Master of Science, The Ohio State University, 2006, Graduate School

Committee: Not Provided (Other) Subjects:

Master of Science, The Ohio State University, 2006, Graduate School

Committee: Not Provided (Other) Subjects:

Master of Science, The Ohio State University, 2008, Graduate School

Committee: Not Provided (Other) Subjects:

Master of Science, The Ohio State University, 2008, Graduate School

Committee: Not Provided (Other) Subjects:

Master of Science, The Ohio State University, 2007, Graduate School

Committee: Not Provided (Other) Subjects:

DNP, Kent State University, 2021, College of Nursing

Dietary supplement use by adult patients in the United States has increased over the past 30 years (Schaffer et al., 2016). In 2014, approximately 50% of all adults were using dietary supplements (Schaffer et al., 2016). Supplement use goes under-reported by patients to their primary care providers. When patients consider supplement use, they often obtain their information from sources that may not be evidence-based such as family, friends, television, and the Internet. Many supplements can improve health and evidence-based practice (EBP) supports their use. However, dietary supplement use does not come without potential dangers. Supplements may interact with prescription medications or other supplements causing detrimental health events. There may not be any evidence to support the use of certain supplements and patients may be wasting their money when they purchase them. The purpose of this project was to determine what types of supplements patients use in a primary care office, provide general and supplement specific education to patients, and to implement a reference library with information about commonly used supplements for providers and patients. The outcomes of the project were used to determine the impact of patient education on patient dietary supplement use and the sustainability of the reference library.

Committee: Lisa Onesko DNP (Committee Chair); Tracey Motter DNP (Committee Member); Jo A. Dowell PhD (Committee Member) Subjects: Health Care; Health Education; Nursing

MS, University of Cincinnati, 2007, Allied Health Sciences : Nutrition

Background: Osteoarthritis (OA) is the number one musculoskeletal disorder in the developed world and it ranks among the top problems of the health care systems in developed countries. In the United States more than 13% of persons aged 55 to 64 years and more than 17% of those aged 65 to 74 years have OA-related pain and disability. This imposes an enormous economic burden, with total costs attributable to arthritis in 1997 estimated at $86 billion. It is projected tat by the year 2020; approximately 18.2% of Americans will be affected by arthritis disorders equaling 60 million people. Persons with knee and other joint pain often take over-the-counter nutritional supplements available in grocery stores, in drug stores, or online for treatment of their joint pain. There are numerous biological mechanisms by which nutritional factors may exert favorable influences on pathophysiological processes in osteoarthritis. Methods: A total of 63 subjects, between the ages of 46 –68 participated in this study. Subjects were recruited regardless of sex, ethnicity and race. A health and medical history questionnaire was completed by the participants. Study participants also filled out vitamin/mineral supplement use questionnaire, physical activity questionnaire and the pain assessment questionnaire. Anthropometric data including height, weight and body composition were also recorded. Results: Results indicated that men tended to take slightly more supplements than women. Women tended to experience higher pain intensity characteristics than males. Hence the perceived effect of using different supplements in reducing pain may be greater in males than females. However, there is no significant decrease on pain parameters in male and female subjects. There was also no significant difference in the values of flexion and abduction in either knee across the genders when corrected for supplement use levels. Conclusion: Our study findings indicate that dietary supplements may not be effect (open full item for complete abstract)

Committee: Dr. Shanil Juma (Advisor) Subjects: Health Sciences, Nutrition

Master of Science, The Ohio State University, 2012, Allied Medical Professions

Consumer demand for dietary supplements has increased during the past several decades. There is an abundance of literature that examines demographic and lifestyle trends predicting supplement use. Research explores a variety of therapeutic and nontherapeutic doses of single and multiple formulas, as well as reasons for taking specific supplements. Considerably less information exists describing how knowledgeable and confident all health professionals feel about this topic. The purpose of this study was to determine the knowledge, behaviors and self-efficacy of practicing dietitians and dietetic technicians in Ohio toward nutrient and herbal/botanical dietary supplements. Specifically, this study evaluated relationships between practitioner self-efficacy toward dietary supplements and knowledge, personal use, and recommendations to clients. The results demonstrate an area for current dietetic practitioners to improve and suggest that dietetic programs should expand curriculum to emphasize nutrient and herbal/botanical dietary supplements.

Committee: Kay Wolf PhD (Advisor); Christopher Taylor PhD (Committee Member); Diane Habash PhD (Committee Member) Subjects: Alternative Medicine; Health Sciences; Nutrition

Master of Science, The Ohio State University, 2011, Allied Medical Professions

The popularity of nutrient and herbal dietary supplements is growing rapidly, and the general public is using dietary supplements as a mode to prevent, treat, or enhance their health. The aim of this descriptive study was to determine the knowledge, personal use patterns, and recommendation practices of dietetic practitioners regarding dietary supplements. A sample of 368 Ohio dietetic practitioners, dietitians (n=332) and dietetic technicians (n=31) completed an on-line questionnaire investigating the knowledge, behaviors, and practices of dietetic practitioners regarding nutrient and herb supplements. Participants were recruited through a professional state association's mailing list. Dietetic technicians personally used nutrient and herb/botanical supplements more than dietitians, with the exception of dietitians personally using nutrients for prevention; dietitians recommended nutrient and herb/botanical supplements more than dietetic technicians. There was a positive association with the personal use of a nutrient supplement and its recommended use; and a stronger positive association was observed with personal use of a herb/botanical supplement and its recommended use. The relationship between age and recommending the use of a herb/botanical for prevention or treatment of a condition was significantly positive (r=0.13; p=0.017 and r=0.11; p=0.042 respectively). A strong relationship between age and knowledge of the dietary supplement and its condition was observed (r=0.13; p=0.030). The results show no significant difference in scores between the dietitians (mean score = 16.22 or 43% correct) and dietetic technicians (mean score= 13.51 or 36% correct). The results of this study indicate that providing dietetic practitioners with professional education regarding dietary supplements, especially herbs, continues to be warranted.

Committee: Kay Wolf PhD, RD, LD (Advisor); Christopher Taylor PhD, RD, LD (Committee Member); Diane Habash PhD, RD, LD (Committee Member) Subjects: Nutrition

Doctor of Philosophy, The Ohio State University, 2005, Ohio State University Nutrition

Prostate cancer is a major cause of morbidity and mortality in the United States. Epidemiologic, in vitro, and animal studies support the hypothesis that dietary patterns and nutritional compounds can influence prostate carcinogenesis. Prostate cancer generally has a protracted time course, therefore, many opportunities exist for nutritional interventions to alter the course of disease. This thesis involves three studies that target men during: 1) primary prostate cancer prevention, 2) treatment for localized disease and 3) treatment for advanced disease. The first study quantifies the use of nutritional supplements in a subgroup of men participating in a large, nationwide chemoprevention trial. We found that a majority of men were consuming supplements which are hypothesized to influence prostate cancer risk and therefore, may impact the results of prevention studies. Our second study precisely defines nutritional supplement use among men undergoing radiation therapy for primary treatment of newly diagnosed, localized prostate cancer. There are very few reports describing supplement use among men actively undergoing treatment for prostate cancer, and how dietary supplements may influence radiation therapy is currently an area of controversy. We found a majority of men were consuming supplements, many of which have been hypothesized to influence the efficacy or toxicity of radiation therapy. Our third study is an intervention trial where we evaluated adherence, safety, and biological effects of a diet rich in tomatoes / tomato products and soy foods in men with advanced prostate cancer. A diet rich in tomatoes and soy foods was tolerable and did not result in significant toxicity. Additionally, we observed that a diet rich in tomatoes and soy protein reduced serum PSA in 30 to 40% of men and may prolong the interval before more aggressive cancer therapy is needed. These studies indicate that men at risk of prostate cancer or undergoing primary treatment consume supp (open full item for complete abstract)

Committee: Steven Clinton (Advisor) Subjects:

Master of Arts, Miami University, 2008, Speech Communication

The purpose of this study was to investigate individuals' motivations to take dietary supplements using the Theory of Planned Behavior (TPB). In addition to the standard TPB constructs, self-identity and past behavior were tested as additional variables to increase the theory's predictive power, and because of conflicting past research, the interaction between self-identity and past behavior was examined. The results of this study indicated that two TPB constructs – attitudes and subjective norms – were independent predictors of individuals' intentions to use dietary supplements. Additionally, this study found that that self-identity and past behavior independently predicted intention and captured additional variance not accounted for by the standard TPB constructs. Furthermore, this study found that self-identity was a stronger predictor of behavioral intention at lower levels of past behavior rather than at higher levels. Practical implications and suggestions for future research are discussed.

Committee: Judith Weiner PhD (Advisor); Marjorie Keeshan Nadler PhD (Committee Member); James Patterson PhD (Committee Member) Subjects: Communication; Health