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Biomedical subjects

Kristen S Montgomery

Publications and source records attributed to Kristen S Montgomery.

8 recordsLinked to original sources

Ethnicity and prenatal health promotion content.

Prenatal care health promotion education is an important strategy for reducing perinatal health disparities. The purposes of this study were to (a) identify differences between the health promotion content women wanted to discuss and the content women reported discussing and (b) determine whether ethnicity was related to health promotion content. A cross-sectional study used face-to-face interviews to obtain data about 159 Mexican American and African American pregnant women's prenatal experience. Women wanted more health promotion content than they discussed. Despite wanting information about more health promotion topics than African American women. Mexican American women discussed fewer topics. Ethnicity, number of topics women wanted to discuss, whether a woman had a primary provider, and type of prenatal provider model were also related to content.

Adolescent↗

Health promotion with adolescents: examining theoretical perspectives to guide research.

A guiding theoretical framework in research serves not only to guide a single research study, but also to link previous and future research that is guided by the same framework. Existing theoretical perspectives appropriate for use with adolescent health promotion research were reviewed. Instead of randomly selecting several theories for comparison, an intensive review of the literature was conducted to identify which theories were most commonly used with adolescent health promotion research. The results of this review revealed some interesting and noteworthy information regarding the state of theory use in adolescent health research for the last decade. Information is provided on theoretical perspectives by journal and year of publication. Trends are analyzed so that nurses can evaluate the current state of the science. Social cognitive theory (Bandura, 1986), the health belief model (Becker, 1978), and the health promotion model (Pender, 1996) emerged as the most significant theories for adolescent health promotion research and thus are discussed at the end of the article.

Adolescent↗

Aging memory self-efficacy: elders share their thoughts and experience.

Twenty-six elders responded to an open-ended question as part of a study that examined the relationships among depression, health, memory self-efficacy, and metamemory. Participants rated their overall memory function as fair to average (M = 4.26, standard deviation [SD] = 1.29). The average memory efficacy scores were high (M = 51.35, SD = 23.56). The final question invited participants to share any additional information they thought might be important to this item. This article represents a content analysis of these comments. The mean age of responders was 68.78; all had high perceived health and no depression. No differences on memory self-efficacy arose among age groups. Themes included memory management, rationalization, reflection, information seeking, and correlation establishment. Therefore, it is important for clinicians to ask elders about memory function during routine health care encounters, as individuals are interested in memory assessment and management.

Adaptation, Psychological↗

Does relaxation education in anxious primigravid Iranian women influence adverse pregnancy outcomes?: a randomized controlled trial.

UNLABELLED: Maternal anxiety and stress are found to be predictors of adverse pregnancy outcomes, including low birth weight and prematurity. OBJECTIVE: The aim of the study was to determine whether relaxation education in anxious pregnant Iranian women in their first pregnancy affects selected pregnancy outcomes, including birth weight, preterm birth, and surgical delivery rate. SUBJECTS: A total of 110 obstetrically and medically low-risk primigravid women in Iran with a high anxiety level demonstrated by Spielberger's State-Trait Anxiety Inventory were randomly assigned into experimental and control groups. METHOD: In this randomized controlled trial, the experimental group received routine prenatal care along with 7-week applied relaxation training sessions, while the control group received only routine prenatal care. Anxiety and perceived stress were measured by pre-educational and post-educational intervention. Data related to pregnancy outcomes include birth weight, gestational age at birth, and type of delivery. RESULTS: Significant reductions in low birth weight, cesarean section, and/or instrumental extraction were found in the experimental group compared with the control group. No significant differences were found in the rate of preterm birth. CONCLUSION: The findings suggest beneficial effects of nurse-led relaxation education sessions during the prenatal period. This intervention could serve as a resource for improving pregnancy outcomes in women with high anxiety.

Adolescent↗

Nursing care for pregnant adolescents.

Although the physical care of pregnant adolescents is similar to that required by adult women, adolescents have additional unique needs. Adolescents often need more support and extensive teaching during pregnancy and the postpartum. Moreover, adolescents often have fewer life experiences than do adult women, making them less able to cope with the life changes they are experiencing related to pregnancy and birth. Nonjudgmental and developmentally appropriate interactions are essential to the care of pregnant adolescents. This article explores nursing care for the physical, emotional, and educational needs of adolescents during the prenatal, intrapartum, and postpartum periods.

Adaptation, Psychological↗

Planned adolescent pregnancy: what they wanted.

INTRODUCTION: Approximately 15% of all adolescent pregnancies are planned. Little previous research has been conducted regarding why adolescents choose pregnancy or what the experience is like for them. METHOD: Phenomenology was used to describe adolescents' experience planning their current pregnancy. Eight pregnant adolescents (ages 14 to 17 years) were interviewed. RESULTS: Eleven themes related to planning a pregnancy during adolescence emerged from the participant interviews. Themes may be divided into two broad categories: themes relating to planning the pregnancy and themes that are related to the pregnancy. Themes related to planning the pregnancy can be further divided into two distinct groups: wants and needs. Themes that were related to planning for pregnancy in the "wants" section included: (a) the desire to be or be perceived as more grown up, with increased responsibility, independence, and maturity; (b) a long history of desiring pregnancy and the maternal role; (c) never having had anything to call their own and wanting something to care for and love; and (d) the pregnancy was the natural next step in their life or their relationship with their boyfriend. DISCUSSION: Health care providers need to be aware that not all adolescent pregnancies occur as a result of error. Interventions should be developed to help provide the best care for this unique group of pregnant adolescents.

Adaptation, Psychological↗