EFFECTS OF A SLEEP HYGIENE TEXT-MESSAGE INTERVENTION ON SLEEP IN COLLEGE STUDENTS

Young adulthood is a time of transition with multiple stressors that may affect healthy lifestyle habits such as sleep. Prolonged sleep disturbances can have harmful health effects along with increased risk for development of chronic diseases. The purpose of this study was to test the effectiveness of a text-message intervention on sleep among young adult college students. Using Bandura’s Social Cognitive Theory (SCT), it was hypothesized that a sleep hygiene text-message intervention would increase sleep hygiene knowledge, increase sleep hygiene, improve self-efficacy for sleep hygiene, and improve sleep quality among young adult college students. A randomized control trial (RCT) with a 2-group pretest-posttest design was used to test the hypotheses. A convenience sample of undergraduate university students (n=96), 18-26 years, were recruited using email messages, flyers, social media, and in-class announcements across campus. Participants were randomized to receive biweekly text messages about sleep or healthy behaviors for six weeks. There were no significant differences between groups. There were significant differences within groups for sleep hygiene, sleep quality, and the sleep influences subscale of the self-efficacy for sleep hygiene inventory. Though not significant, scores for sleep knowledge, sleep hygiene, sleep influences and sleep quality improved in both groups. This study suggests that self-efficacy for sleep hygiene is an influential factor in sleep quality. Text-messaging may be an appropriate intervention to promote healthy behaviors to the young adult population

Triggers and Their Influence on Health Behaviors

This article provides a conceptual definition of the concept trigger within the context of health behaviors and applies it to the highly significant health issue of obesity. Healthy behaviors are essential to life and happiness, but they do not just happen. They are triggered, and an inner drive keeps them alive. To help patients gain and retain optimal health, nurses must understand the triggers of healthy behaviors. Walker and Avant’s (2011) method of concept analysis is used as the basis for defining the concept of trigger. The antecedents, defining attributes, and consequences of trigger are identified. Findings suggest that nurses can play a role in triggering health behavior change through simple motivational efforts

College Student Sleep

No abstract available

Engaging nursing students and older adults through service-learning

Purpose The purpose of this study is to examine nursing students’ (n = 18) perceptions of interrelating with older adults to understand how such interactions might improve students’ levels of cultural competence and enhance their future nursing practice. Additionally, the study sought to contribute to a higher level of technological competency in older adults. Design/methodology/approach A basic qualitative study design (Merriam and Tisdell, 2016) was used to direct the data collection and analysis to achieve the aims of this study. Findings Four themes emerged from the data collected based on cultural knowledge, cultural skills, cultural desire and engaging in cross-cultural interactions. Students reflected on how their experiences would help them to interact with older adults in their future nursing practices. Research limitations/implications The limitation of the research is that the exploratory study cannot be generalized for a wider demographic. Also, the students’ prior experiences working with older adults were not considered and their reflections may not have accurately portrayed their true biases. Practical implications Reflection is a valuable practice to help students think through their experiences and is considered a key component of service-learning. In this study, students reflected on how their experiences would help them to interact with older adults in their future nursing practices. Social implications Nursing students who are later used take with them empathy, more sensitivity and positive attitudes toward older people to benefit the nurse-patient relationship with this population. Originality/value This is one of a handful of studies located that pairs nursing students with older people in teaching technology skills through iPad technology

Urinary Epidermal Growth Factor as a Marker of Disease Progression in Children With Nephrotic Syndrome.

Introduction: Childhood-onset nephrotic syndrome has a variable clinical course. Improved predictive markers of long-term outcomes in children with nephrotic syndrome are needed. This study tests the association between baseline urinary epidermal growth factor (uEGF) excretion and longitudinal kidney function in children with nephrotic syndrome. Methods: The study evaluated 191 participants younger than 18 years enrolled in the Nephrotic Syndrome Study Network, including 118 with their first clinically indicated kidney biopsy (68 minimal change disease; 50 focal segmental glomerulosclerosis) and 73 with incident nephrotic syndrome without a biopsy. uEGF was measured at baseline for all participants and normalized by the urine creatinine (Cr) concentration. Renal epidermal growth factor (EGF) mRNA was measured in the tubular compartment microdissected from kidney biopsy cores from a subset of patients. Linear mixed models were used to test if baseline uEGF/Cr and EGF mRNA expression were associated with change in estimated glomerular filtration rate (eGFR) over time. Results: Higher uEGF/Cr at baseline was associated with slower eGFR decline during follow-up (median follow-up = 30 months). Halving of uEGF/Cr was associated with a decrease in eGFR slope of 2.0 ml/min per 1.73 m Conclusion: uEGF/Cr may be a useful noninvasive biomarker that can assist in predicting the long-term course of kidney function in children with incident nephrotic syndrome

The impact of disease duration on quality of life in children with nephrotic syndrome: a Midwest Pediatric Nephrology Consortium study

The Patient Reported Outcomes Measurement Information System (PROMIS) II is a prospective study that evaluates patient reported outcomes in pediatric chronic diseases as a measure of health-related quality of life (HRQOL). We have evaluated the influence of disease duration on HRQOL and, for the first time, compared the findings of the PROMIS measures to those of the PedsQL™ 4.0 Generic Scales (PedsQL) from the PROMIS II nephrotic syndrome (NS) longitudinal cohort

Design of the Nephrotic Syndrome Study Network (NEPTUNE) to evaluate primary glomerular nephropathy by a multidisciplinary approach

The Nephrotic Syndrome Study Network (NEPTUNE) is a North American multi-center collaborative consortium established to develop a translational research infrastructure for Nephrotic Syndrome. This includes a longitudinal observational cohort study, a pilot and ancillary studies program, a training program, and a patient contact registry. NEPTUNE will enroll 450 adults and children with minimal change disease, focal segmental glomerulosclerosis and membranous nephropathy for detailed clinical, histopathologic, and molecular phenotyping at the time of clinically-indicated renal biopsy. Initial visits will include an extensive clinical history, physical examination, collection of urine, blood and renal tissue samples, and assessments of quality of life and patient-reported outcomes. Follow-up history, physical measures, urine and blood samples, and questionnaires will be obtained every 4 months in the first year and bi-annually, thereafter. Molecular profiles and gene expression data will be linked to phenotypic, genetic, and digitalized histologic data for comprehensive analyses using systems biology approaches. Analytical strategies were designed to transform descriptive information to mechanistic disease classification for Nephrotic Syndrome and to identify clinical, histological, and genomic disease predictors. Thus, understanding the complexity of the disease pathogenesis will guide further investigation for targeted therapeutic strategies