The conceptualization of intimacy within adolescent romantic relationships has typically taken a linear approach: Adolescents experience initial romantic encounters within a group context and progress towards an exclusive dyadic dating relationship. This study uses a person-centered approach and conceptualizes adolescent romance as multi-dimensional.In Study 1, a large, nationally representative dataset (the National Longitudinal Study of Adolescent Health) was used to classify 10th and 11th grade adolescents into ideal romantic relationship styles via Latent Class Analysis. Four classed emerged: Concealers (3.6%; n=276), Abstainers (32.6%; n=2508), Engagers (51.4% of the sample; n= 3955), and Family Builders (12.5%; n=959). Concealers, primarily non-White ethnicities, preferred low social/emotional involvement but moderate sexual activities. Most adolescents with same-sex attractions were concealers. Concealers reported the greatest miss-match between ideal and real relationship activities. Abstainers, predominantly females, preferred: high social/emotional activities, to talk less about contraception/STDs, and low sexual activities. Engagers, predominantly male and White, scored highest on all social, emotional, and physical activities (exception of 'seeing less of friends', 'sex', 'pregnancy', and 'marriage'). Family builders, overly-represented by Latino, preferred high social, emotional, and physical dimensions including seeing less of friends, sexual intercourse, pregnancy, and marriage. Moderate discrepancies occurred between ideal and real activities.Study 2 was a focus group study of White and Latino adolescents (N=75) entering 10th through 12th grades. Using a symbolic interactionism theoretical framework, adolescents described four types of sexual relationships within their social subjective realities: Going-out, dating, friends with benefits, and hooking up. Going-out relationships, an exclusive and emotionally/physically close relationship, were the most easily described and the most intense and committed relationships. Dating relationships, however, were the most common type of sexual relationship and were less easily defined, partially due to the ambiguity of the relationship itself which is to 'get to know each other'. These relationships were somewhat exclusive and required less obligations. Friends with benefits (primarily physical relationships) and hooking up (single physical encounters) were casual relationships that required little to no commitment.Findings are interpreted via a developmental/feminist lens. Gender inequality and sexual double standards are potent forces that continue to shape adolescent's sexual behaviors, feelings, and experiences.

Using a participatory ergonomic approach, this research explored if the self-identified needs and concerns of computer users are reflected in a typical occupational therapy office ergonomic educational presentation. While the study confirmed that generally the needs of computer users are met, the topics that the participants found to be most relevant were workstation layout and equipment adjustment. This study also revealed that knowledge transfer/translation is an important factor and that clinicians should consider involving clients at the initial development phase of client educational information. The study participants preferred ergonomic information to be communicated in a brief manner, emphasizing action-oriented information and avoiding medical references. They wanted client information to employ humour, colour and lots of “pizzazz.” The manner in which clinical information is communicated to clients is vital for effective client education.

This is a qualitative study made to find out individuals experience of life in the residential Kronoparken in Karlstad. The study is a part of a municipality supported project aiming to find points of improvement and work for the area's development. This study is a first step to hear in what way the residents themselves describe their neighborhood and their lives. A total of thirteen people participated in focus groups with semi-structured interviews as data collection and the study was based on an availability sample which in this case meant that citizens of the residential Kronoparken were asked to participate. Data were analyzed through thematic analysis and in the analysis three themes appeared that summed up what the participants talk about and emphasized most: a divided area, anticipation and valuation as well as a comfortable and healthy every day living. The participants describe the area as geographically and ethnically divided. No matter what part of the area the individuals lives in they experienced the people in other areas to have more fellowship. However, the results point out that it might not be any large individual matter in terms of wellbeing or building identity, there seem to be other parameters in life that are equally important or even more important than to feel attached to other parts of ones residential area. The results suggest that individuals base their identity on many different things, where comfort and sense of participation in the residential area is only one of several parameters. Moreover, the participants talk much about the area's reputation, which gives people the expectation of the area before they move there and also gives rise to different values of the area when they have moved and started a life there. The participants testify to the rumor mill which seems to have much do with the press and the results suggest that it might require a certain type of people to neglict bad rumors and invest in something that many other people automatically reject. The last theme is about the experience of a comfortable and healthy living in Kronoparken. The participants finds it easy to get around within the area by walking or cycling, which is considered positive and rhymes with earlier research on the link between fresh air, daily exercise and wellbeing.

New immigrants to Canada are identified as a vulnerable population in mental health and, as a result, organizations are signaling the need to enhance their mental health supports. The research uses focus groups and questions based on the messaging of a Canadian school mental health program to understand how new immigrant mothers interpret and develop key aspects of their mental health literacy and how they attain parent empowerment. A thematic assessment of the knowledge, interpretation, action and decision-making of the study participants (n=7), all recent immigrants to Canada and mothers of high school students, shows that new immigrant mothers are prepared to follow a path towards mental health literacy. At the same time, however, there are barriers that can block progression towards mental health literacy for this audience. These findings are supported by three umbrella themes: the first main theme “home as haven” espouses maternal roles in mental health maintenance such as protector and communicator, the second main theme “knowledge versus suspicions of mental health and mental illness” represents informed views and support of mental illness and myths and illusions of mental illness, and the third main theme, “additional barriers to mental health literacy” includes the hardships of immigration and fear of knowledge. The study concludes that new immigrant mothers appreciate the importance of fostering mental health understanding and discussion with their children at the same time that they encounter obstacles to the advancement of their mental health literacy. This study is relevant to the field of communication in that it demonstrates the experience of new immigrant mothers as a secondary audience in mental health programming. As the caregivers of their children, they are in position to enforce the messages and health maintenance behaviours of a school-based mental health program aimed at adolescents.

The aim of this study is to re-contextualize prior negotiation theory emanating from the field of communications in a unique contemporary setting. The research focuses on the Canadian residential telecommunications sector, where the dominant business model involves the use of a rather peculiar variable pricing strategy, which has compelled a proportion of consumers to adopt competitive negotiation strategies. Through a series of three focus groups, the project gleans insight into the participants’ experiences and perceptions of the telecommunications procurement process. Based on prior theoretical assumptions and on this original research, the study tests the appropriateness of descriptive phase models of negotiation in the Canadian telecommunications industry, providing a new dimension to the nascent body of academic research in this area.

Complementary and alternative medication (CAM) use during menopause is a growing public and women's health issue. The use of CAMs is increasing and evidence of CAM use in the general population suggests that women in the menopausal age range are more likely to use CAMs. In the context of menopause, preliminary research has indicated that women are using a number of CAMs to address symptoms. In a study of American women aged 45 to 65 years, 22% of women used CAMs during menopause, specifically herbal or naturopathic remedies (13%), relaxation techniques (9%) and dietary soy supplements (7%). Fourteen percent (14%) of women strongly agreed with the proposition that approaches such as nutrition and vitamins were better than hormones (Newton et al., 2002). The term 'menopause' is a concept of varying perceptions and perspectives. From the biological perspective, menopause is constant, however from the individual perspective, menopause is a unique experience shaped by cultural, emotional, psychological and physical characteristics. Symptoms commonly cited during menopause include hot flushes, night sweats palpitations, irregular menses and muscle and bone pain. The use of CAMs during menopause has the potential to address current symptoms and promote long term health and wellness. The reviewed literature indicated that while a preliminary understanding of CAM use during menopause is evident, further research is needed to clarify and contextualise current prevalence rates and types used. In addition, an understanding of the reasons and factors that influence women to use CAMs during this transition is crucial to understanding women's menopausal experience. This project aimed to explore the prevalence of CAM use during menopause and to identify the reasons that influence women to use these therapies during the transition. To address this question, a two phase study was designed to incorporate both quantitative and qualitative research methods. For Phase 1, a secondary data analysis was undertaken on a dataset that explored women's menopausal experiences and therapies used to address symptoms and for phase 2, focus groups were used to explore women's personal experiences and perceptions of CAM use during menopause. The secondary data analysis was undertaken on a population based sample of 886 women aged 47-67 years. Women were randomly selected from the electoral roll on the basis of gender, age and postcode, which were selected to ensure representation of urban and rural and varying socioeconomic status. From this analysis, the findings indicated that 80% of women used at least one type of CAM with therapeutic techniques (activities such as walking and swimming) the most commonly used (83.0%), followed by nutrition (66.8%), phytoestrogens (55.8%), herbal therapies (41.3%) and CAM medications (25.1%). Women who used CAMs were more likely to experience anxiety and vasomotor (hot flushes and night sweats) symptoms, have higher education levels, be low to middle income earners, be aged under 55 years, be previous users of hormone therapy (HT) and have participated in self breast examinations. CAM users were 40 to 90% less likely to be currently using HT or to smoke more than 20 cigarettes per day. The results of the secondary data analysis indicated the prevalence and factors associated with CAM use, however the factors that influence women to use CAMs during the menopause were unclear. A series of three focus groups and two telephone interviews were undertaken with a group of 15 women, who were current users of CAMs, aged 47-67 years and fluent in English. Women were recruited through an advertisement placed in a newsletter distributed by a large metropolitan hospital; a flyer displayed on noticeboards of libraries and shopping centres; and a media release through the local community newspaper and on a state wide radio station. Analysis of the transcripts indicated that a number of factors interact to influence a woman's decision to use CAMs. Influences included relationships with family, friends and health practitioners, effects of symptoms, information on CAMs and menopause, current menopause research, personal perceptions of health, wellness and effectiveness of CAM therapies to alleviate symptoms. Taken together, the results of the Phase 1 and 2 combined with the literature indicated that women were using multiple forms of CAMs. A post hoc analysis was undertaken and the CAM questions analysed in Phase 1 were critiqued within this new knowledge of CAM use. As a consequence, CAMs were redefined into four groups to enhance current understandings. After reclassification, the use of at least one CAM was 71.6%, with the most commonly used dietary phytoestrogens (60.0%), followed by dietary supplements (47.0%), herbal therapies (35.9%) and phytoestrogen supplements (33.0%). Sociodemographic, health and symptom characteristics were further profiled against the redefined categories of dietary phytoestrogens, dietary supplements, herbal therapies, phytoestrogen supplements and users of multiple CAMs. The consistency of associations varied according to the CAM category with no significant association present across all four CAM categories. This post hoc analysis clarified CAM categorisation and highlighted the high prevalence of women who were using multiple forms of CAMs. Additionally, multivariable analysis validated and confirmed the results of Phase 1 as similar profiles of a CAM user were found. This research has identified the prevalence of CAM use during menopause in Queensland women and has begun to elucidate the reasons that influence women to use these therapies during this transition. The utilisation of both quantitative and qualitative methods has provided a comprehensive and holistic depiction of women's use of CAMs during menopause. The results and conclusions drawn from this research have highlighted areas that need addressing within the research and health service domain. For future research, development of a comprehensive CAM survey instrument is required and clarification of the definition of CAMs is also needed. Multiple definitions are currently used to describe CAM use, creating confusion in classifying types of CAMs and comparing prevalence rates between studies. With regard to health service recommendations, there is a need for increased access to information on menopause and alternative therapies for women. Open, active and participatory relationships between health practitioners and menopausal women are essential and health practitioners need to be aware women are using a variety of CAMs during the menopause and are likely to continue to do so even if health practitioner support is not apparent.

Sufficient physical activity, a key prerequisite for health, is lacking in many teenagers. Limited knowledge, however, exists about who, when, why, and if New Zealand teenagers are getting their daily dose of health-related physical activity. At conception of this thesis, available information was predominantly survey-derived with no New Zealand data and few international studies that had assessed adolescent physical activity levels objectively. Data were collected from three projects. Convenience sampling was used across all projects to recruit students from low-decile high schools located in the Auckland region. For Project 1, 236 Year 9 to Year 13 students each wore a pedometer for five days (three weekdays and two weekend days) and reported their mode of transportation to and from school. To explore ethnic and sex-specific perceptions of physical activity among youth (i.e., barriers, benefits, potential physical activity enhancing strategies), Project 2 involved nine focus group discussions with 44 Year 9 and Year 10 students who identified as Māori or European. Project 3 was a large cross-sectional study of 3,451 high school students (Years 9 - 13) from seven low-decile schools. Through this project the following self-reported data were collected: demographics, physical activity levels during four school-day physical activity opportunities (i.e., active travel, lunchtime physical activity, recess physical activity, after-school physical activity), sedentary behaviour (i.e., school-day television (TV) watching), level of perceived encouragement to be active, and the presence of home policies regarding TV use. Analyses revealed low physical activity participation and high TV use behaviours. Pedometer data showed that only 14.5% of participants achieved a conservative criterion of 10,000 steps daily. Also, daily steps varied by age group (junior students: 11,079 ± 330; senior students: 9,422 ± 334), sex (males: 10,849 ± 381; females: 9,652 ± 289), time of week (weekday: 12,259 ± 287; weekend day: 8,241 ± 329), and transportation mode to/from school (walkers: 13,308 ± 483; car transit users: 10,986 ± 435). Low school-day physical activity levels emerged, especially during school hours (i.e., during recess and lunchtime). Based on dichotomised grouping (less active versus more active), the proportion of students in the ‘more active’ group during morning recess and lunchtime, after school, and as part of active travel to/from school were 26%, 32.4%, 56.3%, 58.1% respectively. Only 11.1% of participants were in the ‘more active’ group across all four physical activity opportunities. The focus group data revealed primarily social benefits of physical activity (e.g., meeting new people, fun). Barriers were mainly environment-related and included lack of peer support, low accessibility to and availability of physical activity opportunities, alternative sedentary activities, structure of physical education classes (females only), and distance between home and school (in terms of active transportation). Potential strategies to increase physical activity reflected the articulated barriers and benefits (e.g., increase peer support, parents to turn off the TV, organised activities at school, restructure physical education classes to allow student involvement in the decision-making process of class content). No ethnic and few sex differences in perceptions were found. Focusing on the verbalised importance of social support from the focus groups, Project 3 data showed that the strength of association between perceived encouragement from different support sources (i.e., parents, older siblings/cousins, peers, school) and physical activity participation varied by the physical activity opportunity examined. In particular, multivariate logistical regression showed reduced odds of being in the ‘more active’ group was associated with low parental encouragement (Juniors, OR: 0.47, 95% CI: 0.38-0.58; Seniors, OR: 0.41, 95% CI: 0.29-0.60) and low peer encouragement (Juniors, OR: 0.61, 95% CI: 0.51-0.74; Seniors, OR: 0.49, 95% CI: 0.35-0.69) for after-school physical activity, low peer encouragement (Juniors, OR: 0.39, 95% CI: 0.32-0.48; Seniors, OR: 0.41, 95% CI: 0.29-0.57) for lunchtime activity, and low peer encouragement (Juniors, OR: 0.78, 95% CI: 0.66-0.92) for active transportation (junior students only). No significant difference in physical activity was found between students who received high encouragement from two parents than students who reported high encouragement from their sole parent in a single parent family. Concentrating on the after-school period, Project 3 data were analysed to examined the relevance of the displacement hypothesis during this school-day period. The association between parental strategies (i.e., encouragement to be active and having TV limits) and youth after-school activity behaviours (i.e., hours spent viewing TV, physical activity participation) was also examined. Support for the displacement hypothesis emerged. In particular, compared to students who watched less than one hour of TV, those who watched greater than four hours of TV were half as likely to be in the more active group for after-school physical activity participation (adjusted OR: 0.51; 95% CI: 0.40-0.65). Comparing activity profile groups (i.e., based on combined TV use and after-school activity levels), compared to the participants in the ‘low TV/active’ group, participants in the other three activity groups (e.g., ‘high TV/low active’) were at least 1.28 times more likely to have parents that executed only one parental strategy and up to 4.77 times more likely to have parents that did not carry out either strategy. Substantive opportunities exist for youth to be active every day, and in different contexts and environments, yet a large proportion of young people are not maximising these opportunities to be active. If the health issue of inactivity is to be tackled in a comprehensive and efficient manner, a multi-strategy, multi-environment, coordinated approach among local authorities, government agencies, schools, families, and neighbourhoods is required to address the noted policy, physical, and social-related associates of an active lifestyle for youth. Future effort, whether in the form of strategy development, intervention work, or research, needs to be founded upon ecological theory, where both individual and a range of familial, social, and physical environmental factors (and there potential interactions) are considered. Lastly, equal research attention should be directed at improved physical activity levels, and just as importantly, reducing time youth spend in a sedentary state.

Thesis (Ph. D.)--University of Washington, 2002. / Vita. Includes bibliographical references (leaves ).

Thesis (D. Min.)--Covenant Theological Seminary, 2000. / Abstract. Includes bibliographical references (leaves 259-263).

Thesis (D. Min.)--Covenant Theological Seminary, 2000. / Abstract. Includes bibliographical references (leaves 259-263).