No description available.

No description available.

No description available.

Adults with intellectual disability (ID) have a higher rate of falls than the general population, and changing health behaviors through exercise program could enhance health and reduce falls in this population. However, the feasibility study of fall prevention based on the theoretical framework for adults with ID has not been explored to date. This study examined the feasibility of a home-based exercise intervention for people with ID living in a residential setting. We provided an 8 week intervention consisting of a training workshop for support workers and sessions for adults with ID devoted to behavior reward, education about fall prevention and exercise, and exercise training. Adults with ID (n = 33) and support workers, including caregivers (n = 3), staff (n = 8), and one administrator, participated in this study. Adults with ID significantly improved physical performance, self-efficacy for activity, fall efficacy, and support from friends and support workers. There were no significant changes in free-living PA. There was no adverse event during the intervention, and the average adherence rate was sufficient. Adults with ID, support workers, and an administrator were satisfied with the program and had the intention to continue the program. The intervention was feasible and perhaps efficacious for adults with ID living in group-homes.

This study proposes to blend contemporary educational research in order to design an online instructional environment. The goal was to create an environment that would better educate learners about grammar use in higher education, given the complexity of the rule learning that was being asked of them. By blending approaches from tested educational research on cognitive information processing theories, schema theories, and situated cognitive theories in order to determine how language rules are best learned, eight design principles were derived for the instructional environment. A prototype of the environment was then developed. Two series of formative evaluations, one with a group of subject-matter experts (teachers, linguists, and instructional designers) and one with a group of students, were run against the instruction. Overall, it was found that a database-driven website employing user-defined variables to customize the instruction for each individual user was a useful way to achieve the goals of the study. / Ph. D.

In the U.S., diabetes mellitus cases have been increasing, from 25 million in 2010 to 29 million in 2012. Healthy People 2020, the U.S. National Health Agenda, has established specific goals and objectives for diabetes. In the U.S., prevalence of pre-diabetes and diabetes for adult Hispanics was 38% and 12%, respectively, in 2012. The total estimated diabetes cost in the U.S. has been increasing, from $176 billion in 2007 to $245 billion in 2012. The current study had two research hypotheses; the formative phase was expected to demonstrate a need for a community-based Type 2 Diabetes Mellitus (T2DM) self-management intervention for Spanish-speaking Hispanics. Random Control Trial (RTC) was expected to demonstrate the potential impact in preventing and managing T2DM. Methods. A community-based lifestyle education curriculum was translated into Spanish, and adapted to Hispanic culture. This study includes three phases: 1) a formative phase; 2) a two-group pilot RCT with Hispanic Living with Diabetes (HBLD) and a delayed treatment condition; and 3) post-HBLD focus groups held with three participating groups of HBLD. Results. Of 60 participants screened in the formative phase, 62% had A1c > 5.7%, and 75% did not have medical insurance. Of 6 participants who completed the pilot, A1c decreased for all six participants. Of 67 participants screened in phase 2, 61% had A1c > 5.7%. Of 30 HBLD participants in the RCT, baseline versus 3-month mean A1c increased 0.2 for the delayed control group (n = 10) and did not experience any change for the intervention group (n = 11). The difference in A1c change from baseline to follow up between treatment groups was not statistically significant (Kruskal Wallis, p < 0.05). Diabetes knowledge and SCT variables change from baseline to follow-up between groups were not statistically significant. Major themes identified in focus group discussions included barriers to access to health and nutrition services, the value of having a Spanish-speaking Hispanic as a health educator, and barriers to recruiting community members as promotoras. Implications. HBLD has potential to reduce complications of diabetes among Hispanic participants by providing education to those who may not otherwise have access to it. / Ph. D.

The purpose of this thesis was to determine the proportion of participants enrolled in a community-based weight loss program that would accept and use a wearable device (Fitbit) if included as part of the program. A sample of 526 newly enrolled, adult, female weight loss program participants (BMI ≥ 30 kg/m2 ) were recruited. Participants were randomized to either a Fitbit experimental condition or no-Fitbit control condition, and received emailed information on program features. The experimental condition email also included a free Fitbit offer. The full sample (n=526) was 44±12.6 years old with a BMI of 37±6.2 kg/m2. The proportion of experimental sample (n=266) that accepted and synced was 50% and 23%, respectively. Twenty-two participants in the control condition (8%) also independently obtained and synced a Fitbit. Ninety-nine percent passively declined (did not respond to request for Fitbit color and size information). Those that declined were older (46±13.4 vs. 42±11.3 years of age, p=.001) and weighed less (214±38.9lbs. vs. 231±41.3lbs., p=.01) than those who accepted. Those in the experimental sample who synced were younger (42±10.0 vs. 45±13.2 years of age, p=.012), and weighed more (237±45.2lbs. vs. 217±38.1lbs., p=.002) than those who accepted but did not sync. This thesis provides preliminary support that 23% of participants will accept and sync a free wearable device. These data can be used for decision making, combined with effectiveness and cost data, and research on wearable activity trackers and community, incentive, and web-based weight loss. / Master of Science

Sport media has been a known producer of traditional gender images that reflect inequality between sexes. Sport media has been studied endlessly, but one aspect that has not fostered as much attention is sport media, advertising, and children. Sports Illustrated for Kids is the only sport media print magazine for children, with a readership age of 8-15 years old. Images and gender stereotypes have been used continuously by advertising companies to sell products to consumers. Children in particular cannot accurately determine between content that is meant to inform and content that is meant to sell. This study examined whether editorial and advertising images in Sports Illustrated for Kids reflects actual participation rates of athletic activities based on gender in issues from the past decade. Utilizing past research, this study looked at overall numbers and stereotypes by examining factors such as state of dress, photo angle, and motion in photograph. Findings show that females are still under and misrepresented in SIK. Even so, findings of this study suggest representation of women in team neutral sport such as soccer and basketball is on the rise. Findings could have implications for SIK's young readership as well as highlight a need for more education about advertising and editorial practices being implemented. / Master of Arts / Sport media has been a known producer of traditional gender images that reflect inequality between sexes. Sport media has been studied endlessly, but one aspect that has not fostered as much attention is sport media, advertising, and children. Sports Illustrated for Kids is the only sport media print magazine for children, with a readership age of 8-15 years old. Images and gender stereotypes have been used continuously by advertising companies to sell products to consumers. Children in particular cannot accurately determine between content that is meant to inform and content that is meant to sell. This study examined whether editorial and advertising images in Sports Illustrated for Kids reflects actual participation rates of athletic activities based on gender in issues from the past decade. Utilizing past research, this study looked at overall numbers and stereotypes by examining factors such as state of dress, photo angle, and motion in photograph. Findings show that females are still under and misrepresented in SIK. Even so, findings of this study suggest representation of women in team neutral sport such as soccer and basketball is on the rise. Findings could have implications for SIK’s young readership as well highlight a need for more education about advertising and editorial practices being implemented.

The Disney Princess Brand includes 11 Disney Princess films from Snow White and the Seven Dwarfs (1937) to Brave (2012). The goal of this campaign is for audiences to be entertained by the narratives while encouraging identification with the princesses in the films (Do Rozario, 2004; Orenstein, 2006). Scholars have suggested possible media effects of representations and messages depicted related to gender roles (England, Descartes, and Collier-Meek, 2011) and romantic relationships (Segrin and Nabi, 2002). No studies to date have examined the potential correlation between media effects of all 11 Disney Princess films and viewers' expectations regarding romantic relationships with a theoretical background in cultivation theory, social cognitive theory, wishful identification, and uses and gratification theory. The purpose of this thesis was to explore the relationship between potential media effects due to watching Disney Princess films and expectations of romantic relationships. An online cross-sectional survey was administered to female undergraduate students enrolled at Virginia Tech (N = 110). Bivariate correlation analyses were computed to measure the data. Results did not support hypotheses related to motivations for watching Disney Princess films, cultivated ideologies due to exposure of all films, and perceived similarity to princesses in relation to idealistic beliefs of romantic relationships. Wishful identification with the princesses was significantly correlated with participants' idealistic beliefs of romantic relationships. Possible implications are that participants in late adolescence (18 - 23 years of age) wish to be like the Disney princesses and to have similar romantic relationships that are represented in the films. / Master of Arts

The increasing prevalence of overweight and obesity suggests that current policies and interventions have been inadequate to counteract the driving forces. Young adults attending college gain weight at a faster rate than the general population, without evidence of compensatory weight loss. Therefore, college may be an important stage for the primary prevention of obesity. We sought to identify weight gain mediators in college underclassmen using the social cognitive model for health behavior change. Eligible students living on-campus to underwent assessments of height, weight, waist circumference, blood pressure, body composition, cardiorespiratory fitness, habitual physical activity and dietary intake, and psychosocial determinants of health behavior change. We conducted elicitation interviews and focus group discussions to identify themes related to the diet and physical activity habits, attitudes, social norms, and experiences of the target population. Results found that students were generally physically fit and enjoyed a variety of physical activities, yet spent considerable amounts of time in sedentary activity and had difficulty exercising regularly. Healthy eating perceptions were instilled by parents; however, families are much less influential in college, and students almost always eat with friends. Healthy eating and exercise habits were secondary to several other responsibilities. Skills in planning, goal setting, and self-monitoring are necessary to overcome the social and environmental forces contributing to weight gain. These results will be used to develop a social cognitive theory-based intervention to improve health behaviors, and consequently prevent weight gain in young adults attending college. / Master of Science