Medicine and Health Sciences Commons^™

Translating Evidence-Based Guidelines Into Practice—Are We Getting It Right? A Multi-Centre Prospective International Audit Of Nutrition Care In Patients With Foregut Tumors (Inform), Merran Findlay, Judith D. Bauer, Rupinder Dhaliwal, Marian De Van Der Schueren, Alessandro Laviano, Adrianne Widaman, Lisa Martin, Andrew G. Day, Leah M. Gramlich

Faculty Research, Scholarly, and Creative Activity

Malnutrition is highly prevalent in patients with foregut tumors comprising head and neck (HNC) and esophageal (EC) cancers, negatively impacting outcomes. International evidence-based guidelines (EBGs) for nutrition care exist; however, translation of research evidence into practice commonly presents considerable challenges and consequently lags. This study aimed to describe and evaluate current international nutrition care practices compared with the best-available evidence for patients with foregut tumors who are at high risk of malnutrition. A multi-centre prospective cohort study enrolled 170 patients commencing treatment of curative intent for HNC (n = 119) or EC (n = 51) in 11 cancer …

Initiating A Geriatric Clinical Practicum In The Midst Of A Pandemic, April Wood

Faculty Research, Scholarly, and Creative Activity

No abstract provided.

Impact Of Mass Distribution Of Long-Lasting Insecticidal Nets (Llins) In Mozambique, 2011 To 2025: Retrospective And Prospective Modelling Of Child Mortality And Lives Saved, Erica Wetzler, Jorge A. H. Arroz, Chulwoo Park, Marta Chande, Figueiredo Mussambala

Faculty Publications

No abstract provided.

Doulas In The U.S.: State Of Science – Can Nursing Students Help Support Laboring Women And Reduce Health Disparities? A Literature Review, Miah Arechiga

McNair Research Journal SJSU

No abstract provided.

Full Issue

McNair Research Journal SJSU

No abstract provided.

Message Appeals On An Instagram Account Promoting Seat Belt Use That Attract Adolescents And Young Adults: Elaboration-Likelihood Perspective Study, Ni Zhang, Stacy A. Drake, Kele Ding

Faculty Research, Scholarly, and Creative Activity

Background:
Adolescents and young adults demonstrate the highest rate of unrestrained motor vehicle fatalities, making the promotion of seat belt restraint a priority for public health practitioners. Because social media use among adolescents and young adults has proliferated in recent years, it is critical to explore how to use this tool to promote seat belt use among this population. Social media posts can contain various types of information within each post and this information can be communicated using different modalities.
Objective:
In this study, based on the elaboration likelihood model, we aimed to examine how adolescents and young adults reacted …

Mindful Matters: Addressing Barriers To Classroom-Based Mindfulness, Kirsten Munk

Doctoral Projects

A growing body of research suggests that incorporating classroom-based mindfulness interventions in elementary schools is associated with improvements in student behavior, self-regulation, and measures of mental health. However, the adoption of teacher-led mindfulness programs in California’s public schools has not been widely embraced. This doctoral project explored the impact of an educational intervention on pre-service teachers’ perceptions, attitudes, and intentions to implement mindfulness interventions in their classrooms. A brief educational intervention and website resource were provided to multidisciplinary teaching credential students in a 2-year graduate credential program. Participants completed a pre- and post-intervention survey to evaluate their intentions to implement …

Structurally Vulnerable Neighbourhood Environments And Racial/Ethnic Covid-19 Inequities, Rachel L. Berkowitz, Xing Gao, Eli K. Michaels, Mahasin S. Mujahid

Faculty Research, Scholarly, and Creative Activity

Preliminary evidence indicates that the experience of the novel coronavirus is not shared equally across geographic areas. Findings in the United States suggest that the burden of COVID-19 morbidity and mortality may be hardest felt in disadvantaged and racially segregated places. Deprived neighbourhoods are disproportionately populated by people of colour, the same populations that are becoming sicker and dying more often from COVID-19. This commentary examines how structurally vulnerable neighbourhoods contribute to racial/ethnic inequities in SARS-COV-2 exposure and COVID-19 morbidity and mortality and considers opportunities to intervene through place-based initiatives and the implementation of a Health in All Policies strategy.

Towards Greater Transparency In Neurodevelopmental Disorders Research: Use Of A Proposed Workflow And Propensity Scores To Facilitate Selection Of Matched Groups, Janet Y. Bang, Megha Sharda, Aparna S. Nadig

Faculty Research, Scholarly, and Creative Activity

Background
Matching is one commonly utilized method in quasi-experimental designs involving individuals with neurodevelopmental disorders (NDD). This method ensures two or more groups (e.g., individuals with an NDD versus neurotypical individuals) are balanced on pre-existing covariates (e.g., IQ), enabling researchers to interpret performance on outcome measures as being attributed to group membership. While much attention has been paid to the statistical criteria of how to assess whether groups are well-matched, relatively little attention has been given to a crucial prior step: the selection of the individuals that are included in matched groups. The selection of individuals is often an undocumented …

African-American Mental Health Community: Information Needs, Barriers, And Gaps, Stephanie Jackson

School of Information Student Research Journal

This paper articulates the importance of African Americans regarding mental health: how they obtain information, lack of available resources, internal and external pressures of receiving help, and the gathering of their information from non-traditional sources in comparison to traditional. Historically, the community has faced stereotypical pressures, which they actively fight against to be viewed as equal. After segregation being abolished and many sources and organizations offering support for many different races, there is still an imbalance in what is offered and available for African Americans. A mix of current and dated studies and texts will be highlighted to discover findings, …

Associations Between Recent Intimate Partner Violence And Receipt And Quality Of Perinatal Health Services In Uttar Pradesh, Jay G. Silverman, Ruvani W. Fonseka, Nabamallika Dehingia, Sabrina C. Boyce, Dharmendra Chandurkar, Kultar Singh, Katherine Hay, Yamini Atmavilas, Anita Raj

Faculty Research, Scholarly, and Creative Activity

Background
India suffers some of the highest maternal and neonatal mortality rates in the world. Intimate partner violence (IPV) can be a barrier to utilization of perinatal care, and has been associated with poor maternal and neonatal health outcomes. However, studies that assess the relationship between IPV and perinatal health care often focus solely on receipt of services, and not the quality of the services received.
Methods and findings
Data were collected in 2016–2017 from a representative sample of women (15-49yrs) in Uttar Pradesh, India who had given birth within the previous 12 months (N = 5020), including use of …

Examining The Factors That Influence African Americans In The Midwest To Reduce Salt Intake, Ni Zhang, Emily Leary, Michelle Teti, Jon Stemmle, Natalie Hampton

Faculty Research, Scholarly, and Creative Activity

Purpose: Salt intake is associated with cardiovascular diseases that are the leading cause of death especially among African American communities in the Midwest. Interventions need to be developed to address the culture of this population to decrease the health disparities of cardiovascular disease. This study applying the Health Belief Model aims to explore the factors that are associated with the behavior of reducing salt intake among this population.
Methods: Three hundred ninety-nine African American adults participated in the telephone surveys. Logistic regression analysis was performed.
Results: We found that affective risk perception in the form of concern of salt intake …

Evaluating The Clinical Impact Of Providing Home Blood Pressure Monitors To Patients With Elevated Or High Blood Pressure, Theresa La Guardia Asmus

Doctoral Projects

Many clinicians continue to diagnose hypertension based on office-based readings, despite the 2015 United States Preventive Services Task Force recommendation for the use of home or ambulatory blood pressure monitoring to confirm the diagnosis of hypertension prior to initiating treatment. Without obtaining blood pressure readings outside of the clinic environment, it is impossible to correctly diagnose hypertension, particularly regarding masked hypertension and white coat hypertension.

Stanford Health Care implemented a quality improvement project that provided patients with a home blood pressure device to monitor out of clinic blood pressure readings. The purpose of the project was to improve clinical care …

Patient-Centered Emr Communication, Christi Lynn Camarena

Doctoral Projects

The electronic medical record (EMR) has become the standard in health care documentation. The EMR has been shown to improve the availability of medical records, provide tools to facilitate communication, and improve patient safety. Because of the absence of standardized training and EMR research, there is a gap in understanding the relationship between the EMR and the provider-patient relationship. The EMR requires the provider to use purposeful and deliberate patient-centered EMR communications behaviors to facilitate a meaningful, engaging, and educational dialogue with patients. These behaviors have been studied in physician populations and standardized tools have been developed to assist in …

Ntchs© Health Literacy Intervention Pilot Study, Genevieve Evenhouse

Doctoral Projects

This pilot study explored the effectiveness of a validated curriculum called, “Navigating the Health Care System” (NTHCSÓ) in improving the health literacy of high school-aged adolescents in response to the national call to promote knowledge and skills in all ages, and socio-economic and cultural groups to achieve healthier lives. Low health literacy has been shown to greatly affect the quality of lives, health outcomes, and health spending of individuals with and without health conditions across social demographics. High school-aged adolescents are the population of interest of this study due to their developmental milestones which allows for knowledge and skill building …

Respiratory Distress Observation Scale Implementation For Comfort Care Patients In The Acute Care Setting, Marianne Wachalovsky

Doctoral Projects

One of the most common symptoms at the end of life is respiratory distress. Respiratory distress or dyspnea is a subjective symptom and therefore challenging to assess, especially when the patient is unable to communicate. Controlling symptoms depend on the knowledge and assessment skills of the clinicians and their willingness to administer the necessary pharmacological intervention. Assessment and treatment of this symptom presented a gap in the quality of care for the patients in the hospital of the author. An exhaustive literature review established that this existed also in other clinical settings and led to the Respiratory Distress Observation Scale …

The Collaborative Health Objectives In Combatting The Effects Of Diabetic Peripheral Neuropathy (Choice): A Second Chance To Change Diabetic Destiny, Alishia A. Claibourn

Doctoral Projects

The Collaborative Health Objective in Combatting the Effects of Diabetic Peripheral Neuropathy (CHOICE); A Second Chance to Change Diabetic Destiny, is a research pilot study that will test the validity of The Diabetic Foot Book. Diabetic peripheral neuropathy (DPN) affects 60-70% of the diabetic population. The CHOICE project will use The Diabetic Foot Book, a patient education booklet, created explicitly for the DPN population. The goal of the pilot study is to evaluate the effectiveness of The Diabetic Foot Book to increase health literacy and affect behavior change in the DPN population.

Nurse Practitioners’ Perceptions Of Telehealth Behaviors, Michelle Austin

Doctoral Projects

Problem: NP’s must be proficient in the behaviors that are required for a successful patient encounter to provide the full benefit of nurse practitioner (NP) telehealth. Consequently, it is imperative for NPs to understand telehealth etiquette behaviors which include the technical and non-technical skills that are necessary for an effective NP-patient patient telehealth encounter (Haney, Kott & Fowler, 2015). Telehealth has been incorporated into healthcare delivery and its use is expanding. In the United States, it is predicted to be used by seven million patients in 2020 (US Department of Health and Human Services, 2018). Appropriate access to health care …

Willingess To Use Telehealth For Diabetes Management In The Rural Healthcare Setting, Andrew Kim

Doctoral Projects

Diabetes is a disease that has far reaching physically and financially consequences. This disease has shown to increase morbidity and mortality, along with increasing overall healthcare costs. Optimal management of diabetes may require a multidisciplinary approach across the span of multiple encounters with the diabetic patient. Considering the nature of diabetes, integration of telehealth has the opportunity to improve diabetes management by improving healthcare outcomes, along with potential cost savings. However, the use of novel technology like telehealth is only as useful if patients are willing to use it. Thus, this survey aimed to determining whether patients within a rural …

Learning Lean To Lead, Krystle Irene Guenther

Doctoral Projects

This project sought to see if training frontline nurses and physicians together in Lean methodology improved collaboration between the two disciplines while giving them the tools they need to lead change at the bedside and in their practice. A quasi-experimental pre- and post-intervention methodology was used. The intervention was six, four-hour in-person modules on performance improvement (PI). Respondents completed two surveys, the performance improvement instrument and the Professional Practice Environment Assessment Scale (PPEAS). Surveys were paired for analysis. There was a statistically significant median increase in participants confidence for all questions on the PI instrument post-intervention. Results for the PPEAS …

The Mental Health Experience Among Parents Of Children With Autism, Thao Tran

Doctoral Projects

Parents of children diagnosed with autism spectrum disorder (ASD) face challenges, stress, and mental health issues than parents of children without autism. Mental health experience of parents in underserved communities are not adequately studied. This qualitative study used a phenomenological approach to understand the mental health experience of eight parent caregivers residing in San Joaquin Valley, California. All parents reported the journey was stressful but not all parents described the point when they received the diagnosis as being more stressful than before and after the ASD diagnosis. Parents’ responses to the semi-structured interview that assesses for the degree of ambiguous …

Evaluating The Experience Of Patient And Provider Satisfaction In Participation In A Hybrid Virtual Perinatal Care Model In A Private Practice Setting, Gretchen Ann Delong Nelson

Doctoral Projects

Improving access to health care in general and to appropriate prenatal care specifically are two leading health indicators (LHI) as designated by Healthy People 2020 (U.S Department of Health and Human Services, 2010). The California Department of Public Health (CDPH) also prioritizes minimizing health disparities that prevent women from entering into prenatal health care (CDPH, 2019). In Fresno county, transportation to specialty care such as perinatal care has been identified as a barrier (CDPH, 2017). The American College of Obstetricians and Gynecologists (ACOG) and The American Academy of Pediatricians (AAP) have identified a standard of fourteen to sixteen visits for …

Hpv Knowledge, Attitudes, And Vaccination Among Hispanic/Latino College Students In The Usa, Itzel Corral Gonzalez, Wei-Chen Tung, Ho-Jui Tung, Wing Lam Tock

Faculty Publications

This study evaluated Human Papillomavirus-related knowledge and attitudes, vaccination practices, and explored associated factors among Hispanic/Latino college students in the United States of America. Using a self-administered survey, a descriptive, cross-sectional quantitative study was conducted in 2018 at colleges and universities in the United States of America. Our results indicate that Hispanic/Latino college students had a low level of HPV-related knowledge, a moderately positive attitude, and a moderate rate of HPV vaccination. Students who were in a health-related major, married/divorced, and had health insurance had greater knowledge and more positive attitudes towards HPV and its vaccines. This study is important …

2019/2020 Lrsp: Ricardo Andres Pimentel, Ricardo Andres Pimentel

Library Research Scholars Program

Decades of constant wars have produced millions of military personnel returning home after their stints protecting their country. Though many of these military members are able to fully reintegrate into society, a significant minority return with psychical and psychological difficulties. Included in this vast list of difficulties is Post Traumatic Stress Disorder (PTSD). This disorder is particularly endemic to military populations, and although numerous treatment modalities are available to veterans with PTSD, they are not all effective for every individual. Thus, numerous grassroots and private organizations have been working to pair veterans with service dogs for the treatment of PTSD. …

“This Is Something I’M Doing For Me:” The Influence Of Mexican And U.S. Culture On The Reproductive Health Decisions Of Female Adolescents Living In The San Diego/Tijuana Border Region, Vivian Maldonado, Ruvani W. Fonseka, Jay Silverman

Faculty Research, Scholarly, and Creative Activity

No abstract provided.

The Geographic Disparities In Transportation-Related Physical Activity In The United States: An Analysis Of The 2017 Nhts Data, Hongwei Dong

Mineta Transportation Institute

Research on the relationship between urbanicity and physical activity yielded mixed results despite many studies consistently showing that residents tended to undertake more transportation-related physical activity in a more urban environment. This study analyzed the 2017 NHTS data to examine the geographic disparities in physical activity, particularly transportation-related physical activity in the United States. Our analysis suggests the relationship between urbanicity and physical activity demonstrates a flat U-shape in graphed data. Residents are more physically active when they live in the areas from the two ends of the urbanization spectrum: inner cities and inner suburbs of large metropolitan areas and …

Traditional Funeral And Burial Rituals And Ebola Outbreaks In West Africa: A Narrative Review Of Causes And Strategy Interventions, Chulwoo Park

Faculty Publications

Introduction: In West Africa, traditional funerals and burials have proven main contributors to the spread of infectious diseases, such as Ebola, plague, the Marburg virus, and others. Although the World Health Organization has provided guidelines for the safe burial process after learning of the culture of the afterlife in Ebola-affected areas, little effort has been made to integrate theoretical interventions and models for changing West Africans’ funeral behavior. This research was conducted to study 1) the background of traditional burial rituals, 2) interventions to contain Ebola outbreaks in West Africa, and 3) a strategic approach to future disease outbreak in …

An Investigation Of Word Learning In The Presence Of Gaze: Evidence From School-Age Children With Typical Development Or Autism Spectrum Disorder, Janet Y. Bang, Aparna S. Nadig

Faculty Research, Scholarly, and Creative Activity

Little is understood about how children attend to and learn from gaze when learning new words, and whether gaze confers any benefits beyond word mapping. We examine whether 6- to 11-year-old typically-developing children (n = 43) and children with Autism Spectrum Disorder (n = 25) attend to and learn with gaze differently from another directional cue, an arrow cue. An eye-tracker recorded children’s attention to videos while they were taught novel words with a gaze cue or an arrow cue. Videos included objects when they were static or when they were manipulated to demonstrate the object’s function. Word learning was …

Acquisition And Development Of Verb/Predicate Chaining In Hebrew, Ruth Aronson Berman, Lyle Lustigman

Faculty Publications

The study considers development and use of verb/predicate chaining constructions by Hebrew speakers from early childhood to adolescence, based on analysis of authentic conversational and narrative corpora. Three types of constructions are analyzed, ordered hierarchically by degree of cohesivity and obligatoriness of chaining: (1) monoclausal complex predicates (the “extended predicates” of traditional Hebrew grammars); (2) coreferential interclausal predicate chaining; and (3) discursively motivated topic chaining. Relevant typological features of Modern Hebrew are reviewed as accounting for the absence of canonical clause chaining in the language (the paucity of non-finite constructions in everyday usage, absence of an uninflected basic form of …

Implementing Routine Communication About Costs Of Cancer Treatment: Perspectives Of Providers, Patients, And Caregivers, Marie Haverfield, A. E. Singer, C. Gray, A. Shelley, A. Nash, K. A. Lorenz

Faculty Publications

Objectives Rising costs in oncology care often impact patients and families directly, making communication about costs and financial impacts of treatment crucial. Cost expenditures could offer opportunities for estimation and prediction, affording personalized conversations about financial impact. We sought to explore providers’, patients’, and caregivers’ preferences towards implementing communication about cost, including when, how, and by whom such information might be provided.

Methods We conducted semi-structured phone interviews with a diverse population including 12 oncology providers, 12 patients, and 8 patient caregivers (N = 32). The constant comparative method was used to identify mutually agreed upon themes.

Results Participant groups …