretations, mediations, and actions on DEI mandates in contexts where such policies are contested or pressured. Using semi-structured interviews with administrators across multiple community colleges, the study investigates the tension between institutional commitment to DEI values and the necessity to comply with external political and legal directives. The study contributes to …
Coastal Consumption: Diet And Social Organization At Four Postclassic Sites In The Yucatán Peninsula, Paramita Choudhury
Coastal Consumption: Diet And Social Organization At Four Postclassic Sites In The Yucatán Peninsula, Paramita Choudhury
Graduate Theses and Dissertations
This research examines Postclassic Maya food practices during CE 1200–1600 to understand how eating behaviors reflect systems of social hierarchy, political economy, and cultural identity. The investigation focuses on four archaeological sites in the northern Yucatán Peninsula—Tulum, El Rey, El Meco, and San Miguelito—to examine dietary behaviors through dental microwear texture analysis (DMTA), oral pathology, and stable isotope data within a biocultural framework. The research aims to identify whether elite and non-elite individuals exhibited notable variations in food texture consumption, access to resources, and nutritional health. High-resolution 3D surface metrology enabled DMTA to assess the mechanical properties of consumed foods, …
Automated Chick Sexing Using Computer Vision, Marta Veganzones Rodriguez
Automated Chick Sexing Using Computer Vision, Marta Veganzones Rodriguez
Graduate Theses and Dissertations
This thesis presents two complementary approaches to chick sexing, a critical task in poultry production that demands accurate and early gender identification. By investigating both facial and vent-based modalities, we present two complementary methods that aim to improve the efficiency, scalability, and ethical standards of gender classification in day-old chicks through the use of computer vision and deep learning. The first approach draws inspiration from human facial gender recognition to introduce facial chick sexing, a minimally invasive technique that eliminates the need for expert knowledge. This system encompasses a complete pipeline that includes image acquisition, facial detection and alignment, keypoint …
Design And Validation Of A High-Frequency Multi-Output Dc-Dc Converter For Radar Power Applications, Tory Sutton
Design And Validation Of A High-Frequency Multi-Output Dc-Dc Converter For Radar Power Applications, Tory Sutton
Graduate Theses and Dissertations
Modern radar systems and advanced electronics demand compact, efficient, and reliable power solutions capable of delivering multiple tightly regulated voltage rails under strict size, weight, power, and reliability (SWaP-R) constraints. This thesis presents the design, implementation, and validation of a high-frequency (460 kHz – 1 MHz), multi-output DC-DC converter for a mission?critical radar platform, addressing both integration and performance requirements. The first implementation, an isolated modular converter (IMC), utilizes isolated silicon?based DC-DC modules to deliver twelve isolated voltage outputs from a single input. This approach provided robust electrical isolation, simplified system integration, and minimized design risk, making it well-suited for …
A Pastoral River: Reimagining The Narrative Of Buffalo National River, Thomas Andrew Medford
A Pastoral River: Reimagining The Narrative Of Buffalo National River, Thomas Andrew Medford
Graduate Theses and Dissertations
This thesis examines the creation of Buffalo National River (BNR) from the perspective of dispossessed landowners. A unit of the National Park Service in the Arkansas Ozarks, BNR has garnered little scholarly attention in this light, despite present-day resentment of the federal government by locals. The park was signed into law in 1972, capping a years-long debate about the fate of the river. Some had supported a tenacious U.S. Army Corps of Engineers effort to dam the river, others backed a well-organized, preservationist-led campaign to create a park, while on-the-river landowners typically preferred the status quo of private ownership. Many …
Ai & The Legal Profession: Special Issue Introduction, Jon Festinger, Kc
Ai & The Legal Profession: Special Issue Introduction, Jon Festinger, Kc
UBC Law Review
No abstract provided.
Too Dangerous To Deploy? The Challenge Language Models Pose To Regulating Ai In Canada And The Eu, Robert Diab
Too Dangerous To Deploy? The Challenge Language Models Pose To Regulating Ai In Canada And The Eu, Robert Diab
UBC Law Review
No abstract provided.
Maintaining Legitimacy: Artificial Intelligence, Automated Decision Making, And Reasonableness Review Under Canadian Administrative Law, Bradley Henderson
Maintaining Legitimacy: Artificial Intelligence, Automated Decision Making, And Reasonableness Review Under Canadian Administrative Law, Bradley Henderson
UBC Law Review
No abstract provided.
Care For Chatbots, Peter Wills
The Impact Of The Covid-19 Pandemic On The Lives Of Individuals In Kuwaiti Society During Curfew, Hend Batel Al-Ma’Seb, Maha Meshari Al-Sejari
The Impact Of The Covid-19 Pandemic On The Lives Of Individuals In Kuwaiti Society During Curfew, Hend Batel Al-Ma’Seb, Maha Meshari Al-Sejari
Journal of Arts and Social Sciences
The main aim of this study is to assess the extent to which the Covid-19 pandemic has affected individuals in Kuwaiti society in its various aspects, such as economic conditions, social relations, personal hygiene, and physical health, which are determined by demographic factors such as age, gender, marital status, and level of education. The study employed a descriptive approach and recruited 703 individuals who lived in Kuwait during the pandemic. The main tool used was an online questionnaire. This questionnaire consists of several sections, including an introduction, demographic information about respondents, and a scale of the impact of the pandemic …
Socioeconomic Inequality In Child Malnutrition In Sudan: Results From The Multiple Indicator Cluster Survey (2014), Huda Mohamed Mukhtar Ahmed, Mutaz Fikri Mohamed Osman Digna
Socioeconomic Inequality In Child Malnutrition In Sudan: Results From The Multiple Indicator Cluster Survey (2014), Huda Mohamed Mukhtar Ahmed, Mutaz Fikri Mohamed Osman Digna
Journal of Arts and Social Sciences
This study investigates the association between nutrition indicators such as height/weight-for-age and weight-for-height with socioeconomic variables in Sudan, using the Multiple Indicator Cluster Survey data, 2014. These variables include Household's wealth quintiles, mother's highest education level, head of household's highest level of education, place of residence, age and gender of the child, region, and access sanitation facilities A concentration index and curve and a probit model used were to measure the socioeconomic inequality in under-five children malnutrition. The findings showed that the child's age (P = 0.000), mother's education of secondary and above (P = 0.046), and households’ richest quintile …
The Role Of Microfinance In Improving Global Economy, Khamphou Milayome
The Role Of Microfinance In Improving Global Economy, Khamphou Milayome
Doctoral Dissertations (DBA)
This study investigates microfinance’s role in enhancing the global economy by examining its impact on economic growth, unemployment, and political stability. Secondary data from MIX Market and WDI were used in this study to assess these relationships. Multiple regression was conducted with EViews software to test regression models with the independent variables related to microfinance and microfinance institutions (MFIs). Using the data from South Asia and Southeast Asian countries, this study finds that microfinance significantly improves economic growth, reduces the unemployment rate, and strengthens political stability. Microeconomic variables used in the study are borrowing amounts and the cost per borrower. …
The Need For Specialized Career Development Services For Collegiate Student-Athletes, Scott Victor-Allen Spaanstra
The Need For Specialized Career Development Services For Collegiate Student-Athletes, Scott Victor-Allen Spaanstra
Masters Projects
Research has shown that college students benefit greatly from career development services provided by their university (Bridgstock et al., 2019). However, many collegiate student-athletes may find it difficult to utilize their on-campus career development resources due to additional time constraints, stress and pressure, and struggle with athletic identity (Carodine et al., 2001). This project explores the importance of specialized career development support for student-athletes at collegiate universities as specialized career development services have been shown to benefit students (Patton & McMahon, 2021). This project will introduce career development services to help student-athletes as well as provide the tools to evaluate …
Contextualization Of Harmonized Cognitive Assessment Protocol (Hcap) In An Aging Population In Rural Low-Resource Settings In Africa: Experiences And Strategies Adopted To Optimize Effective Adaption Of Cognitive Tests In Kenya, Roselyter Riang’A, Eunice Muthoni, Niranjani Nagarajan, Felix Agoi, Patrick Mwangala, Alden Gross, Jean Ikanga, Kenneth Langa, Edward Miguel, Anthony Ngugi
Contextualization Of Harmonized Cognitive Assessment Protocol (Hcap) In An Aging Population In Rural Low-Resource Settings In Africa: Experiences And Strategies Adopted To Optimize Effective Adaption Of Cognitive Tests In Kenya, Roselyter Riang’A, Eunice Muthoni, Niranjani Nagarajan, Felix Agoi, Patrick Mwangala, Alden Gross, Jean Ikanga, Kenneth Langa, Edward Miguel, Anthony Ngugi
Population Health, East Africa
Cross-cultural adaptation of cognitive assessments is crucial for detecting Alzheimer's disease (AD) and related dementias (ADRD) in aging populations. This study documents the adaptation of the Harmonized Cognitive Assessment Protocol (HCAP) for a pilot study on the Longitudinal Study of Health and Aging in Kenya (LOSHAK) in rural Kilifi County, Kenya, highlighting challenges and strategies for optimizing outcomes. As part of the LOSHAK feasibility phase, cognitive tests including: the Swahili Mental State Examination, 10-word recall, animal naming, story recall, clock drawing, and making change, were administered to 202 participants (≥45 years) from the Kaloleni/Rabai Health and Demographic Surveillance System (KRHDSS). …
Evaluation Of A Region-Wide Hospital-Based Violence Intervention Program : A Pilot Cohort Study, Kristen L Mueller, Taylor M Kaser, Benjamin P Cooper, Daphne Lew, Vicki Moran, Rachel M Ancona, Kateri Chapman-Kramer, Melik Coffey, Keyria Page, Abigail Batha, Stephanie Harris, Larita Rice-Barnes, Marsha Williams, Lindsay M Kranker, Marguerite W Spruce, Christopher Behr, Michael A Mancini, Douglas J E Schuerer, Lindsay D Clukies, Nicole Santucci, Anne Trolard, Victoria Anwuri, Megan L Ranney, Randi E Foraker, Matt Vogel
Evaluation Of A Region-Wide Hospital-Based Violence Intervention Program : A Pilot Cohort Study, Kristen L Mueller, Taylor M Kaser, Benjamin P Cooper, Daphne Lew, Vicki Moran, Rachel M Ancona, Kateri Chapman-Kramer, Melik Coffey, Keyria Page, Abigail Batha, Stephanie Harris, Larita Rice-Barnes, Marsha Williams, Lindsay M Kranker, Marguerite W Spruce, Christopher Behr, Michael A Mancini, Douglas J E Schuerer, Lindsay D Clukies, Nicole Santucci, Anne Trolard, Victoria Anwuri, Megan L Ranney, Randi E Foraker, Matt Vogel
Faculty, Staff and Students Publications
Background: Violent injury survivors are at risk for revictimization. The St. Louis area hospital-based violence intervention program (HVIP), Life Outside of Violence (LOV), is the first multisystem, region-wide HVIP in the United States.
Objective: To describe the LOV program during its pilot phase and evaluate violent reinjury 1 year after index injury among LOV participants.
Design: Pilot observational cohort study of violently injured patients.
Setting: Data were queried from the program's multisystem data repository, which contains individual encounter-level data for all violent injury visits from the 2 adult and 2 pediatric LOV-partner level 1 trauma hospitals.
Participants: Patients eligible for …
Addressing Anxiety And Depression In The Allergy Clinic Through Motivational Interviewing, Brief Cognitive Behavioral Therapy, And Curious Questions, Marylee Verdi, Dominic Candido, Juliette Madan, Jonathan A Bernstein, Don Bukstein, Aikaterini Anagnostou, Matthew Greenhawt, S Shahzad Mustafa, Julie Wang, Anna Nowak-Wegrzyn, Elissa M Abrams, John Oppenheimer, Alexandra E Conway, Andrew A White, Taylor A Doherty, Richard P Morse, Marcus Shaker
Addressing Anxiety And Depression In The Allergy Clinic Through Motivational Interviewing, Brief Cognitive Behavioral Therapy, And Curious Questions, Marylee Verdi, Dominic Candido, Juliette Madan, Jonathan A Bernstein, Don Bukstein, Aikaterini Anagnostou, Matthew Greenhawt, S Shahzad Mustafa, Julie Wang, Anna Nowak-Wegrzyn, Elissa M Abrams, John Oppenheimer, Alexandra E Conway, Andrew A White, Taylor A Doherty, Richard P Morse, Marcus Shaker
Faculty, Staff and Students Publications
Allergic diseases, particularly food allergy, can be associated with significant psychosocial impairment. Allergist-immunologists can provide evidence-based information to correct misperceptions and misunderstandings regarding food allergy that may perpetuate cycles of fear and anxiety. Whereas motivational interviewing can be an empathetic approach to empower patients to actualize health goals, cognitive behavioral therapy (CBT) aims to provide disease-state insight to facilitate an understanding of risk that can transform health beliefs and behaviors. Brief CBT is a clinical approach that can help address ineffective management paradigms through conversations that begin with curious questions. In this review, we discuss evidence supporting implementation of an …
Roles Of Three Conserved Active Site Residues Of Cytochrome C Nitrite Reductases During The Early Steps Of Nitrite Reduction, Shahama Alam, Bradley J. Dimock, Brian Bennett, Steven J. Reinhardt, Shahid Shahid, A. Andrew Pacheco, Jarett Wilcoxen
Roles Of Three Conserved Active Site Residues Of Cytochrome C Nitrite Reductases During The Early Steps Of Nitrite Reduction, Shahama Alam, Bradley J. Dimock, Brian Bennett, Steven J. Reinhardt, Shahid Shahid, A. Andrew Pacheco, Jarett Wilcoxen
Physics Faculty Research and Publications
Cytochrome c nitrite reductases (ccNiRs) catalyze reduction of nitrite to ammonium in a six-electron, eight-proton process. This report explores how the behavior of three active site ccNiR variants differs from that of the wild type enzyme (ccNiRwt) in the presence of nitrite and a variety of electron donors. While the nitrite-loaded active site of Shewanella oneidensis ccNiRwt could be 2-electron reduced within seconds to yield a 6-coordinate ferrous nitrosyl ({Fe(L)NO}7) at high applied potentials, quantitative reduction of the nitrite-loaded variants R103Q, H257Q, or Y206F required substantially stronger reductants and yielded a different product over several …
Aligning Remote Work Preferences With Workplace Outcomes: Investigating The Impact Of Person-Environment Fit, Sandylane Y. Oquendo
Aligning Remote Work Preferences With Workplace Outcomes: Investigating The Impact Of Person-Environment Fit, Sandylane Y. Oquendo
All Dissertations
Remote work gained steady popularity in all sectors after the COVID-19 pandemic. This study examined how matching employees' preferred remote work setup with their actual work environment affected job satisfaction, engagement, stress, and the desire to leave the company. Framed by Person-Environment Fit, the research examined how the match between individual preferences and work arrangements influenced these outcomes. Participants were surveyed using a 4x4 factorial design to capture responses across various remote work scenarios. Data regression analyses indicated that alignment between remote work preferences and actual work arrangements significantly improved job satisfaction and reduced stress and turnover intention. The expected …
Off-Grid Renewable Energy Generation Supervisory And Data Acquisition (Sada) Using Extended Reality, Joseph Marquis Dowell
Off-Grid Renewable Energy Generation Supervisory And Data Acquisition (Sada) Using Extended Reality, Joseph Marquis Dowell
All Dissertations
Supervisory and Data Acquisition (SADA) systems are an imperative component for the operation of intelligent power systems. In this study, control room duties were performed remotely through extended reality (XR) technology. Multiple monitor setups can be eliminated, and the use of peripheral devices was reduced. XR technology allows for the combination of real and digital environments, which will help to eliminate physical control room setups while enhancing the mobility and comfort of operators. The implementation of XR technology will provide enhancements in communications through built-in text chats, voice calls, video calls, and screen casting capabilities. The XR SADA system proposed …
Preservation Of The Bernstein Property For Sums Of Independent Random Variables, Iosif Pinelis
Preservation Of The Bernstein Property For Sums Of Independent Random Variables, Iosif Pinelis
Michigan Tech Publications
It is shown that Bernstein-type conditions on independent random variables are preserved by their sum. Some optimality properties of such preservation are proved.
Impact Of Patient Diaries On Children, Families, And Healthcare Professionals In Paediatric Intensive Care Settings: A Scoping Review, Fiona Lynch, Jos M Latour, Ruth Endacott
Impact Of Patient Diaries On Children, Families, And Healthcare Professionals In Paediatric Intensive Care Settings: A Scoping Review, Fiona Lynch, Jos M Latour, Ruth Endacott
School of Nursing and Midwifery
OBJECTIVE: The aim of this scoping review was to understand the current landscape, features, and volume of evidence that address the review question: what is the impact of Paediatric Intensive Care Unit (PICU) patient diaries on children, families, and healthcare professionals (HCPs)? To provide context: descriptions of diary models was also provided.
METHOD: The search strategy was structured using the Population, Concept, and Context model to focus the review question. The inclusion criteria were intentionally broad to include all studies published in English from January 2016 until November 2024. The databases CINAHL, Medline, and EMBASE were used to retrieve articles, …
Optimization Of Mhealth Behavioral Interventions For Patients With Chronic Lymphocytic Leukemia: The Health4cll Study, Che Young Lee, Max J Gordon, Melissa M Markofski, Emily C Lavoy, Susan K Peterson, Liang Li, Sara Fares, Miranda Baum, Margaret Pace, Danielle Walsh, Alessandra Ferrajoli, Karen Basen-Engquist
Optimization Of Mhealth Behavioral Interventions For Patients With Chronic Lymphocytic Leukemia: The Health4cll Study, Che Young Lee, Max J Gordon, Melissa M Markofski, Emily C Lavoy, Susan K Peterson, Liang Li, Sara Fares, Miranda Baum, Margaret Pace, Danielle Walsh, Alessandra Ferrajoli, Karen Basen-Engquist
Faculty, Staff and Student Publications
Purpose: This pilot study of a diet and physical activity intervention (HEALTH4CLL) was conducted to reduce fatigue and improve physical function (PF) in patients with chronic lymphocytic leukemia (CLL).
Methods: The HEALTH4CLL study used a randomized factorial design based on the multiphase optimization strategy (MOST). Patients received diet, exercise, and body weight management instructional materials plus a Fitbit and were randomized to undergo one of 16 combinations of 4 evidence-based mHealth intervention strategies over 16 weeks. Patients' fatigue, PF, health-related quality of life, behavior changes, and program satisfaction and retention were assessed. Paired t-tests were used to examine changes in …