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Description
Purpose: Hispanics diagnosed with type 2 diabetes mellitus (DM) have poorer health outcomes than non-Hispanic whites. Approximately one- half of all Hispanic DM patients utilize community health clinics for their DM needs. Evidence suggests that using a culturally-tailored approach to DM education can uniquely improve health outcomes in this population. The purpose of this evidence-based practice (EBP) project was to improve glycemic control in a medically underserved Hispanic community through a culturally-tailored DM education program.
Methods: This quasi-experimental pre/post design project was guided by the ACE Star Model and Leininger’s Theory of Cultural Care. The affiliated University’s IRB approved this project. The Diabetes Empowerment Education Program (DEEP) was implemented in a free, community clinic in a medically underserved area. Spanish speaking patients (n = 15) with A1C levels
> 8mg/dl were recruited to participate in a 6-week group educational program facilitated by community health workers. Outcomes included A1C levels, weight, and two surveys from the Michigan Diabetes Research Center - DM knowledge test and the DM empowerment scale.
Results: Paired sample t-tests were used to analyze the outcomes. The participants had an average pre-A1C of 8.82 mg/dl with post-A1C of 8.01 mg/dl (p = .028). Pre-knowledge test scores averaged 9.40 with post-test average of 12.07 (p < .001). Empowerment scores increased from 4.09 to 4.63 (p = .001). The reduction between the average pre-and post-weight measures were not statistically significant (p = .681).
Discussion: The implementation of a culturally-tailored DM educational program in a medically underserved community had a significant impact on reducing A1C levels, improving DM knowledge, and enhancing empowerment levels. Although the sample size was small and limited to one clinic, applying these programs can have a measurable clinical impact in the treatment of Hispanic DM patients. Future research can further exam how to duplicate this project on a larger scale and over a sustained period.
Methods: This quasi-experimental pre/post design project was guided by the ACE Star Model and Leininger’s Theory of Cultural Care. The affiliated University’s IRB approved this project. The Diabetes Empowerment Education Program (DEEP) was implemented in a free, community clinic in a medically underserved area. Spanish speaking patients (n = 15) with A1C levels
> 8mg/dl were recruited to participate in a 6-week group educational program facilitated by community health workers. Outcomes included A1C levels, weight, and two surveys from the Michigan Diabetes Research Center - DM knowledge test and the DM empowerment scale.
Results: Paired sample t-tests were used to analyze the outcomes. The participants had an average pre-A1C of 8.82 mg/dl with post-A1C of 8.01 mg/dl (p = .028). Pre-knowledge test scores averaged 9.40 with post-test average of 12.07 (p < .001). Empowerment scores increased from 4.09 to 4.63 (p = .001). The reduction between the average pre-and post-weight measures were not statistically significant (p = .681).
Discussion: The implementation of a culturally-tailored DM educational program in a medically underserved community had a significant impact on reducing A1C levels, improving DM knowledge, and enhancing empowerment levels. Although the sample size was small and limited to one clinic, applying these programs can have a measurable clinical impact in the treatment of Hispanic DM patients. Future research can further exam how to duplicate this project on a larger scale and over a sustained period.
ContributorsBrown, Fionnuala S. (Author) / Thrall, Charlotte (Thesis advisor)
Created2018-04-23
Description
Purpose: Assess provider perceptions on care coordination, collaboration, teamwork, and shared decision-making practices pre and post a brief educational intervention on interprofessional collaboration (IPC).
Background and significance: A lack of care coordination and active follow up in the outpatient setting of individuals living with mental illness places this population at high risk for developing various comorbidities. Care coordination across care providers and patients in a IPC, patient-centered treatment model of care is an intervention that can reduce this barrier to care.
Methods: At a behavioral health clinic in the southwestern United States (U.S.) twenty-two participants were assessed via the Collaborative Practice Assessment Tool (CPAT), before and after an educational presentation on IPC care. The CPAT is a tool that was developed to assess collaborative practice within teams and help identify needs for professional development.
Results: Statistical significance was found from pretest to posttest scores (t(21) = -1.936, p = .066). Statistical significance was found in two of the eight domains; mission, meaningful purpose, and goals (p = .009) and decision-making and conflict management (p = .058). Increases in posttest scores were seen in all eight domains.
Conclusions: Training behavioral health professionals in IPC practice and teambuilding may facilitate improved clinical team experiences and communication. Behavioral health professionals treating individuals living with serious mental illness (SMI), IPC training could prepare providers to work more effectively and efficiently in the delivery of patient-centered care in this population with complex health care needs.
ContributorsVioletta, Tina (Author) / Harrell, Liz (Thesis advisor)
Created2016-05-04
Description
Examining the effect of various factors such as class, gender, and status on health inequalities in India is crucial for improving access to health services. However, most research on castes in India is done using broad, government-defined categories, including “Scheduled Castes,” “Scheduled Tribes,” “Forward Classes,” and “Other Backwards Classes.” These general categories erase the experiences that more specific caste groups have in their health and their livelihood. Using the 2015-2016 Demographic and Health Survey of India, this study analyzes data on 699,686 women aged 15-49 to investigate the association of socioeconomic status, assessed by wealth, education, and community status on two types of contraceptive use–sterilization and other modern methods. Those with secondary education or higher were much less likely to be sterilized and more likely to use non-sterilization forms of modern contraception. Interestingly, those with greater household wealth were more likely to be sterilized but had no different chance of using non-sterilization forms of modern contraception. After controlling for other socioeconomic factors, members of Scheduled Castes and Backward Classes are more likely to be sterilized. However, there was additional heterogeneity between groups, with Muslim groups and Northeastern tribes much less likely to be sterilized, and Southern tribes more likely to be sterilized. Moreover, Muslim groups as well as Northern and Northeastern tribes were more likely to use non-sterilizations forms of contraception, whereas Southern tribes were less likely to use non-sterilization forms of contraception. These findings illustrate that in addition to differences by major caste categories, there is still religious and regional variation in the likelihood of using different forms of contraception. Future research should examine how unique community factors erased within the already present government caste system can affect health. In addition, more research should be done on the various effects of discrimination faced by these communities and how this discrimination affects their health education, access, and autonomy.
ContributorsChandra, Natasha (Author) / Hruschka, Daniel (Thesis director) / Drake, Alexandria (Committee member) / Barrett, The Honors College (Contributor) / School of Human Evolution & Social Change (Contributor) / School of International Letters and Cultures (Contributor) / Dean, W.P. Carey School of Business (Contributor)
Created2024-05
Description
The primary goal of our nonprofit organization, Plant-ED, is to deepen the average individual’s knowledge regarding sustainability and to inspire our users to engage in a community of like-minded individuals who share a passion for sustainability. To accomplish this vision, we have created a digital platform where users can easily find information on upcoming events, activities, and alternative products that truly embody a mindset of sustainability. Our team will be the main and constant source of content for our website, however our users are also able to interact with the website through blog posts and subscriptions. Additionally, our platform has a section dedicated to explaining the impact of recycling and shows the devastating effects if humans do not take accountability for their choices and develop more sustainable habits. The ultimate goal for our website is for it to be a place where we can promote our partners’ products which are either alternatives to unsustainable products or companies who donate some of their proceeds to help create a greener world. The profit from the commission we receive from our partners and subscription services will be reinvested into expanding our digital platform and partnerships.
ContributorsMahoney, Emma (Author) / Weiderhoft, Isabella (Co-author) / Meyers, Zoe (Co-author) / Smith, Connor (Co-author) / Byrne, Jared (Thesis director) / Balven, Rachel (Committee member) / Barrett, The Honors College (Contributor) / Dean, W.P. Carey School of Business (Contributor) / Department of Finance (Contributor)
Created2024-05
Description
My thesis is a comprehensive, multi-page report highlighting the ethical concerns of Arizona’s English-only law, or Proposition 203. It will emphasize the detrimental effects the law has on bilingualism, language preservation, and educational equity. To do this, I will explore research on the benefits of bilingualism for cultural awareness, brain development, and career opportunities. The project will underscore the importance of embracing linguistic diversity in the public education system in Arizona. My report will provide some background on the topic by delving into the historical context and intentions behind the English-only law. This will essentially expose to readers the misguided attempts of the law, some of which include boosting test scores at the expense of genuine learning experiences. I will include information that supports my argument that Proposition 203 discourages bilingualism and strips impactful opportunities from students in the public education system. Additionally, anecdotes and personal opinions from educators will be included to strengthen my argument. By highlighting the ethical implications of prioritizing test outcomes over holistic education, my thesis aims to advocate for a shift towards inclusive, more immersive bilingual education models.
ContributorsErramuzpe, Sophia (Author) / Sipka, Danko (Thesis director) / Amrein-Beardsley, Audrey (Committee member) / Barrett, The Honors College (Contributor) / Department of Psychology (Contributor) / School of International Letters and Cultures (Contributor)
Created2024-05
Description
The compelling question is “How can a sense of belonging be brought to the Math classroom?” This topic centers at the intersection of mathematics, history, and education. The mathematics field is overwhelmingly portrayed as antiquated, white, and male. There is a lack of history taught in the math classroom. As such, adding history that counters the perceptions of who belongs in mathematics will engage students who had not previously felt represented in the field. In addition, students who lack interest in mathematics may find themselves interested in the historical aspects, leading to more retention in the classroom. The main goals of this project are to create an addition to the mathematical curriculum that can be added as a starter to classroom discussions or a warm up before a lecture. The ideal form is a laminated flip book consisting of photos, descriptions, and fun facts about 52 mathematicians (one per week) from diverse time periods, countries, and backgrounds.
ContributorsNeff, Juniper (Author) / Klemaszewski, James (Thesis director) / Mohacsy, Hedvig (Committee member) / Barrett, The Honors College (Contributor) / School of Mathematical and Statistical Sciences (Contributor) / School of Public Affairs (Contributor)
Created2024-05
Description
From Cavities to Calm is a podcast featured on Spotify that breaks down various causes of dental fear. We review the psychology of the fear and categorize the common themes this could have resulted from: finances, inheritance and post-traumatic stress. The purpose of the podcast is for people who have a fear of the dentist and are looking for ways to break the cycle.
ContributorsTovey, Peyton (Author) / Nikpour, Rodmanned (Thesis director) / Maddox, Rachael (Committee member) / Barrett, The Honors College (Contributor) / School of Music, Dance and Theatre (Contributor) / School of Politics and Global Studies (Contributor) / Walter Cronkite School of Journalism and Mass Comm (Contributor)
Created2024-05
Description
Research demonstrates that maladaptive eating (e.g., restriction, disinhibition) and persistent depressive symptoms often co-occur and may reinforce each other over time. However, little is known regarding the etiology of early maladaptive eating and depressive symptoms among Mexican American children and how cultural orientation impacts co-occurrence. This study aimed to map the emerging structure of maladaptive eating–depression symptom networks, identify early dysfunctional mechanisms (i.e., symptoms) that maintain network structure, and explore how cultural orientation influences mechanisms. The sample included 263 low-income Mexican American children, assessed at 6-, 7.5-, and 9-years-old via maternal report. Mothers completed surveys on child eating, depressive symptoms, and cultural orientation. Data was analyzed using regularized partial correlation, Ising, and mixed graphical network models. Results showed that maladaptive eating networks were invariant over time. Central maladaptive eating symptoms were related to food responsiveness. Depressive symptom and combined networks were not stable enough for interpretation. Sadness and thoughts of worthlessness/inferiority emerged as central depressive symptoms at age 9. No bridge symptoms or moderated effects were large enough for interpretation. This study is the first of its kind to examine associations between eating and depressive symptoms among Mexican American children using network analysis. Results provide etiological information on the structure of co-occurring eating and depressive symptoms across late childhood and provide direction towards optimal prevention targets among this group.
ContributorsHernandez, Juan Carlos (Author) / Perez, Marisol (Thesis advisor) / Luecken, Linda (Committee member) / Berkel, Cady (Committee member) / Cruz, Rick (Committee member) / Arizona State University (Publisher)
Created2024
Description
This project offers a multi-perspective overview of why art matters in ecology. Combining the research of others with my own art and insight from within the academic system, I address the breadth of applications that art has in science education. The goal of this project is to show that creative engagement can foster a sustainable mindset, make science-learning more accessible, and encourage progress in social and environmental justice in an integrative, interdisciplinary way.
ContributorsSvitak, Lo (Author) / Barca, Lisa (Thesis director) / Chew, Matthew (Committee member) / Barrett, The Honors College (Contributor) / School of Life Sciences (Contributor) / School of International Letters and Cultures (Contributor)
Created2024-05
Description
This study explores the correlation between personality types and internal monologues. Utilizing causal research survey data, a multinomial logistic regression was employed. Findings reveal a significant correlation between personality types and internal monologue types (positive or negative). However, other predicted factors did not yield significant results. Additionally, this regression yielded a low coefficient of determination, leaving room for improvement in the model. These insights contribute to understanding the intricate details of the human mind, providing implications for mental health interventions and therapy practices.
ContributorsBaghai, Roma (Author) / Boghrati, Reihane (Thesis director) / Sopha, Matthew (Committee member) / Barrett, The Honors College (Contributor) / Department of Information Systems (Contributor)
Created2024-05