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Associations Between Diabetes-Specific Psychological Flexibility, Family Conflict, Parental Distress And Adherence In Adolescents With Type 1 Diabetes, Rebecca I. Laquaglia

Graduate Theses, Dissertations, and Problem Reports

Background: Type 1 diabetes (T1D) is a chronic disease that impacts the lives of millions of children and adolescents in the United States. Adherence to diabetes medical regimens is often challenging, particularly among adolescents. Based on previous research, diabetes-specific psychological flexibility, or the ability of an individual with T1D to psychologically adjust to, accept, and commit action to manage their diagnosis, may improve adherence in youth with T1D. Factors such as diabetes-specific family conflict (i.e., conflict within parent-child dyads that is specifically related to T1D management) and diabetes-specific parental distress (i.e., emotional distress experienced by a parent or caregiver as …

Self-Efficacy And Parental Miscarried Helping In Adherence And Transition Readiness Among Adolescents And Young Adults With Epilepsy, Kirby-Estar G. Laguerre

Graduate Theses, Dissertations, and Problem Reports

Background: Given the complex regimen associated with epilepsy, ensuring that adolescents and young adults (AYAs) adhere to their medications, and are ready to transition from pediatric to adult care, is crucial to optimizing their health outcomes. Several social and ecological factors such as self-efficacy and parental miscarried helping can strengthen or weaken an adolescent’s medication adherence and readiness to shift from pediatric to adult care. Intending to contribute to informing and improving clinical care, this study sought to understand the relationships between self-efficacy, parental miscarried helping, medication adherence, and transition readiness. Methods: Using a cross-sectional observational design, 46 AYAs with …

Emergency Care For Youth Who Experience Suicidality And Identify As Lesbian Gay Bisexual Transgender Queer/Questioning (Lgbtq+): An Interpretive Phenomenology, Theresa Schultz

Electronic Theses and Dissertations

Purpose: Suicide is a leading cause of death in children; youth who identify as LGBTQ+ are at an exponentially higher risk of suicide. The purpose of this study was to explore the lived experiences of young adults who identify as LGBTQ+ and sought emergency care for suicidality when they were adolescents.

Methods: Heideggerian hermeneutics phenomenology is the research method used in this study. Youth, ages 18-25 years, who identify as LGBTQ+ and sought emergency treatment for suicidality when they were adolescents (13-17 years) were recruited to participate;fifteen youth enrolled. Individuals ranged in age from 20 to 25 years. Participants described …

Mental Health And Adolescents: The Impact Of Social Isolation In Adolescents During The Covid-19 Pandemic, Gabriella Aguinaldo

Nursing | Senior Theses

In early 2020, the coronavirus pandemic, first detected in late 2019, afflicted the world. The disease associated with the virus became known as COVID-19. COVID-19 was recognized as a highly contagious and deadly disease. In California, United States, COVID-19 was detected in February and the first shelter-in-place orders were ordered by the counties and state, which forced children and adults to stay at home and attend school and work virtually. Shelter-in-place orders were quickly implemented around the world.

As the world began this sudden switch in lifestyle, many were concerned for the mental health and safety of themselves and their …

E-Cigarette Use And Perceptions Among Adolescents With Attention-Deficit/Hyperactivity Disorder: The Role Of Parental Messages About Tobacco, Mayra S. Ramos

Theses and Dissertations

Adolescents with attention-deficit/hyperactivity disorder (ADHD) are at increased risk of using e-cigarettes compared to their neurotypical peers. Parent-adolescent communication about tobacco use and number of ADHD symptoms can influence adolescents’ perceptions of e-cigarettes and their e-cigarette use. Adolescents with ADHD (n = 80) completed questionnaires assessing parental messages about tobacco use; e-cigarette harm perceptions; susceptibility to use e-cigarettes; and e-cigarette use. Parents reported on messages about tobacco use, adolescent’s ADHD symptomatology, and completed demographic questionnaires. Twenty-percent of adolescents reported e-cigarette ever use. Adolescent girls were significantly more likely to report higher e-cigarette harm perceptions than boys. Parents reported providing messages …

How Did We Learn About Sex? —— Sex Education And Sexual Health In Chinese Youth, Yujuan Liu

Theses and Dissertations (Comprehensive)

Attitudes toward sexuality among Chinese youth have become more liberal in recent generations, but sex education remains controversial and limited. Due to the lack of awareness of sexual risks, many Chinese youth engage in unprotected sexual activities resulting in unintended pregnancy, abortions, and STIs. Therefore, understanding successful pathways and unique challenges are crucial to develop adequate sex education for youth’s sexual health in China. The current study used semi-structured in-depth interviews and investigated 28 Chinese youths’ experiences of sex education and sexual health. The results mapped out youth’s sex education experiences by age and sources and demonstrated the impacts of …

Body Image Role On Non-Suicidal Self-Injury, Maria Ceja, Stephani Aguiar-Vasquez

Electronic Theses, Projects, and Dissertations

This study explores the association between adolescents body image concerns and self-injurious behaviors among students enrolled in kindergarten through 12th grade. The study is exploratory in nature and uses a quantitative design. The study collected archival data from counseling services provided through alocal school district’s counseling program. More specifically, the archival data was retrieved from initial assessments gathered from students participating in the local school district’s counseling program. Additionally, this research is a call for action that seeks to examine and support the further development of programs geared towards students. This study seeks to expand on the research that guides …

Student Wellbeing And Open Studio Process In The School Curriculum, Maria Kim

Expressive Therapies Dissertations

This study aimed to explore whether Open Studio Process (OSP) increased wellbeing of middle and high school students when facilitated by teachers as a part of the regular art curriculum. It was hypothesized that OSP might increase the sense of wellbeing among middle and high school students as well as facilitating teachers. The research was conducted as a mixed methods study in South Korea where students need preventative interventions for their wellbeing. The researcher trained eight teachers to facilitate OSP and five of them implemented it with their classes for seven sessions. Quantitative data (K-YSR; pre- and posttest) were collected …

Problems With Adherence And Social Stigma In Adolescents With Type 1 Diabetes, Lauralee Davis

Master’s Theses

For adolescents with Type 1 Diabetes the clinical importance of both adherence to disease management and social support from family and friends is apparent. However, the role that family support or peer support plays on adherence to diabetes management or how stigma impacts adherence is still unclear. This study aims to determine differences between the type of support provided by family compared to peers, to examine how possible differences in the type of support impact adherence, to examine how social anxiety and stigma may be related to adherence, and to examine the types of barriers adolescents with Type 1 Diabetes …

Examining Differences In Physical Activity By Socio-Demographics, Employment, And Social Support Among U.S. Adolescents, Ashleigh Marie Johnson

Dissertations & Theses (Open Access)

The overall decline in physical activity levels during adolescence supports the examination of intrapersonal-, interpersonal-, and behavior-level factors that may influence physical activity behavior among this population. The three papers within this dissertation aimed to examine associations of socio-demographics and socio-environmental factors with physical activity among U.S. adolescents. Papers 1 and 3 used data from the Family Life, Activity, Sun, Health, and Eating (FLASHE) Study. Paper 1 examined differences in adolescent physical activity by gender and race/ethnicity, and examined modification by grade and socioeconomic status (SES). Paper 3 examined the association of parent- and adolescent-reported parental social support with adolescent …

Evaluating The Effectiveness Of Peer Engagement And Knowledge (Peak): A Community-Based Group Intervention For Youth In Hawai‘I, Jennifer T. T. Ho

Doctoral Dissertations

This study is a program evaluation with a mixed methods design that evaluated the effectiveness of Peer Engagement and Knowledge (PEAK), a six-week community-based group intervention that incorporates mindfulness-based interventions (MBIs) to address multiple health behaviors for multiracial youth in Hilo, Hawai‘i. A total of 51 youth, ages 12-23 years old, participated in this study which included pre-/posttest analyses of health risk factors such as substance use and depression and health promoting factors such as resilience, self-esteem, and mindfulness. Responses from two subsets of participants, who engaged in a focus group (n = 11) and composed gratitude letters ( …

Healthy Life Choice: Using The School-Based Program To Facilitate Change, Jennifer Shaheed

Doctor of Psychology (PsyD)

Research highlights the multiple determinants of weight including poverty, nutrition, and physical activity (Miguel-Berges, 2018). Children and adolescents living in rural areas are at greater risk than their urban counterparts. Regarding physical activity, there are often fewer recreational resources and the high poverty rate precludes transportation or additional fees associated with many extracurricular activities. In response to this problem, research has shown the educational environment is a point of access to reinforce health education and behavior. One evidenced-based program showing significant outcome in improving health behavior is the Healthy Lifestyle Choices (HLC) which is designed to be delivered in an …

Health Literacy And Family Factors In The Transition To Adult Care In Adolescents With Type I Diabetes, Ellen M. Manegold

Graduate Theses, Dissertations, and Problem Reports

Successful management of type 1 diabetes (T1DM) in adolescence involves multiple daily tasks, developmental changes, and the expectation of transition to an adult provider. Health literacy is one variable to consider in the context of transition, as studies have demonstrated the correlation of parental health literacy with health behaviors and outcomes, yet not studied adolescent health literacy in T1DM. Family factors (e.g., management responsibility, diabetes-specific family conflict, parental support) also are important to behavior and health outcomes in adolescents with T1DM. Study aims were to: 1) examine the association of adolescent health literacy to transition readiness and health outcome in …

Development And Usability Testing Of Quit4health, A Smoking Cessation Smartphone App For Young Adults, Katarzyna Czerniak

Dissertations & Theses (Open Access)

Tobacco use is the leading cause of death in the United States. As of 2016, 23.5% of American 18-25 year olds reported having used cigarettes in the last month compared to 20.2% of adults and only 3.4% of adolescents. Due to the efficacy and widespread general use of mobile technology today, mobile-phone health, or mHealth apps, have become increasingly popular methods of delivering smoking cessation programs. However, there is a lack of evidence in regards to the quality and the effectiveness of using mHealth to deliver smoking cessation interventions to young adults. This study aims to fill this gap to …

Effects Of Cumulative Risk On Asthma Outcomes In Urban Children And Adolescents, Samantha A. Miadich

Theses and Dissertations

Pediatric asthma disproportionately affects racial/ethnic minority children and children living in low-income, urban areas. Many families living in low-income, urban areas experience a number of stressors that can place children/adolescents at risk for worse asthma outcomes. This study examined the impact of a cumulative risk model of stressors (e.g., ED visits, quick-relief medication use, lung function, asthma control, QOL) in urban children (7-12 years) with persistent asthma. This study further aimed to examine both the original cumulative risk model and an adolescent-specific cumulative risk model as predictors of asthma outcomes in a sample of 60 adolescents (13-17 years). Asthma-related caregiver …

Summertime Sleep And Bmi In Urban Minority Girls: Relations To Physical Activity And Executive Functions, Carolyn Rose Bates

Master's Theses

Urban minority youth, particularly females, are at high risk for increased weight gain during the summertime months, and may also experience insufficient sleep at this time. Few studies have objectively measured summertime sleep in this population or related sleep to weight gain during this season. The current study draws on a sample of 66 urban minority girls aged 10-to-14 who participated in a community-based summer day camp program promoting physical activity (PA). The study objectively characterizes sleep in this sample, both in unstructured and structured contexts. Additionally, the study examines potential pathways underlying summertime relations between sleep and weight, including …

An Examination Of The Technical And Relational Hypotheses Of Motivational Interviewing In A Sample Of African American Adolescent Girls Seeking Obesity Treatment, Rachel L. Boutte

Theses and Dissertations

Adolescent obesity has increased exponentially over the past three decades in the United States. In response, behavioral interventions have been developed and implemented to address this epidemic; however, treatment adherence is often suboptimal. Motivational interviewing (MI) is a directive, person centered approach to reducing patient ambivalence about change, which has been shown to increase engagement in obesity interventions. The current study investigated the underlying process of MI by exploring two different, but related pathways that explain how change happens (e.g., the technical and relational hypotheses) in the context of a multidisciplinary obesity intervention with African American adolescent girls (N …

Psychosocial Functioning In Adolescents With Temporomandibular Disorders, Monica L. Gremillion

Theses and Dissertations--Psychology

Psychosocial functioning is a key component of screening and treatment of Temporomandibular Disorders (TMD) in adults; however, psychosocial functioning in adolescents with TMD has received little empirical attention. The present study aims to examine group difference between adolescents and adults with TMD on pain and prominent psychosocial factors, such as anxiety, depression, and somatization, as well as to explore additional developmentally sensitive psychosocial factors that may be associated more with the adolescent TMD pain.

Participants included 35 adolescents aged 12-17 (M=14.89 years, SD=1.84) with TMD muscle pain who completed pain questionnaires and a comprehensive dental examination. Patients …

Parent-Adolescent Communication About Health Risk Behaviors Among Adolescents With Type 1 Diabetes Mellitus, Ashley Charlene Moss

Master's Theses (2009 -)

Health risk behaviors, like drinking alcohol or using tobacco, are a common problem among adolescents in the United States. For healthy adolescents, health risk behaviors may be hazardous to their health; for adolescents with chronic illnesses, the risks associated with these types of behavior are compounded and may further impact their health status. This is particularly true for adolescents with type 1 diabetes mellitus (T1DM), whose blood sugar may be directly impacted by consumption of alcohol or use of tobacco. Parent-child communication has been found to act as a protective factor against adolescent engagement in health risk behaviors; however, this …

Long-Term Trends Of Participation In Physical Activity During Adolescence With Educational Ambition And Attainment, Frances Jillian Priesmeyer

Theses and Dissertations--Educational, School, and Counseling Psychology

Insufficient physical activity is a serious concern for the youth of this nation. In 2008, more than one third of children and adolescents could be classified as either obese or overweight (Centers for Disease Control and Prevention, 2011). Poor nutrition and lack of physical activity are two major factors contributing to this epidemic. A physically active lifestyle during youth not only improves physical health, but has also been shown to improve emotional health, behavior, and academic performance. It is important that this area of research is continued and expanded so appropriate educational policies that support the health and well-being of …

Religious Orientation And Religious Coping In Adolescents With And Without A Chronic Illness, Jacqueline Beine Brown

Dissertations

Religion plays an important role in most people's lives and can greatly affect how individuals cope and interpret stressful situations. However, very little is known about how adolescents incorporate religion into their lives (e.g., is it central or peripheral to their lives, do they utilize religious coping). Furthermore, given the additional stressors experienced by adolescents who have a chronic illness, it is likely their religious orientations and religious coping strategies are different from their healthy peers. Thus, the present study was designed to examine the constructs in both typically developing and chronically ill adolescents. Additional constructs of hope, general coping, …

Fantasy And Development In Pregnant Adolescents, Nadezhda M.T. Robinson

Seton Hall University Dissertations and Theses (ETDs)

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