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Browsing by Author "Van Antwerp, Leah R."
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Item The 4th International MOHO Institute: Summary and Reflections(2015) Nakamura-Thomas, Hiromi; Van Antwerp, Leah R.; Ikiugu, Moses N.; Scott, Patricia J.; Bonsaksen, ToreThe 4th International Institute on the Model of Human Occupation (MOHO) was held October 23-24, 2015 at Indiana University-Purdue University in Indianapolis, USA. The title of the institute was: Reaching Out: Application of MOHO in Academic-Practice Partnerships.Item Efficacy of a Hydrotherapy Program in the Neonatal Intensive Care Unit (NICU)(2023-05) Johnson, Lauryn J.; Van Antwerp, Leah R.; Department of Occupational Therapy, School of Health and Human Sciences; Bushur, Stephanie E.15 million infants are born premature each year leading to increased neonatal and childhood morbidity and mortality (de Oliveira Tobunaga et al. ,2016). While in the neonatal intensive care unit (NICU), these infants are exposed to a noisy environment, daily manipulation, and painful procedures that have the potential to impact their clinical stability and neuro-psychomotor development (Novakoski et al., 2018). A level III NICU, located in Carmel, Indiana, developed a hydrotherapy program to mitigate the harsh environment of the NICU and address neuro-motor development in these pre-term infants. The doctoral capstone experience (DCE) aimed to determine the efficacy of the program in improving psychological stability and reducing pain. Pre-and-post data, including physiological parameters and pain, were collected before and after each session. The results showed an overall increase in axillary body temperature, heart rate (HR), respiration rate (RR) with a reduction in oxygen saturation (SPO2). Pain was also assessed before and after the intervention. The results, of this current study, suggest hydrotherapy may promote slight irritation. Though hydrotherapy is a safe, low-cost intervention offering several benefits, further studies should be completed and include a larger sample population and randomization before determining efficacy in the NICU.Item Predictors of Colorectal Cancer Screening Adherence among Male Veterans(Office of the Vice Chancellor for Research, 2014-04-11) Van Antwerp, Leah R.; Christy, Shannon M.; Mosher, Catherine E.; Rawl, Susan M.; Haggstrom, David A.Colorectal cancer (CRC) is the second leading cause of cancer mortality. However, CRC risk can be decreased through regular CRC screening and removal of precancerous polyps during endoscopic screening tests. Indeed, it has been estimated that 75%-90% of CRC cases could be prevented through adherence to CRC screening guidelines. The CDC recommends CRC screening for average risk adults starting at age 50 with five test options including: (1) annual fecal occult blood test fecal (FOBT) or fecal immunochemical test (FIT); (2) flexible sigmoidoscopy every 5 years; (3) virtual colonoscopy every 5 years; (4) double-contrast barium enema every 5 years; or (5) colonoscopy every 10 years. In the U.S. population, demographic factors predict adherence to CRC screening guidelines such as completing high school, having a partner, and older age. Other predictors of CRC screening adherence in the general population include urban residency, White race, and having health insurance. However, few studies have examined predictors of CRC screening adherence among veterans. The present study focused on male veterans, as its primary aim was to examine masculinity beliefs as predictors of CRC screening. The proposed secondary analyses examine potential demographic and health correlates of adherence to CRC screening guidelines. In one prior study, increasing age was associated with decreased likelihood that male veterans were adherent to CRC screening guidelines. In the current study, 250 male veterans aged 51-75 at the Roudebush VA primary care clinic complete a survey on one occasion. Currently, 175 participants who are adherent to CRC screening and 64 non-adherent participants are enrolled. Participants’ CRC screening behaviors are collected via self-report and medical records. Correlations will be computed between demographic factors (e.g., age, race, education), BMI, and CRC screening guideline adherence. Findings will enhance our understanding of factors associated with veterans’ CRC screening behaviors.Item Relationships between Health Behaviors and HPV Vaccine Receipt and Intentions among Undergraduate Women(Office of the Vice Chancellor for Research, 2013-04-05) Van Antwerp, Leah R.; Winger, Joseph G.; Christy, Shannon M.; Mosher, Catherine E.The human papillomavirus (HPV) vaccine represents an important step in reducing cervical cancer incidence and mortality. In recent years, this vaccine has been routinely recommended for females under the age of 26; however, only one-third of adolescent females have initiated the 3-shot HPV vaccine series. Although a number of studies have identified predictors of HPV vaccination, few have examined its correlations with other health behaviors. Evidence suggests that health-enhancing behaviors (e.g., healthy diet, physical activity) tend to cluster together. In this study, we examined the relationships between health behaviors and HPV vaccine receipt and intentions among undergraduate women at IUPUI. Participants (N=286) completed an internet-based survey that included measures of health behaviors (e.g., diet and exercise, vaccination history, recent physical examination) as well as questions regarding HPV vaccine receipt and intentions (i.e., likelihood of being vaccinated). Participants were, on average, 19 years old (SD=1.9). The majority were Caucasian (75%), single (90%), sexually active (65%), and recipients of the HPV vaccine (58%). Results showed significant relationships between HPV vaccine receipt and the receipt of other medical care, including a flu shot in the past year (χ2(1, N=260)=3.88, p<.05), a Pap smear in the past three years (χ2(1, N=263)=6.49, p<.05), and a recent dental visit (r=.15, p<.05). Among those who had not received the HPV vaccine, increased HPV vaccine intentions were associated with the receipt of the flu shot in the past year (r=.19, p<.05) and the receipt of HIV testing (r=.19, p<.05). However, HPV vaccine receipt and intentions were not significantly related to engagement in any of the other health behaviors (e.g., diet and exercise). Findings suggest that HPV vaccine uptake and intentions to receive the vaccine are associated with the receipt of other preventative medical care among female undergraduates.