- Email: [email protected]
Establishing a Center for Behavioral Research
2009 AAN Poster Abstracts continued From the AAN Annual Meeting and Conference
Summary Concluding Statement: This study supported that there were ethnic differences in physical activity level among diverse ethnic groups of midlife women. However, more in-depth studies should be conducted on the personal, environmental, and socio-cultural factors associated with physical activity among multiethnic midlife women to better understand the ethnic differences in physical activity.
Ethnic Differences in Vasomotor Symptoms of Women Bokim Lee, PhD, MPH, RN, Wonshik Chee, PhD and EunOk Im, PhD, MPH, RN, CNS, FAAN
Background: Although numerous menopausal women from all ethnicities have suffered from vasomotor symptoms (VMS), the vast majority of studies that provide strategies for reducing VMS and look at the effectiveness of multiple management strategies on menopausal symptoms were performed only among white women. Purpose: The purpose of this study was to explore the associations of ethnicity to the prevalence, severity, and management strategies of VMS among a multi-ethnic group of midlife women in the US. Methodology: This is a secondary analysis of the data collected from a larger Internet survey study of menopausal symptoms among 512 midlife women in the US recruited through the Internet. The instruments included questions on physical factors, psychosocial factors, management methods of VMS and the severity score of VMS. The prevalence and severity of VMS was measured using the Midlife Women’s Symptom Index. Findings: There was a statistically significant ethnic difference in the prevalence, severity, and management methods of VMS. African Americans reported a significantly higher prevalence of VMS (736%) compared with 675% in Whites, 583% in Hispanics, and 324% in Asians (p < 01). Whites and African Americans reported significantly more severe VMS compared to Asians (p < 01). Non-Hispanic Africans were more likely to use CAMs compared to other ethnicities. Asians were more likely to depend on the behavioral change strategy compared to other ethnic groups of midlife women. Hispanics tended not to treat their VMS compared to other ethnic groups of midlife women (p < 05). Summary Concluding Statement: The findings suggest that health care providers need to consider ethnic differences in prevalence, severity, and management methods of VMS in their health care for midlife women experiencing VMS. Especially for Hispanics and Asians, complementary and alternative medicine or behavioral changes may be more effective in reducing VMS and more acceptable to the women.
A New Public Health Nursing Assessment Tool Sandra B. Lewenson, EdD, RN, FAAN, and Marie TruglioLondrigan, PhD, RN
Background: The authors designed a new Public Health Nursing Assessment Tool (PHNAT) that combines Healthy People 2010 determinants of health (biology, behavior, social environment, policy and interventions, and access to care), health status, the Minnesota Department of Health Population-Based Public Health Nursing Practice Intervention Wheel Strategies, and self-reflection. Purpose: The purpose of this study was to pilot the use of the PHNAT with nursing students and an expert in public health nursing. Methodology: A pilot group consisting of 4 RN-BS students in their public health nursing clinical experience completed the PHNAT and critiqued its usability and relevance pertaining to their public health course and population based assessment. An expert in the field of public health nursing also reviewed the PHNAT for face validity. A critique of the reviewers was assessed by the authors of the tool and changes made accordingly. Findings: Participants found the PHNAT enabled them to more readily use the determinants of health as a guide in assessing the population and community and directed them to apply the Intervention Wheel Strategies. The comprehensiveness of the PHNAT also suggested that the completion of a public health nursing assessment would lend itself to group work in a course or in the practice setting. Some sections needed revision as did the instruction guide. Summary Concluding Statement: The unique qualities of the PHNAT provide the public health nurse with data to analyze and ultimately determine the priority health care issues for a specific population within a community. It has potential to be used in the baccalaureate and possibly graduate nursing programs as well as in public health settings. Further studies need to be carried out on the efficacy of the tool and its use in supporting the health of the individual, family, population, and community.
Establishing a Center for Behavioral Research Glenda Lindseth, PhD, RN, FADA, FAAN, Eleanor Yurkovich, EdD, RN, and Loretta Heuer, PhD, RN, FAAN
Background: Northern plains American Indians, the rural elderly poor, Latino migrant farmworkers, women, and children suffer disproportionate rates of suicide and mental disorders, and physical disorders such as M
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2009 AAN Poster Abstracts continued From the AAN Annual Meeting and Conference
inner-city community; 2) assess nutrition knowledge; 3) measure physical fitness; and 4) survey parents about barriers to healthy living. Methodology: Nurse practitioner students and high school students partnered to evaluate children in an after-school program. The team assessed height, weight, waist circumference (WC) and the presence of acanthosis nigricans (AN); administered a nutrition knowledge test; and, taught children to prepare a healthy snack. Professional dancers led a dance class and children’s pre and post activity heart rates were obtained. Parents were surveyed about their children’s diet, physical activity and barriers to healthy living. Findings: 233 children were evaluated (AA, 5-13yr, x¼9yr, 39% M) 33% of children had at least one of three diabetes risk factors (43% BMI > 85th%; 18% WC > 95%; 17% AN); 13% had all three risk factors. The average nutrition pre-test score was 65% In only 13% of children, heart rates returned to normal after rest following a dance activity. Parents reported that the greatest barriers to eating healthy were children’s refusal to eat healthy foods (62%); barriers to activity included lack of access to safe places to play (54%) and excessive screen time (31%). Summary Concluding Statement: Children in this population had poor nutrition knowledge, were not fit, and 1/3 were at risk for diabetes. The key to effective interventions that target diabetes risk factors are those that are developed and executed collaboratively with the community, are culturally relevant, and focus on the barriers to healthy living that impact inner city populations.
diabetes or obesity that respond to behavioral treatment. There are also shortages of behavioral health researchers serving these vulnerable groups. Purpose: The goal of this project was to obtain funding, plan and create the Northern Plains Center for Behavioral Research - an interdisciplinary, integrated center for behavioral research and research training. The work was driven by the health needs of our region’s rural populations. Methodology: With NIH funding, a 27,883 square foot behavioral research facility was constructed to house research and research training focusing on mental disorders and behaviorally mediated diseases central to improving the health status of these groups. Interdisciplinary research training within this center was planned to address critically unmet national public health needs. The facility includes a metabolic kitchen, dining area, a psychological and physiological clinic and data labs. The resulting behaviorally-focused research has relevance for the rural, underserved study populations – a priority for the center. Findings: Funded studies in the center have focused on interventions for severe and persistent mental illness, effects of pesticide exposure on children, nutrition’s role in mitigating diabetes and enhancing cognition, and cholelithiasis among American Indian women. Vulnerable groups could not be assisted and our research portfolio could not be expanded without the specialized facilities. Action was urgent since the region is rapidly aging and significantly older than the Nation as a whole The behavioral research center has a 20-year plan that builds upon our leadership in training research-competent American Indian nurses and clinical psychologists. Summary Concluding Statement: Our newly constructed Northern Plains Center for Behavioral Research will enable multidisciplinary investigators to conduct behavioral research and translate results to nurses and clinical practitioners within rural communities.
Nursing Doctoral Program Partnership in China Huaping Liu, RN, PHD, FAAN, Marie T. Nolan, RN, PhD, Zheng Li, RN, PhD, and Martha N. Hill, PhD, RN, FAAN
Background: Although higher Nursing education in China was re-established in 1983, there were no doctoral programs in nursing prior to 2004. China, with its rapid economic growth, is experiencing an increase in its elderly population and chronic illness. These changes create an urgent need for nurse scientists to lead interdisciplinary efforts to address the nation’s changing health care needs. Purpose: The goal of this project was to develop a nationally recognized model for doctoral education in nursing in China. Graduates are being prepared to be leaders in nursing research, education, administration, and policy-making. A continuity plan was developed at the outset to ensure a smooth and successful transition to an independent doctoral program within the Chinese University. Methodology: Peking Union Medical College (PUMC), School of Nursing in Beijing established
A Community Partnership to Assess Growth and the Risk of Diabetes in Children in the Community Terri H. Lipman, PhD, CRNP, FAAN, and Janet A. Deatrick, PhD, RN, FAAN
Background: The prevalence of obesity and type 2 diabetes in children is increasing and disproportionately effects children from minority and low socioeconomic backgrounds. Multiple interventions have been ineffective, in part, because they were not culturally relevant, nor did they consider environmental barriers. Purpose: The purpose of this four year University and community collaboration was to form a partnership to 1) screen growth and diabetes risk factors in children in an e18
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Summary Concluding Statement: This study supported that there were ethnic differences in physical activity level among diverse ethnic groups of midlife women. However, more in-depth studies should be conducted on the personal, environmental, and socio-cultural factors associated with physical activity among multiethnic midlife women to better understand the ethnic differences in physical activity.
Ethnic Differences in Vasomotor Symptoms of Women Bokim Lee, PhD, MPH, RN, Wonshik Chee, PhD and EunOk Im, PhD, MPH, RN, CNS, FAAN
Background: Although numerous menopausal women from all ethnicities have suffered from vasomotor symptoms (VMS), the vast majority of studies that provide strategies for reducing VMS and look at the effectiveness of multiple management strategies on menopausal symptoms were performed only among white women. Purpose: The purpose of this study was to explore the associations of ethnicity to the prevalence, severity, and management strategies of VMS among a multi-ethnic group of midlife women in the US. Methodology: This is a secondary analysis of the data collected from a larger Internet survey study of menopausal symptoms among 512 midlife women in the US recruited through the Internet. The instruments included questions on physical factors, psychosocial factors, management methods of VMS and the severity score of VMS. The prevalence and severity of VMS was measured using the Midlife Women’s Symptom Index. Findings: There was a statistically significant ethnic difference in the prevalence, severity, and management methods of VMS. African Americans reported a significantly higher prevalence of VMS (736%) compared with 675% in Whites, 583% in Hispanics, and 324% in Asians (p < 01). Whites and African Americans reported significantly more severe VMS compared to Asians (p < 01). Non-Hispanic Africans were more likely to use CAMs compared to other ethnicities. Asians were more likely to depend on the behavioral change strategy compared to other ethnic groups of midlife women. Hispanics tended not to treat their VMS compared to other ethnic groups of midlife women (p < 05). Summary Concluding Statement: The findings suggest that health care providers need to consider ethnic differences in prevalence, severity, and management methods of VMS in their health care for midlife women experiencing VMS. Especially for Hispanics and Asians, complementary and alternative medicine or behavioral changes may be more effective in reducing VMS and more acceptable to the women.
A New Public Health Nursing Assessment Tool Sandra B. Lewenson, EdD, RN, FAAN, and Marie TruglioLondrigan, PhD, RN
Background: The authors designed a new Public Health Nursing Assessment Tool (PHNAT) that combines Healthy People 2010 determinants of health (biology, behavior, social environment, policy and interventions, and access to care), health status, the Minnesota Department of Health Population-Based Public Health Nursing Practice Intervention Wheel Strategies, and self-reflection. Purpose: The purpose of this study was to pilot the use of the PHNAT with nursing students and an expert in public health nursing. Methodology: A pilot group consisting of 4 RN-BS students in their public health nursing clinical experience completed the PHNAT and critiqued its usability and relevance pertaining to their public health course and population based assessment. An expert in the field of public health nursing also reviewed the PHNAT for face validity. A critique of the reviewers was assessed by the authors of the tool and changes made accordingly. Findings: Participants found the PHNAT enabled them to more readily use the determinants of health as a guide in assessing the population and community and directed them to apply the Intervention Wheel Strategies. The comprehensiveness of the PHNAT also suggested that the completion of a public health nursing assessment would lend itself to group work in a course or in the practice setting. Some sections needed revision as did the instruction guide. Summary Concluding Statement: The unique qualities of the PHNAT provide the public health nurse with data to analyze and ultimately determine the priority health care issues for a specific population within a community. It has potential to be used in the baccalaureate and possibly graduate nursing programs as well as in public health settings. Further studies need to be carried out on the efficacy of the tool and its use in supporting the health of the individual, family, population, and community.
Establishing a Center for Behavioral Research Glenda Lindseth, PhD, RN, FADA, FAAN, Eleanor Yurkovich, EdD, RN, and Loretta Heuer, PhD, RN, FAAN
Background: Northern plains American Indians, the rural elderly poor, Latino migrant farmworkers, women, and children suffer disproportionate rates of suicide and mental disorders, and physical disorders such as M
A R C H
/ A
P R I L
N
U R S I N G
O
U T L O O K
e17
2009 AAN Poster Abstracts continued From the AAN Annual Meeting and Conference
inner-city community; 2) assess nutrition knowledge; 3) measure physical fitness; and 4) survey parents about barriers to healthy living. Methodology: Nurse practitioner students and high school students partnered to evaluate children in an after-school program. The team assessed height, weight, waist circumference (WC) and the presence of acanthosis nigricans (AN); administered a nutrition knowledge test; and, taught children to prepare a healthy snack. Professional dancers led a dance class and children’s pre and post activity heart rates were obtained. Parents were surveyed about their children’s diet, physical activity and barriers to healthy living. Findings: 233 children were evaluated (AA, 5-13yr, x¼9yr, 39% M) 33% of children had at least one of three diabetes risk factors (43% BMI > 85th%; 18% WC > 95%; 17% AN); 13% had all three risk factors. The average nutrition pre-test score was 65% In only 13% of children, heart rates returned to normal after rest following a dance activity. Parents reported that the greatest barriers to eating healthy were children’s refusal to eat healthy foods (62%); barriers to activity included lack of access to safe places to play (54%) and excessive screen time (31%). Summary Concluding Statement: Children in this population had poor nutrition knowledge, were not fit, and 1/3 were at risk for diabetes. The key to effective interventions that target diabetes risk factors are those that are developed and executed collaboratively with the community, are culturally relevant, and focus on the barriers to healthy living that impact inner city populations.
diabetes or obesity that respond to behavioral treatment. There are also shortages of behavioral health researchers serving these vulnerable groups. Purpose: The goal of this project was to obtain funding, plan and create the Northern Plains Center for Behavioral Research - an interdisciplinary, integrated center for behavioral research and research training. The work was driven by the health needs of our region’s rural populations. Methodology: With NIH funding, a 27,883 square foot behavioral research facility was constructed to house research and research training focusing on mental disorders and behaviorally mediated diseases central to improving the health status of these groups. Interdisciplinary research training within this center was planned to address critically unmet national public health needs. The facility includes a metabolic kitchen, dining area, a psychological and physiological clinic and data labs. The resulting behaviorally-focused research has relevance for the rural, underserved study populations – a priority for the center. Findings: Funded studies in the center have focused on interventions for severe and persistent mental illness, effects of pesticide exposure on children, nutrition’s role in mitigating diabetes and enhancing cognition, and cholelithiasis among American Indian women. Vulnerable groups could not be assisted and our research portfolio could not be expanded without the specialized facilities. Action was urgent since the region is rapidly aging and significantly older than the Nation as a whole The behavioral research center has a 20-year plan that builds upon our leadership in training research-competent American Indian nurses and clinical psychologists. Summary Concluding Statement: Our newly constructed Northern Plains Center for Behavioral Research will enable multidisciplinary investigators to conduct behavioral research and translate results to nurses and clinical practitioners within rural communities.
Nursing Doctoral Program Partnership in China Huaping Liu, RN, PHD, FAAN, Marie T. Nolan, RN, PhD, Zheng Li, RN, PhD, and Martha N. Hill, PhD, RN, FAAN
Background: Although higher Nursing education in China was re-established in 1983, there were no doctoral programs in nursing prior to 2004. China, with its rapid economic growth, is experiencing an increase in its elderly population and chronic illness. These changes create an urgent need for nurse scientists to lead interdisciplinary efforts to address the nation’s changing health care needs. Purpose: The goal of this project was to develop a nationally recognized model for doctoral education in nursing in China. Graduates are being prepared to be leaders in nursing research, education, administration, and policy-making. A continuity plan was developed at the outset to ensure a smooth and successful transition to an independent doctoral program within the Chinese University. Methodology: Peking Union Medical College (PUMC), School of Nursing in Beijing established
A Community Partnership to Assess Growth and the Risk of Diabetes in Children in the Community Terri H. Lipman, PhD, CRNP, FAAN, and Janet A. Deatrick, PhD, RN, FAAN
Background: The prevalence of obesity and type 2 diabetes in children is increasing and disproportionately effects children from minority and low socioeconomic backgrounds. Multiple interventions have been ineffective, in part, because they were not culturally relevant, nor did they consider environmental barriers. Purpose: The purpose of this four year University and community collaboration was to form a partnership to 1) screen growth and diabetes risk factors in children in an e18
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