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College of Nursing
Bernice
Yates, RN, PhD
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ACADEMIC DEGREES:
Medical/Graduate School PhD at University of Washington, Seattle,
in Nursing
Residency/Fellowship Training
Post-doctoral Training
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Contact name: Bernice Yates
Phone number: 559-5358
e-mail address: bcyates@unmc.edu
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"Innovative Methods for Smoking Cessation"
Principal Investigator: Lynne Buchanan, Bernice Yates,
Consultant
Agency: Nebraska Health and Human Services
Type: Nebraska Health Care Cash
Fund Period: September 1, 2000 to August 31, 2001
The purpose of this grant is to test a smoking
cessation program in individuals with inadequate resources who may not
want to attend group sessions.
9/98-8/99 Bernice Yates (PI and Faculty
Advisor)
Title: Comparing Two Methods of
Follow-Up to Increase Risk Factor Modification and Functioning
After a Cardiac Event. Funding agency: American Heart
Association Student Research Fellowship (awarded to Kelly
Tomlinson, BSN student), Total dollars: $1,500
3/1/98-8/31/99 Bernice Yates (PI), Carol
Ott (Co-Investigator)
Title: Comparing Two Methods of
Follow-Up to Increase Risk Factor Modification and Functioning
After a Cardiac Event. Funding agency: University of
Nebraska Medical Center Outcomes Grant Program, Total
dollars: $39,980
2/1/98-1/31/99 Jana Whitton (Principal
Investigator), Bernice Yates (Co-Principal Investigator)
Title: Risk Factors and Health Status
of Participants and Nonparticipants in Cardiac Rehabilitation.
Funding agency: Good Samaritan Foundation. Total
dollars: $2,000
9/97-8/98 Bernice Yates (PI), Carol Ott,
(Co-Investigator)
Title: The Effects of Psychoeducational
Interventions on Risk Factor Modification and Quality of Life
After Cardiac Rehabilitation. Funding agency: Fraternal
Order of Eagles. Total dollars: $3,000
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Yates, B. C. (1995). The relationships among social
support and short- and long-term recovery outcomes in men with coronary
heart disease. Research in Nursing & Health, 18, 193-203.
Harris, J. K., Yates, B. C., & Crosby, W. M.
(1995). The effects of a perinatal continuing education program on the
knowledge and health care practices of health professionals. Journal of
Obstetric, Gynecologic, and Neonatal Nursing, 24, 829-835.
Yates, B. C., Bensley, L., Lalonde, B., Lewis, F. M.,
& Woods, N. F. (1995). The roles of marital status and quality in family functioning in chronic illness. Health
Care for Women International, 16, 437-449.
Yates, B.C., & Eggert, L.L. (1995). A LISREL model
of stress, social support, and recovery outcomes in cardiac patients. Circulation,
92 (Suppl. I-491, Abstract No. 2344).
Skaggs, B. G., & Yates, B. C. (1999). Quality of
life comparisons after coronary angioplasty and coronary artery bypass
graft surgery. Heart & Lung: The Journal of Acute and Critical
Care, 28, 409-417.
Macken, L., Yates, B. C., & Blancher, S. (1999).
Concordance of risk factors in female spouses of male patients with
coronary heart disease. Circulation, 100 (Suppl. I, Abstract No.
3887).
Yates, B. C., Ott, C., Anderson, T., & Williams, J.
(1999). The effects of adherence enhancing strategies in risk factor
modification and quality of life after cardiac rehabilitation. Journal
of Cardiopulmonary Rehabilitation, 19, (5), 300.
Yates, B.C., Whitton, J., & Seams-Meyer, B. (2000).
Functional status and risk factor modification of participants and
nonparticipants of cardiac rehabilitation. Journal of Cardiopulmonary
Rehabilitation, 20 (5).
Macken, L., Yates, B. C., & Blancher, S. (2000).
Concordance of risk factors in female spouses of male patients with
coronary heart disease. Journal of Cardiopulmonary Rehabilitation, 20,
361-368.
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- PREVIOUS
GRADUATE STUDENTS/POST-DOCTORAL FELLOWS (present location):
None
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Traditional cardiac rehabilitation has been found to
improve functional capacity and quality of life and to reduce mortality
and morbidity in cardiac patients. However, only 11-20% of cardiac
patients, nationally, enroll in Cardiac Rehabilitation Programs after
their cardiac event. The primary objective of this randomized,
controlled, community-based, equivalency clinical trial is to see whether
or not home-based cardiac rehabilitation (Home-CR) is at least as
effective as traditional cardiac rehabilitation (Trad-CR) for 40-80 year
old, myocardial infarction or coronary artery bypass graft surgery
patients in their functional capacity, quality of life, adherence to
secondary prevention guidelines, self-efficacy, cost-effective use of
resources, and morbidity and mortality. Bandura’s Social Cognitive
Theory was used to design the nursing interventions in Home-CR, and is
targeted to fill gaps in our understanding of how patients achieve
positive outcomes in response to cardiac rehabilitation. A consecutive
sample of 214 subjects will be recruited from the inpatient cardiac
population at two regional referral centers. The Home-CR consists of
individualized counseling about secondary prevention guidelines and
medications (RN provider), an exercise prescription (Exercise Specialist),
and dietary counseling (Dietitian). In addition, they will receive
periodic telephone calls. The key differences between these two programs
are in the method of delivery and in the intensity of the intervention on
self-efficacy strategies (role-modeling, overcoming barriers,
self-regulation skills, verbal encouragement, relapse management, etc.).
Adherence will be objectively verified by biological and activity markers.
Data will be analyzed by computing point estimates, confidence intervals,
and generalized estimating equations analysis. Theoretical knowledge about
the influence of adherence to secondary prevention guidelines and
self-efficacy behaviors and outcome expectations on functional capacity
and quality of life in cardiac patients will be advanced. The innovation
of this alternate method of CR is that the program is designed to be
delivered in the same time frame as traditional cardiac rehabilitation (8
weeks), at the initial time in the recovery trajectory when patients are
most receptive and most likely to change, and it is a home-based,
practical, multidisciplinary intervention which is potentially
cost-effective.
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Measurement of physical activity and physical functioning.
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