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Depression in family caregivers of elders: A theoretical model of caregiver burden, sociotropy, and autonomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To test the diathesis-stress model for family caregivers, two structural equation models were developed to explain depression measured by the Center for Epidemiologic Studies Depression Scale. A cross-sectional convenience sample of 112 caregivers completed questionnaires to measure burden, personality traits, dysfunctional attitudes, and depression. The final model included direct paths from caregiver burden to autonomy and sociotropy, and indirect paths from burden to depression through sociotropy and autonomy. The final model fit adequately ([chi]2 [224, N = 112] = 308.60, p < .00; CFI = .951; RMSEA = .058). Levels of b...
Source: Research in Nursing and Health - November 14, 2009 Category: Nursing Authors: Michele C. Clark, Pamela M. Diamond Source Type: journals

Understanding systems and rhythms for minority recruitment in intervention researchEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe one approach for recruitment and retention of minority individuals in intervention research using a systematic environmental perspective based on Bronfenbrenner's ecological systems (BES) model and the construct of temporality. An exemplar in a physical activity intervention study with low-income and primarily African American women is presented. The exemplar illustrates application of BES and temporality to enhance recruitment and retention in research focused on understanding and accommodating environmental influences. Using this theory based approach resulted in successful recruitment and a high level of par...
Source: Research in Nursing and Health - November 2, 2009 Category: Nursing Authors: Vicki Hines-Martin, Barbara J. Speck, Barbara Stetson, Stephen W. Looney Source Type: journals

Focus on Research Methods Data management for intervention effectiveness research: Comparing deductive and inductive approachesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Management approaches are needed to prepare intervention data sets for research. We identified four management approaches and applied them to Omaha System intervention data from 15 home care agencies (621,385 interventions provided to 2,862 patients). Classifying intervention data created differing numbers of distinct groups for deductive approaches labeled as action category (four groups), theoretical (5), and clinical expert consensus (23). One inductive, data-driven approach generated 150 groups of interventions, of which 24 were meaningful and unique. Interventions in deductive groups were mutually exclusive, and appro...
Source: Research in Nursing and Health - October 30, 2009 Category: Nursing Authors: Karen A. Monsen, Bonnie L. Westra, Fang Yu, Vijay Kumar Ramadoss, Madeleine J. Kerr Tags: Research Articles Source Type: journals

Data management for intervention effectiveness research: Comparing deductive and inductive approachesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Management approaches are needed to prepare intervention data sets for research. We identified four management approaches and applied them to Omaha System intervention data from 15 home care agencies (621,385 interventions provided to 2,862 patients). Classifying intervention data created differing numbers of distinct groups for deductive approaches labeled as action category (four groups), theoretical (5), and clinical expert consensus (23). One inductive, data-driven approach generated 150 groups of interventions, of which 24 were meaningful and unique. Interventions in deductive groups were mutually exclusive, and appro...
Source: Research in Nursing and Health - October 30, 2009 Category: Nursing Authors: Karen A. Monsen, Bonnie L. Westra, Fang Yu, Vijay Kumar Ramadoss, Madeleine J. Kerr Source Type: journals

Preliminary efficacy of a comprehensive HIV prevention intervention for abstinent adolescent girls: Pilot study findingsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We developed and pilot-tested a comprehensive HIV prevention/sexual risk reduction intervention with 54 sexually abstinent girls and estimated the effect of the intervention on three antecedents of sexual risk behavior: information, motivation, and behavioral skills. Girls ages 14-18 were randomized into either (a) an AbsPlus intervention or (b) a structurally equivalent control group. Assessments were obtained at baseline and 3 months follow-up using audio computer assisted self-interview. The intervention resulted in a large effect for information (d = 1.11); small to large effects for the motivational measures (d = .34-...
Source: Research in Nursing and Health - October 29, 2009 Category: Nursing Authors: Dianne Morrison-Beedy, Michael P. Carey, Susan M. Seibold-Simpson, Yinglin Xia, Xin Tu Source Type: journals

Effects of stress and social support on postpartum health of Chinese mothers in the United StatesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We examined relationships among stress, social support, and health in 152 Chinese mothers (Source: Research in Nursing and Health)
Source: Research in Nursing and Health - October 29, 2009 Category: Nursing Authors: Ching-Yu Cheng, Rita H. Pickler Source Type: journals

Psychometric testing of four transtheoretical model questionnaires for the behavior, completing health care proxiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of the study was to develop four questionnaires based on the transtheoretical model (TTM) to assess the behavior, completing a healthcare proxy (HCP). The aims were to (a) operationalize the four TTM constructs for completing a HCP and (b) evaluate the psychometric properties of the questionnaires. The questionnaires were constructed and content validity established using an expert panel. Internal consistency values for each questionnaire and subscales within each questionnaire were >.79. Confirmatory factor analysis provided evidence that decisional balance and the processes of change questionnaires each conta...
Source: Research in Nursing and Health - September 22, 2009 Category: Nursing Authors: Mary Ann Jezewski, Deborah S. Finnell, Yow-Wu Bill Wu, Mary Ann Meeker, Loralee Sessanna, Jongwon Lee Source Type: journals

Correlates of physical activity in low income college studentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We examined the relationship of social support, self-efficacy, and commitment to a plan of physical activity on physical activity behaviors in a sample of low income college students. Those with higher levels of social support, self-efficacy, and commitment to a plan of physical activity reported more physical activity behaviors. Commitment to a plan of physical activity mediated the relationships of social support and physical activity behavior, and of self-efficacy and physical activity behavior. The results support the importance of exploring the psychosocial correlates of physical activity in explaining the decision pr...
Source: Research in Nursing and Health - September 22, 2009 Category: Nursing Authors: Joyce L. Maglione, Laura L. Hayman Source Type: journals

Modeling influences on acute care nurses' engagement in tobacco use reductionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Although nurses are encouraged to address patients' tobacco use, the integration of tobacco reduction into practice has not been consistent. An organizational behavior perspective was used to conceptualize hypothesized relationships among reported influencing factors (individual characteristics, role attitudes, perceived barriers, and workplace climate). Survey data collected at two Western Canadian hospitals (N = 214 nurses; 58% response) were used to test the model. The final model explained nearly 60% of variation in the nurses' tobacco reduction practice. Role attitude, perceived resource availability, co-worker's acti...
Source: Research in Nursing and Health - September 2, 2009 Category: Nursing Authors: Annette S.H. Schultz, Shahadut Hossain, Joy L. Johnson Source Type: journals

Virtual journalsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
No Abstract. (Source: Research in Nursing and Health)
Source: Research in Nursing and Health - August 31, 2009 Category: Nursing Authors: Judith Gedney Baggs, Margarete J. Sandelowski, Robin Dawn Froman Source Type: journals

Caregiver characteristics predict stroke survivor quality of life at 4 months and 1 yearEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Evaluating factors that reduce stroke survivors' (SS) health-related quality of life (HRQOL) is important for developing interventions to improve HRQOL after stroke. The influence of baseline caregiver and family characteristics (physical health, depressive symptoms, family communication) on five domains of SS HRQOL (physical function, memory/thinking, social activities, communication, and mood) was examined. Data were collected on 132 SS-caregiver dyads at baseline, 4 months, and 12 months. Baseline caregiver depressive symptoms predicted lower scores for SS physical function and communication at 4 months and social parti...
Source: Research in Nursing and Health - August 30, 2009 Category: Nursing Authors: N. Jennifer Klinedinst, Mary C. Gebhardt, Dawn M. Aycock, Deborah S. Nichols-Larsen, Gitendra Uswatte, Steven L. Wolf, Patricia C. Clark Source Type: journals

It's b-a-a-a-a-a-a-ck again, or how to live with the new APA manual: Reprise for Edition 6Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
No Abstract. (Source: Research in Nursing and Health)
Source: Research in Nursing and Health - August 30, 2009 Category: Nursing Authors: Judith Gedney Baggs, Robin Froman Source Type: journals

Development and initial psychometric evaluation of the patient perspective of arrhythmia questionnaireEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the development and preliminary psychometric testing of the Patient Perception of Arrhythmia Questionnaire (PPAQ). The PPAQ was developed using formative research, exploratory factor analysis, expert review, pilot study, and regression. The PPAQ measures frequency and duration of episodes, symptoms, impact on daily activities, and restricted activity days. After preliminary content validation, the sensitivity of the PPAQ was tested in 103 arrhythmia patients. The measures showed good sensitivity and reliability. Preliminary construct validation was supported by significant differences (p < .001) among groups of a...
Source: Research in Nursing and Health - August 21, 2009 Category: Nursing Authors: Kathryn A. Wood, Anita L. Stewart, Barbara J. Drew, Melvin M. Scheinman, Erika S. Frolicher Source Type: journals

The role of children's routines of daily living, supervision, and maternal fatigue in preschool children's injury riskEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this study was to (a) explore the relationship between the lack of everyday routines and children's unintentional injuries, (b) examine two mechanisms of effect through which lack of routines might operate, children's sleep and maternal supervision, and (c) explore the influence of maternal fatigue in routines and maternal supervision. The sample comprised 264 mothers and their 3-year-old children. Routines were not directly related to children's injuries, but they moderated the relationship between maternal supervision and injuries. Lack of supervision was positively related to injuries only for children wi...
Source: Research in Nursing and Health - August 13, 2009 Category: Nursing Authors: Christina Koulouglioti, Robert Cole, Harriet Kitzman Source Type: journals

Symptom clusters of heart failureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Patients with heart failure (HF) report multiple symptoms. Change in symptoms is an indicator of HF decompensation. Patients have difficulty differentiating HF symptoms from comorbid illness or aging. The study purpose was to identify the number, type, and combination of symptoms in hospitalized HF patients and test relationships with comorbid illness and age. A secondary analysis from a HF registry (N = 687) was conducted. The sample was 51.7% female, mean age 71 ± 12.5 years. The theory of unpleasant symptoms informed the study regarding the multidimensional nature of symptoms. Factor analysis of nine items from the Min...
Source: Research in Nursing and Health - July 31, 2009 Category: Nursing Authors: Corrine Y. Jurgens, Debra K. Moser, Rochelle Armola, Beverly Carlson, Kristen Sethares, Barbara Riegel, the Heart Failure Quality of Life Trialist Collaborators Source Type: journals

African American women's beliefs about mental illness, stigma, and preferred coping behaviorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We examined African American women's representations/beliefs about mental illness, preferred coping behaviors if faced with mental illness, whether perceived stigma was associated with treatment-seeking, and if so, whether it was related to beliefs and coping preference, and whether these variables differed by age group. Participants were 185 community-dwelling African American women 25 to 85 years of age. Results indicated the women believed that mental illness is caused by several factors, including family-related stress and social stress due to racism, is cyclical, and has serious consequences but can be controlled by t...
Source: Research in Nursing and Health - July 30, 2009 Category: Nursing Authors: Earlise C. Ward, Susan M. Heidrich Source Type: journals

Taking grounded theory beyond psychological processEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
No Abstract. (Source: Research in Nursing and Health)
Source: Research in Nursing and Health - July 20, 2009 Category: Nursing Authors: Margaret H. Kearney Source Type: journals

Randomization for clinical research: An easy-to-use spreadsheet methodEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this article, we illustrate a new method for random selection and random assignment that we developed in a pilot study for a randomized clinical trial. The randomization database is supported by a commonly available spreadsheet. Formulas were written for randomizing participants and for creating a "shadow" system to verify integrity of the randomization. Advantages of this method are that it is easy to use, effective, and portable, allowing it to be shared among multiple investigators at multiple study sites. Clinical researchers may find the method useful for research projects that are pilot studies or conducted with l...
Source: Research in Nursing and Health - July 15, 2009 Category: Nursing Authors: Nikhil S. Padhye, Stanley G. Cron, Gary M. Gusick, Shannan K. Hamlin, Sandra K. Hanneman Source Type: journals

Factors associated with cognition in adults: The Seattle Longitudinal StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We examined the association of four modifiable factors (leisure-time physical activity, leisure-time cognitive activity, self-directed work, and hypertension) with changes in two aspects of fluid intelligence (verbal memory and inductive reasoning). Data for 626 adults collected over 14 years (three time points) were analyzed by multi-level modeling. A component of self-directed work, higher work control, was associated with better verbal memory (p < .05) and inductive reasoning (p < .01). There were no significant interactions among these factors. The findings suggest that a strong sense of control at work may be protecti...
Source: Research in Nursing and Health - July 14, 2009 Category: Nursing Authors: Fang Yu, Lindsay H. Ryan, K. Warner Schaie, Sherry L. Willis, Ann Kolanowski Source Type: journals

Psychometric testing of the perception of pregnancy risk questionnaireEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Pregnant women's perception of risk may influence their health behaviors during pregnancy; however, no validated instrument exists to measure those perceptions. The purpose of this study was to refine a new instrument, the Perception of Pregnancy Risk Questionnaire (PPRQ), and conduct psychometric assessment of the final 9-item version. Reliability and validity were assessed using a sample of 199 women in the third trimester of pregnancy. Exploratory factor analysis resulted in a two-factor solution. Evidence of construct validity was demonstrated using the known-groups technique and through convergent validity. Ratings of...
Source: Research in Nursing and Health - July 14, 2009 Category: Nursing Authors: Maureen I. Heaman, Annette L. Gupton Source Type: journals