Title page for ETD etd-11212012-040329

Type of Document Master's Thesis
Author Gould, Robert A.
URN etd-11212012-040329
Title The use of multiple measures, repeated feedback, goal setting, shaping, and nutrition education to lower serum cholesterol levels in males
Degree Master of Science
Department Psychology
Advisory Committee
Advisor Name Title
Winett, Richard A. Committee Chair
Franchina, Joseph J. Committee Member
Southard, Douglas R. Committee Member
  • Nutrition counseling
Date of Defense 1989-05-05
Availability restricted

Although the association between elevated serum cholesterol levels and cardiovascular risk has been known for many years, few studies, with freely living individuals have used a full complirnent of intervention strategies to attempt to alter practices associated with elevated serum cholesterol. Two studies, (Study l, n=4; Study 2, n=8) with l2 middle age men (mean age = 47.3 years) and with elevated serum cholesterol (x= 238.7 mg/dl) are presented that use multiple measures of serum cholesterol (using the Boehringer Mannheim Reflotron and finger stick technique). The main intervention strategies included a combination of procedures using education, frequent serum cholesterol feedback (two to three times per week), and specific dietary feedback (one to two times per week). A less intensive intervention that is similar to recent studies in the literature was also implemented and assessed for half the subjects in Study The results of the two studies indicated that within approkimately l4 weeks, the combination of enhanced procedures reduced serum cholesterol by about l4%, or about double that found in prior studies. The less intensive intervention showed reductions of 9.1% The use of multiple measures also allowed for the study of intraindividual variability. issues pertaining to maintenance of effect, cost—effectiveness, and generalizability are also discussed.

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