Public Health Commons^™

The Role Of Culture In Engaging The Senior Population In Omaha, Ne, Jamie Bish

Theses/Capstones/Creative Projects

In recent years, the senior care industry has become the focus of many public health initiatives as we have come to better understand the significance of our aging population (Olivari et al., 2020). Between the years 2010 and 2050, the population of the United States over 65 years is expected to more than double, from 40.5 to 89 million (Dall et al., 2013). While this data provides a national outlook, further research is needed to determine local impacts. This project centers on developing a better understanding of the demographics of seniors in the Omaha-Council Bluffs Metropolitan Statistical Area and how …

Bangladesh: Covid-19 Knowledge, Attitudes, Practices And Needs, Population Council

Poverty, Gender, and Youth

No abstract provided.

Deprivation Matters: Understanding Associations Between Neighbourhood Deprivation, Unhealthy Food Outlets, Unhealthy Dietary Behaviours And Child Body Size Using Structural Equation Modelling., Victoria Egli, Matthew Hobbs, Jordan A. Carlson, Niamh Donnellan, Lisa Mackay, Daniel Exeter, Karen Villanueva, Caryn Zinn, Melody Smith

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Children residing in neighbourhoods of high deprivation are more likely to have poorer health, including excess body size. While the availability of unhealthy food outlets are increasingly considered important for excess child body size, less is known about how neighbourhood deprivation, unhealthy food outlets and unhealthy dietary behaviours are interlinked.

METHODS: This study involves children aged 8-13 years (n=1029) and resided in Auckland, New Zealand. Unhealthy dietary behaviours (frequency of consumption of unhealthy snacks and drinks) and food purchasing behaviour on the route to and from school were self-reported. Height and waist circumference were measured to calculate waist-to-height ratio …

Flourishing Gardens In Peoples Lives, Ramiro Rocha

Capstone Projects and Master's Theses

Mesa Verde Gardens has been a great asset in the Watsonville and Pajaro area by providing a unique way for people to live healthier lives. The community gardens have given people an opportunity to reach new standards for themselves. The organic produce being grown out of the seven different gardens in the area has accommodated the gardeners with delicious food for the entire season. In order to grow Mesa verde Gardens, an outreach project was conducted to allow people to familiarize with all seven gardens. These events included fundraisers, door to door outreach, and participation in community gatherings like festivals. …

Dnp Project: Improving No-Show Rates In Primary Care, Mai-Linh T. Nguyen, Sarah M. Kuzara

Doctor of Nursing Practice Projects

Abstract

This paper explores the factors that contribute to no-show rates in the primary care setting and effective interventions to improve no-show rates. The average no-show rate in the primary care setting is 23%, (Dantas, Fleck, Olivaria, & Humacher 2018). In 2018, the no-show rate at the WeCare Clinic was 50-60%. A literature review was conducted to gather information regarding why patients choose to no-show their appointments, the common causes of high no-show rates, and effective interventions found to decrease no-show rates. We investigated the primary causes of a high no-show rate at the WeCare Clinic by interviewing staff and …

Improving Health Insurance Literacy Within Our Community Through The Use Of Local Libraries, Bonnie Gregg, Jenny Lieu

Doctor of Nursing Practice Projects

Low health literacy is associated with a poorer ability to understand medical information leading to disparities among all ages. Communities play a role in supporting efforts to improve health literacy. Libraries are trusted institutes that offer an environment for all members of the community and serve as places of lifelong learning. A needs assessment approach determined a gap in knowledge regarding health literacy and insurance, specifically the Affordable Care Act (ACA). This project was an exploratory, community improvement project. Information was presented in educational sessions at two local libraries. Participants were also given an informative brochure to accompany the presentation. …

How Vaping Is Impacting One Rural High School And What Can Be Done, Dawn Richardson

Capstone Projects and Master's Theses

How vaping is impacting one rural high school and what can be done. There has been an increase in the number of teens vaping. In order to understand this epidemic among teens and vaping, this research answers the following questions: What is vaping and why is it a problem? What are the health risks of vaping? Why is vaping among teens a concern? How is vaping impacting teens in local high school? In a review of literature on vaping, the research shows the negative impact on health and the increasing popularity of vaping especially among youth. This action research project …

Health And Academic Achievement In College And University Students, Amber Beane

Electronic Theses and Dissertations

The purpose of this non-experimental quantitative correlational study was to investigate the relationship between academic achievement and health in a national sample of college students using quantitative data analysis. Specifically, the researcher analyzed the relationship between three health-promoting behaviors (physical activity, strength training, and fruit and vegetable consumption), three negative health behaviors (cigarette, e-cigarette, and opioid use) and obesity with GPA.

Cross-sectional data on student health collected from the American College Health Association’s National College Health Assessment II (ACHA-NCHA-II) and completed by 426,650 college students from 650 U.S. colleges during the semesters between 2015 and 2019 formed the foundation for …

A Statewide Needs Assessment Of Perspectives On Training And Certification Of Community Health Workers In Nebraska, Jessica Ern

Capstone Experience: Master of Public Health

INTRODUCTION: Community Health Workers (CHWs) are a crucial growing component of the health care field in the U.S. According to the US Bureau of Statistics (2018), the CHW workforce is expected to grow 38% in the next ten years. While research has repeatedly shown the success of CHW-led programs and the financial benefits of CHWs, little work has been done to evaluate the training and certification preferences of CHWs in Nebraska. This project aimed to gather and analyze qualitative and quantitative data through an exploratory sequential mixed-methods approach to provide policy recommendations regarding the future training and potential certification of …

Program Evaluation: Wellness For Life, Patricia Wagner

Capstone Experience: Master of Public Health

Specific Aim: The specific aim of this program evaluation is to assess the effectiveness of the employee wellness program (Wellness for Life program) at Community Hospital (CH) in McCook, Nebraska through the analysis of biometric data, personal health assessment results, and survey results.

Significance: The evaluation of this program is important to ensure CH is aiding their employees so they might lead healthy lives at a time when the health of our country is incredibly poor.

Background: CH is a small critical access hospital that employs 323 people in McCook, Nebraska. In 2013 CH decided to offer a formal employee …

The Role Of Nutrition In Promoting Gut Health And Treating Chronic Illness Through The Attenuation Of Inflammation, Allison Dalton

HCA Healthcare Journal of Medicine

Over the millennia, the human body and microorganisms such as bacteria, viruses, archaea, protozoa and parasites have coevolved together forming an intimate relationship. These microorganisms are found on the skin, in the mouth, genitourinary tract and most abundantly in the large intestine of the digestive tract. States of microbial dysbiosis contribute to chronic inflammation, which can lead to the pathogenesis and progression of numerous diseases. Micro- and macro-nutrients as well as dietary patterns like the Mediterranean diet can help improve health outcomes.

¡Sí, Yo Puedo Vivir Sano Con Diabetes! A Self-Management Randomized Controlled Pilot Trial For Low-Income Adults With Type 2 Diabetes In Mexico City, Robin Whittemore, Mireya Vilar-Compte, Selene De La Cerda, Roberta Delvy, Sangchoon Jeon, Soraya Burrola-Méndez, Mariana Pardo-Carrillo, Annel Lozano-Marrufo, Rafael Pérez-Escamilla

Department of Public Health Scholarship and Creative Works

Background: Type 2 diabetes (T2D) is a worldwide epidemic and a leading cause of death in Mexico, with a prevalence of 15.9%, and >70% of diagnosed adults have poor glycemic control [glycated hemoglobin (HbA1c) >7.5%]. We developed a diabetes self-management education program contextualized to the study population, including dietary preferences, health literacy, and health system.

Objectives: We aimed to evaluate the efficacy of a self-management + text message program (¡Sí, Yo Puedo Vivir Sano con Diabetes!) on primary (HbA1c), and secondary behavioral (self-management), clinical, and psychosocial outcomes in adults with T2D in Mexico City.

Methods: Participants were recruited at public …

Description Of The Attitudes, Knowledge And Beliefs On Marijuana In Undergraduate Students Compared To Nursing Undergraduate Students, Maifrak Sobrino

Honors Scholar Theses

Introduction: The use of marijuana has drastically increased over the years. Not only is marijuana being used to treat personal symptoms, but some women use marijuana to manage pregnancy-related symptoms.

Objective: To discover the knowledge, attitudes, and beliefs of marijuana in the undergraduate student population at the University of Connecticut.

Method: A cross sectional study conducted through Qualtrics using a 15-questions survey, including 5-point Likert scale questions and 5 yes/no questions.

Result: Forty-nine non-nursing students completed the survey. Non-nursing students in comparison to the population as a whole agreed that marijuana use was okay (M = 3.959, SD = …

Attitudes, Knowledge And Beliefs On Marijuana Use In Pregnant Women In Undergraduate Nursing Students, Jordyn Witkins

Honors Scholar Theses

Introduction: Due to the decriminalization of marijuana use by states in the United States, marijuana use has drastically increased in the general populations and in women who are pregnant. During prenatal care, nurses provide education about pregnancy and fetal development.

Objective: This study explore the attitudes, knowledge and beliefs of undergraduate nursing students on marijuana use for individuals and during pregnancy.

Method: The study design was cross-sectional survey with 15-question survey using Likert scale and yes/no questions. Nursing students and non-nursing undergraduate students responses were compared.

Results: Sixty-four nursing students (female, n=50) completed the survey. Nursing students in comparison to …

La Multiplication Des Services De Livraison À Vélo Et Les Problèmes De Santé Et De Sécurité Des Cyclistes Commerciaux : Élaboration De Bonnes Pratiques, Ugo Lachapelle, David Carpentier Laberge, Marie-Soleil Cloutier

Rapports de recherche scientifique

Les emplois nécessitant l’usage d’un vélo se sont diversifiés au-delà de la simple messagerie de plis et colis pour devenir de plus en plus nombreux. Parmi ces types d’emploi, celui qui a connu le plus grand essor à Montréal, comme ailleurs, est la livraison par vélo de repas à domicile. D’autres services mobiles, les déménagements, la vente ambulante et les entreprises de logistique du dernier kilomètre utilisent également de plus en plus souvent le vélo comme moyen de transport. Pourtant, les risques encourus par les cyclistes commerciaux sont peu connus.

Les objectifs du projet étaient d’étudier la croissance de la …

Caffeine’S Physiological And Psychological Effects, Cameron Shadaia

Honors College Theses

In my university honors research paper, I will not only take a look at the physiological and psychological effects of the body, but also the proper range of caffeine intake, the situational purposes for caffeine, the best and worst ways to introduce caffeine into the body, and popular beverages that are commonly used for caffeine consumption. This research paper draws upon a variety of studies in which caffeine was the topic of interest. The conclusion that is drawn upon is that caffeine can have many benefits if used in a proper dosage. Negative effects have a higher likelihood of occurring …

Supporting The Role And Transition To Motherhood Through The Occupation Of Feeding, Bethanne N. Vidmar

Student Capstone Papers

The purpose of this capstone was to assess and explore the occupational needs of mothers who are feeding their infants in a variety of ways to then identify psychosocial and occupational barriers effecting women’s choices in feeding options for their infant through survey and interviews and opportunities for occupational therapists to become more involved in the occupation of breastfeeding.

Data analysis for this capstone project consisted of running a needs assessment in Santa Barbara County. The needs assessment consisted of written or online surveys and semi-structured in-depth interviews. Of the 95 women who filled out the hard-copy or online survey, …

Assets And Unmet Needs Of Diverse Older Adults: Perspectives Of Community-Based Service Providers In Minnesota, Hayley R. Mccarron, Alana Wright, Rajean P. Moone, Traci Toomey, Theresa L. Osypuk, Tetyana Shippee

Journal of Health Disparities Research and Practice

This paper examines assets and unmet needs of diverse older adults and highlights the need for programs and policies that address the social determinants of health. The United States is undergoing an unprecedented demographic shift, becoming increasingly diverse and aging rapidly. Given these changing demographics, it is important to understand the strengths and needs of our diverse population of older adults. This study captures perspectives of diverse service providers who work with older adults in communities, to identify existing assets as well as unmet needs and challenges facing diverse older adults in Minnesota. Qualitative data were collected using key informant …

A Health/Media Literacy Intervention Improves Adults’ Interpretations Of Sugar-Sweetened Beverage Advertising, Yvonnes Chen, Kathleen J. Porter, Wen You, Paul Estabrooks, Jamie M. Zoellner

Journal of Media Literacy Education

Although excessive sugar-sweetened beverages (SSB) intake is linked to numerous adverse health consequences, media literacy interventions rarely address the influences of food and beverage marketing with a specific focus on adults. This randomized controlled trial study investigated (1) whether media literacy education modifies adults’ perceptions of SSB advertising and (2) whether changes are moderated by health literacy. Results from the multilevel mixed-effects regression analyses with the intention-to-treat last-observation-carried-forward method showed that compared to MoveMore (a matched-contact comparison condition), SIPsmartER (an intervention condition) participants significantly enhanced their skillsets across media literacy domains (i.e., authors/audiences, messages/meanings, representation/reality) between baseline and …

Continuous Glucose Monitors To Decrease Hypoglycemia, Sara B. Woodcock

MSN Capstone Projects

Diabetes is a disease that affects millions of people from children to older adults. There is no cure, although it can be managed to prevent complications. Education of student nurses is where they are born and raised to become nurses who save and change lives. Teaching student nurses in depth about diabetes as a disease and the treatments that best fit their specific needs is where educating patients begins. Learning about a secondary option for blood glucose checks can make all the difference for several patients. Multiple finger sticks daily has been the leading way to check blood sugar for …

Using The Fitness Challenge To Teach The Principles Of Conditioning And Improve Campus Physical Activity, Shawn R. Simonson

Kinesiology Faculty Publications and Presentations

The goal of KINES 432 Conditioning Procedures is for students to develop the skills to appropriately prescribe exercise and conditioning that will enhance the student’s ability as a practitioner to help others improve conditioning and achieve their health, fitness, and performance goals. The focus is on program objectives, planning, exercise analysis, and prescription as well as the supporting theories, rationale, and research. Application of concepts occurs via projects, service-learning and laboratory experiences. KINES 432 is also designated a university Finishing Foundations course. Boise State University’s Foundational Studies Program provides undergraduates with a broad-based education that spans the entire university experience. …

Low Perceived Risk: A Challenge To Adoption Of Preventive Behaviors For Covid-19?, Population Council Institute

Poverty, Gender, and Youth

India, with 13,387 cases reported as of April 17, currently accounts for just 0.6% of the COVID-19 cases worldwide. The nationwide lockdown may have helped contain the initial COVID-19 outbreak. However, until testing rates improve, the size of the outbreak remains unclear, and the risk of spread remains. It is critical to ensure ongoing adherence to current social distancing and handwashing behaviours to protect the population from a larger outbreak. An ongoing COVID-19 knowledge, attitudes and practices study implemented by the Population Council Institute in Bihar and Uttar Pradesh sought to assess the extent to which study participants felt personally …

Migration And Covid-19: Uttar Pradesh And Bihar, Population Council Institute

Poverty, Gender, and Youth

To control the spread of COVID-19 in India and to aid the efforts of the Ministry of Health and Family Welfare, the Population Council and other nongovernmental organizations are conducting research to assess residents’ ability to follow sanitation and social distancing precautions under a countrywide lockdown. The Population Council COVID-19 study team is implementing rapid phone-based surveys to collect information on knowledge, attitudes, and practices, as well as needs, among 1,237 young people. As noted in this brief, Uttar Pradesh (UP) and Bihar are two of the highest out-migration states in India. Migration is mostly to metropolitan areas in Delhi, …

Drowning Of Pet Owners During Attempted Animal Rescues: The Avir-A Syndrome, John Pearn, Amy E. Peden, Richard Charles Franklin

International Journal of Aquatic Research and Education

The rescuer who drowns can result from the attempted rescue of a human or an animal. We report here a total population analysis of all drowning fatalities for the 14-year period 1–July-2002 to 30-June-2016 which involved an attempted rescue of an animal. Cases were drawn from the Royal Life Saving National Fatal Drowning Database, which in turn, derived its data primarily from the National Coronial Information System (NCIS). Eight people drowned, all adults (ranging in age from 19-74 years), in the attempted rescue of an animal. Seven of the animals were domestic pet dogs, and in two cases farm animals. …

Covid-19-Related Knowledge, Attitudes, And Practices Among Decisionmakers Of Indigenous Municipalities In Guatemala: Study Description, Angel Del Valle, Hannah Briggs, Benjamin Chang, Aiken Chew, Brian Medina, Gabriela Muñoz, Thoai Ngo, Elizabeth Vásquez, Corinne White, Ramón Zamora

Poverty, Gender, and Youth

Indigenous communities are often socially and economically marginalized which makes them particularly vulnerable to the impact of COVID-19. The Population Council has a longstanding partnership with indigenous communities in Guatemala through the "Abriendo Oportunidades" program. To understand the knowledge, perspectives, and needs related to the COVID-19 pandemic, we will conduct key informant interviews with indigenous community leaders and frontline workers. Phone-based surveys will be carried out with approximately 130 key informants in the municipalities of Chisec, Patzún, San Andrés Semetabaj, San Juan Ostuncalco, San Juan Sacatepéquez, San Pedro Carchá, Santa María Chiquimula, Totonicapán, Uspantán and Sololá in April 2020. These …

Socio-Ecological Nature Of Drowning In Low- And Middle-Income Countries: A Review To Inform Health Promotion Approaches, Muthia Cenderadewi, Richard Charles Franklin, Susan Devine

International Journal of Aquatic Research and Education

Most deaths by drowning (91%) have occurred in low- and middle-income countries (LMICs), particularly in Southeast Asia (35%) and Africa (20%), in proportion to total drowning deaths worldwide. Poor data collection in LMICs hinders the planning, implementation, and evaluation of prevention strategies. The objective of this study was to review the rates and risk factors of unintentional drowning in LMICs and to identify drowning prevention strategies within a socio-ecological health promotion framework. A systematic search, guided by PRISMA, was conducted on Ovid MEDLINE, CINAHL, Informit health, PsycINFO (ProQuest), Scopus, SafetyLit, Google Scholar, and BioMed Central databases for all relevant studies …

The Effects And Implications Of Vaping On The Youth Population, Julia Sisson

Senior Honors Theses

Youth today have adopted the “cessation tool” known as the e-cigarette as a form of recreational activity. An examination of the history of tobacco use and prevention enables a fuller understanding of the problem presented by this product. Youth around the country are addicted to the sensation of vaping and are largely unaware of the associated health dangers. To address this growing issue among adolescents, vaping and its impact on the youth population should be carefully examined by health professionals. Although an overall solution has not yet been determined, there are several ways to impede the spread of the vaping …

Apple Cider Vinegar Weight Loss Drinks On Pinterest, Sydney Chamberlain, Jana Mitchell, Davis Major, Lena Elimam, Cassandra Cleland

Showcase of Osprey Advancements in Research and Scholarship (SOARS)

Background: More than a third of adults in the U.S. are currently trying to lose weight. Social media, specifically Pinterest with more than 322 million users, has changed the way people seek health information specifically weight loss. Apple cider vinegar has shown great promise for weight loss in controlled lab settings, yet these claims are widely shared on social media and may not yield the same benefits.

Purpose: This study used directed content analysis to examine how apple cider vinegar weight loss drinks were portrayed on Pinterest, a social media website used to bookmark online content. Methods: Using the search …

Normative Does Not Mean Inclusive: A Diverse Approach To Size In Public Health Training, Courtney Boggs, Melinda Rule

Showcase of Osprey Advancements in Research and Scholarship (SOARS)

Western cultures, like the United States, typically adhere to the medicalized model of weight and weight loss (Kasardo, 2018; Matacin & Simone, 2019). The medicalized model upholds a Weight Normative Approach which assumes that: weight and disease are positively and causally related, weight loss correlates to better health, bodyweight is controllable, and significant weight loss is possible and sustainable for the majority of people (Calogero, Tylka, Mensinger, Meadows, & Danielsdotir, 2018). This model stigmatizes fat people in order to promote health; it may also create socialized internal weight stigmas (Calogero et. al., 2018). Internalized weight stigma is associated with stagnate …

Orthorexia Nervosa In College Students: Eating Disorder History, Gender, And Dieting Behaviors, Katrina Agger, Brittany Moran, Zhiping Yu Phd, Rnd, Ldn

Showcase of Osprey Advancements in Research and Scholarship (SOARS)

Objective: College students are at higher risk for the development of orthorexia nervosa (ON), a term used to describe the pathological obsession with healthy eating. This study aimed to assess how the factors of eating disorder (ED) history, gender, and dieting behaviors affect the ON in this population.

Methods: Students 18 years or older in a southeastern university were invited to take an online survey. Survey questions include Bratman Orthorexia Test (BOT), Eating Attitude Test-26 (EAT-26) and participant characteristics.

Results: 411 students (ages 18-65, BMI 15.1-55.5, female 75.2%, white 75.6%, graduate students 16.1%) have completed the survey. Comparing to students …