Thesis (Ph. D.)--Kent State University, 2007. / Title from PDF t.p. (viewed June 7, 2007). Advisor: Donald L. Bubenzer. Keywords: self-help techniques, bibliotherapy, self-change, reading process, qualitative research. Includes survey instrument. Includes bibliographical references (p. 187-203).

Thesis (Ph. D.)--University of Texas at Austin, 2005. / Vita. Includes bibliographical references.

Thesis (Ph. D.)--University of Queensland, 2002. / Includes bibliographical references.

Over the past decade results from a series of research studies have contributed to the development and evaluation of the Arthritis Self-Management Program (ASMP), a volunteer-led patient education program for persons with arthritis. To date, these studies have primarily focussed on program effectiveness, process, implementation, and dissemination. In these studies self-efficacy was identified as an important construct contributing to the program's effectiveness, however, the exact relationship between self-efficacy and health outcomes has not been determined. In this dissertation research I investigate the evidence of a causal relationship between self-efficacy and three program outcomes (a decrease in depression, less pain, and a higher self-rating of overall health status), and attempt to determine the nature of that relationship. The research methodology involved the use of structural equation modeling (SEM) with two longitudinal samples, one (n=122) of 1991 ASMP participants in British Columbia, the other (n=189) of 1992 ASMP participants in Ontario. In the analysis self-efficacy was paired separately with depression, pain and perceived health status. The results of the SEM failed to confirm a dominant causal relationship from self-efficacy to depression, or to pain. This may indicate that these variables have a reciprocal or "spiral" relationship or that both sets of variables may be caused by factors not considered in the analysis. The results of the SEM between self-efficacy and perceived health status did, however, show that higher self-rated health status leads to higher self-efficacy at a later time. The data did not show statistical significance for other causal patterns among these variables. The findings suggest that self-efficacy may play a moderator role in the complex relationship involving individuals with arthritis, their behaviors, and health outcomes. As well, the findings have implications for health promotion planning and research in that they reinforce the complex interplay of psychological and behavioral variables (probably influenced by social variables) in programs which attempt to give individuals greater control over their health. The efficacy and effectiveness of the ASMP has been established in previous studies. This study in no way calls these into question. It does, however, suggest that the mechanism by which these effective outcomes are achieved warrants further investigation.

Thesis (Ph. D.)--University of Nevada, Reno, 2007. / "August, 2007." Includes bibliographical references (leaves 75-85). Online version available on the World Wide Web.

Over the past decade results from a series of research studies have contributed to the development and evaluation of the Arthritis Self-Management Program (ASMP), a volunteer-led patient education program for persons with arthritis. To date, these studies have primarily focussed on program effectiveness, process, implementation, and dissemination. In these studies self-efficacy was identified as an important construct contributing to the program's effectiveness, however, the exact relationship between self-efficacy and health outcomes has not been determined. In this dissertation research I investigate the evidence of a causal relationship between self-efficacy and three program outcomes (a decrease in depression, less pain, and a higher self-rating of overall health status), and attempt to determine the nature of that relationship. The research methodology involved the use of structural equation modeling (SEM) with two longitudinal samples, one (n=122) of 1991 ASMP participants in British Columbia, the other (n=189) of 1992 ASMP participants in Ontario. In the analysis self-efficacy was paired separately with depression, pain and perceived health status. The results of the SEM failed to confirm a dominant causal relationship from self-efficacy to depression, or to pain. This may indicate that these variables have a reciprocal or "spiral" relationship or that both sets of variables may be caused by factors not considered in the analysis. The results of the SEM between self-efficacy and perceived health status did, however, show that higher self-rated health status leads to higher self-efficacy at a later time. The data did not show statistical significance for other causal patterns among these variables. The findings suggest that self-efficacy may play a moderator role in the complex relationship involving individuals with arthritis, their behaviors, and health outcomes. As well, the findings have implications for health promotion planning and research in that they reinforce the complex interplay of psychological and behavioral variables (probably influenced by social variables) in programs which attempt to give individuals greater control over their health. The efficacy and effectiveness of the ASMP has been established in previous studies. This study in no way calls these into question. It does, however, suggest that the mechanism by which these effective outcomes are achieved warrants further investigation. / Graduate and Postdoctoral Studies / Graduate

The purpose of this project was to design and evaluate a sport-based life skills intervention designed for indigenous New Zealand (Maori) youth who may be exposed to drug or alcohol abuse. An indigenous research approach known as Kaupapa Maori research was utilised. As an indigenous approach, Kaupapa Maori signifies the importance of research with Maori being initiated, determined, and validated by Maori and in particular, by those directly involved with the research initiative (Bishop, 1996; Tuhiwai-Smith, 1999). As a result of adhering to a Kaupapa Maori approach the participants determined additional areas of interest including academic self-esteem, intrinsic motivation for schoolwork and career awareness. Therefore, the initial project grew to include several other life skills areas identified by the participants. The life skills basis of the 'Hokowhitu' intervention was adapted from the Going for the Goal (GOAL) and Sports United to Promote Education and Recreation (SUPER) programmes developed by Professor Steve Danish (Danish, 1997; Danish & Nellen, 1997; Danish, Meyer, Mash, Howard, Curl, Brunelle & Owens, 1998). The GOAL and SUPER programmes taught life skills to adolescents including informed decision-making, health-enhancing activities (e.g., goal setting) and health-compromising activities (e.g., drug & alcohol abuse). A New Zealand (NZ) version of the GOAL programme was successfully pilot-tested in 1997-1998 in NZ schools with non-Maori adolescents (Hodge & Danish, 1999; Hodge, Cresswell, Sherburn, & Dugdale, 1999). The evaluation of the Hokowhitu programme used both quantitative and qualitative analyses. The qualitative investigation received an enthusiastic response and supportive results for the Hokowhitu programme. Many of the research participants preferred the qualitative investigative approach because of the culturally recognised components (e.g., Te kanohi ki kanohi or face-to-face method used to ask questions). The quantitative investigation used; Mann-Whitney U, Wilcoxon, Chi Square and McNemar statistical tests (Harraway, 1995). The outcome of the overall programme evaluation showed that the Hokowhitu programme provided improvements in; (a) academic self-esteem, (b) increased intrinsic motivation for schoolwork, (c) increased career awareness, and (d) increased drug and alcohol awareness in adolescent Maori. Also, there was some statistical support for the Hokowhitu programme and evidence that life skills and Kaupapa Maori ideologies were able to be successfully integrated into a sport-based programme.

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Thesis (Master of International and Intercultural Management)--School for International Training, 2004. / Advisor -- Jeff Unsicker. Includes bibliographical references (leaves 95-97).

Thesis (M.A.)--Boise State University, 2009. / Includes abstract. Includes bibliographical references (leaves 72-78).