Lisa Marie Bernardo

Universidade de Évora, Évora, Distrito de Evora, Portugal

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Publications (68)40.85 Total impact

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    ABSTRACT: A randomized, controlled trial was conducted to determine the effect of Pilates-based exercise on postural alignment. Seventy-four adult women (mean age ± SD, 34.9 ± 16.4 years) were randomized to a Pilates-based mat class (n = 40) or a control group (n = 34). Pilates-based exercise participants were taught the Initial Mat of Body Control Pilates for 6 months, twice a week, for 60 minutes per session; the control group received no exercise intervention. Repeated measurements were performed at baseline, 3 months, and 6 months of the frontal alignment of the thoracolumbar spine, shoulder, and pelvis, and sagittal alignment of the head and pelvis. No differences were found in either group, over time, on frontal alignment of the thoracolumbar spine and pelvis. The experimental group showed significant improvements in frontal alignment of the shoulder and sagittal alignment of the head and pelvis at 6 months. The Pilates-based exercise enhanced some parameters of the postural alignment of women, as measured by frontal alignment of the shoulder and sagittal alignment of the head and pelvis. The significant improvement in sagittal alignment of the head may imply that 6 months of Pilates-based exercise enhances sagittal alignment of the cervical or thoracic spine.
    No preview · Article · Aug 2013 · Women & Health
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    ABSTRACT: To evaluate evidence for the effectiveness of the Pilates method of exercise (PME) in healthy people. Published research was identified by searching Science Direct, MEDLINE, PubMed, SPORTDiscus, PEDro, Cochrane Central Register of Controlled Trials, CINAHL, and Web of Science. Research studies published from inception to May 7, 2011 were selected for evaluation. Two reviewers independently applied the inclusion criteria to selected potential studies. Studies were included if they were published in a peer-reviewed journal, written in the English language, conducted as a randomized controlled trial (RCT) or quasi-RCT in healthy people, had an inactive and/or exercise control group(s), included key study outcomes, and used the PME as the study intervention in at least 1 study arm. Two reviewers independently extracted data (study, design, subjects, intervention, key outcomes results), applied the Physiotherapy Evidence Database (PEDro) scale to assess the method quality of selected studies, and determined the strength of the evidence using the best evidence synthesis grading system. Sixteen studies met the inclusion criteria. PEDro scale values ranged from 3 to 7 (mean, 4.1), indicating a low level of scientific rigor. The outcomes studied most often were flexibility, muscular endurance, strength, and postural alignment. The PME appears to be effective in improving flexibility (strong evidence), dynamic balance (strong evidence), and muscular endurance (moderate evidence) in healthy people. There was strong evidence to support the use of the PME at least to the end of training to improve flexibility and dynamic balance and moderate evidence to enhance muscular endurance. Future RCTs should focus on the components of blinding, concealed allocation, subject adherence, intention-to-treat analysis, and follow-up designs.
    Preview · Article · Dec 2011 · Archives of physical medicine and rehabilitation
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    ABSTRACT: The objective of this study was to determine the effect of Pilates-based mat exercises on life satisfaction, perception of appreciation by other people, perception of physical appearance, perception of functionality, total physical self-concept, and perception of health status in healthy women. A randomized controlled trial was conducted in Evora, Portugal, in 2008, in which 62 healthy adult women were randomized to a Pilates-based mat (experimental group) (n = 38, mean age ± SD, 41.08 ± 6.64 years) or a control group (n = 24, mean age ± SD, 40.25 ± 7.70 years). Experimental group participants performed the Initial Mat of Body Control Pilates twice per week, 60-minutes per session. Repeated measurements were performed at baseline, 3 months and 6 months. No significant differences between the two groups were observed in life satisfaction, perception of appreciation by other people, perception of physical appearance, perception of functionality, total physical self-concept, and perception of health status at three time point measures (baseline, after 3 months, and after 6 months). No significant differences were observed in the control group over time. The experimental group showed significant improvements between baseline and six months in life satisfaction (p = .04), perception of appreciation by other people (p = .002), perception of physical appearance (p = .001), perception of functionality (p = .01), total physical self-concept (p = .001), perception of health status (p = .013) and between three and six months in life satisfaction (p = .002), perception of appreciation by other people (p = .05), perception of physical appearance (p = .001), perception of functionality (p = .02), and total physical self-concept (p = .001). Life satisfaction, perception of appreciation by other people, perception of physical appearance, perception of functionality, total physical self-concept and perception of health status may improve after 6 months of Pilates-based mat exercise.
    Preview · Article · May 2011 · Women & Health
  • Judith Balk · Lisa Marie Bernardo
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    ABSTRACT: In this article, we review the literature on the applicability of Hatha Yoga for bone health in a geriatric population. We also describe our recent pilot study assessing the effects of Hatha Yoga on bone turnover markers, and we discuss the logistics and feasibility of yoga in our study population, which comprised sedentary osteopenic women. We discuss the practical lessons learned from our pilot study. Yoga has the potential to decrease fracture risk in a geriatric population via several mechanisms, including improving balance, reducing fall risk and fear of falls, improving functioning, reducing hyperkyphosis, and improving bone turnover.
    No preview · Article · Mar 2011 · Topics in Geriatric Rehabilitation
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    Full-text · Article · Jan 2011
  • Lisa Marie Bernardo · Kristie Lynn Abt · Dianxu Ren · Catherine Bender
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    ABSTRACT: Exercise during treatment for early-stage breast cancer is helpful to mitigate fatigue and promote health. Little is known about the experiences of and preferences for exercise during treatment from a national perspective. The purpose of this descriptive survey was to explore women's experiences with and preferences for exercise during breast cancer treatment. An online survey was conducted through a national survey company to their eligible subscribers. This researcher-created, 1-time survey included forced-choice and open-ended questions about exercise participation and preferences during treatment for breast cancer. One hundred sixty women who completed treatment for early-stage breast cancer in the previous year completed the survey. Walking was the most frequent form of exercise reported and preferred by the participants. Most participants did not meet current national guidelines for daily physical activity. Walking and exercises specific to women with breast cancer were most frequently performed and preferred among a national sample of women during their treatment for breast cancer. This finding supports previous studies. Oncology nurses can encourage their patients to participate in exercise and physical activities that they enjoy and can self-pace, while meeting daily physical activity recommendations. The results from this survey can help oncology nurses appreciate the exercise experience in this population of women.
    No preview · Article · Jul 2010 · Cancer nursing
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    ABSTRACT: To identify and describe gender-related differences in the self-esteem and optimism levels of rural adolescents. Self-esteem and optimism have been broadly examined and are associated with health-practices, social interaction, attachment, resiliency, and personal identity. Information describing the relationship of self-esteem and optimism as it relates to gender is limited. Using a cross-sectional survey design, students (N = 193) from three high-schools in rural Pennsylvania, USA completed the Rosenberg Self-Esteem Scale and the Optimism Scale-Life Orientation Test-Revised as part of a National Institute of Health, National Institute of Nursing Research funded study. Both instruments' mean scores were in the range of average for this population, with females scoring lower than males in both self-esteem (p < 0.0001) and optimism (p < 0.0001). The results of this study have nursing implications for evidenced based interventions that target self-esteem and optimism. Attention to self-esteem and optimism in female youth is recommended.
    No preview · Article · Feb 2010 · Contemporary nurse: a journal for the Australian nursing profession
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    ABSTRACT: An anxiety disorder affects 13 out of every 100 children. The purpose of this paper is to determine if there are differences in self-reported anxiety between male and female rural adolescents. In total, 193 students aged 14-17 years in three western Pennsylvania rural high schools, USA, were surveyed. The majority of participants were Caucasian (86.5%, n = 167), female (53.4%, n = 103), and aged 15.57 years (SD = 0.93). The females' mean self-reported anxiety score was higher than the males' score (P < 0.0001). The females' mean score was 25.09 (SD = 13.83; a score > or =25 may indicate the need for further evaluation for the presence of a potential anxiety disorder), while the males' mean score was 16.88 (SD = 10.81). Of interest, all the five factor (specific types of anxiety) scores were significantly different between males and females at P < 0.05. Evidence-based implications for the mental health nurse's practice will be discussed. Anxiety screening is promoted to identify adolescents who may need mental health treatment and referrals, especially rural female adolescents.
    Preview · Article · Dec 2009 · International journal of mental health nursing
  • Kathryn Puskar · Beth R Grabiak · Lisa Marie Bernardo · Dianxu Ren
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    ABSTRACT: This article compares rural adolescents' coping responses before and after the behavioral intervention Teaching Kids to Cope with Anger (TKC-A). A quasi-experimental design was used, that included 94 (intervention) and 85 (control) students who were enrolled in three high schools in rural southwestern Pennsylvania. Results showed no statistically significant differences between the intervention and control groups' coping responses following the TKC- A intervention. The majority of youth in this study demonstrated healthy coping skills. In the future, the TKC-A needs to be integrated into the high school curriculum as a health promotion effort that is tailored to adolescents.
    No preview · Article · Oct 2009 · Issues in Mental Health Nursing
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    ABSTRACT: Various modes of physical activity, combined with dieting, have been widely recommended to prevent or delay type 2 diabetes. Among these, yoga holds promise for reducing risk factors for type 2 diabetes by promoting weight loss, improving glucose levels and reducing blood pressure and lipid levels. This pilot study aimed to assess the feasibility of implementing a 12-week yoga program among adults at high risk for type 2 diabetes. Twenty-three adults (19 Whites and 4 non-Whites) were randomly assigned to the yoga intervention group or the educational group. The yoga group participated in a 3-month yoga intervention with sessions twice per week and the educational group received general health educational materials every 2 weeks. All participants completed questionnaires and had blood tests at baseline and at the end of 3 months. Effect sizes were reported to summarize the efficacy of the intervention. All participants assigned to the yoga intervention completed the yoga program without complication and expressed high satisfaction with the program (99.2%). Their yoga session attendance ranged from 58.3 to 100%. Compared with the education group, the yoga group experienced improvements in weight, blood pressure, insulin, triglycerides and exercise self-efficacy indicated by small to large effect sizes. This preliminary study indicates that a yoga program would be a possible risk reduction option for adults at high risk for type 2 diabetes. In addition, yoga holds promise as an approach to reducing cardiometabolic risk factors and increasing exercise self-efficacy for this group.
    Full-text · Article · Sep 2009 · Evidence-based Complementary and Alternative Medicine
  • Kathryn R. Puskar · Lisa Marie Bernardo · JoAnn Switala · Raana L. Chughtai
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    ABSTRACT: Adolescent substance use in rural America has changed over the past decade. The purpose of this article is to describe the current profile of alcohol and drug use in a sample of adolescents in rural Pennsylvania. A total of 193 students (average = 15.6 years, SD = .93) from three high schools in rural western Pennsylvania were surveyed. Alcohol was reported at the highest percentage of use (49%), followed by painkillers (30.6%), and marijuana (13.6%). No significant difference in substance use was found between males and females, except for marijuana use (x2 = 4.293, p value = .042). The results of this study have implications for the development of health education programs.
    No preview · Article · Jul 2009 · Journal of Addictions Nursing
  • Samuel Donovan · Lisa Marie Bernardo

    No preview · Article · May 2009 · Journal of Emergency Nursing
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    ABSTRACT: OBJECTIVE: To review the literature on strategies to optimize medication adherence in community-dwelling older adults and to make recommendations for clinical practice. METHODS: A systematic literature search was conducted using the MEDLINE, CINAHL, PsycINFO, International Pharmaceutical Abstracts, and EMBASE databases for randomized controlled trials examining strategies to optimize medication adherence in patients aged 65 or older prescribed long-term medication regimens. Additional studies were found by examining the reference lists of systematic reviews and selected papers. 34 papers reporting on 33 studies met the eligibility criteria and were included in this review. RESULTS: Improvement in adherence was mixed across the studies examining educational interventions, with only 12 of the 28 studies showing improvement in adherence; most were delivered by pharmacists. Effect sizes for the statistically significant educational interventions ranged from Cohen's d = 0.14 to 4.93. Four of the 5 interventions using memory aids and cues, some in conjunction with newer technologies, improved adherence. Effect sizes for the statistically significant interventions using memory aids and cues ranged from Cohen's d = 0.26 to 2.72. CONCLUSION: The evidence from this review does not clearly support one single intervention to optimize medication adherence in older patients. Future studies should explore suggestive strategies, such as tailored interventions involving ongoing contact, and should endeavor to correct methodologic weaknesses found in the literature.
    Full-text · Article · Jan 2009 · Journal of clinical outcomes management: JCOM
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    ABSTRACT: Research findings indicate a relationship between weight perception and depression in adolescents. This study explored the relationship between weight perception, gender, and depressive symptoms in rural adolescents. Among 623 rural adolescents who completed a health inventory and a depression scale, 75 participants (n = 62 females; n = 13 males) had depressive symptoms and were used in data analysis. A two-way ANOVA model was used to evaluate the effects of weight perception and gender on depressive symptoms in rural adolescents. Although the 2-way ANOVA was not significant, there was a statistical significant finding for females who reported perceived weight problems and depression. The interaction between gender and weight perception was of marginal statistical significance (p = 0.07). Females who perceived a problem with their weight had higher depressive scores compared to females who did not perceive a problem with their weight (p = 0.0002), however no difference was observed for males. Implications are for rural nurses to screen adolescents for depressive symptoms and their weight perception during health care visits, with emphasis on females.
    Full-text · Article · Jan 2009
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    Judith Balk · Melissa Gluck · Lisa Bernardo · Janet Catov
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    ABSTRACT: Weight-bearing exercise is recommended to improve bone density. Hatha Yoga is a popular form of weight-bearing exercise that includes physical postures, stretching, breathing, and relaxation. We hypothesized that Hatha Yoga would have beneficial effects on bone turnover markers. We conducted a small feasibility pilot study with a prospective, pre-post design comparing markers of bone turnover before and after Yoga training in sedentary osteopenic postmenopausal women. Markers of bone formation were measured with serum bone-specific alkaline phosphatase (BAP). Measures of bone resorption were measured with urinary type I collagen cross-linked N-telopeptide (uNTX). Seven participants completed a 12-week series of one hour per week Yoga classes, in addition to home Yoga practice. We analyzed the correlation between time spent on Yoga and time spent on other weight-bearing exercise and change in bone turnover markers. The amount of Yoga practice was significantly correlated with BAP levels (r = 0.68, p = 0.09). A weaker, non-significant correlation was found between the amount of Yoga practice and uNTX levels (r = -.54, p = .21). Compared to Yoga, other physical activities were less correlated with BAP and uNTX levels. Yoga may have beneficial effects on bone turnover in osteopenic postmenopausal women.
    Preview · Article · Jan 2009
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    ABSTRACT: To promote healthy lifestyles and prevent youth obesity, school nurses collaborate with teachers and other professionals to implement effective health promotion activities (e.g., physical fitness initiatives and nutrition education). Critical appraisal of relevant, published literature is an essential competency for school nurses engaged in health promotion within their schools. A 1-day continuing education workshop was conducted to enhance literature appraisal skills needed for evidence-based practice among school nurses employed within one urban school district. Forty-six school nurses, students, and other professionals attended this workshop and participated in appraisals of selected research articles. Although the attendees rated the faculty and content highly, their intent to apply the findings to practice was limited. Applying a critical appraisal approach to the literature focused on youth obesity prevention and health promotion was innovative for educating school nurses in this process while helping them choose whether and how existing literature may be applied to their practice. Nurse educators and faculty may replicate this process with school nurses or other nursing specialties.
    No preview · Article · Nov 2008 · The Journal of Continuing Education in Nursing
  • Lisa Marie Bernardo

    No preview · Article · Nov 2008 · Journal of Emergency Nursing
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    ABSTRACT: The registered nurse (RN) workforce continues to decline. One method to attract experienced RNs into the workforce is through RN refresher courses. To determine if our RN refresher program is successful in returning RNs to the workforce, we sought to measure the: characteristics of RNs who participate in our program; relationship among participants' employment and demographics; effect of high fidelity human simulation (HFHS) on participants' learning, and; program's ability to meet participants' preparation for employment. Seventy-three participants were surveyed to measure their demographics and employment; they ranked the HFHS experience and program experience on their learning and employment. Thirty-four (47%) surveys were returned. Thirty-three participants (97%) were female (mean age=50.44 years, SD=6.2). Their mean years of RN licensure was 24.93 years (SD=8.8), and their mean time out of nursing practice was 13.30 years (SD=8.0). Twenty-six (76.5%) were employed, with 20 (60.6%) employed as RNs at acute care facilities. Employed participants were licensed for less years than non-employed participants (p=0.047). Employed participants ranked their HFHS experience highly (p=0.04) and the program highly (p=0.04) on benefiting their current employment. Our refresher program appears to be successful in helping RNs re-enter the nursing workforce.
    No preview · Article · Nov 2008 · Nurse Education Today
  • Judith Tabolt Matthews · Lisa Marie Bernardo

    No preview · Article · Aug 2008 · Journal of Emergency Nursing
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    Kathryn Puskar · Dianxu Ren · Lisa Marie Bernardo · Tammy Haley · Kirsti Hetager Stark
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    ABSTRACT: Uncontrolled anger is a contributing force in the three leading causes of adolescent death: homicide, suicide, and injuries. Anger may be one of the early warning signs which could lead to violent behavior. The purpose of this study was to examine the relationship between anger experience and expression with the potential correlates of life events, perceived social support, self-esteem, optimism, drug use, anxiety, and depressive symptoms in rural adolescents. The participants (n = 193) were aged 14 to 17 years old in ninth through eleventh grades enrolled at three rural Western Pennsylvania public high schools. Participants completed nine questionnaires. Negative life events, anxiety, drug use, and depressive symptoms had significant positive correlations with anger. In addition, anger was found to have significant negative correlations with the adolescents' perceived family support, self-esteem, and optimism. With this knowledge, health promotion programs conducted by pediatric nurses can target anxiety, drug use, and depressive symptoms while bolstering family support, self-esteem, and optimism to promote anger management in adolescent health care.
    Preview · Article · Jun 2008 · Issues in Comprehensive Pediatric Nursing

Publication Stats

642 Citations
40.85 Total Impact Points


  • 2013
    • Universidade de Évora
      • Department of Sport and Health
      Évora, Distrito de Evora, Portugal
  • 1996-2011
    • University of Pittsburgh
      • • Health and Community Systems
      • • Department of Biological Sciences
      • • School of Nursing
      Pittsburgh, Pennsylvania, United States
  • 1995
    • Childrens Hospital of Pittsburgh
      Pittsburgh, Pennsylvania, United States