Current Search: Chase, Susan (x)
View All Items
- Title
- VITAMIN D CLINICAL RELEVANCE IN THE RECOVERY FROM TRAUMATIC BRAIN INJURY AMONG THE MILITARY POPULATION.
- Creator
-
Colon, Yuisa M., Chase, Susan K., University of Central Florida
- Abstract / Description
-
Background: Traumatic brain injury (TBI) still remains a difficult disorder to treat. TBI has been associated to chronic neuroinflammation and a high risk for neurodegenerative disorders. Since 2001 between ten to twenty percent of all deployed military members have suffered a combat-related TBI. Nearly twenty to thirty percent of those will experience chronic cognitive, behavioral and somatic symptoms after suffering a TBI. Methods: The objective of this review is to evaluate current...
Show moreBackground: Traumatic brain injury (TBI) still remains a difficult disorder to treat. TBI has been associated to chronic neuroinflammation and a high risk for neurodegenerative disorders. Since 2001 between ten to twenty percent of all deployed military members have suffered a combat-related TBI. Nearly twenty to thirty percent of those will experience chronic cognitive, behavioral and somatic symptoms after suffering a TBI. Methods: The objective of this review is to evaluate current literature examining vitamin D as a neurosteroid with protective properties and its clinical relevance after traumatic brain injury. Vitamin D is known to participate in neurobiological processes and genomic regulation in the brain. Clinical and laboratory findings support that vitamin D modulates the immune responses to trauma, diminishes oxidative and toxic damage, and inhibiting activation and progression of the neuroinflammation. Inadequate levels of vitamin D have been identified as a common risk factor for many neurological disorders and have been linked to poorer recovery. Results: This review found compelling evidence to support that the pathology of TBI is closely associated with neuroprotective mechanisms of vitamin D. Low vitamin D levels are common among US active duty military and veterans. The findings strongly suggest that optimizing vitamin D prior to injury could improve the recovery for military members after experiencing a TBI. Vitamin D ameliorates brain damage by modulating neuroinflammation, improving cell survival and down-regulating mechanisms involved in the progression of cell damage following a TBI. However, further studies are needed to evaluate the effects of vitamin D optimization in TBI outcomes.
Show less - Date Issued
- 2016
- Identifier
- CFH2000097, ucf:45536
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000097
- Title
- THE SYNCHRONICITY OF HOPE AND ENHANCED QUALITY OF LIFE IN TERMINAL CANCER.
- Creator
-
Terry, Brianna M, Chase, Susan, University of Central Florida
- Abstract / Description
-
Cancer is the second leading cause of death in the United States and a leading cause of death worldwide. The rate of mortality is currently approximately 171.2 out of every 100,000 individuals with a terminal cancer diagnosis annually. Individuals with terminal cancer diagnoses facing probable mortality utilize various coping mechanisms or internal resources in an attempt to maintain an internal sense of well-being, commonly referred to as quality of life (QOL). The purpose of this literature...
Show moreCancer is the second leading cause of death in the United States and a leading cause of death worldwide. The rate of mortality is currently approximately 171.2 out of every 100,000 individuals with a terminal cancer diagnosis annually. Individuals with terminal cancer diagnoses facing probable mortality utilize various coping mechanisms or internal resources in an attempt to maintain an internal sense of well-being, commonly referred to as quality of life (QOL). The purpose of this literature review was to investigate themes prevalent in the literature pertaining to internal coping mechanisms and analyze any correlation or causation linking these resources to a change in QOL in individuals with a terminal cancer diagnosis. The secondary purpose of this review was to interpret and define the healthcare provider's role in supporting this relationship. A systematic review of the literature was conducted from multiple online databases. Multiple studies related to the overarching themes of internal resources and QOL for individuals with a terminal cancer diagnosis were selected for the review. Results revealed major themes pertaining to correlation between hope and QOL. Studies which analyzed the relationship between hope and QOL found a positive correlation. The literature suggests that healthcare providers are capable of facilitating this relationship between hope and QOL. Healthcare provider facilitation of the relationship between hope and QOL is valuable in the clinical setting, and can aid an individual in achieving a desirable QOL.
Show less - Date Issued
- 2016
- Identifier
- CFH2000075, ucf:45520
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000075
- Title
- RETROSPECTIVE ANALYSIS OF SCREENING PATTERNS IN CIRRHOTIC PATIENTS WITH HEPTOCELLULAR CARCINOMA.
- Creator
-
Scott-Castell, Shelly-Ann, Chase, Susan, University of Central Florida
- Abstract / Description
-
ABSTRACT The incidence of hepatocellular carcinoma (HCC) in cirrhotic patients is increasing worldwide. Cirrhotic patients are recommended by the American Association for the Study of Liver Disease (AASLD) to receive HCC screening and surveillance every 6 months to a year. The purpose of this study was to identify the current screening and surveillance patterns for cirrhotic patients with HCC in clinical practice. Hepatocellular carcinoma can be detected by radiological studies in addition to...
Show moreABSTRACT The incidence of hepatocellular carcinoma (HCC) in cirrhotic patients is increasing worldwide. Cirrhotic patients are recommended by the American Association for the Study of Liver Disease (AASLD) to receive HCC screening and surveillance every 6 months to a year. The purpose of this study was to identify the current screening and surveillance patterns for cirrhotic patients with HCC in clinical practice. Hepatocellular carcinoma can be detected by radiological studies in addition to laboratory testing. It is important to implement the AASLD screening guidelines, as early identification might decrease the mortality rate of patients with cirrhosis and HCC. The research question guiding this study was: What are the screening patterns of cirrhotic patients diagnosed with cirrhosis and HCC that have been referred to the Hepatology Division? A retrospective, descriptive, cross-sectional design was used for this study. Data were collected from subjects who were referred to a Specialty Hepatology Division for evaluation and treatment. Approval was obtained from the IRB. Cirrhotic patients diagnosed with HCC meeting the inclusion and exclusion criteria were used in this study. The aim of the study was to identify the clinical patterns of practitioners screening for HCC in cirrhotic patients. Validity and reliability for the data collection tool was not established. Variables that were studied included demographic data, etiology of cirrhosis, type of HCC screening, time increments of screening, and size of tumor at the time of diagnosis. The data were analyzed with the use of crosstabs, frequency, and correlation statistics. Despite the recommended HCC screening and surveillance guidelines cirrhotic patients were not screened. The different screening patterns that were identified were none, sporadic, and annual (every 6 months to 1 year). The patterns differed by the practitioner managing the patient. Also, cirrhosis was diagnosed late in the disease process, although many of the patients are followed by gastroenterologists. It can be assumed that the late diagnosis of cirrhosis was another factor that was preventing the implementation of HCC screening and surveillance. Implications for practice were identified. Practitioners are responsible for performing HCC screening and surveillance of cirrhotic patients based on the recommended guidelines of the AASLD for the management of cirrhotic patients and the detection of small lesions. Only 33% of the patients were screened with the use of ultrasound, and 43% were screened with alpha-fetoprotein. The lesions that were diagnosed were larger in the non-screened patients than the screened patients. The Hepatology Division was the only setting that was screening the patientsÃÂ' based on the recommended guidelines. The recommendation based on the results of this study is for all cirrhotic patients to be managed by hepatology services if one is available.
Show less - Date Issued
- 2010
- Identifier
- CFE0003386, ucf:48468
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0003386
- Title
- ASSESSING ADULT ATTITUDES TOWARD END-OF-LIFE ISSUES AND ADVANCED DIRECTIVES AFTER IMPLEMENTING AN EDUCATIONAL INTERVENTION IN A WORKPLACE SETTING.
- Creator
-
Tolbert-Jones, Marchina, Chase, Susan, University of Central Florida
- Abstract / Description
-
Purpose: There is a lack of discussion regarding end-of-life care planning which results in low advanced directive execution (AD) rates. This can lead to decision making by family, friends, and the health care team on behalf of patients whose end-of-life care wishes are unknown. The purpose of this study was to determine the effectiveness of an educational intervention in the work setting to increase end-of-life discussions and the execution of advanced directives. Methods: A descriptive...
Show morePurpose: There is a lack of discussion regarding end-of-life care planning which results in low advanced directive execution (AD) rates. This can lead to decision making by family, friends, and the health care team on behalf of patients whose end-of-life care wishes are unknown. The purpose of this study was to determine the effectiveness of an educational intervention in the work setting to increase end-of-life discussions and the execution of advanced directives. Methods: A descriptive design was used in an occupational workplace setting at a local bottling company after appropriate IRB approval was obtained. An educational intervention based on the Five Wishes document was presented in an occupational health setting covering all shifts and employment categories. A pre-program questionnaire measured a lack of knowledge and understanding of end-of-life planning and advanced directives. A post-program questionnaire measured the increase in knowledge and understanding of end-of-life planning and advanced directives. A focus group was conducted with audio recording to describe personal experiences. The quantitative analysis used statistical procedures to describe and synthesize data and content analysis was conducted on the focus group data. Results: A sample of 78 participants was used to gather the quantitative data. Of the total participants, an overwhelming majority were male with ethnic backgrounds evenly represented. Most of the participants either were married and either were drivers, salespeople, or warehouse workers. More participants indicated no religious affiliation than any other affiliation, and the majority of participants indicated that they had a high school diploma. When questioned about their 1) knowledge of advanced directives, 2) whether or not they would consider executing an advanced directive, 3) whether or not they were likely to discuss end-of-life care with other, 4) whether they would be comfortable having someone make end-of-life decisions on their behalf, and 5) whether or not they believed that advanced directives were important, the majority of participants indicated that they strongly agreed or agreed. However, none of the participants had executed an advanced directive. Only 10.3% of participants had ever discussed ADÃÂ's with a healthcare provider. When the same participants were asked the same questions after the education portion of the study, data analysis of the pre- and post-program questionnaire mean scores, revealed a significant increase in scores on questions 1,2 and 3 (p <.05), and no significant increase on question 4 and 5 (p > .05). The implication of these findings suggest that an education intervention program in a workplace setting significantly increases end-of-life discussions and advanced directive execution rates. The Jones model of end-of-life education intervention and interpretation of the study are presented. Limitations of the study, as well as implications for nursing professionals and health care providers that will improve patient outcomes are presented. Discussion/Implication: The study shows that workplace education regarding Advanced Directives can lead to increase end-of-life discussions and increase advanced directive execution rates. Therefore, this education program at a worksite merits further research and may serve as a model program for other worksite settings.
Show less - Date Issued
- 2010
- Identifier
- CFE0003275, ucf:48564
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0003275
- Title
- ADVANCED PRACTICE NURSING IN THE FAITH COMMUNITY SETTING: A CASE STUDY.
- Creator
-
Lindsey, Chianta, Chase, Susan, University of Central Florida
- Abstract / Description
-
The purpose of this case study is to demonstrate the effectiveness of an Advanced Practice Nurse in providing spiritual and nursing care within a faith community setting. The study will describe the process of developing a Parish Nurse program using a Nurse Practitioner to offer wholistic health care to parishioners. It will also illustrate the collaborative process of developing a free health center within a faith based organization, using the Nurse Practitioner to manage the health center...
Show moreThe purpose of this case study is to demonstrate the effectiveness of an Advanced Practice Nurse in providing spiritual and nursing care within a faith community setting. The study will describe the process of developing a Parish Nurse program using a Nurse Practitioner to offer wholistic health care to parishioners. It will also illustrate the collaborative process of developing a free health center within a faith based organization, using the Nurse Practitioner to manage the health center and deliver health care services. In order to demonstrate the need for parish nurse care, the case study used an anonymous survey to provide insight into the health status of the congregation, as well as to determine perceived needs of parishioners. Excerpts from the researcherÃÂ's journal and audio-taped interviews of parishioners and key leaders within the community was used to express congregantsÃÂ' experiences of receiving parish nurse care, and to convey the need for a free community health center in the target population. A utilization review was conducted to demonstrate the profile of the patients who have accessed the services of the health center. The findings revealed three commons themes of parish nurse care; presence, spiritual support, and health care liaison. The study also revealed parishioners had an expedited referral process and improved patient provider relationships. Additional findings determined that the free health center was able to be operated by many of the members of the faith based organization, and was effective in managing chronic conditions such as hypertension and diabetes. Advanced Practice Nurses who are Parish Nurses have an opportunity to practice in a more wholistic manner, and offer advanced level care to parishioners and the community at large to improve health outcomes.
Show less - Date Issued
- 2010
- Identifier
- CFE0003308, ucf:48510
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0003308
- Title
- Preschool Attendance: A Parental and Teacher Perspective of Barriers, Health Behaviors and Practices using Grounded Theory Research.
- Creator
-
Meoli, Anne, Chase, Susan, Anderson, Mindi, Quelly, Susan, Wink, Diane, Sheinberg, Nurit, University of Central Florida
- Abstract / Description
-
Background: Preschool children from single-parent households with lower socioeconomic status (SES) are absent from preschool at rates higher than any other group. Some children are chronically absent, missing more than 10% of the school year. The phenomenon of preschool attendance related to behaviors, practices, and parental decision making associated with health and illness in lower SES households has not been previously studied using grounded theory methodology.Aim: The purpose of this...
Show moreBackground: Preschool children from single-parent households with lower socioeconomic status (SES) are absent from preschool at rates higher than any other group. Some children are chronically absent, missing more than 10% of the school year. The phenomenon of preschool attendance related to behaviors, practices, and parental decision making associated with health and illness in lower SES households has not been previously studied using grounded theory methodology.Aim: The purpose of this study was to explore decision making related to supporting attendance in a preschool of 67 children (aged 3 to 4 years) with primarily low-income, single parents and preschool teachers in South Florida. The decision making process parents and teachers face every day and the environmental supports of preschool attendance facilitated identification of factors encouraging or impeding attendance.Results and Recommendations: Focus groups and interviews with teachers, parents and administrators were conducted, and direct observation of the school attendance process and health/attendance policies were examined. Data analysis was concurrent with data collection to allow for theoretical sampling. The data analysis revealed an underlying process of (")communicating about health: benefitting children's attendance in a preschool environment.(") Supporting this theory were three themes of (a) empowerment: actions to support health, (b) trusting judgment regarding health, and (c) commitment of organization and parents to health and attendance. Recommendations for implementation of practice, policy changes, and opportunities for future research found in this unique setting were discussed to improve attendance.
Show less - Date Issued
- 2016
- Identifier
- CFE0006143, ucf:51186
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0006143
- Title
- EXPLORING WHAT IT IS LIKE TO BE AN UNDOCUMENTED ALIEN IN SEEK OF HEALTHCARE.
- Creator
-
Torrez Pon, Eliany C, Loerzel, Victoria, Chase, Susan, University of Central Florida
- Abstract / Description
-
Currently, there are about 11.8 million undocumented aliens in the United States who are not eligible for public insurance or any type of private coverage obtained through the American Health Care Act of 2017. This creates barriers to healthcare for this large population and has negative implications for the healthcare system. Despite the availability of clinics and low-cost healthcare, this group tends to underuse resources or seek healthcare for emergencies only which leads to increased...
Show moreCurrently, there are about 11.8 million undocumented aliens in the United States who are not eligible for public insurance or any type of private coverage obtained through the American Health Care Act of 2017. This creates barriers to healthcare for this large population and has negative implications for the healthcare system. Despite the availability of clinics and low-cost healthcare, this group tends to underuse resources or seek healthcare for emergencies only which leads to increased cost totaling approximately $1.1 billion a year. The goal of this qualitative study is to better understand what it is like to be an undocumented alien seeking healthcare. Eight semi-structured interviews with Latino undocumented aliens were conducted. Interviews were transcribed into WORD documents and reviewed for accuracy. Data was analyzed using content analysis to code and identify prominent themes. Analysis of data from participants indicate the following themes embody the experience of being an undocumented alien in seek of healthcare: living in the unsure, high costs, system barriers, language and communication incongruences, perceived discrimination, exploitation and deportation, and relief in finally getting care. Undocumented aliens put off getting healthcare as long as possible due to these factors, despite having many needs. Healthcare practitioners must become familiar with these experiences to address and correct these barriers. Advocacy and healthcare changes take on increasing urgency to ensure the well-being of these individuals.
Show less - Date Issued
- 2018
- Identifier
- CFH2000316, ucf:45886
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000316
- Title
- Barriers to timely administration of thrombolytics in acute ischemic stroke patients.
- Creator
-
Joseph, Elizabeth, Talbert, Steven, Chase, Susan, Ullah, Saif, University of Central Florida
- Abstract / Description
-
Stroke is a leading cause of long term disability in the United States. The therapeutic benefits of intravenous thrombolytics is time dependent in an acute ischemic stroke patient and is an important determinant of 90 day and one year functional outcomes. This study investigated areas in the stroke alert process of a community based primary stroke care center that resulted in the delay of administration of thrombolytics within 60 minutes of an acute ischemic stroke patient's arrival to the...
Show moreStroke is a leading cause of long term disability in the United States. The therapeutic benefits of intravenous thrombolytics is time dependent in an acute ischemic stroke patient and is an important determinant of 90 day and one year functional outcomes. This study investigated areas in the stroke alert process of a community based primary stroke care center that resulted in the delay of administration of thrombolytics within 60 minutes of an acute ischemic stroke patient's arrival to the emergency room. A retrospective descriptive design was utilized and chart reviews were done on 40 patients that received thrombolytics in the emergency room. Patient characteristics and time variables associated with the various steps in the stroke alert process were extracted. Findings showed that only 7.5% of the patients received thrombolytics within the recommended 60 minutes, with the longest time interval associated with time from arrival to the emergency room to time of evaluation by teleneurologist. There were no significant differences in the characteristics of patients who received thrombolytics within 60 minutes and those patients that received thrombolytics after 60 minutes. Recommendations were made for changes in organizational and practice strategies to improve timely administration, and for future research involving the effects of quality improvement initiatives.
Show less - Date Issued
- 2012
- Identifier
- CFE0004390, ucf:49406
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0004390
- 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.
Show less - Date Issued
- 2017
- Identifier
- CFE0006883, ucf:51724
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0006883
- Title
- The Early Postpartum Experience of Previously Infertile Mothers.
- Creator
-
Ladores, Sigrid, Aroian, Karen, Chase, Susan, Norris, Anne, Renk, Kimberly, University of Central Florida
- Abstract / Description
-
The lived experiences of previously infertile mothers in the early postpartum period have not been previously studied. The purpose of the research was to explore the experiences of previously infertile mothers during their early postpartum period.Colaizzi's (1978) approach to descriptive phenomenological inquiry was used to analyze the interview data obtained from twelve first-time, previously infertile mothers. These new mothers, aged 27 to 43 years, were interviewed twice. The first...
Show moreThe lived experiences of previously infertile mothers in the early postpartum period have not been previously studied. The purpose of the research was to explore the experiences of previously infertile mothers during their early postpartum period.Colaizzi's (1978) approach to descriptive phenomenological inquiry was used to analyze the interview data obtained from twelve first-time, previously infertile mothers. These new mothers, aged 27 to 43 years, were interviewed twice. The first interview focused on eliciting descriptions of new motherhood in the early postpartum period after overcoming infertility. The second interview validated the interpretations from the first interview and provided additional information and reflection. Two main themes emerged that described the early postpartum experience of first-time, previously infertile mothers: 1) Lingering Identity as Infertile; and 2) Gratitude for the Gift of Motherhood. Participants reported that their lingering identity as infertile and immense gratitude for the gift of motherhood propelled them to establish unrealistic expectations to be the perfect mother. When they were unable to live up to being the perfect mother, they censored their feelings of inadequacy, guilt, and shame. Findings from this study sensitize healthcare providers to the difficulties faced by previously infertile women during their transition to motherhood.
Show less - Date Issued
- 2013
- Identifier
- CFE0005365, ucf:50489
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0005365
- Title
- Factors Associated with Information Literacy Competencies of the Traditional Baccalaureate Nursing Student.
- Creator
-
Lafferty, Patricia, Chase, Susan, Leuner, Jean, Sole, Mary, Beile, Penney, University of Central Florida
- Abstract / Description
-
Nursing practice at all levels requires a nurse to use evidence-based nursing to improve the quality of patient care. Registered nurses need information literacy skills to practice evidence-based nursing, therefore, all nursing students need to be information literate upon graduation from nursing programs. There is no empirical research evidence on information literacy skills for students entering nursing programs in four-year colleges. Students seeking to attain a baccalaureate degree...
Show moreNursing practice at all levels requires a nurse to use evidence-based nursing to improve the quality of patient care. Registered nurses need information literacy skills to practice evidence-based nursing, therefore, all nursing students need to be information literate upon graduation from nursing programs. There is no empirical research evidence on information literacy skills for students entering nursing programs in four-year colleges. Students seeking to attain a baccalaureate degree through a traditional nursing program, enter with differing demographic and educational factors that may affect their information literacy skills. Therefore, the purpose of this research was to examine information literacy skills of the entering traditional baccalaureate nursing student and to assess the relationship of demographic and educational factors utilizing a validated assessment tool, the Information Literacy Test (Madison Assessment, 2012). The Information Literacy Test (ILT) was administered to 120 students in a traditional baccalaureate nursing program at a major metropolitan university during the first month of their academic program. The students in this sample were a homogenous aggregate of white, young females. Cronbach's alpha for the Information Literacy Test was minimally acceptable for reliability of the test. One hundred two of the 120 students in this study were identified as proficient in information literacy by achieving a 65% on the ILT with 18 students not being proficient. The ILT raw scores ranged from 31 to 55. The mean score for the ILT in this sample was 43.64. Two of the 120 students were at the Advanced Proficient level. Out of the four Association of Colleges and Research Libraries Competency Standards tested on the ILT, students had the most difficulty with Competency 2 on accessing needed information efficiently and effectively. Demographic and educational factors were examined for prediction of information literacy skills in students entering their junior year in a traditional baccalaureate nursing program using Chi Square and regression analysis. The categorical variables of English as their primary language (p (<) .001), race (p (<) .001), and years since completing science prerequisites (p = .036) demonstrated a statistically significant relationship with the ILT using Chi Square analysis. A pre-analysis test indicated that the Test of Essential Academic Skills, which is an entrance test for nursing program admission, was positively correlated with the ILT (p (<) .001). An ANOVA of the TEAS and the bivariate ILT indicated that the means were significantly different (p (<) .001) between the Proficient and the Not Proficient students. A single regression analysis was significant in predicting a positive relationship with the ILT (p (<) .001) using the one continuous variable, the TEAS score, with the ILT raw score. A logistic regression analysis was performed with two categorical variables, English as the primary language and years since completing science prerequisites, and one continuous variable, the TEAS score with the bivariate ILT raw score. All three variables were significant predictors of information literacy in the model. Student who did not have English as their primary language were 9 times as likely to be not be proficient on information literacy (p = .010). If a student who had science courses completed 3 or more years prior to entry in the nursing program, the student was 12 times as likely to not be proficient in information literacy (p = .008). For every 5 point increase in the TEAS, the ILT score increased by 4 points indicating that students with higher TEAS scores tend to be more proficient in information literacy (p = .004).
Show less - Date Issued
- 2014
- Identifier
- CFE0005193, ucf:50619
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0005193
- Title
- An Exploratory Study of USA Candidates' and Recent Graduates' Perceptions of Professional Doctorate Supervision.
- Creator
-
Whaley, Kari, Taylor, Rosemarye, Vitale, Thomas, Baldwin, Lee, Chase, Susan, University of Central Florida
- Abstract / Description
-
This study focused on exploring professional doctorate candidates' and recent graduates' perceptions of their doctoral supervision experience. Candidates from across the United States, in various academic disciplines, were surveyed and 255 total responses were gathered. The literature search focused on doctorate supervisory practices, doctoral supervisors' characteristics, and unique differences of academic disciplines.This was a mixed-methods study. The data were analyzed by quantitative and...
Show moreThis study focused on exploring professional doctorate candidates' and recent graduates' perceptions of their doctoral supervision experience. Candidates from across the United States, in various academic disciplines, were surveyed and 255 total responses were gathered. The literature search focused on doctorate supervisory practices, doctoral supervisors' characteristics, and unique differences of academic disciplines.This was a mixed-methods study. The data were analyzed by quantitative and qualitative analysis. Quantitative data was analyzed through the use of descriptive statistics and inferential statistics (chi square test and Kruskal-Wallis test). Qualitative responses were analyzed using Grounded Theory. Respondents identified the most important competencies of a doctoral supervisor as having good communication skills and to understand the doctoral process. The most important ways of supervision were indicated to be honest dialogue and relationship of trust. Five emerging themes developed from the qualitative analysis, including engagement and commitment from supervisor, feedback, emotional support, supervisor experience and expertise, and supervision structure. The results demonstrate the importance of communication and relationship development between supervisor and candidate, as well as setting clear expectations for supervisors to take for an individualized approach to supervision.This study identified the following opportunities that professional doctorate programs and supervisors could focus their efforts on: providing or attending supervisory training and approach supervision with a planned framework, facilitate a coaching and mentorship relationship with advisees, and set clear expectations that are reiterated throughout the entire duration of the doctoral experience.
Show less - Date Issued
- 2017
- Identifier
- CFE0007140, ucf:52327
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0007140
- Title
- Use of Video-Enhanced Debriefing in Clinical Nursing Skill Acquisition: Indwelling Urinary Catheterization as an Exemplar.
- Creator
-
Hoyt, Erica, Gill, Michele, Clark, M. H., Chase, Susan, Gonzalez, Laura, University of Central Florida
- Abstract / Description
-
Nursing students struggle to acquire and maintain clinical psychomotor skills. Hiring agencies bear the cost of retraining graduate nurses inept with skills learned early in their nursing curriculum. Improperly performed clinical skills pose a risk to patient safety, resulting in pain and suffering for the patient. This empirical study aimed to determine if video-enhanced debriefing (VED) improved initial skill validation scores, skill feedback, satisfaction with learning, and reduced skill...
Show moreNursing students struggle to acquire and maintain clinical psychomotor skills. Hiring agencies bear the cost of retraining graduate nurses inept with skills learned early in their nursing curriculum. Improperly performed clinical skills pose a risk to patient safety, resulting in pain and suffering for the patient. This empirical study aimed to determine if video-enhanced debriefing (VED) improved initial skill validation scores, skill feedback, satisfaction with learning, and reduced skill decay among first-semester, pre-licensure BSN students performing female indwelling urinary catheterization (IUC) in a simulated clinical setting compared to no debriefing. Participants received standard instruction, then video-recorded their IUC skill. Participants randomized into the VED group individually participated in an advocacy/inquiry debriefing with the principal investigator while viewing their performance video. Both groups completed a summative IUC skill validation per standard course instruction and submitted their skill performance ratings. All participants completed a survey including their perceived IUC knowledge, amount of skill practice, learning satisfaction with VED, and an evaluation of their skill performance feedback. All participants re-recorded their IUC skill and received performances ratings with the same instruments again ten weeks after the initial skill validation. The analysis revealed that VED did not improve nursing skills, knowledge, practice, or perceptions of the learning experience compared to the video-only group. Nursing students in the VED condition did rate their skill performance feedback higher than those in the video-only group. Students improved performance in both conditions, showing that learning via video is an effective teaching strategy to enhance student's satisfaction with learning, to engage in repetitive practice with feedback, and to improve learning.
Show less - Date Issued
- 2019
- Identifier
- CFE0007656, ucf:52504
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0007656
- Title
- Stressors Experienced by Emergency Department Registered Nurses at the Bedside: A Phenomenological Study.
- Creator
-
Heglund, Stephen, Wink, Diane, Andrews, Diane, Leuner, Jean, Malvey, Donna, Chase, Susan, University of Central Florida
- Abstract / Description
-
The Emergency Department (ED) as a workplace for the Registered Nurse (RN) is a stressful environment. Reasons are thought to include interactions with other members of the interdisciplinary team as well as the situations associated with the environment of the ED such as trauma, death, sadness, joy and the general unpredictability of each moment. Studies have documented general health care workplace stress and its influence on staff, but a very limited number of studies have concentrated on...
Show moreThe Emergency Department (ED) as a workplace for the Registered Nurse (RN) is a stressful environment. Reasons are thought to include interactions with other members of the interdisciplinary team as well as the situations associated with the environment of the ED such as trauma, death, sadness, joy and the general unpredictability of each moment. Studies have documented general health care workplace stress and its influence on staff, but a very limited number of studies have concentrated on the ED. No widely published studies have identified stressors from the perspective of the ED RN.This dissertation is an interpretive phenomenological study that seeks to understand the experience of being an ED RN through the exploration of the perceptions of stress as lived by individuals who practice their art and science in this unique setting. Materials for evaluation and thematic identification were obtained through personal interviews of practicing nurses. The stories told by the participants communicated what each individual found to be negatively stressful as well as what each found to be positively stressful.Conclusions based on the findings of this work suggest a need for the ED RN to be able to depend on the presence of several factors in order to be able to function with as little distress as possible. The optimal ED environment for the RN is posited to be supportive of the individual goals of the RN, provide adequate resources and foster a communicative interdisciplinary environment. Recommendations are made to improve resource management and interdisciplinary relations.
Show less - Date Issued
- 2012
- Identifier
- CFE0004384, ucf:49408
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0004384
- Title
- Prehabilitation (Prehab): Prevention in Motion.
- Creator
-
Russell, Billie, Sole, Mary Lou, Chase, Susan, Damato-Kubiet, Leslee, Gammonley, Denise, University of Central Florida
- Abstract / Description
-
ABSTRACTCardiovascular disease is the leading cause of death for U.S. adults. It adds greater than $100 billion to U.S. health care costs annually. Rates of morbidity, mortality, and economic burden of the disease could be dramatically reduced with improvements in sedentary behaviors among adults with coronary artery disease (CAD). A regular commitment to moderate physical activity can reduce ischemic heart events up to 50%. Although the benefits of physical activity are well-known for...
Show moreABSTRACTCardiovascular disease is the leading cause of death for U.S. adults. It adds greater than $100 billion to U.S. health care costs annually. Rates of morbidity, mortality, and economic burden of the disease could be dramatically reduced with improvements in sedentary behaviors among adults with coronary artery disease (CAD). A regular commitment to moderate physical activity can reduce ischemic heart events up to 50%. Although the benefits of physical activity are well-known for individuals with coronary artery disease, an estimated 70% of this population remains relatively sedentary. Hospital-based cardiac rehabilitation programs are the single secondary prevention option offered to improve physical activity habits in persons with CAD. Although effective, cardiac rehabilitation is inaccessible for the majority of CAD sufferers and is offered only after an acute cardiac event. Different from rehabilitation, prehabilitation (prehab) programs use physical activity as a means to deter a worsening condition or prevent injury before an acute event occurs. These programs have proved successful in other areas of medicine but there are currently no such secondary prevention programs available for stable persons with CAD in the U.S. A home-based prehab program could help adults with CAD establish improved physical activity habits and circumvent many of the barriers associated with admission and attendance of a hospital-based cardiac rehabilitation program. Researchers have indicated that self-efficacy is key to initiation and sustentation of a regular physical activity habit, regardless of the physical activity program that one attends. These habits are more likely to last when participants receive self-efficacy based support for an average of 66 days. The purpose of this study was to determine if a nurse-practitioner-led, home-based, prehab program could assist adults with CAD to improve and maintain increased physical activity habits and levels of self-efficacy for physical activity. The five primary facilitators of self-efficacy were used to devise a 10-week prehab program. A convenience sample of 54 adults with diagnosed CAD was recruited from cardiology practices in St. Johns County, Florida. The research population was 68.5% (n=37) male, 88.9% (n=48) Caucasian, and 74% (n=40) married with a mean age of 68.57 years. Participants attended a 90-minute prehab class which offered health education and group discussion of barriers and goals for regular physical activity. Following the class, participants were contacted weekly for 10-weeks to discuss goal progress, assist in circumventing barriers, and revise physical activity goals as needed. After the 10-week call period, participants were contacted 30-days later to assess for physical activity habit maintenance and any sustained benefit in self-efficacy for physical activity. Self-efficacy for exercise was measured before the prehab class, after the prehab class, and after the 10-week intervention period using the Short Self-Efficacy Expectations scale (SSEE), Multidimensional Outcomes Expectations for Exercise Scale (MOEES), and the Barriers Self-Efficacy Scale (BARSE). All baseline measures of self-efficacy (MOEES, BARSE, SSEE) improved significantly immediately following the prehab class. Baseline physical outcome expectations of the MOEES (m=21.87, sd=4.67), self-evaluative outcome expectations of the MOEES (m=16.70, sd=4.15) and SSEE (m=12.75, sd=4.02) remained significantly improved after the 10-week intervention period (p(<).05). At the 10-week assessment, mean significant self-efficacy scores were 24.39 (sd=1.26, p(<).01) for physical outcome expectations, 18.39 (sd=2.27, p(<).02) for self-evaluative outcome expectations, and 15.06, (sd=3.25, p(<).001) for SSEE. The SSEE was reassessed 30-days after the study and remained significantly improved compared to baseline (m=15.65, sd=3.42, p(<).01). Qualitative data collection coincided with the quantitative self-efficacy findings. Participants reported satisfaction with physical activity goal attainment and increased confidence to continue with a regular physical activity plan. The Godin Leisure-Time Exercise Questionnaire (GLTEQ) was used to assess activity levels at baseline, during each weekly phone call, at the end of 10-weeks, and 30-days after the study. Repeated-measures ANOVA (F (2,90) = 21.86, p(<).001) revealed that participant's baseline physical activity volume measured by GLTEQ (m=18.39, sd= 16.93) improved significantly after 10 weeks in the prehab study (m=41.10, sd=24.11, p(<).001) and remained significantly improved when re-measured 30-days after the study (m=39.02, sd=21.87, p(<).001). Qualitative data concurred with quantitative data with participants reporting physical activity habit formation and maintenance of self-regulatory skills. Qualitative data also demonstrated that participants in prehab experienced very similar facilitators and barriers compared to other adults with CAD attempting an exercise program. In summary, the prehab study findings coincided with other research findings in this area. Self-efficacy based support can assist individuals with CAD to improve and maintain physical activity habits. The ease of the intervention likely contributed to lower cost and attrition rates (7%) compared to hospital-based cardiac rehabilitation programs. Although more research is needed, study findings suggest that a nurse-practitioner-led, home-based program could be a viable secondary prevention strategy for stable adults with CAD. This should be considered for the future given that even modest improvements in physical activity can substantially reduce all-cause mortality in this population.
Show less - Date Issued
- 2016
- Identifier
- CFE0006384, ucf:51530
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0006384
- Title
- Evaluating Moral Distress, Moral Distress Residue and Moral Courage in Oncology Nurses.
- Creator
-
Melhado, Lolita, Chase, Susan, Conner, Norma, Loerzel, Victoria, Uddin, Nizam, Haley, William, University of Central Florida
- Abstract / Description
-
Purpose: To examine relationships between moral distress, moral distress residue, and moral courage and to determine which nurse characteristics are predictive of moral distress and moral courage.Methods: The study used a mixed methods cross-sectional correlation design and qualitative content analysis to investigate oncology nurses' characteristics and relationships between moral distress, moral distress residue, and moral courage. A convenience sample of 187 oncology nurses working in...
Show morePurpose: To examine relationships between moral distress, moral distress residue, and moral courage and to determine which nurse characteristics are predictive of moral distress and moral courage.Methods: The study used a mixed methods cross-sectional correlation design and qualitative content analysis to investigate oncology nurses' characteristics and relationships between moral distress, moral distress residue, and moral courage. A convenience sample of 187 oncology nurses working in inpatient and outpatient settings was recruited through the national Oncology Nursing Society in the Southeastern United States. Hamric's 21-item Moral Distress Scale-Revised (MDS-R) and Sekerka et al. 15-item Professional Moral Courage Scale (PMCS) supplemented with written examples of moral courage were used for data collection. Descriptive statistics, independent-samples t test, Pearson correlation, ANOVA, and multiple regressions analyses were used to evaluate data.Findings: MDS-R scores were not predictive of PMCS scores. No statistically significant differences were found between nurses' characteristics (age, education level, certification, ELNEC training) and MDS-R. Though nurses with BSN had higher Moral Distress scores compared with other levels of education, none were predictors of MDS-R. ANOVA results indicate a marginal but not significant difference of the MDS-R score among the nurses with different basic ethics education (p = .067). Nurses working in adult inpatient settings had significantly higher MDS-R than those in outpatient settings. Nurses who had moral distress residue by virtue of leaving a previous job (26%) and those who considered leaving (28%) reported statistically significantly higher mean Moral Distress levels than those who had not considered leaving. Nurses (17%) currently considering leaving their jobs due to the way patient care was handled at their institutions had the highest Moral Distress mean scores and the lowest Professional Moral Courage scores. Work setting and having left a previous job were weak predictors of MDS-R, accounting for 11.6% of the moral distress score variance (p = .013) compared with 4.4% when work setting was a single predictor (p = .014). Total years' oncology experience was a weak predictor of PMCS, accounting for 2.5% or an inconsequential amount of the variance (p = .043). Moral courage was displayed in major areas of supporting the patient, risk taking, advocacy, enlarging the circle for decision-making, putting aside personal beliefs, respecting patient autonomy, empowering the patient, fighting for the patient in face of consequences in a complex system, sharing information, getting to the meaning, handling tricky situations, protecting the patient and truth-telling.Discussion/Implication: Despite experiencing levels of moral distress, oncology nurses demonstrate support and respect for patients' decision-making and autonomy. Ethics education derived from clinical practice can provide an opportunity for open discussion for nurses to create and maintain morally acceptable work environments that enable them to be morally courageous. This research underscores the presence of moral distress and moral distress residue among oncology nurses and the importance of finding ways to lessen moral distress and strengthen moral courage in nurses.
Show less - Date Issued
- 2016
- Identifier
- CFE0006142, ucf:51175
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0006142
- Title
- Perceived readiness to transition to adult health care for youth with cystic fibrosis and congruence with their caregivers' views.
- Creator
-
Lapp, Valerie, Chase, Susan, Aroian, Karen, Weiss, Josie, Yan, Xin, Robinson, Patricia, University of Central Florida
- Abstract / Description
-
Youth with cystic fibrosis must gradually assume considerable self-care management skills in order to optimize longevity and quality of life, and healthcare providers and caregivers play a role in youth gradually assuming these skills. The purpose of this study was to determine how youth with cystic fibrosis perceive their self-care management skills required for transition to adult healthcare, the relationship between age and skill acquisition, youth and caregiver congruence on perceived...
Show moreYouth with cystic fibrosis must gradually assume considerable self-care management skills in order to optimize longevity and quality of life, and healthcare providers and caregivers play a role in youth gradually assuming these skills. The purpose of this study was to determine how youth with cystic fibrosis perceive their self-care management skills required for transition to adult healthcare, the relationship between age and skill acquisition, youth and caregiver congruence on perceived transition readiness, and frequency of transition discussion with provider. In this descriptive, correlational, cross-sectional design, 58 youth ages 14-22 rated their skill ability in managing cystic fibrosis using the Transition Readiness Assessment Questionnaire (TRAQ) during visits to the cystic fibrosis clinic. Using an adapted version of the questionnaire, the TRAQ-C, 52 caregivers also rated youth readiness to transition to determine congruence in self-care management ability. Five simple regressions were calculated to determine age effects for the self-care management skills. Independent t-tests were used to compare mean scores of youth and caregiver perceptions of self-care management skills. Age predicted youth perception of readiness for self-care management skills. Youth scored significantly higher than their caregivers did in perception of self-care skill management. Study findings suggest that preparation for transition to adult care should begin at an earlier age to prepare youth to assume self-care. Including transition discussion with youth and caregiver assessments using questionnaires such as the TRAQ and TRAQ-C may guide learning of skills and timing of transition to adult health care.
Show less - Date Issued
- 2016
- Identifier
- CFE0006133, ucf:51185
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0006133
- Title
- Impact of Cancer-Specific Advance Care Planning on Anxiety, Decisional Conflict, and Surrogate Understanding of Patient Treatment Preferences.
- Creator
-
Waser, Lynn, Aroian, Karen, Chase, Susan, Norris, Anne, Loerzel, Victoria, Buckey, Julia, University of Central Florida
- Abstract / Description
-
ABSTRACTPatients with life-limiting cancer and their families face unique challenges that interfere with their ability to make decisions or adequately express their health care preferences about end of life (EOL) treatment. As a result, patients at EOL often receive aggressive unwanted treatment that nationally costs billions of dollars and results in surrogate distress about not honoring patient wishes. Respecting Choices(&)#174; DS-ACP is a disease-specific Advance Care Planning (ACP)...
Show moreABSTRACTPatients with life-limiting cancer and their families face unique challenges that interfere with their ability to make decisions or adequately express their health care preferences about end of life (EOL) treatment. As a result, patients at EOL often receive aggressive unwanted treatment that nationally costs billions of dollars and results in surrogate distress about not honoring patient wishes. Respecting Choices(&)#174; DS-ACP is a disease-specific Advance Care Planning (ACP) intervention that is designed to overcome barriers associated with ACP and potentially decrease the incidence of unwanted, overly aggressive treatments at EOL. The intervention is delivered to patient-surrogate dyads by a trained facilitator who provides an opportunity for patients to identify values and goals that support their EOL choices and communicate these values and goals to their surrogates before they are in a medical crisis. Although Respecting Choices(&)#174; DS-ACP has been effective with other populations, it has not been evaluated for patients with life-limiting cancer. Thus, the purpose of this study was to evaluate the Respecting Choices(&)#174; DS-ACP intervention with patients with life-limiting cancer to determine if the intervention increases patient-surrogate congruence about the patient's EOL wishes and reduces decisional conflict without causing anxiety.Study design was a Phase I clinical trial. A volunteer sample of 15 patients with a diagnosis of life limiting cancer and their matched surrogates participated in the study. The Statement of Treatment Preferences for Life-Limiting Cancer Form, the Spielberger State-anxiety Scale Form Y-1 (STAI) and the Decisional Conflict Scale (DCS) were administered pre- and post-intervention. The Quality of Communication about End of Life Care Form was administered at post test. Descriptive statistics were used to describe the sample. McNemar Chi-square and Binomial tests were conducted to investigate whether the intervention increased congruence for five different situations on the Statement of Treatment Preferences for Life-Limiting Cancer Form. The Zar's Multiple Comparison Test of Differences was conducted to investigate the proportion of congruence observed across the five situations. A paired-sample t test was conducted to evaluate post-intervention changes in anxiety (STAI) and decisional conflict (DCS). Frequencies and percentages were conducted for the five items on the Quality of Communication about End of Life Care Form to evaluate patients' and surrogates' satisfaction with the intervention. Anecdotal comments about timing were content analyzed and summarized.Congruence between patients and surrogates improved significantly in all five situations (range of p =.001 to .031), decisional conflict lessened significantly (t (14) =4.49, p (<) .001), and anxiety did not change (t (14) = 1.75, p = .102) pre- and post-intervention. Participants reported satisfaction with the intervention, including its delivery and timing.Findings from this study provide guidance on how to assist patients with life limiting cancer and their surrogates with EOL decision making. Study findings also support making the Respecting Choices ACP intervention part of usual care for patients with life limiting cancer and timing the intervention so that it is delivered before a medical crisis occurs. The lack of change in post-intervention anxiety scores suggests that ACP does not add to patient distress when ACP is conducted by a trained facilitator. This finding can be used to persuade health professionals to refer their patients for ACP. Additional research is needed to determine if increased patient-surrogate congruence leads to patients' wishes being followed and reduces surrogate decisional conflict and distress at EOL. Future research is also needed to determine if the Respecting Choices DS-ACP intervention is equally effective with racial and ethnic groups whose reluctance to engage in EOL discussion has been documented in the literature or if the intervention needs to be culturally adapted.
Show less - Date Issued
- 2012
- Identifier
- CFE0004615, ucf:49944
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0004615
- Title
- A Faith-Based Primary Diabetes Prevention Intervention for At-Risk Puerto Rican Adults: A Feasibility Study.
- Creator
-
Torres-Thomas, Sylvia, Chase, Susan, Covelli, Maureen, Gonzalez, Laura, Yan, Xin, Miller, Ann, University of Central Florida
- Abstract / Description
-
Diabetes is a serious health threat that disproportionately affects Hispanics of Puerto Rican heritage. Current evidence supports diabetes prevention programs to change health behaviors in people who are at risk and thus prevent the development of type 2 diabetes. However, few interventions exist for Hispanics, and even fewer have been designed for Puerto Rican adults. A literature review of community-based diabetes prevention programs involving at-risk Hispanics was conducted using a...
Show moreDiabetes is a serious health threat that disproportionately affects Hispanics of Puerto Rican heritage. Current evidence supports diabetes prevention programs to change health behaviors in people who are at risk and thus prevent the development of type 2 diabetes. However, few interventions exist for Hispanics, and even fewer have been designed for Puerto Rican adults. A literature review of community-based diabetes prevention programs involving at-risk Hispanics was conducted using a cultural sensitivity framework to determine the state of the science and identify gaps in knowledge regarding diabetes prevention for Puerto Ricans. An integrated theoretical framework was developed using constructs from the extended parallel process model (perceived severity and susceptibility) and social cognitive theory (self-efficacy) to design program components aimed to educate and motivate positive dietary behavior change in Puerto Rican adults. The two key components were a diabetes health threat message and dietary skill building exercises that incorporated spirituality and relevant faith practices, and were culturally-tailored for Puerto Ricans. A pretest-posttest, concurrent mixed methods design was used to test the impact and evaluate feasibility of a diabetes health threat message and skill-building exercises in a sample of Puerto Rican adults. A total of 24 participants enrolled in the study and attended six-weekly meetings that included baseline data collection, a health threat message, dietary skill building exercises, focus group interviews, posttest data collection, and an end-of-study potluck gathering. All of the study participants were Puerto Rican and a majority were female (70.8%), with a mean age of 55.5 years (SD 13.71). Most had a family history of diabetes (n = 21, 87.5%) and believed they were at-risk for the disease (n = 16, 66.7%). Using Wilcoxon matched-pairs signed rank test, significant increases or improvements were found in perceptions of diabetes severity (p (<) .01), dietary self-efficacy (p = .002), and dietary patterns (p = .02) at posttest in comparison to baseline. Spearman's rank correlations found moderate to strong relationships between the following variables: perceived severity and weight (rs = -.44, p = .03), dietary self-efficacy and dietary patterns (rs = .43, p = .04), dietary self-efficacy and fasting blood glucose levels (rs = - .45, p = .03), and American acculturation and weight (rs = .51, p = .02). The qualitative themes that emerged contributed to our understanding of participants' perspective relative to the health threat message, dietary skill building exercises, and the importance of cultural relevance and spirituality. The data support feasibility of this faith-based intervention that had an attendance rate of 58% and no loss of sample due to attrition. Diabetes prevention interventions for at-risk Puerto Ricans adults that incorporate a faith-based, culturally-tailored health threat message and dietary skill building exercises may help educate those who are at-risk and motivate lifestyle behavior change to prevent the development of diabetes. Further faith-based, culturally-tailored diabetes prevention research is indicated for Puerto Rican adults.
Show less - Date Issued
- 2015
- Identifier
- CFE0005725, ucf:50124
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0005725