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Title: Understanding the Perceived Experiences of Goal Setting of Mothers of Preschool Children: A Narrative Analysis.
Creator: Eckhoff, Dawn, Weiss, Josie, Quelly, Susan, Bushy, Angeline, Schmidt, Joseph, University of Central Florida
Abstract / Description: Mothers are often asked to use goal setting to help their children achieve optimal health. Before mothers can be successful, they must grasp the meaning and process of goal setting. Currently there is a glaring lack of published research regarding how goal setting is understood and experienced by mothers. The purpose of this qualitative study was to examine the self-described understanding and experiences of mothers, regarding goal setting for their preschool children.Narrative Inquiry was...
Show moreMothers are often asked to use goal setting to help their children achieve optimal health. Before mothers can be successful, they must grasp the meaning and process of goal setting. Currently there is a glaring lack of published research regarding how goal setting is understood and experienced by mothers. The purpose of this qualitative study was to examine the self-described understanding and experiences of mothers, regarding goal setting for their preschool children.Narrative Inquiry was used to explore mothers' experiences with goal setting. A purposive sample of mothers with children in a Voluntary Pre-Kindergarten program were recruited from the central Florida area. Data were obtained from demographic instruments and personal interviews using a semi-structured guide. Interviews were coded to ensure confidentiality, audio-recorded and transcribed. The narratives were analyzed for thematic emergence using content analyses techniques.Four major themes emerged: Parental Knowledge, Barriers, Process of Goal Setting, and Provider Involvement. Parental knowledge of goal setting was varied and unique; barriers of goal setting were focused on keeping children motivated and fear of failing; each participant used a different goal setting process and noted that provider involvement was limited at best. Data analysis revealed minimal effective communication between mothers and nursing providers about goal setting. As a result, mothers utilized unique goal setting processes for their children. Despite their varied understandings of goal setting and the goal setting process, these mothers were not stifled in their goal setting efforts. Educating nurses to communicate effectively with parents about goal setting with their children and addressing barriers they might face, is important. Incorporating goal setting into routine care can be an effective strategy to help patients attain health-related goals. Future research examining the perspective of goal setting from children and other caregivers and development of interventions to aid in goal attainment is needed.
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Date Issued: 2018
Identifier: CFE0007326, ucf:52141
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0007326

Title: Perceptions Influencing School Nurse Practices to Prevent Childhood Obesity.
Creator: Quelly, Susan, Covelli, Maureen, Bushy, Angeline, Norris, Anne, Lieberman, Leslie, University of Central Florida
Abstract / Description: Approximately one-third of children in the United States are overweight or obese with increased risks for numerous physical and psychosocial comorbidities. Schools are ideal environments to address this serious health crisis and school nurses are uniquely positioned qualified healthcare providers to actively participate in childhood obesity prevention (COP). A review of the literature provided findings to identify a gap in the knowledge regarding the association between school nurse COP...
Show moreApproximately one-third of children in the United States are overweight or obese with increased risks for numerous physical and psychosocial comorbidities. Schools are ideal environments to address this serious health crisis and school nurses are uniquely positioned qualified healthcare providers to actively participate in childhood obesity prevention (COP). A review of the literature provided findings to identify a gap in the knowledge regarding the association between school nurse COP perceptions and practices. A modified theoretical framework based on Bandura's health promotion by social cognitive theory guided this study. The purpose of this study was to identify the key perceptions (self-efficacy, perceived benefits and perceived barriers) influencing school nurse participation in COP practices and determine associations between school nurse characteristics and COP perceptions and practices. Preliminary research was conducted to determine content validity for modified perception scales, clarity of instructions and questions, data collection and retrieval procedures, and refinement of recruitment strategies. Adequate reliability and validity was determined for modified scales measuring school nurse self-efficacy, perceived benefits, perceived barriers, and COP practices targeting individual children (child-level) and the entire school population (school-level). Florida RN school nurses (n = 171) completed self-administered anonymous questionnaires from an emailed weblink or a paper version offered at two Florida Association of School Nurses conferences. School nurses with characteristics reflecting more education engaged in more COP practices (p (<) .05) than those without education-related characteristics. School nurses with (>) 8 hours of COP education reported higher COP self-efficacy than those with none (p (<) .01). Linear regressions showed that a model comprised of self-efficacy, perceived benefits, and perceived barriers significantly explained 12.0% of the variance in child-level practices (p (<) .001) and 9.1% of school-level practices (p (<) .001). Self-efficacy explained the most variance of school nurse child-level and school-level practices (p (<) .001), and perceived barriers were inversely associated with child-level practices (p (<) .05). Four series of regressions showed that only perceived barriers partially mediated the influence of self-efficacy on child-level practices. Data analyses indicated self-efficacy and perceived barriers were key determinants of school nurse COP practices. Therefore, policy changes and educational interventions to increase self-efficacy and reduce perceived barriers may be effective in mobilizing school nurses to actively engage in COP practices.
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Date Issued: 2012
Identifier: CFE0004585, ucf:49188
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0004585

Title: Adherence Practices of Caucasian Women With Hypertension Residing in Rural Florida: An Exploratory Study.
Creator: Hopple, Jeanne, Bushy, Angeline, Sole, Mary, Covelli, Maureen, Oetjen, Dawn, University of Central Florida
Abstract / Description: Hypertension, or high blood pressure, is a major risk factor for heart disease and stroke. Elevated blood pressure is often a silent process affecting multiple organ systems. Risk for heart disease is associated with poorly treated or unrecognized hypertension that is more common among women than men. Non-adherence to prescribed treatment regimens has been identified as a major reason for inadequate hypertension management. This exploratory descriptive qualitative study using narrative...
Show moreHypertension, or high blood pressure, is a major risk factor for heart disease and stroke. Elevated blood pressure is often a silent process affecting multiple organ systems. Risk for heart disease is associated with poorly treated or unrecognized hypertension that is more common among women than men. Non-adherence to prescribed treatment regimens has been identified as a major reason for inadequate hypertension management. This exploratory descriptive qualitative study using narrative inquiry investigated adherence practices among Caucasian women with diagnoses of hypertension from a rural area of Florida. The purpose of this study was to gain an understanding from women who had been diagnosed with hypertension about the challenges of living with and managing this chronic condition in their daily lives. Participants included Caucasian women (n = 11) recruited from a Federally Qualified Rural Health Center in Florida. Semi-structured interviews were used to collect data. Content analysis procedures were used to analyze the interviews. Emergent themes included: work stress affecting health and leading to high blood pressure; silent (")sneaky, gradual(") onset of mild to moderate symptoms leading to high blood pressure; and strong influence of family members with high blood pressure and related complications that instilled fear in participants to adhere to their prescribed treatment plan in some, or in others to non-adherence. Social support from friends and coworkers was a repeated theme supporting adherence. Minor themes associated with non-adherence included fear of potential side effects of medications, challenges of daily living caring for family, fatigue from high blood pressure and medications affecting daily work, poor food choices due to finances and availability of high sodium and fatty foods at work and home, stress and time demands affecting ability to exercise to control high blood pressure, and focus on family forgetting self-needs. Limitations of the study included a small convenience sample with findings that may not be applicable to a population of hypertensive women from different rural settings. Future nursing studies in similar populations may contribute to improved adherence practices, leading to reduced complications from poorly controlled hypertension.
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Date Issued: 2011
Identifier: CFE0004120, ucf:49100
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0004120

Title: The Self-described Experience of Coping and Adaptation Associated with Workplace Stress of Registered Nurses in the Acute Care Setting in Florida: An Ethnographic Study.
Creator: Burr, Joyce, Bushy, Angeline, Sole, Mary, Andrews, Diane, Malvey, Donna, University of Central Florida
Abstract / Description: ABSTRACTLittle is known about how nurses learn and use coping and adaptation skills in the workplace. Quantitative studies have identified the factors, nature, and outcomes of nursing stress. However, qualitative studies describing the human experience associated with workplace stress are lacking. The phenomenon of interest for this study using focused ethnographic method is the self-described experience of coping and adaptation associated with workplace stress of registered nurses working 12...
Show moreABSTRACTLittle is known about how nurses learn and use coping and adaptation skills in the workplace. Quantitative studies have identified the factors, nature, and outcomes of nursing stress. However, qualitative studies describing the human experience associated with workplace stress are lacking. The phenomenon of interest for this study using focused ethnographic method is the self-described experience of coping and adaptation associated with workplace stress of registered nurses working 12-hour shifts employed in acute care hospital facilities in east central and central Florida. Three aspects of the phenomena were examined: the self-described experiences of stress, the manner in which coping skills are acquired, and the manner in which adaptation strategies are developed by experienced bedside nursing working 12-hour shifts in acute care hospital facilities. The purposive sample included nine female bedside nurses with five or more years' experience, working 12 hour shifts in acute care hospital facilities on bedside units, with patient ratios of 4:1 or greater. Data were collected using semi-structured, digitally recorded interviews at mutually convenient locations. The qualitative data were analyzed using inductive, constant, comparative process of coding, sorting, generalizing, and memoing to guide exploration and identify emergent themes and patterns. The predominant theme of stress emerged as the overwhelming sense of duty to the patient. Additional themes of coping and adaptation were noted. Recommendations for research, education, practice and policy are offered to support a healthy and sustainable nursing workforce.
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Date Issued: 2012
Identifier: CFE0004525, ucf:49280
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0004525

Title: The Influences of Mindfulness and Neuromotor Exercise Mode on Balance in Healthy Older Adults.
Creator: Hicks, Maxine, Chase, Susan, Forlaw, Loretta, Bushy, Angeline, Mundale, Jennifer, University of Central Florida
Abstract / Description: This study investigated the roles of mindfulness and balance to optimize strategies for fall prevention in healthy older adults. The purpose of this study was to examine the association of mindfulness with respect to balance in healthy older adults who are experienced in meditative versus non-meditative modes of neuromotor exercise. This was a comparative descriptive study that used a convenience sample of N=86 older adults (20 male; mean age = 69.33 (&)#177; 7.24; range: 60 (-) 93 years)....
Show moreThis study investigated the roles of mindfulness and balance to optimize strategies for fall prevention in healthy older adults. The purpose of this study was to examine the association of mindfulness with respect to balance in healthy older adults who are experienced in meditative versus non-meditative modes of neuromotor exercise. This was a comparative descriptive study that used a convenience sample of N=86 older adults (20 male; mean age = 69.33 (&)#177; 7.24; range: 60 (-) 93 years). The sample included experienced participants of meditative (e.g., yoga, Tai chi) and non-meditative (e.g., partnered dance) neuromotor exercise recruited from community yoga, Tai chi, and dance studios, respectively. The variables of mindfulness, age, and sex were examined as predictors of the outcome variable of balance. Dispositional mindfulness was measured with the Mindful Attention Awareness Scale, and postural balance was assessed using the One-legged Stance Test, a measure of the number of seconds a participant can stand on one with eyes closed. Multiple regression analyses were used to answer the research questions. The results did not reveal either mode of neuromotor exercise to predict balance better; neither age nor sex was a moderator of mindfulness, and mindfulness did not act as a mediator between age, sex, and balance. What the findings did reveal were higher levels of balance and mindfulness amongst study participants compared to normative community-dwelling populations from the published literature. Next, balance was found to decrease with increasing age and was greater in males than females. Most remarkably, dancers were found to have significantly higher levels of mindfulness than Tai chi and yoga participants, which suggests that formal meditation may not be an essential component of neuromotor exercise for the cultivation of mindfulness. The results have important implications for theory, research, practice, and policy.
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Date Issued: 2017
Identifier: CFE0006883, ucf:51724
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0006883

Title: Early and Intermediate Hospital-to-Home Transition Outcomes of Older Adults Diagnosed with Diabetes.
Creator: Lamanna, Jacqueline, Bushy, Angeline, Norris, Anne, Wink, Diane, Gammonley, Denise, University of Central Florida
Abstract / Description: Over 5 million older adults with diabetes are hospitalized each year. Though typically not the index condition that leads to hospitalization, diabetes control often decompensates during the course of an admission and necessitates changes in home self-management plans. The specific transitional care needs of older adults with diabetes have been largely unstudied. Transition theory provided the guiding framework for this research and proposes that each transition is a complex process created by...
Show moreOver 5 million older adults with diabetes are hospitalized each year. Though typically not the index condition that leads to hospitalization, diabetes control often decompensates during the course of an admission and necessitates changes in home self-management plans. The specific transitional care needs of older adults with diabetes have been largely unstudied. Transition theory provided the guiding framework for this research and proposes that each transition is a complex process created by the continuous interaction of personal, community, and societal-level conditions that facilitate or inhibit the health of a transition. Hospitalization has been described as a series of three successive, interrelated transitions. The aims of this study were to determine whether personal and community transition conditions impacted the early and intermediate post-discharge outcomes in a sample of older adults with diabetes. A simultaneous quantitative/qualitative mixed method design was used to identify factors that impacted the home recovery transition experiences in a sample of 96 older adults with a mean age of 75 years. A supplementary content analysis of free-response data gathered during administration of the Post-Discharge Coping Difficulty Scale (PDCDS) clarified difficulties encountered by elders and caregivers during in the first 30 days following discharge. Four overarching themes emerged: (")the daily stuff is difficult("); (")engineering care at home is difficult("); (")life is stressful(") and (")difficulty managing complex health problems(").Difficulties managing a complex medication regimen, regulating blood glucose, and managing a non-diabetes chronic health problem such as hypertension and chronic lung disease were subthemes that emerged during qualitative data analyses. These subthemes were transposed into discrete nominal level variables and served as additional indicators of post-discharge coping difficulty in the descriptive correlational core component of the research project.Participants in this study who experienced an event of recidivism had lower pre-discharge assessments of readiness on the Readiness for Hospital Discharge Scale (RHDS) (t = 2.274,df = 48, p =.028). Higher PDCDS scores were observed in patients who experienced an event of recidivism within 30 days of discharge (t = -3.363, df=24.7, p = .003) and also in respondents who described difficulties with managing medications, controlling diabetes, and managing a chronic illness. Binary logistic regression was used to identify factors that may predict recidivism risk. No condition-specific predictor variables were identified. A statistically significant three-variable model (X2 = 26.737, df = 3, p (<) .001) revealed that PDCDS scores at 7 days (Wald X2 =3.671, df = 1, p =.050), PDCDS scores at 30 days (Wald X2 = 6.723, df = 1, p =.010), and difficulty managing a chronic health condition (Wald X2 = 8.200, df = 1, p =.004) were predictive of an event of recidivism within 30 days of discharge. Difficulty managing a chronic health problem other than diabetes was particularly predictive of recidivism. The nurse's skill in delivering discharge education was a factor in limiting early post-discharge difficulties. Elders with residual information needs on the day of discharge as measured by scores the Quality of Discharge Teaching Scale (QDTS) reported a lower readiness for discharge (r = -.314, p = .003) and experienced greater difficulties with early post-discharge coping (r =. 288, p = .023). Greater satisfaction with the post-discharge transition was noted in participants with higher QDTS scores (r = .444, p (<).001). Outcomes of the hospital-to-home transition experience were impacted by a variety of personal, hospital, and community factors. Findings of this study suggest that there is a need to better understand the sequential nature of the home recovery transition and the fluid needs of older adults during this high-risk phase of care. The environments in which older adults receive post-discharge care are complex and need to be thoroughly considered when planning the post-discharge transition. Metrics of institutional performance of transitional care practices need to extend beyond events to recidivism and include evaluations of post-discharge coping and transition satisfaction. The nurse as the primary provider of discharge education has the potential to significantly promote positive transition outcomes for older adults and their family care providers.
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Date Issued: 2013
Identifier: CFE0004875, ucf:49652
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0004875

Title: Nutrition Literacy and Demographic Variables as Predictors of Adolescent Weight Status in a Florida County.
Creator: Damato-Kubiet, Leslee, Sole, Mary, Bushy, Angeline, Conner, Norma, Berman, Steven, University of Central Florida
Abstract / Description: Problem: In recent years, childhood obesity has increased to epidemic proportions across the United States (U.S.) in parallel with adult obesity, which often reflects poor dietary choices and bad nutritional habits. Purpose: The primary purpose of this study was to examine the effects of parent and adolescent nutrition literacy expressed as nutrition knowledge and skills, with total household income and parent level of education, as predictors of weight status in adolescents that live in a...
Show moreProblem: In recent years, childhood obesity has increased to epidemic proportions across the United States (U.S.) in parallel with adult obesity, which often reflects poor dietary choices and bad nutritional habits. Purpose: The primary purpose of this study was to examine the effects of parent and adolescent nutrition literacy expressed as nutrition knowledge and skills, with total household income and parent level of education, as predictors of weight status in adolescents that live in a Florida community. The secondary purpose of this study was to examine the implications for nutrition literacy levels within parent/adolescent dyads to identify public health initiatives aimed at adult and adolescent populations.Methods: A descriptive, correlational design was used to collect data from a convenience sample of 110 parent-adolescent dyads recruited from a free physical exam event hosted by a local health care facility. Three instruments were completed by each dyad: 1) demographic survey, 2) Nutrition Literacy Survey (NLS; knowledge), and 3) Newest Vital Sign (NVS; skills). Physiologic measurements for the study included anthropometric measurement of the adolescent child's height (cm) and weight (kg) without shoes and BMI scores were calculated. In addition to actual value, BMI was categorized as low/normal and overweight/obese for analysis. Paired t-tests were used to compare means for the NLS and NVS survey in parent-adolescent dyads. Bivariate correlation scores were computed between the two variables of parent/adolescent NLS and NVS scores. Lastly, regression models for examining adolescent BMI were compared with the independent variables of the study.Results: The sample of adult participants (n =110) comprised males (n = 30, 27%) and females (n =80, 73%) ranging in age from 34 to 55 years (M= 41.9, SD= 4.77). Adolescent participants (n=110) comprised males (n = 61, 55%) and females (n = 49, 45%) ranging in age from 13 to 17 years (M = 15.1, SD = 1.43). Adolescent male participants had higher BMI (27 + 3.48) than females (24 + 2.90), t (108) = 4.83, (p = (<) .001). Adolescent males were categorized more overweight/obese than females (67.2% versus 24.5%). The parent NLS mean score (M=19) indicated low overall levels of general nutrition knowledge whereas the adolescent NLS mean score (M=21.7) demonstrated greater aptitude for nutrition knowledge than parent scores. The parent NVS mean score (M=4.1) suggested adequate levels of nutrition skills. Likewise, the adolescent NVS mean score (M= 4.1) suggested adequate nutrition skills, similar to scores in the adult population. Spearman rho correlations yielded positive correlations between parent/adolescent nutrition knowledge, (rs = .224, p = .019), and parents' nutrition knowledge and skills (rs = .596, p (<) .001). Positive correlations were also noted between adolescents' nutrition knowledge and parents' nutrition skills (rs = .257, p = .007) and adolescents' nutrition knowledge and nutrition skills (rs = .260. p = .006). Three regression models were calculated to examine adolescent BMI with the independent variables of the study. Analysis of regression coefficients for each model indicated that none of the variables demonstrated significance as a predictor of adolescent BMI.Discussion/Implications: The results of the study suggest that parents and adolescents may have similar amounts of nutrition literacy when examining the constructs of nutrition knowledge and skills; however, BMI is not solely dependent on these skill sets. Examination of the factors that influence parents and adolescent children's weight status are important elements in shaping families adoption of sound dietary habits and improving health outcomes.
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Date Issued: 2013
Identifier: CFE0005154, ucf:50685
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0005154

Title: Emergency Room Utilization Disparities among Older Adults Treated by Rural Health Clinics.
Creator: Bagwell, Matt, Wan, Thomas, Zhang, Ning, Ortiz, Judith, Hofler, Richard, Bushy, Angeline, University of Central Florida
Abstract / Description: Examining the persistence of disparities over time is an important obligation in terms of rectifying, maintaining, and improving community health and social well-being for all. This study analyzed the individual factors of (a) race/ ethnicity and (b) dual eligibility, as a proxy measure of socioeconomic status, as well as the environmental factor of (c) place of residence, and the organizational factor of (d) Rural Health Clinic (RHC) type on emergency room (ER) utilization of older adult...
Show moreExamining the persistence of disparities over time is an important obligation in terms of rectifying, maintaining, and improving community health and social well-being for all. This study analyzed the individual factors of (a) race/ ethnicity and (b) dual eligibility, as a proxy measure of socioeconomic status, as well as the environmental factor of (c) place of residence, and the organizational factor of (d) Rural Health Clinic (RHC) type on emergency room (ER) utilization of older adult Medicare patients treated by RHCs within the Department of Health and Human Services' (DHHS) Region 4. A prospective, multi-level, longitudinal design was employed to analyze potential health disparities or gaps that may exist among RHC Medicare beneficiary patients (+65) using longitudinal, mixed multilevel modeling in SPSS. The years of investigation were 2010 through 2012. R4 has continually lagged behind other Regions in the Nation in having higher Health Disparities and ER Utilization rates related to Race, Poverty, and Rural Isolation. A key question is: Do these disparities persist? This study's findings support that dual eligible RHC patients utilized ER services at higher rates than non-dual eligible, Medicare only RHC patients at: 77%, 80%, and 66%, in 2010, 2011, and 2012, respectively; and above the White reference group, Black RHC Medicare patients utilized ER services at higher rates of: 18%, 20%, and 34%, in 2010, 2011, and 2012, respectively. These findings support that dual Medicare and Medicaid eligibility, as a proxy measure of socioeconomic status, and race continue to influence higher rates of ER utilization in Region 4. In terms of health and utilization disparities, strikingly and persistently, as recent as 2012, Black, dual eligible RHC Medicare beneficiary patients age 65 and over are twice as likely to utilize ER services for health care than their more advantaged counterparts. Health care leaders and policymakers are seeking evidence-based performance measures as tools for detecting gaps in health care and using those subsequent findings as leverage to implement policy change for the purpose of increasing health care delivery performance system-wide while lowering health disparities across various patient populations. Toward that goal, communicating and disseminating the findings of this study contributes to the body of knowledge and enables policy leaders to better make decisions based on empirical evidence in order to strengthen the health care delivery system for older adults in diverse rural contexts. From a health and public affairs policy perspective, crafting in tandem targeted, top-down, population health and bottom-up, community interventions to curb poor health outcomes and high health care utilization would be in the public interest at-large within this region of the Southeastern United States.
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Date Issued: 2016
Identifier: CFE0006259, ucf:51051
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0006259

Title: Mobile Phone Short Message Service (SMS) to Improve Malaria Pharmacoadherence in Zambia.
Creator: Steury, Elinda, Sole, Mary Lou, Bushy, Angeline, Conner, Norma, Haiduven, Donna, University of Central Florida
Abstract / Description: ABSTRACTMalaria significantly contributes to morbidity and mortality rates in Zambia. The currently accepted malaria treatment is artemisinin-based combination therapy (ACT); it is more than 97% effective when the regimen is strictly adhered to. However, the mean ACT adherence rate in sub-Saharan Africa is only approximately 38-48%. Poor pharmacoadherence remains a significant barrier to malaria control and elimination.The purpose of this study was to determine if adherence rates to a six...
Show moreABSTRACTMalaria significantly contributes to morbidity and mortality rates in Zambia. The currently accepted malaria treatment is artemisinin-based combination therapy (ACT); it is more than 97% effective when the regimen is strictly adhered to. However, the mean ACT adherence rate in sub-Saharan Africa is only approximately 38-48%. Poor pharmacoadherence remains a significant barrier to malaria control and elimination.The purpose of this study was to determine if adherence rates to a six-dose ACT antimalarial treatment differ between patients in Zambia who received short message service (SMS) reminders and those who did not. An experimental, randomized, controlled trial was conducted to collect data from a sample of 96 adult patients with malaria who presented to Fisenge Clinic in the Copperbelt Province of Zambia. Participants were randomly assigned to a control or intervention group. The intervention group received SMS messages to remind them to take their medication according to the regimen. An electronic pillbox was used to measure pharmacoadherence for both groups, and patients were classified as probably adherent or probably non-adherent.Data were analyzed using Chi-square for association between the SMS intervention and pharmacoadherence, and logistic regression used for predictors of adherence. No significant association was found between SMS reminders and pharmacoadherence among malaria patients being treated with ACT when evaluated with respect to those who received the SMS reminders and those who did not (?2=0.19, df=1, p=0.67). Binary logistic regression indicated that there were no variables associated with adherence (p(>)0.05).Findings from this study contribute to the research regarding the use of mobile phones to promote adherence. This is the first study of its kind using SMS directly to the patient for ACT adherence in sub-Saharan Africa known to the author. It is possible that the use of the electronic pillbox and/or the novelty of participating in a research study contributed to higher levels of adherence than previously found in this geographical area. While data suggested that there was no association between SMS and adherence, further research is needed to explore the value of this intervention.
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Date Issued: 2014
Identifier: CFE0005421, ucf:50430
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0005421

nursing (6)	+ -
Older Adults (3)	+ -
adherence (2)	+ -
risk factors (2)	+ -
AAT (1)	+ -

Africa (1)	+ -
Aging (1)	+ -
Animal Assisted Therapy (1)	+ -
Autism (1)	+ -
Autism Spectrum Disorder (1)	+ -
Balance (1)	+ -
Ballroom Dance (1)	+ -
CBD (1)	+ -
Cancer (1)	+ -
Cancer Risk (1)	+ -
Caucasian rural women (1)	+ -
Cell-spray grafting (1)	+ -
Childbirth (1)	+ -
Childhood obesity prevention (1)	+ -
Dance (1)	+ -
Diabetes (1)	+ -
Diabetes Mellitus (1)	+ -
Discharge (1)	+ -
Discharge Readiness (1)	+ -
Emergency Room Utilization (1)	+ -
Equine assisted therapy (1)	+ -
Experience (1)	+ -
Fall Prevention (1)	+ -
Giorgi (1)	+ -
Goal Setting (1)	+ -

Honors Collection (16)	+ -
ETD Collection (13)	+ -

English (26)	+ -
Engilsh (3)	+ -

Bushy, Angeline (29)	+ -
University of Central Florida (29)	+ -
Sole, Mary (3)	+ -
Conner, Norma (2)	+ -
Covelli, Maureen (2)	+ -

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