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ABSTRACT Approximately 3.5% of adolescents in the United States have chronic daily headache (CDH). Chronic daily headaches in adolescents are often refractory to the adult pharmacological interventions. And as a result, adolescents typically experience increased levels of stress, which exacerbates their headaches. Chronic daily headaches negatively impact both the adolescent

ABSTRACT Approximately 3.5% of adolescents in the United States have chronic daily headache (CDH). Chronic daily headaches in adolescents are often refractory to the adult pharmacological interventions. And as a result, adolescents typically experience increased levels of stress, which exacerbates their headaches. Chronic daily headaches negatively impact both the adolescent and their family. Adolescents with CDHs frequently exemplify comorbid psychiatric symptoms such as anxiety, depression, and increased risk for suicide. Risk factors for CDH in adolescents have been well studied; however, few studies have focused on psychologically based interventions to enhance effective coping, positive mental health, and pain relief in this group of teens. Given the paucity of psychologically focused interventions in this group, further research is necessary to test and develop the effectiveness of cognitive behavioral skills building (CBSB) interventions. This pilot study focused on the use of a CBSB intervention that emphasized problem solving, cue recognition, effective communication, behavior modeling, cognitive reappraisal, stress management, effective coping, and positive thinking. A randomized controlled trial pilot study was conducted. The intervention group received a seven-week intervention focused on CBSB techniques and headache education, while the comparison headache education group received a seven-week program focused on basic headache hygiene measures (e.g., adequate sleep, adequate hydration, dietary triggers, environmental triggers). The total sample included 32 adolescents inclusive of the ages 13 and 17 years. Paired t-tests resulted in significant preliminary positive effects for COPE-HEP on anxiety, depression, beliefs, headache disability, headache frequency, and headache duration. Comparison group education resulted in significant preliminary positive effects on anxiety, depression, headache disability, headache frequency, headache pain level, headache duration, and medication frequency. There were no significant changes over time in means of parent perception of pain interference for both groups. Independent t-tests revealed that COPE-HEP teens had significantly less anxiety and headache duration at post-intervention. The acceptability of the COPE-HEP intervention with adolescents with CDHs in a specialty care setting is supported by this study, while the feasibility of conducting this study in a specialty care setting is partially supported. These findings support a need to refine the intervention and test both its short and long-term effects in a full-scale randomized controlled trial with adolescents who have CDHs.
ContributorsHickman, Carolyn (Author) / Melnyk, Bernadette M (Thesis advisor) / Jacobson, Diana (Thesis advisor) / Gance-Cleveland, Bonnie (Committee member) / Szalacha, Laura (Committee member) / Arizona State University (Publisher)
Created2012
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This paper details the development of a six-week health education class for pregnant and parenting women recovering from substance abuse. The class was developed in collaboration with Student Health Outreach for Wellness (SHOW) Community Initiative, a student-run organization providing free healthcare to underserved populations, and with Crossroads, Inc., a licensed

This paper details the development of a six-week health education class for pregnant and parenting women recovering from substance abuse. The class was developed in collaboration with Student Health Outreach for Wellness (SHOW) Community Initiative, a student-run organization providing free healthcare to underserved populations, and with Crossroads, Inc., a licensed treatment provider serving men, women, and veterans recovering from addiction and substance use disorders. A needs assessment via personal interview was conducted to identify the demographics of the female residents at the Crossroads for Women treatment facility, the existing medical health promotional services, and the needed medical and health promotional services. The needs assessment identified the need for health education for pregnant and parenting women recovering from addiction. The SHOW Program Development Guide was utilized to develop the content for the classes based on the Health Belief Model theory. The Health Belief Model focuses on the beliefs and attitudes of individuals and altering them to make achieving good health more feasible (Hochbaum, Rosenstock, and Kegels, 1952). The program curriculum identifies potential perceived barriers to health and utilizes strategies to decrease the perceived barriers and increase perceived benefits. The six-week course was divided to address six different topics: 1. Introduction, 2. Physical Health, 3. Stress Management, 4. Nutrition, 5. Exercise, and 6. Conclusion and Discharge Planning. The class will be taught by a variety of health professional disciplines in accordance with the interprofessional practice theory, which utilizes two or more health professions to improve health outcomes. This project outlines all presentation materials, handouts, activities, and implementation recommendations required to produce a program that helps pregnant and parenting women on their road to recovery.
ContributorsPhillips, Megan Anne (Author) / Harrell, Liz (Thesis director) / Reifsnider, Elizabeth (Committee member) / School of Human Evolution and Social Change (Contributor) / Barrett, The Honors College (Contributor)
Created2016-12
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“What the Health is This” is a creative project that aims to provide health education, improve health literacy, encourage young adults to do their own reputable health research, and empower them to make informed health decisions through that research. Centered on topics of interest for young adults, the podcast covers

“What the Health is This” is a creative project that aims to provide health education, improve health literacy, encourage young adults to do their own reputable health research, and empower them to make informed health decisions through that research. Centered on topics of interest for young adults, the podcast covers four main concepts: wellness, self-care, health care, and public health. Each episode is approximately 20 minutes.
ContributorsLim, Lance Israel (Author) / Hasse, Kimberly (Co-author) / Chen, Angela (Thesis director) / Hess, Aaron (Committee member) / Barrett, The Honors College (Contributor) / Edson College of Nursing and Health Innovation (Contributor) / Watts College of Public Service & Community Solut (Contributor)
Created2022-05
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Description
“What the Health is This” is a creative project that aims to provide health education, improve health literacy, encourage young adults to do their own reputable health research, and empower them to make informed health decisions through that research. Centered on topics of interest for young adults, the podcast covers

“What the Health is This” is a creative project that aims to provide health education, improve health literacy, encourage young adults to do their own reputable health research, and empower them to make informed health decisions through that research. Centered on topics of interest for young adults, the podcast covers four main concepts: wellness, self-care, health care, and public health. Each episode is approximately 20 minutes.
ContributorsHasse, Kimberly (Author) / Lim, Lance (Co-author) / Chen, Angela (Thesis director) / Hess, Aaron (Committee member) / Barrett, The Honors College (Contributor) / Edson College of Nursing and Health Innovation (Contributor) / Watts College of Public Service & Community Solut (Contributor)
Created2022-05
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Description
ABSTRACT

Adolescence is a period marked by significant physical, developmental, cognitive, and social changes, all of which contribute to health concerns for teens. A steady rise in life expectancy over the past two centuries is potentially diminishing due to the increase in prevalence, severity, and consequences of obesity in children

ABSTRACT

Adolescence is a period marked by significant physical, developmental, cognitive, and social changes, all of which contribute to health concerns for teens. A steady rise in life expectancy over the past two centuries is potentially diminishing due to the increase in prevalence, severity, and consequences of obesity in children and adolescents related to unhealthy lifestyle behaviors. Health behaviors are often established during childhood and adolescence that continue into adulthood. The development and integration of healthy lifestyle behaviors are vital through adolescence. Self-determination theory (SDT) offers a theoretical framework for attempting to understand individual differences in motivation and behavior. Recent studies have primarily focused on how adolescents make choices related to eating behaviors, physical activity, and self-care habits, and how the resultant behaviors are measured. Participants in this study were 63 healthy adolescents enrolled in 9th grade health class. All participants provided baseline data at Time 1 and again following the five-week pretest posttest intervention study at Time 2. This study examined the utility of SDT in the development of the Adolescent Intrinsic Motivation, a healthy lifestyle behavior intervention, using the tenets of SDT to explain healthy lifestyle motivational beliefs in adolescents, along with healthy lifestyle behaviors and knowledge. The AIM intervention study introduced basic health recommendations to adolescents in an autonomy-supportive environment, which has been shown to encourage the adolescent to make healthy behavior choices based on their own interest and enjoyment. Preliminary effects of the study indicated that participants receiving the AIM intervention demonstrated significant differences in motivational beliefs, healthy lifestyle knowledge, as well as healthy lifestyle behaviors from Time 1 (baseline) to Time 2 (post-intervention). Results of this study provide support for the use of SDT to address the competence, relatedness, and autonomy of adolescents in the development of health education material. Testing this intervention in a larger, random sampling of schools within the state, or even in more than one state, with a three- or six-month follow-up would be useful in determining the longer-term effects of the intervention.
ContributorsRoland, Catherine (Author) / Jacobson, Diana (Thesis advisor) / Reifsnider, Elizabeth G. (Thesis advisor) / McClain, Darya (Committee member) / Arizona State University (Publisher)
Created2015