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Implementing a Physical Activity Centered Education Program for Individuals with Brain Injury

Description: Research has shown that health promotion programs (HPP) that incorporate education about physical activity (PA) are one mode of rehabilitation that can improve the health of individuals with disabilities. However, education-based PA curriculum is not included in the rehabilitation program for individuals with a brain injury, indicating a gap in services provided. Consequently, the purpose of this study was to create and deliver a physical activity centered education (PACE) program that supplemented the existing rehabilitation program for brain injury. PACE consists of an 8-week (16 session) program aimed to (1) increase self-efficacy for being physically active of PACE program participants, (2) increase PA stage of change in PACE program participants or the maintenance of adequate level of PA, and (3) improve the rehabilitation outcomes (i.e., abilities, participation, adjustment) of PACE program participants. Based on previous research, it is hypothesized that participation in PACE will result in (1A) increased self-efficacy for PA, (1B) greater self-efficacy for PA than the standard of care group, (2A) increased readiness to be physically active, (2B) greater readiness to change their PA behavior than the standard of care group, (3A) improved rehabilitation outcomes, and (3B) greater rehabilitation outcomes than the standard of care group. the PACE program resulted in: (1) an average increase of 19.36% in participants’ PA self-efficacy (effect size [ES] = 0.37), (2) 15 of the 22 PACE participants (68.18%) reported readiness to engage in regular PA , and (3) an increase in rehabilitation outcomes (i.e., abilities, adjustment, and participation)In conclusion, the PACE program can improve PA self-efficacy, readiness for regular PA behavior, and improved short-term rehabilitation outcomes.
Date: May 2012
Creator: Woolsey, Anne-Lorraine T.
Partner: UNT Libraries

Self-Objectification and Sport Participation: Do the Gendered Makeup and Competitive Level of the Team Matter?

Description: The purposes of this study were to (a) investigate differences in self-objectification, self-surveillance, body shame, and flow among female athletes on all-women's and coed ultimate frisbee teams at different competitive levels, and (b) examine the objectification theory model across groups. Participants (n = 112) completed online surveys including a demographic questionnaire, trait and state versions of the Self-Objectification Questionnaire, Body Surveillance and Body Shame subscales of the Objectified Body Consciousness Scale, and the Flow State Scale. No differences in self-objectification, self-surveillance, or body shame were found, although highly competitive athletes experienced more flow than lower competitive teams. Relationships were found between self-objectification, self-surveillance, and body shame, but not for flow, partially supporting the objectification theory model.
Date: May 2010
Creator: Ede, Alison
Partner: UNT Libraries

Identifying Changes in Resilience during Rehabilitation from a Spinal Cord Injury

Description: The study purposes were to identify changes in resilience, satisfaction with life (SWL), depression, spirituality, and functional independence (FI) and to examine the relationship between these variables, during the inpatient rehabilitation for a spinal cord injury (SCI). The sample included 42 individuals with a SCI, 33 males and 9 females, who were inpatients with a mean stay of 52 days (SD = 15.78). A repeated measures design was employed with questionnaires completed at three times during rehabilitation. Results indicated that there were significant changes in depression, satisfaction with life, spirituality, and FI during inpatient rehabilitation. Findings also indicated significant correlations between resilience, SWL, spirituality, and depression. Future studies developing interventions, and examining factors that predict resilience could help build resilience and may improve rehabilitation outcomes.
Date: May 2008
Creator: White, Brian Dale
Partner: UNT Libraries

Limiting Disability Post-Brain Injury Through a Physical Activity Centered Education Program

Description: Brain injury (i.e., traumatic brain injury, stroke) is a considerable public health issue due to complicated outcomes of the injury, increasing incidence, and high costs linked with medical treatment. Rehabilitation centers are challenged to help individuals manage the resultant associated conditions and prevent secondary and chronic conditions. Research has shown that health promotion programs (HPP) that incorporate education about physical activity (PA) are one mode of rehabilitation that can improve the health of individuals with disabilities. However, PA is not included in the rehabilitation program for individuals with a brain injury, indicating a gap in the services provided. Consequently, the purpose of this study was to create and implement a physical activity centered education (PACE) program within an outpatient rehabilitation program. PACE consisted of an 8-week (16 session) program which aimed to (1) increase PA self-efficacy, (2) increase intention to change PA behaviors, (3) increase amount of PA completed regularly, and (4) promote positive rehabilitation outcomes. Based on previous research it was hypothesized that participation in PACE would result in (1) increased PA self-efficacy, (2) forward progression in intention to change PA behaviors, (3) increased amount of PA completed, and (4) improved rehabilitation outcomes (i.e., abilities, adjustment, participation). The PACE program resulted in an average increase of 16.1% in participants’ PA self-efficacy (effect size [ES] = 0.41), an increase from three of nine participants at pre-test to six of nine participants at post-test reporting to be in a stage of change in which they are most likely to be successful in regular PA participation (i.e., action or maintenance), and a comparable improvement in MPAI-4 scores (rehabilitation outcomes) after discharge to a rehabilitation program without a PA education component. In conclusion, the PACE program can improve PA self-efficacy, intention to change PA behaviors, and short-term rehabilitation outcomes.
Date: August 2011
Creator: Irwin, Kelley
Partner: UNT Libraries

Resilience and Health Outcomes in Patients with Traumatic Injury

Description: Due to the increasing healthcare costs and reduced length of hospital stay it is becoming increasingly important to identify individuals who are ‘at risk’ of experiencing long-term health issues. The purpose of the study was to: (1) determine if resilience, self efficacy and depression changed from inpatient to 3-month follow up; (2) examine the relationship between resilience, self efficacy, depression, and quality of life (social roles/activity limitations) at inpatient and 3-month follow up; and (3) identify if resilience at inpatient is related to change scores in selfefficacy and depression at 3-month follow up. Results from the paired sample t-test indicated that participants did not experience a significant change from inpatient to 3-month follow up in resilience or self-efficacy, but a significant decrease in depression was observed. Findings also indicated significant correlations between resilience, self-efficacy, and depression during inpatient stay and resilience, self-efficacy, depression, and quality of life at 3-month follow up. However, there was no relationship found between resilience and change scores in self-efficacy and depression. Future resilience research should continue to identify the variables that are most strongly related to resilience so effective interventions can be developed that improve rehabilitation outcomes, decrease secondary and chronic conditions as well as aid in the successful reintegration of individuals into their lives after a traumatic injury.
Date: August 2011
Creator: Christensen, Megan Elizabeth
Partner: UNT Libraries

Mechanisms Affecting Bench Press Throw Performance while Using a Counter-Balanced Smith Machine

Description: The use of a counter-balance weight system of a Smith machine affects measures of bench press throw performance. Twenty-four men performed bench press throws at 30% of their one-repetition maximum under four different conditions: 1) counter-balance and rebound movement (RC), 2) no counter-balance and rebound movement (RNC), 3) counter-balance and concentric only movement (CC), and 4) no counter-balance and concentric only movement (CNC). Peak power, force, and concentric and eccentric velocities were measured using a linear accelerometer; and peak ground reaction force (GRF) was measured using a forceplate. Peak measures for concentric and eccentric velocities showed that NCB> CB and RBT > CBT. Peak GRF measures showed CB > NCB and RBT > CBT. The lower performance measures for CB were likely due to an increase in the net external load when the barbell accelerates faster than the gravitational constant causing the counter-balance weight becomes ineffective.
Date: May 2011
Creator: Buddhadev, Harsh
Partner: UNT Libraries

A Training Program to Facilitate Caregiver Involvement in School Meetings

Description: Caregivers of children with autism will likely meet with many school professionals once their children become school-aged. These meetings can be intimidating for caregivers who are unfamiliar with special education terminology and protocol, and caregivers may feel ineffective when communicating with school personnel. The purpose of this study is to describe a training curriculum to teach caregivers ways in which to communicate during meetings with school professionals, including the kinds of questions to ask/statements to make and when to ask or make them. A detailed overview of the training procedures, the participants, and the outcomes are described here. Preliminary data suggest the training produced increases in communication skills and that caregivers found the training effective and useful.
Date: August 2010
Creator: Barahona, Heather
Partner: UNT Libraries

Effects of Adult Romantic Attachment and Social Support on Resilience and Depression in Patients with Acquired Disabilities

Description: The acquirement of a disability (e.g., spinal cord injury, traumatic brain injury, amputation, multi trauma) is a risk factor for psychological disturbance (e.g., depression). Research has established that social support and secure attachment are protective factors against psychological disturbance. Attachment patterns have also been associated with differences in perceived social support. Secure attachment and higher perceived social support have been implicated in greater levels of resilience but need to be validated with a population of individuals who have acquired a disability. The Experiences in Close Relationships, Social Provisions Scale, Connor-Davidson Resilience Scale, Personal Health Questionnaire - 9 Depression Scale, and a Demographic were administered to 102 adult inpatients at a rehabilitation hospital undergoing an individualized rehabilitation program. Two MANOVAs were conducted to examine the direct associations of attachment classifications with the major dependent variables, as well as the various social support subscales. Path analysis tested two mediational models suggested by literature. Model 1 assessed the mediating role of attachment anxiety and attachment avoidance on the effect of social support on depression and resilience. Model 2 assessed the mediating role of social support on the effect of attachment anxiety or attachment avoidance on depression and resilience. Partial support was obtained for both models based on fit indices. A small but significant difference in the fit of the models was found, favoring Model 1. Clinical and research implications for this population and the limitations of the study are discussed.
Date: August 2010
Creator: Dodd, Zane
Partner: UNT Libraries

Identifying the Physical Activity Needs of Outpatients with a Traumatic Brain Injury

Description: Traumatic brain injury (TBI) is a significant public health issue due to the incidence, complexity, and cost associated with treatment – emphasizing the need for effective rehabilitation programs. One mode of rehabilitation that has been demonstrated to improve health and reduce healthcare costs is health promotion programs (HPPs) that incorporate physical activity (PA). However, PA is not currently incorporated into the standard of care post-TBI. The purpose of this study was to conduct group interviews among individuals with a TBI undergoing outpatient rehabilitation to determine PA knowledge, attitudes, intentions, and barriers. Results will be used to develop a HPP that focuses on facilitating PA participation as part of the rehabilitation process. Seventeen participants completed a series of group interviews (2-3 people/group) regarding their PA needs. A qualitative research design was adopted and trustworthiness was established through triangulation of data (i.e., theoretical underpinning; multiple researchers and data-coders). A cross-case analysis was completed to identify themes and conceptual patterns. The main themes identified were (1) an inability to differentiate between PA and physical therapy, (2) a limited knowledge of PA health benefits and the relationship to rehabilitation, and (3) an interest in participating in a PA HPP as part of their rehabilitation. HPPs for outpatients with a TBI should educate individuals about PA, the associated health benefits, and the role PA plays in the rehabilitation process. A well designed HPP may increase the likelihood that individuals adopt and maintain PA as part of the rehabilitation process, thus reducing the risk of morbidity and mortality.
Date: August 2011
Creator: Self, Megan
Partner: UNT Libraries