Approximately 950,000 Americans die annually from cardiovascular disease. Physical activity is a major risk factor for the development of CVD and a risk factor for stroke. The purpose of this research was to determine whether American adults know how to exercise to achieve health benefits and whether this knowledge is a function of demographics. Items included knowledge of exercise guidelines and knowledge of traditional and non-traditional exercise activities. This information was obtained from 22 questions that were a part of a larger national survey of 2,002 American households. Statistical analyses of this sample, indicate American adults have knowledge which varies by demographic groups. Data revealed that overall the 61+, Less than High School, African-American, Hispanic-American, and Male groups have the least amount of knowledge about exercise. These data can provide health educators with important aspects of exercise knowledge for future health promotions/interventions.

This study analyzed the effects of acculturation, locus of control, and incidence of inhalant use on Mexican Americans. Information was collected from 275 subjects at three middle schools and one treatment center. The instrument consisted of Levenson's Locus of Control Scale, the Acculturation Rating Scale for Mexican Americans, and an incidence of use and family relationship questionnaire developed for this study. Statistical analysis indicated a relationship between acculturation and inhalant use. Further examination revealed relationships between a family members' use and subjects' inhalant use; subjects' alcohol use and inhalant use; and subjects' marijuana use and inhalant use. Information implied that prevention and intervention programs should focus on children of substance users and further research is needed surrounding the role of acculturation.

Engaging in muscle strengthening activities (MSA) as part of a physical activity program offers health benefits. Although the merits of physical activity are well documented, many adults fail to meet appropriate levels as recommended in the 2008 Physical Activity Guidelines for Americans (PAGA). To get a more complete understanding on an individual's physical activity behaviors, the Tracking Resistance Exercise and Strength Training (TREST) internet based survey was developed. The purpose of the current study was to determine the test-retest reliability of TREST items. Additionally, the prevalence of participants meeting the 2008 PAGA was reported by gender. The survey was completed approximately two weeks apart by 224 (52% male) undergraduate kinesiology students. Analysis of the survey items presented TREST as a reliable instrument in assessing an individual's physical activity behavior with a focus on MSA. Among the convenience sample of 445 participants (56% male) that completed the survey in assessment #1, 73% met the 2008 PAGA minimum recommendations for MSA (>=2 days/week) and aerobic activity (>= 150 min MVPA). A more complete MSA and MVPA criteria was established (requiring MSA of all seven major muscle groups) and only 32% of participants met this guideline. In general, men engaged in aerobic exercise …

The purpose of this study was to determine the degree to which existing aquatic facilities in the North Texas metroplex complied with the 1991 Americans with Disabilities Act Accessibility Guidelines (ADAAG) and the proposed Americans with Disabilities Act Accessibility Guidelines: Recreation Facilities (ADAAG supplement). Fifty-two aquatic facilities were evaluated based on: parking lot, ticket counter, gate/entry, restroom, dressing area, drinking fountain, pathway, and pool entry method structural domains. Physical measurements and a few direct observations were recorded on the survey instrument. Surveys were then reviewed and facility scores were tabulated. No facility was found to be 100% compliant with ADAAG and the ADAAG supplement. Aquatic facilities are already struggling to catch up with the 1991 ADAAG, but when the United States Department of Justice approves the proposed ADAAG supplement, aquatic facilities will fall even further behind.

Prostate cancer is the most commonly occurring cancer and the second leading cause of cancer death for men in the United States. Because early prostate cancer is frequently without symptoms and data on how to prevent prostate cancer is lacking, early detection has the greatest potential for decreasing mortality. Studies have shown Hispanics/Latinos to be less likely than whites or African-Americans to utilize prostate cancer screening exams. The purpose of this descriptive study was to design a social marketing plan which could be used as a model to promote Hispanic/Latino participation at prostate cancer screenings. Information obtained through medical and marketing literature review, the author's experiences serving on the promotion committee of a community-sponsored prostate cancer screening project, and interviews with 51 Hispanic/Latino prostate cancer screening participants is described and incorporated into a guide with recommendations for future program planners.

Engaging in regular physical activity is important for maintaining and improving health. Unfortunately, most college students fail to meet the recommendations for both aerobic and muscle-strengthening physical activity guidelines (PAGs). Psychosocial factors described within the social cognitive theory are related to the acquisition and retention of physical activity behaviors. The purpose of this study was to examine the relations of gender, self-efficacy, outcome expectancies, and social support with college students meeting aerobic, muscle-strengthening and both PAGs. Participants (N = 396) completed online questionnaires assessing their physical activity behaviors, exercise self-efficacy, outcome expectancies, and social support. Self-reported physical activity was classified as meeting / not meeting PAGs. Using gender, exercise self-efficacy, outcome expectancies, and social support as predictors, separate logistic regressions were used to examine their relations with the three PAG classifications. Analyses revealed that being male and level of social support increased the odds of meeting muscle-strengthening PAGs, but students’ level of self-efficacy and outcome expectations increased the odds of meeting all three PAG classifications. These findings indicate that interventions designed to increase self-efficacy and outcome expectancy may be beneficial for increasing college students’ physical activity for meeting the PAGs. Promotion of muscle-strengthening activities targeted at young women is also …

This study examined relationships among ethnic identity, gay identity, sexual sensation seeking, and HIV risk-taking behaviors among 302 men of color recruited from gay bars, bathhouses, community agencies, and the 1998 United States Conference on AIDS. The sample included 24% African American, 28% Latino, 25% Asian/ Pacific Islander, 19% Caucasian, 1% American Indian, and 3% other ethnicity. Logistic regression analysis identified sexual sensation seeking, having an undefined gay identity, being in a sexually exclusive relationship, not being HIV seronegative, and length of stay in the country (for those born overseas) as significant predictors of unprotected anal intercourse (insertive and penetrative) among men of color who have sex with men.

This thesis focused on the development of a curriculum guide for a cancer awareness program for older men. The background of the problem -- a lack of programs for older men -- and the methods used in developing the guide are detailed in Chapter One. The second chapter consists of current information on disease prevention, aging and cancer with the emphasis on age-related changes and learning needs of older adult men. Chapter Three is the completed instructor's curriculum guide, and the final chapter includes recommendations on implementing the program as part of a community wellness program. The guide could also be used in senior centers, hospital educational programs, or adapted for use in staff inservices.

To examine parental attitudes toward sexuality education in the home and school, sealed packets were distributed to fifth and seventh graders (N = 609) for each to deliver home to a parent. Parents were asked to express level of agreement with a series of attitude statements and to indicate the content and timing considered appropriate for sexuality instruction in the home and school. Analysis of 246 returned surveys (40% response rate) indicated that most parents trust the school to address human sexuality, though a sizeable minority of parents hold very conservative attitudes toward sexuality instruction in this setting. Results suggested that the majority of parents view school-based instruction as supplemental to instruction in the home.

Guided by the expectancy value model of achievement choice, this study examined the relationships among expectancy value constructs (expectancy related beliefs and subjective task values), effort and intention for future participation in a culturally specific dance, soul line, among African American adult women in the church setting. Participants were 100 African American women who were members of the women’s ministries from four predominantly African American churches in the Dallas/Ft. Worth metropolitan area. Participants completed a 20-minute soul line session and responded to survey questions, validated in previous research, assessing their expectancy-related beliefs, subjective task values, effort, intention for future participation and physical activity. This was the first study to use the expectancy value model as a guide to determine motivations attached to physical activities among African American adult women. Usefulness, a component of subjective task values, emerged as a predictor of intention for future participation. Eighty-one percent of the women did not meet physical activity guidelines for aerobic activity. Of those inactive women 60% indicated an interest in doing soul line dancing often at their church after one short exposure to the activity as indicated by the strongest possible response to both intention questions. A slightly smaller percent of the …

Hispanics are the fastest growing minority group in the U.S. and signs indicate a similar trend in their college enrollment. Leisure activities are known to have a moderating effect on individuals experiencing stress in their lives. Hispanic organizations registered with a major 4-year metropolitan university were targeted. The hypothesis for this study was there is no relationship between acculturation stress and leisure satisfaction. Results indicate no relationship between acculturation stress and leisure satisfaction. One explanation for this lack of a significant relationship between these two measures might be that these college students had obtained a high level of acculturation, which would explain the relatively low level of acculturation stress reported.

This study examines the relationship between exercise adherence and several factors: self-motivation; attitudinal commitment; predisposing, enabling, and reinforcing (PER) factors; and barriers related to exercise. The sample (N=431) consists of employees at Texas Instruments, Incorporated in Dallas, Texas. The sample was placed into six comparison groups: high adherers, low adherers, nonparticipants who exercise, nonparticipants who do not exercise, dropouts who exercise and dropouts who do not exercise. Using a one-way ANOVA, the results show significance (p<.01) among the groups for: self-motivation and barriers. Attitudinal commitment and PER factors did not show significance. The results can be applied to worksite health programs to increase exercise adherence among employee populations.

This study aimed to broaden the understanding of young South Asian women's experiences/relationships and participation in leisure physical activities at universities in the United States. Using a phenomenological design, semi-structured interviews of 20-30 minutes duration were conducted with 5 South Asian women about their relationships and experiences when participating or attempting to participate in physical activity while attending university in the US. The following criteria were set for participants to be included in this study: they should be between the ages of 18 and 24, non-US citizens from a South Asian country, attend a university in the US, and engage in other physical activities. The interviews were audio recorded via Zoom and then the audio data were transcribed verbatim and then coded to identify the major barriers commonly experienced by participants. Results indicated that many girls and women perceived the US as a "safer" place with excellent infrastructure, ample opportunities to engage in physical activities, and convenient access to gyms, which encourage them (women) to remain active. Most participants were hesitant to participate in physical activities because of the culturally non-responsiveness of the system. This research study was done in a shorter time span with a small sample size. Further …

Using an experimental-comparison group design, data were collected at the beginning and end of a semester to assess the effect of a human sexuality course on students' sexual knowledge, sexual attitude, and sexual behaviors. Data analysis by t-tests showed statistical differences between the experimental and comparison group only on sexual knowledge scores ( p < .001), with the experimental group scoring higher. T-tests showed statistical difference between males and females in sexual attitude (p< .001) and sexual behavior (p< .001) with women scoring higher than men in the experimental group, and also when experimental and control groups were combined. Although not statistically significant, women scored higher in sexual knowledge than males.

This study assesses practices of college students (N=913) toward alternative medicine, relationships of students' health locus of control with practices of alternative medicine, and relationships of students' attitudes toward alternative medicine and health locus of control. A principal components factor analysis established construct validity of the author-designed Attitude Toward Alternative Medicine Scale, extracting three factors: Holistic Attitude/Control, Safety, and Satisfaction. Holistic Attitude/Control predicted use of alternative medicine (Wald =61.9, p < .01). A principal components factor analysis established construct validity of the Multidimensional Health Locus of Control Scale, extracting three factors: Internal Health Locus of Control, External-Chance, and External-Powerful Others. Internal Health Locus of Control significantly correlated with Holistic Attitude/Control (r = .35, p =.01).

Three cholesterol interventions were evaluated in a work-site setting to determine which was most effective in modifying physiological, behavioral, and knowledge measures related to total serum cholesterol. Of the 246 employees initially screened, 135 (55%) were identified as having elevated total serum cholesterol levels (>200 mg/dl) and were eligible for the study. Treatment consisted of either a six-session cholesterol reduction course requiring 30 days dietary monitoring, a six-session course without dietary monitoring, or an incentive only approach. Significant increases in cholesterol knowledge and dietary fiber consumption was found in both the education intervention with logging and intervention without logging groups. The results indicate that positive learning effects can take place in work-site settings and that such learning can lead to dietary changes that reduce the effects of high serum cholesterol.

The purpose of the present investigation was to compare the psychological factors related to drug use by college athletes on seven drug categories. A questionnaire was given to male and female Division I college athletes asking them about their use of drugs. The frequency, intensity and duration of use/non-use was used to divide subjects into high and low/nonuser categories. Dependent measures included the Profile of Mood States, Coopersmith Self-Esteem Inventory and questions assessing athlete stress. A multivariate analysis of variance(MANOVA) was conducted in a 2 x 2 (alcohol high/low, non-user x male/female) design to distinguish significant differences on the POMS and stress questions followed by univariate ANOVA's. A separate ANOVA was run on Coopersmith's Self-Esteem Inventory. Results indicated that high alcohol users scored significantly higher on anger, fatigue and vigor than low/non-users. Significant differences were found between males and females on the pressure felt from coaches to perform well.

The primary purpose of this study was to develop and establish the reliability and validity of the East Asian Student Stress Inventory. Data was obtained from 235 East Asian students at the University of North Texas during the fall semester of 1992. The procedures used were a two-week interval test-retest for reliability, experts' assessment of test items for face validity, a factor analysis, a one-way analysis of variance (ANOVA), and Pearson's product-moment correlation coefficient for construct validity. Significance was set at the .05 level. The EASSI was identified as having moderately high reliability. High test anxiety, physiological symptoms, social support, financial difficulty, and culture shock were found to be constructs of the EASSI. Majority of independent variables in this study effectively identified stressors and stresses among East Asian students.

This study evaluated the relationship of varying body mass index and average annual health care costs and absenteeism in a group of 524 municipal employees. The 269 employees with health care claims and the 487 employees with attendance records were categorized into five different BMI categories based on self-reported weight and height. Findings from the study suggest that as BMI increases, average annual health care costs and average annual absenteeism increase. However, BMI was only significantly related to absenteeism. The study also found significant relationships between education and health care costs and absenteeism. No significant differences for health care costs or absenteeism were found based on race, age, gender, wellness center membership, or smoking status.

Brain injury (i.e., traumatic brain injury, stroke) is a considerable public health issue due to complicated outcomes of the injury, increasing incidence, and high costs linked with medical treatment. Rehabilitation centers are challenged to help individuals manage the resultant associated conditions and prevent secondary and chronic conditions. Research has shown that health promotion programs (HPP) that incorporate education about physical activity (PA) are one mode of rehabilitation that can improve the health of individuals with disabilities. However, PA is not included in the rehabilitation program for individuals with a brain injury, indicating a gap in the services provided. Consequently, the purpose of this study was to create and implement a physical activity centered education (PACE) program within an outpatient rehabilitation program. PACE consisted of an 8-week (16 session) program which aimed to (1) increase PA self-efficacy, (2) increase intention to change PA behaviors, (3) increase amount of PA completed regularly, and (4) promote positive rehabilitation outcomes. Based on previous research it was hypothesized that participation in PACE would result in (1) increased PA self-efficacy, (2) forward progression in intention to change PA behaviors, (3) increased amount of PA completed, and (4) improved rehabilitation outcomes (i.e., abilities, adjustment, participation). The PACE …

Research has shown that health promotion programs (HPP) that incorporate education about physical activity (PA) are one mode of rehabilitation that can improve the health of individuals with disabilities. However, education-based PA curriculum is not included in the rehabilitation program for individuals with a brain injury, indicating a gap in services provided. Consequently, the purpose of this study was to create and deliver a physical activity centered education (PACE) program that supplemented the existing rehabilitation program for brain injury. PACE consists of an 8-week (16 session) program aimed to (1) increase self-efficacy for being physically active of PACE program participants, (2) increase PA stage of change in PACE program participants or the maintenance of adequate level of PA, and (3) improve the rehabilitation outcomes (i.e., abilities, participation, adjustment) of PACE program participants. Based on previous research, it is hypothesized that participation in PACE will result in (1A) increased self-efficacy for PA, (1B) greater self-efficacy for PA than the standard of care group, (2A) increased readiness to be physically active, (2B) greater readiness to change their PA behavior than the standard of care group, (3A) improved rehabilitation outcomes, and (3B) greater rehabilitation outcomes than the standard of care group. the PACE …

The purpose of this study was to compare muscle strength and psychomotor performance measures in healthy (n = 18) and frail (n = 21) groups of elderly women utilizing movements requiring various amounts of strength and ballistic action. Subjects were community-dwelling females ranging in age from 66-92 years. Evaluations of functional assessment of motor skills and grip strength occurred. Psychomotor performance was measured through production of aiming movements on a Digitizing Tablet. RT, MT, and movement kinematics (e.g., peak velocity, deceleration, movement adjustments) were evaluated. Differences between groups were apparent in quantity and quality of movement. Healthy subjects were stronger and faster than frail subjects, producing smoother movements with fewer adjustments. Strength appears to differentially affect healthy and frail samples and merits further exploration.

The determination of adiposity in adolescents is often assessed with calculations of body mass indices (BMI). Researchers often obtain these measurements from self-reported (SR) values. The purpose of this study was to determine the accuracy of SR height, weight, and calculated BMI (from height and weight). SR and actual measured (ME) BMI values were compared with standards from the FITNESSGRAM® Healthy Fitness Zone (HFZ) classifications. SR height and calculated BMI were found to be accurate while SR weight was, on average, underreported by 4.77 lbs. Because of these errors in SR height and weight, accuracy of classification into the FITNESSGRAM® HFZ was compromised. Consequently, it is important that researchers ascertain actual values of height and weight when measuring adolescents rather than use those from self-reports.

Large-scale assessments of children and youth physical activity (PA) behaviors are regularly conducted in school settings. In addition to assessing actual fitness, the FITNESSGRAM® assesses self-reported PA behaviors for aerobic, strengthening, and flexibility activity within the past 7 days. The purpose of this study was to examine the reliability and validity of the three PA items. Participants included 1010 students in grades three through twelve and were either tested under a teacher – teacher condition, an expert - expert condition, a teacher – expert condition, or a trained teacher – expert condition. Comparisons of the responses to the PA items indicated adequate reliability for teachers, but the reliability improved with training. Likewise, the validities for teachers are moderate to fair; however, they improved when teachers received additional training.