Health Psychology Commons^™

Psychosocial Concerns And Childhood Overweight In Pediatric Primary Care Clinics Serving Rural Appalachia., Suzanne Allen

Electronic Theses and Dissertations

Objective: To examine the prevalence of psychosocial concerns presenting in 3 pediatric primary care clinics serving rural Appalachia. The association between pediatric weight status and psychosocial concerns was examined. Methods: Caregivers of children presenting in one of 3 pediatric primary care facilities completed a demographic questionnaire and the Pediatric Symptom Checklist. Results: Approximately 21.4% of children were identified as having a clinically significant behavioral health concern. Among children with available weight status data, ~53% of the children were identified as overweight. Children identified having significant behavioral concerns were more likely to have a lower weight status than those with nonsignificant …

An Evaluation Of A Sexual Assault Education Program, Angela P. Hatcher

Dissertations

Sexually aggressive behavior, especially on college campuses, is an issue of major concern. Previous research has found that 54% of college women report being sexually victimized (Koss, Gidycz, & Wisniewski, 1987). Given the scope of this problem, effective prevention strategies are necessary. Sexual assault prevention programs have included those targeting a mixed gender audience as well as gender specific programs. Research examining the effectiveness of these programs, at both post-intervention and follow-up, have provided mixed results.

The goal of the current study was to examine the effectiveness of a video-based sexual assault education program in decreasing rape myths, increasing victim …

Descriptive Experience Sampling Of Individuals With Bulimia Nervosa, Sharon Jones-Forrester

UNLV Theses, Dissertations, Professional Papers, and Capstones

Despite 30 years of research, much remains unknown about inner experience in individuals with bulimia nervosa (BN); yet attaining a clearer understanding of inner experience in BN may prove to be crucial in uncovering the nature of this profoundly disruptive disorder. The present study used Descriptive Experience Sampling (DES) to examine inner experience in 13 participants with BN, replicating to some degree Doucette (1992) and Jones-Forrester (2006). Results in the present study were largely consistent with Doucette (1992) and Jones-Forrester (2006) but substantially different from beliefs about inner experience from the extant non-exploratory DES BN literature. Specifically, the present study …

An Integrative Social Support Model For Fibromyalgia Patients: A Treatment Manual, Eugene A. Moynier

Loma Linda University Electronic Theses, Dissertations & Projects

This study sought to investigate the current literature on Fibromyalgia and determine which interventions have been shown effective in its treatment. Furthermore, this study sought to develop a manual for the treatment of fibromyalgia using the data obtained from the literature review. The interventions that were found to be effective include the following domains: exercise, family therapy, dual-diagnosis, occupational therapy, sleep hygiene, stress management, coping skills, cognitive behavioral therapy, traumatic stress, and treatment adherence. The literature supported a psychoeducational approach within a socially supportive environment as an effective strategy to convey these treatment interventions as well as encourage treatment adherence. …

Posttraumatic Spiritual Growth: A Phenomenological Study Of Cancer Survivors, Ryan Myles Denney

Dissertations

A small but growing body of research has sought to investigate the specific role of religion and spirituality in posttraumatic growth. Recently investigations have begun to focus on spiritual growth following trauma, specifically that of cancer patients and survivors. The purpose of this qualitative study was to investigate how having cancer effects the spiritual growth of cancer survivors across a multidimensional conceptualization of spirituality (Hill 2005; Tsang & McCullough, 2003). The researcher investigated the lived experience of thirteen cancer survivors with posttraumatic spiritual growth using a phenomenological method of data analysis. Participants reported experiencing spiritual growth across the following domains …

Living With Inflammatory Bowel Disease (Ibd) : A Test Of The Meaning Making Model Of Coping., Erica Adams

Electronic Theses and Dissertations

Inflammatory Bowel Disease (IBD) is a chronic illness with the potential to affect many areas of one's life through painful physical symptoms and psychological distress. Despite the debilitating nature and increasing prevalence of IBD, there is little research addressing the coping processes and related psychological adjustment among individuals living with the disease. Moreover, there has been no research conducted investigating how those with IBD make meaning out of their illness experience. Research conducted with other illness populations suggests that meaning making, a specific type of coping may have important implications for psychological adjustment. This cross-sectional study examines the coping processes …

The Comparative Efficacy Of Dosed, Enhanced Dosed, Prolonged Exposure, And Mindfulness In The Reduction Of Anxiety, Sophie Rubin

Dissertations

Exposure-based treatments have proven effective in treating a range of fears and phobias and can be accounted for by mechanisms described in behavioral theory. Enhanced dosed and dosed-only exposure are promising new behavioral approaches for treating fears and phobias. Fifty participants with speech anxiety were randomly assigned to a prolonged exposure condition (PE), a dosed-only exposure condition (DE), a positively enhanced dosed exposure condition (PDE), a negatively-supplemented dosed exposure condition (NDE), or a mindfulness enhanced dosed exposure condition (MDE). End of session results for all of the enhanced groups resulted in significantly lower subjective ratings of discomfort than the non-enhanced …

Do Physical Self-Efficacy And Physical Self-Concept Mediate The Relationship Between Past Sports Participation, Past Gym Grades And Physical Activity Across The Life-Span?, Christopher Frederick Ketcham

Undergraduate Honors Thesis Collection

Retrospective studies have shown that the formation of habits, both health and activity related, during childhood is vital to carrying those habits into adulthood (Azevedo, Araujo & Hallal, 2007; Barnekow-Bergkvist et al. 1996; Nelson, Gordon-Larsen, Adair, & Popkin, 2005; Telama et al. 1997; Telama, Yang, Viikari, Valimaki, Wanne & Raitakari, 2005). These studies demonstrate that passive participation in an activity is not sufficient; rather organized participation, such as being part of a team, is necessary for continuation of a physical activity later in life. In addition, researchers have found that sound physical and strong academic educations are also important in …

Measuring Patient Satisfaction After Providing A Choice Of Nourishment Options Between Meals In A Long-Term Care Setting., Samantha Hutson

Electronic Theses and Dissertations

The purpose of this study was to determine whether providing residents of the James H. Quillen Veterans Affairs Medical Center Community Living Center with a choice of nourishment options between meals would improve their satisfaction with the nourishment administration process. As opposed to being given the same nourishment item each day, residents were offered choices from a nourishment cart based upon their diet order. Sixteen residents completed the pre-survey, participated in the revised nourishment cart system for a 3-week period, and completed the postsurvey. Level of satisfaction was determined by analyzing the responses given by the residents on the pre- …

Secondary Analysis Of Diabetes And Psychological Distress In American Indian Women From The California Health Interview Survey (Chis)., Audry Marie Greenwell

Electronic Theses and Dissertations

Since European settlers arrived to the United States (U.S.), American Indians (AI) have been separate and unequal members of society. After a long history of discrimination, ethnocide, genocide, and distrust, the AI have become a population with severe disparities, having the highest rates of diabetes, depression, suicide, tuberculosis, and alcoholism than any other minority or majority population in the U.S. The author's purpose for conducting this study was to explore a possible relationship between depression or psychological distress and diabetes in AI women.

AI women are the most under studied group in the country; therefore, a secondary analysis of the …

Advance Practice Nurses Readiness To Change Assessment Methods In Parents Of Obese Children, Carolyn Leach

UNLV Theses, Dissertations, Professional Papers, and Capstones

The worldwide epidemic of child and adolescent overweight and obesity continues to increase at disturbing rates. Unhealthy dietary practice is one of multiple causative behaviors leading to child and adolescent overweight and obesity. This behavior can contribute to short and long-term health consequences. Parents are modulators in the development of children's dietary behavior practices. It is recommended clinical practice that pediatric nurse practitioners (PNPs) assess readiness to change behavior in parents of overweight or obese children. The components of the Prochaska and DiClemente's Transtheoretical Model (TTM) in correlation with the counseling style of Rollnick, Miller and Butler's methods of Motivational …

Asthma Severity In School-Children And The Quality Of Life Of Their Parents, Noelle S. Cerdan

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background . The everyday management of a child with asthma can affect the parent's quality of life. Past studies which examined the effects of asthma characteristics of the child on parental quality of life have not reached a consensus over findings. Few studies examine parent characteristics such as mental health and sociodemographics on the quality of life of parents of asthmatic children.

Purpose . To examine the effect of asthma severity of school-children and sociodemographic characteristics onthe caregiver's quality of life. It also investigates whether agreement exists between the caregiver's perception of asthma severity and physician-diagnosed asthma severity.

Methodology . …

Acceptability Of Interventions To Staff In Long-Term Care Settings For Older Adults: Comparing Ratings And Hierarchical Selection, Jonathan C. Baker

Dissertations

Older adults and their caregivers generally prefer behavioral interventions over medications in treatment acceptability studies (Osterkamp, Mathews, Burgio, & Hardin, 1997). However, previous acceptability studies have primarily examined ratings, which did not force the responder to select between treatment options. Additionally, recent advances in behavioral treatment technologies (Carr & LeBlanc, 2003) and pharmacotherapy (Schneider, 1999) warrant revisiting treatment acceptability for older adults. The present investigation examined treatment acceptability of behavioral, pharmacological, and sensory interventions using a treatment acceptability rating scale, treatment selections, and direct report of treatments used in a six-month window. Fifty-six staff from nursing homes in the Mid-West …

Social Cognitive Predictors Of Diabetes Outcomes In Latinos And Whites, Diana Brown

Loma Linda University Electronic Theses, Dissertations & Projects

Investigating health care disparities in ethnic minority populations is an increasingly urgent issue as these disparities lead to higher morbidity and mortality in minorities (National Center of Health Statistics, 2000). There is clear evidence that Latino Americans, the fastest growing minority group in the United States, are more likely to be diagnosed with and experience more severe complications from type 2 diabetes than Anglo Americans. This study surveyed 38 White and 33 Latino diabetes patients from outpatient clinics in an academic medical center. Cultural values (individualism and collectivism), mental health (social support, mental health), and self-efficacy (diabetes and exercise) were …

The Role Of Expectations As Determinants Of Satisfaction In An Outpatient Care Setting, Jan Strohmeyer Brien

Dissertations

Understanding patient satisfaction is a central theme in today's healthcare landscape. The role of patient expectations and its impact on patient satisfaction has not been well understood in the context of a viable theoretical model. Thibault and Kelly's Theory of Interpersonal Relations and constructs of expectations in relationships are used to develop a framework for identifying the main factors driving both expectations and satisfaction. Measures are developed for comparison level of current outcomes compared to expectations (CL), comparison level of alternatives to care (CLalt), investment in selecting a physician, and prior satisfaction. Participants included a random sample of 500 primary …

Parental Perceptions Of Weight In Their Own Children And In Other Children, Tammy Corbett-Alderman

Theses, Dissertations and Capstones

Childhood obesity rates have risen dramatically in the past 50 years. Interest in the issue of obesity in the United States has grown significantly as our population has become increasingly heavier and our obesity associated health issues have become ever more apparent. Childhood obesity is a persistent problem as 80% of obese children grow up to be obese adults. Despite the alarming increase in childhood obesity little has been done to reverse this epidemic. The purpose of the present study was to determine if parents are able to identify excess weight in children other than their own. It was hypothesized …

Sibilities: A Proposed Program For Siblings Of Children With Chronic Illness Or Disability, Alisha Nicole Alanis-Ayala

Theses Digitization Project

The purpose of this project is to develop a comprehensive sibling support program that addresses the unique needs of healthy children with an ill or disabled sibling. A survey to Child Life Specialists professionals was conducted regarding the design and potential implementation of the proposed Sibilites Program.

Quality Of Life Perceptions And Treatment Choices In Hemodialysis And Peritoneal Dialysis, And The Implications For Social Work Practice, Heather Noel Toms

Theses Digitization Project

This study discussed the differences in perceived quality of life issues between hemodialysis, and peritoneal dialysis patients. This study conducted open dialogue with the patients on various treatment modalities, to discover how the patients Q.O.L. (Quality of Life) concerns affected their treatment decisions and to further investigate what social workers can do to assist the patient in increasing their quality of life, and if necessary, advocate for the patient in their treatment choice.

Confronting The Unknown: Mothers’ Reactions, Challenges, And Ways Of Coping With A Child's Diagnosis Of Long Qt Syndrome, Twain Gonzales

PCOM Psychology Dissertations

Long QT syndrome (LQTS) is a life-threatening inherited cardiac condition. It is caused by a disturbance in the ion channel genes that control cardiac repolarization, resulting in ventricular arrhythmias that can lead to syncope, sudden cardiac arrest (SCA), or sudden cardiac death (SCD). Most deaths occur in children, adolescents, and young adults. Although congenital LQTS occurs in 1/3000 to 1/5000 individuals, to date, little research has been conducted on the psychosocial effects of LQTS. Mothers who are confronted with a new diagnosis of their children’s LQTS are likely to have never heard of the disease prior to diagnosis, and few …

Health Issues And Aging In American Indian Older Adults: Resilience Through Adversity, Ennis F. Vaile

Graduate Student Theses, Dissertations, & Professional Papers

The average life expectancy of American Indian (AI) older adults has paralleled mainstream aging trends and is set to continue growing as global increases in longevity continue to improve (Jervis, Boland, & Fickenscher, 2010). However, the disproportionately high levels of chronic health conditions (e.g., diabetes, hypertension, cerebrovascular diseases) observed in this group may outstrip the coping resources of some individuals, potentially leading to unsuccessful aging outcomes such as adverse mental health outcomes (specifically depression). As described in Goins and Pilkerton (2010, p. 346), comparatively higher rates of chronic health conditions have created an “expansion of morbidity,” where American Indians are …

Predicting Adolescent Intentions To Use Sun Protection: Extending The Theory Of Planned Behaviour, Geoffrey Stephen Caratathis

Theses : Honours

There has been much psychological research conducted on the motivations to engage in suntanning and to a lesser extent, sun protective behaviours. The research has shown that compared to all other age groups, adolescents have the greatest desire to obtain a suntan, expose themselves to the sun the most and typically do not engage in sun protective behaviours. The theory of planned behaviour has been used a number of times to predict the intentions and the behaviours of deliberate sun exposure and to a lesser extent, sun protection. However, the theory of planned behaviour has often been unsuccessful in accounting …