Medicine and Health Sciences Commons^™

Association Of Health Literacy With Demographic Features, Health-Related Behaviors, And Health Risk Indicators Among Egyptian Adults: Online Cross-Sectional Study, Rana Gamal Hassan

Theses and Dissertations

Health literacy is recognized as a significant determinant of health. Limited health literacy is a growing issue worldwide. It has a significant role facing the rising trends of non-communicable diseases (NCDs) through improving its modifiable risk factors. Therefore, studying the association between health literacy and different health-related behaviors is very important to guide both healthcare professionals and policy makers to set up the proper interventions. Our study aims to a) examine the health literacy levels among Egyptian adults, b) investigate the association of health literacy relative to socio-demographic features, health related behaviors, and self-reported health status. This is a cross-sectional …

Health Literacy In Older Adults: Determining Gaps In The Health Literacy Skills Of Older Adults In Saratoga Springs, New York And Suggestions For Effective Interventions, Elizah Jacobs

Self-Determined Majors Final Projects

This study aimed to understand the strengths and limitations of health literacy skills among older adults. The results informed a resource to improve any discovered gaps in health literacy. Participants (n=50) were selected through convenience sampling methods at the Saratoga Senior Center in Saratoga Springs, New York. The Health Literacy Questionnaire (HLQ) was distributed to evaluate health literacy skills among older adults. Measures of means and standard deviations were used to assess strengths and limitations in health literacy skills among nine domains of the HLQ. The results informed the implementation of a resource designed to increase health literacy specifically for …

Sit Less, Move More: A National Study Of Physical-Activity Behavior And Cancer, Stella O. Nwogugu

Dissertations, Theses, and Capstone Projects

Background: Physical activity is associated with lower risks of cancer, the second leading cause of death among Americans. Yet, sedentary behavior is the prevailing lifestyle for about 80% of American adults. Additionally, cancer survivors remain significantly inactive, even though physical activity has been shown to decrease risk of cancer and cancer recurrence, improve tolerance of cancer therapy, and reduce mortality. This research explores the relative impact of personal agency, social support, and key demographic variables on physical-activity behavior for a national sample of adults as well as how these relationships differ for cancer survivors and their counterparts.

Methods: Using the …

Experiences Of Women Faculty Using Meditative Practices Through Workplace Health Promotion In Ontario, Kelly Lynn Henley

Walden Dissertations and Doctoral Studies

Workplace stress is pervasive and changes to the postsecondary teaching and learning environment have contributed to stress among women faculty and adversely impacted their personal well-being. The purpose of this qualitative study was to understand how the constructs in the health belief model (HBM) play a role in the use of worksite wellness initiatives to manage stress and promote wellness among women postsecondary faculty in Ontario. The research questions were designed based on the HBM to examine the participants’ perceptions of severity and susceptibility to workplace stress, perceived benefits and barriers to participation, motivation to participate, and self-efficacy. Women faculty …

Experiences Of Women Faculty Using Meditative Practices Through Workplace Health Promotion In Ontario, Kelly Lynn Henley

Walden Dissertations and Doctoral Studies

Workplace stress is pervasive and changes to the postsecondary teaching and learning environment have contributed to stress among women faculty and adversely impacted their personal well-being. The purpose of this qualitative study was to understand how the constructs in the health belief model (HBM) play a role in the use of worksite wellness initiatives to manage stress and promote wellness among women postsecondary faculty in Ontario. The research questions were designed based on the HBM to examine the participants’ perceptions of severity and susceptibility to workplace stress, perceived benefits and barriers to participation, motivation to participate, and self-efficacy. Women faculty …

The Effect Of A Health Educational Program On Sleep Related Health Outcomes, Swetha Sirigineedi

Biological Sciences Undergraduate Honors Theses

Sleep quality has effects on both physical and mental health. Because of this, sleep hygiene is an important health goal. Participation in health programs promoting healthy behaviors has helped people reach their health goals and elicited positive behavior change. Because of this, it was of interest to determine if participation in a virtual, multi-media health education program improved health and wellbeing outcomes of Arkansans. The main objective of this study was to determine the effect of a 20-week behavior and health educational program on the ability of participants to achieve their health goals and improve their health behaviors related to …

Project Spraoi: The Implementation And Outcomes Of A Process Evaluation Of A School-Based Health Promotion Intervention, Yvonne Larrissa O’Byrne

Theses

Large multi-site school-based interventions are challenging to implement and difficult to evaluate due to the complex adaptive nature of schools as a research setting. This study focused on implementing a comprehensive process evaluation of a multicomponent primary school-based health promotion called Project Spraoi (PS), alongside intervention delivery, to aid the translation of outcomes and understand the moderating role of contextual factors on intervention delivery. PS is led by a physical activity (PA) specialist known as an Energizer and aims to improve children’s PA levels and reduce sedentary time by delivering 20 minutes extra daily moderate to vigorous PA (MVPA) during …

Final Culminating Project: Program Development, Erin Helms

Department of Occupational Therapy Entry-Level Capstone Projects

This 16-week capstone project was completed at Parker Place, a children’s health, and wellness center, with a focus on program development and advocacy with additional work related to leadership and administration. The overall goal of the capstone project was to determine the benefit of using an occupation-based approach to enhance health outcomes for the patients at Parker Place. The capstone student provided education about the role of occupational therapy in a non-traditional setting, created a program to help patients acquire sustainable healthy habits, developed a workshop for families struggling to maintain a healthy lifestyle, and provided resources about picky eating …

Hand Hygiene For Health Promotion, Phyllis Knight-Brown

Doctor of Nursing Practice Projects

For many years public health organizations, such as The World Health Organization (WHO) and The Centers for Disease Control and Prevention (CDC), have stressed the need for proper hand hygiene. Proper hand hygiene requires a prescribed process to rid the hands of potentially infecting organisms by using soap and water (handwashing) or hand sanitizer (sanitizing). These processes need to be performed at critical times to promote infection prevention. Many studies have shown that hand hygiene is a learned behavior that becomes habitual over time, and behavior change mechanisms in addition to education are needed to affect a long-term change in …

Differences In Knowledge Acquisition, Perceived Engagement And Self-Efficacy In Latino Promotores Delivering The Heart Disease Prevention Program Su Corazόn, Su Vida, Samuel Matos-Bastidas

USF Tampa Graduate Theses and Dissertations

Su Corazόn, Su Vida (Your Heart, Your Life) is a community-based, small-group health intervention designed to empower Latinos to enhance cardiovascular disease awareness and initiate enduring lifestyle changes to improve health outcomes and quality of life. Originally developed to be delivered in weekly sessions in Spanish or English language, it addresses several heart disease risk factors including unhealthy eating habits, poor physical activity, high cholesterol, overweight, metabolic syndrome, diabetes and tobacco smoking, among others. Instructors use diverse learning and support strategies such as group discussion, role modeling, problem-solving, health action planning, and self-monitoring. Participants help each other to stay on …

Planned Behavior And Congolese Physicians’ Practice: Predicting Advanced Preventive Health Services Provision, Jean-Clément Milabu Mumbusi

Walden Dissertations and Doctoral Studies

The provision of preventive services, health promotion, and health maintenance has become the cornerstone of primary care practice in the United States and other Western countries to prevent morbidity and premature mortality and to increase the quality and years of a healthy life. Unfortunately, the delivery of these advanced preventive health services (APHS) has been sporadic in the Democratic Republic of Congo, a country with poor health indicators. The purpose of this cross-sectional mixed-method study was to apply Ajzen’s theory of planned behavior (TPB) to predict the intention of Congolese primary care physicians (PCPs) in the provision of APHS. Using …

Routines To Enhance Active Lifestyles (Real) Projects: A Pilot Program To Promote Incidental Physical Activity, Hieu Ly

Electronic Thesis and Dissertation Repository

Engaging in different types of incidental physical activity of daily living (e.g., walking to school or stair climbing) could contribute to individuals leading more active lifestyles by improving their total physical activity levels and reducing rates of inactivity. Particularly, post-secondary students are highly inactive and innovative strategies are needed to encourage them to be more active. The overall purpose of this research program was to explore the use of evidence-informed and tailor-made point-of-choice prompts to promote active transportation and staircase use among university students. Study 1 employed focus groups to determine the most suitable health messages and designs to create …

Examining The Effects Of Service-Learning On Students' Perceptions Of The Ches Responsibilities– A Pilot Study, Victoria M. Surratt

MSU Graduate Theses

Purpose: To evaluate the effectiveness of a service-learning project on students' willingness, confidence, and perceived importance to incorporate the Certified Health Education Specialist, Areas of Responsibility (CHES-AOR), into their profession. It was hypothesized that students participation in a service-learning project in an undergraduate health and wellness course would be more willing, confident, and perceive it as more important to apply the CHES-AOR within their chosen health profession. Methods: Missouri State University students registered in the fall 2018, undergraduate Health and Wellness service-learning course (KIN-350-001), completed an online survey at the beginning and the end of the semester. Seven questions were …

Strategies For Patient Engagement In A Self-Management Program For Adults With Diabetes, Carolinee Jokotola Ogungbayi

Walden Dissertations and Doctoral Studies

Patients' lack of adherence to diabetes self-management education and support (DSMES) recommendations is a challenge for healthcare. One approach to addressing patient noncompliance with DSMES is through education of staff on current guidelines. In an outpatient facility in South Texas, staff training on current DSMES guidelines was recommended as one of the solutions to the problem of Type 2 diabetes mellitus (T2DM) complications observed among clinic patients. An educational module was created to increase staff knowledge on T2DM and to assist staff members in teaching patients to self-manage T2DM. The module was built on the self-management and health promotion models, …

Meaning And Hope In Health Behavior Change: An Examination Of Health Coaching For Individuals With Disabilities, Krys Standley

Graduate Student Theses, Dissertations, & Professional Papers

Introduction:In an effort to expand the reach of health-promotion efforts for people with disabilities, a one-on-one health promotion intervention titled Health My Way was piloted. This intervention incorporated health coaching and health-promotion curriculum designed specifically for people with disabilities.

Purpose:The intervention was evaluated for its effects on health behavior change. Additionally, personal sense of meaning and hope were examined as potential mechanisms of influence in the hypothesized behavior change process.

Methodology:A convergent-parallel mixed-methods research design was used to examine the research questions. Pre- and post-intervention surveys were used to evaluate changes in levels of meaning, hope, and …

Impact Of A Hand Hygiene Curriculum And Group Handwashing Station At Two Primary Schools In East Africa, Stephanie Pasewaldt

Senior Honors Projects, 2010-2019

Handwashing drastically reduces the transmission of deadly, preventable diseases. Schools, even those with limited resources, have the power to promote handwashing through simple, effective interventions. This study evaluated the impact of a school-based handwashing program consisting of two interventions: a hand-hygiene curriculum and group handwashing station. Mixed quantitative and qualitative pre/post intervention surveys were administered to students at one primary school in Kenya (n=38) and at one primary school in Uganda (n=57). Identical procedures were followed at each school. Paired t-tests for pre/post-surveys demonstrated an increase in students’ knowledge (p

Exploring Physical Activity And Screen-Viewing Policies In Canadian Childcare Centres, Emily C. Ott

Electronic Thesis and Dissertation Repository

This study aimed to explore the presence and characteristics of physical activity and screen-viewing regulations in Canadian childcare centres. Using a modified version of the Environment and Policy Assessment and Observation Self-Report tool (EPAO-SR), an online survey was distributed to childcare directors/administrators. A total of 1,290 childcare representatives accessed the survey, 514 provided complete data. Of these, 295 (44%) centres indicated having a written physical activity policy (with the majority regulated at the provincial-level). Characteristics of these policies included amount of time: spent outdoors (395; 63%); in teacher-led active play (101; 16%); and physical activity education for children (91; 16%). …

Assessing Physical Activity And Sedentary Time In The Early Years, Leigh M. Vanderloo

Electronic Thesis and Dissertation Repository

The overall purpose of this dissertation was to explore young children’s (18 months to 5 years) physical activity and sedentary time. Study 1 assessed the physical activity and sedentary time among a sample of toddlers from London, Canada using two data processing approaches. Study 2 explored the impact of three different early learning environments, and their respective characteristics (e.g., staff behaviours, equipment, sedentary opportunities, etc.), on preschoolers’ activity levels. Study 3 examined differences in two popular accelerometers used to measure young children’s physical activity and sedentary time to better understand measurement discrepancies.

Study 1 revealed that toddlers engaged in 37.27 …

A Gender-Sensitized Weight Loss And Healthy Lifestyle Program For Overweight And Obese Male Hockey Fans: Effects On Dietary Behaviours, Ashleigh De Cruz

Electronic Thesis and Dissertation Repository

BACKGROUND: Male dietary behaviours have often been associated with overweightness and obesity. Although little research exists to help prevent the problem, this can somewhat be explained by the lack of men engaging in healthy eating and lifestyle change. A gender-sensitized intervention study using hockey as a draw to participate may positively change dietary behaviours and associated health outcomes. METHODS: A 12 week, 12 session, weight loss and healthy lifestyle intervention program was conducted in which overweight and obese male fans of a local hockey team were coached to adopt healthy eating and lifestyle behaviour changes in collaboration with …

The Role And Impact Of School Nurses And Intentions To Delegate Diabetes-Related Tasks Amidst Budget Cuts And Legislative Changes, Michelle J. Lineberry

Theses and Dissertations--Kinesiology and Health Promotion

As the percentage of school children with chronic conditions such as diabetes continues to rise, funding for school nurses to keep those students healthy and safe is decreasing. This dissertation includes three studies: (1) a systematic review of the literature on the role and impact of American elementary school nurses, (2) a focus group study that further examined the role of Kentucky school nurses and described their reaction to a new regulation that necessitates delegation of diabetes-related nursing tasks to unlicensed assistive personnel (UAP), and (3) a quantitative study that examined Kentucky school nurses’ past behaviors and future intentions regarding …

Understanding How Young People Experience Risk With Online-To-Offline Sexual Encounters: A Second Qualitative Phase For The Ch@T Project, Elizabeth Vp Marwah

USF Tampa Graduate Theses and Dissertations

This study investigates how heterosexual young people understand and manage risks related to meeting sexual partners online in the United States. The purpose of this study is to help inform the development of culturally-appropriate sexual risk communication and health promotion messages for young people by linking public health knowledge of adolescent sexual health and eHealth with anthropological theories of risk. With qualitative data from two rounds of semi-structured interviews and two group interviews with university students in central Florida, this study shows how young people experience and prioritize more social-emotional risks in meeting online-to-offline sexual partners compared to physical risks. …

Exploring Mothers' Influence On Preschoolers' Physical Activity Levels And Sedentary Time, Alana M. Maltby

Electronic Thesis and Dissertation Repository

Physical activity (PA) patterns continue from childhood into adulthood; therefore, establishing healthy PA levels early is imperative. Mothers have been identified as influencing preschoolers’ activity behaviours; however, a holistic exploration of maternal influence is lacking. The purpose of this study was to explore maternal influence on preschoolers’ PA and sedentary time. Preschoolers (n = 30) and their mothers wore ActicalTM accelerometers, and mothers completed the adapted Environmental Determinants of Physical Activity in Preschool Children - Parent Survey. Direct entry regression analyses were conducted to explore maternal influence (e.g., support, enjoyment) on preschoolers’ activity levels. Maternal support was a significant predictor …

Factors Associated With Success In Pare Testing Among Rcmp Officers, Robert Andre Seguin

Electronic Thesis and Dissertation Repository

The purpose of this integrated article dissertation was to examine the predictive factors for success in the RCMP’s Physical Abilities Requirement Evaluation (PARE) in a retrospective observational study of 13, 709 unique records and a divisional subset of 620 for study two and three. Study one assessed the relative predictive power of the pursuit and body control times, while including covariates of height, weight, age. Significant (p< 0.05) and equally strong effects were for pursuit log odds (LO) of 2.95% CI [2.49, 3.11], and body control time LO of 2.80, 95% CI [2.51, 3.14] with a weak predictor , LO of 0.53, 95% CI [0.38, 0.72]. Not significant were height, weight, and sex with 99 % modeling accuracy.

Study two compared sex and performance factors on six repeated PARE pursuit circuit laps for pacing for both divisional data (535 men, 85 women) and 61 age and BMI matched male/female pairs. …

The Role Of Kentucky State-Supported Postsecondary Education In Creating A Healthier Citizenship, Julia K. Buchanan

Theses and Dissertations--Educational Leadership Studies

Citizens within the United States of America (USA) and the Commonwealth of Kentucky exhibit indicators of lessened health status in a variety of areas. Many chronic diseases and conditions are due to individual lifestyle behaviors, which can be modified through the implementation of dedicated health and wellness programming. Such programs, often housed within institutions of higher education, have the ability to impact many individuals including students, faculty, staff, and community members. This dissertation is a report of a mixed-methods study that begins to explore how state-supported postsecondary institutions may be able to impact individual behavior and thus, resulting health outcomes. …

The Mediating Role Of Dietary Patterns On The Relation Between Acculturation, Psychosocial Factors, And Cardiovascular Disease Risk Factors In The U.S. - Mexico Border, Ximena Burgos

Open Access Theses & Dissertations

Chronic diseases affect both, developed and developing countries around the world. In the U.S., cardiovascular diseases (CVD) are the leading cause of death for all groups including Hispanics (Heron, 2009). Hispanics are disproportionally affected by CVD and experience risk factors at higher rates than non-Hispanic whites (Swenson, 2002). Although CVD are among the most expensive and widespread health problems, they are among the most preventable. Evidence shows that diet plays a very important role in the development of chronic diseases; current dietary changes are partially responsible for the increasing epidemic of chronic diseases worldwide. It is well established that the …

Smokers' Neurological Responses To Imagery From Cigarette Package Warning Labels, Johann Fridrik Fridriksson

Theses and Dissertations

Tobacco use is the leading cause of preventable death in the United States. The Family Smoking Prevention and Tobacco Control Act was signed into law in 2009 and gave the U.S. Food and Drug Administration (FDA) the authority to implement pictorial health warning labels (HWLs) on cigarette packages. Multiple studies investigating self-reported affective, cognitive and behavioral impacts of HWLs suggest that the most effective warnings include imagery that depicts physical damage to the body due to smoking. However, self-report methods of assessment used in these studies may be biased. Far less is known about how HWLs directly modulate brain activity. …

The Effectiveness Of Health Education Materials In Influencing Hiv Testing Behavior: The Unlv-Siphi Study, Rebecca Tsegay

UNLV Theses, Dissertations, Professional Papers, and Capstones

The UNLV-SIPHI (Sexual Health Internet-Based Public Health Intervention) Study focused on HIV prevention by improving HIV testing behavior through the development and dissemination of health education materials. The goal of the UNLV-SIPHI Study was to develop effective, custom-made HIV health education materials that promote the knowledge, intention and practice of HIV testing among UNLV students. The UNLV-SIPHI Study was conducted during Spring 2012 semester in selected UNLV undergraduate classes. An online quasi-randomized-control trial (RCT) was used to measure the difference in HIV testing behavior contributing factors among students exposed to the health education materials. Several nonparametric tests were used to …

The Influence Of The Childcare Environment On Physical Activity Among Preschool-Aged Children: A Feasibility Study, Leigh M. Vanderloo

Electronic Thesis and Dissertation Repository

This study sought to: (1) measure moderate-vigorous physical activity (PA) levels of a sample of preschoolers; (2) assess which attributes (e.g., space, equipment, policies) within centre-based childcare environments influence PA; and, (3) pilot the methodology to ensure the feasibility of undertaking a full-scale study. Thirty-one preschoolers from five childcare centres across London, Canada participated. Actical® accelerometers were worn by participants for one day during childcare hours to assess activity levels using a 15-second epoch length. The Environment and Policy Assessment and Observation instrument was used to conduct a full-day evaluation of the childcare environment. On average, participants engaged in 11.45 …

The Relationship Between Self-Directedness And Health Promotion In The Elderly, Barbara L Hulsman

Doctoral Dissertations

With the number of people living longer and with more chronic problems, it is important that health educators examine who they are educating as well as the methods and circumstances of the education. The purpose of this study was to identify the relationship between self-directedness and health promotion in the elderly. A convenience sample of 108 elders who use Senior Centers in rural East Tennessee comprised the study group. The sample was asked to complete the Self-Directed Learning Readiness Scale, the Health Promoting Lifestyle Profile II, and a demographic information survey at a regular meeting of a Senior Center. A …

Walk To Jerusalem: Facilitating Physical Activity In A Faith Community, Lisa Schmidt

Master's Theses and Doctoral Dissertations

Obesity and physical inactivity are on the rise in our society today. Combined with poor eating habits, many Americans are overweight or obese. Churches have become important settings for providing health education programs, especially for African-American populations. There have been mixed results from faith-based physical activity studies, and few have been conducted with Caucasian populations. The present study used the Walk to Jerusalem program as a motivational tool within a Caucasian faith-based setting. The objectives were to increase physical activity, decrease blood pressure and weight, if needed, and improve attitude toward physical activity. The primary objective of the project was …