Matching Items (12)
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Description
Spousal bereavement is one of the most stressful life events, resulting in increased morbidities and mortality risk. Negative health outcomes include depressive episodes, anxiety, sleep disruption, and overall poorer physical health. The older adult population is rapidly increasing and over 30% of the US population 65 years and older are

Spousal bereavement is one of the most stressful life events, resulting in increased morbidities and mortality risk. Negative health outcomes include depressive episodes, anxiety, sleep disruption, and overall poorer physical health. The older adult population is rapidly increasing and over 30% of the US population 65 years and older are widowed. Current studies regarding older adults and spousal bereavement treatment have been limited to psychological and educational interventions. Meditative movement practices (e.g. Tai Chi) have shown benefits such as mood elevation, anxiety reduction, and other physical function improvements. A feasibility study applying an 8-week Tai Chi Easy intervention was examined to address the sequelae of spousal bereavement among adults 65 and older. Grounded in geriatric nursing as a discipline that addresses the unique needs of older adults' psychological and physiological health needs and related theoretical constructs, this project also draws from exercise science, mental health, and social psychology. Theoretical premises include Orem's Self Care Deficit Theory (nursing), Stroebe and Schut's Dual Process Model (thanatology), and Peter Salmon's Unifying Theory (exercise). Aims of the study examined feasibility as well as pre-post-intervention changes in grief, and the degree of loss orientation relative to restoration orientation (Inventory of Daily Widowed Life). A trend in the direction of improvement was found in measured subscales, as well as a statistically significant change within the loss orientation subscale. Based upon these encouraging findings, effect sizes may be used to power a future larger study of similar nature.
ContributorsNseir, Stacey C (Author) / Larkey, Linda K. (Thesis advisor) / Mcclain, Darya B. (Committee member) / Coon, David W. (Committee member) / Arizona State University (Publisher)
Created2012
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Description
Obesity is a worldwide epidemic. Countries in the Middle East, Central and Eastern Europe, as well as North America have the highest prevalence of obesity in the world. Perimenopause is a transitional period in the life of a woman, occurring a few years before and a year after menopause or

Obesity is a worldwide epidemic. Countries in the Middle East, Central and Eastern Europe, as well as North America have the highest prevalence of obesity in the world. Perimenopause is a transitional period in the life of a woman, occurring a few years before and a year after menopause or last menses. During this period, a woman may experience several physiological, psychological and socio-economical changes that may affect the health promotion efforts related to weight management. Perimenopausal obesity prevalence is high in Middle-Eastern countries and is a particular problem in Gulf Cooperation Council Countries (GCC). Despite the high prevalence of obesity in GCC countries and its comorbidities among the perimenopausal women, not much attention is given to it. There is lack of understanding regarding the perception of perimenopausal women of midlife weight gain. This study proposed a qualitative descriptive design that used semi-structured interviewing, and conventional content analysis. The purpose of this study was to examine the culturally specific views of perimenopausal GCC women concerning the causes and processes of midlife weight gain. Constructs derived from the health belief and explanatory models to identify and sort themes into conceptual categories were used. The themes and initial interpretations were brought forward into the organizing and explanatory framework of the socioecological model for further exploration and elucidation. The problem of overweight/obesity among the perimenopausal women in GCC countries was found to have many dimensions. These dimensions interacted at multiple levels (individual, interpersonal, organizational and community) and encompassed factors salient in both the HBM and Kleinman's model of disease and risk behaviors. The findings of this study suggest that weight-management programs targeting perimenopausal GCC women should be planned based on the multilevel factors that are expressed by them.
ContributorsAl-Zadjali, Manal (Author) / Keller, Colleen S. (Thesis advisor) / Evans, Bronwynne C. (Committee member) / Larkey, Linda K. (Committee member) / Arizona State University (Publisher)
Created2012
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Description

Women with breast cancer often experience weight gain during and after treatment, significantly increasing risk for recurrence as well as all-cause mortality. Based on a growing body of evidence, meditative movement practices may be effective for weight management. First, we describe the effects of stress on factors associated with weight

Women with breast cancer often experience weight gain during and after treatment, significantly increasing risk for recurrence as well as all-cause mortality. Based on a growing body of evidence, meditative movement practices may be effective for weight management. First, we describe the effects of stress on factors associated with weight gain for breast cancer survivors. Then, a model is proposed that utilizes existing evidence to suggest how meditative movement supports behavioral, psychological, and neurohormonal changes that may explain weight loss. Application of the model suggests how a novel "mindful-body-wisdom" approach may work to help reduce weight for this at-risk group.

ContributorsLarkey, Linda K. (Author) / Vega-Lopez, Sonia (Author) / Keller, Colleen (Author) / McClain, Darya (Author) / Ainsworth, Barbara (Author) / Ohri-Vachaspati, Punam (Author) / Smith, Lisa (Author) / Jeong, Mihyun (Author)
Created2014-12-24
Food Assistance Program Participation among US Household during COVID-19 Pandemic
Description

In the face of the coronavirus (COVID-19) pandemic, food assistance programs adapted quickly and in unprecedented ways to meet the challenges of high unemployment, disruptions in the food supply, and school closures. Supported by US Department of Agriculture’s COVID-19 program-specific waivers, some programs relaxed their eligibility criteria, while others improvised

In the face of the coronavirus (COVID-19) pandemic, food assistance programs adapted quickly and in unprecedented ways to meet the challenges of high unemployment, disruptions in the food supply, and school closures. Supported by US Department of Agriculture’s COVID-19 program-specific waivers, some programs relaxed their eligibility criteria, while others improvised on delivery modalities or temporarily increased benefits.1 To examine food assistance program participation and participant experiences during the first few months of the pandemic, we collected online survey data in July 2020 from a sample of over 1,500 U.S. households, representative of the US population. This brief summarizes participation in key food assistance programs, namely, the Supplemental Nutrition Assistance Program (SNAP), the Special Supplemental Program for Women Infants and Children (WIC), School Food Programs, as well as emergency food assistance provided through Food Pantries

Created2020-11
Description

Frequent consumption of fruits and vegetables has been linked to better dietary quality and positive health outcomes. Unfortunately, fruit and vegetable consumption among elementary school children falls far short of the recommendations. Therefore, finding strategies to promote fruit and vegetable consumption in children is a public health priority. One such strategy

Frequent consumption of fruits and vegetables has been linked to better dietary quality and positive health outcomes. Unfortunately, fruit and vegetable consumption among elementary school children falls far short of the recommendations. Therefore, finding strategies to promote fruit and vegetable consumption in children is a public health priority. One such strategy is the United States Department of Agriculture’s (USDA) Fresh Fruit and Vegetable Program (FFVP), which provides fresh fruits and vegetables as snacks, at least twice per week, in elementary schools with high student enrollment from low-income households. The program aims to expand the variety of fruits and vegetables children experience, impacting their present and future health outcomes.  Another USDA initiative, the Supplemental Nutrition Assistance Program Education (SNAP-Ed), offered in community and school settings, aims to improve the likelihood that SNAP eligible individuals will make healthy food choices consistent with the Dietary Guidelines for Americans.  SNAP-Ed is a potential resource for FFVP schools, providing nutrition education, staff training, and promotional materials.

ContributorsGruner, Jessie (Contributor) / DeWeese, Robin (Contributor) / Ohri-Vachaspati, Punam (Contributor) / Mollner, Kristi (Contributor) / Lacagnina, Gina (Contributor) / Arizona Nutrition Network (Funder)
Created2016
Description

Many factors influence children’s health behaviors and health outcomes. The Social Ecological Model (SEM) groups these factors into interactive layers, creating a framework for understanding their influence and for designing interventions to achieve positive change. The layers of influence in the SEM include individual, interpersonal, organizational, community, and policy factors.

ContributorsOhri-Vachaspati, Punam (Contributor) / Yedidia, Michael J., 1946- (Contributor) / New Jersey Child Health Study (Contributor, Contributor) / Stevens, Clinton (Contributor) / Rutgers Center for State Health Policy (Contributor) / ASU College of Health Solutions (Contributor)
Created2019-10
Description

Many factors influence children’s health behaviors and health outcomes. The Social Ecological Model (SEM) groups these factors into interactive layers, creating a framework for understanding their influence and for designing interventions to achieve positive change. The layers of influence in the SEM include individual, interpersonal, organizational, community, and policy factors

Many factors influence children’s health behaviors and health outcomes. The Social Ecological Model (SEM) groups these factors into interactive layers, creating a framework for understanding their influence and for designing interventions to achieve positive change. The layers of influence in the SEM include individual, interpersonal, organizational, community, and policy factors (see figure). The New Jersey Child Health Study (NJCHS) was designed to examine how specific layers of the SEM, particularly food and physical activity environments in schools and communities, affect obesity outcomes in children

ContributorsOhri-Vachaspati, Punam (Contributor) / Eliason, Jessica (Contributor) / Yedidia, Michael J., 1946- (Contributor) / New Jersey Child Health Study (Contributor) / Rutgers Center for State Health Policy (Contributor) / ASU College of Health Solutions (Contributor)
Created2019-10
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Description
Despite the literature suggesting that fruits and vegetables (F&V) can have a protective outcome against overweight, obesity and chronic diseases, consumption is still inadequate. In order to address under consumption of F&V among children, schools have become a platform for a variety of food programs. The Fresh Fruit and Vegetable

Despite the literature suggesting that fruits and vegetables (F&V) can have a protective outcome against overweight, obesity and chronic diseases, consumption is still inadequate. In order to address under consumption of F&V among children, schools have become a platform for a variety of food programs. The Fresh Fruit and Vegetable Program (FFVP), a United States Department of Agriculture (USDA) initiative, aims to increase exposure and consumption of F&V in low-income school children by providing F&V snacks. Participation in FFVP has been associated with higher preference and consumption of F&V and research also suggests that the program has the potential to decrease rates of overweight and obesity. The benefits of this program have been found to extend outside of the school setting, with higher requests for F&V at home and at the grocery store. This study aims to explore how children’s participation in the FFVP influences home food environments and shopping practices through qualitative analysis focus group data. Four focus groups were held with parents (n=25) from three FFVP participating schools. The data was analyzed using an inductive thematic analysis approach to find themes within the discussions. The findings were grouped into three categories: General Perceptions of FFVP, Impact of FFVP on the Home Food Environment, and Impact of FFVP on Shopping Practices. For General Perceptions of FFVP, themes were: Children learn about and enjoy F&V, awareness of farm to school programs, and children make healthier choices. Impact of FFVP on the Home Food Environment included the themes: Choosing heathier foods and snacks, parent F&V behaviors, children request F&V at home, and children talk about or bring F&V home. Finally, Impact of FFVP on Shopping Practices included the themes: children’s involvement in shopping, children request to buy F&V, children request non-produce items, and parents decline or limit unhealthy requests. This qualitative study provides valuable insights about how FFVP participation influences child and family behaviors towards F&V at home and in the grocery store. School food programs, such as the FFVP, have a positive influence on F&V related behaviors among children and should be continued and expanded.
ContributorsAcosta Ortiz, Marina (Author) / Ohri-Vachaspati, Punam (Thesis advisor) / DeWeese, Robin (Thesis advisor) / Gruner, Jessie (Committee member) / Arizona State University (Publisher)
Created2018
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Description
Fruit and vegetable consumption among school children falls short of current recommendations. The development of Public-Private Partnerships (PPP), which combine the resources of government entities with the resources of private entities, such as businesses or not-for-profit agencies, has been suggested as an effective approach to address a number of public

Fruit and vegetable consumption among school children falls short of current recommendations. The development of Public-Private Partnerships (PPP), which combine the resources of government entities with the resources of private entities, such as businesses or not-for-profit agencies, has been suggested as an effective approach to address a number of public health concerns, including inadequate fruit and vegetable consumption. The United States Department of Agriculture's (USDA) Fresh Fruit and Vegetable Program (FFVP) provides fruits and vegetables as snacks at least twice per week in low-income elementary schools. In addition to increasing fruit and vegetable consumption behaviors at school, children participating in the FFVP have been found to make more requests for fruits and vegetables in grocery stores and at home, suggesting the impact of the program extends beyond school settings. The purpose of this multicase study was to describe key stakeholders' perceptions about creating PPPs between schools and nearby retailers to cross-promote fruits and vegetables in low-income communities, using the FFVP. Semi-structured interviews were conducted with participants from three cases groups: grocery store/produce managers (n=10), district FFVP personnel (n=5) and school FFVP personnel (n=12). Data were analyzed using a directed content analysis approach using constructs from the Health Belief Model, including benefits, barriers, strategies, and motivation. While findings varied by case group, key benefits of creating a PPP included the potential to increase store sales, to enhance public relations with the community, and to extend the impact of the FFVP to settings outside of schools. Barriers included offering expensive produce through the FFVP, time/labor-associated costs, and needing approval from authorities and supervisors. Strategies for developing a PPP included using seasonal produce and having clear instructions for teachers and staff. Stakeholders reported being motivated to create a PPP by the potential to improve health outcomes in children and by wanting to help the community. Both objective and subjective measures were suggested to measure the success of such a partnership. Finally, the educational component of the USDA's Supplemental Nutrition Assistance Program (SNAP-Ed) has the potential to serve as a catalyst for organizing a PPP between FFVP-participating schools and nearby grocery stores.
ContributorsGruner, Jessie (Author) / Ohri-Vachaspati, Punam (Thesis advisor) / Evans, Browynne (Committee member) / Bruening, Meg (Committee member) / Tasevska, Natasha (Committee member) / Hekler, Eric (Committee member) / Arizona State University (Publisher)
Created2017