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OUTCOMES ASSESSMENT WITHIN PROSTATE CANCER INTERVENTIONS FOR COUPLES: A NARRATIVE REVIEW
Title
OUTCOMES ASSESSMENT WITHIN PROSTATE CANCER INTERVENTIONS FOR COUPLES: A NARRATIVE REVIEW.
Creator
Siguenza, Andrea M, Rovito, Michael J., University of Central Florida
Abstract / Description
Current cancer research is beginning to address the psychosocial implications of a prostate cancer (PCa) diagnosis from not just the perspective of quality of life of the patient, but of his partner as well. Such inquiries have created novel intervention programs aiming to alleviate the adverse side effects that a PCa diagnosis may inflict on the couple. Assessing efficacy of couple-based interventions, however, has been a difficult task due to the lack of homogeneity between studies...
Show moreCurrent cancer research is beginning to address the psychosocial implications of a prostate cancer (PCa) diagnosis from not just the perspective of quality of life of the patient, but of his partner as well. Such inquiries have created novel intervention programs aiming to alleviate the adverse side effects that a PCa diagnosis may inflict on the couple. Assessing efficacy of couple-based interventions, however, has been a difficult task due to the lack of homogeneity between studies regarding the operationalization process of primary outcome variables, as well as the instruments being used to measure them. This thesis, in response, aims to provide a detailed assessment of how previous interventions operationalized their targeted variables, the reported psychometric analysis of the instruments of measurement, and which instruments yielded statistically significant results. A narrative review was conducted using a database search strategy to collect articles regarding couple-based interventions that focused on outcomes related to PCa diagnosis, treatment, and survivorship. Out of the ten articles that passed the screening method, forty-two outcomes were identified, ranging from physical, social, and mental well-being of the couple, to the impact PCa had on their relationship quality. The outcomes were grouped into eight categories: quality of life, appraisal of PCa outcomes, sexual/physical well-being, relationship assessment, coping, mental health, knowledge, and distress. Various scales were used to measure similar outcomes with some articles failing to report on the psychometric properties of their chosen instruments. This assessment aims to provide future researchers with an indication as to what outcomes have been previously targeted and their corresponding methods of operationalization, categorization, and analysis. The multitude of assessed outcomes, the lack of uniformity on best practices in PCa couple intervention research, and the general failure to report on reliability and validity of measures may serve as significant barriers to producing high-quality evidence that can inform the development of future research and practice. This review provides the research community an aid in the development of behavioral interventions, and potentially, practice, via offering recommendations on certain outcomes that remain underreported within interventions. It is the ultimate aim of this project to assist in fostering a true public health for all.
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Date Issued
2016
Identifier
CFH2000118, ucf:45977
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH2000118
CAUSAL FACTORS OF CRYPTORCHIDISM AND ENDOCRINE DISURPTING CHEMICALS SUCH AS PRENATAL MATERNAL CIGARETTE SMOKE: A NARRATIVE REVIEW
Title
CAUSAL FACTORS OF CRYPTORCHIDISM AND ENDOCRINE DISURPTING CHEMICALS SUCH AS PRENATAL MATERNAL CIGARETTE SMOKE: A NARRATIVE REVIEW.
Creator
Morrissey, Andrew R., Rovito, Michael J., University of Central Florida
Abstract / Description
Cryptorchidism is a male congenital disorder with an unspecified, multifactorial etiology. This review evaluated the strength of select factors in the development of cryptorchidism to better understand its etiology. The strength of relationship between factors and their respective functions during testicular descent was evaluated. Factors evaluated in the causal pathway include the signaling mechanisms Desert Hedgehog (DHH), Insulin-like Hormone 3 (INSL3) and Platelet-Derived Growth Factor ...
Show moreCryptorchidism is a male congenital disorder with an unspecified, multifactorial etiology. This review evaluated the strength of select factors in the development of cryptorchidism to better understand its etiology. The strength of relationship between factors and their respective functions during testicular descent was evaluated. Factors evaluated in the causal pathway include the signaling mechanisms Desert Hedgehog (DHH), Insulin-like Hormone 3 (INSL3) and Platelet-Derived Growth Factor (PDGF), as well as sex hormone regulation (androgen: estrogen ratio, aromatase expression). Articles supporting a factor in testicular descent were evaluated and scored. These scores were summed to create the �Step Score� for each step in the causal pathway. An arrow system was developed which ranked the strength of each pathway step as either �weak�, �moderate� or �strong�. Thus, step scores and the strength of factors in the pathological pathway were determined: DHH (15-moderate), PDGF (10-weak), INSL3 (24-strong) and Androgen: Estrogen ratio, Aromatase (23-strong). The pathological pathway produced by this review represents a literature based perspective of the research regarding cryptorchidism etiology. Literature indicates that prenatal exposure to endocrine disrupting chemicals in animals and humans may lead to abnormal genital development. Recently, prenatal maternal cigarette smoke was demonstrated to be a risk factor for cryptorchidism. This controversial finding was explored in the context of endocrine disrupting chemicals. However, literature has provided very little evidence in support of this hypothesis and more research is needed to better evaluate prenatal maternal smoking as a risk factor for undescended testis.
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Date Issued
2016
Identifier
CFH2000008, ucf:45591
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH2000008
KNOWLEDGE, CONFIDENCE, INTENTION, AND MOTIVATION: HEGEMONIC MASCULINITY'S INFLUENCE UPON NUTRITIONAL HABITS OF MALES
Title
KNOWLEDGE, CONFIDENCE, INTENTION, AND MOTIVATION: HEGEMONIC MASCULINITY'S INFLUENCE UPON NUTRITIONAL HABITS OF MALES.
Creator
Chizmar, Sara, Rovito, Michael J., University of Central Florida
Abstract / Description
With the increasing incidence of chronic diseases such as Type 2 Diabetes Mellitus and cardiovascular disease and the growing obesity epidemic, the need to increase nutritional literacy amongst the general public is paramount. Men tend to lack a strong base of nutritional knowledge. Masculinity is one of the factors preventing many men from making good nutritional choices. The aim of this study was to investigate hegemonic masculinity in relation to current level of nutritional knowledge as...
Show moreWith the increasing incidence of chronic diseases such as Type 2 Diabetes Mellitus and cardiovascular disease and the growing obesity epidemic, the need to increase nutritional literacy amongst the general public is paramount. Men tend to lack a strong base of nutritional knowledge. Masculinity is one of the factors preventing many men from making good nutritional choices. The aim of this study was to investigate hegemonic masculinity in relation to current level of nutritional knowledge as well as perceptions and attitudes regarding dietary behaviors and intention to eat a healthy diet among a sample of males. A convenience sample of males 18+ (n=87) was categorized according to hegemonic masculinity level by the Masculine Role Inventory. An amended survey gathered information regarding nutritional knowledge level. An original survey gathered information on confidence in one�s nutritional knowledge, intention to eat healthier, and motivation to expand nutritional knowledge. Analyses examined the association between hegemonic masculinity and nutritional knowledge, confidence in nutritional knowledge, intention to change dietary behavior and motivation to learn new nutritional knowledge. No significant association was found between hegemonic masculinity level and nutritional knowledge, confidence, intention, or motivation. The null results can be attributed to the low hegemonic status of the majority of participants. Analyses also examined the relationship between actual nutritional knowledge and confidence in nutritional knowledge. A positive association between higher confidence level and greater nutrition knowledge was found to be significant, p < 0.006. A positive association between higher confidence level and higher levels of motivation to learn new nutritional information was also found to be significant, p < 0.000. The results of this study suggest that an increased level of confidence in nutritional knowledge may be necessary to encourage accumulation of new nutritional knowledge.
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Date Issued
2016
Identifier
CFH2000050, ucf:45533
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH2000050
INVESTIGATING A POTENTIAL RELATIONSHIP BETWEEN SIBLING GENDER COMPOSITION AND HEALTH BEHAVIOR INDICATORS IN YOUNG ADULT AND ADOLESCENT MALES
Title
INVESTIGATING A POTENTIAL RELATIONSHIP BETWEEN SIBLING GENDER COMPOSITION AND HEALTH BEHAVIOR INDICATORS IN YOUNG ADULT AND ADOLESCENT MALES.
Creator
Goss, Taylor N, Rovito, Michael J., Jasinski, Jana, University of Central Florida
Abstract / Description
The presence of siblings during childhood and adolescence has a significant impact on the behaviors and perceptions of adults later in life. Effects of mixed-gendered sibling dyads on delinquent behavior, gender typing, and romantic and sexual relationships are of interest. These behaviors can lead to notable health disparities, making it imperative to gain insight into factors associated with such behaviors in young adult and adolescent males. This project explored possible correlations...
Show moreThe presence of siblings during childhood and adolescence has a significant impact on the behaviors and perceptions of adults later in life. Effects of mixed-gendered sibling dyads on delinquent behavior, gender typing, and romantic and sexual relationships are of interest. These behaviors can lead to notable health disparities, making it imperative to gain insight into factors associated with such behaviors in young adult and adolescent males. This project explored possible correlations between gender composition of siblings and health behavior indicators for violence, competition and risk, and sexual and romantic relationships. Analysis of these variables was performed using data from the Young Adult and Adolescent Male Health Behavior Indicator Scale [YAAMHBIS]. Descriptive analyses showed YAAM understanding of abuse and successful marriage and relationship qualities, as well as a conditional acceptance of violence, competition, and risk. Means testing between those with and without sisters indicated that those with sisters acknowledged abuse, marriage qualities, and the consequences of infidelity. Additionally, those with sisters had, on average, an earlier age of sexual debut than those without supporting previous research regarding the effects of female communication in childhood on adult interactions. The correlations found between sibling gender and YAAM perceptions later in life could lay the groundwork for future studies further investigating sibling gender or split households and an association with health behaviors.
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Date Issued
2018
Identifier
CFH2000317, ucf:45807
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH2000317