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Description
Background and Purpose— There is limited conclusive data on both pharmacological and holistic treatment options to improve cognition in adults after stroke. In particular, there is lacking evidence for cognitive rehabilitation in the subacute and chronic phases when cognitive impairment may be more perceptible. In this meta-analytic review, our primary

Background and Purpose— There is limited conclusive data on both pharmacological and holistic treatment options to improve cognition in adults after stroke. In particular, there is lacking evidence for cognitive rehabilitation in the subacute and chronic phases when cognitive impairment may be more perceptible. In this meta-analytic review, our primary objective was to determine the cognitive effects of aerobic exercise on post-stroke adults in the post-acute phases. Secondary objectives were to investigate the differential effects of aerobic exercise on sub-domains of cognitive function.
Methods— Data were extracted and filtered from electronic databases PubMed (MEDLINE), CINAHL, Embase, PsycINFO, and Scopus. Intervention effects were represented by Hedges’ g and combined into pooled effect sizes using random effects models. Heterogeneity was evaluated using the Chi-squared (Q) and I-squared statistics.
Results— Five studies met inclusion criteria, representing data from 182 participants. The primary analysis produced a positive overall effect of aerobic exercise on cognitive performance (Hedges’ g [95% confidence interval]= 0.42 [0.007–0.77]). Effects were significantly different from zero for aerobic interventions combined with other physical activity interventions (Hedges’ g [CI] =0.59 [0.26 to 0.92]), but not for aerobic interventions alone (P= 0.40). In specific subdomains, positive moderate effects were found for global cognitive function (Hedges’ g [CI] =0.79 [0.31 to 1.26]) but not for attention and processing speed (P=0.08), executive function (P= 0.84), and working memory (P=0.92).
Conclusions— We determined that aerobic exercise combined with other modes of training produced a significant positive effect on cognition in adults after stroke in the subacute and chronic phases. Our analysis supports the use of combined training as a treatment option to enhance long-term cognitive function in adults after stroke. Further research is needed to determine the efficacy of aerobic training alone.
ContributorsMitchell, Michaela (Author) / Holzapfel, Simon (Thesis director) / Bosch, Pamela (Committee member) / College of Health Solutions (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
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Description
In this pilot study, the purpose was to determine if certain language interventions could help bilingual children reduce maze use and improve their story retell abilities. We used language intervention, Story Champs, and its Spanish version, Puente de Cuentos to help bilingual children improve their story retell abilities. We conducted

In this pilot study, the purpose was to determine if certain language interventions could help bilingual children reduce maze use and improve their story retell abilities. We used language intervention, Story Champs, and its Spanish version, Puente de Cuentos to help bilingual children improve their story retell abilities. We conducted the intervention over the course of three days in both Spanish and English. The children participated in three stories in each language each day. They also received a narrative measure before and after the intervention to measure gains in story ability and to measure maze use. Results of the study indicated that there were no statistically-significant differences in the children's story retell abilities or maze use before and after the intervention. Nevertheless, we are encouraged by our results for future further study because of some improvements the children made.
ContributorsWhiteley, Aaron Kyle (Author) / Restrepo, Maria (Thesis director) / Dixon, Maria (Committee member) / Department of Speech and Hearing Science (Contributor) / School of International Letters and Cultures (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
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Description
This pilot study evaluated whether Story Champs and Puente de Cuentos helped bilingual preschoolers increase their usage of emotional terms and ability to tell stories. Participants in this study included 10 Spanish-English bilingual preschoolers. Intervention was conducted in 9 sessions over 3 days using the Test of Narrative Retell to

This pilot study evaluated whether Story Champs and Puente de Cuentos helped bilingual preschoolers increase their usage of emotional terms and ability to tell stories. Participants in this study included 10 Spanish-English bilingual preschoolers. Intervention was conducted in 9 sessions over 3 days using the Test of Narrative Retell to measure results. Results did not find significant gains in either emotional term usage or ability to tell stories, but the results were promising as a pilot study.
ContributorsSato, Leslie Mariko (Author) / Restrepo, Maria (Thesis director) / Dixon, Maria (Committee member) / Department of Speech and Hearing Science (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
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Description

This study examines the effectiveness of two modes of exercise on inhibitory control in adults with Down Syndrome (DS). Thirteen participants attended four sessions: a baseline assessment, an Assisted Cycling Therapy (ACT) session, a Resistance Training (RT) session, and a session of No Training (NT). In the baseline assessment, 1-repetition

This study examines the effectiveness of two modes of exercise on inhibitory control in adults with Down Syndrome (DS). Thirteen participants attended four sessions: a baseline assessment, an Assisted Cycling Therapy (ACT) session, a Resistance Training (RT) session, and a session of No Training (NT). In the baseline assessment, 1-repetition max (1RM) measurements and voluntary pedal rate measurements were taken. In the resistance training session, the leg press, chest press, seated row, leg curl, shoulder press, and latissimus pulldown were performed. In the cycling intervention, the participant completed 30 minutes of cycling. The Erikson Flanker task was administered prior to each session (i.e., pretest) and after the intervention (i.e., post-test). The results were somewhat consistent with the hypothesis that inhibition time improved more following RT and ACT than NT. there was also a significant difference between ACT and NT. Additionally, it was hypothesized that all measures would improve following each acute exercise intervention, but the most significant improvements were seen following ACT. In conclusion, an acute session of ACT demonstrated a significant trend towards improvements in inhibitory control in adults with DS which we interpreted using a model of neural changes.

ContributorsHayes, Claire (Author) / Ringenbach, Shannon (Thesis director) / Arnold, Nate (Committee member) / Rand, Miya (Committee member) / Edson College of Nursing and Health Innovation (Contributor) / College of Health Solutions (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
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Description
Individuals with autism spectrum disorder (ASD) are known to show impairments in various domains of executive function (EF) such as behavioral flexibility or inhibitory control. Research suggests that EF impairment in adults with ASD may relate to ASD core symptoms, restrictive behaviors and social communication deficits. Mindfulness-based stress

Individuals with autism spectrum disorder (ASD) are known to show impairments in various domains of executive function (EF) such as behavioral flexibility or inhibitory control. Research suggests that EF impairment in adults with ASD may relate to ASD core symptoms, restrictive behaviors and social communication deficits. Mindfulness-based stress reduction (MBSR) has shown promise for improving EF abilities in neurotypical adults, but research has not explored its efficacy or neural mechanisms in adults with ASD. This pilot study examines the effects of an 8-week MBSR intervention on self-report measures of EF and resting-state functional connectivity in a sample of adults with ASD. Fifty-four participants were assigned either to an MBSR group (n = 29) or a social support group (n = 25). Executive function was measured using the BRIEF-2 before and after the intervention for the twenty-seven participants in the second cohort. MBSR-specific improvements in EF were found for BRIEF measures of initiation, inhibition, and working-memory. Resting-state fMRI data was analyzed using independent component analysis (ICA), and group by time resting-state functional connectivity differences were observed between the cerebellar network and frontal regions including the right frontal pole (rFP), medial frontal cortex (MFC) and left and right superior frontal gyri (SFG). The MBSR group showed increases in functional connectivity between the cerebellum and EF regions which correlated with improvements in BRIEF-2 measures. These findings suggest that MBSR may improve EF domains in adults with ASD, and that increases in functional connectivity between the cerebellum and frontal regions while at rest may be a mechanism for such improvements.
ContributorsGuerithault, Nicolas (Author) / Braden, B. Blair (Thesis advisor) / Rogalsky, Corianne (Committee member) / Dixon, Maria (Committee member) / Arizona State University (Publisher)
Created2021
Description
Exercise is widely recognized for its myriad of health benefits, particularly in the realm of chronic disease prevention and treatment. Despite this knowledge, exercise remains significantly underutilized in the United States, with only a quarter of the population meeting the recommended physical activity guidelines set by the Department of Health

Exercise is widely recognized for its myriad of health benefits, particularly in the realm of chronic disease prevention and treatment. Despite this knowledge, exercise remains significantly underutilized in the United States, with only a quarter of the population meeting the recommended physical activity guidelines set by the Department of Health and Human Services (Piercy et al., 2018). Recent research has spotlighted specific regions known as Blue Zones, where natural movement is incorporated into daily lives and populations are characterized by increased longevity and improved health outcomes, including lower rates of chronic diseases. This study aimed to explore and compare exercise behaviors between the United States and the Ikaria Blue Zone in Greece, investigating their potential implications for a longer lifespan and enhanced health. Employing ethnographic methods, including immersive observation, semi-structured, qualitative interviews with locals, and the distribution of validated International Physical Activity Questionnaire (IPAQ) surveys, comprehensive data on exercise habits within the Ikarian population was collected in November 2023. The findings from this study shed light on alternative forms of physical activity that have proven successful in populations with increased longevity. By identifying and understanding these practices, there is an opportunity to implement them in the United States, potentially contributing to improved exercise adherence and the prevention and treatment of chronic diseases. This research underscores the significance of cross-cultural insights in developing effective strategies to promote healthier lifestyles and enhance overall well-being.
ContributorsUnderhill, Jackson (Author) / Hrncir, Shawn (Thesis director) / Siegler, Jason (Committee member) / Barth, Christina (Committee member) / Barrett, The Honors College (Contributor) / School of Life Sciences (Contributor) / College of Health Solutions (Contributor)
Created2024-05
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Description
Research on the correlation between exercise and mental health outcomes has been a growing field for the past few decades. It is of specific interest to look at how physical activity affects psychological outcomes and it’s efficacy for treating mental health disorders. The current treatment options for depression and

Research on the correlation between exercise and mental health outcomes has been a growing field for the past few decades. It is of specific interest to look at how physical activity affects psychological outcomes and it’s efficacy for treating mental health disorders. The current treatment options for depression and anxiety are not suitable for everyone and therefore there is a need for a more accessible and cost-effective form of treatment, like exercise. Furthermore, exercise as a treatment is also linked with many more health benefits. Indeed a wealth of studies have explored the relationships between exercise and depression as well as exercise and anxiety, showing exercise to be a positive predictor of mental health. The following paper will serve to: define depressive and anxiety disorders, explore the research on the effects of physical activity prescriptions on the outcomes of such disorders, create evidence-based applied recommendations for different disorders, and explore the mechanisms by which exercise mitigates symptoms to ultimately accredit the prescription of exercise as a form of treatment for mental health disorders.
ContributorsAddington, Rachel Anne (Author) / Hoffner, Kristin (Thesis director) / Broman, Tannah (Committee member) / College of Health Solutions (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
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Description
Adolescent survivors of sex trafficking are at risk for poor health outcomes and may be less likely to adopt healthy lifestyle behaviors such as physical activity. Survivors of childhood traumas may be less likely to engage in physical activity due to lack of self-efficacy. The present study was a case-series

Adolescent survivors of sex trafficking are at risk for poor health outcomes and may be less likely to adopt healthy lifestyle behaviors such as physical activity. Survivors of childhood traumas may be less likely to engage in physical activity due to lack of self-efficacy. The present study was a case-series of a pre-post, single-arm physical activity intervention to test whether the program could increase self-efficacy among adolescent survivors of sex trafficking. The intervention was 8-weeks of 60-minute aerobic physical activity classes offered three times per week at a residential center for adolescent girls who are survivors of sex trafficking and sexual abuse. The primary outcome was physical activity-related self-efficacy as measured by the Sport Competence subscale of the Physical Self Perception Profile (PSPP) questionnaire. Secondary outcomes included self-reported physical activity, emotional eating, and sleep habits. All outcomes were measured at baseline, 4 weeks, and 8 weeks. Five participants were enrolled in the study. Two participants experienced an increase in the Sport Competence subscale of the PSPP Questionnaire by Week 4 of the study and then a decrease by Week 8 of the study. Another participant experienced no change in the Sport Competence subscale score. Scores for the last two participants could not be determined due to invalid data. These findings suggest that more research is needed on enhancing healthy behaviors among adolescent sex trafficking survivors.
ContributorsRichardson, Jamielee (Author) / Petrov, Megan (Thesis director) / Calvin, Samantha (Committee member) / College of Health Solutions (Contributor, Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
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Description
Research regarding typical English language development in children who are bilingual is of interest for speech-language pathologists, but often this information is not available to them. As a result, many individuals find themselves believing false stereotypes about children who are bilingual, such as the idea that bilingualism causes developmental delay

Research regarding typical English language development in children who are bilingual is of interest for speech-language pathologists, but often this information is not available to them. As a result, many individuals find themselves believing false stereotypes about children who are bilingual, such as the idea that bilingualism causes developmental delay or disorders. For example, individuals do not realize the differences in past tense development for bilingual children versus monolingual children, a form that is often difficult for monolingual English-speaking children with developmental language delays. By focusing on a specific aspect of language development, such as English past tense acquisition of children who are bilingual, and observing changes in MLU and grammaticality that accompany acquisition, this study seeks to increase the existing knowledge on bilingualism and language development. Specifically, we will answer the following questions: a) At which grade level do Spanish-English bilingual children master English past tense after they enter English-only schooling in preschool? b) What types of errors do the children make with regular past tense? c) what types of errors do they make with irregular past tense? and d) What is the level of English grammaticality and MLUw at each grade level in English after children enter preschool? This study examined past-tense accuracy, MLU, and grammaticality development over a period of 5 years, in 13 children who were participants in a larger project called the Language and Reading Research Consortium (LARRC). Children were followed from preschool to third grade. They provided a yearly language sample by retelling one of the wordless Marianna Meyer and Mercer Meyer frog books, such as Frog on His Own or A Boy a Dog a Frog and a Friend. The language samples were then transcribed, coded, and analyzed using the Systematic Analysis of Language Transcripts (SALT) software. Results indicate that children progressively improved over the years, with children reaching over 80% accuracy with past tense by year 3 or first grade; they demonstrated the most improvement in MLU between years 2 to 3 and years 3 to 4; and they showed a gradual improvement in grammaticality each year, with the exception of no increase between years 4 to 5. Findings from the study indicate that there is leveling in all three areas after 2nd grade. These results contribute to our understanding of normal English language development in bilingual children and may improve assessment when we evaluate their performance in English as a second language.
ContributorsEdem, Stephanie (Author) / Restrepo, M. Adelaida (Thesis director) / Weinhold, Juliet (Committee member) / Pierce, Melissa (Committee member) / College of Health Solutions (Contributor, Contributor) / Sanford School of Social and Family Dynamics (Contributor) / Barrett, The Honors College (Contributor)
Created2020-12
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Description
The purpose of this study was to use the tenets discussed in the Self-Determination Theory to explore how adolescents are motivated to engage in physical activity and examine the reasons for their participation - or lack thereof - in order to determine the influence of motives on physical activity behaviors

The purpose of this study was to use the tenets discussed in the Self-Determination Theory to explore how adolescents are motivated to engage in physical activity and examine the reasons for their participation - or lack thereof - in order to determine the influence of motives on physical activity behaviors in an adolescent population. The relative autonomy continuum of the Self-Determination Theory includes amotivation, external regulation, introjected regulation, identified regulation, integrated regulation, and intrinsic motivation. These different levels will be assessed. Participants were seventh grade students at a middle school in the Phoenix metropolitan area (n=70). The adolescents’ relative autonomy levels were assessed with a modified version of the Behavioral Regulation in Exercise Questionnaire. Individual motivational factors were measured from a modified version of the Exercise Motivations Inventory. The adolescents’ locus of causality was then measured using the Locus of Causality for Exercise Scale. Participants were asked to answer two additional questions assessing their perceived time barrier and frequency of physical activity participation. The data were scored using the scoring guidelines provided by each questionnaire after collection through a Google Form and analysis on Google Sheets. Results showed that adolescents with higher levels of identified regulation (3.88), intrinsic motivation (4.22), and locus of causality (4.67) were more likely to also engage in higher levels of physical activity. These findings could be used for future research that focuses on school-based interventions for physical activity through enjoyment so as to increase identified regulation and intrinsic motivation while shifting to a more internal locus of causality in order to increase their overall leisure-time physical activity as a way to combat the increasing rates of childhood overweight and obesity in the United States.
ContributorsWade, Jake (Author) / Hoffner, Kristin (Thesis director) / Broman, Tannah (Committee member) / Barrett, The Honors College (Contributor) / College of Health Solutions (Contributor)
Created2022-05