Digital Commons Network^™

Getting To Outcomes® In Clinical Practice An Empirical Exploration Of A Framework That Supports Quality For Graduate Student Therapy Training, Jennifer Castellow

Theses and Dissertations

Getting To Outcomes® in Clinical Practice is an innovation being developed and disseminated in a clinical training center for psychology doctoral students. The innovation is a step-wise framework posited to enhance clinical practice by supporting the planning, implementation, and evaluation of specific evidence-based practices in psychology. The current study introduces and defines the innovation and uses a multiple case study, mixed method analysis to evaluate current innovation use behaviors as well as attitudes about the innovation. The guiding research themes for this study include: (1) innovation use behaviors, (2) attitudes about the innovation, and (3) influential contextual factors that impact …

“More To Life Than Mental Health”: Investigating The Roles Of Community Mental Health Case Managers In Promoting Community Integration For Adults With Psychiatric Disabilities, Betsy A. Davis

Theses and Dissertations

The recovery movement in the field of community mental health has brought attention to more holistic outcomes of services for adults with psychiatric disabilities, including community integration. However, there is a lack of empirical investigations of the roles that service providers, and case managers (CMs) in particular, can play in promoting such outcomes for their clients. The present study took an exploratory, hypothesis-building approach to describing the ways in which CMs supported the community integration of their clients with serious mental illness. A cross-sectional design was used with qualitative and quantitative data collected from 6 CMs and a sampling of …

Help-Seeking And Intimate Partner Violence Re-Victimization Of Sexual Minority And Heterosexual College Students, Andrew T. Schramm

Theses and Dissertations

Recent estimates indicate that 18.5% of heterosexual college students and 30.3% of sexual minority college students are victims of physical intimate partner violence (IPV; Edwards, Sylaska, Barry, et al., 2015). Research among adult women in oppositesex relationships has shown that once an individual is victimized by IPV she is subsequently at high risk for future IPV victimization. Re-victimization is associated with more severe physical and mental health consequences of IPV. No prior study has assessed the rate of re-victimization among sexual minority adults. Help-seeking behavior, which refers to accessing a range of sources of support (e.g., family and friends, law …

Adaptive Skill Trajectories In Infants With Fragile X Syndrome, Kelly Elizabeth Caravella

Theses and Dissertations

This study examined longitudinal trajectories of adaptive behavior in infants with fragile X syndrome (FXS), compared to typical development (TD) and infant siblings of children diagnosed with autism (ASIBs). Additional analysis were conducted to examine the differences in trajectories for males and females with FXS, and to identify if a profile of strengths and weaknesses appeared across domains by 24 months in males with FXS. Participants included 76 male infants assessed up to 4 times between 6 and 24 months of age. A sample of 12 females with FXS was also included for the comparative sex analysis. Infants with FXS …

Preliminary Evaluation Of "Footprints": Motivational Interviewing To Promote Cognitive-Behavioral Skills, Academic Outcomes, And Academic Protective Factors In Middle School Students, John Terry

Theses and Dissertations

There are high levels of unmet need in youth mental health services. To address this gap there is an increasing emphasis on multi-tiered systems of support involving promotion/prevention (Tier 1), early intervention (Tier 2) and intervention (Tier 3) to promote positive emotional/behavioral functioning in students. While research on these multi-tiered frameworks is increasing, there remains a relative dearth of empirically supported and feasible early intervention Tier 2 programs. To help address this gap, we developed the Tier 2 program, Footprints, which utilizes two Motivational Interviewing sessions to promote engagement in six group-based modularized Cognitive-Behavioral Therapy sessions and aims to enhance …

Promoting Positive Academic Beliefs And Performance: Exploring The Impact Of An Academic Enrichment Program, Melanie Avery

Theses and Dissertations

First generation and low income college students experience unique achievementrelated barriers not typically experienced by their counterparts whose parents attended college and/or are of higher socioeconomic status (Hahs-Vaugn, 2004; Kahlenberg, 2004; Mortensen, 2003; Prospero & Vohra-Gupta, 2007). Academic enrichment programs that target first generation and low income college youth are one strategy that has helped to address these concerns. To extend literature in this area, the current study sought to identify factors that may be promotive of and/or barriers to first generation and low income youths’ achievement-related outcomes. Furthermore, this investigation sought to explore whether an academic enrichment program, namely …

Exploring Teacher Readiness: What Features Of Professional Development Enhance Motivation To Implement Technology Innovations?, Robert S. Markle

Theses and Dissertations

Several studies suggest that if evidence-based school innovations are to be successful, schools must possess adequate capacity to implement them with quality. This paper utilizes a framework of organizational readiness called R=MC2, positing that readiness to implement with quality consists of three components: general capacities, innovation-specific capacities, and motivation. Specifically, this paper investigates whether certain key characteristics of professional development (active learning, integration, time for practice, collaboration, tailoring, coaching, and provision of feedback) can impact teacher motivation to implement novel educational practices. The paper answers two major research questions: 1) Which characteristics of quality professional development (PD) are related to …

Exploring The Relationship Between Church Level Predictors Of Status And Obesity Risk In African American Women Of Faith, Kinjal Pandya

Theses and Dissertations

Although obesity is a nationwide epidemic, there are large racial, gender, socioeconomic, and geographical disparities in the rates of this condition. Specifically, African American women are more likely to be classified as obese as compared to all other gender and racial groups. Scholars have targeted African American churches to implement dietary and physical activity interventions in an attempt to combat the racial disparity in obesity rates. One of the main correlates studied in regards to obesity has been individual level markers of status such as socioeconomic status and subjective social status. Even though we focus on churches as a place …

Building Capacity Through The Use Of A Strategic Prevention Framework System In Communities, Duncan Meyers

Theses and Dissertations

The Strategic Prevention Framework (SPF) is a planning and implementation model that mobilizes communities to collaborate on developing and implementing an evidence-based prevention system. This model follows a structured five-step process with two cross-cutting elements (cultural competence and sustainability) that emphasizes building capacity of coalitions to strategically plan, implement, and sustain evidence-based prevention services to reduce adolescent substance use. This study utilized a repeated cross-sectional design. Participating youth were in grades 6, 8, 10, and 12 and lived in one of 27 counties in a Southeastern state that was funded through the Center for Substance Abuse Prevention’s SPF State Incentive …

The Impact Of Sports Dropout On Adolescent Functioning, Brittany Skiles Cook

Theses and Dissertations

Sports is the most commonly participated in extracurricular activity during adolescence. Aligned with the Positive Youth Development theoretical framework, previous research has shown that sports participation offers youth a context rich in resources found to promote positive adjustment into adulthood. However, around one third of the youth participating in sports drop out each year, and little research has examined the impact of sports dropout on indicators of youth adjustment. This study examines the relation between sports dropout and academic achievement, self-esteem, depression, perceived school climate, perceived support from adults in school, and alcohol use. The moderating effect of sports engagement …

Investigating Construct Validity Of The Cyber--Peer Experiences Questionnaire, Kendall Moore

Theses and Dissertations

With electronic technology becoming increasingly important in all aspects of modern life, traditional forms of relating with others have crossed into the cyber realm. Within that context, both positive and negative aspects of relational behavior have advanced in ways still largely underexplored in the research literature. One such area, termed “cyberaggression,” has recently gained momentum as a research focus. Given the numerous mental health sequelae from being involved in cyberaggression, such as anxiety, depression, and suicidal ideation, there is a clear and compelling need for more research in this area. To date, however, there remains little consensus on the conceptualization …

Do Discipline Style And Parenting Self-Efficacy Interact To Predict Observed Child Behavior? Outcomes From A Representative Sample Of Mothers With Young Chilren, Emily Noel Neger

Theses and Dissertations

Both parenting style and parents’ sense of their own parenting self-efficacy (PSE) have been found to predict child behavior outcomes in young children. Parents who engage in lax or overreactive parenting practices or who lack confidence in their parenting abilities are more likely to have children who display disruptive and noncompliant behavior. Until now, very little research has examined whether an interaction exits between these two constructs in predicting child behavior outcomes. The current study looked to fill this gap and assess whether a significant moderation relationship exists between parents’ parenting style and PSE in predicting observed child behavior. A …

Profiles Of African American College Students’ Risky Behaviors: General And Culturally-Specific Stress And Social Support As Factors Of Risk And Resilience?, Isha Walwina Metzger

Theses and Dissertations

Studies show that, while alcohol use and risky sexual activities increase during emerging adulthood, college students are more likely to engage in these behaviors than their non-student counterparts (Slutske et al., 2004). Researchers should explore risk behavior participation among African American youth, as they often face health disparities and more severe consequences of engaging in these acts than their White American counterparts (Sharma & Atri, 2006; Jackson, Hodge, & Vaughn, 2010). Although epidemiological and variable-centered studies often examine the drinking and sexual behavior of African American college students, there is a need for research utilizing a profile-oriented approach to explore …

Working Memory In Children With Neurocognitive Effects From Sickle Cell Disease: Contributions Of The Central Executive And Processing Efficiency, Kelsey Erin Smith

Theses and Dissertations

Children with sickle cell disease (SCD) are at risk for neurocognitive impairment due to disease effects including stroke, sleep disordered breathing, anemia-induced hypoxia, and small vessel occlusion. In particular, problems in working memory are an area of concern due to the importance of this construct in determining intelligence and academic functioning. According to Baddely’s model, working memory is composed of verbal and spatial working memory, but it is unclear whether one aspect of working memory is more impacted than another in children with SCD. In addition, little is known about the role of two key components in SCD-related working memory …

Testing An Ecological Model Of Parent Involvement In Head Start: A Replication Study, Rebecca C. Horwitz

Theses and Dissertations

Parent involvement has been understood to elicit positive outcomes for school-age children, especially minority children and children from low socioeconomic families. Understanding the process by which parents engage in their child’s education may provide school staff with tools to develop interventions to increase parent involvement.

This investigation replicates a study that tested an ecological model of parent involvement in two Head Start programs (Waanders, 2002). Participants in the current study were 213 parents and/or caregivers of children who attended three Head Start programs in South Carolina. Two of the programs were located in a medium-sized city, while the third was …

Mindfulness And Cognitive Aging, Elise J. Herndon

Theses and Dissertations

Mindfulness meditation involves the cultivation of a focused, pre-conceptual consciousness that enables increased present-centered awareness of internal states, cognitive processes, and external stimuli (Mikulas, 2011; Kornfield, 2010). Studies suggest that mindfulness practice affects the brain structures and cognitive processes related to fluid intelligence, and may affect fluid intelligence itself among highly experienced practitioners (e.g., Gard, Taquet, et al., 2014; Lazar et al., 2005; Ritskes et al., 2003). Fluid intelligence includes higher-order reasoning and problem-solving abilities that are independent of cultural and environmental influences. These abilities peak in young adulthood, then begin to decay (Cattell, 1987; Goldberg, 2005).

The current study …

The Role Of Self-Efficacy In Mediating The Effect Of Physical Activity On Adolescent Depression, Nevelyn N. Trumpeter

Theses and Dissertations

Depression is a common psychiatric problem experienced in adolescence with nearly a quarter of all adolescents experiencing a major depressive episode before adulthood. Previous evidence indicates that physical activity (PA) is a known protective factor for depressive symptoms and major depressive disorder in adolescents and that PA self-efficacy (i.e., self-confidence) improves self-esteem, which in turn reduces depressive symptoms. Furthermore, PA self-efficacy may be more protective against depression for individuals who value or consider PA to be highly important. The proposed study aimed to determine the cross-sectional and longitudinal PA-depressive symptoms relation in adolescents. The study was designed specifically to test …

Beyond Grades: The Impact Of Race And Academic Disidentification On Social Functioning And Academic Outcomes Among At-Risk High School Students, Brian K. Colar

Theses and Dissertations

An extant literature has supported the notion that black students perform poorly in comparison to white students on frequently used indicators of academic functioning, known as the academic gap between races. Although previous studies have identified this academic inequity between White and Black high school students, there is a dearth of literature examining the context and processes which may contribute to this gap. The current study further examines this educational disparity by evaluating the role of students’ social functioning, the impact of race, and academic outcomes among at-risk high school students. Although analytical evidence reports a positive correlation between social …

What Do We Know About Technical Assistance? Enhancing The Science And Practice Of Technical Assistance Via A Research Synthesis, Jason S. Katz

Theses and Dissertations

Introduction. Each year billions of dollars are spent on providing technical assistance (TA) to build the capacity of host settings (e.g., organizations, communities) to implement innovations, but there is little consensus (or even discussion) about: what the essential features of TA are, how to provide TA with quality, and how a quality-based accountability perspective can help us to enhance the science and practice of TA. To begin to address these needs, a research synthesis methodology was used for conducting a content analysis of the current evidence base for TA using three frames: (1) applying a conceptual and operational model (Getting …

The Association Of Gender, Age, And Coping With Internalizing Symptoms In Youth With Sickle Cell Disease, Laura Reinman

Theses and Dissertations

Youth with sickle cell disease (SCD) are at an elevated risk for having internalizing symptoms. Prior studies have suggested unique age by gender patterns of internalizing symptoms may be present in this population, however this pattern has not been thoroughly examined and the mechanisms underlying this pattern are not known. We examined rates of depression and anxiety symptoms between males and females with SCD across childhood and into adolescence in a cross-sectional design. We also considered the potential role of coping styles and health related locus of control for SCD morbidity that could account for age or gender patterns for …

A Comparison Of The Factor Structure Of The Short Form Liberal Feminist Attitude And Ideology Scale (Lfais) For Women And Men In A University Survey, V. Diane Woodbrown

Theses and Dissertations

The current study compares the factor structure of the short form Liberal Feminist Attitude and Ideology Scale (LFAIS; Morgan, 1996) for males and females in a University survey. We first provide a discussion of feminism, a brief narrative review summarizing previous and co-existing measures of the construct “feminist attitudes” for males and females, and then conduct confirmatory factor analyses (CFA) and exploratory structural equation modeling (ESEM) to test Morgan’s own theory that there may exist a single general factor underlying the Liberal Feminist Attitudes Ideology Scale for males and for females, and that the latent construct/s underlying this scale are …

The Relationship Between Religiousness And Intimate Partner Violence Risk And Protective Factors, Peter Warren

Theses and Dissertations

This paper proposes an integrated model illustrating the mechanisms by which religiousness may serve to influence individual beliefs regarding intimate partner violence (IPV) and the potential for subsequent abusive behavior. Intimate partner violence is a serious public health issue in the US, affecting over 25% of women at some point in their lives (CDC, 2010; Tjaden & Thoennes, 2000). Religion is a near ubiquitous aspect of American culture, with over 80% of Americans reporting some kind of belief in a higher power (Gallup, 2008. Overall, the literature shows that religiousness typically serves as a protective factor against IPV, but digging …

School-Based Sexuality Education, Gender, And Relationship Self-Efficacy: A Moderated-Mediation Analysis Of Sexual Behavior In First-Year College Students, Sara C. Schmidt

Theses and Dissertations

While the effectiveness at abstinence-only versus comprehensive sexuality education in preventing adolescent risky sexual behavior is widely researched, little is known about whether material learned in secondary school sexuality education classes impacts emerging adult sexual behavior in the college environment. Furthermore, research suggests that self-efficacy – or beliefs in one’s abilities to organize and execute actions – may be more critical than knowledge or skills in terms of how individuals enact behavior. We hypothesized a moderated-mediation effect by which the causal impact of type of sexuality education on four different sexual behaviors during the first year in college is transmitted …

Defining And Supporting Organizational Readiness In The Interactive Systems Framework For Dissemination And Implementaion, Jonathan Peter Scaccia

Theses and Dissertations

Introduction. In the implementation literature, organizational readiness is associated with an increased likelihood of achieving innovation outcomes. Organizational readiness consists of organizational capacity (general and innovation-specific) and organization motivation. Organizations who wish to get results from their innovations have an interest in making sure that certain factors and subcomponents are in place. However, having awareness that certain capacities and factors that influence motivation are linked to improved innovation outcomes does not necessarily help organizations to get “more ready.” There is a need for organizations to know if and how they can effectively put these factors and subcomponents into place. This …

The Influence Of Organizational Climate On The Use And Quality Of Evidence-Based Practices In School Mental Health, Katherine Knies

Theses and Dissertations

Organizational climate is defined as the reflection of workers’ perceptions of, and emotional responses to, the characteristics of their work environment (Glisson & James, 2002). While previous research explored the importance of organization climate for the adoption of evidence-based practices (EBPs) in mental health settings, there is a dearth of organizational climate focused research in school mental health settings (SMH). The current study examines the influence of organizational climate on two separate dependent variables: the extent to which EBPs were used and the quality of clinician delivery for the evidence-based practices used in a quality improvement intervention for SMH practitioners. …

Project Shine: A Family-Based Intervention For Improving Physical Activity, Sedentary Behavior, And Diet In African American Adolescents, Sara M. St. George

Theses and Dissertations

This study examined the effects of a family-based intervention for improving moderate-to-vigorous physical activity (MVPA), sedentary behavior (SB), and fruit and vegetable (F&V) intake in African American adolescents. The intervention (Project SHINE: Supporting Health Interactively through Nutrition and Exercise) integrated Social Cognitive (SCT), Self Determination (SDT), and Family Systems Theories (FST) to improve healthy physical activity and dietary behaviors. Behavioral strategies from SCT (i.e., self-monitoring, goal-setting, self-regulatory skill-building), elements involved in facilitating intrinsic motivation for health behavior change from SDT (i.e., autonomy, competence, belongingness), and positive parenting practices from FST for integrating parent and peer systems (e.g., parental monitoring, parent-adolescent …

Does Growth In Childhood Adhd And Depression Symptoms Predict Binge-Eating During Adolescence, Kathryn Van Eck

Theses and Dissertations

Binge-eating disorder (BED) refers to experiencing a loss of control while eating high quantities of food in a short period of time. A serious public health concern, BED is highly comorbid with other psychological disorders and increases risk for obesity and other health concerns, such as metabolic disorder and diabetes. Little is known about what mental health symptoms contribute to the development of BED for children and adolescents. Research with adults indicates that two strong predictors of binge-eating behavior include impulsivity and depression, and these symptom areas may contribute to BED for youth, as well. In the current study, I …

Testing Bidirectional Contextual Effects Of Adolescent Risk Factors On Young Adulthood Outcomes: A Life Course Perspective To Gangs, Andrea E. Lamont

Theses and Dissertations

Leading theories in developmental science emphasize the role of the individual as an active agent in shaping her or his environment. Yet, most empirical work has focused on unidirectional models, ultimately treating the individual as a passive recipient of environmental risk. Part of this gap between theory and analysis is methodological in nature – i.e., classical statistical methods typically do not allow for the modeling of bidirectional influences or complex longitudinal relations. Recent advancements in longitudinal methodologies, however, expand our ability to answer more nuanced developmental questions. In this dissertation, I demonstrate how advanced longitudinal methods could be used to …