Using the Transtheoretical Model of Change to Improve Lifestyle Behaviors in a Woman With Metabolic Syndrome

2016 ◽  
Vol 9 (1) ◽  
pp. 81-87
Author(s):  
Kimberly M. Davis ◽  
Patricia T. Alpert ◽  
Marcia Clevesy
Keyword(s):  
Metabolic Syndrome ◽  
Stages Of Change ◽  
Transtheoretical Model ◽  
African American Woman ◽  
Change Theory ◽  
American Woman ◽  
Lifestyle Behaviors ◽  
Lifestyle Modifications ◽  
Case Patient

Purpose: To provide information on how the stages of change theory can be initiated using a case study of a 64-year-old African American woman with metabolic syndrome. A questionnaire on lifestyle modifications operationalizes the stages of change theory and the case patient illustrates the process of change using this questionnaire. Data Source: An exhaustive literature review was conducted on the stages of change theory. The questionnaire used in the clinical setting presented as part of this case study encapsulates the stages of change theory after being modified from a similar tool used by the Ohio Department of Health Fresh Start Program. Conclusion: Using an objective tool to assess progress made by this case patient demonstrates the value of being able to monitor lifestyle modifications for patients with chronic diseases. Significance for Practice: This questionnaire provides a means to assess change over time and can help both patient and provider identify outcomes of treatment.

Foam Rubber Pica and Cautopyreiophagia in a Highly Educated Woman: A Clinical Case Study

2021 ◽  
pp. 153465012110142
Author(s):  
Michael Van Wert ◽  
Kelsey McVey ◽  
Tammy Donohue ◽  
Taylor Wasserstein ◽  
Jefferson Curry ◽  
...  
Keyword(s):  
Transtheoretical Model ◽  
Randomized Clinical Trials ◽  
American Woman ◽  
Health Behavior Change ◽  
Treatment Team ◽  
Obsessive Compulsive ◽  
Foam Rubber ◽  
Highly Educated ◽  
Outpatient Program

Pica, the developmentally and culturally-inappropriate eating of non-nutritive and non-food substances, is most often documented in people with developmental disabilities and children, frequently in institutional and residential settings. To date, there are no randomized clinical trials on pica-specific treatments, and very little literature is available regarding the characteristics or treatment of pica in adults with no intellectual or social deficits, and co-morbid disorders. This case study addresses this gap, and involves a highly educated 30 year-old American woman with foam rubber pica and burned match consumption (cautopyreiophagia) behaviors, along with co-morbid depressive, anxiety, and obsessive-compulsive symptoms, who received treatment in a general intensive outpatient program for adults in a large urban community psychiatry setting. The case study describes how the Biosocial Theory and Transtheoretical Model of Health Behavior Change were used to conceptualize this woman’s symptoms and guide a treatment team of clinicians who did not specialize in pica. Providers in non-specialty clinic settings would benefit from reflecting on ways to adapt evidence-based techniques to the treatment of uncommon symptoms.

Investigation of a Possible Iatrogenic Case of Creutzfeldt-Jakob Disease After a Neurosurgical Procedure

2006 ◽  
Vol 27 (12) ◽  
pp. 1352-1357 ◽  
Author(s):  
Natalie Keeler ◽  
Lawrence B. Schonberger ◽  
Ermias D. Belay ◽  
Lynne Sehulster ◽  
George Turabelidze ◽  
...  
Keyword(s):  
African American Woman ◽  
Tertiary Care ◽  
American Woman ◽  
Brain Biopsy ◽  
Vital Statistics ◽  
Neurosurgical Procedures ◽  
Care Hospital ◽  
Case Patient ◽  
Neurosurgical Patients ◽  
Jakob Disease

Objective. To investigate a case of Creutzfeldt-Jakob disease (CJD) possibly acquired from contaminated neurosurgical instruments. Design. Retrospective review of medical records, hospital databases, service log books, and state vital statistics. Setting. A tertiary care hospital (hospital A) in Missouri. Patients. The case patient was a 38-year-old African American woman with a 9-month history of progressive memory loss, visual disturbances, and dementia. She underwent neurosurgery in November 1996. CJD was confirmed in April 2004 by immunodiagnostic testing of brain biopsy samples. All patients who underwent neurosurgery at the same hospital within 6 months before or after the case patient's procedure were identified and investigated for preoperative or postoperative evidence of CJD. Results. We reviewed data on 268 neurosurgical procedures, 84 pathology log entries, and 60 death certificates for neurosurgical patients at hospital A and identified 2 suspected cases of CJD. Clinical features and definitive prion testing of stored brain biopsy samples excluded a diagnosis of CJD. Standard operating room procedures were in place, but specific protocols for handling instruments potentially contaminated with prions were not used. Conclusions. Neurosurgical instruments were not implicated as the source exposure for CJD in the case patient. The 2 patients with suspected CJD were identified from different data sources, suggesting good internal consistency in data collection. The key elements of this investigation are suggested for use in future investigations into potential cases of iatrogenic CJD.

Singing Prettily: Lena Horne in Hollywood

2010 ◽  
Vol 1 (2) ◽  
pp. 11-26
Author(s):  
Richard Dyer
Keyword(s):  
African American ◽  
Cultural Production ◽  
African American Woman ◽  
American Woman ◽  
American Modernism ◽  
Hollywood Cinema ◽  
Racial Hierarchies

Lena Horne was the first African-American woman to be signed to a contract to a major Hollywood studio, who did however not know what to do with her. Her >colour< – in her voice as well as her looks – meant that she did not fit into the racial hierarchies of the day and she was largely confined oppressively to the margins. However, she was also able to some degree, and in collaboration with other African-American figures in Hollywood, to use this to give a glimpse of African-American modernism in Hollywood cinema. This is thus a case study of cultural production as struggle.

scholarly journals Implementation of a Tool to Modify Behavior in a Chronic Disease Management Program

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Nicole D. Gillespie ◽  
Thomas L. Lenz
Keyword(s):  
Behavior Change ◽  
Transtheoretical Model ◽  
Cardiovascular Health ◽  
Healthcare Providers ◽  
Management Program ◽  
Lifestyle Changes ◽  
Lifestyle Behaviors ◽  
Lifestyle Modifications ◽  
Cardiovascular Risk Reduction ◽  
Patient Centered

Chronic diseases like diabetes, hypertension, and dyslipidemia continue to be a significant burden on the US health care system. As a result, many healthcare providers are implementing strategies to prevent the incidence of heart disease and other chronic conditions. Among these strategies are proper drug therapy and lifestyle modifications. Behavior change is often the rate-limiting step in the prevention and maintenance of lifestyle modifications. The purpose of this paper is to describe a tool used to guide the progression and assess the effectiveness of a cardiovascular risk reduction program. The tool uses the Transtheoretical Model of Behavior Change to determine the readiness and confidence to change specific lifestyle behaviors pertinent to cardiovascular health. The tool aids the practitioner in developing a patient-centered plan to implement and maintain lifestyle changes and can be tailored to use in any situation requiring a behavior change on the part of the patient.

scholarly journals Motivating Pro-Sustainable Behavior: The Potential of Green Events—A Case-Study from the Munich Streetlife Festival

2018 ◽  
Vol 10 (10) ◽  
pp. 3731 ◽  
Author(s):  
Christina Tölkes ◽  
Elias Butzmann
Keyword(s):  
Stages Of Change ◽  
Transtheoretical Model ◽  
Education Program ◽  
Structural Equation ◽  
Higher Learning ◽  
Learning Effects ◽  
Theoretical Understanding ◽  
Sustainable Lifestyles ◽  
Visitor Survey

Green events are staged to encourage visitors to adopt more sustainable lifestyles. The Munich Streetlife Festival (SLF) has such a sustainability focus reflected in an education program that aims to reach out to both sustainability-minded visitors and broader audiences. Therefore, this study examined the learning effects of the SLF’s education program regarding different visitor segments. We employed the transtheoretical model (TTM) and the theory of planned behavior (TPB), to relate the learning outcomes to the visitors’ positioning in the stages of change model and visitor attitudes, subjective norms, and constraints. We conducted a visitor survey during the SLF in May 2015 and employed structural equation modelling to analyze the data. The motivational variable “learning about environmental protection” is positively correlated with pro-sustainable behaviors, whilst the variable “enjoying the event” shows a negative correlation. Our findings indicated that this event’s sustainability communication mainly appealed to sustainability-minded visitors in the action stage. Conscious visitors showed higher learning effects than visitors in the pre-contemplation stage, which was in line with the TTM’s propositions. This study enhanced our theoretical understanding of visitor behavioral change and supported green event managers in the development of target-group specific and more effective sustainability communications.

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