Browsing by Author "Graham-Tutt, Camonia"
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Item A systematic review of single health behavior change interventions vs. multiple health behavior change interventions among older adults(Springer Verlag, 2012) Graham-Tutt, Camonia; Nigg, Claudio R.Multiple behavior change is widely used to reduce targeted health behaviors; however, its effect on behaviors such as physical activity, nutrition, and alcohol and tobacco use among older adults remains inconclusive. The primary purpose of this systematic review was to evaluate the effects of single health behavior change (SHBC) interventions vs. multiple health behavior change (MHBC) interventions among older age individuals. PubMed was searched for publications on health behavior interventions from 2006 to 2011. Twenty-one randomized clinical trials assessed the effects of health behavior change in older individuals. Results were reviewed by a number of health behaviors and effectiveness. Results revealed that within SHBC interventions, physical activity or exercise behavior revealed that interventions were the most common and showed the most promise in influencing positive outcomes in physical activity behavior among community-dwelling older adults. There were too few MHBC studies identified to allow confident comparison to SHBC interventions. The MHBC field is still at an early stage within the older adult literature, and more attention is recommended to investigate if the benefits of MHBC apply to this age group.Item Community Based Participatory Research: Diabetes in Hawai’i(University of Hawaiʻi — West Oʻahu, 2020-04) Wolensky, Cortney; Graham-Tutt, CamoniaAccording to the State of Hawai’i Department of Health, “Diabetes is defined commonly as high levels of blood glucose or blood sugar” (n.d.). There are two common types of Diabetes, type 1 and type 2. Type 1 diabetes is when people’s bodies are no longer able to produce insulin. Insulin is used so that your body can absorb glucose that’s in your bloodstream. People with type 2 diabetes can still produce insulin but their bodies can’t process it effectively. Type 2 diabetes is more common, in fact, about 90-95% of people with diabetes have type 2 diabetes. Thankfully, type 2 diabetes can be preventable with healthier lifestyle choices (Hernandez, 2016).
In the United States, 30.3 million people have diabetes. That means that diabetes affects 9.4% of the population. Of those 30.3 million people, there are about 7.2 million undiagnosed people(CDC, 2018). The American Diabetes Association says that as of today, there are around 142,000 people in Hawai’i with diabetes, that’s 12% of the population. That means our percentage of people with diabetes is higher than the percentage of those with diabetes in the U.S. People that are diabetic are at a greater risk of developing other health conditions like cardiovascular disease, kidney disease, and cause nerve damage to your hands and feet. Also, diabetes is the 7th leading cause of death (n.d.).
Item Community Based Participatory Research: Plant Based Diets and the risk of Diabetes(University of Hawaiʻi — West Oʻahu, 2020-04) Turner, Tenajah; Graham-Tutt, CamoniaDiabetes, over the past decade, particularly the last five years it has become a major health issue in the United State. Especially type 2 diabetes, with the lack of education and awareness of the long term affects it can have on a person's health. A Community Based Participatory Research (CBPR) would be greatly beneficial to decrease and eliminate diabetes, especially type 2 diabetes which can be preventable through a healthy plant based diet and better life style changes through exercise.Item Community Based Participatory Research: Women’s Health & Family Planning in Hawaii County(University of Hawaiʻi — West Oʻahu, 2020-04) Ervin, Willa Woodard; Graham-Tutt, CamoniaDevelop a CBPR partnership researching women’s healthcare and family planning (WHCFP) both in accessibility and available providers in Hawaii County and define the scope of care; midwives and Physician’s Assistants (PAs) filling these gaps at a cost savings. Incorporate elders, community members, legislature, and community health committees as well as providers to expand education and promotion of women’s health. Highlight Hawaiian cultural barriers to care and how to respectfully integrate WHCFP with traditional healing practices.Item Dietary isoflavone intake is not statistically significantly associated with breast cancer risk in the Multiethnic Cohort(Cambridge University Press, 2014) Graham-Tutt, Camonia; Morimoto, Yukiko; Maskarinec, Gertraud; Park, Song-Yi; Ettienne, Reynolette; Matsuno, Rayna K.; Steffen, Alana D.; Henderson, Brian E.; Kolonel, Laurence N.; Marchand, Loïc Le; Wilkens, Lynne R.Given high soy intake and low incidence rates in Asian countries, isoflavones, substances with an estrogen-like structure occurring principally in soybeans, are postulated to be cancer-protective. We examined the association of dietary isoflavone intake with breast cancer risk in 84,450 women (896 in situ and 3,873 invasive cases) who were part of the Multiethnic Cohort (Japanese Americans, whites, Latinos, African Americans, and Native Hawaiians) with wide ranges of soy intake. The absolute amount of dietary isoflavone consumption estimated from a baseline food frequency questionnaire was categorized into quartiles, with the top quartile further subdivided to examine high dietary intake. The respective intakes for the quartiles (Q1, Q2, Q3, lower and upper Q4s) were 0-<3.2, 3.2-<6.7, 6.7-<12.9, 12.9-<20.3, and 20.3-178.7 mg/day. After a mean follow-up of 13 years, hazard ratios (HRs) and 95% confidence intervals (CIs) were calculated using Cox regression stratified by age and adjusted for known confounders. Linear trends were tested by modeling continuous variables of interest assigned the median value within the corresponding quartile. We observed no statistically significant association between dietary isoflavone intake and overall breast cancer risk (HR [and 95% CI] for upper Q4 vs. Q1: 0.96 [0.85-1.08]; P-trend=0.40). While the test for interaction was not significant (P=0.14), stratified analyses suggested possible ethnic/racial differences in risk estimates, with a suggestion that higher isoflavone intake may be protective in Latina, African American, and Japanese American women. These results agree with previous meta-analyses showing no protection at low intake levels but suggesting inverse associations in high-soy consuming populations.Item Effects of 5G and Multi-access Edge Computing on the Internet of Things(University of Hawaiʻi — West Oʻahu, 2020-04) Young, Ryan; Graham-Tutt, CamoniaInternet of Things (IoT)- Network of interconnected objects with provides services for information transfer, analytics, applications and communications
- Collects, transmits and shares data
- Examples: Smart watches, devices and sensors that enable industrial and home remote automation, monitoring, and robotics
- Consumer demand for better goods and services
- Business demand for increasing efficiencies
- Government initiative
Item Factors Contributing to the Decrease of HPV Immunizations in Hawaii(University of Hawaii - West Oahu, 2018-11) Calderon, Jordanne; Graham-Tutt, CamoniaItem Math & Games(University of Hawaiʻi — West Oʻahu, 2020-04) Gasmen, Geraldine; Graham-Tutt, CamoniaThis study is about the benefit of incorporating academic games with the curriculum to help keep students engaged and excited about math. Research shows that games give students opportunities to deepen their mathematical understanding and reasoning, as well as allowing parents to learn and be involved in their children’s mathematical thinking by having the games played at home (Rutherford, 2015). According to the National Council of Teachers of Mathematics, playing games not only allows students to find different strategies for solving problems but it also supports development in computational fluency when played repeatedly.Item Math + Nutrition = Life(University of Hawaiʻi — West Oʻahu, 2020-04) Silva, Jaqlyn; Graham-Tutt, CamoniaWithin the topic of Nutrition and Math, there have been many studies conducted to determine the amount of knowledge elementary school students and their parents may have obtained in the course of their life. With that being said the findings that stood out to me thus far, is that there is no direct correlation so far with food knowledge between parents and their children. Although some students may have proper nutrition at a young age, most of this gained knowledge significantly increases with age and exposure. The type of nutrition that students need to be incorporated in their life, needs to presented to them in an understanding and clear way, so that they can use the information in their everyday life’s and hopefully benefit from it.Item Mathematics and Memory(University of Hawaiʻi — West Oʻahu, 2020-04) Marler, Rachel; Graham-Tutt, CamoniaMemory and recognition play a crucial role in mathematics. Pattern recognition, active working memory, and the memory of rules are all important memory factors when it comes to the study of mathematics. When students are faced with a math problem, they must be able to recall knowledge from their long-term memory in order to know the proper rules and steps required to accurately solve the problem in front of them.Item Nomophobia(University of Hawaii - West Oahu, 2017-11) Taca, Sandra; Graham-Tutt, CamoniaThis study is aimed to explore the health risks associated with smartphone addiction among a sample of UH West Oahu Public Administration student population. The study instrument comprised of 7 segments; informed consent form, consent acceptance page, demographic details, habituation, Social Media details, smartphone facts, and health issues. Frequency of the data is calculated and summarized in the results.Owning and/or utilizing a smartphone device, similar to buying and selling drug substance(s), can act as a doorway to behavioral addiction. Majority of respondents were from the Millenial period, of which over 50% indicated nomophobic behavior. Thus, with technology now being incorporated in the classrooms, it is important to control the device usage in children to monitor and prevent problematic cellphone dependency in the future.
Item Overcoming America’s Youth Suicide Outbreak Through Youth Outreach(University of Hawaiʻi — West Oʻahu, 2020-04) Maluyo, Emily Jenie; Graham-Tutt, CamoniaToday, according to the Center of Diseases Control (CDC), suicide is the second leading cause of death among the ages of 15 to 24-year-old youths. CDC also states that about 1 in every 15 students report attempting suicide every year. This means that there may be as many as 100 to 200 suicide attempts for each suicide death among young people. But for some youth groups--including those who are involved in the child welfare, juvenile justice systems, LGBTQ community, minorities, and military service members--the incidence of suicidal behavior is even higher. With the increase of youth suicide, it brings influence on others which can cause additional potential suicide attempts or deaths. It breaks the social construct and sensitivity of youth culture and raises a more prominent issue outside the youth community.
Although suicidal thoughts and attempts are common in the youth community, there are many suicide prevention and interventions that care for them about an attempt or death. Specifically, multilevel and multimodal interventions have been suggested for suicide prevention. However, few studies have reported the outcomes of such interventions for suicidal behaviors. There are insufficient data available from controlled trials to recommend one intervention over another for the treatment of suicidal youth.
Item Peer Influence on Obesity-Related Behaviors: Design and Rationale of the Waipahu HART Project(John Hopkins University Press, 2014) Graham-Tutt, CamoniaIn the State of Hawaii in the first decade of the twenty-first century, 25.5% of Filipino students in grades 9-12 were ranked as obese.1 The Waipahu Health Action Research Training (HART) project addresses the issue of adolescent obesity among high school students in the community of Waipahu, Hawaii, a predominantly Filipino population* Waipahu is a former sugar plantation town where various cultures and races have taken root in the course of history. It is a semi-urban low-income community located on the leeward side of Oahu and has an estimated population of 38,216, predominantly Asian nationals, who make up 66% of the population. U.S. Census results show that the Waipahu population is primarily composed of young people aged 18 and under and adults aged 25-44 years. Females make up about 50% of the population, with a female-to-male ratio of 100:97.6.2 The community of Waipahu was chosen for this program due to an already established working relationship and the community’s need and support. The Waipahu Community Coalition and Waipahu High School have played large roles in supporting the HART project and in supporting community health. Focusing on this community for obesity prevention for Pacific Islanders, as well as for similar communities in the mainland United States, highlights the idea that culturally sensitive and sustainable programs are needed to promote positive behavioral change among often-forgotten communities.
This project uses existing classroom activities and assignments to address the feasibility of delivering a curriculum on obesity prevention behaviors (namely, physical activity and nutrition) to high school students. The obesity curriculum was specifically designed to address community need and based on previous data collected by the students. The intervention is tailored to the individual suggestions, needs, and culture of the students in this community.
Item Research at UHWO, 2018-01 (issue 01)(University of Hawai'i - West O'ahu, 2018-01) Yong, Kamuela; Magnussen, Jon; Heller, Mary; Graham-Tutt, Camonia; Kudo, FranklinItem Underage Binge Drinking & Mental Health-Related Consequences(University of Hawaii - West Oahu, 2019-04) Kim, Kelli; Graham-Tutt, CamoniaThe purpose of this study is to describe the correlation between underage binge drinking and mental health-related consequences. I wondered how the age at which adolescents begin to drink, peer influences, and parental supervision affects their level of mental health issues.
I created a survey composed of quantitative and qualitative questions, and questions from three screening questionnaires for anxiety, depression, and suicide sensitivity. After conducting three in class data collections and several in person data collections, I found that adolescents that first binge drink when they are 12 to 17 years old, are not influenced by their peers, and are supervised by their parents have higher levels of anxiety, depression, and suicide sensitivity.
Item What Matters When Children Play(Elsevier, 2014) Graham-Tutt, Camonia; Harmon, Brook E.; Nigg, Claudio R.; Amato, Katie; Anwar, Mahabub-Ul; Kutchman, Eve; Anthamatten, Peter; Browning, Raymond C.; Brink, Lois; Hill, James O.Objectives Social Cognitive Theory (SCT) has often been used as a guide to predict and modify physical activity (PA) behavior. We assessed the ability of commonly investigated SCT variables and perceived school environment variables to predict PA among elementary students. We also examined differences in influences between Hispanic and non-Hispanic students. Design This analysis used baseline data collected from eight schools who participated in a four-year study of a combined school-day curriculum and environmental intervention. Methods Data were collected from 393 students. A 3-step linear regression was used to measure associations between PA level, SCT variables (self-efficacy, social support, enjoyment), and perceived environment variables (schoolyard structures, condition, equipment/supervision). Logistic regression assessed associations between variables and whether students met PA recommendations. Results School and sex explained 6% of the moderate-to-vigorous PA models' variation. SCT variables explained an additional 15% of the models' variation, with much of the model's predictive ability coming from self-efficacy and social support. Sex was more strongly associated with PA level among Hispanic students, while self-efficacy was more strongly associated among non-Hispanic students. Perceived environment variables contributed little to the models. Conclusions Our findings add to the literature on the influences of PA among elementary-aged students. The differences seen in the influence of sex and self-efficacy among non-Hispanic and Hispanic students suggests these are areas where PA interventions could be tailored to improve efficacy. Additional research is needed to understand if different measures of perceived environment or perceptions at different ages may better predict PA.