Open Access Publications
Permanent URI for this collection
Open access publications by faculty, staff, postdocs, and graduate students in the School of Nursing.
Browse
Browsing Open Access Publications by Title
Now showing 1 - 12 of 12
Results Per Page
Sort Options
Item Associations between sleep and overweight/obesity in adolescents vary by race/ethnicity and socioeconomic status(Journal of Advanced Nursing, 2022-11-28) Ji, Xiaopeng; Covington, Lauren B.; Patterson, Freda; Ji, Ming; Brownlow, Janeese A.Aim To examine the interaction between sleep and social determinants of health (SDOH) [race/ethnicity and socioeconomic status (SES)] on overweight/obesity in adolescents. Design Cross-sectional. Methods We conducted a secondary analysis using the 2017–2018 National Survey of Children's Health data. We included adolescents (10–17 years old) who had sleep and body mass index (BMI) data available (n = 24,337) in analyses (samples with BMI <5th percentile excluded). Parents reported children's sleep duration and regularity. High BMI (≥85th percentile) for age defines overweight/obesity. We selected SDOH (race/ethnicity, family income, primary caregiver education and neighbourhood condition) and covariates (age, sex, smoking, exercise and depression) using a hierarchical model-building approach. Accounting for complex survey design, logistic regression estimated the interaction between sleep and SDOH. Results There were significant interactions between sleep duration and SDOH. The association between increasing sleep and decreasing odds of overweight/obesity only showed in the following subgroups: White, family income ≥400% federal poverty level (FPL) or primary caregiver' education ≥ high school. Compared with these subgroups, Hispanic adolescents and adolescents whose family income was below 100% FPL and whose caregiver education was below high school had weakened and reversed associations. Sleep regularity was not associated with overweight/obesity. Conclusions Increasing sleep duration was associated with a decreased risk of overweight/obesity, but the association was not present in adolescents from racial/ethnic minority groups (i.e. Hispanic) and those with low SES. Impact The study findings suggest that associations between sleep and overweight/obesity vary by race and SES. Identification of additional mechanisms for obesity is needed for racial/ethnic minority groups and those from families with low SES. Also, the complexity of these relationships underscores the importance of community-based needs assessment in the design of targeted and meaningful interventions to address complex health conditions such as poor sleep and obesity.Item Childhood lead exposure and sleep problems in adolescents: a longitudinal cohort study(International Archives of Occupational and Environmental Health, 2024-09-14) Dai, Ying; Halabicky, Olivia M.; Ji, Xiaopeng; Liu, JianghongPurpose Childhood lead exposure is linked to poorer neurobehavioral function in adolescence, but the relationship between lead and adolescent sleep health remains inconsistent. This study aimed to investigate concurrent and longitudinal associations between lead exposure and multiple sleep health domains in adolescents. Methods A total of 972 adolescents from China Jintan Child Cohort were included in analyses. The Blood lead levels (BLLs) were assessed in two Waves, at ages 3–5 years (mean 6.50 ± 2.76 μg/dL) and 11–13 years (mean 3.12 ± 1.17 μg/dL). Sleep problems at age 11–13 were parent-reported via the Child Sleep Health Questionnaire (CSHQ) and self-reported by adolescents using the Pittsburgh Sleep Quality Index (PSQI). Results Both early and later BLLs were associated positively with parental reported sleep problems, including sleep onset delay, night waking, short duration, parasomnias, and disordered breathing. Sex-stratified analyzes showed that most adjusted associations between two-Wave BLLs and sleep outcomes (CSHQ and PSQI) remained statistically significant in males, with a minor increase in the magnitude of these associations. The association between Wave II BLLs and shorter self-reported sleep duration was only statistically significant in female adolescents. Compared to children with consistently low BLLs at both ages, those with persistently high BLLs at both ages had significantly shorter parental-reported sleep duration and worse sleep onset delay. Conclusion Findings suggest that both early and later childhood lead exposures link to more adolescent sleep problems, with recent BLLs showing stronger associations with poor adolescent sleep health reported by their parents.Item Communal Coping and Glycemic Control: Daily Patterns Among Young Adult Couples With Type 1 Diabetes(Families, Systems & Health, 2023-11-13) Yorgason, Jeremy B.; Noorda, Naomi M.; Steeger, Danielle; Saylor, Jennifer; Berg, Cynthia; Davey, Adam; Rellaford, Susannah; Kirkham, Daylee; Saunders, James; Taylor, EvangelineIntroduction: Young adulthood is a time when persons with Type 1 diabetes (T1D) become more fully responsible for diabetes management. Establishing healthy diabetes routines during this period is foundational for successful management across adulthood. Although partner support is generally considered helpful in T1D management, less is known about specific partner behaviors that could benefit glucose levels. The aim of this study was to explore associations between communal coping behaviors and T1D glucose management. Method: During 2018–2020, 23 young married opposite-sex couples (Mage = 25.7 years), wherein one spouse had T1D, completed daily measures of communal coping for 9 consecutive days. Daily average glucose and time-in-range were computed from the person with T1D’s glucose meter or continuous glucose monitor. Results: Multilevel model results suggested that higher time-in-range on a given day was predicted by reports of lower daily spousal instrumental support, lower overprotective and controlling behaviors, and by higher emotional support. Controlling spousal behavior on one day was associated with higher time-in-range the next day. At the same time, patient reports of higher average spousal controlling behavior (across all days) were associated with lower time-in-range and higher average glucose. Average glucose was also predicted by communal coping behaviors (especially within-person higher instrumental support), yet results were less robust after covariates were considered. Discussion: Some young romantic partners may engage in behaviors that are associated with higher average blood glucose and lower time-in-range for the person with T1D. Persons with T1D could communicate to their partners types of support that are helpful versus not. Public Significance Statement This study advances the role of communal coping behaviors between young adults with Type 1 diabetes (T1D) and their romantic partner related to diabetes management. Support provided to young adults with T1D from their partners was associated with average glucose levels and time-in-range, which suggests that interventions that include partners to direct support efforts toward more beneficial forms of support may facilitate diabetes management.Item Concordance in caregiver and child sleep health metrics among families experiencing socioeconomic disadvantage: A pilot study(Journal of Applied Research on Children, 2022-08-25) Covington, Lauren; Satti, Aditi; Brewer, Benjamin; Blair, Rachel; Duffy, Ilona; Laurenceau, Jean-Phillipe; Mayberry, Shannon; Cordova, Angeni; Hoopes, Elissa; Patterson, FredaPurpose: Child and caregiver sleep occurs in a family system, with socioeconomically disadvantaged families experiencing disproportionately worse sleep health than more advantaged families. The extent to which objectively measured sleep health metrics (i.e., sleep duration, midpoint, regularity, efficiency) are concordant within disadvantaged family systems, including caregiver-child dyads, is not clear. To address this gap, this study aimed to: (1) characterize sleep health metrics and (2) identify levels of sleep health concordance among caregiver-child dyads living in families experiencing socioeconomic disadvantage. Design and methods: We enrolled 20 caregivers and 26 children in this micro-longitudinal study. Eligible primary caregivers slept in the same house as the child ≥4 nights/week and had no sleep disorders. Eligible children were aged 6-14 years and reported no medical problems. Dyads wore an actigraphy device continuously for 14 consecutive days. Sleep duration, bedtime, midpoint, and efficiency were estimated, and concordance evaluated using linear mixed modeling (R v.3.5.2). Results: Most caregivers were female (85%), Non-Hispanic Black (80%), and aged 40.45 years (SD=11.82). On average, caregivers were not meeting national recommendations for sleep duration and efficiency. Similarly, sleep duration recommendations were not met by child participants. Bivariate results showed that bedtime 𝑟=0.19, p<.001), sleep efficiency (𝑟=0.24, p<.001), and sleep midpoint (𝑟=0.39, p<.001), were concordant between child and caregiver. Multivariable models showed that caregiver bedtime was predictive of child sleep midpoint (b=0.16, p<.05), and caregiver sleep midpoint was predictive of child bedtime (b=0.29, p<.01) and child sleep midpoint (b=0.31, p<.001). Conclusion: Objectively estimated caregiver sleep may be connected to the sleep timing of their children. Improving child sleep may require addressing caregiver sleep habits too. Practice Implications: Results highlight the importance of providers considering caregiver sleep health when assessing child sleep health during well child visits. KEY TAKE AWAY POINTS: In this sample of caregiver-child dyads living in families experiencing socioeconomic disadvantage, on average, caregivers were not meeting national recommendations for sleep duration (7-9 hours per night) and sleep efficiency (>85%), and children were not obtaining 9-11 hours of sleep per night. Bedtime, sleep efficiency, and sleep midpoint were significantly concordant in caregivers and children, with the strongest association observed with sleep midpoint. In multivariable models, caregiver bedtime predicted child sleep midpoint, and caregiver midpoint predicted child bedtime and midpoint; highlighting the necessity of addressing poor sleep health at the family versus individual level among families experiencing socioeconomic disadvantage.Item Experiences of Couples Caring for a Child Born with Cleft Lip and/or Palate: Impact of the Timing of Diagnosis(Wiley for American Association for Marriage and Family Therapy, 2016-07-08) Zeytinoğlu, Senem; Davey, Maureen P.; Crerand, Canice; Fisher, Kathleen; Akyil, Yudum; Senem Zeytinoğlu Maureen P. Davey Canice Crerand Kathleen Fisher Yudum Akyil; Davey, Maureen P.Raising a child born with cleft lip and/or palate (CL/P) can be challenging for parents. Few researchers have examined how having a child born with CL/P impacts couples. The purpose of this descriptive qualitative study was to examine how a child’s CL/P diagnosis affects couples’ adjustment and their relationship. We conducted interviews with 17 couples (10 prenatal and 7 postnatal) caring for children born with CL/P. After conducting thematic content analysis, six overarching themes emerged: (1) relationship growth, (2) challenges, (3) roles and responsibilities, (4) sources of support, (5) talking about cleft, and (6) lessons learned. Findings suggest couples should be routinely assessed for psychosocial issues and prevention programs should be tailored to pre-existing stressors and timing of the diagnosis.Item Exploration of Sex and Age as Moderators Between Social Cumulative Risk and Sleep in a Representative Sample of Children and Adolescents Living in the United States(International Journal of Behavioral Medicine, 2023-04-25) Covington, Lauren B.; Ji, Xiaopeng; Laurenceau, Jean-Philippe; Patterson, Freda; Brownlow, Janeese A.Background Youth who face adversity are at a disproportionate risk for poor sleep health across the life course. Identifying whether the association between adversity and poor sleep varies based upon age and sex is needed. This study aims to explore sex and age as moderators between social risk and sleep in a sample of U.S. youth. Methods This study analyzed data of 32,212 U.S. youth (6–17 years) whose primary caregiver participated in the 2017–2018 National Survey of Children’s Health. A social cumulative risk index (SCRI) score was calculated from 10 parental, family, and community risk indicators. Nighttime sleep duration was the number of hours the child slept during the past week. Weeknight sleep irregularity was operationalized as whether the child sometimes/rarely/never went to bed at the same time. Generalized logistic regression models estimated associations between SCRI and sleep duration/irregularity, with age and sex as moderators. Results Age moderated the association between SCRI and short sleep (OR = 1.12, p < 0.001), such that the magnitude of the SCRI-sleep relationship was 12% greater in school-age children. Sex was not a significant moderator. In stratified models by age group, age was positively associated with short sleep in both groups, with a greater magnitude in school-age children. Female school-age children were less likely to have short sleep than males. Conclusions Younger children with greater social cumulative risk factors may be more vulnerable to short sleep duration. Further research into the mechanisms underlying the relationships between social risk and sleep health in school-age children is needed.Item Fathers of Children Born with Cleft Lip and Palate: Impact of the Timing of Diagnosis(American Psychological Association, 2016-04-21) Zeytinoğlu, Senem; Davey, Maureen P.; Crerand, Canice; Fisher, Kathleen; Senem Zeytinoğlu Maureen P. Davey Canice Crerand Kathleen Fisher; Davey, Maureen P.INTRODUCTION: Cleft lip and/or palate (CL/P) affects not just the child born with the condition but also the child’s parents. Prior research has been primarily cross-sectional, quantitative, and focused on mothers’ emotional, social, and care experiences. Fathers’ experiences have been neglected despite the important role fathers have in their child’s well-being and development. The purpose of this study was to examine how the timing of a child’s diagnosis (prenatal versus postnatal) affects how fathers cope and adapt. METHOD: We conducted a descriptive qualitative study with a convenience sample of 17 fathers and used thematic content analysis to code the interviews. The sample included ten fathers who received a prenatal diagnosis and seven who received a postnatal diagnosis. RESULTS: The following four major themes emerged: (1) first hearing the diagnosis, (2) taking care of a baby with cleft, (3) future concerns, and (4) reflections. Course of treatment, feeding and social stigma were reported as major sources of stress for all fathers. DISCUSSION: All fathers should be routinely assessed by CL/P treatment teams and included in support services. Some fathers whose babies were diagnosed at birth experienced self-blame, suggesting the importance of screening this group of fathers for distress at birth. Findings underscore the importance of family-centered approaches to care that include both mothers and fathers in treatment planning, interventions, and future research.Item Health Workforce Shortages: Do Global Healthcare Dollars Equate to Workforce Sense?(Journal of Perinatal and Neonatal Nursing, 2024-05-13) Watson, AmandaAn adequate, skilled, and well-distributed workforce is essential to preserving the quality, accessibility, and sustainability of the global health system and efforts toward universal health coverage.1,2 Despite reduction of overall health workforce (HWF) shortage estimates to 10.2 million by 2030, from a previous estimate of 18 million, we are seeing HWF disparities more than double in the 47 countries identified in the World Health Organizationʼs (WHO) support and safeguard list.2 Midwives and their workforce equivalents contribute significantly to critical human resource pools needed to address maternal and infant health indicators worldwide, yet growth of jobs and educational programs continue to lag.2,3 Medical technology and foreign labor exchanges reflect migration patterns from low-to middle-income countries (LMICs) toward high-income countries (HICs) in North America and Western Europe, despite regulatory efforts and ethical guidelines regarding human resource trade.1,2 Natural disasters, conflict, and disease pandemics, such as COVID-19, further stress already compromised healthcare education, training, and workforce pools, in ways we have yet to fully understand.2,4 The responsibility for resolution to this crisis lies internationally, as the fluidity of medical technology and labor exchanges across international borders uniquely characterize the global workforce issues of our generation.1,5Item Neighborhood disadvantage is associated with working memory and hippocampal volumes among older adults(Aging, Neuropsychology and Cognition, 2024-04-24) Wright, Regina S.; Allan, Alexa C.; Gamaldo, Alyssa A.; Morgan, Adrienne A.; Lee, Anna K.; Erus, Guray; Davatzikos, Christos; Bygrave, Desirée C.It is not well understood how neighborhood disadvantage is associated with specific domains of cognitive function and underlying brain health within older adults. Thus, the objective was to examine associations between neighborhood disadvantage, brain health, and cognitive performance, and examine whether associations were more pronounced among women. The study included 136 older adults who underwent cognitive testing and MRI. Neighborhood disadvantage was characterized using the Area Deprivation Index (ADI). Descriptive statistics, bivariate correlations, and multiple regressions were run. Multiple regressions, adjusted for age, sex, education, and depression, showed that higher ADI state rankings (greater disadvantage) were associated with poorer working memory performance (p < .01) and lower hippocampal volumes (p < .01), but not total, frontal, and white matter lesion volumes, nor visual and verbal memory performance. There were no significant sex interactions. Findings suggest that greater neighborhood disadvantage may play a role in working memory and underlying brain structure.Item Preferences and concerns for care needs in advanced Parkinson's disease: a qualitative study of couples.(Wiley-Blackwell, 2016-08-29) Habermann, B.; Shin, J.; Habermann, B., & Shin, J.; Habermann, B.Aims and objectives: To explore how couples with Parkinson’s disease (PD) discuss their needs, concerns, and preferences at the advanced stages of illness. Background: The majority of care for people with PD is provided at home by family members. PD is characterized by a slow progressive decline with care needs often exceeding a decade. Design: A descriptive qualitative study with 14 couples. Methods: Data were collected on two occasions over a one month period utilizing semi‐structured interviews, with both individual and couple interviews. Data were analyzed thematically by the research team. Results: All participants discussed the strong desire to remain in their homes for as long as possible. For the people with PD, placement to long‐term facilities was not an option to be considered. For spouses, there was an acknowledgement there may come a time when they could no longer continue to provide care. Concerns regarding falls, choking, voice production, financial strain and need for prognostic information from providers were influences on what they believed the future would hold and the decisions they would need to make. Conclusions: The need for improved communication between providers and PD couples is evident. Interventions to support the couple in their discussions and decision making regarding remaining in the home or not, and options to support advanced care needs are required. Relevance to clinical practice: Nurses can help support decision making by providing tangible information regarding the advanced stages of PD including adequate prognostic information. Advanced PD 2 What does this article contribute to the wider global clinical community? >\Preferences for placement to long‐term care facilities are different among people with PD and their spouses. Beliefs about the future and decision making are influenced by concerns about physical complications including falls and choking and the need for prognostic information from health care providers. The need for improved communication between health care providers and PD couples is reported. Nursing interventions to support the couple in their discussions and decision making regarding placement and options to support advanced care needs are required.Item School nurses: Researcher and clinician collaborations to address paediatric health inequities(Journal of Advanced Nursing, 2023-08-02) Covington, Lauren B.; Hildick, Heidi; Robinson, Anastasia; Pennington, Mandy; Mansi, Suzanne; Ji, Xiaopeng; Strang, Abigail; Rani, Seema; Robson, Shannon; Lobo, Michele A.; Cuffee, Yendelela; Selekman, Janice; Taherzadeh, Sanaz; Carroll, Jill; Covey, Ann; Murray, Kenna; Zimmerman, Chriss; Horney, Jennifer A.; Sowinski, Christine; Patterson, FredaSchool nurses are front-line paediatric public health providers who are eager and poised to address paediatric health inequities. They are tasked with remaining informed about current health issues (i.e. immunization updates, surges in emerging and reemerging illnesses, novel medications and side effects, etc.), but also the disparities that arise within different populations of students (Willgerodt et al., 2018). Further, school nurses are well-positioned to be advocates for the most vulnerable students at risk for health disparities and inequities. For example, school nurses are able to identify and advocate for students who experience food and housing insecurity, lack access to medical or dental care, and/or those who live in unstable or insecure environments (Gratz et al., 2021). School nurses bridge gaps that address lack of healthcare access for their students by making referrals to social workers, public health departments or statewide agencies. School nurses are truly community engaged—sharing with community members the top issues plaguing their students, as well as listening to and addressing priority health issues afflicting the community (Gratz et al., 2021; Willgerodt et al., 2018).Item When Leaders Don’t Walk the Walk: A National Survey of Academic Nurse Leader Perceptions of Staff Burnout(Nursing Education Perspectives, 2024-11-06) Martinez-Hollingsworth, Adrienne; Goodolf, Dawn; Martin, Nia; Kim, Linda; Saylor, Jennifer; Evans, Jennifer; Hines, Annette; Jun, JinAIM This survey explored nurse leaders’ impressions of burnout on college/school of nursing (CON/SON) administrative staff and leadership-facilitated strategies used to promote resilience building/mitigate burnout. BACKGROUND Administrative staff are foundational to the success of a university’s CON/SON, yet few studies have explored the impact of burnout in this group. METHOD Cross-sectional survey distributed to associate dean and business officer attendees of the 2022 American Association of Colleges of Nursing, Business Officers of Nursing Schools meeting (summer 2022) (n = 64). RESULTS Most respondents lacked a burnout mitigation plan (46/64, 72%); many also lacked a personal strategy for managing their own burnout (46/64, 72%) and did not personally participate in university activities to maintain their well-being (45/64, 70%). CONCLUSION This study highlights the impact of nurse leaders who fail to model self-care, which may limit the benefit of costly burnout mitigation activities and resources in their universities.