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The Efficacy of the Psychosocial Risk Factor Survey in Measuring the Progress of Appalachian Cardiovascular Rehabilitation Patients

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2017, Doctor of Philosophy (PhD), Ohio University, Counselor Education (Education).
In an extension of research validating the Psychosocial Risk Factor Survey(PRFS), the present study examines the use of the PRFS as an effective counseling assessment tool for participants in a cardiovascular rehabilitation program located in North Central Appalachia. Participants were administered the tool on site by program staff during orientation prior to beginning the program and at its conclusion on the last day of attendance. Completion of the pre-and post-assessments by participants was voluntary. Permission to use the data was given by all participants in written form. A mixed method design with explanatory focus proved effective in the compilation and analysis of data. The PRFS scores assisted in the determination of behavioral progress through the 12-week cardiovascular rehabilitation program. Specific risk factors measured by the PRFS are: depression, anxiety, anger/hostility, social isolation, and emotional guardedness. Statistically significant differences were found between the pre-and post-assessments overall. Participants with less change in scores continue to have all the specified risk factors present in post -scoring. Participants with more change in scores present less specified risk factors in post scoring. The use of Bronfenbrenner’s bioecological model offers a framework to analyze qualitative archival data. The research used participant files from the program, specifically counseling summaries. Integrating the information given from the scoring with themes that emerge from the archival summaries offers some insight to the patterns that may distinguish progress or regress in participant evaluation. Further research recommendations center on furthering insight into psychosocial risk factors within this specific sample, the impact of CHD on the North Central Appalachian population, and using the PRFS with Appalachian and other rural area client populations.
Yegan Pillay (Committee Chair)
125 p.

Recommended Citations

Citations

  • Fulton, B. L. (2017). The Efficacy of the Psychosocial Risk Factor Survey in Measuring the Progress of Appalachian Cardiovascular Rehabilitation Patients [Doctoral dissertation, Ohio University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1510933883773365

    APA Style (7th edition)

  • Fulton, Bethany. The Efficacy of the Psychosocial Risk Factor Survey in Measuring the Progress of Appalachian Cardiovascular Rehabilitation Patients. 2017. Ohio University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1510933883773365.

    MLA Style (8th edition)

  • Fulton, Bethany. "The Efficacy of the Psychosocial Risk Factor Survey in Measuring the Progress of Appalachian Cardiovascular Rehabilitation Patients." Doctoral dissertation, Ohio University, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1510933883773365

    Chicago Manual of Style (17th edition)