Medicine and Health Sciences Commons^™

Motivational Interviewing Via Co-Active Life Coaching Intervention For Women Seeking A More Physically Active Lifestyle, Andrea M. Goddard

Electronic Thesis and Dissertation Repository

The purpose of this 12-week pre-post design pilot study was to assess the impact of Motivational Interviewing via Co-Active Life Coaching (MI-via-CALC) on exercise-specific self-efficacy, barrier-specific self-efficacy, self-esteem, and 12-week study duration engagement in physical activity (PA) for 25 women between the ages of 30 and 55 years. Participants were assessed quantitatively using the previously validated McAuley Exercise-Specific Self-Efficacy Scale (EXSE), McAuley Barrier-Specific Self-Efficacy Scale (BARSE), Rosenberg Self-Esteem Scale (RSES), and International Physical Activity Questionnaire (IPAQ-SF) at pre-, mid-, and post-intervention. Four one-way repeated measures ANOVAs were completed for each scale, and statistically significant differences in barrier-specific self-efficacy were detected …

An Examination Of Factors That Influence Health Behaviors Among Low Income African American Women With Type 2 Diabetes In Memphis, Tn: A Qualitative Inquiry Using Mixed Methods, Adole Muruako

Theses and Dissertations (ETD)

Obesity and type 2 diabetes are increasing health concerns in the United States, particularly among women and minorities. Generally, research has highlighted the health disparities that exist among African American women, especially as these disparities relate to obesity and type 2 diabetes. In Memphis, TN, the ZIP codes of 38106 and 38109 have the highest rates of diabetes hospitalizations in the city. Further, African American women in Memphis, TN have been identified as being most vulnerable to experiencing a potentially avoidable hospitalization due to chronic disease. The purpose of study was to identify factors that may impact African American overweight/obese …

Primary Care Assessment And Interventions To Improve Physical Activity Among Insufficiently Active Adults Ages 18 Through 64 Years Old, Thomas A. Sanchez

Doctoral Dissertations

A number of chronic and debilitating conditions such as cardiovascular disease, stroke, hypertension, anxiety, depression, pain, osteoporosis, and falls are known to be delayed, improved, or prevented by increasing physical activity (PA) levels. The numbers of those affected form a substantial portion of the US population. As of 2011, for example, 26 million adults in the U.S. were diagnosed with diabetes mellitus (DM) alone. Another 79 million people had elevated blood glucose measurements putting them at risk for DM. Despite knowledge of the connection with chronic disease, PA levels are not consistently and quantitatively assessed during primary care office visits. …

An Assessment Of A 13-Week Teaching Gardens Intervention On Healthy Behavior Outcomes In 4th And 5th Grade Students At Crestwood Elementary School In Las Vegas, Nevada, Miranda Corgiat

UNLV Theses, Dissertations, Professional Papers, and Capstones

Nearly 13 million children and adolescents are considered to be obese in the United States, with children enrolled in Clark County School District showing elevated overweight and obese weight statuses compared to national averages. Carrying an excessive amount of weight can lead children to experience a multitude of complications with their physical and mental health as well as increase their risk of developing various chronic diseases. The American Heart Association's Las Vegas Teaching Gardens program implemented a school-based garden pilot study to target environmental causes of obesity in 4th and 5th grade students at Crestwood Elementary School. The objective of …

Application Of The Transtheoretical Model: Assessing Exercise Behavior In African Americans In A Church-Based Setting, Robin Marie White

UNLV Theses, Dissertations, Professional Papers, and Capstones

Sedentary behavior rates are higher among African-American men and women than in other American races and ethnicities, placing them at greater risk for chronic illness. Routine physical activity reduces the risk of chronic health problems such as: (a) overweight and obesity, (b) type 2 diabetes, (c) hypertension, (d) coronary artery disease, (e) stroke, (f) congestive heart failure, and (g) cancers. Assessment of African-Americans' exercise attitudes in a church-based setting may provide information with which to develop effective interventions to improve physical activity. This descriptive, cross-sectional study used components of the Transtheoretical Model (TTM) to assess whether any associations exist between …

Stress And Depression During Pregnancy Among Hispanic Women: Risk For Adverse Birth Outcomes And The Role Of Physical Activity, Kathleen Szegda

Doctoral Dissertations

Preterm birth and low birth weight are among the leading causes of infant mortality and morbidity in the United States. Puerto Rican women are at increased risk for these adverse birth outcomes and elevated levels of depression and psychosocial stress during pregnancy when compared to non-Hispanic Whites. Therefore, it is important to understand whether these psychological factors increase risk for these adverse birth outcomes and mechanisms to prevent/reduce depression in this high-risk population. The first study of this dissertation examined associations between perceived stress during pregnancy and preterm birth, low birth weight, and birth of a small-for-gestational age infant (SGA) …

The Role Of Sleep Timing On Diet Quality And Physical Activity Among College-Aged Women Participating In The University Of Massachusetts Vitamin D Status Study, Deniz Azarmanesh

Masters Theses

Overweight and obesity are risk factors for various chronic diseases. Sleep has been associated with overweight and obesity. One potential mechanism by which sleep may lead to overweight and obesity is through positive energy balance (i.e. energy intake exceeding expenditure). There are few studies examining the impact of sleep timing (onset and wake time) on diet and exercise. In a cross sectional study, we examined associations between sleep timing and diet quality, and in separate models, between sleep timing and meeting the 2008 Physical Activity Guidelines for Americans among the participants of the UMass Vitamin D Status Study. A total …

Home And Workplace Built Environment Supports For Physical Activity, Deepti Adlakha, J. Aaron Hipp, Christine M. Marx, Yang Lin, Rachel Tabak, Elizabeth A. Dodson, Ross C. Brownson

Brown School Faculty Publications

Background: Physical inactivity has been associated with obesity and related chronic diseases. Understanding built environment (BE) influences on specific domains of physical activity (PA) around homes and workplaces is important for public health efforts and interventions to increase population PA. Purpose: To examine the association of home and workplace BE features with PA occurring across specific life domains (work, leisure, and travel). Methods: Between 2012 and 2013, telephone interviews were conducted with participants in four Missouri metropolitan areas. Questions included sociodemographic characteristics, home and workplace supports for PA, and dietary behaviors. Data analysis was conducted in 2013; logistic regression was …

Shu To Launch “Go Play!” Parks Passport Program In Bridgeport, Anna E. Price

Anna E. Greer

Sacred Heart University, joined by the Bridgeport Parks and Recreation Department and Bridgeport libraries, will host a kickoff event for a new community program to promote physical activity and park use among Bridgeport families.

Comprehensive School Physical Activity Programs: Characteristics Of Trained Teachers, Erin E. Centeio, Heather Erwin, Darla M. Castelli

Kinesiology, Health and Sport Studies

As public health concerns about physical inactivity and childhood obesity continue to rise, researchers are calling for interventions that comprehensively lead to more opportunities to participate in physical activity (PA). The purpose of this study was to examine the characteristics and attitudes of trained physical education teachers during the implementation of a Comprehensive School Physical Activity Program at the elementary level. Using a collective case study design, interviews, observations, field notes, open-ended survey questions, and an online forum monitoring guided the interpretation of teacher perceptions and development of emergent themes. Qualitative data analysis was conducted for each individual teacher and …

The Kuala Lumpur Qigong Trial For Women In The Cancer Survivorship Phase-Efficacy Of A Three-Arm Rct To Improve Qol, Siew Yim Loh Assoc Prof

Siew Yim Loh

Background: Qigong is highly favoured among Asian breast cancer survivors for enhancing health. This study examined the hypothesis that quality of life (QoL) in the Qigong group is better than the placebo (aerobic) or usual care group. Materials and Methods: A total of 197 participants were randomly assigned to either the 8-week Kuala Lumpur Qigong Trial or control groups in 2010-2011. Measurement taken at baseline and post-intervention included QoL, distress and fatigue. Analysis of covariance (ANCOVA) and Kruskal Wallis were used to examine for differences between groups in the measurements. Results : There were 95 consenting participants in this 8week …

Move More Mommy: A Web-Based Physical Activity Intervention For Postnatal Women (Pilot Study), Sarah Gray

Electronic Thesis and Dissertation Repository

Despite the many benefits of physical activity, postnatal women are not currently meeting Health Canada Guidelines of 150 minutes per week of moderate-vigorous physical activity. This study, Move More Mommy, used a mixed methods design to test the feasibility and acceptability of a web-based intervention combined with a group mediated cognitive behavioural approach, and it’s effectiveness to increase physical activity, self-efficacy, and group cohesion among postnatal women. Participants received an 8-week intervention delivered through 8 group exercise classes and a purpose built website. From baseline to post-intervention, participants significantly increased self-reported physical activity levels and group cohesion. Objectively measured physical …

Understanding The Relationship Between Health Locus Of Control And God Locus Of Health Control And Health Behaviors In College Students Through Mediation Analysis, Joni Deann Marr

Theses and Dissertations

Background: Similar to the general population, college students have high rates of overweight/obesity and low rates of physical activity (PA) and healthy nutrition habits. Internal health locus of control (LOC) and religiosity/spirituality have been associated with positive health behaviors in various populations, but the mechanisms explaining these associations are still unclear. Purpose: The goals of this study were to understand the relationship between both health LOC and God locus of health control (independent variables) and PA, fruit and vegetable intake (FVI) and dietary fat intake (dependent variables) of college students through mediation analysis. Self-efficacy, social support, congregational social support and …

Comparison Of Dual- And Tri-Axial Accelerometer Accuracy, Lindsay Powell Toth

Masters Theses

The purpose of this study was to investigate the accuracy of the Omron HJ-720ITC and the Fitbit Zip activity monitors with regard to step count, energy expenditure, and distance traveled measurements. The importance of this research rests in the success rates of pedometer-based physical activity interventions which have been shown to increase physical activity while also enabling weight loss and lowering blood pressure in the adult population. Activity monitors available for retail sale must be found accurate for proper participation in exercise interventions especially low-cost devices as used in this study.

In order to test the accuracy of the Omron …

Psychosocial Food-Related Behavior And Food Intake Of Adult Main Meal Preparers Of Food For 9-10 Year-Old Children Participating In Icook, A Five-State Childhood Obesity Pilot Prevention Study, Ashley A. Miller

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Understanding adult outcomes of programs aimed at childhood obesity prevention is necessary because parents/caregivers are the most important influence on a child’s physical activity and eating habits. Based on the principles of the social cognitive theory, the iCook 4-H pilot study taught dyads consisting of 9-10 year-old children and their primary meal preparers cooking skills, healthy shopping and meal habits, and easy ways to incorporate physical activity as a family. The program took place in five states, Maine, Nebraska, South Dakota, Tennessee, and West Virginia. In each state, adult-youth dyads (n = 54) were recruited by 4-H programs and nutrition …

Oceano Community Health Plan, Eugene Phillip Brennan

Master's Theses

ABSTRACT

Oceano Community Health Plan

Phillip Brennan

Recent, mounting research shows that chronic disease, the leading causes of death and primary driver of health care costs, cannot be effectively addressed through education or preventative health alone. A physical environment that promotes health—through access to healthy food, opportunities for physical activity, quality housing, transportation options, and safe schools—is an integral part of making our communities healthier. This research and accompanying Healthy Community Plans will serve as a way for the County to begin looking in-depth at the ways the built environment (our streets, parks, and neighborhoods) contribute or detract from the …

Research Brief: "The Impact Of Sport And Physical Activity On The Well-Being Of Combat Veterans: A Systematic Review", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the influence that sports and exercise have on veterans' well-being and therapies that impact the well-being of combat veterans. In policy and practice, healthcare practitioners should prepare comprehensive treatment models that encompass physical activity and sports where appropriate, and support groups should encourage veterans to participate in competitive sports or other recreational activities; the DoD could expand programs to provide sports to more disabled combat veterans and the VA should re-evaluate its programs to ensure there are no barriers to participation. Suggestions for future research include studying the effects of sports and exercise on the well-being …

Use Of Emerging Technologies To Assess Differences In Outdoor Physical Activity In St. Louis, Missouri, Deepti Adlakha, Elizabeth L. Budd, Rebecca Gernes, Sonia Sequiera, J. Aaron Hipp

Brown School Faculty Publications

Introduction: Abundant evidence shows that regular physical activity(PA) is an effective strategy for preventing obesity in people of diverse socioeconomic status (SES) and racial groups. The proportion of PA performed in parks and how this differs by proximate neighborhood SES has not been thoroughly investigated. The present project analyzes online public web data feeds to assess differences in outdoor PA by neighborhood SES in St. Louis, MO,USA. Methods:First, running and walking routes submitted by users of the website MapMyRun.com were downloaded. The website enables participants to plan, map, record, and share their exercise routes and outdoor activities like runs, walks, …

Predictors Of Hospitalization Among Newly Admitted Skilled Nursing Facility Residents: Rethinking The Role Of Functional Decline, Sun J. Kim, Joo H. Lee, Shunichi Nakagawa, Elizabeth Bukowy, Ankoor Biswas, Boram Han, Yeilim Cho, Hyun Phil Shin, Ji Won Yoo

Journal of Patient-Centered Research and Reviews

Purpose: Hospital transfer from a skilled nursing facility (SNF) is costly, and many are potentially preventable. This study examines: 1) whether functional decline is a predictor of hospital transfer, and 2) the magnitude of relationships between predictors (functional impairment and chronic medical illness) and hospital transfer from SNFs.

Methods: We used Minimum Data Set (MDS) Version 2.0 in the state of Michigan between 2007 and 2009. In total, 196,662 new SNF admissions were observed. Multilevel generalized estimating equations and regression models were performed for each functional and clinical domain while adjusting for demographic variables and change in activities of daily …

The Benefits Of Neighborhood Racial Diversity: Neighborhood Factors And Its Association With Increased Physical Activity In Acs Patients, Ellen-Ge Denton, Philip Green, Jonathan Newman, Ye Siqin, Karina W. Davidson, Joseph Schwartz

Publications and Research

Regular physical activity reduces the risk of adverse events after an acute coronary syndrome (ACS) [1]. Physical activity level is influenced by neighborhood factors such as racial diversity in the general population [2,3], but the impact of neighborhood factors on physical activity after an ACS is unknown. We therefore prospectively evaluated the relationship of post-ACS physical activity assessed by continuous activity monitors with neighborhood characteristics, including ethnic density, income, female headed households, and racial diversity, in patients enrolled in the Prescription Use, Lifestyle, and Stress Evaluation (PULSE) Study.

Diet And Exercise Interventions Following Coronary Artery Bypass Graft Surgery: A Review And Call To Action, Garrett N. Coyan, Katherine M. Reeder

College of Nursing Faculty Publications

Coronary artery bypass graft (CABG) surgery has been used for the treatment of coronary artery disease (CAD) for approximately 50 years, and has been performed on millions of people globally. However, little is known about the impact of diet and exercise on long-term outcomes of patients who have undergone CABG surgery. Although clinical practice guidelines on the management of this patient population have been available for approximately 2 decades, evidence regarding secondary prevention behavioral interventions, lifestyle modifications and self-management to slow the progressive decline of CAD, reduce cardiac hospitalizations, and prevent reoperation remains virtually absent from the literature. Diet and …

Factors Associated With Physical Activity In Kindergarten Children, Carol Hammonds

Dissertations & Theses (Open Access)

Background: Reversing obesity is an urgent public health need for children: worldwide, in 2011 more than 40 million children under the age of five were either overweight or obese. Increasing intensity and duration of physical activity is a strategy to aid in preventing and reducing obesity. A minimum of 60 minutes per day of moderate to vigorous physical activity is recommended for children. School settings, such as full-day kindergarten, where 74% of children in the United States are enrolled, provide opportunities for population-based interventions to increase physical activity, yet little objective data exist on current levels of physical activity in …

The Impact Of The Ohana Mana Challenge On Native Hawaiian And Pacific Islander Children, Kristin Kay Van Tassell

Theses and Dissertations

In this four-week, family-focused pilot intervention study, researchers studied the impact of culturally relevant nutrition and activity sessions on eleven children from eight Native Hawaiian and Pacific Islander (NHPI) families. Mixed methods were used in analysis. In their favorite meal drawings, children included more fruits and vegetables at week four than week one, which was consistent with their self-reported intake of healthy foods that were new to them. From week one to four, mean total scores increased on the nutrition and exercise knowledge exercise questionnaire and the physical activity self-efficacy tool; however, the mean total score decreased on healthy diet …

Soccer Participation And Youth Obesity In The United States, Lee Schober

Chancellor’s Honors Program Projects

No abstract provided.

Physical Activity Helping To Reduce Depression, Ellen Margaret Bier

Chancellor’s Honors Program Projects

No abstract provided.

Preventing The Progression Of Prediabetes To Type 2 Diabetes Mellitus Through Increasing Physical Activity And Healthy Diet, Peyton Hannon, Hayley Blackburn, Ella Kinsinger, Rachel Meeker

The Research and Scholarship Symposium (2013-2019)

Background: Health care professionals have started to diagnose patients as prediabetic in efforts to monitor and intervene in the disease process of diabetes before the person reaches the complete diagnosis of diabetes. Specific interventions such as, physical activity and diet, are considered to be major contributing factors in reducing the progression of diabetes and potentially reversing the process of this disease.

Purpose: The purpose of this paper is to compare the effectiveness of diet modification versus increased physical activity during the prediabetic phase in reducing the progression to Type 2 diabetes.

Methods: A literature review was conducted using sources written …

Physical Activity Informational Websites: Accuracy, Language Ease, And Fear Appeal, Samantha Rose Paige

Open Access Theses

Introduction. Health information is one of the most common searches on the Internet. Literature supports that, in general, health information readily available to Internet consumers is not accurate, lacks plain language for ease of understanding, and does not incorporate behavior-change theoretical frameworks. The purpose of this study was to evaluate each of these components. Method. Three keywords, "physical activity," "exercise," and "fitness," were entered into four popular search engines: Google, Bing, and Yahoo. The first 5 result pages were considered, totaling a sample of 493 websites. After exclusionary criteria, 102 websites were reviewed and analyzed with guidance from ACSM recommendations, …

Health, Wellness, And The Pursuit Of Happiness: Common Ground For Adults With Cerebral Palsy And Modern Physical Therapists, Lisa Blumberg, Mary E. Gannotti, Diana J. Larocco, Yvette Blanchard

Physical Therapy Faculty Publications

Health, wellness, and happiness are important long-term goals for adulthood, especially for children with cerebral palsy (CP). Physical therapists (PTs) can assist individuals with CP realize these goals; however it requires PTs to have a greater understanding of how to apply impairment, functional, or contextual interventions to meet these goals. A critical gap in knowledge exists about perceptions of happiness and health priorities of adults with CP. The purpose of this paper is to describe the beliefs, feelings, and perceptions of happiness and health of adults with CP as compared to adults without CP, specifically PTs.

Exploring The Energy Link Between Emotion Regulation At Work And Health Behaviors, Ryan Christopher Johnson

USF Tampa Graduate Theses and Dissertations

The present study explores the process through which the regulation of emotions at work, also known as emotional labor, depletes self-regulatory resources, specifically energy, and distally impacts health behaviors in the form of less physical activity and more unhealthy eating. Differences in relationships between two forms of emotional labor, surface acting and deep acting, as well as differences between psychological and physical energy depletion, are explored. Additionally, the roles of trait mindfulness and future temporal focus are examined as between-individual differences moderating the proposed relationships.

Multi-level analysis of daily diary data collected from participants (N = 108 participants) over ten …

Can Exercise Ameliorate Treatment Toxicity During The Initial Phase Of Testosterone Deprivation In Prostate Cancer Patients? Is This More Effective Than Delayed Rehabilitation?, Robert Newton, Dennis Taaffe, Nigel Spry, Prue Cormie, Suzanne Chambers, Robert Gardiner, David Shum, David Joseph, Daniel Galvao

Prue Cormie

Background: There has been substantial increase in use of androgen deprivation therapy as adjuvant management of prostate cancer. However, this leads to a range of musculoskeletal toxicities including reduced bone mass and increased skeletal fractures compounded with rapid metabolic alterations, including increased body fat, reduced lean mass, insulin resistance and negative lipoprotein profile, increased incidence of cardiovascular and metabolic morbidity, greater distress and reduced quality of life. Numerous research studies have demonstrated certain exercise prescriptions to be effective at preventing or even reversing these treatment toxicities. However, all interventions to date have been of rehabilitative intent being implemented after a …