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Comparing Relative And Absolute Reliability Of Short Versus Long Narrative Retells, Jenna Hollis

Theses and Dissertations

The purpose of the current study was to examine and compare relative and absolute reliability estimates between brief, linguistically compact narrative retells and longer, more linguistically diffuse narrative retells. The participants included 190 school-age children in firstsixth grade from Utah, Arizona, and Colorado. Participants completed two brief narrative retells using the Narrative Language Measures (NLM) Listening subtest of the CUBED assessment and one longer narrative retell using the wordless picture book Frog, Where Are You? (FWAY). These language samples were then analyzed for language productivity, complexity, and story grammar elements using the Systematic Analysis of Language Transcripts software program and …

Measuring The Reliability Of The Early Expository Comprehension Assessment, Revised 3rd Edition, Garrett Frane Wilkes

Theses and Dissertations

During the past several years, the Common Core State Standards has created a greater demand for students in public schools to comprehend and analyze expository text. In order to prepare students for work with expository text, beginning with kindergarten, more emphasis and standards have become prevalent in preschool classrooms as well. The Early Expository Comprehension Assessment, Revised 3rd Edition (EECA R-3) was developed to aid preschool teachers in determining what aspects of expository text a student understands, including recognition of different structure types. This study with the EECA R-3 extends previous studies using earlier iterations of the assessment. One hundred …

Assessment Of An Educational Intervention To Increase Knowledge And Intention To Take Hpv Vaccine And Cervical Cancer Screening In Nigeria, Chigozie Anastacia Nkwonta

Theses and Dissertations

Nigeria has some of the highest rates of cervical cancer morbidity and mortality in sub-Saharan Africa. Both the human papillomavirus vaccine (HPV) and cervical screening are effective prevention strategies against both HPV infection and cervical cancer. Lack of awareness, limited knowledge, limited decision-making agency, lack of spousal support and stigma are barriers to uptake of these preventive measures. Given patriarchal structures and norms through which men control family resources and dominate decisions, male involvement in initiatives aimed at improving sexual and reproductive health is necessary. Community-based health education is an effective intervention to improve knowledge and reduce stigma. The aim …

An Evidence-Based Evaluation Tool To Assist Healthcare Providers In Their Assessment Of Effective Mhealth Applications For The Management Of Chronic Health Conditions, Sara Belle Donevant

Theses and Dissertations

Mobile health (mHealth) apps are considered a viable option to improve chronic disease management. Healthcare providers are now recommending mHealth apps for patient use to assist in managing chronic diseases. However, healthcare providers may have difficulty locating effective, evidence-based mHealth apps for patients as there are currently over 325,000 available health apps (Research2Guidance, 2017). Limited evaluation tools are available to assist healthcare providers in this process. Therefore, our goal was to develop an online mHealth evaluation tool to assist healthcare providers in the selection of evidence-based mHealth apps.

After creating a comprehensive pool of mHealth features, healthcare providers provided feedback …

The Association Of Nurses’ Assessment And Certainty To Pain Management And Outcomes For Nursing Home Residents In Jordan, Mohammad Jamil Rababa

Theses and Dissertations

Despite advances in dementia care Pain in people with dementia is still under recognized, underestimated, and undertreated because of poor assessment, poor treatment, and factors relating to nurses’ critical thinking and decision-making skills. Unrelieved pain leads to many serious negative health outcomes in people with dementia. The purpose of the study was to examine temporally based relationships between change in behavior, the nurses’ level of certainty regarding pain, assessment scope and outcomes of pain and agitation. Relationship between severity of dementia, comorbid burden, ability to verbally self-report symptoms and patient outcomes of pain and agitation was also investigated.

A Convenient …

Survey Of Assessing Pain In Clinical Practice And Applicability Of A New Assessment, Michelle Rose Konz

Theses and Dissertations

ABSTRACT

SURVEY OF ASSESSING PAIN IN CLINICAL PRACTICE AND APPLICABILITY OF A

NEW ASSESSMENT

by

Michelle Konz

The University of Wisconsin-Milwaukee, 2016

Under the Supervision of Professor Joyce Engel, PhD

Aims The purpose of this study is to identify pain assessments that are being used to measure an individual’s pain experience and to discover how occupational therapists are currently assessing pain in youths who have complex communication needs with a developmental disability (DD). Methods Phase 1: A literature review was conducted through the use of electronic databases to research 17 different methods of pain assessment to create descriptive charts to …

The Formal Approaches And Multicultural Considerations Of Assessing Aphasia For The Neurogenic Population From The Perspective Of A Monolingual Clinician, Lauren C. Carter

Theses and Dissertations

Aphasia is a neurogenic disorder, most commonly caused by stroke, which affects speaking, listening, reading, and/or writing skills. Persons with aphasia are typically left with communication limitations despite unaffected cognition. Many of the standardized assessments available for aphasia examination are not realistic instruments. Formal assessments are time consuming and rarely include multicultural or multilingual materials. The clinician must allow every opportunity for the PWA to demonstrate their communicative abilities during an aphasia assessment. This requires providing stimuli materials relevant to the PWA’s culture, assessing in the PWA’s primary language, and conducting the exam quickly to prevent fatigue. The ECLS-B is …

Determining The Validity Of A Web-Based, Self-Rating Checklist Assessment Of Vocabulary Knowledge, Sheida Abdi

Theses and Dissertations

The purpose of this study is to examine the validity of a web-based, self-rating checklist of vocabulary knowledge. One hundred fifty-nine participants took two norm-referenced assessments in addition to one of three conditions of a developed self-rating checklist. Each condition employed a different combination of follow-up questions (synonym generation to verify participants’ self-ratings) and feedback for student responses (whether or not synonyms are correct). Condition 1 did not provide any follow-up questions or feedback, Condition 2 included follow-up questions and feedback, and Condition 3 presented follow-up questions but no feedback. Results show that participants moderately overestimated vocabulary knowledge. Moderate-to-high statistically …

Chronic Pain Causal Attributions In An Interdisciplinary Primary Care Clinic: Patient-Provider And Provider-Provider Discrepancies, Bryan Jensen

Theses and Dissertations

The purpose of the present study was to investigate the influence of pain causal attributions on patient pain-related functioning, treatment engagement, and clinical outcomes. Additionally, the impact of discordant pain causal attributions between patients and their providers as well as between interdisciplinary providers was examined. Patients rated their pain functioning and causal pain attributions during a regular clinic visit. Following the patient’s visit both the behavioral medicine provider and internal medicine resident provided ratings of similar pain-related functioning domains and causal attributions. Follow-up data were collected from the electronic medical record three months following that clinic visit. Overall, results revealed …

Print Awareness: A Comparison Between Print And Electronic Assessments In Typically Developing Preschool Children, Peter Kao

Theses and Dissertations

This study compared print and electronic formats of the Concepts About Print (CAP) assessment in typically developing preschool children. The researchers were interested in comparing print awareness skills using two different reading modalities. Independent variables were mode of presentation and age, dependent variables were the CAP scores. To account for a learning curve, two different versions of the CAP assessment were used and counterbalanced. Modes of presentation was also counterbalanced. Examiners achieved a 98.24% agreement (K = 0.964) across 40% of all assessments.

A significant correlation (r =.919) was found between the scores on the CAP and scores on the …

Patterns In Chaplain Documentation Of Assessments And Interventions, A Descriptive Study, Kevin E. Adams

Theses and Dissertations

Abstract

PATTERNS IN CHAPLAIN DOCUMENTATION OF ASSESSMENTS AND INTERVENTIONS, A DESCRIPTIVE STUDY

by Kevin Eugene Adams, MDiv

A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University

Virginia Commonwealth University, 2015

Diane Dodd-McCue, D.B.A, Department of Patient Counseling

There is increasing emphasis on the importance of evidence-based care provided by all disciplines in healthcare. The Electronic Health Record (EHR) is becoming the standard for communicating assessments, plans of care, interventions, and outcomes of patient care. The spiritual care literature demonstrates the importance of assessing religious/spiritual needs and resources and developing …

The Spanish Language Proficiency Of Sequential Bilingual Children And The Spanish-English Language Proficiency Scale, Jessica Maribel Tavizón

Theses and Dissertations

The challenge facing children learning language bilingually has led to efforts to improve the assessment and treatment of language learning difficulties. One of these efforts is the development and validation of the Spanish-English Language Proficiency Scale (SELPS). Previous research has been performed to validate the scale for English language proficiency but not for Spanish language proficiency. Twenty-four sequential bilingual children produced spontaneous narrative language samples that were rated using the SELPS and coded for language sample variables using the Systemic Analysis of Language Transcripts software. Several language sample variables, most notably the Subordination Index, the number of omitted bound morphemes, …

Foot Assessment In The Dialysis Unit, Karen Robertson

Theses and Dissertations

ABSTRACT In 2010 the number of patients requiring renal replacement therapy in the United States increased by 1% to 593,086. This number was comprised of 593,086 in center hemodialysis patients, 179,361 functioning kidney transplants, and 29,773 peritoneal dialysis patients.

A principal difficulty in the end stage renal disease (ESRD) population is lower extremity amputation from vascular complications and nonhealing wounds. The incidence of nontraumatic lower extremity amputation among the end stage renal disease population in the United States is ten times higher when compared to the general public. Mortality rates for ESRD patients following amputation are elevated with less than …

Developing A Comprehensive Youth Obesity Initiative For The State Of Virginia, Jennifer Thompson

Theses and Dissertations

The 2009 Virginia General Assembly Session unanimously voted to change the legislation governing the Virginia Tobacco Settlement Foundation to create the Virginia Foundation for Healthy Youth (VFHY) and incorporate childhood overweight and obesity prevention and reduction in its mission. In order to successfully meet the requirements of this legislation, VFHY needed assistance developing a strategic plan for the obesity initiative and a knowledge base to draw from. A comprehensive assessment of the status of Virginia’s childhood obesity problem was conducted, including the prevalence of the illness, the barriers existing to and the benefits to obesity prevention programs, the need for …

Finish-A-Rhyme-Story: A Rhyme Cloze Assessment For Preschool Children, Kimberly Jeanne Condie

Theses and Dissertations

Educators need measurement tools to determine phonological awareness in young children. This study investigated the appropriateness of rhyme cloze tasks, referred to as Finish-a-Rhyme-Story items, which were designed to measure preschool and kindergarten children's early rhyme development. The rhyme cloze tasks required children to verbally complete a sentence by filling in a final rhyming word that matched a rhyme pattern highlighted in a short story that was read aloud to them. The task required rhyme awareness as well as comprehension of the language in the story. Twenty-four items were individually administered to preschool (n = 207) and kindergarten (n = …