Journal of nutrition in gerontology and geriatrics, Jan 20, 2017
Hypertensive older adults will benefit if there is a clear understanding of the factors related t... more Hypertensive older adults will benefit if there is a clear understanding of the factors related to sodium reduction. That would raise awareness of the causes, consequently reducing many health risks, lowering health care costs, and diminishing economic and social burden from high blood pressure. This study explored predictors of urinary sodium excretion. A cross-sectional, correlational study was conducted in 312 hypertensive older Thai adults. Questionnaires related to knowledge, self-care agency, self-care behavior of sodium reduction, and 24-hour urinary sodium analyses were used, followed by the application of structural equation modeling and the Analysis of Moment Structures program. Self-care agency, knowledge, self-care behavior, rural/urban location, and education accounted for 61% of urinary sodium excretion. Self-care agency, knowledge, and self-care behavior were the main predictors in the urinary sodium excretion model. This study suggests establishing supportive educati...
ABSTRACT Medication adherence and community living problems were assessed by a telephone interven... more ABSTRACT Medication adherence and community living problems were assessed by a telephone intervention for stable outpatients with schizophrenia spectrum disorders. A majority were white males who lived with family members. We conducted a descriptive analysis of data gathered during weekly calls to 87 participants receiving weekly TIPS for nine months. Analysis included traditional atheoretical content analysis, Pearson correlations, and Chi squares. The following themes emerged: mood disturbances and related symptoms, psychotic symptoms, coping problems, medication adherence, and substance cravings. The most frequently reported problems were mood disturbances: depression and anxiety. Forty two percent of Caucasians versus 72.1% of African Americans were prescribed intramuscular (IM) antipsychotic delivery (Chi square = 8.24, df 2, p = 0.016). Our findings regarding racial differences in antipsychotic delivery method warrant further investigation.
We conducted a randomized controlled trial to determine the effect of weekly telephone interventi... more We conducted a randomized controlled trial to determine the effect of weekly telephone intervention upon self-reported medication adherence, medication adherence self efficacy, and symptom levels in 140 stable outpatients with SSDs for three months. To our knowledge, this is the first study examining medication adherence self efficacy in persons with SSDs. Study measures were administered in a private office by trained study staff immediately following the granting of informed consent, and again after three months. Participants ranged in age from 19-71 years with an average age of 46.1 years (SD 12.9). A majority were males (n = 80, 57.1%) with schizoaffective disorder (n = 94, 67.1%). Symptoms were lower and self-reported medication adherence was higher in experimental participant after three months, but differences were not statistically significant. Medication adherence self efficacy was essentially unchanged over the three month follow up period. This study extends the literatur...
Journal of psychosocial nursing and mental health services, 2017
Telephone intervention may address the need for problem-solving interventions to improve medicati... more Telephone intervention may address the need for problem-solving interventions to improve medication adherence in patients with schizophrenia spectrum disorders (SSDs). The current randomized controlled trial examined the effect of weekly telephone intervention problem solving (TIPS) on quantitative measures of psychiatric and nonpsychiatric medication adherence over 6 months in 105 stable outpatients with SSDs. Independent samples t test revealed no significant differences in psychiatric or nonpsychiatric pill count adherence between groups at 6 months; however, 54.7% of experimental participants versus 32.7% of controls had serum antipsychotic levels within therapeutic range at 6 months (χ(2) = 5.2, df = 1, p = 0.023). The current study extends the literature on adherence in patients with SSDs by describing a clinical sample of stable outpatients over 6 months and examining adherence to psychiatric and nonpsychiatric medications. [Journal of Psychosocial Nursing and Mental Health S...
The purpose of this study is to share the voices of healthcare graduate students participating in... more The purpose of this study is to share the voices of healthcare graduate students participating in an interprofessional course experience, particularly as their voice relate to fundamental healthcare issues care embodied in the Triple Aims. Two research questions guided study efforts: (1) how do graduate students perceive the value of interprofessional learning experiences for their professional development as future healthcare providers? and (2) based on these experiences, how do students perceive the potential for interprofessional teams to address the Triple Aims of health care? This study was based on the qualitative approach of inductive thematic coding (Braun & Clarke, 2006). Findings indicated that course experiences led to favorable perspectives towards interprofessional practice, with students citing particular benefits regarding more effective and efficient patient service. Students also perceived that interprofessional healthcare would advance current practice regarding th...
IntroductionService learning integrates community service, didactic and student self-reflection w... more IntroductionService learning integrates community service, didactic and student self-reflection while at the same time striving to identify and meet needs of the community partnership agencies involved. Project Descriptions. In this manuscript, two baccalaureate nursing students describe their service learning experiences while embedded in an integrated primary care community partner site for two years. In project one, students designed and conducted an educational group for mental health clients in a rural day treatment program. In project two, the student revised a diabetic clinic educational form to reduce client burden. Project management and outcomes: Projects were designed in collaboration with community partners and faculty. Project one resulted in increased knowledge of coping mechanisms in a majority of group participants. Three months after implementation of the revised form designed in project two, a majority of diabetic clients served in the clinic had A1c reductions.Dis...
Journal of Psychosocial Nursing and Mental Health Services, 2013
The purpose of this study was to describe the procedure and results of salivary cotinine testing ... more The purpose of this study was to describe the procedure and results of salivary cotinine testing and to examine correlations between cotinine levels, self-reported smoking behavior, and other demographic variables in outpatients with schizophrenia spectrum disorders (SSDs). Twenty-one participants completed salivary cotinine measures. Sixteen reported smoking cigarettes (mean = 1.2 packs per day; SD = 0.8; range = 0.25 to 3.0) for a mean of 27.4 years (SD = 16.3 years, range = 1 to 46 years). Age was significantly positively correlated with self-report of packs smoked per day (r = 0.52; p = 0.04) and years smoked (r = 0.63; p = 0.02). There was no clear pattern of relationship between salivary cotinine level and self-reported smoking behavior. This pilot study adds to a small body of literature describing salivary cotinine measures in individuals with SSDs, yet further investigation is warranted to definitively determine the utility of this objective measure of nicotine use.
Journal of nutrition in gerontology and geriatrics, Jan 20, 2017
Hypertensive older adults will benefit if there is a clear understanding of the factors related t... more Hypertensive older adults will benefit if there is a clear understanding of the factors related to sodium reduction. That would raise awareness of the causes, consequently reducing many health risks, lowering health care costs, and diminishing economic and social burden from high blood pressure. This study explored predictors of urinary sodium excretion. A cross-sectional, correlational study was conducted in 312 hypertensive older Thai adults. Questionnaires related to knowledge, self-care agency, self-care behavior of sodium reduction, and 24-hour urinary sodium analyses were used, followed by the application of structural equation modeling and the Analysis of Moment Structures program. Self-care agency, knowledge, self-care behavior, rural/urban location, and education accounted for 61% of urinary sodium excretion. Self-care agency, knowledge, and self-care behavior were the main predictors in the urinary sodium excretion model. This study suggests establishing supportive educati...
ABSTRACT Medication adherence and community living problems were assessed by a telephone interven... more ABSTRACT Medication adherence and community living problems were assessed by a telephone intervention for stable outpatients with schizophrenia spectrum disorders. A majority were white males who lived with family members. We conducted a descriptive analysis of data gathered during weekly calls to 87 participants receiving weekly TIPS for nine months. Analysis included traditional atheoretical content analysis, Pearson correlations, and Chi squares. The following themes emerged: mood disturbances and related symptoms, psychotic symptoms, coping problems, medication adherence, and substance cravings. The most frequently reported problems were mood disturbances: depression and anxiety. Forty two percent of Caucasians versus 72.1% of African Americans were prescribed intramuscular (IM) antipsychotic delivery (Chi square = 8.24, df 2, p = 0.016). Our findings regarding racial differences in antipsychotic delivery method warrant further investigation.
We conducted a randomized controlled trial to determine the effect of weekly telephone interventi... more We conducted a randomized controlled trial to determine the effect of weekly telephone intervention upon self-reported medication adherence, medication adherence self efficacy, and symptom levels in 140 stable outpatients with SSDs for three months. To our knowledge, this is the first study examining medication adherence self efficacy in persons with SSDs. Study measures were administered in a private office by trained study staff immediately following the granting of informed consent, and again after three months. Participants ranged in age from 19-71 years with an average age of 46.1 years (SD 12.9). A majority were males (n = 80, 57.1%) with schizoaffective disorder (n = 94, 67.1%). Symptoms were lower and self-reported medication adherence was higher in experimental participant after three months, but differences were not statistically significant. Medication adherence self efficacy was essentially unchanged over the three month follow up period. This study extends the literatur...
Journal of psychosocial nursing and mental health services, 2017
Telephone intervention may address the need for problem-solving interventions to improve medicati... more Telephone intervention may address the need for problem-solving interventions to improve medication adherence in patients with schizophrenia spectrum disorders (SSDs). The current randomized controlled trial examined the effect of weekly telephone intervention problem solving (TIPS) on quantitative measures of psychiatric and nonpsychiatric medication adherence over 6 months in 105 stable outpatients with SSDs. Independent samples t test revealed no significant differences in psychiatric or nonpsychiatric pill count adherence between groups at 6 months; however, 54.7% of experimental participants versus 32.7% of controls had serum antipsychotic levels within therapeutic range at 6 months (χ(2) = 5.2, df = 1, p = 0.023). The current study extends the literature on adherence in patients with SSDs by describing a clinical sample of stable outpatients over 6 months and examining adherence to psychiatric and nonpsychiatric medications. [Journal of Psychosocial Nursing and Mental Health S...
The purpose of this study is to share the voices of healthcare graduate students participating in... more The purpose of this study is to share the voices of healthcare graduate students participating in an interprofessional course experience, particularly as their voice relate to fundamental healthcare issues care embodied in the Triple Aims. Two research questions guided study efforts: (1) how do graduate students perceive the value of interprofessional learning experiences for their professional development as future healthcare providers? and (2) based on these experiences, how do students perceive the potential for interprofessional teams to address the Triple Aims of health care? This study was based on the qualitative approach of inductive thematic coding (Braun & Clarke, 2006). Findings indicated that course experiences led to favorable perspectives towards interprofessional practice, with students citing particular benefits regarding more effective and efficient patient service. Students also perceived that interprofessional healthcare would advance current practice regarding th...
IntroductionService learning integrates community service, didactic and student self-reflection w... more IntroductionService learning integrates community service, didactic and student self-reflection while at the same time striving to identify and meet needs of the community partnership agencies involved. Project Descriptions. In this manuscript, two baccalaureate nursing students describe their service learning experiences while embedded in an integrated primary care community partner site for two years. In project one, students designed and conducted an educational group for mental health clients in a rural day treatment program. In project two, the student revised a diabetic clinic educational form to reduce client burden. Project management and outcomes: Projects were designed in collaboration with community partners and faculty. Project one resulted in increased knowledge of coping mechanisms in a majority of group participants. Three months after implementation of the revised form designed in project two, a majority of diabetic clients served in the clinic had A1c reductions.Dis...
Journal of Psychosocial Nursing and Mental Health Services, 2013
The purpose of this study was to describe the procedure and results of salivary cotinine testing ... more The purpose of this study was to describe the procedure and results of salivary cotinine testing and to examine correlations between cotinine levels, self-reported smoking behavior, and other demographic variables in outpatients with schizophrenia spectrum disorders (SSDs). Twenty-one participants completed salivary cotinine measures. Sixteen reported smoking cigarettes (mean = 1.2 packs per day; SD = 0.8; range = 0.25 to 3.0) for a mean of 27.4 years (SD = 16.3 years, range = 1 to 46 years). Age was significantly positively correlated with self-report of packs smoked per day (r = 0.52; p = 0.04) and years smoked (r = 0.63; p = 0.02). There was no clear pattern of relationship between salivary cotinine level and self-reported smoking behavior. This pilot study adds to a small body of literature describing salivary cotinine measures in individuals with SSDs, yet further investigation is warranted to definitively determine the utility of this objective measure of nicotine use.
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