Undergraduate Thesis Or Project

 

(Final) HEMS_URAP poster_Alex.pptx Public Deposited

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  • Purpose: To evaluate the effectiveness of Health Education for Persons with Multiple Sclerosis (HEMS) on increasing physical activity (PA) behavior and constructs of Social Cognitive Theory (SCT), such as outcome expectations, self-efficacy, social support, and goal achievement in individuals with Multiple Sclerosis (MS). Results have shown there is little translational research on increasing PA in this population. However, it has been demonstrated that physical activity is linked to improved performance of activities of daily living, reduced severity of secondary conditions related to MS, and overall improvements in quality of life. Methods: Recruitment for participation in this study was achieved through the existing MS exercise clinic at Oregon State University. 21 participants were initially recruited for the intervention. However, only 13 participants completed the health education program and completed measurable data. The average years of living with MS for participants was 14 years, with 63% displaying relapsing remitting MS, 32% secondary progressive MS, and 5% primary progressive MS. Participants underwent an 8 week baseline assessment, followed by 8 weeks of the intervention, which consisted of health education to increase PA and SCT constructs. To evaluate the effectiveness of the intervention, PA measurements were obtained from pedometers and PA logs while SCT constructs were measured by questionnaires. Results: Baseline assessment of eighteen participants (15 female; M age 55) showed an average of 4,845 steps completed weekly, moderate self-efficacy (M 6.16/10), moderate to high outcome expectations (M 4.09/5), moderate social support to be active (M 2.99/5), and occasionally set activity goals (M 2.66/5). Post-assessment analysis of the 13 participant’s data showed no significant increases among the SCT constructs. Data showed that individuals completed an average of 3814 steps weekly, reported increased self-efficacy (M 7.98/10; p=0.08), moderate outcome expectations (3.96/5), moderate social support to be active (2.11/5), and occasionally set activity goals (M 2.83/5). Conclusion: It is believed that providing health education increases the amount of time individuals spend per week participating in PA behavior. At baseline, participants had a low PA and have a margin for improvement in the constructs. We anticipated that participants would increase their time spent participating in PA behavior, setting and achieving goals associated with PA, improve self-efficacy toward PA, and gain social support surrounding PA. However, post-assessment data analysis did not support the expected hypotheses. Evaluation of the current health education material may be required to determine if effective modifications to the curriculum are needed. Potential modifications to consider include; alternative modes of assessment such as new physical activity logs, less frequent assessment to avoid “burn-out” of participants, and an online module for health education delivery in order to reach a larger sample population.
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  • description.provenance : Submitted by Alexander Pearson (pearsale@onid.orst.edu) on 2013-06-01T18:06:25Z No. of bitstreams: 3 license_rdf: 1232 bytes, checksum: bb87e2fb4674c76d0d2e9ed07fbb9c86 (MD5) (Final) HEMS_URAP poster_Alex.pdf: 80910 bytes, checksum: 9b2d060b8c20803fc17eaf4dd8e88a48 (MD5) (Final) HEMS_URAP poster_Alex.pptx: 508857 bytes, checksum: 5c9160fe09a57831f7c53020e823eb25 (MD5)
  • description.provenance : Made available in DSpace on 2013-06-02T21:12:25Z (GMT). No. of bitstreams: 3 license_rdf: 1232 bytes, checksum: bb87e2fb4674c76d0d2e9ed07fbb9c86 (MD5) (Final) HEMS_URAP poster_Alex.pdf: 80910 bytes, checksum: 9b2d060b8c20803fc17eaf4dd8e88a48 (MD5) (Final) HEMS_URAP poster_Alex.pptx: 508857 bytes, checksum: 5c9160fe09a57831f7c53020e823eb25 (MD5)
  • description.provenance : Approved for entry into archive by Sue Kunda(sue.kunda@oregonstate.edu) on 2013-06-02T21:12:25Z (GMT) No. of bitstreams: 3 license_rdf: 1232 bytes, checksum: bb87e2fb4674c76d0d2e9ed07fbb9c86 (MD5) (Final) HEMS_URAP poster_Alex.pdf: 80910 bytes, checksum: 9b2d060b8c20803fc17eaf4dd8e88a48 (MD5) (Final) HEMS_URAP poster_Alex.pptx: 508857 bytes, checksum: 5c9160fe09a57831f7c53020e823eb25 (MD5)

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