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Health Care Choices
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Jean Shreffler-Grant,
PhD, RN
Principal Investigator
Montana State
University-Bozeman
College of Nursing
Missoula Campus
jeansh@montana.edu |
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Team
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Dissemination
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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.
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Team:
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Clarann Weinert,
SC, PhD, RN, FAAN
Co-Investigator
Montana State
University-Bozeman
College of Nursing
cweinert@montana.edu |
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Therese Sullivan, PhD,
RN
Co-Investigator
Montana State
University-Bozeman
College of Nursing
thereses@montana.edu |
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Elizabeth Nichols, DNSc, RN,
FAAN
Co-Investigator
Montana State University
Dean -
College of Nursing
egnichols@montana.edu |
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Bette Ide, PhD, RN
Co-Investigator
University of North Dakota
College of Nursing
bette_ide@mail.und.nodak.edu |
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Dissemination:
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Abstracts |
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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.
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Publications |
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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
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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.
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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.
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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.
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Shreffler-Grant, J., Weinert, C., Nichols, E., & Ide, B. (2005). Complementary therapy
use among older rural adults. Public Health Nursing, 22(4), 323-331.
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Presentations |
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Dusenberry, B. (2005, April).
Rural communities & complementary therapy providers
[poster]. 38th Annual Communicating Nursing Research Conference,
Western Institute of Nursing, San Francisco, CA.
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Shreffler-Grant, J., & Weinert, C. (2004, April).
Health care choices: Chronic illness
[poster]. 37th Communicating Nursing Research Conference, Western Institute of Nursing, Portland, OR.
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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.
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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.
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