Scholarship & Research
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Item Weight loss outcomes and health locus of control following gastric stapling surgery(Montana State University - Bozeman, College of Nursing, 1984) Hook, Colleen BethItem Coronary heart disease knowledge, health promoting behaviors and perceived benefits and barriers to exercise and healthy eating in Montana females(Montana State University - Bozeman, College of Nursing, 2014) Baldwin, Sadie Ann Schwenk; Chairperson, Graduate Committee: Dale MayerThe purpose of this study was to gain an understanding of rural women's knowledge of coronary heart disease risk factors, current health promoting behaviors, and perceived barriers and benefits to health promoting behaviors. The research questions posed were: What is the coronary heart disease knowldge of women living in rural areas; are women in a rural western state engaged in health promoting behaviors; and what benefits and barriers to health promoting behaviors do rural women perceive related to diet and exercise? The Health Promotion Model served as the guiding framework for this study. This descriptive study utilized a non-random convenience sample of women living in non-metropolitan or non-core counties in Northwest Montana seeking healthcare at one of four designated clinics. Inclusion criteria included female gender, age 21-55 years olds, premenopausal status, ability to read and write English, and residence within a designated non-metropolitan county. The following instruments were used to collect data: Coronary Heart Disease Knowledge Tool for Women, Health Promoting Lifestyle Profile II, Exercise Benefits/Barriers Scale, and Healthy Eating Benefits and Barriers Scale. The sample (n = 25) population was predominantly white and non-Hispanic. The average Coronary Heart Disease Knowledge Test for Women score was 71% with a range of scores from 40%-80%. Health promoting behaviors were ranked in the following order from most to least practiced: interpersonal relations, spiritual growth, nutrition, stress management, physical activity, and health responsibility. The sample perceived moderately high benefits to exercise and healthy eating and moderately low barriers to exercise and healthy eating. Findings from this study support a need for healthcare providers to discuss heart disease risk factors with their premenopausal clients and to encourage participation in health promoting behaviors, especially those ranked lowest, physical activity and health responsibility. Research is needed with a larger population to better understand the relationship between heart disease knowledge, health promoting behaviors, and perceived barriers and benefits to healthy eating and exercise in rural dwelling women.Item Health beliefs and practices of 'regulars' at the rural bar(Montana State University - Bozeman, College of Nursing, 2006) Jorgensen, Kathy Palm; Chairperson, Graduate Committee: Jean Shreffler-GrantMontana has one of the highest per capita rates of alcohol consumption. While alcohol use in rural areas has not been documented to be higher than in urban areas, rural residents have been recognized as having unique perspectives on health. This study was designed to explore the health beliefs and practices of rural men who regularly frequent the local bar. Understanding the perspective of this group may add to the body of knowledge used by Advanced Practice Nurses to work effectively with these men. Interviews with ten men from four rural communities with no local health care facility were undertaken to explore the health beliefs and practices of this group. Bandura's Cognitive Social Theory was chosen as the theoretical framework to address how these men perceived health, health care, and health care providers as well as their own ability to control their wellness. The participants identified lack of pain and ability to function in daily tasks as being healthy. Most of the participants (90%) believed they had a great deal of control over their own well-being with physical activity being the most common self care activity. They avoided health care until unable to manage the illness or injury themselves then would choose a provider based on word of mouth, convenience, cost, and "knowing" the provider. Participants demonstrated an ability to change lifestyle patterns if they perceived the change to be important. Participants would avoid or not return to a provider who was rude, judgmental, or did not provide adequate pain control. Most named the bar as a place for socialization. Subjects were aware of the risks of smoking and excess alcohol but did not plan to change these activities in the absence of symptoms of disease. This study suggests that providers would be well served to a) assess the health care priorities of the 'regular' and tailor care to those perceived risks, b) make an effort to 'know' the patient by assessing social situation and lifestyle, c) portray an open, friendly, non-judgmental demeanor, and d) provide specific, clear information about personal risks/symptoms of disease with individualized suggestions about self-help measures.