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This study examines the effectiveness of two modes of exercise on self-efficacy (SE) in adolescents with Down syndrome (DS). Thirty-nine participants were randomly divided into a voluntary cycling group (VC) (i.e., self-selected cadence), an assisted cycling group (ACT) (i.e., at least 30% faster than self-selected cadence accomplished by a motor), or a no exercise group (NC). In each cycling intervention the participant completed 30 minute cycling sessions, three times per week for a total of eight weeks. Two subsets of the Physical Activity and Self Efficacy Survey were administered prior to cycling (i.e., pretest) and after the eight week intervention (i.e., post-test). The results were consistent with the hypothesis that self-efficacy would improve after ACT, however there was not improvement after the VC condition as hypothesized. It was also hypothesized that exercise perception would improve following the ACT intervention; execise perception showed a trend of improvement after ACT, but the data did not reach significance. Limitations include the wide variability of the DS population. This limitation is responsible for the variation in mental age seen in the intervention groups and could be responsible for the non-significance of the exercise perception data. To generalize our results for parents, therapists, teachers, etc., our recommendation is for persons with DS to participate in physical activity that is easy for them at first \u2014 a simplified sport or active game, assisted cycling, brisk walking \u2014 so that they have a positive experience with exercise. Showing individuals with DS that they can be proficient exercisers will likely improve their self-efficacy and motivate them to engage in more PA over time. In conclusion, eight weeks of moderate ACT exercise demonstrated a significant trend for improved self-efficacy in adolescents with DS.
ContributorsWallace, Kellie Carter (Author) / Ringenbach, Shannon (Thesis director) / Youngstedt, Shawn (Committee member) / Hoffner, Kristin (Committee member) / School of Nutrition and Health Promotion (Contributor) / Barrett, The Honors College (Contributor)
Created2015-12
Description
Background: Physical inactivity is a major cause of obesity, hypertension, cardiovascular disease, and diabetes and has become a major public health problem. Physical inactivity is detrimental to one's health, but it has also created a significant healthcare burden. Within the past decade, many health-based interventions have been implemented to encourage physically inactive individuals to adopt a more active lifestyle. These health-based interventions have used social media websites, particularly Facebook, to establish social support between the participants of those interventions. There is currently limited research on this topic. This study aims to add to that literature by exploring strategies to encourage participants of health-based interventions to interact with a Facebook group. Purpose: An exercise and nutrition-based intervention called Athletes for Life (AFL) has been using a Facebook page over the past 2.5 years to establish social support between participants of the program, among other functions. The level of interaction that participants had with the Facebook page has declined over the past year. The objective of this study is to redesign and refine the AFL Facebook page so that it is more appealing and interactive to AFL participants. Methods: Redesigning and refining the AFL Facebook page were achieved through three strategies. The first strategy was to recruit approximately twenty participants to the new AFL Facebook group. The next strategy was to select a participant to become the group champion who would post encouraging content on the Facebook group wall. The final strategy was to maintain the consistency with which participants liked and viewed posts on the group wall. Results: The results of this study showed nine participants joined the group and these participants had a combined total of 62 likes and 110 views on the group wall over an eleven-week period. Participants interacted with the content posted by the Facebook group administrators on a consistent basis, but only one participant posted a recipe to the group wall. Measuring the level of interaction for each individual post was significant because it illustrated that the level of interaction participants had with posts depended on the identity of the posts' author. Conclusions: Future research should test the effectiveness of a Facebook group page for promoting physical activity and implementing the suggestions from study participants to increase Facebook usage.
ContributorsNasef, Amr Sherif (Author) / Crespo, Noe (Thesis director) / Hekler, Eric (Committee member) / School of Nutrition and Health Promotion (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
The Student Health Outreach for Wellness (SHOW) is a free, student-led interprofessional clinic and community outreach initiative that aims to serve individuals experiencing homelessness in Phoenix, AZ. Individuals experiencing homelessness face many situational and financial barriers to finding healthcare. In order to better understand these barriers, a community needs assessment (CNA) was conducted in Fall 2014 on the Human Services Campus (HSC), a hub of resources for the population. Results indicated chronic disease is moderately prevalent (37.21% and 27.91% reported obesity and hypertension, respectively, among others). Since chronic diseases can lead to more severe health issues, it is imperative to address, manage, and avoid these conditions. Health education programs are a key component of the SHOW clinic model and a means to address chronic disease. The Health Belief Model (HBM) is a theory-based behavior change model used in programs to increase patient adherence to and promotion of preventative health behaviors. SHOW health education programs will use the constructs of this model to inform program development. Since many student volunteers are not well-versed in health education literature, a SHOW Program Development Guide based on the HBM has been created. The guide will help ensure SHOW delivers high-quality and efficacious programs that have a long-lasting impact on patients now and as the organization continues to grow.
ContributorsReeve, Emma Christine (Author) / Hoffner, Kristin (Thesis director) / Harrell, Susan (Committee member) / School of Nutrition and Health Promotion (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
OBJECTIVE: Freshman year at college is a time in an adolescent's life marked by a large amount of change in environment, as well as a shift in peer influences. Past research has shown that there are a variety of influences both personal and socio-environmental that affect weight control behaviors in college freshmen. This study examined the relationship between unhealthy weight control behaviors (UWCB) and two different personal and socio-environmental factors: time spent on each meal, and the perception that friends are partaking in UWCB. The Social Cognitive Theory was used to explain the intricate and intertwined association between the personal and socio-cognitive factors. METHOD: Unhealthy weight control behavior was assessed from first-year university students (n= 1241) living in campus dorms at Arizona State University. Demographics included Male (n=438) Female (n=802) first-year students with an average age of 17.5 years from various ethnic backgrounds. This was a secondary analysis of the devilSPARC study at Arizona State University and students completed a check-in survey upon participation. The survey asked for an estimation of time spent at meals and also asked the students to determine the individual's use of unhealthy weight control behaviors (vomiting, dieting, diet pills, steroids, substances, and protein shakes) as well as the observation of friend's participating in weight control behaviors. Students received a $15 Amazon gift card and devilSPARC swag as an incentive for participating. All participation was voluntary. RESULTS: This study found that unhealthy weight control behaviors were associated with spending more time on meals; this was relevant during the breakfast period. As well, the use of unhealthy weight control behaviors was associated with friends participating in unhealthy weight control behaviors in regards to both unhealthy weight loss and weight gain behaviors. CONCLUSIONS: These findings suggest both personal and socio-environmental factors affect the use of unhealthy weight control behaviors in college freshmen. Interventions for education should focus on body image and healthy weight control behaviors for college freshmen, intervening both before individuals enter college, as well as during the first year at university. This research is an important contribution to the literature, as it examines unhealthy weight control behaviors in college freshmen and the potential influences they face that lead them to develop such behaviors. Future studies should delve deeper into researching the relationship between time spent eating and weight control behaviors, as that has not been extensively studied in the literature.
ContributorsSwanson, Kendra Melanie (Author) / Bruening, Meg (Thesis director) / Mason, Maureen (Committee member) / School of Nutrition and Health Promotion (Contributor) / School of Human Evolution and Social Change (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
Only 1-2% of all humans are redheads. With this uniqueness comes some inherent health concerns. These vary from increased risk of skin disease, Parkinson's disease, and now there is evidence that suggests natural red hair is correlated with an increased need for anesthesia. The expression of red hair in almost all red haired individuals is due to a mutation in the melanocortin-1 receptor (MC1R) gene. A mutation in this gene causes production of phoemelanin instead of eumelanin which affects the production of pigment in the body. Normally among humans, anesthetic requirement is usually uniform and is mostly affected by age and body temperature. However, studies show that redheads may require up to 20% more local and general anesthesia in pain treatments than non-redheads. A study by a group of anesthesiologists and researchers showed that natural redheads with the MC1R gene mutation required 6.2% concentration of desflurane, a gas anesthetic, before they stopped "feeling" pain in the form of electric shocks. This value is 20% higher than what was found for non-redheads at a 5.2% concentration before they stopped responding to the pain. Studies have also found that redheads experience more pain during dental procedures and are resistant to lidocaine, a local anesthetic. In addition to requiring more anesthetics, those with the MC1R mutation are also more sensitive to pain in regards to temperature and are twice as likely to have anxiety about dental care due to the increased pain. A mutation in this gene can affect more than just redheads, however. It is possible for non-redheads to have this mutation and is more likely in individuals who have pale skin and lighter hair. It is still unknown exactly why the mutation of the MC1R gene causes these effects in regards to anesthesia, however there are speculations on what it could be. One such theory is that MC1R mutations produce an increased response of melanocortins that increase pain sensitivity in individuals due to stimulation of melanocortin receptors.
ContributorsNesbit, Anthony Warren (Author) / Day, Kimberly (Thesis director) / Nguyen, Hayden (Committee member) / School of Nutrition and Health Promotion (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
Stretching and flexibility are important components of athletic performance and general fitness. Though many individuals and athletic professionals take into account flexibility, the concept that a certain range of joint motion places one at an increased risk of injury has not been fully explored. This paper seeks to review the research on hip, shoulder, ankle, and spine ranges of motion that increase risk of injury to an athlete, it seeks to provide information on the best way to increase flexibility and range of motion. While this paper provides an insight as to what these potential ranges are, the overall research in the area is lacking and further research is suggested.
ContributorsGriffen, Betsy Ellen (Author) / Feser, Erin (Thesis director) / Kurka, Jonathan (Committee member) / School of Nutrition and Health Promotion (Contributor) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
The purpose of the study was to examine the effectiveness of two modes of exercise on the lower body strength and aerobic capacity in adults with Down syndrome (DS). Six participants randomly completed one of two exercise interventions: 1) Voluntary Cycling (VC), where participants cycled at their self-selected pedaling rate and 2) Assisted Cycling Therapy (ACT), where the participants' voluntary pedaling rates were augmented by 35% with a motor. In each intervention, the participant completed three, 30-minute cycling sessions each week for a total of eight weeks. The Six-Minute Walk Test (6MWT) was used to evaluate the distance each participant was able to complete in six minutes before and after the intervention. There was a significant increase in the distance and velocity of the participants after the intervention with a greater mean improvement for participants in the ACT group than VC when analyzing total score and t-score. Future research will include a greater sample size and control group to reach significant results as well as try and reveal the mechanisms involved in these physical health improvements found after an acute bout of assisted cycling in adults with DS.
ContributorsGanger, Rachel O (Author) / Ringenbach, Shannon (Thesis director) / Der Ananian, Cheryl (Committee member) / School of Nutrition and Health Promotion (Contributor) / Barrett, The Honors College (Contributor)
Created2015-12
Description
The intention of this thesis is to create a cookbook to best serve the needs of all who attend Lions Camp Tatiyee. The cookbook was used as a resource in providing the Lions Camp Tatiyee Kitchen staff with simple, healthy recipes to use in the implementation of their summer menu. This thesis discusses the culmination of the idea, the process of execution, current research concerning the relationship between nutrition and health concerns related to special needs, and achievements and further advancements of my creative project.
ContributorsCornella, Krystiana Mana (Author) / Lespron, Christy (Thesis director) / Dixon, Kathleen (Committee member) / Barrett, The Honors College (Contributor) / School of Nutrition and Health Promotion (Contributor)
Created2015-12