http://hdl.handle.net/10027/1228 Thu, 23 May 2013 20:58:13 GMT 2013-05-23T20:58:13Z http://hdl.handle.net/10027/8588 Self-Cognitions, Risk Factors for Alcohol Problems, and Drinking in Preadolescent Urban Youth Corte, Colleen; Szalacha, Laura We examined relationships between self-structure and known precursors for alcohol problems in 9-12 year old primarily Black and Latino youth (N=79). Parental alcohol problems and being female predicted few positive and many negative self-cognitions and a future-oriented self-cognition related to alcohol (‘drinking possible self’). Nineteen percent of the sample reported ever drinking, but 40% of those with a ‘drinking possible self’ reported ever drinking. Compared never drinkers, youth who reported ever drinking had fewer self-cognitions. The self-structure may be an important mechanism through which parental alcohol problems and antisocial behavior lead to early alcohol use, and a viable target of interventions aimed at preventing early alcohol use. Post print version of article may differ from published version. This is an electronic version of an article published in Corte, C. & Szalacha, L. 2010. Self-Cognitions, Risk Factors for Alcohol Problems, and Drinking in Preadolescent Urban Youths. v, 19(5): 406-423. Journal of Child and Adolescent Substance Abuse is available online at: http://www.informaworld.com/smpp/DOI: 10.1080/1067828X.2010.515882 Mon, 01 Nov 2010 05:00:00 GMT http://hdl.handle.net/10027/8588 2010-11-01T05:00:00Z http://hdl.handle.net/10027/8524 Do Cognitive Perceptions Influence CPAP Use? Sawyer, Amy M.; Kuna, Samuel T.; Canamucio, Ann; Moriarty, Helene; Weaver, Terri E. Objective: Nonadherence to CPAP increases health and functional risks of obstructive sleep apnea. The study purpose was to examine if disease and treatment cognitive perceptions influence short-term CPAP use. Methods: A prospective longitudinal study included 66, middle-aged (56.7 yr ± 10.7) subjects (34 [51.5%] Caucasians; 30 [45.4%] African Americans) with severe OSA (AHI 43.5 events/hr ±24.6). Following full-night diagnostic/CPAP polysomnograms, home CPAP use was objectively measured at 1 week and 1 month. The Self Efficacy Measure for Sleep Apnea questionnaire (SEMSA), measuring risk perception, outcome expectancies, and self-efficacy, was collected at baseline, post-CPAP education, and after 1 week CPAP treatment. Regression models were used. Results: CPAP use at one week was 3.99 hr/night ± 2.43 and 3.06 hr/night ± 4.50 at one month. No baseline SEMSA domains influenced CPAP use. Post-education self-efficacy influenced one week CPAP use (1.52±0.53, p=0.007). Self-efficacy measured post-education and after one week CPAP use also influenced one month CPAP (1.40±0.52, p=0.009; 1.20±0.50, p=0.02, respectively). Conclusion: Cognitive perceptions influence CPAP use, but only within the context of knowledge of CPAP treatment and treatment use. Practice Implications: Patient education is important to OSA patients’ formulation of accurate and realistic disease and treatment perceptions which influence CPAP adherence. NOTICE: this is the author’s version of a work that was accepted for publication in Patient Education and Counseling. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Patient Education and Counseling, [Vol 85, Issue 1, Oct 2011 DOI: 10.1016/j.pec.2010.10.014 Sat, 01 Oct 2011 05:00:00 GMT http://hdl.handle.net/10027/8524 2011-10-01T05:00:00Z http://hdl.handle.net/10027/8317 Evaluation of doctoral nursing education in Japan by students, graduates, and faculty: A comparative study based on a cross-sectional questionnaire survey Nagata, Satoko; Gregg, Misuzu F,; Miki, Yuko; Arimoto, Azusa; Murashima, Sachiyo; Kim, Mi Ja Evaluation of doctoral education in nursing is needed with the rapid increase in doctoral nursing programs in Japan. This study aimed to compare the evaluations of doctoral nursing education by students, graduates, and faculty. All 46 doctoral nursing programs in Japan were target settings. 127 students who had been in the doctoral program, 24 graduates and 87 faculty members had responded to the survey. A questionnaire with 17 items for program evaluation, 12 items for faculty evaluation, 9 items for resource evaluation, and 3 for overall evaluations was distributed in November and December 2008. Responses to 1 program evaluation item, 2 faculty evaluation items and 4 resource evaluation items indicated significant differences among evaluators. While 79.2% of graduates responded positively that the number of faculty members was sufficient to facilitate learning, only 36.1% of faculty members and 49.6% of students responded affirmatively. Graduates' ratings were the most positive and faculty members were the least positive, especially for infrastructure or equipment such as libraries, computers, and the number of technical and support staff. The significant differences among the evaluators suggested that having evaluators in various roles is important to evaluate the quality of doctoral nursing education. NOTICE: this is the author’s version of a work that was accepted for publication in Nurse Education Today. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Nurse Education Today, [June 12, 2011] DOI: 10.1016/j.nedt.2011.05.019. The original publication is available at www.elsevier.com. Sun, 12 Jun 2011 05:00:00 GMT http://hdl.handle.net/10027/8317 2011-06-12T05:00:00Z http://hdl.handle.net/10027/7819 Excessive Daytime Sleepiness is Associated With Poor Medication Adherence in Adults With Heart Failure Riegel, Barbara; Moelter, Stephen T.; Ratcliffe, Sarah J.; Pressler, Susan J.; De Geest, Sabina; Potashnik, Sheryl; Fleck, Desiree; Sha, Daohang; Sayers, Steven L.; Weintraub, William S.; Weaver, Terri E.; Goldberg, Lee R. Background: A relationship between excessive daytime sleepiness (EDS) and poor treatment adherence has been suspected but not confirmed. We hypothesized that medication adherence would be poorer in adults with heart failure (HF) and EDS and that cognitive status would be the mechanism of effect. Methods and Results: A sample of 280 adults with chronic HF were enrolled into a prospective cohort comparison study. We identified a cohort with EDS and a control group without EDS and further divided both groups into those with and without mild cognitive decline. Data on medication adherence were obtained at baseline and 3 and 6 months by using the Basel Assessment of Adherence Scale. Regression analysis was used to clarify the contribution of EDS and cognition to medication adherence and to assess relationships over 6 months after adjusting for age, enrollment site, gender, race, functional class, depression, and premorbid intellect. At baseline, 62% of subjects were nonadherent to their medication regime. Nonadherence was significantly more common in those with EDS, regardless of cognitive status (P = .035). The odds of nonadherence increased by 11% for each unit increase in EDS (adjusted odds ratio 1.11; 95% confidence interval 1.05-1.19; P = .001). In longitudinal models, there was a 10% increase in the odds of nonadherence for each unit increase in EDS (P = .008). The only cognition measure significantly associated with medication adherence was attention (P = .047). Conclusions: Adults with HF and EDS are more likely to have problems adhering to their medication regimen than those without EDS, regardless of their cognitive status. Identifying and correcting factors that interfere with sleep may improve medication adherence. NOTICE: this is the author’s version of a work that was accepted for publication in Journal of Cardiac Failure. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Cardiac Failure, [Vol 17, Issue 4, April 2011] DOI: 10.1016/j.cardfail.2010.11.002. The original publication is available at www.elsevier.com. Fri, 01 Apr 2011 05:00:00 GMT http://hdl.handle.net/10027/7819 2011-04-01T05:00:00Z