Matching Items (37)
Filtering by
- Genre: Academic theses
Description
Systemic lupus erythematosus (SLE), or lupus, is a rare autoimmune disease in which the antibodies that are formed in the body attack healthy tissues and organs. The most prevalent physical manifestation of the illness is fatigue. Fatigue often plagues patients with no warning and without leaving a trace of measurable evidence. The issue of fatigue’s invisibility and the difficulties of communicating the experience of fatigue has been shown to impact relationships with friends, family, and physicians. It is important for patients to understand their condition in order to better identify their own triggers, manage their condition, and communicate their symptoms to friends, families, and other medical professionals. The study sought to explore the lived experience of women who have lupus, describe the impact of symptom invisibility on social support and patient-doctor relationships, identify effective strategies in communicating and managing the condition, and describe the broad range of life changes associated with the disease. The study utilized in-depth, semi-structured interviews to gather detailed information from eleven women with lupus. Six overarching themes emerged from the data: difficulties with diagnosis, discovering lupus is a process, managing lupus, social impact of lupus, communicating the experience, and limitations of the healthcare system. Symptom invisibility was not frequently cited as the cause of any interpersonal problems faced by the participants. Rather, the results suggest that the current healthcare system in the United States may not be equipped to adequately care for patients with lupus. This study provides insight for recommendations to patients with lupus and may inform cultural and policy changes necessary to improve healthcare delivery.
ContributorsVélez-Bermúdez, Miriam Eunice (Author) / Vargas, Perla A (Thesis advisor) / Mickelson, Kristin D (Committee member) / Roberts, Nicole A. (Committee member) / Arizona State University (Publisher)
Created2016
Description
Type 1 diabetes (T1D) is one of the most common chronic diseases in youth and it has been shown that adolescents have the worst glycemic control of any age group. The objective of this study was to develop, test and evaluate the feasibility of an online intervention (Can-Do-Tude) that uses the principles of motivational interviewing (MI) to deliver tailored diabetes self-management education to adolescents with T1D. Bandura’s efficacy belief system was used to guide the design of this study.
The study used a multi-phase, multi-method approach. The first phase (alpha) of this study was a qualitative descriptive design to examine the intervention’s fidelity. Evaluation of performance was conducted by experts in the fields of MI, T1D, adolescence and/or online education. The second phase (beta) was a quantitative descriptive design conducted in order to evaluate feasibility by examining the acceptability (recruitment, retention and satisfaction) and implementation (diabetes self-management self-efficacy) to determine whether the intervention was appropriate for further testing.
First phase findings showed that the intervention passed all measures with the content experts (n = 6): it was functional, accurate, usable and secure. Improvements to the intervention were made based on reviewer recommendations. For the second phase 5 adolescents between 14 and 17 were enrolled. Three adolescents completed all 4 weeks of the intervention while 2 completed only 3 weeks. Participants (n = 3) rated satisfaction on a 5-point Likert-type scale ranging from “not at all” satisfied (1) to “very much” satisfied (5). There was a positive response to the intervention (M = 4.28, SD = 0.55). Implementation was measured by a pre- and post-test for diabetes self-management self-efficacy. Participants (n = 3) demonstrated overall improvements in diabetes self-management self-efficacy (Z = -2.952, p = .007).
Implications for further Can-Do-Tude research are planned at a metropolitan diabetes center using updated technology including an application platform. Although the sample was small, findings indicate that the intervention can be conducted using a web-based format and there is initial evidence of improvement in self-efficacy for diabetes self-management.
The study used a multi-phase, multi-method approach. The first phase (alpha) of this study was a qualitative descriptive design to examine the intervention’s fidelity. Evaluation of performance was conducted by experts in the fields of MI, T1D, adolescence and/or online education. The second phase (beta) was a quantitative descriptive design conducted in order to evaluate feasibility by examining the acceptability (recruitment, retention and satisfaction) and implementation (diabetes self-management self-efficacy) to determine whether the intervention was appropriate for further testing.
First phase findings showed that the intervention passed all measures with the content experts (n = 6): it was functional, accurate, usable and secure. Improvements to the intervention were made based on reviewer recommendations. For the second phase 5 adolescents between 14 and 17 were enrolled. Three adolescents completed all 4 weeks of the intervention while 2 completed only 3 weeks. Participants (n = 3) rated satisfaction on a 5-point Likert-type scale ranging from “not at all” satisfied (1) to “very much” satisfied (5). There was a positive response to the intervention (M = 4.28, SD = 0.55). Implementation was measured by a pre- and post-test for diabetes self-management self-efficacy. Participants (n = 3) demonstrated overall improvements in diabetes self-management self-efficacy (Z = -2.952, p = .007).
Implications for further Can-Do-Tude research are planned at a metropolitan diabetes center using updated technology including an application platform. Although the sample was small, findings indicate that the intervention can be conducted using a web-based format and there is initial evidence of improvement in self-efficacy for diabetes self-management.
ContributorsPaul, Linda Louise (Author) / Komnenich, Pauline (Thesis advisor) / Spezia Faulkner, Melissa (Committee member) / Shaibi, Gabriel (Committee member) / Arizona State University (Publisher)
Created2017
Description
Physical activity, sedentary behaviors, and sleep are often associated with cardiometabolic biomarkers commonly found in metabolic syndrome. These relationships are well studied, and yet there are still questions on how each activity may affect cardiometabolic biomarkers. The objective of this study was to examine data from the BeWell24 studies to evaluate the relationship between objectively measured physical activity and sedentary behaviors and cardiometabolic biomarkers in middle age adults, while also determining if sleep quality and duration mediates this relationship. A group of inactive participants (N = 29, age = 52.1 ± 8.1 years, 38% female) with increased risk for cardiometabolic disease were recruited to participate in BeWell24, a trial testing the impact of a lifestyle-based, multicomponent smartphone application targeting sleep, sedentary, and more active behaviors. During baseline, interim (4 weeks), and posttest visits (8 weeks), biomarker measurements were collected for weight (kg), waist circumference (cm), glucose (mg/dl), insulin (uU/ml), lipids (mg/dl), diastolic and systolic blood pressures (mm Hg), and C reactive protein (mg/L). Participants wore validated wrist and thigh sensors for one week intervals at each time point to measure sedentary behavior, physical activity, and sleep outcomes. Long bouts of sitting time (>30 min) significantly affected triglycerides (beta = .15 (±.07), p<.03); however, no significant mediation effects for sleep quality or duration were present. No other direct effects were observed between physical activity measurements and cardiometabolic biomarkers. The findings of this study suggest that reductions in long bouts of sitting time may support reductions in triglycerides, yet these effects were not mediated by sleep-related improvements.
ContributorsLanich, Boyd (Author) / Buman, Matthew (Thesis advisor) / Ainsworth, Barbara (Committee member) / Huberty, Jennifer (Committee member) / Arizona State University (Publisher)
Created2017
Description
String players have been identified as the most affected group of instrumentalists suffering from musculoskeletal disorders, and most of the problems are related to posture. The high prevalence of injuries among string players suggests that there is room in the music curriculum for a program tailored to this population and that can provide both immediate and long-term solutions. Pilates is a mind-body conditioning method of exercises and a philosophy that shares many similarities with string playing technique and performance, which suggests that its practice can be beneficial to improve not only the posture of string players but also various other areas. Studies about Pilates as a treatment show the varied areas in which Pilates can help, which are all of interest to instrumentalists. However, the application of Pilates into the music curriculum as a way to help string players improve awareness and reduce injuries has not yet been fully explored. This document addresses the similarities between Pilates and string playing, identifies postural tendencies of string players, and demonstrates how specific Pilates exercises can help counteract asymmetries, restore balance, and reduce the number of musculoskeletal injuries of string players. All anatomical drawings included in this document were adapted from other sources, as cited, or originally drawn by the author.
ContributorsGallo, María Luciana (Author) / Norton, Kay (Thesis advisor) / Landschoot, Thomas (Thesis advisor) / Humphreys, Jere T. (Committee member) / Rotaru, Catalin (Committee member) / Arizona State University (Publisher)
Created2017
Description
The physician assistant (PA) profession is lacking in diversity, both in practicing PAs and the PA student population. PA organizations, including the PA Education Association and the Accreditation Review Commission on Education for the PA, have been advocating for action to address this lack of diversity, and many educational institutions have responded by innovating their recruitment and admissions strategies. Another appropriate response to address the lack of diversity in PA education would be to critically evaluate the curriculum, specifically professionalism curriculum, for inclusiveness. Professional identity formation (PIF) provides a framework for teaching professionalism that focuses on the evolving identities of medical learners (Irby & Hamstra, 2016) as influenced by their individual, relational, and collective identities (Cruess et al., 2015). However, PIF has been critiqued for lacking inclusion of sociocultural contexts (Wyatt et al., 2020). Through this mixed methods action research study, I utilized community of inquiry (CoI; Garrison et al., 1999) as a theoretical framework for creation and facilitation of a professional development workshop for PA educators aimed at evaluating academic medical journal articles focused on the topics of professionalism in medical education, PIF, and PIF experiences in underrepresented in medicine students. My goal was to increase awareness of PIF as a pedagogical framework which has the potential to alter the learning environment toward one of inclusion and belonging. Additionally, through my CoI, I further aimed to expand upon the PIF conceptual framework to include elements of intersectionality by focusing on how sociocultural factors influence student perspectives on professionalism and their PIF process. I used Ajzen’s (1991) theory of planned behavior to evaluate participants’ intention to incorporate PIF into their professionalism curricula and to prioritize sociocultural factors in their professionalism pedagogies. Using pre- and post-intervention surveys, participant interviews, and workshop session exit questions, I determined that my professional development workshop contributed to an increased likelihood of PA educators to integrate PIF and prioritize sociocultural factors into their professionalism curricula, and further, changed perspectives regarding the definition of professionalism in PA education to include an understanding and appreciation for how professionalism is influenced by a student’s sociocultural factors.
ContributorsFeirstein, Jennifer (Author) / Beardsley, Audrey (Thesis advisor) / Smith, Stephanie (Committee member) / Piemonte, Nicole (Committee member) / Arizona State University (Publisher)
Created2024
Description
Providing nutrition information at point of sale at restaurants has gained in popularity in recent years and will soon become a legal requirement. Consumers are using this opportunity to become more informed on the nutritional quality of the foods they consume in an effort to maintain healthfulness. Prior research has confirmed the utility of this information in adult populations. However, research on adolescents in school environments has resulted in mixed findings. This study investigated the effect of exposure to calorie and fat information on student purchases at lunchtime in a high school cafeteria. Additionally, it explored other factors that may contribute to students' food selections during school lunches. The research methods included analysis of changes in cafeteria food sales in one school, surveys, and focus groups. Analysis of cafeteria food sales during lunch did not show any significant change in the average number of calories and fat purchased per student between pre and post intervention. However, information gathered from focus group questioning demonstrated how students used the nutrition information to change their behavior after they have purchased their food.
ContributorsFresques, Audrey Delfina (Author) / Schugurensky, Daniel, 1958- (Thesis advisor) / Barnett, Joshua (Committee member) / Cruz, Heather (Committee member) / Arizona State University (Publisher)
Created2013
Description
Despite the widely recognized health benefits of breastfeeding and its endorsement by leading health organizations, as a preventative public health intervention, inadequate breastfeeding knowledge and lactation management skills among healthcare providers continues to be a major barrier for women who choose to initiate breastfeeding. Breastfeeding competencies are not standardized in healthcare education for any of the health professions. To address this gap, a few continuing education and professional development programs have been implemented, but paucity in research regarding the efficacy of these programs exists. The purpose of this study was to explore the changes in healthcare providers’ learning outcomes related to breastfeeding support and promotion.
A non-experimental pre-posttest self-report survey design was used to assess the feasibility and preliminary efficacy of an online breastfeeding educational intervention for healthcare providers. The Theory of Planned Behavior (TPB) provided the framework for exploring the participants’ psychological and behavioral outcomes. The research questions were: (1) What is the feasibility of an online breastfeeding course for healthcare providers? (2) What are healthcare providers’ psychological and behavioral changes occurring after completion of an online course? (3) How do the post-intervention psychological and behavioral outcomes of the online format compare with those of the previous format (hybrid) of this breastfeeding course?
Although participants’ favorably assessed the feasibility (i.e., acceptability) of the 45-hour course, several factors contributed to participants’ satisfaction level: Previous online learning experience, connectedness with others, and the degree of structural support. Significant positive changes occurring in participants were increases in their knowledge and beliefs about breastfeeding; attitudes toward formula feeding; perceived behavioral control; perceptions about being able to perform breastfeeding supportive behaviors; and intentions to perform actions that are consistent with evidence-based breastfeeding supportive behaviors. Significant changes in the beliefs about formula feeding were not in the expected direction raising conceptual and pedagogical issues. Participants had negative perceptions about being able to implement what they learned in their workplaces or to affect policy. Findings support the use of online breastfeeding education programs for healthcare providers; changes at both individual and institutional levels are necessary to change provider practices.
A non-experimental pre-posttest self-report survey design was used to assess the feasibility and preliminary efficacy of an online breastfeeding educational intervention for healthcare providers. The Theory of Planned Behavior (TPB) provided the framework for exploring the participants’ psychological and behavioral outcomes. The research questions were: (1) What is the feasibility of an online breastfeeding course for healthcare providers? (2) What are healthcare providers’ psychological and behavioral changes occurring after completion of an online course? (3) How do the post-intervention psychological and behavioral outcomes of the online format compare with those of the previous format (hybrid) of this breastfeeding course?
Although participants’ favorably assessed the feasibility (i.e., acceptability) of the 45-hour course, several factors contributed to participants’ satisfaction level: Previous online learning experience, connectedness with others, and the degree of structural support. Significant positive changes occurring in participants were increases in their knowledge and beliefs about breastfeeding; attitudes toward formula feeding; perceived behavioral control; perceptions about being able to perform breastfeeding supportive behaviors; and intentions to perform actions that are consistent with evidence-based breastfeeding supportive behaviors. Significant changes in the beliefs about formula feeding were not in the expected direction raising conceptual and pedagogical issues. Participants had negative perceptions about being able to implement what they learned in their workplaces or to affect policy. Findings support the use of online breastfeeding education programs for healthcare providers; changes at both individual and institutional levels are necessary to change provider practices.
ContributorsWatkins, Amanda L (Author) / Dodgson, Joan E (Thesis advisor) / Reifsnider, Elizabeth G. (Committee member) / McClain, Darya (Committee member) / Arizona State University (Publisher)
Created2015
Wellness resources at postsecondary music schools: a survey of how this information is being offered
Description
Musicians have the potential to experience health problems related to their
profession. The National Association of Schools of Music (NASM) requires schools to
provide information about wellness. There are 634 degree-granting, not for profit, NASM
accredited postsecondary music schools in America. This study examined the types of
wellness resources offered at 387 of these schools or 60%. Wellness information was
divided into three categories: physical, psychological and hearing. The types of resources
offered, category of information and the size of the school were considered. Schools were
emailed and their websites were searched for wellness information.
Forty-eight percent of the schools had website information, 32% offered wellness
workshops, 16% of the schools offered wellness courses, and 32% of the schools covered
wellness information through other methods. Nineteen percent of the schools said that
they did not offer courses or workshops and did not say how they are meeting the
requirement. Physical wellness information was most widely available, followed by
hearing information, while psychological wellness information was harder to find.
Smaller schools were less likely to offer wellness courses but otherwise the size of a
school did not play a significant role in the types of wellness resources they were able to
offer.
Based on the findings, more schools should incorporate wellness information on
their websites and hold wellness workshops. Psychological wellness information should
be more widely available. Schools should advertise the wellness information that they
offer so that students are aware of the options available to them.
profession. The National Association of Schools of Music (NASM) requires schools to
provide information about wellness. There are 634 degree-granting, not for profit, NASM
accredited postsecondary music schools in America. This study examined the types of
wellness resources offered at 387 of these schools or 60%. Wellness information was
divided into three categories: physical, psychological and hearing. The types of resources
offered, category of information and the size of the school were considered. Schools were
emailed and their websites were searched for wellness information.
Forty-eight percent of the schools had website information, 32% offered wellness
workshops, 16% of the schools offered wellness courses, and 32% of the schools covered
wellness information through other methods. Nineteen percent of the schools said that
they did not offer courses or workshops and did not say how they are meeting the
requirement. Physical wellness information was most widely available, followed by
hearing information, while psychological wellness information was harder to find.
Smaller schools were less likely to offer wellness courses but otherwise the size of a
school did not play a significant role in the types of wellness resources they were able to
offer.
Based on the findings, more schools should incorporate wellness information on
their websites and hold wellness workshops. Psychological wellness information should
be more widely available. Schools should advertise the wellness information that they
offer so that students are aware of the options available to them.
ContributorsFraser, Catherine (Author) / Spring, Robert (Thesis advisor) / Gardner, Joshua (Thesis advisor) / Caslor, Jason (Committee member) / Feisst, Sabine (Committee member) / Sullivan, Jill (Committee member) / Arizona State University (Publisher)
Created2016
Description
Low income, pregnant adolescents have an increased risk of adverse pregnancy outcomes, such as preterm birth, delivery of low birth weight babies and excessive gestational weight gain that increases the risk of postpartum overweight and obesity. Inadequate dietary intake is a modifiable risk factor that may differentially impact maternal health and fetal outcomes for pregnant adults and adolescents. To evaluate the effectiveness of a social media intervention on improving prenatal health knowledge and dietary intake, 22 racially diverse pregnant women (59% Black and 36% White) were recruited and adolescent (n=10) outcomes compared to those of adults (n=12) across the intervention. Pre- and post-intervention nutrition knowledge questionnaires and diet recalls were completed to assess nutrition knowledge and dietary intake. When assessing dietary change across the intervention, significant decreases in fat (pre vs. post, 97.9 ± 0.2 g vs. 90.2 ± 0.2 g, P=0.047) and folate intake (pre vs. post, 537.6 ± 0.3 μg vs. 531.2 ± 0.2 μg, P=0.041) were observed while significant increases in carbohydrate (pre vs. post, 318.9 ± 0.2 g vs. 335.9 ± 0.2 g, P<0.001), calcium (pre vs. post, 851.3 ± 0.3 mg vs. 893.5 ± 0.2 mg, P<0.001) and magnesium intakes (pre vs. post, 212.9 ± 0.2 mg vs. 227.8 ± 0.2 mg, P<0.001) occurred. These time effects occurred independent of group (adolescents vs. adults) as time*group interactions were not significant (p>0.05) with the exception of sugar intake. Increases in sugar intake across the intervention were greater among the adolescent group (adolescent vs. adult, 7.9 ± 0.2 g vs. 6.0 ± 0.2 g, P=0.023). Overall nutrition knowledge was limited and confusion regarding MyPlate recommendations persisted. The inadequate dietary behaviors observed suggest that future interventions should focus education on specific dietary nutrients such as added sugars and fiber to improve dietary intakes. The best way to actively engage pregnant adolescents is unknown: however, social media has the potential to reach teens and low-income women with education that may be key in allowing interventions to change dietary habits and behaviors.
ContributorsEllis, Megan (Author) / Whisner, Corrie M (Thesis advisor) / Bruening, Meg (Committee member) / Vega-Lopez, Sonia (Committee member) / Arizona State University (Publisher)
Created2016
Description
Marijuana legalization will likely result in increased marijuana consumption with uncertain social and health impacts. This thesis looks to share user perspectives on marijuana, specifically addressing how users represent marijuana risks, benefits, and uncertain or unknown dangers. Data were collected from an online social-media forum that initiated the discussion by prompting readers to reflect on marijuana risks in a context of growing accolades concerning its benefits. Grounded theory and thematic analysis were both utilized to identify consistent themes or patterns across user comments. It was found that users identified both benefits and risks of marijuana, while some users had disputes about certain known risks (such as impaired driving) or uncertain or unknown dangers (such as reduced dream activity). Despite disagreements about the degree of risk associated with a particular activity (such as driving and dreaming), this thesis found risks and benefits were discussed in relatively narrow ways that suggest more education is needed around the full spectrum of the effects of various strains, including benefits, risks, and uncertainties.
ContributorsVannoy, Joshua (Author) / Nadesan, Majia H (Thesis advisor) / Walker, Michael (Committee member) / Ramsey, Ramsey E (Committee member) / Arizona State University (Publisher)
Created2019