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Biomedical subjects

A M Miller

Publications and source records attributed to A M Miller.

113 records · Page 7Linked to original sources

Women's physical activity patterns: nursing implications.

OBJECTIVE: To develop a method of categorizing patterns of physical activity by describing the frequency, intensity, and duration of women's activities. DESIGN: A 24-cell quota sample stratified by four occupations, two races, and three age groups. SETTING: Ten employment sites. PARTICIPANTS: One hundred seventy-six women, ages 35-65 years, who worked 20 or more hours per week at their job, were not currently using hormone replacement therapy, not pregnant, and did not have a hysterectomy before the age of 53. MAIN OUTCOME MEASURES: An interviewer and self-administered, retrospective occupational, household, and leisure physical activity questionnaire covering the previous 12 months and lifelong activity. RESULTS: Five patterns of household and leisure physical activity were identified: vigorous, continuous, cumulative, occasional, and inactive. Participation in the vigorous pattern was low, but 34% followed a continuous pattern of leisure activity and 75% followed a continuous pattern of household activity. The number of weekly work hours did not affect the household or leisure pattern. CONCLUSION: Women may be able to obtain the recommended levels of physical activity from a combination of occupational, household, and leisure activities. Nursing recommendations should guide women to increase their regular leisure physical activity and/or accumulate sessions of moderate-intensity activity by aerobically enhancing daily activities in which they already participate.

Adult↗

Measurement Properties of the Symptom Impact Inventory.

The purpose of this study is to evaluate the measurement properties of the Symptom Impact Inventory using both psychometric and Rasch analyses. This inventory is designed for generally healthy midlife women. The sample included 340 midlife women aged 45-65 representing two studies. The first study involved Black and White employed sedentary women (n = 161) who volunteered for a walking intervention. The second study of migration and health included women who were recent immigrants from the former Soviet Union (n = 179). The women reported experiencing an average of 13.44 symptoms (S.D.=7.88) with a range of 1 to 32. Principal components analysis identified 5 components in this sample. Rasch measurement analysis found excellent model fit for the Symptom Impact Inventory with only 2 symptoms, Decreased appetite and Decreased sexual desire or interest, unstable in scale dimensionality analyses. Person and item parameters were reliable, and comparisons with groups known to differ on symptom reporting provided substantial validity. Although the two sample groups differed significantly on most demographic characteristics, a cross-cultural comparison found the scale structure remarkably robust.

Black or African American↗

Epidemiology for community health nursing: an interactive computer assisted instruction program.

Epidemiology and its application to community health nursing is an essential concept for baccalaureate nursing students. To facilitate student learning, nursing faculty chose to use computer assisted instruction (CAI) as an adjunct teaching-learning strategy. An interdisciplinary team, including nursing content specialists and a computer programmer, produced an interactive CAI that integrated epidemiologic content, community health nursing practice, and learning-theory principles. Contents of the program modules are described, and program strategies used to enhance learning are delineated. Evaluation of the program indicated students (N = 106) believed the content was clearly explained and preferred learning epidemiology through combining classroom learning with CAI rather than through textbook reading assignments.

Community Health Nursing↗