Social and Behavioral Sciences Commons^™

Diabetes Health Literacy, Diabetes Numeracy, And Cognitive Function As Predictors Of Type 2 Diabetes Mellitus Self-Management, Twinkle Gupta

Doctoral Dissertations and Projects

The present study assessed older adults (≥ 45 years old) diabetes health literacy, diabetes numeracy, cognitive function, and its association with their Type 2 Diabetes Mellitus (T2DM) self-management outcomes. These factors are of concern as diabetes is a lifelong condition affecting the body’s conversion of food into energy and may lead to complications and comorbidities if this condition is not properly self-managed. Diabetes health literacy refers to having the necessary capabilities in finding and analyzing diabetes-related information to make informed decisions regarding their health. Numeracy in diabetes has to do with being able to compute diabetes-related math such as insulin …

Novel Targets And Strategies Addressing Residual Cardiovascular Risk In Post-Acute Coronary Syndromes Patients, Francesco Paolo Cancro, Michele Bellino, Angelo Silverio, Marco Di Maio, Luca Esposito, Rossana Palumbo, Martina La Manna, Ciro Formisano, Germano Ferruzzi, Carmine Vecchione, Gennaro Galasso

Translational Medicine @ UniSa

Despite the advancement in secondary cardiovascular prevention strategies for post-acute coronary syndrome (ACS) patients, the development of new drugs addressing dyslipidemia and the personalization of dual antiplatelet therapies (DAPT), these patients continue to suffer a significant incidence of recurrent ischemic events. Therefore, novel targets that can be tackled to reduce cardiovascular risk are needed to improve the outcome of this very high-risk population. The role of chronic inflammation and inflammasome in the development and progression of atherosclerosis has been broadly investigated in patients with established coronary artery disease (CAD) and recent randomized trials have highlighted the possibility to manage these …

Clinical Utility Of Trbc1 Addition In Multiparametric Flow Cytometry For T Cell Lymphoma Diagnosis, Francesca Picone, Marisa Gorrese, Angela Bertolini, Bianca Serio, Luca Pezzullo, Roberto Guariglia, Pio Zeppa, Alessandro Caputo, Albino Carrizzo, Carmine Vecchione, Carmine Selleri, Valentina Giudice

Translational Medicine @ UniSa

No abstract provided.

Evolution Of The Substance Use Landscape: Implications For Contingency Management., Shelby Goodwin, Kimberly C Kirby, Bethany Raiff

College of Science & Mathematics Departmental Research

Contingency management (CM), which involves the delivery of incentives upon meeting behavioral goals, has the potential to improve substance use treatment outcomes. The intervention allows for flexibility through numerous modifiable components including changes to incentive magnitude and schedule, target behavior, and intervention structure. Unfortunately, numerous changes in the substance use landscape have occurred in the past 10 to 15 years: Substances are more potent, overdose risk has increased, new substances and methods of use have been introduced, and substance classes are increasingly being intentionally and unintentionally mixed. These developments potentially undermine CM outcomes. We explored recent substance use changes due …

More Than Caring: Building A Foundation Of Skills And Competencies To Teach Self-Advocacy In A Female-Dominated Profession, Laura Perri

The Dissertation in Practice at Western University

External patriarchal interventions and market-driven forces have limited professional advancements and autonomy of the female-dominated dental hygiene (DH) profession since its foundation. The DH profession defines itself though caring and advocating for public access to its essential services. However, the lack of voice and autonomy are reported causes of DH practitioner burnout and labour shortages. DH education lacks training and foundational skills for self-advocacy. This Dissertation-in-Practice (DiP) explores the organizational context of a South-Western Ontario DH college (SWO College or the school) and addresses a complex problem of practice (PoP) that recognizes the barriers, both past and present, that kept …

Phe 302 Social And Environmental Determinants Of Health, Tailisha Gonzalez

Open Educational Resources

This course is an introduction to the social, behavioral, and commercial factors that influence health. Theoretical and methodological approaches to the study of these determinants will be discussed from a social ecological perspective. Social determinants cover five domains: economic stability, education access and quality, health care access and quality, neighborhood and built environment, and social and community context. Behavioral determinants include such factors as smoking, physical activity, and alcohol use. Commercial determinants include economic and political domains with examples such as cigarette marketing and the placement of toxic waste sites in low-income communities.

Health Literacy Among Chronic Kidney Disease Patients: Disparities In Information Seeking, Educational Needs, And The Role Of Healthcare Professionals, Fitri Mailani, Rahmi Muthia, Emil Huriani, Rika Sarfika

The Qualitative Report

Chronic kidney disease (CKD) is a complex disease that poses various challenges to patients. Health Literacy (HL) is considered essential for the effective management of CKD. This phenomenological study explored health literacy in 12 patients with chronic kidney disease undergoing hemodialysis in Padang, Indonesia. Semi-structured individual interviews were conducted, and the data were analysed and interpreted using the hermeneutical phenomenological approach of Diekelmann. We found six themes: sources of information and knowledge, differences in patient attitudes and behaviors as health information seekers, learning needs for successful treatment and care, effective learning and education methods, experiences with alternative treatments, and positive …

Addressing Patient Loyalty Through Their Commitment Influenced By Electronic Word-Of-Mouth And Hospital’S Image, Al Quadhri Upe, Alida Palilati, Sudirman Zaid, Nasrul Nasrul

Kesmas

This article explores the influence of Electronic Word of Mouth (e-WoM) and hospital image on hospital patient loyalty, emphasizing the mediating role of patient commitment. Amidst the development of the healthcare industry sector in Indonesia, this study highlighted that e-WoM and hospital image significantly enhanced patient loyalty, with patient commitment playing an important mediating role. This article suggested practical strategies for hospitals, such as improving the quality of healthcare services, leveraging positive e-WoM, and implementing loyalty programs to elevate patient commitment and loyalty. These findings underscore the importance of hospital image and e-WoM in patient retention, providing valuable insights for …

The Open Defecation Free Program Evaluation Using The Context, Input, Process, And Product Model In Jambi, Indonesia, Guspianto Guspianto, Willia Novita Eka Rini, Rizalia Wardiah, Susi Desmaryani, Herlina Herlina

Kesmas

The Open Defecation Free (ODF) program was initiated by the government to increase access to healthy latrines. This study aimed to evaluate the ODF program using the CIPP evaluation model. A qualitative and exploratory descriptive method was adopted to investigate informants' experiences regarding the program's implementation. Data was explored through semi-structured interviews with 17 informants and analyzed using content analysis. The results showed that the program was crucial as numerous people engaged in open defecation due to economic, geographical, cultural, and knowledge factors. The absence of ODF policy was due to lack of priority, limited government and private support, insufficient …

“Dead Or Alive?” Assessment Of The Binary End-Of-Event Outcome Indicator For The Nemsis Public Research Dataset, Mary E. Helander

Social Science - All Scholarship

OBJECTIVE: The broad absence of definitive patient outcomes in the NEMSIS public release data hinders research that seeks to understand the impact of pre-hospital care, operations, and overall patterns of population health – including geospatial and demographic differences. This study evaluated the recently proposed binary end-of-event outcome indicator to provide additional validity of the method, to evangelize its employment for more studies to analyze survival impact following an emergency medical event, and to identify appropriate use and interpretation given imperfection in predicted outcomes. METHODS: A recently published binary end-of-event outcome indicator was applied to datasets for each year from 2017 …

Exploration Of Positive Deviance In Prevention Of Underweight In The Under-Five: A Qualitative Study On Low-Income Urban Families, Irwan Budiono, Lukman Fauzi, Dewi Sari Rochmayani

Kesmas

Children under the age of five (the under-five) from low-income families are more vulnerable to experience underweight. This nutritional vulnerability is evident in the preliminary study, where 35.1% of the under-five experience underweight, and 28.48% are low-income families. This study aimed to explore Positive Deviance (PD) behaviors in preventing underweight among the under-five. The study applied a qualitative approach with a case study design. Data collection took place in July-August 2022, focusing on low-income families in the Gunung Brintik area. Data were collected through two focus group discussions, seven in-depth interviews, and five key informant interviews. Coding, subtheme, and theme …

Risk Factors For Cognitive Impairment In Adult Population Of Coastal Area: A Cross-Sectional Study In Maringkik Island, Indonesia, Herpan Syafii Harahap, Arina Windri Rivarti, Nurhidayati Nurhidayati, Fitriannisa Faradina Zubaidi, Dini Suryani, Legis Ocktaviana Saputri, Yanna Indrayana, Athalita Andhera, Muhammad Hilam, Abiyyu Didar Haq

Kesmas

Cognitive impairment is a medical condition commonly found in elderly populations, which can be due to vascular risk factors in patients. There remains limited data on risk factors for cognitive impairment among coastal region populations. This study aimed to investigate risk factors for cognitive impairment in the adult population of Maringkik Island, West Nusa Tenggara Province, Indonesia. Data collected were age, sex, education level, hypertension, antihypertensive treatment, diabetes mellitus, cigarette smoking, and body mass index status. A total of 114 participants were recruited using a consecutive sampling method. The participants’ cognitive function assessment used the Mini-Cog instrument. The cognitive impairment …

Exploring Sexual Satisfaction And Intimacy After T6 And Above Spinal Cord Injury: An Interpretative Phenomenological Analysis, Aron Williams, Karen Aranha, Angela Labrie Blackwell

Summer 2024 OTD Capstone Symposium

Background: With T6 and above SCIs, there is a greater chance of sexual function and satisfaction being impacted; however, individuals lack the clinical support and resources needed for rehabilitation in this area. From an occupational science and occupational adaptation (OA) perspective, examining the multifactorial needs and the lived experiences of individuals with SCI T6 and above who have attained sexual satisfaction post-injury would aid in better serving the rehabilitation needs of this population. Methodology: This study explored the process that individuals with SCIs underwent to achieve sexual satisfaction and intimacy post-injury. An interpretative phenomenological analysis (IPA) methodology was used to …

Barriers And Supports To Academic Success Among Autistic College Students: A Qualitative Study, Isabella M. Ortiz, Steven M. Gerardi, Mary Zadnik

Summer 2024 OTD Capstone Symposium

Autism spectrum disorder (ASD) is a neurological and developmental disorder that affects many college students, impacting their everyday life activities and making transitions challenging. Occupational therapists serve a role in treating students with autism, but there is little evidence in the literature about their perceived barriers and strengths during the high school to college transition. This study utilized a semi-structured interview & thematic analysis to uncover the unique challenges & successes these students with autism face in an academic setting & identify effective support mechanisms/barriers.

Research Questions:

1. What are the perceived barriers to participation and performance in academic activities among …

   ---

   Go to article

Teacher Implementation Profiles: A Response To Top-Down Mandate Of Movement Integration, Zack Beddoes, Jeanne Barcelona, Darla Castelli

International Journal of Physical Activity and Health

This study examined teacher implementation practices to meet a state mandate requiring 135 minutes of student physical activity (PA) weekly. Teachers were required to implement a video-based movement integration (MI) program. Using an embedded mixed-methods design, provider characteristics of 42 teachers and the organizational capacity of six schools were developed from interviews, surveys, observations, and artifacts. Data analysis revealed three teacher profiles (a) Dynamic Experientialists, (b) Coachable Constructivists, and (c) Cautious Behaviorists, and three school profiles (a) Whole Child Approach, (b) Grade Level Champions, and (c) Back to Basics. Findings suggest that school, teacher, …

Socioeconomic Status, Physical Inactivity, And Bmi In Transitional Urban China: Contextualizing The Theory Of Fundamental Causes, Jun Xu, Fang Gong, Wei Zhao

International Journal of Physical Activity and Health

Drawing insights from the theory of fundamental causes of disease, this study examined the relationships between socioeconomic status (SES) and selected risk factors in transitional urban China. Specifically, under China’s distinct institutional and sociocultural environment, we examined how contextualized SES (i.e., party membership, hukou status, housing ownership, and subjective social status) and conventional SES indicators (i.e., education, income, and occupation) were associated with physical inactivity and body mass index (BMI). Utilizing the urban subsample of the 2017 Chinese General Social Survey (CGSS), we found that individuals with higher education, income, Communist Party membership, and urban hukou status had lower risks …

Cell-Based Medicinal Products: Progress And Perspectives, Lijian Hui, Xiang Yuan, Jingqi Wu

Bulletin of Chinese Academy of Sciences (Chinese Version)

Cell-based medicinal products are a breakthrough that has been proven to treat previously incurable diseases, making them a topic of global interest. This review delves into the current state and progress of cell therapy, highlighting the remarkable therapeutic effects of various types of cell-based medicinal products. We specifically explore the potential development of cell-based medicinal products in China, focusing on promoting clinical translation and commercialization. We propose necessary actions to achieve these goals, such as fostering cutting-edge basic research, innovative therapeutic approaches, scalable manufacturing processes, and policy changes.

Comprehensive Technical Analysis Of A Kickboxing Fight In K1 Format Based On Observation, Marta Niewczas, Wojciech Wąsacz, Wiesław Chwała, Tomasz Pałka, Ewa Sobiło-Rydzik, Tadeusz Ambroży, Kristína Němá, Łukasz Rydzik

Baltic Journal of Health and Physical Activity

Introduction: Observation and specialized analysis of confrontations in combat sports are fundamental for introducing corrections in training programs and for modifying the individual technical-tactical profiles of athletes in these types of activities. These actions comprehensively assess the progress of sports activities, ultimately inspiring and guiding the direction of training in sports clubs. The aim of this study was to analyze and assess the level of the offensive structure of Kickboxing sport fights in the K1 format, in terms of global simulated sparring, in selected thematic sets. Materials and Methods: The research material consisted of a multimedia recording of 10 simulated …

Uncovering The Physical Activity Experiences Of Muslim Women Students At Western University, Mais Zuhair Awadallah

Electronic Thesis and Dissertation Repository

Purpose: This study will illuminate the experiences of young Muslim women studying at Western University regarding physical activity by exploring the intersectionality of sociocultural factors influencing their engagement with physical activity. Methods: Eleven participants were recruited using purposeful and snowball sampling. Individual, semi-structured, episodic interviews with the participants were conducted. Data was analyzed thematically using an abductive approach. NVivo software was used in the coding process. Critical Race Feminism and Orientalism were the theoretical frameworks used to frame interview guide and interpret research findings. Findings: It was found that religious teachings, ethnic background, and social support shape …

A Human-Centered Innovation Process (Hcip) For Evidence-Based Substance Use Prevention Intervention Implementation., Anthony P. Coetzer-Liversage, L.A.R. Stein, Margaret Stephens, Eric Jefferis, Mary M. Step, Alicia R. Crowe, Zili Sloboda

Health Behavior Research

Despite efforts in Implementation Science, there remains a considerable gap between establishing intervention effectiveness and their widespread adoption in real-world settings. Shockingly, only about 14% of these interventions make it into practice. This study recognized the urgent need for a paradigm shift within the field and sought to develop a comprehensive understanding of the systemic barriers and facilitators affecting intervention implementation.

To achieve this goal, a qualitative methodology known as constructivist grounded theory was employed. This approach allowed for the exploration of rich, in-depth descriptions and theoretical insights derived from the experiences of 30 prevention professionals who have been involved …

Interprofessional Collaboration As A Feminist Pedagogy: A Call For The Unsettling Of Care In Health Professions Education, Ivana Guarrasi, Rhonda Cornell, Sally Clemenson

Feminist Pedagogy

No abstract provided.

The Experience Of Pet Ownership In Transitional Housing, Kathryn Holden Ots, Susan Macdermott Otd, Otr/L

Summer 2024 OTD Capstone Symposium

25% of people experiencing homelessness have pets, but few transitional housing programs allow pets (Rhoades et al., 2015); therefore, there is a gap in the literature about the experience of pet ownership during the transitional housing process. This study aimed to explore pet owners' experiences at a transitional housing site in San Diego County. The student interviewed two current dog owners and four recent dog owners. All participants prioritized their pets because it was their strongest relationship. The prioritization of their dogs positively and negatively influenced occupational engagement. While receiving services, owners experienced consequences when separated from their dogs, including …

Barriers To Early Intervention Access In Under-Resourced Communities: Professionals' Perspectives, Georges Ambroise, Jazminne Orozco-Arteaga

Summer 2024 OTD Capstone Symposium

Limited socioeconomic resources pose a barrier to accessing early intervention (EI) services.

The study yielded 33 participants of EI professionals. The study included an online survey and an optional semi-structured interview. Following data collection, Braun and Clarke’s six-step thematic analysis was utilized to identify themes from the surveys and interview transcriptions (Braun and Clarke, 2006).

The main themes that came from the data analysis are (1) there are barriers impacting access to EI experienced by families in under-resourced communities, (2) there are current supports for families in under-resourced communities accessing EI, (3) EI professionals play a role in decreasing barriers, …

Enhancing Co-Occupation Of Play For Families Experiencing Homelessness, Vienna Vargas, Susan Macdermott

Summer 2024 OTD Capstone Symposium

The presentation covers program development for families residing in transitional housing with the opportunity to engage in healthy play activities to promote health and wellness.

Ot’S Role In Facilitating Foster Youth's Transition To College And Career Exploration, Stacey Tang, Amy Lyons-Brown

Summer 2024 OTD Capstone Symposium

Foster youths often face numerous adversities, limiting their occupational performance and ability to transition into adulthood, specifically regarding career and education. This poster explores the role of Occupational Therapy (OT) in supporting these youths as they age out of foster care, particularly focusing on college and career exploration. Using the Person-Environment-Occupation-Performance (PEOP) and KAWA River models, a needs assessment was conducted in collaboration with Foster Love, a non-profit organization. The assessment revealed gaps in resources and support for foster youths, leading to the development of workshops that foster self-reflection, emotional regulation, and goal setting as they navigate their transition into …

Analysis Of Accessibility Of People With Sensory Disabilities In Rsud Pasar Minggu, Daffaldo Suryoputra, Masyitoh Basabih, Fify Mulyani

Jurnal ARSI (Administrasi Rumah Sakit Indonesia)

People with a disability is someone who has conditions, whether physically and mentally that make a person experience difficulty in certain conditions and interact with their environment. Pasar Minggu Regional Hospital (RSUD Pasar Minggu) has achieved a general patient satisfaction indicator with satisfaction rate of 90% in 2022. This satisfaction indicator mainly comes from infrastructure and facility factors, along with the competence of service providers and costs. As a regional referral hospital, this hospital certainly has patients with physical limitations due to disabilities or illnesses. To ensure patient satisfaction can also be felt by patients with physical limitations, this study …

Thriving Transitions: Supporting Children With Autism Through Their Transition To School, Jennica Cano, Angela Blackwell

Summer 2024 OTD Capstone Symposium

Thriving Transitions is an educational guidebook created for parents of children with autism who are transitioning to school. Thriving transitions contains evidence and sensory based strategies for children with autism who are transitioning to school.

Gender Differences In Relations Between Social Comparison, Social Support, And Sleep Disturbance Among Midlife And Older Adults., Iris Bercovitz, Gabrielle M Salvatore, Jacqueline A Mogle, Danielle Arigo

College of Science & Mathematics Departmental Research

OBJECTIVE: To examine associations between sleep disturbance, social support, and social comparison among midlife and older adults, including the moderating role of gender.

METHODS: Adults ages ≥40 years (N = 557, MAge = 57, 53% men) completed a cross-sectional survey including validated measures of sleep disturbance, perceptions of social support, and social comparison orientation.

RESULTS: Sleep disturbance was negatively associated with social support (rs = −0.42 to–0.33, ps = 0.001) and associations were stronger for men than women–particularly perceived support from friends (η 2= 0.01). Sleep disturbance was also associated with upward comparison orientation (r = 0.12, p = 0.003), …

Writing For The Journal: A Guide For Community-Based Organizations, Randy Wykoff, Rachel E. Dixon

Journal of Appalachian Health

The Journal of Appalachian Health welcomes submissions from a variety of stakeholders interested in and contributing to improvement of health across the Appalachian Region. This editorial provides basic guidelines for those working in community settings who may with to make JAH (or any other journal) their publication home.

Examining The Relationship Between Disability, Impairment, And Chronic Pain In Childhood Cerebral Palsy: A Scoping Review And Critical Analysis, Muning Zhang

Electronic Thesis and Dissertation Repository

Young people with cerebral palsy (CP) experience chronic pain at rates higher than their non-disabled peers. Despite this recognition, there have been no studies that have addressed how young people with CP’s experiences with chronic pain are represented and studied in the literature, and especially not through a critical disability studies lens. Foucault’s notion of discourse was used to guide critical analysis of studies. This scoping review was guided by the research question: “What is known about the relation between children’s experiences of chronic pain and cerebral palsy in the health and rehabilitation literature?”. Thirty-five studies were included in …