Higher availability of LCCs in African American communities and lower prices and greater outdoor advertising in minority and young adult neighborhoods may establish environmental triggers to smoke among groups susceptible to initiation, addiction, and long-term negative health consequences.
This paper is NOT THE PUBLISHED VERSION; but the author's final, peer-reviewed manuscript. The published version may be accessed by following the link in th citation below.
Web-based, online data collection methods create opportunities to conduct research globally, especially among difficult to access populations. However, web-based research requires careful consideration of how the study will be advertised and how data will be collected to ensure high quality data and validity of the findings.
In this article, we describe how young adults who are transitioning off treatment for childhood cancer and beginning early survivorship are living in what might be described as a paradox of reality. These survivors' dual reality is their experience of intense frustration with their current state of functioning, and an overwhelming relief that therapy is over and that they survived. They have feelings of fear, trepidation, and anxiety for what experiences lay ahead, but have hope for the future. Finally, they acknowledge the growth they achieved through the experience of cancer treatment, as well as the many missed opportunities to experience normalcy while undergoing therapy. Young adults who are in early cancer survivorship exist in a reality in which they are living disease free, but perceive themselves as having a long road to travel to be healed.
Although interest in quitting was high, bootleggers created an environment in which reduced-price cigarettes were easier to access than cessation services. This activity continues to undermine the public health goals of the tax increase.
The purpose of this research was to establish the feasibility of delivering the Hope Intervention Program (HIP) using a Web-based design among 6 female survivors of childhood cancer. The HIP is an 8-week program to foster and promote hope. Each session of the HIP has specific focus, goals, and activities that offer opportunities for participants to share and discuss issues of importance to them. The HIP was delivered online with the use of educational software that included Web cameras and voice and text chat capabilities. Feasibility was evaluated by examining how easily and effectively the software and hardware technology could be used to deliver the HIP and if meaningful dialogue and interactions among the study participants and the nurse interventionist could occur online. The evaluation of this study suggested that using a Web-based approach was effective in the delivery of the intervention, as evidenced by participants' evaluation of the program and their descriptive comments that reflect that the online sessions promoted intimate, meaningful human-to-human interactions to foster hope and build a trusting relationship among and between group members. The results of this study suggest that Web-based psychosocial nursing interventions for survivors of childhood survivors are feasible for nurse researchers to conduct.
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