UUnniivveerrssiittyy ooff TTeennnneesssseeee,, KKnnooxxvviillllee TTRRAACCEE:: TTeennnneesssseeee RReesseeaarrcchh aanndd CCrreeaattiivvee EExxcchhaannggee Doctoral Dissertations Graduate School 5-2005 TThhee RReellaattiioonnsshhiipp bbeettwweeeenn SSppiirriittuuaalliittyy aanndd tthhee HHeeaalltthh ooff CCoolllleeggee SSttuuddeennttss iinn aa UUnniivveerrssiittyy SSeettttiinngg Linda Wyatt Nelms University of Tennessee - Knoxville Follow this and additional works at: https://trace.tennessee.edu/utk_graddiss Part of the Ecology and Evolutionary Biology Commons RReeccoommmmeennddeedd CCiittaattiioonn Nelms, Linda Wyatt, "The Relationship between Spirituality and the Health of College Students in a University Setting. " PhD diss., University of Tennessee, 2005. https://trace.tennessee.edu/utk_graddiss/2337 This Dissertation is brought to you for free and open access by the Graduate School at TRACE: Tennessee Research and Creative Exchange. It has been accepted for inclusion in Doctoral Dissertations by an authorized administrator of TRACE: Tennessee Research and Creative Exchange. For more information, please contact [email protected]. To the Graduate Council: I am submitting herewith a dissertation written by Linda Wyatt Nelms entitled "The Relationship between Spirituality and the Health of College Students in a University Setting." I have examined the final electronic copy of this dissertation for form and content and recommend that it be accepted in partial fulfillment of the requirements for the degree of Doctor of Philosophy, with a major in Human Ecology. Robert J. Pursley, Major Professor We have read this dissertation and recommend its acceptance: Robert H. Kirk, James Neutens, Kathleen A. Lawler Row Accepted for the Council: Carolyn R. Hodges Vice Provost and Dean of the Graduate School (Original signatures are on file with official student records.) To the Graduate Council: I am submitting herewith a dissertation written by Linda Wyatt Nelms entitled, “The Relationship between Spirituality and the Health of College Students in a University Setting.” I have examined the final electronic copy of this dissertation for form and content and recommend it be accepted in partial fulfillment of the requirements for the degree of Doctor of Philosophy, with a major in Human Ecology. Robert J. Pursley Major Professor We have read this dissertation and recommend its acceptance: Robert H. Kirk James Neutens Kathleen A. Lawler Row Accepted for the Council: Anne Mayhew Vice Chancellor and Dean of Graduate Studies (Original signatures are on file with official student records) THE RELATIONSHIP BETWEEN SPIRITUALITY AND THE HEALTH OF COLLEGE STUDENTS IN A UNIVERSITY SETTING A Dissertation Presented for the Doctor of Philosophy Degree The University of Tennessee, Knoxville Linda Wyatt Nelms May 2005 Copyright © 2005 by Linda Wyatt Nelms All rights reserved. i i DEDICATION This dissertation is dedicated to my husband, John and my granddaughter, Allison Grace. ii i ACKNOWLEDGMENTS I wish to thank all who helped me complete my Doctor of Philosophy degree in Human Ecology. I would like to thank Robert Pursley, Ph.D. for his guidance, availability and encouragement. I would like to thank all the other committee members, James Neutens, Ph.D., Robert Kirk, HSD and Kathleen Lawler Row, Ph.D. who each provided their assistance in guiding the pursuit of my efforts. A special acknowledgement goes to Edwin Hutchens, Ph.D. and Dorothy Hutchens, Ph.D. for their personal encouragement and professional assistance with this project. I am sincerely grateful to John Lounsbury, Ph.D. whose knowledge of psychometric concepts and measurement applications was instrumental during the creation of the Spirituality Scale (SS). I am thankful for the assistance provided me by Cary Springer, statistical consultant. I would like to extend my gratitude to Leland R. Kaiser, Ph.D., co-founder of the Kaiser Institute in Denver, Colorado, whose “spiritual vision for a healthier society” served as the inspiration for this research. I am appreciative of the interest and assistance extended to me by Steve Byrum, Ph.D., Dean of the Spiritual Leadership Institute in Houston, TX. A special thank you goes to Ronald Blankenbaker, M.D., who has been a supportive mentor and friend for the past three years. I would like to thank my fellow Graduate Teaching Associates for their support and encouragement and especially to those who helped administer my research questionnaire. Finally, I would like to thank my family and friends for believing in me and offering their continued support and unconditional love. iv ABSTRACT The purpose of this study was to examine the relationship between spirituality and the health of college students. Undergraduate students enrolled in Personal Health and Wellness classes at The University of Tennessee were selected to participate in the study. Two-hundred twenty-one students were administered two instruments: The College Student Appraisal of Risks Survey (The CARS) and the Spirituality Scale (SS). The CARS instrument was used to obtain descriptive statistics and specific health risk factors relating to the health of college students. The SS instrument was used to obtain the student’s self-reported level of spirituality. Based upon a thorough literature review, there has been limited research into the relationship of the health of college students and their level of spirituality. This study does two things. First, it reports the development of a valid and reliable instrument to measure spirituality. Secondly, this study investigates the relationship between the self-reported level of spirituality and the health status of college students. The significance of the study is that this research is an important step toward understanding the role that spirituality plays in the various dimensions of health in young adults. v TABLE OF CONTENTS Chapter Page I. THE PROBLEM Introduction .......................................................................................................1 Statement of the Problem ..................................................................................4 The Purpose of the Study ..................................................................................5 Need for the Study ............................................................................................6 Assumptions ......................................................................................................9 Delimitations .....................................................................................................9 Limitations.......................................................................................................10 Definition of Terms .........................................................................................10 Chapter Summary ...........................................................................................11 II. REVIEW OF LITERATURE Introduction .....................................................................................................13 Theoretical Framework: Holistic Wellness Model .........................................13 Research and Literature Related to Content ...................................................17 Research and Literature Related in Methodology ..........................................30 Research and Literature Related in Content and Methodology ......................38 Introduction of Assessment Instruments Used in the Current Study ..............50 Chapter Summary ...........................................................................................62 III. METHODOLOGY Introduction .....................................................................................................64 Research Design...............................................................................................65 Derivation of Research Questions ..................................................................65 Study Population .............................................................................................67 Instrumentation ...............................................................................................68 Variable List ....................................................................................................73 Data Collection ...............................................................................................73 Analysis of the Data ........................................................................................78 Chapter Summary ...........................................................................................79 IV. ANALYSIS, INTERPRETATION AND IMPLICATIONS OF THE DATA Introduction .....................................................................................................81 Demographic Descriptive Statistics ................................................................81 Statistical Analysis of Research Questions .....................................................89 Implications of the Study ..............................................................................106 Chapter Summary .........................................................................................114 V. FINDINGS, CONCLUSIONS AND RECOMMENDATIONS Summary of Study ........................................................................................115 v i Findings .........................................................................................................118 Conclusions ...................................................................................................121 Recommendations .........................................................................................123 Recommendations for Future Research ........................................................124 Chapter Summary .........................................................................................125 VI. THE STUDY IN RETROSPECT…..…………………………………….126 LIST OF REFERENCES….……………………………………………...130 APPENDIX …………….…………………………………………………138 VITA ………………………………………………………………………161 vi i
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