DNP, Kent State University, 2019, College of Nursing

Abstract Background and Review of literature: Arts-based interventions have been studied in the cancer care setting and shown to have positive effects on pain, anxiety, depression, and various quality of life indicators. Participants of group art-based experiences often experience a deep sense of connectedness to one another, and self-awareness. Purpose: This project was designed to elicit the perceptions of the adult cancer survivor who engaged in a multi-modal expressive arts intervention in a community cancer support group setting. Methods: This project used quantitative and qualitative approach, purposive sampling from existing adult cancer survivor community support groups. Theoretical concepts from Natalie Roger's Creative Connection® informed the overall design, implementation and evaluation of the project. Quantitative and qualitative data were collected using the Expressive Arts for Cancer Survivor data collection tool consisting of a post-intervention 12-item Likert Scale survey and 7 open-ended questions developed for this research. Implementation Plan/Procedure: An expressive arts intervention consisting of drawing and painting or clay work was implemented at the Breast Cancer, Blood Cancers, and Head and Neck Cancer community support groups. Group participants were invited to explore other modalities such as expressive writing, sound, movement and group dialogue to enhance the expressive art experience. Implications/Conclusion: Expressive arts during the cancer support group setting fostered creativity, insight, and self-awareness; helping survivors learn more about their feelings. Participants experienced a deeper sense of connectedness and appreciation for others within the group. The opportunity for sharing was positively received; the arts provided a means of self-expression. Participants expressed a strong desire to discuss the use of expressive arts with their healthcare provider. Findings signal the importance of developing evidence based (open full item for complete abstract)

Committee: Pamela Stephenson (Committee Chair); Patricia Vermeersch (Committee Member); Tracey Motter (Committee Member) Subjects: Alternative Medicine; Arts Management; Dance; Health Care; Mental Health; Music; Nursing; Oncology; Psychology

Doctor of Philosophy, The Ohio State University, 2007, Family Resource Management

This study used Grossman's model of demand for health to examine demand for Complementary and Alternative Medicine (CAM) in the U.S. The main purpose of this study was to identify the predictors of demand for CAM. An important objective was to examine whether CAM and conventional care are economic substitutes or complements. In this study, demand for three CAM modalities including chiropractic, acupuncture, and massage was examined. Data used for this study were from the 2002 and the 2004 Medical Expenditure Panel Survey. CAM demand was estimated using a two-part model. In the first part, likelihood of CAM use is estimated using logit analysis. In the second part, level of use is estimated using an OLS regression. Propositions of Grossman's model are partially supported by this study. Health insurance coverage, time factors, health status, health behavior, gender, marital status, race and region of residence have significant effect on likelihood of CAM use. Risk tolerance, MSA status and preferred language of communication have a significant effect on likelihood of chiropractic use only. Price of chiropractic, unearned family income, and level of education are significant only in the first stage model for acupuncture and/or massage. Time factors, wages, age and self-perceived mental health status are significant predictors of number of acupuncture and/or massage visits but not of chiropractic visits. Own-price of chiropractic, Medicaid coverage, gender, region and preferred language of communication are significant predictors of level of use of chiropractic. Although the magnitude of demand elasticities is small, the positive total cross-price elasticities of chiropractic and physician visits and acupuncture and/or massage and physician visits suggest that CAM and physician care are substitutes. Based on the results, theoretical, research, and policy implications are drawn. Deviations from Grossman's model suggest that augmenting economic models with other relevant (open full item for complete abstract)

Committee: Gong-Soog Hong (Advisor) Subjects: