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dc.contributor.authorMirtz, Timothy A.
dc.contributor.authorThompson, Mark A.
dc.contributor.authorGreene, Leon
dc.contributor.authorWyatt, Lawrence
dc.contributor.authorAkagi, Cynthia G.
dc.date.accessioned2014-01-24T22:08:27Z
dc.date.available2014-01-24T22:08:27Z
dc.date.issued2005-11-30
dc.identifier.citationMirtz, Timothy A, Mark A Thompson, Leon Greene, Lawrence A Wyatt, and Cynthia G Akagi. 2005. “Adolescent Idiopathic Scoliosis Screening for School, Community, and Clinical Health Promotion Practice Utilizing the PRECEDE-PROCEED Model.” Chiropractic & Osteopathy 13:25. http://dx.doi.org/10.1186/1746-1340-13-25.
dc.identifier.urihttp://hdl.handle.net/1808/12845
dc.description.abstractBackground Screening for adolescent idiopathic scoliosis (AIS) is a commonly performed procedure for school children during the high risk years. The PRECEDE-PROCEDE (PP) model is a health promotion planning model that has not been utilized for the clinical diagnosis of AIS. The purpose of this research is to study AIS in the school age population using the PP model and its relevance for community, school, and clinical health promotion.

Methods MEDLINE was utilized to locate AIS data. Studies were screened for relevance and applicability under the auspices of the PP model. Where data was unavailable, expert opinion was utilized based on consensus.

Results The social assessment of quality of life is limited with few studies approaching the long-term effects of AIS. Epidemiologically, AIS is the most common form of scoliosis and leading orthopedic problem in children. Behavioral/environmental studies focus on discovering etiologic relationships yet this data is confounded because AIS is not a behavioral. Illness and parenting health behaviors can be appreciated. The educational diagnosis is confounded because AIS is an orthopedic disorder and not behavioral. The administration/policy diagnosis is hindered in that scoliosis screening programs are not considered cost-effective. Policies are determined in some schools because 26 states mandate school scoliosis screening. There exists potential error with the Adam's test. The most widely used measure in the PP model, the Health Belief Model, has not been utilized in any AIS research.

Conclusion The PP model is a useful tool for a comprehensive study of a particular health concern. This research showed where gaps in AIS research exist suggesting that there may be problems to the implementation of school screening. Until research disparities are filled, implementation of AIS screening by school, community, and clinical health promotion will be compromised. Lack of data and perceived importance by school/community health planners may influence clinical health promotion practices.
dc.publisherBioMed Central
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.rights.urihttp://creativecommons.org/licenses/by/2.0
dc.titleAdolescent Idiopathic Scoliosis Screening for School, Community, and Clinical Health Promotion Practice Utilizing the PRECEDE-PROCEED Model
dc.typeArticle
kusw.kuauthorMirtz, Timothy A
kusw.kuauthorThompson, Mark A
kusw.kuauthorAkagi, Cynthia G
kusw.kuauthorGreene, Leon
kusw.kudepartmentDepartment of Health Sport and Exercise Science
kusw.oastatusna
dc.identifier.doi10.1186/1746-1340-13-25
kusw.oaversionScholarly/refereed, publisher version
kusw.oapolicyThis item does not meet KU Open Access policy criteria.
dc.rights.accessrightsopenAccess


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This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Except where otherwise noted, this item's license is described as: This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.