Recent Submissions

  • IDENTIFYING PROBLEMS AND SOLUTIONS IN CHANGING STATE LEGISLATION REGARDING LICENSED CLINICAL SOCIAL WORKERS PROVIDING PRIVATE INDEPENDENT MENTAL HEALTH SERVICES

    Cooper-Bolinskey, Dianna (Cunningham Memorial Library, Terre Haute, Indiana State University., 2017-12)
    State regulated social work practice began in the 1960s; by the mid-1990s, all of the states within the United States regulated the profession through licensure. The purpose of licensure was ostensibly to protect the public and the profession; however, legislation defining social work practice varied vastly from state to state. The variation existed not only between states, but also within licensure categories with regard to the scope of practice of the social work profession. Licensed clinical social workers in some states could practice relatively independently, as they had the ability to diagnose, provide psychotherapy, and bill Medicaid, Medicare, and third party insurance companies; licensed clinical social workers in other states, however, could not engage in some, or all, of these practices. The disparity within the practice of clinical social work continues without resolve. The present qualitative study explored the barriers encountered and the solutions incorporated to overcome those barriers in three states during their attempts to secure legislation allowing licensed clinical social workers to independently provide mental health services. Grounded theory research was used to form a theory based on information learned from 12 Historians for use in states who have not yet achieved a fully independent level of clinical social work practice. Using strategic systems of solutions to overcome barriers in the legislative process should help those states desiring legislative change to reach their goals. Reaching a foundational scope of practice across all states with regard to licensed clinical social workers’ ability to independently provide mental health services facilitates the Association of iv Social Work Board’s goal of practice mobility and license portability. Achievement of this goal would facilitate social workers’ ability to practice across state lines and social worker relocations. Establishing a foundational scope of practice also improves clients’ access to mental health services.
  • GLYCEMIC CONTROL AMONG TYPE 2 DIABETICS

    Nur, Abdi H. (2015-12-01)
    The purpose of the present study was to examine the relationship between diabetics’ socioeconomic status, self-efficacy, education levels, gender, and ethnicity and their medication and physical activity (i.e., healthy exercise) adherence regarding to their physicians and health educators’ counsels. Also, the study investigated whether or not the respondents adhered to medication prescription and physical activity routines. The study used a non-probability convenience sampling technique to recruit 102 type 2 diabetics (female, n = 65 and male, n = 37) from Indiana and Illinois Counties surrounding Vigo County, Indiana. The respondents reported their self-care activities throughout the seven days prior to completing the study questionnaire. A positive (direct) relationship between self-efficacy and healthy exercise, and a positive association between gender and self-efficacy were found (P < 0 .5). Besides, while the majority of the respondents adhered to medication treatment, nonetheless medication non-compliance level among the patients was alarming. Interventions that can boost patients’ confidence to successfully engage in the Centers for Disease Control and Prevention (CDC) and the American Diabetes Association (ADA)’s endorsed physical activity routines may be helpful. These interventions may include diabetes education follow-ups to improve patients’ self-efficacy scores (M = 4.73). Also, healthcare professionals may need to develop more operational plans to improve medication adherence levels among type two diabetics. Moreover, the present study suggests that diet and exercise treatments may be considered as potentials that can lead future success for blood glucose control among type 2 diabetics.
  • Weight Loss Methods and Eating Disorder Risk Factors in Collegiate Wrestlers

    Rea, Jessica (2014-03-18)
    Purpose: The purpose of the study is to investigate the weight loss of collegiate wrestlers and assess their risk for eating disorders (ED). Methods: Wrestlers were recruited by contacting the athletic trainer (AT) at the institution they wrestled. ATs who agreed to participate were sent an electronic link containing a survey, 143 wrestlers provided usable data. The survey was created from two surveys one allows the athlete to describe his eating behaviors and the ATHLETE questionnaire which measures risk for ED. We analyzed the data using descriptive statistics and frequencies. Results: 76.6% of wrestlers indicated binge eating; eating behaviors are similar to those in previous literature including gradual dieting, restricting food/fluids, fasting, and exercise. Wrestlers in this study do not appear to be at risk for ED. Clinical applicability: Wrestlers display dangerous eating behaviors but are not at risk for ED. Key Words: Disordered eating, anorexia, bulimia, body image
  • Validity of Instrument Assisted Soft Tissue Mobilization for Detecting Myofascial Adhesions through Secondary Diagnostic Ultrasound Analysis

    Silbaugh, Kaitlyn (2013-09-06)
    Context: many patients have pain and restricted motion due to myofascial adhesions. Clinicians use both manual and instrument assisted soft tissue mobilization (IASTM) techniques to treat myofascial adhesions. The main difference between manual therapies and IASTM is that IASTM claims that their instruments can accurately qualitatively detect myofascial adhesions through their resonance capability. However, the validity of this capability has yet to be researched. Objective: To determine the validity of using IASTM to detect myofascial adhesions through secondary diagnostic ultrasound analysis. Design: Correlational validity study. Setting: Athletic Training Laboratory. Patients or other participants: nineteen men (age = 22.4 ± 2.5) and eleven women (age = 21.2 ± 1.9). Data collection and analysis: From the thirty participants, one hundred adhesions were found and imaged. We calculated the percent level of agreement between the two rates, and then considered chance by using a κ coefficient to understand the relationship between the two rates of diagnostic us. Results: We identified an 83% level of agreement between raters. However, when chance was considered, we found a poor inter-rater reliability (κ= 0.344, p<0.001). Conclusions: There is moderate evidence that IASTM is successful in quantitatively detecting myofascial adhesions. Sources creating instrument resonance other than myofascial adhesions may include blood vessels or adipose nodules. Future investigation should further examine what specifically IASTM is detecting through its resonance, if not myofascial adhesions. Key words: instrument assisted soft tissue mobilization, Graston technique, diagnostic ultrasound, myofascia, fascial adhesions
  • Perceptions of Retention Indicators in Athletic Training

    Juzeszyn, Laura (2013-09-05)
    CONTEXT: Attrition in the profession of athletic training notably occurs in large numbers between 5-10 years of professional experience creating a profession dominated by young, entry-level practitioners. Theoretical constructs are currently used to explain the retention issues in athletic training, yet an assessment of individuals who have left the profession is lacking. Understanding reasons why athletic trainers leave their profession and their future plans may enhance retention efforts in athletic training. OBJECTIVE: To assess reasons why athletic trainers let their BOC lapse and leave the athletic training profession. DESIGN: Cross sectional-observational study. SETTING: Internet Survey. PARTICIPANTS: 1000 former certified athletic trainers who have let their BOC lapse within the past 5 years. DATA COLLECTION AND ANALYSIS: We used SPSS to calculate descriptive statistics and a Kruskall-Wallis to assess work/family issues. We collected demographic data on all respondents and the variables contributing to a lack of retention. We assessed gender, age, relationship status, setting of employment, highest level of employment, and children on three levels: work/family, work-related, and burnout. RESULTS: We identified the majority of responses to the effect of work/family were neutral (2.5-3.5). The majority of work-related issues were neutral with the exception of ethical strain and travel demands, which contributed to retention. The majority of burnout factors contributed to individuals leaving the profession. CONCLUSIONS: Former athletic trainers fail to identify the connection between burnout and life stressors and do not make the connection that life stressors contribute to the lack of retention in the profession.
  • Acceptability of Brownies Supplemented with Black Bean Puree by College Students at Indiana State University

    Fleischer, Amanda M. (2013-09-04)
    Studies have shown that legumes can be an effective fat replacer in baked goods. However, little research has been conducted addressing black beans as a fat replacer in brownies. The purpose of this study was to determine the overall acceptability, palatability, and nutrient content of brownies made using black bean puree as a replacement for shortening. Using black beans as fat replacers in baked goods reduces total calories and fat content yielding a more nutritionally acceptable product. Today’s obesity epidemic justifies exploring lower calorie options for baked products. Black beans were chosen due to their dark color which will unlikely alter the color of the brownies. Black beans were used to replace 30%, 60%, and 90% of the shortening by weight in a control brownie formula. One hundred sixty seven untrained students from Indiana State University evaluated the product using a 9-point hedonic scale. One-way ANOVA revealed significant differences in appearance, odor, mouthfeel, taste, and total score when replacing shortening with black beans (p<0.05). For all tested sensory characteristics, Bonferroni post hoc testing indicated that 30% fat replacement was not significantly different from the control. Also, 30% fat replacement compared with the control showed a reduction in 12 calories and 1.52g fat per 1.15 ounce serving. Using an acceptability level of 20 for total score, the control, 30, 60, and 90% fat replacement were rated as acceptable. This study showed that pureed black beans can replace as much as 90% of the fat (by weight) in brownies, while yielding an acceptable and more nutritious product. However, overall acceptability, determined by total score, was lower in brownies with higher concentrations of fat replacement.
  • The Effect of External Ankle Support on Football Specific Performance Tests and the Perception of the Athletes that Wear Them

    Cutts, Matthew (2013-09-04)
    Context: Researchers and manufacturers have been looking for the optimal method to safely and adequately support the ankle joint without hindering performance. A plethora of information on sport specific performance utilizing taping and/or bracing methods exists. However, no study has compared actual performance to the athletes’ perception of their performance wearing various ankle support. Objective: The purpose of this study was to examine the effect of ankle braces and taping on football performance tests and the participants’ perception of the affect the ankle support had on their performance. Design: Mixed methods crossover design with 3 conditions unsupported (U), a taped (T) using a modified basket weave, and two separate braced conditions; a traditional figure eight lace up with Velcro stirrups manufactured by McDavid (B1) and a hinged ankle brace manufactured by UltraAnkle Zoom (B2). Setting: Outdoor artificial turf surface Participants: Three collegiate football players (age = 21+/- 2 yrs, with 3.5 +/-1.5 yrs of college experience) voluntarily participated in this study. Main Outcome Measures: Vertical jump, broad jump, 5-10-5 agility test, 3-cone test, and the 40- yard dash. Because we were unable to achieve a large sample size, interviews were performed to gather descriptive data regarding the three conditions. Results: No trends were seen in data relative to the condition. Qualitative results indicated that participants felt most comfortable in condition they had used previously, but preferred the unsupported condition. Results: Vertical jump (U=24.01±4.31, T=22.91±4.87, B1=23.88±4.17, B2=23.73±4.11), broad jump (U=93.68±10.91, T=96.42±11.52, B1=94.55±12.96, B2=95.84±10.95), the 5-10-5 agility test (U=4.71±0.23, T=4.69±0.22, B1=4.76±0.29, B2=4.79±0.22), the 3-cone test (U=7.67±0.40, T=7.74±0.48, B1=7.75±0.54, B2=7.83±0.55), and the 40-yard dash (U=5.27±0.24, T=5.35±0.27, B1=5.41±0.28, B2=5.46±0.26). Conclusions: Due to the small sample size, we were unable to draw objective conclusions regarding the effect of the conditions on performance, however participants in this investigation preferred the unsupported condition for the testing.
  • A survey of industrial recreation in Indiana

    Arnett, Robert Edwin (2013-05-03)
    Not available.
  • A History of the Indiana Pocket Athletic Conference

    Scheller, Robert (2013-04-09)
    Not available.
  • A study of eight-man football in Indiana

    Broadwell, Charles Cecil (2013-03-04)
    Not available.
  • Behaviors and Perceptions Concerning Online Nutrition Information Among Young Adult Midwest University Students

    Moeckly, Brenda (2013-02-18)
    Since the inception of the Internet, Americans have become increasingly dependent upon this medium for gleaning information, with each new generation being more apt to seek information online. This general trend has affected, among many other things, the search for health and nutrition information. While the Internet can provide a wealth of beneficial information for users, it can pose a myriad of dangers, as well, if users do not know how to look for credible information. The objectives of this study were to determine where university students search for nutrition information and what criteria they use when seeking nutrition information online. The population sampled was from a Midwest University. Participants were selected via convenience sampling methods. Students were invited to participate in an online survey available campuswide. Data was analyzed using SPSS statistical software. This study found that 73% of students surveyed indicated they use the Internet to search for nutrition information online. Government websites and product websites were shown to be chosen most often as being visited for nutrition information. The credibility criteria most often chosen as being important included date of publication or update of information, the information’s being authored by a medical doctor, and the web address ending in “.gov.” The results of this study identified that the majority of university students sampled used the Internet when searching for nutrition information and identified several criteria that students use when determining online nutrition information’s credibility. These results can be used to help health professionals, and registered dietitians in particular, know how best to provide and promote online health and nutrition information for consumers. Young adults are leading the trend of searching for health and nutrition information online, and registered dietitians need to provide timely, and understandable information for the public in order to best meet their needs.
  • Risk Characteristics of Healthcare Workers that Decline Voluntary Influenza Vaccination

    Epler, Caroline (2013-02-11)
    Influenza, also known as the flu, is one of the most common seasonal illnesses with outbreaks occurring each year. Transmission of the influenza virus in a hospital setting is a significant concern, because although most cases of influenza are mild, up to 25% require outpatient medical care, as many as 4% require inpatient care, and 1% require intensive care. One way to prevent influenza is through vaccination of those deemed to be high risk for contracting and spreading the disease, such as healthcare workers. The purpose of this study was to identify personal, demographic and professional characteristics of healthcare workers who decline influenza vaccination in a Southeastern United States teaching hospital. Characteristics examined in this study included gender, ethnicity, number of years employed at the hospital, personnel role and level of patient contact. The method for this research involved the utilization of existing (secondary) data from the 2010-2011 flu vaccination program gained from the employee database of the hospital. A population consisting of 22,845 healthcare workers was observed. Findings included identification of African Americans as the ethnic group with the highest declination rate. Healthcare workers with little patient contact also had high rates of declination. While physicians and nurses had relatively low rates of declination, environmental service workers had a high rate of declination. This study concluded that although specific groups were identified with high rates of declination, further research is needed to determine the reason behind declination amongst these groups and if any relationship can be made with regard to education level or job title that affects declination of the influenza vaccine. Future research is needed to understand why healthcare workers decline vaccination and how to improve vaccination rates in this population.
  • A study of the Indiana high school basketball tournaments

    Bevington, Raymond H. (2013-02-11)
    Not available.
  • The Effects of A Gluteus Medius Training Protocol on Muscle Activation and Postural Control

    Dorpinghaus, Nathan (2012-10-22)
    Context: Researchers have suggested a weak or dysfunctional gluteus medius (GM) has been linked to a number of lower extremity injuries. Identifying an appropriate intervention to prevent or correct GM deficits and determine associated outcomes has become a subject of increased interest. Objective: To determine if GM training changes lower extremity muscle activation during a dynamic task. Design: Controlled laboratory study. Setting: Biomechanics research laboratory. Participants: Eighteen healthy, physically active participants (7 men, 11 women; age=21.2±2.01yrs; height=168.39±8.92cm; mass=77.76±16.39kg) volunteered for the study. Each participant served as their own control. Intervention(s): Muscle activation of 5 trunk muscles were measured bilaterally before and after the protocol during a single-leg drop landing (45cm). All of the participants completed a six week GM training protocol. Main Outcome Measure(s): Peak and mean muscle activation was measured 400ms pre-and post-landing (pre-mean, pre-peak, post-mean, post-peak). Muscle activation data was normalized using maximal voluntary contractions. Results: No significant differences were observed during the control period. Decreased muscle activation was observed in the non-dominant GM [pre-mean (F1,17=14.301, P=.001), pre-peak (F1,17=9.490, P=.007), post-mean (F1,17=5.373, P=.033), and post-peak (F1,17=4.678, P=.045)]. Increased biceps femoris (BF) mean muscle activation was observed on the dominant leg pre-landing (F1,17=4.752, P=.044). Conclusions: Six weeks of GM training was enough time to observe improved neuromuscular efficiency of the GM. Increased BF muscle activation prior to landing suggests participants had an increased feedforward response in preparation for landing following training. Therefore, the combination of improved neuromuscular efficiency and a greater feedforward response suggest pelvic stabilization may be improved during a single-leg drop landing as a result of six weeks of GM training. This study suggests clinicians should incorporate bilateral GM exercises to improve lower extremity neuromuscular efficiency and feedforward responses which may improve pelvic stabilization. Key words: Electromyography, lower extremity injury, rehabilitation, neuromuscular efficiency, single-leg drop landing.

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