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Poster Abstracts48ASOs were established and the PNs attended more than 200professional development sessions. Four potential subjectswere identified across the sites, but eligibility issues curbedenrollment. The distribution of flyers for the communityoutreach activities was the preferred modality. Conclusions:It is worth noting that during one intervention a PN canreach out to a large number of individuals by distributingrecruitment materials. Novel strategies are needed to enablemembers of underserved groups to participate in HIV/AIDSclinical trials; higher impact can be attained when severalmodalities are implemented in a programmatic area.17. Constraints on Healthy Eating AmongCollege Students with Meal PlansAshley Gallentine, BS, University of South Florida, Departmentof Anthropology and the College of Public Health, TheDepartment of Community and Family HealthThe college years are a time when many students beginmaking their own decisions about food and developingtheir own eating habits. Many students often buy a mealplan, either by choice or regulation. The purpose of thisstudy was to compare the eating habits between mealplan and non-meal plan students using mixed methods.The Socioecological Model (SEM) was used to examine themultiple effects and interrelatedness of the built environmentand social structure at this university. The dynamics of thedifferent levels, of the SEM in relation to where the emergingfactors influencing eating behaviors, can be used to developeffective intervention and community based programs. Aconvenience sample of undergraduate students from a largesoutheastern university (n=317), completed quantitativesurveys in addition to qualitative data were obtained fromfocus groups (n=16), and interviews (n=6). Quantitative datawere analyzed using descriptive analyses, Chi-Square andT-tests. Data obtained from focus groups and interviews werehand coded and emerging themes were extracted. Resultsdepict no statistically significant differences between mealplan and non-meal plan students regarding valuation ofbreakfast. However, results did reveal that students with mealplans consumed breakfast left often that those without ameal plan (P=.043). Qualitative findings revealed two themesrepresenting barriers to breakfast consumption amongmeal plan students including: a) time constraints; and b)inconvenient on-campus breakfast locations. Addressingthese barriers is critical for improving dietary consumptionamong college students who participate in meal plan options.18. CHOICES: Addressing Reproductive HealthDisparities among AdolescentsKelsi Williams, BS, Metro Public Health Department/ MeharryMedical SchoolKelsi Williams Meharry Medical College/ Nashville MetroPublic Health Dept. Collaborative Kimberlee Wyche Etheridge,MD, MPH Director Family Youth and Infant Health MetroNashville/Davidson County Public Health DepartmentBackground: Adolescents are at risk for developing a numberof serious health issues as a direct result of their behavioraland lifestyle choices. The arising question is do adolescentsretain adequate information on sexual decision making andcontraception? When exploring teenagers’ attitudes towardsSOPHE 62nd Annual Meetingand knowledge of contraceptives and sexual health services,and their communications and formal education aboutreproductive health in order to determine innovative andculturally-competent methods to reduce health disparities(unintended pregnancies, sexually transmitted infectionsand infant mortality), particularly among this vulnerablepopulation, Metro Public Health Department (MPHD)developed CHOICES. Methods: In Davidson County, Nashville,Metro Public Health Department offers a knowledge basedprogram, CHOICES for 13-18 years of age at Metro Parks andRecreation Community Centers. This program offers classeson topics such as values, healthy relationships, positive selfimage, and effective communication. Results: Throughpre/post testing, participants have shown an increase inknowledge, self image and an understanding of valuesbased on attending the intervention. Conclusions: MPHDhas advocated for adolescents by offering community basededucation and interventions to increase opportunities foradolescents in Nashville to become healthy adults. PublicHealth Implications: The CHOICES Program will have a positiveimpact on reproductive health disparities among adolescentsand young adults in Davidson County, and encourageparticipants to be more proactive about their health needs.19. Innovative Approaches to Increase Rural TobaccoCessation Class Participation and Quit RatesNancy Johnson, BS, CHES, Truman State University, Health andExercise Science Department; Brittany Camacho, BS, CHES,Truman State University, Health and Exercise Science DepartmentTruman State University resides in Kirksville, the largest cityin a nine county area, located in rural Adair County, Missouri.About one fifth (19%) of these residents live below the povertylevel with a median income of $32,815. According to the mostrecent Missouri County‐level Study, 23% of adult residentscurrently smoke tobacco, and of those who smoke, 70% startedsmoking before the age of 18. This data also indicates that53% of the identified smokers are contemplating behaviorchange and intend to quit smoking in the next six months.Despite the significant need for cessation programs, TrumanState University offers the only tobacco cessation servicesin the region at no cost to the participant. The programwas created through a collaborative partnership betweenthe University and the Missouri Foundation for Health; andimplements the American Lung Association’s Freedomfrom Smoking curriculum, which is the gold standard incessation programs. Objectives of the program were to (1)have a total of 10 participants attend at least 75% (6 out of8) of the program sessions and (2) attain a minimum of a20% quit rate as evaluated by the 3, 6, and 12 month followupcall protocol. Program evaluation data is collected byemploying the Center for Tobacco Policy Research’s QuitRate Protocol and the Freedom from Smoking End of ClinicQuestionnaire. Current results include: (1) the Fall 2009class had a 10% 12 month conservative quit rate with 36%response rate; (2) the spring 2010 class consisted of twopeople, of which neither responded to follow up calls; (3)the Fall 2010 class had a 75% response rate at 3 month callsand 63% response rate at 6 month calls. The class had a 25%conservative quit rate at 3 months and a 29% quit rate at 6months; and (4) the spring 2011 class had a 30% conservativequit rate at the end of the program. Each year we facilitate

Poster Abstractsthe cessation class, our participation numbers increase aswell as our quit rate. The increases in participation can beattributed to the continuous adaption of media messagesadvertising techniques to meet the needs of our audience.According to qualitative data the increases in the quit rateare a result of the compassion and dedication of the programfacilitators, as well as the supportive group environment.20. Caregiver Burden and Caregiver HRQOLFollowing Dysphagia from Head/Neck CancerChandylen Nightingale, BS, MPH, University of Florida/Department of Behavioral Science & CommunityHealth; Giselle Carnaby-Mann, PhD, MPH, BAS, P.Grad.Dip (HSC), SLP-CCC, University of Forida/ Departmentof Behavioral Science and Community HealthBackground: Difficulty swallowing is prevalent in patientsundergoing treatment for head and neck cancer oftenresulting in non-oral or complicated feeding and a host ofpsychosocial problems. While the impact of the diseaseand its treatment in patients is understood, the burden forcaregivers remains unclear. Evaluating caregiver burden willoptimize health related quality of life (HRQOL) and survival.Theoretical Framework:The Caregiving Stress Process Modeldescribes the relationship between caregiving stress andhealth outcomes and depicts a changing process betweenburden and health outcomes, mediated and moderatedby proposed variables (e.g., patient’s disability, socialsupports). This study takes into consideration componentsof the model and findings will be discussed as they relate.Hypothesis:It is hypothesized that there will be a relationshipbetween caregiver burden and patient HRQOL, especiallyas it relates to swallowing difficulty over time.Methods:Aprospective cohort of 40 caregiver/patient dyads presentingto a cancer clinic over a twelve month period was evaluated.Participants received a 45 minute interview at 3 time points(baseline, 3-weeks, 6-weeks). Interviews included HRQOL,depression, burden, and swllowing (for patients only)using standardized measures. Qualitative interviews wereprovided at 3-weeks and 6-weeks to a sub-set of caregivers.Responses were correlated to care-receiver swallowingfunction and HRQOL at all time points. Results:Burdenchange scores (baseline to time point) were compared usingpaired samples t-test and repeated ANOVA. Analyses werestratified by chemotherapy. Differences between groupswere reported using RR and 95% CI’s. Associations betweenburden and HRQOL are reported using correlational analysis.Qualitative data is presented from NVIVO-9 thematiccoding. Conclusion:The caregiving stress process modelencapsulates the relationship between caregiving stressand health outcomes. The burden associated with carerecipient swallowing deficits during and after head andneck cancer treatment is significant and acts as a moderatorto the relationship by via the domain of patient disability.This relationship will be presented and explored in the data.Implications for Practice:By having a better understandingof the relationship between caregiver burden and patientHRQOL (including swallowing difficulty), researchers andclinicians can collaboratively ascertain when and how tointervene to optimize care for both the patient and caregiver.* Denotes Poster Promenade21. Regional Differences in Physical Activity Behaviorsof College Students in the United States, 2008-2009Richard Christiana, MS, University of Georgia/College of PublicHealth/Department of Health Promotion and Behavior; AndreaBrace, MS CHES, University of Georgia/College of Public Health/Department of Health Promotion and Behavior; Marsha Davis,PhD, Associate Professor, University of Georgia/College of PublicHealth/Department of Health Promotion and BehaviorRates of obesity among adults are rising in the United States.As an increasing number of US colleges and universities offermore diverse and expanded courses to their students relatedto living a healthy lifestyle, the college student populationcontinues to be a focus for research. This study examinesthe differences in physical activity behaviors among collegestudents by geographic region of the US. The data wereobtained from the National College Health Assessment IIwhich was a survey conducted by the American CollegeHealth Association during the fall 2008 and spring 2009academic semesters. The sample consisted of undergraduateand graduate students attending colleges and universitiesacross the US (N=107,925). Data were broken down by fourregions (Northeast, Midwest, South, and West) based on thelocation of the colleges or universities. Analyses consisted ofcorrelation analysis and analysis of variance among variablesrelated to engaging in moderate physical activity, vigorousphysical activity, and strength training by region. Studentsin the Northeast region reported the highest percentages ofhaving engaged in no moderate (27%) or vigorous physicalactivity (42%) or less than two days of strength training (66%)in the past week among the regions. Students in the Westregion reported the lowest percentages of having engagedin no moderate (22%) or vigorous physical activity (37%)or less than two days of strength training (63%) in the pastweek. The differences in engaging in moderate and vigorousphysical activity as well as strength training were found tobe statistically significant across regions. The high rates ofengaging in no moderate or vigorous physical activity or lessthan two days of strength training in the past week in eachof the regions is cause for concern. More research is neededto understand the mechanisms underlying the low rates ofphysical activity among college students. These findingsprovide support for the need for increased development ofprogramming and intervention strategies within universitysettings. The differences in physical activity behaviors amongcollege students by region will be discussed based on theCenters for Disease Control and Prevention guidelines. Thelimitations of the current study will also be addressed.22. The Effects a Pain Reduction Programon Female EndometriosisBarbara Lorraine Michiels Hernandez, PhD, Lamar UniversityEndometriosis is a non-curable disease affecting 10 millionwomen in the U. S. Fragments of the uterine lining remainin the body instead of being expelled during menstruationcausing pelvic pain and infertility. The purpose of this nonexperimentalpilot case study was to determine the effects ofa diet, exercise, and weight control program on endometriosispain reduction in a diagnosed female participant utilizingthe Stages of Change theory. The methods included datarecorded for 5 days per week for 3 months on a code sheet.The 90 minute daily exercise regime included aerobic activitySOPHE 62nd Annual Meeting49

Poster Abstractsthe cessation class, our participation numbers increase aswell as our quit rate. The increases in participation can beattributed to the continuous adaption of media messagesadvertising techniques to meet the needs of our audience.According to qualitative data the increases in the quit rateare a result of the compassion and dedication of the programfacilitators, as well as the supportive group environment.20. Caregiver Burden and Caregiver HRQOLFollowing Dysphagia from Head/Neck CancerChandylen Nightingale, BS, MPH, University of Florida/Department of Behavioral Science & Community<strong>Health</strong>; Giselle Carnaby-Mann, PhD, MPH, BAS, P.Grad.Dip (HSC), SLP-CCC, University of Forida/ Departmentof Behavioral Science and Community <strong>Health</strong>Background: Difficulty swallowing is prevalent in patientsundergoing treatment <strong>for</strong> head and neck cancer oftenresulting in non-oral or complicated feeding and a host ofpsychosocial problems. While the impact of the diseaseand its treatment in patients is understood, the burden <strong>for</strong>caregivers remains unclear. Evaluating caregiver burden willoptimize health related quality of life (HRQOL) and survival.Theoretical Framework:The Caregiving Stress Process Modeldescribes the relationship between caregiving stress andhealth outcomes and depicts a changing process betweenburden and health outcomes, mediated and moderatedby proposed variables (e.g., patient’s disability, socialsupports). This study takes into consideration componentsof the model and findings will be discussed as they relate.Hypothesis:It is hypothesized that there will be a relationshipbetween caregiver burden and patient HRQOL, especiallyas it relates to swallowing difficulty over time.Methods:Aprospective cohort of 40 caregiver/patient dyads presentingto a cancer clinic over a twelve month period was evaluated.Participants received a 45 minute interview at 3 time points(baseline, 3-weeks, 6-weeks). Interviews included HRQOL,depression, burden, and swllowing (<strong>for</strong> patients only)using standardized measures. Qualitative interviews wereprovided at 3-weeks and 6-weeks to a sub-set of caregivers.Responses were correlated to care-receiver swallowingfunction and HRQOL at all time points. Results:Burdenchange scores (baseline to time point) were compared usingpaired samples t-test and repeated ANOVA. Analyses werestratified by chemotherapy. Differences between groupswere reported using RR and 95% CI’s. Associations betweenburden and HRQOL are reported using correlational analysis.Qualitative data is presented from NVIVO-9 thematiccoding. Conclusion:The caregiving stress process modelencapsulates the relationship between caregiving stressand health outcomes. The burden associated with carerecipient swallowing deficits during and after head andneck cancer treatment is significant and acts as a moderatorto the relationship by via the domain of patient disability.This relationship will be presented and explored in the data.Implications <strong>for</strong> Practice:By having a better understandingof the relationship between caregiver burden and patientHRQOL (including swallowing difficulty), researchers andclinicians can collaboratively ascertain when and how tointervene to optimize care <strong>for</strong> both the patient and caregiver.* Denotes Poster Promenade21. Regional Differences in Physical Activity Behaviorsof College Students in the United States, 2008-2009Richard Christiana, MS, University of Georgia/College of <strong>Public</strong><strong>Health</strong>/Department of <strong>Health</strong> Promotion and Behavior; AndreaBrace, MS CHES, University of Georgia/College of <strong>Public</strong> <strong>Health</strong>/Department of <strong>Health</strong> Promotion and Behavior; Marsha Davis,PhD, Associate Professor, University of Georgia/College of <strong>Public</strong><strong>Health</strong>/Department of <strong>Health</strong> Promotion and BehaviorRates of obesity among adults are rising in the United States.As an increasing number of US colleges and universities offermore diverse and expanded courses to their students relatedto living a healthy lifestyle, the college student populationcontinues to be a focus <strong>for</strong> research. This study examinesthe differences in physical activity behaviors among collegestudents by geographic region of the US. The data wereobtained from the National College <strong>Health</strong> Assessment IIwhich was a survey conducted by the American College<strong>Health</strong> Association during the fall 2008 and spring 2009academic semesters. The sample consisted of undergraduateand graduate students attending colleges and universitiesacross the US (N=107,925). Data were broken down by fourregions (Northeast, Midwest, South, and West) based on thelocation of the colleges or universities. Analyses consisted ofcorrelation analysis and analysis of variance among variablesrelated to engaging in moderate physical activity, vigorousphysical activity, and strength training by region. Studentsin the Northeast region reported the highest percentages ofhaving engaged in no moderate (27%) or vigorous physicalactivity (42%) or less than two days of strength training (66%)in the past week among the regions. Students in the Westregion reported the lowest percentages of having engagedin no moderate (22%) or vigorous physical activity (37%)or less than two days of strength training (63%) in the pastweek. The differences in engaging in moderate and vigorousphysical activity as well as strength training were found tobe statistically significant across regions. The high rates ofengaging in no moderate or vigorous physical activity or lessthan two days of strength training in the past week in eachof the regions is cause <strong>for</strong> concern. More research is neededto understand the mechanisms underlying the low rates ofphysical activity among college students. These findingsprovide support <strong>for</strong> the need <strong>for</strong> increased development ofprogramming and intervention strategies within universitysettings. The differences in physical activity behaviors amongcollege students by region will be discussed based on theCenters <strong>for</strong> Disease Control and Prevention guidelines. Thelimitations of the current study will also be addressed.22. The Effects a Pain Reduction Programon Female EndometriosisBarbara Lorraine Michiels Hernandez, PhD, Lamar UniversityEndometriosis is a non-curable disease affecting 10 millionwomen in the U. S. Fragments of the uterine lining remainin the body instead of being expelled during menstruationcausing pelvic pain and infertility. The purpose of this nonexperimentalpilot case study was to determine the effects ofa diet, exercise, and weight control program on endometriosispain reduction in a diagnosed female participant utilizingthe Stages of Change theory. The methods included datarecorded <strong>for</strong> 5 days per week <strong>for</strong> 3 months on a code sheet.The 90 minute daily exercise regime included aerobic activitySOPHE 62nd Annual Meeting49

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