Matching Items (45)
Description
Purpose/Aims: We aim to increase understanding of water safety measures among primary care providers and improve the quality and efficiency of parent water-safety education.
Background and Significance: Drownings are the leading cause of death in one to four year old children in the United States. Arizona’s drowning rate is nearly double the national average for this age group. Water safety is an important anticipatory guidance topic a primary care provider should be discussing at all well visits. The Health Belief Model is an effective framework to guide family education interventions. It is strongly encouraged that providers incorporate water safety education into the developmental milestone discussions.
Methods: Ten providers recruited from six Arizona pediatric primary care clinics participated in an educational one-hour session. Providers were encouraged to prioritize water safety discussions within the one to four year old age group and deliver education in the context of individual child development. Additionally, providers were updated on water safety recommendations from the Center for Family Health and Safety at Phoenix Children’s Hospital. Supplemental handouts with developmental water safety information were given to each office to aid providers in parent education. A pre-survey was administered to the providers prior to the education session and a post-survey was given at an eight-week follow up. The surveys measured provider perception and current practices of water safety education and utilized a Likert scale to compare data sets. Current and retrospective chart reviews were conducted to evaluate sustainability of the educational intervention.
Outcomes/Results: Sixty percent of provider participants were Medical Doctors (MD) and 40% were Nurse Practitioners (NP) with experience ranging from one year to over 20 years. Following the education session, providers were more likely to discuss keeping a child at arms-reach at all times (p=0.046) during their well visits. There was also an increase in providers incorporating water safety discussions into milestone education (p=0.054).
Conclusion: This educational intervention empowered providers to deliver water safety education in the context of normal developmental milestones at each one to four year old well visit. The anticipatory guidance emphasizes to parents that the behaviors their children exhibit are healthy and normal, but also explains how achieving these milestones put their children at greater risk for drownings. This quality improvement project is part of a larger initiative to decrease the number of drownings in Arizona through education and policy
Background and Significance: Drownings are the leading cause of death in one to four year old children in the United States. Arizona’s drowning rate is nearly double the national average for this age group. Water safety is an important anticipatory guidance topic a primary care provider should be discussing at all well visits. The Health Belief Model is an effective framework to guide family education interventions. It is strongly encouraged that providers incorporate water safety education into the developmental milestone discussions.
Methods: Ten providers recruited from six Arizona pediatric primary care clinics participated in an educational one-hour session. Providers were encouraged to prioritize water safety discussions within the one to four year old age group and deliver education in the context of individual child development. Additionally, providers were updated on water safety recommendations from the Center for Family Health and Safety at Phoenix Children’s Hospital. Supplemental handouts with developmental water safety information were given to each office to aid providers in parent education. A pre-survey was administered to the providers prior to the education session and a post-survey was given at an eight-week follow up. The surveys measured provider perception and current practices of water safety education and utilized a Likert scale to compare data sets. Current and retrospective chart reviews were conducted to evaluate sustainability of the educational intervention.
Outcomes/Results: Sixty percent of provider participants were Medical Doctors (MD) and 40% were Nurse Practitioners (NP) with experience ranging from one year to over 20 years. Following the education session, providers were more likely to discuss keeping a child at arms-reach at all times (p=0.046) during their well visits. There was also an increase in providers incorporating water safety discussions into milestone education (p=0.054).
Conclusion: This educational intervention empowered providers to deliver water safety education in the context of normal developmental milestones at each one to four year old well visit. The anticipatory guidance emphasizes to parents that the behaviors their children exhibit are healthy and normal, but also explains how achieving these milestones put their children at greater risk for drownings. This quality improvement project is part of a larger initiative to decrease the number of drownings in Arizona through education and policy
ContributorsTretiakova, Catherine (Author) / Isaacson, Tiffaney (Author) / Jacobson, Diana (Author, Thesis advisor) / Bowman, Diana (Author)
Created2019-04-29
Description
Purpose: The purpose of the project was to improve physical activity (PA), eating habits (EH) and self-efficacy (SE) by implementing short lifestyle modification education in a rural primary care setting.
Background: Although prediabetes awareness has slightly improved, the nationwide unawareness remains high. General knowledge about the disease and its risk factors and prevention are significant variables to adopt health-promoting behaviors. Lifestyle change intervention has been shown to be effective with the risk reduction behaviors in prediabetic population. However, it can be a daunting task to translate during short office visits.
Methods: Sixteen participants with risk for prediabetes or diagnosed prediabetes enrolled into a 5-minute education session in a rural health clinic. They received follow-up phone calls weekly for 4 weeks. Demographics, PA, EH and SE levels were measured before the education session. During the fourth week, PA, EH and SE were measured again. Frequency, descriptive analysis, and paired t-test were used for data analysis.
Outcomes: The mean age of participants was 56.6 13.0 years. Approximately 81% were female, and 62.5% identified as Caucasian. Over 80% reported married, and 56.3% described their health condition as good. The three quarters (75%) noted they have heard of the term prediabetes. The intervention had a significant effect on PA, EH and SE from the baseline to post intervention, p = .005, p = .008, and p = .003, respectively.
Conclusion: This DNP project illustrated that one time brief lifestyle change education could positively impact PA, EH and SE in people with high risk for prediabetes in a primary care clinic.
ContributorsEvans, Yunmi (Author)
Created2016-04-28
Description
Implementation challenges associated with low community effectiveness rates include low levels of client responsiveness to the intervention, less than ideal intervention fidelity, and low levels of provider quality of intervention delivery. The literature is mixed on how group leader fidelity/quality of delivery are associated with client responsiveness, and research on adolescents and ethnoracially diverse clients is particularly lacking. The current study examined group leader fidelity and quality of delivery as predictors of adolescent in-session group responsiveness to the first session of the Bridges intervention which is a universal, family-based, substance use prevention program delivered in Title I middle schools. Participants consisted of 325 adolescents across 30 intervention groups. Three separate observational coding teams coded group leader fidelity, group leader quality of delivery, and adolescent in-session group responsiveness to the program. Overall percentage of fidelity met was calculated. Next, two confirmatory factor analysis models were conducted on the responsiveness and quality of delivery data of session 1, and factor scores were extracted. Hierarchical linear regression was then conducted to predict adolescent responsiveness with group leader fidelity in step 1 and group leader quality of delivery in step 2. There were no significant associations between predictor variables and adolescent in-session group responsiveness. Findings suggest that group leader implementation constructs do not appear to account for a significant amount of the variance in adolescent group responsiveness during the first session. Future research should examine other variables that are relevant in influencing adolescent program engagement with larger sample sizes.
ContributorsKuckertz, Mary J (Author) / Gonzales, Nancy (Thesis advisor) / Mauricio, Anne (Committee member) / Anderson, Samantha (Committee member) / Arizona State University (Publisher)
Created2022
Description
In a world where everything is drifting away from the intellectual into materialistic, and where everyone is rushing on the daily basis to provide their basic needs, everything is getting more expensive except the human life’s worth. Construction sites can be some of the clearer examples that show how the technical work, the communication skills, team work and management relate to one another. However, lately, the safety of the labor is neither being prioritized nor considered an important aspect to even consider at sites. Lebanon is, unfortunately, one of the countries where most construction sites are aimed to increase production and decrease cost as much as possible, on behalf of labor safety measurements. The high occurrence of such cases are the result of the lack of government control and accountability, as well as other reasonings.
Similar to the majority of countries, falls are the number one cause of fatalities and serious injuries on construction sites, especially building sites, where working on higher elevations is a must.
This thesis focuses on the topic of “Techniques and technologies for reducing fall hazards in use on Lebanese building construction projects”. The main goal behind it is to shed light on whether there are any traditional, technical or modern mechanisms used for safety on the Lebanese construction sites, however statistically few they might be. On the other hand, Casting the deficiencies, weaknesses and flaws are also discussed by indicating some solutions and pointers on possible methods to improve. Hence, this thesis would demonstrate the high importance of this topic and consequently help construction managers and workers realize that safety should become a priority on all sites in the country.
Researches done and interviews conducted show that fall hazards prevention/protection techniques are only implemented by large scale companies, and totally ignored by other companies which constitute the highest percentage of the active companies in the market now. Several causes are behind this and the result is one: More lives are put in danger due to lack of education, absence of audits and sanctions, and insufficient budgets
ContributorsMdawar, Hikmat (Author) / Gibson, George Edward (Thesis advisor) / El Asmar, Mounir (Committee member) / Sullivan, Kenneth (Committee member) / Arizona State University (Publisher)
Created2022
ContributorsReineke, Lindsay (Author) / Panneton, Teresa (Thesis director) / Goodman, Brian (Committee member) / Barrett, The Honors College (Contributor) / Division of Teacher Preparation (Contributor)
Created2022-12
ContributorsReineke, Lindsay (Author) / Panneton, Teresa (Thesis director) / Goodman, Brian (Committee member) / Barrett, The Honors College (Contributor) / Division of Teacher Preparation (Contributor)
Created2022-12
ContributorsReineke, Lindsay (Author) / Panneton, Teresa (Thesis director) / Goodman, Brian (Committee member) / Barrett, The Honors College (Contributor) / Division of Teacher Preparation (Contributor)
Created2022-12
ContributorsReineke, Lindsay (Author) / Panneton, Teresa (Thesis director) / Goodman, Brian (Committee member) / Barrett, The Honors College (Contributor) / Division of Teacher Preparation (Contributor)
Created2022-12
ContributorsReineke, Lindsay (Author) / Panneton, Teresa (Thesis director) / Goodman, Brian (Committee member) / Barrett, The Honors College (Contributor) / Division of Teacher Preparation (Contributor)
Created2022-12
Description
This study examined whether the New Beginnings Program (NBP), a preventive parenting intervention, led to changes in coping strategies and coping efficacy in emerging adults whose families had participated in the program 15 years earlier. Gender and baseline risk were examined as moderators of these relations. Participants (M = 25.6 years; 50% female) were from 240 families that had participated in an experimental trial (NBP [mother-only, mother-child] vs. literature control). Data from the pretest and 15-year follow-up were used. Multiple regression analyses revealed that pretest risk interacted with program participation in the mother-only condition of the NBP such that offspring entering the program with higher pretest risk reported significantly less avoidant coping 15 years later. There was a marginal effect of participation in the NBP on problem-focused coping; emerging adults who had participated in the NBP had marginally higher levels of problem-focused coping. There were no significant main effects nor interactive program by risk or program by gender effects on support coping or coping efficacy. Results are discussed in terms of their implications for implementation of preventive interventions and research on pathways of coping.
ContributorsRhodes, Charla Aubrey (Author) / Wolchik, Sharlene A (Thesis advisor) / Tein, Jenn-Yun (Committee member) / Leucken, Linda (Committee member) / Arizona State University (Publisher)
Created2019