Department: Allied Medicine ![[clear]](close-x.png "Remove this limiter")
35 matches in the database.
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1.
Adams, Karen T.
Goal setting for occupational therapists and patients with spinal cord injuries.
Degree: MS, Allied Medicine, 2010, Ohio State University
► An injury to the spinal cord causes immediate changes and can be…
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▼ An injury to the spinal cord causes immediate changes and can be overwhelming to the patient and their family. During inpatient rehabilitation, it has been observed that there is a significant difference between the expectations of the patient and the rehabilitation team member. 7, 9 Studies have focused on patient goal setting and how this impacts patient participation, discharge planning, and alignment of patient and therapist goals. Studies have shown that expectations of patient’s are never examined. These support the current study by explaining how important it is for the rehabilitation professional to understand factors that impact patient participation and how goals play a big part in discharge planning. 9, 12 The purpose of the study is for occupational therapists to learn about patients with spinal cord injuries, patient identified meaningful activities, therapist’s goal setting skills, and how the content of goals changes during inpatient rehabilitation. A pre-test/post-test pre-experimental design was used to test the research hypotheses. Eligibility was established by the researcher as the patient was admitted to The Ohio State University Medical Center, Dodd Rehabilitation Hospital. The sample was based on patient admissions from April 2009 through July 2009. The sample consisted of eight individuals who have a spinal cord injury as a result of a traumatic or non-traumatic event. The Flinn Performance Screening Tool (FPST) was used to identify the disability issues of patients with a spinal cord injury. Patient admission and discharge FPST scores were gathered plus the FPST scores of the occupational therapists on admission and discharge. Other information collected included; patient attendance to occupational therapy treatment, patient demographics, and discharge needs. Key personnel were used to administer the FPST and with the patient, were blinded to the anticipated results of the study. The occupational therapist completed the FPST on each patient at admission and at discharge. These scores were blinded to the patient and were entered into a database by the key personnel so that the occupational therapist was blinded to the results. The data analysis included a frequency distribution to identify the commonly reported FPST items. A hit ratio was used to compare the FPST responses between the patient’s and the occupational therapist and between the FPST responses from the patient’s at admission and at discharge. The classification accuracy was established at .375 due to limited preliminary data to compare, the large number of FPST items, and the low risk to the patients involved in the study. The top four categories reported by the patient’s were care for others, bathing/showering and financial management followed by community mobility. The top three categories from the OT’s perspective were bathing, feeding, and meal preparation. The categories with the highest hit ratios were personal devices and feeding. Seventy-two percent of the patient admission FPST scores were in agreement with the occupational therapists admission FPST scores. The categories with the highest hit ratios were personal devices and care for others. Seventy-six percent of the patient admission FPST scores were in agreement with the discharge FPST scores.
Advisors/Committee Members: Flinn, Sharon.
Subjects: Rehabilitation
Keywords: spinal cord injuries; goal setting; occupational therapy; rehabilitation; meaningful activities
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2.
Altenburger, Jena L.
THE QUALITY OF NUTRITIONAL INTAKES IN CHILDREN WITH AUTISM.
Degree: MS, Allied Medicine, 2010, Ohio State University
► BACKGROUND. Autism is a neurodevelopmental disorder that affects 1 in every 91…
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▼ BACKGROUND. Autism is a neurodevelopmental disorder that affects 1 in every 91 US children. The nutritional status of children with autism may be compromised by common behaviors, such as aberrant mealtime behaviors, food aversions or selectivity, and gastrointestinal pathology. METHODS. This prospective study investigated the dietary intakes of children with autism aged 3-9 years (n=24). Three-day food records were analyzed to determine 1) macro and micronutrient intakes before and after self-supplementation of vitamins and minerals (SSVM) and 2) trends in the MyPyramid’s food group selection. Descriptive statistics were used to derive mean nutrient intakes and the proportion with intakes greater than or equal to 80% of Dietary Reference Intake (DRI). RESULTS. Nutrients commonly inadequate were those that are important for bone health (vitamins A, D, and K, with 58.3%, 58.3%, and 91.7% consuming intakes less than 80% DRI, respectively), digestion and metabolic pathways (pantothenic acid and biotin, with 54.2% and 54.2% consuming intakes less than 80% DRI), and brain health (choline and vitamin D with 95.8% and 58.3% consuming intakes less than 80% DRI). Vegetables and dairy were most frequently absent, with only 5 of 24 participants meeting recommended intakes for either group. Nutrient-contributing dietary supplements were reported as used daily by 45.8% of the sample (n=11). However, SSVM showed only marginal benefits in improving the proportion meeting reference intake levels. CONCLUSION. Great variation and areas of concern in nutrient intakes and food selection patterns were documented in this sample. Individualized nutrition assessment and counseling, especially regarding the use of appropriate supplementation, may be useful for children with Autism.
Advisors/Committee Members: Geraghty, Maureen.
Subjects: Behaviorial sciences; Health; Nutrition
Keywords: nutrient intakes; autism; children; nutrition; developmental disability; nutrient deficiency
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3.
Ausich, Mary Kathryn.
Predictors of Success for Adults with Type 1 Diabetes on Continuous Subcutaneous Insulin Infusion Therapy: A Retrospective Review.
Degree: MS, Allied Medicine, 2010, Ohio State University
► Background/ Objective: Complications can ensue from uncontrolled type 1 diabetes, resulting in…
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▼ Background/ Objective: Complications can ensue from uncontrolled type 1 diabetes, resulting in compromised quality and duration of life, and increased health care costs. The provision of insulin is achieved by multiple daily injections (MDI) or by insulin pump through continuous subcutaneous insulin infusion (CSII). The primary objective was to determine the difference between hemoglobin A1c (HbA1c) before and after the switch from MDI to CSII therapy. Methods: In this retrospective medical record review, paired t-tests were used for all of the pre-post comparisons. To determine whether external factors were related to a successful reduction in HbA1c after pump initiation, the pre-post HbA1c difference was used as the outcome in a linear regression model, and potential patient characteristic covariates were evaluated univariately for their predictive ability: age, gender, duration of diabetes, age at diagnosis, average insulin pre-pump units (absolute and per kg body weight), weight, insulin and pump types, and the presence of various complications. Of the 107 subjects initially identified, 42 subjects met inclusion criteria. Results: The average HbA1c of participants decreased by 0.55% from pre-pump values (P = 0.0001), the average daily insulin dose per kilogram of body weight decreased by 0.061 U/kg, (P = 0.0029), and weight decreased by 0.07 kg. (P=0.86). None of the continuous or categorical variables were found to be statistically significant at predicting a pre- to post-reduction in HbA1c levels. Conclusions: This study suggests that all study participants, regardless of patient characteristics, benefited from the transition from MDI to CSII therapy.
Advisors/Committee Members: Geraghty, Maureen.
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4.
Becher, Sarah Teressa.
Adolescents’ Self-Efficacy Toward Healthy Lifestyle Behaviors After Attending A School-Based Intervention Course Focused On Physical Activity and Healthy Eating.
Degree: MS, Allied Medicine, 2009, Ohio State University
► Obesity and overweight have become a serious concern in children and adolescents.…
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▼ Obesity and overweight have become a serious concern in children and adolescents. The prevalence of overweight is increasing: for children aged 2 to 5 years from 5.0 to 13. 9 percent; for those aged 6 to 11 years from 6.5 to 18.8 percent; and for 12 to 19 years from 5.0 to 17.4 percent {1}. Programs that can assist in preventing or decreasing this trend are needed. As more weight loss intervention programs are being implemented in schools, health professionals and teachers need to look at the student’s level of self-efficacy before starting the program. The aim of this study was to assess the high school students’ level of self-efficacy toward healthy lifestyle behaviors before and after the implementation of a school-based intervention program designed to improve physical activity and healthy eating habits through lifestyle modifications.A summer wellness program was created to be offered at a Central Ohio High School. Of the 93 students aged 13-18 years enrolled in the course, 82 participated in the study by returning signed parental permission forms. A pre- and post-survey instrument was developed and given to the students to measure self-efficacy toward healthy eating and physical activity, and changes in diet and physical activity habits. Twenty-one items were developed to measure self-efficacy toward healthy eating and physical activity. The specific areas of self-efficacy to be measured included physical activity (five items), nutrition choices (six items), social pressure (five items), and positive activities (four items). Self-efficacy towards physical activity, nutrition choices, social pressure, and positive activities showed a significant increase from the pre- to post-test (p<.05). The first measure of total self-efficacy in physical activity subscale had the highest mean score of 71.9% in the pre-test and 78.9% in the post-test indicating that the students’ have a high level of confidence in their ability to do physical activity. The measure of total self-efficacy in nutrition choices subscale showed the greatest improvement by having a mean of 65.1% in the pre-test and a 78.0% in the post-test showing a 12.9% difference. The measure of total self-efficacy in social pressure had a mean of 61.7% in the pre-test and had a mean of 74.2% in the post-test. The measure of total self-efficacy in positive activities subscale had a mean of 67.3% in the pre-test and had a mean of 74.0% in the post-test. Results from this study suggest that a wellness-based school program focusing on lifestyle modifications through nutrition education and physical education does increase an adolescent’s level of self-efficacy toward healthy lifestyle behaviors. More specifically, the results showed that the students’ self-efficacy level increased the most from the pre-test to post-test with nutrition choices and social pressures. This means that this program helped the students overcome the barriers of making poor lifestyle choices just because their peers are making these choices because they want to fit in. The data shows that utilizing an intervention technique like this wellness-based program does have positive results in raising an adolescents’ drive to want to make healthier lifestyle choices to help prevent obesity.
Advisors/Committee Members: Wolf, Kay.
Subjects: Health education; Nutrition; Physical education
Keywords: self-efficacy; nutrition; physical activity
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5.
Bernard, Kathryn Susan.
Differences in Dietary Intakes Of African Americans By Hypertension Status.
Degree: MS, Allied Medicine, 2010, Ohio State University
► Hypertension is a major public health issue that disproportionately affects African Americans;…
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▼ Hypertension is a major public health issue that disproportionately affects African Americans; impacting 42% and 44% of males and females, respectively. Analysis of 1999-2006 NHANES data indicated that the dietary habits of African Americans did not vary greatly by hypertension status. Dietary intakes of magnesium, calcium and potassium, which are emphasized by the DASH diet, were below nutrient intake recommendations. Similarly, food sources of these nutrients were identified to determine the food intake patterns by hypertension status. These data will support further culturally-specific nutrition education efforts for the prevention and treatment of hypertension in African American patients.
Advisors/Committee Members: Taylor, Christopher.
Subjects: African Americans; Nutrition
Keywords: African American; Hypertension; DASH diet; diet; food intakes
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6.
Buegel, Angela Lila.
Nutrition-Related Disease Risk in Pediatric Cancer Survivors.
Degree: MS, Allied Medicine, 2009, Ohio State University
► The prevalence of overweight and obesity and other nutritionally related disease development…
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▼ The prevalence of overweight and obesity and other nutritionally related disease development among pediatric cancer survivors is well known to be above national norms. This is a retrospective cohort study designed to investigate the relationship between childhood cancer survivorship and nutritionally related disease development. The objective of this study was to gather data from existing pediatric cancer survivors in order to study disease development in relation to the type of cancer the patient had, the course of treatment, and to nutrition care that patient may have received. Seventy five subjects, with diagnoses of ALL, AML, Burkitt’s lymphoma, neuroblastoma, or Wilm’s tumor, 2 or more years into survivorship, and meeting the other stated criteria, were admitted to the study. Body mass index (BMI) was calculated for each subject using the most recent height and weight, and prevalence of overweight or obesity was established using the current CDC growth charts and guidelines. Of the 75 subjects in the study, 30 (40%) were found to be overweight or obese overall, with relatively equal distribution in those categories (16 overweight vs. 14 obese). When separating subjects into their respective diagnosis categories, the rate of overweight and obesity was higher than the overall number in all groups except the neuroblastoma group (ALL 42%, AML 57%, Burkitt’s 50%, Wilm’s 56% vs. Neuroblastoma 21%). Subject data was analyzed for development of nutritionally related diseases since diagnosis of cancer. Forty nine (65%) were found to have developed these types of diseases including overweight/obesity, osteoporosis, restrictive airway disease, hypothyroidism, hypertension, gallbladder disease, hypercholesterolemia, and anemia. When overweight and obesity were excluded, 20 subjects (27%) remained. Forty seven (63%) of the 75 total subjects in the study had some type of nutrition education, 45 (60%) received nutrition intervention, and 25 (33%) received nutrition support. In the overweight and obese group (30 subjects), 20 (67%) received nutrition education, 19 (63%) received nutrition intervention, and 8 (27%) received nutrition support. When the overweight and obese subject data was removed from the overall sample, 45 subjects remained and 27 (60%) were found to have received nutrition education, 26 (58%) had nutrition intervention, and 17 (38%) had nutrition support during or after treatment. The results of this study corroborate with the results of previous studies. The rates of overweight and obesity, along with other nutritionally related diseases, are high in this sample even though most subjects are 5 years post-therapy or less. The nutrition education and intervention provided to the overweight and obese group was slightly higher than those who were not in this category, possibly indicating that the timing and quality of nutrition care plays a role in prevention of disease. More research is needed in this area to delineate the appropriate quality and quantity of nutrition care in the prevention of late effects of cancer treatment.
Advisors/Committee Members: Wolf, Kay.
Subjects: Health; Health care; Nutrition
Keywords: pediatric cancer survivor, cancer survivor, nutrition and cancer survivors, disease risk and cancer survivors, nutritionally related disease risk in cancer survivors
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7.
Cantrell, Sarah Ann.
Impact of a Practice Session using Objective Feedback on Basic Life Support Skills 12 Weeks Following Initial BLS Training.
Degree: MS, Allied Medicine, 2009, Ohio State University
► Sudden cardiac arrest is the leading cause of death in the United…
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▼ Sudden cardiac arrest is the leading cause of death in the United States. Research has shown that providing immediate high quality CPR may improve patient’s survival. Although we know high quality CPR may improve outcomes from sudden cardiac arrest, data still shows CPR patients are receiving is inadequate. Data suggest health care professional’s CPR skills deteriorate quickly upon completion of basic life support training. Skills decline as soon as 2-3 weeks following initial training. This study aimed to determine if using objective feedback during initial adult basic life support training in combination with a practice session using objective feedback would improve student CPR skills. Students were randomized to either use a traditional CPR manikin during initial adult CPR training or an objective feedback manikin. Students randomized to use the objective feedback manikin were asked to participate in a CPR practice session 6 weeks after completing their initial CPR course. During the practice session students were asked to use objective feedback to correct their skills. While student’s practiced their skills, they were timed to see how long it would take them to perform CPR in accordance to the 2005 AHA guidelines for CPR and ECC for 2 minutes. To satisfy this requirement, students must perform CPR within the recommended guidelines for ventilation rate, chest compression rate and depth, as well as no flow fraction. All participants were asked to return at 12 weeks for final testing. The ResusciAnne skillreporter manikin was used to collect objective CPR compliance data. Seventeen students participated in the study, 9 treatment and 8 control participants. Due to lack of instructor compliance, determining whether using objective feedback for initial training had an impact on student skills is not answerable. There were no significant differences found in student’s CPR skills between those who did and did not participate in the objective feedback CPR practice session.
Advisors/Committee Members: Sergakis, Georgianna.
Subjects: Adult education; Health education
Keywords: cardiopulmonary resuscitation; basic life support; health care professional; adult education
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8.
Cox, Lisa N.
Learning Style Differences of Undergraduate Allied Health Students in the clinical and Classroom Setting.
Degree: MS, Allied Medicine, 2009, Ohio State University
► Student learning is an important consideration in the development of course designs.…
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▼ Student learning is an important consideration in the development of course designs. By recognizing and holding a better understanding of student learning styles, educators are able to build a better framework for more efficient and desirable teaching methods. This study aimed to find a relationship between allied health students’ classroom and clinical learning styles. Two Kolb Learning Style Inventories were administered to a total of 82 seniors in The School of Allied Health at The Ohio State University. This sample included students in the Athletic Training, Medical Dietetics, Radiological Sciences, and Respiratory Therapy programs. The students were asked to fill out the first questionnaire in regards to their didactic classroom learning. The second survey was administered at least one week after the first and the students were asked to fill out this questionnaire in regards to their current clinical experience. The data collected from the questionnaires was then entered into the Statistical Package of the Social Sciences for analyses. Overall, in the didactic classroom setting, 24.2% (n=16) of the students were Divergers, 28.8% (n=19) were Accommodators, 19.7% (n=13) were Convergers and 27.3% (n=18) were Assimilators. In the clinical settings 27.8% (n=20) of the students were Divergers, 36.1% (n=26) were Accommodators, 23.6% (n=9) were Convergers and only 12.5% (n=9) were Assimilators. Learning style did not change for 66.7% (n=10) of Athletic Training Majors. Over half of the Medical Dietetics (53.8%,n=7), Radiological Sciences (72.7%, n=8) and Respiratory Therapy (52.9%, n=9) students’ Learning Style did change with the switch of the setting from classroom to clinical. It was found in Cross tabulation that the Accommodating learner was least likely to change style with setting (75%, n=12) with the Diverger style next at 69.2%. The change of style that was least likely to occur was between the Converger and Diverger (n=2) and the Assimilator and Accommodator (n=4). These findings support the idea that learning styles are an effective and interesting way to learn about the dynamic of a specific program or class. Future research should be done to fully assess and grasp an understanding of the styles of those active in the field of Allied Health education.
Advisors/Committee Members: Clutter, Jill.
Subjects: Adult education; Behaviorial sciences; Continuing education; Education; Educational evaluation; Educational psychology; Educational theory; Health; Health care; Health education; Higher education; Sports medicine; Teacher education; Teaching
Keywords: Learning Styles; Allied Health; Atheltic Training, Medical Dietetics, Radiological Sciences, respiratory therapy; Kolb; Clinical Education; Classroom Education
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10.
Dawson, Stephanie Anne.
The perceived need for a master's of science in dental hygiene degree program in Ohio : opinions of licensed dental hygientists' and baccalaureate degree dental hygiene program directors.
Degree: MS, Allied Medicine, 2006, Ohio State University
► As the discipline evolves, graduate education in the science of dental hygiene…
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▼ As the discipline evolves, graduate education in the science of dental hygiene is becoming the focus of discussion for both medical and dental professions. The literature suggests that the purposes of a Master of Science Degree Program in Dental Hygiene (MSDH) are to prepare dental hygienists to teach, develop dental health programs in a variety of settings, conduct research, and provide care as collaborative dental hygiene practitioners with experiences that contribute to the dental hygiene scientific body of knowledge. The MSDH enables the dental hygienist to assist in and/or conduct research and theory development in the dental hygiene science, provides career opportunities in alternative practice settings, and prepares dental hygienists to meet the professional and educational concerns.This descriptive study consists of a survey of dental hygienists licensed in Ohio and an interview of Baccalaureate Degree Dental Hygiene program directors in Ohio and the bordering states regarding the personal and professional advantages of an MSDH degree, obstacles to pursuing an MSDH degree and perceived need for a MSDH degree program in Ohio. The overarching goal of this study is to identify if there is a perceived need for a MSDH degree program in the State of Ohio. Overall, the majority of Ohio licensed dental hygienists did not believe that there was value in obtaining an MSDH with regard to their own personal and professional growth. However, the majority did feel that there was value to pursuing an MSDH for those interested in dental hygiene faculty positions. When asked to indicate the obstacles to pursuing an MSDH degree they indicated that family responsibilities and the need to maintain an income would prevent them from pursuing a MSDH. This study of the perceptions of Baccalaureate Degree Dental Hygiene Program Directors, in Ohio and the bordering states, reveals that an MSDH degree is important to the dental hygiene profession and that an MSDH degree program is needed in Ohio. Directors' perceive that students in their programs would be interested in obtaining their MSDH degree if a program existed in Ohio however they felt that their students most likely would take advantage of MSDH degree programs in their own state. The majority of Ohio licensed dental hygienists as well as Baccalaureate Degree Dental Hygiene Program Directors, in Ohio and the bordering states, feel that a MSDH degree program is needed in Ohio. The majority of Ohio licensed dental hygienists however did not include an MSDH degree in their plans for future professional advancement. According to this study, even if an MSDH degree program was implemented at The Ohio State University, in Columbus, the majority of Ohio licensed dental hygienists, who live more than 60 miles away from Columbus probably would not travel. This data is consistent with the many of the directors' comments.
Advisors/Committee Members: Rudmann, Sally V.
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11.
DePasquale, Gina M.
A COMPARATIVE STUDY OF BONE NUTRIENT LEVELS IN CHILDREN WITH AND WITHOUT AUTISM.
Degree: MS, Allied Medicine, 2009, Ohio State University
► As a growing developmental disorder in the United States, autism has several…
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▼ As a growing developmental disorder in the United States, autism has several eating behaviors that may increase the risk for bone nutrient deficiencies in children. This study was a review study comparing dietary intakes of bone nutrients in autistic and typical children from two previous studies. Data from both the RUPP (n = 113) and the NHANES studies (n = 7,693) were used to analyze intakes in autistic children and typical children, aged 4 – 13 years old, respectively. Calcium and magnesium levels were found to be lower in autistic children than typical children. Vitamin C intakes were high in the typical children, while low in the autistic children. Of bone nutrients examined in autistic children, vitamin D had the lowest AI percentage with the widest range (2.99% to 268.89%). These data justify the necessity for further studies examining the link between autism and deficient bone nutrient levels, specifically, vitamin D.
Advisors/Committee Members: Geraghty, Maureen.
Subjects: Nutrition
Keywords: Autism; bone health
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12.
Despetorich, Dayna Renee.
NUTRIENT INTAKES IN CHILDREN WITH PERVASIVE DEVELOPMENTAL DISORDERS COMPARED A NATIONALLY REPRESENTATIVE SAMPLE OF UNITED STATES’ CHILDREN.
Degree: MS, Allied Medicine, 2009, Ohio State University
► Autism Spectrum Disorders (ASD) is now the second most frequently occurring serious…
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▼ Autism Spectrum Disorders (ASD) is now the second most frequently occurring serious developmental disability in the United States after mental retardation. Many clinicians believe that children with autism often have individualized food preferences and eating behaviors. With this type of behavior, children may be at a higher risk for nutritional deficiencies. Parents and clinicians may be hesitant to use atypical antipsychotics because weight gain/increased appetite are associated with an increase in the risk of serious diseases such as hypertension, cardiovascular illness, or diabetes.Dietary Information was collected using the Block Food Frequency Questionnaire for (RUPP) participants and Dietary recall for individuals from the National Health and Nutrition Examination Survey (NHANES). The Block Kid’s Food Frequency Questionnaire (FFQ) 2004 was comprised of 77 food items and was developed from the NHANES 1999-2002 dietary recall data and was created to collect the child’s nutrient intake [1]. From the RUPP data, nutrient intakes in children with pervasive developmental disorders (PDD) before treatment with risperidone (baseline) and after 16 weeks of treatment of risperidone were compared to each other, as well as to typical children’s intakes obtained using secondary analysis, of the National Health and Nutrition Examination Survey (NHANES) database. Results indicated that the only significant differences between dietary nutrients for RUPP at baseline and RUPP at 16 weeks were vitamin B12 and vitamin D. There was no significant difference between children who were at baseline and week 16 suggesting that the drug risperidone had no effect on dietary nutrient intake. Adolescents aged 9-13 for both RUPP and NHANES are at a nutritional risk for insufficient intakes of magnesium, calcium, phosphorus, and potassium, and folate. As children age into adults’ food selectivity may begin to occur resulting in decreased amount of these nutrients. Children in the RUPP study and NHANES were not dissimilar in nutrient levels and deficiencies. The standard error for nutrient intake of RUPP participants was consistently higher than those of NHANES, indicating either a large variation in their nutrients intakes or a suboptimal dietary intake tool (FFQ) for capturing and recording these data.
Advisors/Committee Members: Geraghty, Maureen.
Subjects: Nutrition
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13.
Diemand, Sarah Catherine.
Validity of the Miller Function and Participation Scales.
Degree: MS, Allied Medicine, 2009, Ohio State University
► This research study investigated the validity of the visual motor portion of…
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▼ This research study investigated the validity of the visual motor portion of the Miller Function and Participation Scales (M-FUN), which was released in 2006. This was accomplished by comparing scores on the Visual Motor portion of the M-FUN with those on the Visual Motor portion of the Developmental Test of Visual Perception, Second Edition (DTVP-2). There were 40 students who participated in the study, between the ages of 4 ½ - 6 ½ years of age. Results indicate that the M-FUN had a high correlation with the DTVP-2 (r= .872). The two tests achieved 87.5% agreement in identifying the children with or without a deficit in the area of visual motor function. Therefore, the M-FUN can be considered to be a valid measure of visual motor function. Further research is recommended in validity of the M-FUN in relationships to other evaluation, the impact of verbal function on scores of the M-FUN and how evaluators use the scoring manual and testing results.
Advisors/Committee Members: Case-Smith, Jane.
Subjects: Rehabilitation; Therapy
Keywords: Miller Function and Participation Scales; Developmental Test of Visual Perception, 2nd Edition; Occupational Therapy; Visual Motor Evaluation, Validity
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14.
Eader, Natalie D.
Family Practices And Perceived Importance Of Healthy Lifestyle Behaviors In Parents Of Adolescents.
Degree: MS, Allied Medicine, 2008, Ohio State University
► Creating effective wellness programs to promote healthy lifestyle behaviors to prevent obesity,…
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▼ Creating effective wellness programs to promote healthy lifestyle behaviors to prevent obesity, it is critical to understand the factors that drive adolescent dietary and physical activity behaviors. Thus, effective promotion of healthful eating requires a detailed understanding of all the factors that influence dietary behaviors. Data was obtained from 66 caregivers of 93 high school students enrolled in a pilot summer wellness course. The questionnaire was divided into sections regarding: personal health behaviors; family and child behaviors; and challenges and desires related to healthy lifestyle behaviors of the family and child. Descriptive statistics were used to describe the responses. Only 6 people (9%) consistently eat 5 servings of fruits and vegetables daily, consider themselves to be physically fit, and try to balance food intake with physical activity. One-third indicated that they strongly agree that physical activity is important for them, whereas 60% indicated that they strongly agree that it is important for their child and encourage it. Also, 42% and 53% strongly agreed that eating a healthy diet is important for them and is important for their child, respectively. Most parents indicated that busy schedules or a lack of time was the primary challenge that prevents eating a healthy diet or being physically active. Although parents value the importance of nutrition and physical activity many barriers exist, which preclude efforts of lifestyle modification interventions to prevent obesity and chronic disease. Future research should address these issues when developing programs that promote lifestyle changes.
Advisors/Committee Members: Taylor, Christopher.
Subjects: Health education
Keywords: Nutriton; wellness promotion; parental influence; adolescents
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15.
Fullenkamp, Corinn F.
RELATIONSHIPS BETWEEN PRE-EXISTING PERSONAL CHARACTERISTICS AND BEHAVIORAL FACTORS AND PHASE TWO CARDIOVASCULAR REHABILITATION PATIENTS' OUTCOMES.
Degree: MS, Allied Medicine, 2010, Ohio State University
► Objective: To determine personal characteristics and behavioral factors that are associated with…
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▼ Objective: To determine personal characteristics and behavioral factors that are associated with successful nutritional outcomes among phase two cardiovascular rehabilitation patients. Design: Retrospective analysis of records from patients who completed a phase two cardiovascular rehabilitation program. Setting: Midwestern Medical Center. Participants: All records from patients who entered and completed phase two cardiac rehabilitation between December, 2008 and June, 2009 at a Midwestern Medical Center. Variables Measured: Self reported dietary habits, BMI, waist circumference, VO2max, and control variables. Analysis: Descriptive statistics and cross tabulation analyses. Results: The majority of participants improved their fat, fiber, and fruit and vegetable intake scores, as well as increased their VO2max at the conclusion of the program. There was a presence of a significant relationship between improvement in VO2max and males (p = 0.01). Conclusions/Implications: Additional research is needed to determine what specific factors are associated with positive dietary outcomes of cardiovascular rehabilitation patients who receive nutrition counseling. A better understanding of what personal characteristics and behavioral factors could impact overall nutritional outcomes may make a significant difference in targeting and delivering nutrition messages.
Advisors/Committee Members: Wolf, Kay.
Subjects: Health education
Keywords: cardiac rehabilitation, nutrition education, personal characteristics, behavioral factors
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16.
Fullenkamp, Monica Sue.
The Effect of Women's Specific Demographic Traits on the Seeking Behavior for Breast Cancer Information.
Degree: MS, Allied Medicine, 2009, Ohio State University
► When women experience a diagnosis of breast cancer for either themselves ora…
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▼ When women experience a diagnosis of breast cancer for either themselves ora family member, it is necessary for them to seek information. This paper investigated what demographic characteristics influences a woman to seek electronic health information about cancer. Several different factors were investigated, including socioeconomic status, literacy/education level, race, and social support. A secondary data analysis was performed on the data available from the 2005 Health Information National Trends Survey. The participants' answers to a variety of questions were analyzed. Furthermore, a logistic regression was conducted to evaluate how each different demographic factor impacted information seeking behavior. Low income women were found to be significantly less likely than those with high income to be health information seekers. Women who had completed some college or had a college degree were found to be significantly more likely than high school graduates to seek health information. Furthermore, Hispanic women were significantly less likely than Caucasian women to seek health information. Finally, those with a family history of breast cancer or another form of cancer were significantly more likely to be health information seekers than those without a family history of cancer.
Advisors/Committee Members: Evans, Kevin.
Subjects: Health care; Health education; Oncology
Keywords: health information seeking
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18.
Gore, Alexis D.
Management of Athletes’ Medications.
Degree: MS, Allied Medicine, 2009, Ohio State University
► State and federal violations of prescription (Rx) and over-the-counter (OTC) drug regulations…
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▼ State and federal violations of prescription (Rx) and over-the-counter (OTC) drug regulations by Athletic Trainers (ATs) and Physicians in all settings can have severe consequences. Anyone who is involved with handling medication must understand the limits of their authority. The penalties for individuals who fail to properly safeguard their actions can be severe and potentially career ending. Unfortunately, there have been many reports and allegations from across the country concerning professional teams, universities, and colleges in regard to inappropriate handling of Rx and OTC medications. Because of this, research has been conducted regarding ATs’ handling of medications with athletes. These studies have yielded controversial results in regards to dispensing medication. Commonly sited potential violations include ATs engaging in drug distribution practices and improperly packaging medication. Due to theses violations further research was needed to help assess to what level ATs in the state of Ohio, who work in a high school or collegiate setting, understand their state rules and regulations in regards to administering and dispensing over the counter drugs. This is significant because some practicing ATs may be unsure of or may disregard the rules of their state statues regarding this topic. This study is classified as a cross-sectional descriptive study that will describe Ohio employed ATs’ knowledge of drug administration and dispensing laws. A questionnaire was developed and electronically administered to a population of athletic trainers employed in Ohio colleges/universities and high schools. The demographic data were compiled and analyzed with The Statistical Package for Social Sciences (SPSS). Seven total demographic questions were analyzed by reporting frequencies. The four multiple choice scenarios and four true/false statements were graded to determine if the response was correct or incorrect. Further, test scores were compared by the following demographic variables, title, years of experience, and work setting. The results of the study revealed that one third of the respondents had poor knowledge on the topic and would have failed (scores equal to or less than 5/8) had this been an actual test. It was noticed that there was no difference between knowledge of Head ATs compared to Assistant ATs and that years of experience did not appear to have an impact on knowledge. And lastly, it was revealed that overall athletic trainers who work in the high school settings were least knowledgeable on the survey topic compared to ATs that work in the collegiate setting. Overall it appears that the respondents in this study struggled mostly with issues surrounding minors and being able to differentiate between dispensing versus administering medications. Continuing education in the area of drug dispensing and administration is necessary, as indicated by 96% of the respondents.
Advisors/Committee Members: Harris, Laura.
Subjects: Health care
Keywords: Medications; Legal; dispensing; administering; athletic trainer
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19.
Gutman, Sandra Mae.
The Factors that Influence Health Science Students' Vending Machine Choices.
Degree: MS, Allied Medicine, 2009, Ohio State University
► The college years are often the first time that students living away…
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▼ The college years are often the first time that students living away from home are faced with many different food choices. Most students are transitioning to independent living and are thus making their own food choices, which often results in poor eating habits that increase their chances of becoming overweight or obese.College students tend to snack frequently and have a vast array of snack food alternatives, so snacks are considered an important target for intervention to improve overall diet quality. The purpose of this study was to determine the factors that influence Health Science college students’ choice of vending items. The specific objectives were to determine if the factors (cost, nutritional value, selection, taste, convenience, stress, friends, boredom, nutritional cues, and hunger) influenced Health Science college students’ choice of vending items, and to determine if there were differences in the factors based upon gender, division, energy balance, and frequency of buying vending items. The accessible population of this study included all current Health Science college students enrolled in the School of Allied Medical Professions who chose to complete the online survey between May 29th and June 18th 2009. Of the 1,682 potential respondents, 210 respondents started the survey and 173 respondents completed the survey for a response rate of 10.3% and a completion rate of 82.4%. The respondents were all 18 years or older with females making up 67.6% (N=142), males making up 14.8% (N=31), and 17.6% (N=37) of respondents skipping the question, making the total respondents 82.4% (N=173). The results indicated that the students’ vending choices were influenced by cost, nutritional value, selection, taste, convenience due to time and location, stress, joining their friends, boredom, reading nutritional cues, and hunger. The three most influential factors affecting vending choices were taste, hunger, and selection. In terms of gender, female Health Science students’ vending purchases were most influenced by selection, nutritional value, taste, convenience due to location, stress, joining their friends, boredom, and nutritional cues, while male Health Science students’ vending purchases were most influenced by convenience due to time and hunger. In terms of division, Medical Dietetics students were most influenced by nutritional value. In terms of energy balance, Health Science students trying to stay the same weight were most influenced by nutritional value, selection, taste, convenience due to time, joining their friends, and nutritional cues. Those not trying to lose weight were most influenced by cost, convenience due to location, stress, boredom, and hunger. In terms of frequency, Health Science students that bought vending items once a week were most influenced by boredom, twice a week by convenience due to time and location, and once or twice a year by cost, nutritional value, selection, joining their friends, nutritional cues, and hunger. Through effective education and promotional efforts using these influencing factors, students can be steered toward healthy vending snack selections that positively influence their nutritional intake. This will lower the incidence of college students becoming overweight or obese and in turn, prevent or deter diet-related diseases in their future.
Advisors/Committee Members: Wolf, Kay.
Subjects: Nutrition
Keywords: College Students; Vending Machine Choices
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20.
Hackworth, Ruth M.
Radiation Science Educators' Perception of Obstacles in the Use of Critical Thinking.
Degree: MS, Allied Medicine, 2010, Ohio State University
► The purpose of this study was to discover educators’ perceptions of their…
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▼ The purpose of this study was to discover educators’ perceptions of their current level of competence in teaching and assessing critical thinking. It defined the difficulties educators are faced with and their perceived confidence in their level of skill. Radiation science educators from both radiography and radiation therapy programs were surveyed on-line through Survey Monkey®. A four part survey was completed by 317 educators for a 46% response rate. Sections of the survey included demographics, perceptions on teaching critical thinking skills to students, frequency of obstacles impeding the use of critical thinking, and open ended questions providing further comments on obstacles, methods, skill development and assessment of critical thinking. Radiation science educators are confident in their use of critical thinking skills and perceive critical thinking to be an essential element in the education of the student. Educators were satisfied with their self-reported level of skill in critical thinking, but identified several areas needing improvement such as the ability to demonstrate, implement and assess critical thinking skills as well as the need to develop and implement new strategies. The confidence and skill level showed a significant difference when comparing the education level of the program director, particularly between those with a master’s degree and a doctoral degree. Several factors were identified in the study as being obstacles impeding the educators’ development of critical thinking in the classroom. The findings provide a basis for the educators to begin to improve their skills and methods for teaching critical thinking.
Advisors/Committee Members: Case-Smith, Jane.
Subjects: Education; Educational evaluation; Health education; Higher education; Radiation; Radiology; Teacher education; Teaching
Keywords: critical thinking; obstacles
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21.
Hall, Carolyn Sue.
Family Experiences of Mealtime Behaviors of Children with ASD.
Degree: MS, Allied Medicine, 2009, Ohio State University
► Objective: Resistant eating behaviors in children with ASD are a significant stress…
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▼ Objective: Resistant eating behaviors in children with ASD are a significant stress factor that affects not only the parents but the entire family. The objective of this study was to enhance our understanding of the experiences these families go through on a daily basis. Method: Seven families with a child of a self-reported diagnosis of ASD, 4-8 years of age, and who met the criteria for resistant eating participated in the study. Each completed the Sensory Profile and a three-day food journal. The researcher interviewed each mother and observed the child eating a meal/snack. The open ended interviews with probes were recorded and transcribed verbatim. A follow-up phone call was used to verify critical issues to determine if the parents agreed with the interpretations. The transcripts were then used to obtain common themes among the families and their children. Results: Four themes emerged from the analysis of the transcripts of the interviews and field notes of the observations. The first theme was ritualistic, rigid behaviors seem to be key to resistant eating behaviors. All the children had at least one rigid routine, if not more than one that when these routines were not followed inappropriate mealtime behaviors would ensue. Another theme was compromises. The parents made compromises or devised strategies to assure that nutrients are consumed. The most common compromise was multiple meal preparations. The third theme that emerged was how these families manage social situations. All these families indicated that the behaviors have impacted the family’s social life. Taking a trip to a restaurant or family gathering required careful planning and may be disrupted at any point due to the child’s mealtime behaviors. The final theme that emerged was the family stress. Many mothers indicated that coping with their children’s eating behaviors was stressful to the entire family. The mothers felt guilty and took the blame for their children’s nutrition and eating behaviors. They also felt guilty about the impact it has on the siblings. Conclusions: Using the mothers’ perspectives, this study provided insight into the family life of ASD children with resistant eating behaviors and identified common themes on how resistant eating and ritualistic behaviors affect family life.
Advisors/Committee Members: Case-Smith, Jane.
Subjects: Therapy
Keywords: ASD, picky eaters, resistant eating behaviors
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22.
Helmke, Jessica Jaye.
A QUALITATIVE CONTENT ANALYSIS OF LOCAL SCHOOL WELLNESS POLICIES FOR OHIO SCHOOLS.
Degree: MS, Allied Medicine, 2009, Ohio State University
► Nutrition plays a significant role in the growth and development of children…
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▼ Nutrition plays a significant role in the growth and development of children and adolescents. The lack of proper nutrition in children and adolescents has lead to alarmingly high rates of childhood obesity. School wellness policies can help in the fight against childhood obesity by addressing goals for nutrition education, foods served on campus, and school-based activities.School wellness policies were randomly selected from all school districts in the state of Ohio. Policies were obtained from district’s websites and saved into a qualitative data sorting program. Policies were read to develop overall themes and sub themes. Text segments were tagged with corresponding theme or sub theme. Overall, 43 policies were used for analysis. General overall themes included food service, competitive foods, nutrition education, and school-based activities. Policies varied from highly original to exact template use and varied in depth and breadth of content. Five policies did not address nutrition education, while over half did not include school-based activities. Sub themes most commonly addressed were vending machines, free and reduced-price meals, and classroom education. While concession stands, a la carte items, and product advertisement were addressed in the least amount of policies. Original, specific, and personalized wellness policies should be developed to ensure policies meet the needs of each individual school district.
Advisors/Committee Members: Taylor, Chris.
Subjects: Health; Nutrition
Keywords: school wellness policy; children; adolescents; health; wellness; obesity; diet; nutrition; competitive foods; school food service
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23.
Heslop, Marcie.
Best Practice Strategies Utilized by Therapist to Reduce the Rate of Patient Missed Appointments.
Degree: MS, Allied Medicine, 2010, Ohio State University
► The healthcare system has demonstrated significant difficulty in minimizing patient cancellations and…
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▼ The healthcare system has demonstrated significant difficulty in minimizing patient cancellations and no show rates. Dodd Outpatient Rehabilitation Services at The Ohio State University Medical Center has displayed a 20.66% cancellation rate/no show rate from December 2007 to September 2008. The goal of this study was to identify the best practice strategies utilized by staff therapists at Dodd Outpatient Rehabilitation, to minimize cancellation and no show rates in the department and to investigate the impact of exit interviews that incorporate best practice strategies. A Best Practice Survey (BPS) was developed by the investigating team. The survey instrument was designed to identify the practices that therapist used to encourage patient attendance. The individuals who participated in the study were divided into two groups. The first group was composed of therapists with an average cancellation and no show rate less than or equal to 19%. All participants completed the BPS and the results were compared. The information from the literature review and the results of the BPS was utilized to create a one hour in-service that approximately 50% of the subjects, were randomly selected to attend. The intervention group was instructed to utilize the recommendation introduced during the in-service for a two month period. The control group received no intervention. The cancellation/no show rate of the two groups were compared to determine if the utilization of an exit interview that incorporated best practice strategies would decrease the rate of missed therapy appointments. The findings suggest that an individual therapist action alone does not significantly minimize cancellation and no show rates.
Advisors/Committee Members: Flinn, Sharron.
Subjects: Health care; Health education
Keywords: therapy, missed appointments, cancellations, no-shows
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24.
Hunter, Jefferson.
Effective Retention Strategies for Clinical Respiratory Therapists.
Degree: MS, Allied Medicine, 2009, Ohio State University
► Workforce shortages continue to threaten the ability of hospitals to provide proper…
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▼ Workforce shortages continue to threaten the ability of hospitals to provide proper staffing to care for their patients. The vacancy rate of respiratory therapists in 2007 was 12.5% and the turnover percentage for respiratory therapists was 14.1%. Respiratory Therapy Managers want to know the best strategies that retain their employees. Two survey instruments were used for this study. One was given to clinical staff Respiratory Therapists and the other was given to managers of Respiratory Therapists. Both groups were asked questions regarding 17 effective retention strategies. Managers rated 12 of the 17 strategies as effective and the clinicians rated 15 of the 17 as effective. Nine of the 17 strategies were rated significantly different between managers and clinicians. The most highly rated strategy dealt with compensation. Comparisons between clinicians showed little differences as did managers. There are small differences between managers with high retention rates and managers with low retention rates.
Advisors/Committee Members: Varekojis, Sarah.
Subjects: Health care; Management
Keywords: Retention strategies; respiratory therapists
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25.
Larson, Holly A.
Comparison of Neonatal Outcomes in Maternal Users and Non-Users of Herbal Supplements.
Degree: MS, Allied Medicine, 2008, Ohio State University
► This pilot study was a retrospective chart review. The purposes of this…
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▼ This pilot study was a retrospective chart review. The purposes of this study were to describe the prevalence herbal supplement use, to identify characteristics linked to increased herbal supplement use and, to identify adverse outcomes linked to herbal supplement use. Rate of use in the study sample of 2136 charts was 1.1% and identified 17 supplements. The most common supplements identified were teas. Characteristics of the neonates and controls were analyzed as appropriate and revealed no statistical significance. Characteristics of the mothers also revealed no statistical difference. There was a statistically significant difference between herbal users and herbal non-users and the trimester prenatal care began. Neonatal outcomes were statistically different on two measures. Further study is needed to be able to make recommendations regarding safety and efficacy of herbal supplements as well as to be able to better understand motives for choosing to use them.
Advisors/Committee Members: Geraghty, Maureen.
Subjects: Health; Health care; Nutrition
Keywords: Pregnancy, Herbal Supplements, Pediatrics
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26.
Mularcik, Kari Arneson.
Self-Efficacy Toward Health Behaviors to Improve Blood Pressure in Patients Who Receive Care in a Primary Care Network.
Degree: MS, Allied Medicine, 2010, Ohio State University
► Approximately 73.6 million people in the United States suffer from hypertension, a…
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▼ Approximately 73.6 million people in the United States suffer from hypertension, a chronic disease that can be controlled with lifestyle modifications including limiting dietary sodium, losing weight, increasing exercise, eating more fruits and vegetables, drinking alcohol in moderation, and adhering to prescribed medication regimens (5). Studies have shown that people with high self-efficacy are more likely to engage in positive lifestyle changes that can improve or control chronic disease (6). The aim of this study was to investigate the self-efficacy toward health behavior modifications that are associated with controlling hypertension in patients in a Primary Care Network while taking into account specific socio-demographic characteristics. The authors of this study found significant differences in the feelings of self-efficacy toward health behaviors to control hypertension in certain socio-demographic groups including gender (p<0.001) and race/ethnicity (p=0.016). The findings can be used to design educational interventions that are aimed at controlling hypertension.
Advisors/Committee Members: Wolf, Kay.
Subjects: Health education
Keywords: Self-efficacy, Hypertension, Primary Care
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27.
Patterson, Kevin Michael.
Ohio Physical Therapists' Perceived Level of Engagement in the Workplace and Profession.
Degree: MS, Allied Medicine, 2009, Ohio State University
► Employee engagement is the leading indicator of intent to stay within a…
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▼ Employee engagement is the leading indicator of intent to stay within a given organization. Turnover is a significant problem in the physical therapy profession. Little is known about employee engagement in the field of physical therapy and it may influence turnover of physical therapists. The purpose of this study is to describe Ohio physical therapists’ perceived level of engagement in the workplace and profession. This descriptive study used a web-based survey. A total of 78 respondents from a random sample of 385 licensed Ohio physical therapists participated in this study. Measurements of central tendencies and descriptive analysis were performed. Ohio physical therapists’ perceived level of engagement in the workplace was 4.8 and in the profession 4.6 (1 = strongly disagree; 6 = strongly agree with a score of 5 or 6 considered engaged, 3 or 4 not engaged, and 1 or 2 actively disengaged). No significant difference was found between employment status of physical therapists, gender of physical therapists, or types of practice settings physical therapists work and perceived level of engagement in the workplace or profession. No significant relationship was found between years of work at a workplace or in the profession as well as turnover rate and Ohio physical therapists’ perceived level of engagement in the workplace or profession. Low response rate and unidentified errors in sampling may limit the results of this study. Ohio physical therapists responded to the study that they are not engaged in the workplace or profession. The respondents’ demographic data were not related to employee engagement levels.
Advisors/Committee Members: Wolf, Kay.
Subjects: Health care
Keywords: engagement; physical therapists; workplace; profession; Ohio
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28.
Pereira, Rosanna M.
Lifestyle and Dietary Behaviors Oof Obese Children and Adolescents after Parental Weight-loss Surgery.
Degree: MS, Allied Medicine, 2010, Ohio State University
► There are many factors thought to contribute to childhood overweight, such as…
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▼ There are many factors thought to contribute to childhood overweight, such as poor diet and lifestyle choices. Eating behaviors of children have been found to mimic the eating behaviors of their parents. Following weight loss surgery (WLS), patients are expected to follow a diet consisting of small portions, low fat foods, and fruits and vegetables and also to perform at least 30 minutes of physical activity daily. Therefore, if a parent is compliant with post-surgical recommendations, a child may theoretically mimic the positive behaviors of the parent. This study explores the impact of these new parental behaviors on a child after parental weight loss surgery. Forty-five obese children whose parents had undergone WLS were used as the experimental group and 90 age- and gender-matched controls. All subjects were selected from a weight loss program housed within a large children’s hospital. A review of medical assessment forms was conducted to collect data on lifestyle behaviors and food frequency. Few significant differences were found between groups, however the experimental group was more likely to eat two or more helpings of food at each sitting (p=0.015) and less likely to play outdoors for more than an hour each day (p=0.013). There were few remarkable differences in food frequency. Based on these results, parental WLS does not seem to improve the eating and lifestyle behaviors of children when compared to obese control subjects. It may be possible to alter conventional peri-surgical education to benefit the entire family instead of just the individual. Much more research is needed in this area.
Advisors/Committee Members: Taylor, Chris.
Subjects: Nutrition
Keywords: obese children; weight loss surgery; bariatric surgery; parental modeling
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29.
Philip, Santhosh Kachanathu.
Trunk Control Correlates with Gait and Balance Measures in Elderly Subjects Including High Functioning Individuals with Parkinson Disease.
Degree: MS, Allied Medicine, 2009, Ohio State University
► Presently there is little information regarding the relationship between trunk control and…
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▼ Presently there is little information regarding the relationship between trunk control and gait and balance measures in individuals with Parkinson Disease (PD). The present study evaluated the correlation between trunk control and gait and balance measures in elderly subjects with and without PD. The study also examined group differences between high functioning individuals with PD and healthy elderly subjects in these measures. 12 subjects with PD and 11 age matched healthy subjects voluntarily took part in the study. Trunk control was assessed utilizing the wobble chair, a device designed to provide a base of support that can be progressively reduced. Gait characteristics were assessed utilizing GAITRite and Tinetti Mobility Test (TMT) gait subscale. Balance was measured utilizing TMT balance subscale, Single Limb Stance time and Sit to Stand time. The groups showed differences in TMT total score (p<.05, z=-2.22), TMT gait subscale (p<.05, z= -2.23) and step length (df=20, t=-2.28, p<.05). In elderly subjects with and without PD, trunk control showed significant correlation with age (rs = -0.61, p<.01), best single limb stance time (rs = -0.45, p<.05), sit to stand time (rs = 0.42, p<.05), TMT total score (rs = -0.41, p<.05), TMT gait subscale score (rs =-0.42, p < 0.05), step length (rs =-0.30, p<0.1), mean gait velocity (rs =-0.39, p < 0.1) and cadence (rs =-0.41, p < 0.05). The findings of the study indicate that there is a significant relation between trunk control and functional mobility. This study supports further investigation into trunk control and its relationship to gait and mobility in individuals with PD and the aged.
Advisors/Committee Members: Kegelemeyer, Deb.
Subjects: Health care
Keywords: Parkinson Disease; Trunk control; GAITRite; Tinetti
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