Social and Behavioral Sciences Commons^™

Culture-Specific Hiv/Std Prevention Programming For Lesbian And Bisexual Women, Kathleen M. Morrow

Dissertations

HIV/AIDS prevention research continues to target populations in which AIDS is already responsible for a significant number of deaths. Since an AIDS diagnosis often indicates the transmission of HIV several years earlier, targeting groups currently manifesting AIDS neglects those groups which may be at risk for transmission of HIV today. Among the lowest incidence in known cases of AIDS are women who have sex with women. Despite a preponderance of biomedical research which implicates vaginal secretions and blood products as vehicles in HIV transmission, there remains only a minimal effort to educate these w om en regarding their risk of …

The Treatment Utility Of The Therapeutic Reactance Scale In Relation To Single Session Hypnosis For Smoking Cessation, Gregory N. Vaughan

Dissertations

This study examined the efficacy of three different hypnotic suggestion scripts each delivered in a single session of hypnosis for smoking cessation as mediated by reactance scores on the Therapeutic Reactance Scale (TRS) (Dowd, Milne, & Wise, 1991). Consecutive clinical trials were used to assign 48 subjects to treatment groups such that an equal number of subjects received: (1) direct suggestions, (2) suggestions that refrained the problem, (3) suggestions not specifically related to smoking cessation, and (4) a delayed treatment waiting list. Each subject rated the believability of treatment efficacy on a Likert type scale.

Four categories of the dependent …

Hiv Prevention And Heterosexual College Students: The Impact Of Video Instruction On The "Safer" Sexual Behaviors Of Sexually Active Men, Cheryl L. Knight

Dissertations

Despite increasing evidence of the heterosexual transmission of the human immunodeficiency virus (HIV) among young adults, research with college students has been primarily restricted to descriptions of the levels of risky behavior and the correlates of that behavior. To date, few experimentally validated HIV prevention programs have been reported. Furthermore, the existing experimental investigations have seldom based an intervention on a thorough analysis of the barriers to the practice of safer sex.

Experiment One surveyed 195 heterosexual college students to assess HIV risk factors, including sexual behavior, risk perception, knowledge and 10 barriers to the consistent practice of "safer" sex. …

Effects Of Caffeine Consumption On Cardiovascular Indices, Attention, Task Performance, And Memory Retention In Children, Suzanne L. Keller

Dissertations

Caffeine is one of the most commonly used drugs in the western world today. Average intake of caffeine in the United States has been estimated at greater than 200 mg daily per person. Although plagued by inconsistencies, and methodological problems, research suggests that this level of caffeine ingestion may have significant effects on cardiovascular functioning, and behavioral processes such as attention, cognitive processing, memory, and task performance.

Although children consume significant quantities of caffeine, very little research has been done on the effects of caffeine in children. The limited findings suggest that caffeine consumption may affect the cognitive and behavioral …

Nutrition, Fitness, Stress And Genital Herpes Recurrences, Carman E. Stark

Dissertations

The purpose of this research was to extend the existing literature by assessing the relationship between several factors separately and combined, nutrition, fitness and stress, and herpes recurrence rates. It was hypothesized that the results from this study would indicate an inverse correlation between nutrition, fitness, and genital herpes recurrence rates and a positive correlation between stress and genital herpes. Each participant was asked to complete and return (a) two Computerized Nutrition Assessment Forms that provide a health history profile and a record of food choices and portions over two, three-day periods; (b) The Hassle Scale that provides a weekly …

An Examination Of Depression In A Subclinical Eating Disorder Female Population, Christine Hill-Melton

Dissertations

This study examined depression and disordered eating symptoms in a population at high risk for the development of eating disorders. The level and prevalence of depression were compared between three groups of women with increasing severity of eating disordered symptoms.

Female undergraduate college students enrolled in psychology courses at four small colleges and one mid-sized university in Michigan completed a Biographical Questionnaire, the Beck Depression Inventory (BDI), and an Eating Assessment Rating Scale (EARS). Participants were placed into one of three groups according to severity of disordered eating symptoms based on their responses on the EARS. The three groups were: …

The Link Between Psychosocial Factors And Coronary Heart Disease: A Possible Neuroendocrine Mechanism, Sheila Wang

Dissertations

Coronary heart disease continues to be the leading cause of death in the affluent world. Despite identification of several risk factors for coronary heart disease (age, sex, lipoprotein profile, hypertension, diabetes, cigarette smoking, obesity), a significant amount of variability associated with the incidence of coronary heart disease cannot be explained solely on the basis of these risk factors. The contribution of psychosocial factors to the development of coronary heart disease (type A behavior, social isolation, traumatic events, unstable social conditions) continues to be a promising area of investigation. However, a biochemical pathway linking psychosocial factors to coronary heart disease remains …

Training And Maintenance Of Breast Self-Examination Skills, Bernardine M. Pinto

Dissertations

Maintenance of breast self-examination (BSE) skills is crucial to the effectiveness of self-exams in early detection of breast tumors. While researchers have developed an effective technology for training these skills, the maintenance of BSE proficiency is questionable (Pennypacker et al., 1982). The objective of this study was to evaluate the effects of reassessment (and retraining) on the maintenance of BSE skills. Twenty-nine women (ages 25-64) were trained to criterion using the MammaCare training package. Experimental subjects were required to demonstrate their skills at a 2 month reassessment and received retraining if their skills had declined below criterion. Control subjects were …

Applied Relaxation Training In The Treatment Of Genital Herpes, Kent A. Koehn

Dissertations

Four individuals with frequent recurrences of genital herpes simplex virus (HSV) were trained in Applied Relaxation (AR). Participants included in the research were all women, had been diagnosed with herpes at least one year prior to the study, experienced 6 or more outbreaks annually, and were not taking antiviral medications.

The experiment employed a multiple baseline across subjects design with individual baselines of 11, 13, 17, and 21 weeks. Participants maintained daily diary recordings of the frequency, duration, and severity of their herpes activity from baseline until a minimum of three months post-treatment.

Treatment consisted of 10 individual AR sessions. …

Improving Service Quality Through Self-Monitoring, John Patrick Mcdonough Iii

Dissertations

A multiple-baseline across-restaurants design was used to assess the effectiveness of a quality guarantee (performance checklist) on the quality of food served at two carryout pizza restaurants in a Midwestern city of approximately 100,000 people. The research consisted of having the quality of food monitored by research assistants who served as mystery shoppers trained in the quality standards of the restaurants. Quality was monitored during baseline, when normal operating procedures were in effect at the restaurant, and during intervention, when employees who delivered food to customers were required to sign a quality guarantee. In one intervention phase, employees checked off …

A Comparison Of Blood Volume Pulse And False Biofeedback In The Treatment Of Migraine, Paul Greilick

Dissertations

The efficacy of temporal artery blood volume pulse (BVP) biofeedback in the treatment of migraine was investigated. After four pre-treatment baseline psycho-physiological monitoring sessions, 8 migrainuers were randomly assigned to undergo 12 sessions of either BVP biofeedback or a placebo procedure (false feedback). Both treatments resulted in clinically significant and statistically equivalent reductions in headache activity and medication intake. Subjects exhibited substantial within-session decreases in BVP amplitude during pre-treatment baseline sessions and during false feedback, and the introduction of BVP biofeedback failed to increase the magnitude or the rate of BVP amplitude reductions. All subjects failed to show evidence of …

The Impact Of A Stress Management Training Program On Symptoms Of Fibromyalgia, Robert J. Sheppard

Dissertations

Fibromyalgia is a noninflammatory rheumatic disorder characterized by musculoskeletal pain, nonrestorative sleep, and mood disturbance. Emotional stress is frequently reported as a factor that exacerbates symptoms. This study was designed to assess the impact of stress management training on perceived stress and fibromyalgia symptoms. Four female subjects with fibromyalgia participated on an individual basis in a 10 week stress management training program, which was administered in the fixed sequence of training in self-monitoring, relaxation, cognitive behavioral skills, and assertion. The effects of the training on self-report measures of perceived stress, pain, functional disability, sleep disruption, daytime fatigue, and depression were …

Effects Of Interactive And Linear Video On Patient Understanding Of Risks In Medical Procedures, Christopher P. Giuliano

Dissertations

Three methods of providing information relevant to informed consent where a vaginal birth after cesarean section was being considered were evaluated; (1) the traditional and common method (physician presentation), (2) Linear Video Tape (LVT), and (3) Interactive Video Disc (IVD). The traditional and common method of presenting information led to only limited acquisition of knowledge resulting in patients making less than fully-informed decisions. Both the linear video tape and the interactive video disc led to significantly greater understanding of the risks and benefits of the procedure than did the physician presentation. The interactive disc and the linear video tape were …

The Effects Of Relapse Prevention Training On Exercise Adherence, Sandra Beaty

Dissertations

Behavioral techniques have proven effective in the acquisition and maintenance of new behaviors. However, health related behaviors, such as exercise, pose a special problem for the field of behavior change in that they require long-term lifestyle changes. This study assessed the effectiveness of relapse prevention training on exercise adherence within the framework of a formal exercise program. There were 20 subjects in the experimental group and 20 subjects in the control group. Both groups met for three, one-hour sessions weekly for eight consecutive weeks. Exercise class attendance was recorded by the instructor. In addition, the Physical Activity Index (PAI, n.d., …

The Integration Of Metabolic Measurement And The Behavioral Management Of Nutrition And Exercise For Treating Obesity, Cheryl Rae Maphies

Dissertations

Four female subjects participated in an eight-week, behavioral weight control treatment program that emphasized changing the behavior of food choice and aerobic exercise. This study also tested the hypothesis that by utilizing measurements of an individual's resting metabolic rate to determine caloric level, an individual could lose weight without a disproportional drop in metabolic rate. During the initial eight weeks, subjects' resting metabolic rates were determined through the measure of oxygen consumption. Caloric intakes were based on a reduction of 500-1000 calories per day from the estimated number of calories expended daily. Using a multiple-baseline design, the effects of diet …

The Effectiveness Of Relaxation-Visualization Training On The Natural Killer (Nk) Cells Of Breast Cancer Patients, Morry Edwards

Dissertations

A large number of studies have found that stress qualitatively and quantitatively reduces a variety of immune components. Several recent studies have examined relaxation skills and their ability to increase immune measures. The primary hypothesis of this project was that relaxation-visualization training (RVT) would enhance Natural Killer (NK) Cell Activity. Two other major hypotheses were generated: (a) RVT would produce beneficial psychological effects and, (b) increased psychopathology would be inversely correlated with NK levels. Six volunteer breast cancer patients who were at least 3 months post treatment were taught a passive form of relaxation that included visualizing an increase in …

A Comparison Of Minimal-Therapist-Contact Programs In The Treatment Of Chronic Headaches, John Kesselring

Dissertations

The purpose of the study was to compare the relative efficacy and cost-efficiency of two reduced-therapist-contact formats for delivery of a behavioral package to treat chronic headaches. The 8-week treatment was delivered in a group-administered format to one treatment group and in a self-administered format to a second. A waiting-list control group was also included. Treatment components included education about headaches and their precipitants, relaxation training, and cognitive-behavioral stress management techniques. The participants in the study suffered from migraine, mixed, or tension headaches. Eleven subjects were assigned to each of the 3 treatment conditions. At posttreatment subjects in the group-administered …

The Effect Of Medicaid Billing On Service To Developmentally Disabled Adults, Kambiz Alavi

Dissertations

This study provides a detailed analysis of the daily service delivery records before and after the introduction of a Medicaid Billing Form at a day-activity center for developmentally disabled adults. The form required therapists to record daily service delivery (in 15-minute units) to Medicaid eligible clients. There were 38 clients, 23 Medicaid and 15 non-Medicaid, and four therapists. The data showed, for three of the four therapists, a clear and large increase in reported service delivery to Medicaid clients and a smaller increase to non-Medicaid clients. Six months after the introduction of the Medicaid Billing Form the therapists were required …