Medicine and Health Sciences Commons^™

An Evaluation Of The Effectiveness Of A Simulated Classroom-Based Intervention On Concussion Rehabilitation Among Individuals With Persistent Post-Concussion Symptoms, Bedoor Alqenai

Electronic Thesis and Dissertation Repository

Although recent clinical and scientific effort has focused on the development of guidelines for post-concussion return to play/work/learn, there is still relatively little literature that addresses specific treatment methods by which this can be accomplished. Accordingly, this study investigated the effect of a 7-week simulated classroom-based intervention on the self-reporting of symptom scores among 71 individuals with persistent concussion symptoms (26 men and 45 women). All participants were provided with novel strategies for reading, writing, study skills, social communication and technology use. Self-assessment of symptoms were obtained weekly, both before and after each session of the treatment program, in an …

The Efficacy Of A Literature-Based Social Communication Intervention On Teacher Report Of Sociability For Children With Language Impairment, Mnisa Lyn Harlow

Theses and Dissertations

Recent research indicates that children with language impairment (LI) often experience difficulties with social communication. Although the empirical basis for general social communication intervention is growing, information documenting the efficacy of these interventions for children with LI remains limited. The purpose of this study was to examine the effectiveness of a social communication intervention on teacher perceptions of sociability in five elementary-aged children with LI. The intervention focused on the presentation and use of children's stories to target aspects of emotion understanding. The two sociability subscales of the Teacher Behavior Rating Scale (TBRS), impulse control/likeability and prosocial behavior, were used …

Effect Of Using Culturally Sensitive Education In Increasing Mammogram Use And Breast Cancer Awareness: African Female Immigrants, Gertrude Mumba-Kaunda

Evidence-Based Practice Project Reports

Despite the advances in medical technology, breast cancer is the most common cancer among women and is the second leading cause of death in African-American and Caucasian women in the United States. Mammography has shown to be one of the best methods to reduce late detection of breast cancer. The American Cancer Society recommends monthly self-breast examination (SBE), clinical breast examinations every 3 years, and yearly mammography starting at the age of 40. Despite the recommendations, there is still significant disparity among different racial groups, when it comes to death rates, which can be attributed to low screening rates. The …

The Effect Of Heart Failure Education On Knowledge And Readmission, Sara A. Golden

Evidence-Based Practice Project Reports

Heart Failure (HF) is a chronic progressive disease affecting over 5 million individuals with an expected increase in incidence as the population ages (Yehle & Plake, 2010). The costs associated with managing HF continue to increase and the Centers for Medicare and Medicaid Services (CMS) have attempted to identify ways to improve patient management of HF to reduce the revolving door of hospital readmissions and decrease expenditures. According to 2006 data, as many as one fourth of the Medicare beneficiaries discharged from acute care to skilled nursing facilities (SNF) were readmitted to the hospital within 30 days and the majority …

Effect Of An Emergency Nurse Heart Failure Educational Intervention, Lori Hudgens

Doctoral Projects

Background: Research indicates many nurses lack the appropriate heart failure (HF) education necessary to assist with readmission reduction efforts. Employer approved nurse HF education has resulted in improved nurse HF knowledge, and, reduced readmissions.

Problem: ED nurses require a competent knowledge of heart failure to effectively educate heart failure patients upon admission to the ED. No research has been conducted with ED nurse specific populations to assess ED nurse knowledge of heart failure, and, to determine if heart failure educational interventions increase ED nurse' HF knowledge.

Aims: To evaluate the effectiveness of an ED nurse b.eart failure educational intervention in …

Identifying And Reducing Risk Of The Female Athlete Triad In Division I Athletes, Jennifer Day

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Physically active females, or female athletes, are at risk for the condition known as the female athlete triad (Triad). The Triad is made up of three components that are distinctly separate, but intertwined: consuming inadequate energy for how much they are exercising, poor bone health, and problems with their menstrual periods. When female athletes don’t consume enough energy for how much they exercise, there can be hormonal imbalances, causing the body to conserve energy from some important functions including menstruation, and increased bone turnover resulting in a higher risk of stress fractures and early osteoporosis. Female athletes at risk for …

The National Diabetes Prevention Program An Intervention For Diabetes Risk Reduction, Kavita Batra

UNLV Theses, Dissertations, Professional Papers, and Capstones

Diabetes mellitus is among the most frequently occurring chronic conditions, affecting 28 million adults in the Nation. The Nevada diabetes prevalence rate is approaching the National average, with 1 out of 4 diabetic patients experiencing serious clinical complications. Diabetes is typically preceded by a preventable condition classified as prediabetes, in which the blood sugar level exceeds the normal level, yet not enough to be classified as Type 2 diabetes. Prediabetes increases the risk of developing diabetes within 10 years, if not effectively managed. In an attempt to help reduce this risk, the CDC recently introduced an evidence-based intervention, the National …

Implementation Of A Nursing Workload Tool To Reduce Nurse Burnout, Nicole K. Greives

Evidence-Based Practice Project Reports

Nursing burnout and workload is a complicated issue with far-reaching effects. Nursing burnout and inappropriate nursing workload have been linked to increased risk of urinary tract infection, respiratory infections, decreased patient satisfaction, decreased quality and safety of care, and increased mortality. The purpose of the project was to decrease nursing burnout on a Medical Progressive Care Unit (MPCU) by moving patients with high workloads and medical instability to a higher level of care. Within this project, Rosabeth Kanter’s Theory of Structural Power was used for the theoretical framework, and the Stetler Model guided the implementation. The intervention consisted of a …

Mcat: Development Of A Generic Mhealth Tool For Continuous Assessment, Automatic Intervention, And Analysis, A B M Kowser Patwary

Master's Theses (2009 -)

Use of mobile health (mHealth) technology for behavioral and psychological studies through continuous assessment and intervention is found to be effective. Also, the use of smartphone has increased rapidly last few years, as well as its uses for health support. mHealth research is applied for smoking cessation, motivating cancer survivors and mentoring peers for social engagement. While in most settings researchers are developing their own intervention and assessment tool for each different research. In this study mHealth research is applied and generalized across a range of applications, including smoking cessation, motivating cancer survivors and mentoring peers to improve social engagement. …

Examining The Validity Of The Preschool Kitchen Task Assessment, Christine Kim, Angelica Soltis

Dissertations, Masters Theses, Capstones, and Culminating Projects

Background and purpose. Executive function (EF) skills are necessary to set a strong foundation for play development, school readiness and social participation in young children. However, few ecologically valid assessments are available to detect potential executive function deficits in preschool aged children. The Preschool Kitchen Task Assessment (PKTA) is a new tool that measures EF in preschool aged children. The PKTA was adapted from the Kitchen Task Assessment and The Children Task Assessment by Christine Berg, Ph.D., OTR/L. This study aimed to validate the PKTA as an ecological assessment of EF in preschool aged children.

Subjects. Twenty-four typically developing children …

The Influence Of A Social Communication Intervention On The Syntactic Complexity Of Three Children With Language Impairment, Alyse Wheeler

Theses and Dissertations

Research has shown that children with language impairment (LI) exhibit difficulties with both social communication and syntax. This study analyzed the effect of a social communication intervention on syntactic development, focusing on grammatical complexity in three children with LI when enacting stories. The intervention included reading and enacting stories, playing games with picture emotion cards and journaling. Each child's mean length of terminal unit (t-unit), the number and type of subordinate clauses they produced per t-unit, and the grammaticality of their complex sentences was analyzed. While none of the children increased their mean length of t-unit or the grammaticality of …

Sedentary Behavior-Inducing Randomized Control Intervention On Various Health-Related Outcomes In Active, Young Adults, Meghan Edwards

Electronic Theses and Dissertations

An expansive body of literature has established the positive effects of physical activity on a number of health-related outcomes, including chronic disease prevention (both physiological and psychological). In addition to growing information regarding the benefits of physical activity, recent research has suggested the need to focus future studies on the effects of sedentary behavior (independent of physical activity) on one’s wellbeing. The majority of existing research on sedentary behavior, however, has used cross-sectional study designs. The few experimental studies on sedentary behavior have primarily focused on minimizing prolonged sedentary behavior among inactive individuals, rather than inducing sedentary behavior. We hypothesized …

A Comparison Of The 2013 Aha/Acc/Tos Guideline For The Management Of Overweight And Obesity In Adults To Clinical Outcomes Of A Plmm Intervention Among Hispanics, Silvia Salinas-Lopez

Open Access Theses & Dissertations

Obesity is a serious and costly condition, causing a higher prevalence of chronic diseases and having an average medical cost of $1,430 higher than non-overweight patients (Finkelstein, Trogdon, Cohen, & Dietz, 2009). With more than two thirds of U.S. adults suffering from overweight or obesity, health organizations have recognized the disease as a threat to the well-being of the nation. In 2013, the American Health Association (AHA) and the American College of Cardiology (ACC) among other stakeholders developed a set of guidelines and recommendations for primary health providers in order to reduce overweight, obesity and concomitant conditions (Jensen et al., …

A Brief But Intensive Language-Literacy Intervention For An Adolescent, Minako I. May

Graduate Student Theses, Dissertations, & Professional Papers

The current service delivery model most frequently used in a school setting involves short, infrequent sessions over a 180-day school year. To date, there is no research that supports the current service delivery model as being the most effective and efficient model of intervention. As students transition from elementary to middle school, this model is particularly problematic for the adolescent student because of a rotating school schedule, increasing language demands of the academic curriculum, and development of self-perception and academic self-concept. A brief but intensive language-literacy intervention that takes place outside of the school year may be an effective and …

Diabetes Interaction Study: Communicating Understanding And Social Support, Dana K. May

Wayne State University Dissertations

The current study evaluated a brief individualized feedback intervention developed to improve communication style of parents with an adolescent with type 1 diabetes. Seventy-nine parent-adolescent dyads (13-18 years) were randomized to receive a single session of brief feedback to target parental person-centered communication skills (n = 39) or to receive an educational comparison group (n = 40). Families were asked to discuss a diabetes related problem. A clinician concurrently rated the parent’s communication skills to identify communication strengths and weaknesses. Parents in the feedback group received feedback on their use of person-centered communication during the conversation using motivational interviewing techniques. …

Color Your Plate: A Pilot Nutrition Education Intervention To Increase Fruit And Vegetable Intake Among Older Adults Participating In The Congregate Meal Site Program In Kentucky Senior Centers, Emily Dickens

Theses and Dissertations--Nutrition and Food Systems

The purpose of this study was to determine if the amount and variety of fruit and vegetable intake increased among community-dwelling older adults participating in Kentucky’s congregate meal site program following a series of educational nutrition lessons. A convenience sample (n=35) of community-dwelling older adults at two intervention (n=19) and two control (n=16) senior centers in central Kentucky participated in this quasi-experimental pre-post pilot study. Following the intervention there was a trend towards increased self-reported intake in the variety of fruit and vegetables among the intervention group (range:0.03±3.31 to 1.32±2.75 servings per week); a significant increase in the number of …

Exploring The Lived Experience Of Young African American Breast Cancer Survivorship To Inform The Adaptation Of A Psychoeducational Intervention: Y-Ambient, Timiya S. Nolan

All ETDs from UAB

In the United States, 26,393 young women (≤ 45 years) will be diagnosed with breast cancer in 2016. Though survival rates are improving, there are health disparities among young African American women when compared to young Caucasians (e.g., poorer quality of life). Despite recommendations to provide targeted evidence-based survivorship care, there are about 23,000 young African American breast cancer survivors (YAABCS) in Alabama, Louisiana, and Mississippi for whom this care does not exist. Few studies have examined survivorship experiences and/or tested intervention efficacy among this group. Further study is warranted to understand the experiences of YAABCS and adapt targeted interventions …

Evaluation Of Educational Intervention And Management Of Patients With Type Ii Diabetes Mellitus, Elissa Johnson

DNP Projects

Background: Diabetes is a costly disease with devastating consequences. Patients with poor glucose control whether due to inadequate medical care or limited self-care are most at risk for complications. Evidence supports the efficacy of multifaceted interventions in the treatment of type II diabetes mellitus (T2DM). Patient education, assessing behavioral and psychosocial elements, and focusing on lifestyle change (e.g. diet and exercise) are interventions shown to enhance self-efficacy and promote patient empowerment (Knight, Dornan, & Bundy, 2005).

Study Design: A retrospective chart review of 104 patients with established T2DM was conducted along with a qualitative interview with providers focused on management …

The Efficacy Of Periodized Resistance Training In Older Adults, Jennifer Anne Conlon

Theses: Doctorates and Masters

Sarcopenia describes the slow and inevitable age-related loss of skeletal muscle mass and consequent function. Fortunately, a continually growing body of research highlights the robust adaptability of the aging neuromuscular system in response to resistance training (RT). Yet, despite an abundance of research studies describing the benefits of RT in the elderly, there is a large variation in the type of training programs employed. Therefore, within the extensive range of beneficial RT stimuli, it is vital to confirm what organizational structure of acute program variables is most effective (i.e. the appropriate dose). The process of organizing a training program considering …