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- All Subjects: Wellness
Description
Introduction: Several faith-based or faith-placed programs have focused on the physical dimension of wellness in efforts to improve health by increasing physical activity and improving diet behaviors. However, these programs were not designed to intervene on the mental dimension of wellness which is critical for stress reduction and health behavior change. Purpose: To evaluate the feasibility of a spirituality-based stress reduction and health behavior change intervention using the Spiritual Framework of Coping (SFC) model. Methods: This study was a quasi-experimental one group pretest posttest design. The study was a total of eight weeks conducted at a non-denominational Christian church. Participants were recruited from the church through announcements and flyers. The Optimal Health program met once a week for 1.5 hours with weekly phone calls during an additional four week follow-up period. Feasibility was assessed by the acceptability, demand, implementation, practicality, integration, and limited efficacy of the program. Analysis: Frequencies for demographics were assessed. Statistical analyses of feasibility objectives were assessed by frequencies and distribution of responses to feasibility evaluations. Limited efficacy of pretest and posttest measures were conducted using paired t-test (p <.05). Results: The Optimal Health Program was positively accepted by participants. The demand for the program was shown with average attendance of 78.7%. The program was successfully implemented as shown by meeting session objectives and 88% homework completion. The program was both practical for the intended participants and was successfully integrated within the existing environment. Limited efficacy changes within the program were mostly non-significant. Conclusion: This study tested the feasibility of implementing the Optimal Health program that specifically targeted the structural components of the Spiritual Framework of Coping Model identified to create meaning making and enhance well-being. This program may ultimately be used to help individuals improve and balance the spiritual, mental, and physical dimensions of wellness. However, length of study and limited efficacy measures will need to be reevaluated for program success.
ContributorsWalker, Jenelle R (Author) / Swan, Pamela (Thesis advisor) / Ainsworth, Barbara (Committee member) / Chisum, Jack (Committee member) / Fleury, Julie (Committee member) / Hooker, Steven (Committee member) / Arizona State University (Publisher)
Created2012
Description
Sedentary behavior has recently been recognized as a widespread, independent risk factor for increased morbidity and mortality from chronic conditions including diabetes, cardiovascular disease, and cancer. Midlife women (age 40-64) are known to have high levels of sedentary behavior and corresponding cardiovascular disease risk. Currently, little is known about mechanisms involved in reducing and maintaining reductions to sedentary behavior in midlife women. Theory-based nursing interventions are needed which reflect process, personal meaning, person-environment interaction, and incorporate a strength-based perspective. Wellness Motivation Theory guided the research, conceptualizing behavioral change processes within culturally and environmentally relevant contexts, while recognizing bidirectional influences of personal and environmental factors on behavioral patterns. The Wellness Motivation Theory addresses social support and norms, community and material resources that influence behavioral choices, individual motivation and goals, and the behavioral change processes of self-knowledge, motivational appraisal, and self-regulation. A qualitative descriptive approach was used to explore social contextual resources and behavior change processes leading to action as decreasing sedentary time in midlife women. The maximum variation sample included 31 midlife women, employees of Arizona State University. Participants attended a one-hour focus group to discuss their experiences with sedentary behavior, and their efforts to sit less and move more. Midlife women characterized social support as: Raising Me Up, Timing Time and Walking and Talking. Support from contextual resources reflected themes of Seeking Place, Stepping Up, and Walking the Talk. Women experienced self-knowledge as Envisioning the Future, Taking Inventory, and Considering Possibles. Motivational appraisal was characterized as Reevaluating Priorities, Wayfinding, and Going All In. Self-regulation was reflected as Recounting Benefits, Keeping On Track, and Creating New Ways. A deeper understanding of motivational processes central to reducing sedentary behavior in midlife women fosters identification of leverage points for future theory-based intervention research which provides primary prevention opportunities to lower cardiovascular disease risk, and promote successful aging.
ContributorsSherman, Tanie (Author) / Fleury, Julie (Thesis advisor) / Belyea, Michael (Committee member) / Komnenich, Pauline (Committee member) / Arizona State University (Publisher)
Created2018
Description
The number of refugees experiencing displacement is 25.9 million worldwide, with the majority in the last 7 years from Syria. While international government organizations and researchers have called for assessment of refugee health and wellness, research in this vulnerable population is limited. This dissertation is built around humanizing refugee research on health and wellness. The introduction in Chapter 1 provides an overview for the three resulting chapters which are (a) a grounded theory study to gain insight into the lives of Syrian refugees living in displacement; (b) a systematic literature review on wellness in Syrian refugees in displacement; and (c) a concept analysis to examine wellness from the perspective of Syrian refugee women within the context of displacement. Chapter 5 includes the summary, discussion, and recommendations for future research.
Chapter 2 consists of three themes which shaped the lives of Syrian refugees during displacement: (a) assets and deficits; (b) official obstacles and supports; and (c) unofficial obstacles and supports. Health emerged as a priority for the refugees which included many dimensions related to the quality of their health and health needs. The results of Chapter 2 precipitated in using wellness as a holistic lens to view Syrian refugee’s health and health needs in Chapter 3. The results of Chapter 3 added a more holistic view of Syrian refugee health, while highlighting the need for improved research methods addressing wellness in Syrian refugees. Chapter 4 clarifies and defines wellness from the perspective of Syrian refugee women.
Chapter 2 consists of three themes which shaped the lives of Syrian refugees during displacement: (a) assets and deficits; (b) official obstacles and supports; and (c) unofficial obstacles and supports. Health emerged as a priority for the refugees which included many dimensions related to the quality of their health and health needs. The results of Chapter 2 precipitated in using wellness as a holistic lens to view Syrian refugee’s health and health needs in Chapter 3. The results of Chapter 3 added a more holistic view of Syrian refugee health, while highlighting the need for improved research methods addressing wellness in Syrian refugees. Chapter 4 clarifies and defines wellness from the perspective of Syrian refugee women.
ContributorsWofford, Danielle (Author) / Komnenich, Pauline (Thesis advisor) / Fleury, Julie (Thesis advisor) / Klimek, Barbara (Committee member) / Arizona State University (Publisher)
Created2020