Health Care Choices

 

Jean Shreffler-Grant, PhD, RN
Principal Investigator
Montana State University-Bozeman
College of Nursing
Missoula Campus
jeansh@montana.edu

 

| Team | Dissemination |

 

Overview:

 

Purpose:  As older people live longer with chronic illnesses that require ongoing management of both the disease processes and the attendant symptoms, the choices they make about treatments become more important.  A recent study of the use of complementary/alternative therapies amongst older rural dwellers in Montana and North Dakota raised a number of questions about the use of these therapies by individuals with chronic health problems. The study built on this previous work in which the team examined the extent of use of complementary therapies amongst rural elders.  Complementary therapy can be effective alone or in combination with traditional care or even contraindicated in other situations. Its use could be a contributing factor to either the increase or decrease in the span of healthy life for an individual. Because increasing the quality and years of healthy life for all Americans is one of the major goals of Healthy People 2010, the role of complementary therapy in the attainment of this goal needs to be explored, especially in the health care of older rural dwellers with chronic health conditions.

 

Aims:  The specific aims of this pilot study were to: (a) understand better the extent of use of complementary therapies for chronic conditions, (b) understand better what specific complementary therapies are used for what chronic conditions, (c) ascertain perception of the efficacy of the selected complementary therapy for chronic conditions, and (d) explore awareness of the availability of complementary therapy providers.

 

Methods:  A qualitative study design was used to obtain in-depth descriptive data from older people living in the rural areas of Montana and North Dakota. Ten women and men, who participated in the earlier study conducted by this team of researchers, were selected using theoretical sampling techniques. Tape-recorded telephone interviews were conducted by a seasoned interviewer. Data was analyzed for themes, properties and dimensions. The analysis yielded a set of questions and hypotheses about the use of complementary therapies by older adults with chronic health conditions that will further the research in this area.

Back to Top

 

 

Team:

 

Clarann Weinert, SC, PhD, RN, FAAN
Co-Investigator
Montana State University-Bozeman
College of Nursing
cweinert@montana.edu

Therese Sullivan, PhD, RN
Co-Investigator
Montana State University-Bozeman
College of Nursing
thereses@montana.edu

Elizabeth Nichols, DNSc, RN, FAAN
Co-Investigator
Montana State University
Dean - College of Nursing
egnichols@montana.edu

Bette Ide, PhD, RN
Co-Investigator
University of North Dakota
College of Nursing
bette_ide@mail.und.nodak.edu

Back to Top

 

 

Dissemination:

 

Abstracts

  • Shreffler-Grant, J., & Weinert, C., Nichols, E. Ide, B., Sullivan, T. (2004). Health care choices: Chronic illness [Abstract]. Communicating Nursing Research, 37, 337.

  • Shreffler-Grant, J., Nichols, E.G., Weinert, C., Sullivan, T., & Ide, B.A. (2005). Complementary therapy, chronic illness and older rural dwellers [Abstract]. Communicating Nursing Research, 38, 395.
  • Shreffler-Grant, J., Nichols, E.G., Weinert, C., Ide, B.A. (2006) Lessons from the field: Rural nursing research; Making a little go a long way [Abstract]. Communicating Nursing Research, 39, 150.

Publications

  • Cudney, S., Craig, C., Nichols, E., & Weinert, C. (2004). Barriers to recruiting an adequate sample in rural nursing research. Online Journal of Rural Nursing and Health Care 4(2) [Online]. Available: http://www.rno.org/journal/issues/Vol-4/issue-2/Cudney_article.htm
  • Nichols, E., Sullivan, T., Ide, B., Shreffler-Grant, J., & Weinert, C. (2005). Health care choices: Complementary therapy, chronic illness, and older rural dwellers. Journal of Holistic Nursing, 23, 381-394.
  • Nichols, E., Weinert, C., Shreffler-Grant, J. & Ide, B. (2006). Complementary and alternative medicine providers in rural locations. Online Journal of Rural Nursing and Health Care, 6(1) [Online]. Available: http://www.rno.org/journal/issues/Vol-6/issue-2/Nichols_article.htm.
  • Shreffler-Grant, S., Hill, W., Weinert, C., Nichols, E., & Ide, E. (2006). Complementary therapy and older rural women: Who uses and who does not? Manuscript submitted for publication.
  • Shreffler-Grant, J., Weinert, C., Nichols, E., & Ide, B. (2005). Complementary therapy use among older rural adults. Public Health Nursing, 22(4), 323-331.

Presentations

  • Dusenberry, B. (2005, April). Rural communities & complementary therapy providers [poster]. 38th Annual Communicating Nursing Research Conference, Western Institute of Nursing, San Francisco, CA.
  • Shreffler-Grant, J., & Weinert, C. (2004, April). Health care choices: Chronic illness [poster].  37th Communicating Nursing Research Conference, Western Institute of Nursing, Portland, OR.
  • Shreffler-Grant, J., Nichols, E.G., Weinert, C., Sullivan, T., & Ide, B.A. (2005, April). Complementary therapy, chronic illness and older rural dwellers [poster]. 38th Annual Communicating Nursing Research Conference, Western Institute of Nursing, San Francisco, CA.
  • Shreffler-Grant, J., Nichols, E.G., Weinert, C., Ide, B.A. (2006, October) Lessons from the field: Rural nursing research; Making a little go a long way [Abstract]. Improving life: Development and dissemination of nursing innovation, National State of the Science Congress in Nursing Research, Washington, DC.

Back to Top

[About the Center] [Pilot Program] [Funded Research] [Center Investigators] [Center Collaborators]
[
Affiliate Program] [Western Writer's Coercion Group] [Research Toolbox] [News & Events]
[
Contact Us]
[Home]
[MSU Homepage] [College of Nursing] [CONORS]

http://www.montana.edu/crchc
e-mail Web Development Comments to: center_manager@montana.edu
or call
1 888 380 1053
Web Page Last Updated
January 23, 2006