Scholarship & Research
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Item Lessons learned: evaluating the implementation of a yoga-cognitive behavioral therapy group(Montana State University - Bozeman, College of Nursing, 2020) Hamilton, Karlee Renee; Chairperson, Graduate Committee: Tracy HellemThere is a significant need for those with depression and anxiety to have complementary treatment options to help treat the multifaceted symptoms of these illnesses. Evaluating programs for the complementary treatment of depression and anxiety is essential for organizations to measure the outcomes of their programs and to offer quality comprehensive care to clients. This project evaluated the outcomes of a yoga-Cognitive Behavioral Therapy group started at a community mental health center in Montana using the CDC's Guide to Effective Evaluation as a guideline. The yoga-CBT group did not show any positive results in either BDI or GAD-7 scores, and a discussion of limitations of this program was had with stakeholders. Despite the number of limitations, lessons were learned about effective implementation of programs at the community mental health center.Item Exercise as treatment for depression, dissemination of evidence-based practice to providers(Montana State University - Bozeman, College of Nursing, 2019) Dean, Amber Jewel; Chairperson, Graduate Committee: Tracy HellemStatement of the problem: Depression is the leading cause of disability worldwide with low remission rates. Exercise has been used as an evidence-based treatment option with positive results. This project assessed the usefulness of a pocket card to disseminate evidence-based research to medication providers while collecting additional information. Methods: 93 medication providers were identified in northwestern Montana counties at 14 outpatient clinics to disburse an informational packet to, including the pocket card. A letter directed providers to take an initial survey and a follow up survey. Results: The majority of participants (86%) found the pocket card to be a useful way in receiving information regarding exercise as treatment for depression. Conclusion: The pocket card was a useful way to disseminate evidence for exercise as treatment for depression to medication providers.Item Monitoring physical activity in persons living with fibromyalgia: a healthcare delivery innovations project(Montana State University - Bozeman, College of Nursing, 2017) Kitchens, Kira Marie; Chairperson, Graduate Committee: Alice RunningPhysical activity is an important component of symptom management in patients with fibromyalgia. A means to aid fibromyalgia patients in developing, monitoring and achieving physical activity goals may be useful in fostering resilience. The aim of the project was to explore the feasibility and acceptability of using a smart, wearable body sensor - the Fitbit One - to monitor physical activity in persons living with fibromyalgia. This project also explores use of the Fitbit One to examine the relationship between number of steps per week and fibromyalgia symptom impact. This healthcare delivery innovations project utilized a feasibility study design, where participants were asked to wear a Fitbit One for four consecutive weeks while performing their usual routines. Each week participants filled out the Revised Fibromyalgia Impact Questionnaire (FIQR), and at the end of the four-week period, the researcher interviewed participants about their experience wearing the Fitbit One. Participants (n=8) all identified as white females and had a previous diagnosis of fibromyalgia. Content analysis revealed three qualitative themes: 1) Device usability; a majority (n=7) felt the Fitbit One was easy to use 2) personal awareness; a majority (n=7) stated that the device increased their exercise awareness and 3) device feedback; most (n=6) participants felt that device feedback lead to physical activity goal setting. No participant felt that the device impacted pain. 7 of 8 participants' FIQR scores indicated decreased or unchanged symptom impact in daily living. Steps vs. FIQR graphs showed that for 6/8 participants the number of steps either increased or stayed the same, while self-reported fibromyalgia impact stayed the same or improved throughout the study. Findings suggest that Fitbit One use and wear are acceptable to individuals with fibromyalgia. Most participants cited increased awareness of physical activity as a benefit. Graphical analysis of steps compared to fibromyalgia impact suggests that increased steps may indicate decreased symptom impact. Given participants responses to usefulness and acceptability of the device, it seems that integration of smart, wearable body sensors into healthcare may be effective as another means to enable fibromyalgia self care.Item Factors contributing to regular mall walking(Montana State University - Bozeman, College of Nursing, 1993) Brewer, Anna CeceliaItem The relationship between exercise and resilience in people with multiple sclerosis(Montana State University - Bozeman, College of Nursing, 2014) Chandler, Nyla Sue; Chairperson, Graduate Committee: Kathleen SchachmanMultiple sclerosis (MS) is an autoimmune disease, in which a person's own white blood cells to attack the fatty protective layer called myelin around nerves in the brain and spinal cord resulting in demyelinization and nerve damage. MS is typically diagnosed between the ages of 20 and 40 years old. The impact and damage is highly variable from one person to the next. Women are affected more often than men. Exercise is a pattern of physical activity and movement. Resilience is the ability to cope with change or misfortune, a fluid quality that acts to modify individual responses to risk. The purpose of this study was to examine the relationship between exercise and resilience in people with MS. A correlational study was used to determine if a relationship exists between exercise and resilience in a convenience sample, consisting of 74 MS patients at a neuroscience center. The hypothesis that there was a positive relationship between exercise and resilience in persons with MS was not borne out in this population. r= 0.094 indicating that there was no relationship between exercise and resilience in persons with MS. Characteristics that may have contributed to the lower GLTEQ scores and the higher RS scores include that the sample was older, substantially unemployed, had suffered the impact of the disease for many years, and may have been living at a lower income level from those who more recently were diagnosed with MS. The convenience sample was somewhat homogeneous, and was missing younger persons who were in earlier stage of the disease. Recommended areas for future study and emphasis include; Targeting prevention from initial diagnosis instead of waiting until an MS patient has already suffered many negative outcomes. Studying a more active, fit subpopulation of MS patients may indicate a positive correlation between resilience and fitness, and therefore underscore the need for more structured, rigorous, aerobic exercise programs that would maintain and lead to fitness for those with MS.Item Family activity and eating habits questionnaire(Montana State University - Bozeman, College of Nursing, 2012) Donisthorpe, Nicole Ann; Chairperson, Graduate Committee: Karen ZulkowskiThe nationwide health concern of childhood obesity directly affects the western rural state of Montana. From 1990 to 2007, the childhood obesity rate in Montana has grown from affecting nine percent of the population of children to twenty-seven present (Daphane, 1990; NICH, 2007). The study's purpose is to examine family eating and activity habits that directly impact the likelihood of a child to develop childhood obesity including activity level, stimulus exposure, eating related to hunger, and eating styles. The instrument used in this research study was the Family Eating and Activity Habits Questionnaire contained four subcategories including activity level, stimulus exposure, eating related to hunger, and eating style. The Family Eating and Activity Habits Questionnaire use a wide variety of fill in the blank questions and rating scales in order to examine each of the subcategories. The specific target population for this study was parents who reside in the western rural state of Montana based on a convenience sample. The sample population was parents, with children between the ages of five to thirteen, who were willing to complete a parental questionnaire. The parental questionnaires were distributed in March and April of 2011 in two elementary schools. After the parental questionnaires were collected, the parental questionnaire scores were measured by adding up the mean of each score; the mother, father, child, and total family score. The central tendency of the data was analyzed and compared with the mean total score establish in the previous Family Activity and Eating Habit Questionnaire results. In the activity level section, the M score was 21.8. The SD computed was 22.96. In the stimulus exposure section, the M score was 10.7. The SD computed was 4.05. In the eating related to hunger section, the M score was 5.5. The SD computed was 2.42. In the eating styles section, the M score was 42. The SD computed was 15.07. In the overall scoring of the survey, the M score was 80. The results of overall score indicate that the higher the total scores, the less appropriate the eating and activity patterns.