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Date of Award


Document Type

Dissertation-ISU Access Only

Degree Name

Doctor of Philosophy (PhD)


Mennonite College of Nursing

First Advisor

Kim S. Astroth


This dissertation includes three articles drafted for future publications that will add to the body of evidence relating to motivation and exercise behavior in rural postmenopausal women (RPMW). The beginning of Chapter I describes the challenges associated with health disparities and physical activity (PA) levels in rural America, followed by a review of the literature on motivation, PA, and RPMW.

Chapter II describes a two-group cross sectional study to determine the association of rural or urban residency on motivation and exercise behavior in both rural and urban postmenopausal women who are at high risk for osteoporosis related fragility fractures. Chapter II also provides the theoretical framework, methodology, results, limitations, and conclusions of this research. Chapter III reports secondary findings concerning bone health awareness in both rural and urban postmenopausal women, further discussion ensues regarding the need to educate postmenopausal regarding osteoporosis risk.


Imported from ProQuest Fitton_ilstu_0092E_11693.pdf


Page Count


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