Open Access. Powered by Scholars. Published by Universities.®

Digital Commons Network

Open Access. Powered by Scholars. Published by Universities.®

Articles 31 - 60 of 599

Full-Text Articles in Entire DC Network

Rapport And Collective Attention: How We Predict Others Will Share Knowledge, Andrew S. Heim May 2024

Rapport And Collective Attention: How We Predict Others Will Share Knowledge, Andrew S. Heim

Doctoral Dissertations

When we observe people playing cooperative games together, there are several factors such as their rapport, attention, and theory of mind reasoning ability that might influence the information we think they will prioritize. On the one hand, we might expect players to clear up uncertain information. On the other hand, we might expect them to instead share information that is unknown to their partner. Participants observed two players in a cooperative game and predicted how the players would choose to go about prioritizing the sharing of information. We found that participants generally chose to discuss private knowledge. Additionally, it appears …


Understanding The Lived Experiences Of Ethnic-Racial Minority Former Foster Youth Who Identify As Queer, Cristian A. Lemus Dec 2023

Understanding The Lived Experiences Of Ethnic-Racial Minority Former Foster Youth Who Identify As Queer, Cristian A. Lemus

Doctoral Dissertations

This qualitative study used Interpretative Phenomenological Analysis to explore the lived experiences and meaning making of former foster youth of color who identify as both ethnic-racial minorities and as either gender or sexual minorities. A total of three participants took part in this study. All participants identified as a former foster youth with at least one foster care placement in the United States, as an ethnic-racial minority, and as a gender or sexual minority. In the lived experiences of the participants three themes, and several subthemes, emerged: identity, cultural prejudice, and power dynamics. The findings supported the hypothesis former foster …


Early Diagnosis Methods For Autism Spectrum Disorder: A Systematic Review, Megan Denise Mccarthy Dec 2023

Early Diagnosis Methods For Autism Spectrum Disorder: A Systematic Review, Megan Denise Mccarthy

Doctoral Dissertations

Objective: This systematic review aimed to comprehensively synthesize existing literature on early detection methods for Autism Spectrum Disorder (ASD) in children birth to 3 years, that lead to an effective and reliable early diagnosis in children 2 to 3 years of age.

Methods: A systematic search was conducted across multiple electronic databases, including PubMed, Scopus, and PsycINFO following PRISMA guidelines. Studies reporting on early detection methods for ASD in infants and toddlers within ages 0 to 3 years that lead to early diagnosis of children ages 2 to 3 years were eligible for inclusion. Data extraction and quality assessment were …


Opioid Use And Borderline Personality Disorder Features: Implications For Postpartum Maternal Self-Efficacy, Andrea Gorrondona Dec 2023

Opioid Use And Borderline Personality Disorder Features: Implications For Postpartum Maternal Self-Efficacy, Andrea Gorrondona

Doctoral Dissertations

The current study sought to understand and explore the experiences of pregnant individuals who use opioids as previous research has mainly focused on identifying potential negative implications (Ryan, Marsh, Testa, & Louderman, 2006; Choi & Ryan, 2007; Grella, Needell, Shi, & Hser, 2009; de Bernabe et al., 2004). The initial sample included 178 total participants recruited from a high-risk pregnancy clinic during their pregnancy. Borderline features, approximation of borderline personality disorder (BPD) diagnosis (determined using a cutoff score of self-reported features, Kurt & Morey, 2001), opioid use status in pregnancy, and postpartum opioid use status were evaluated as potential predictors …


The Effects Of Acculturation, Marianismo, And Religiosity On Pregnancy Related Anxiety In Latina Women, Jennifer M. Zanoli Aug 2023

The Effects Of Acculturation, Marianismo, And Religiosity On Pregnancy Related Anxiety In Latina Women, Jennifer M. Zanoli

Doctoral Dissertations

There is a dearth of information about pregnancy related anxiety (PRA) in Latina women, yet a growing body of literature demonstrates adverse birth outcomes for mother and infant due to PRA. This study examined the association between acculturation, religiosity, marianismo, parity, and a Latina pregnant woman’s relationship with her healthcare provider with PRA in Latina women aged 18 and above. Acculturation was expected to be the more robust factor amongst the independent variables.

Participants in this study (n = 53) were Hispanic, Chicano, Latino or had a Latin or Spanish heritage, over the age of 18, pregnant at the …


Working With Other Immigrants Brings The Parts That I Lost Back To Me: The Experiences Of Latin American Immigrant Therapists Working With Latin American Immigrant Populations, Elizabeth P. Rivera Aug 2023

Working With Other Immigrants Brings The Parts That I Lost Back To Me: The Experiences Of Latin American Immigrant Therapists Working With Latin American Immigrant Populations, Elizabeth P. Rivera

Doctoral Dissertations

Therapists who work with traumatized populations are vulnerable to experiencing trauma indirectly. This experience may be exacerbated for those who have experienced trauma themselves. As LatAm immigrant populations have often experienced trauma at the various migration phases, therapists who are LatAm immigrants and work with LatAm immigrant clients may also experience secondary traumatization as an inherent part of their work. While the research on secondary trauma spans decades, there is a dearth of literature on the experiences of LatAm immigrant therapists specifically. This qualitative dissertation study begins the conversation of what the lived experiences of LatAm immigrant therapists are via …


Mental Health And Experiences Of Pregnancy Among Black Women And Birthing People With Type 1 Diabetes (T1d), Madeleine E. Marcus Aug 2023

Mental Health And Experiences Of Pregnancy Among Black Women And Birthing People With Type 1 Diabetes (T1d), Madeleine E. Marcus

Doctoral Dissertations

This dissertation explored the potential effects of intersections of oppression (i.e., anti-Black racism, diabetes discrimination, and sexism) on mental health and pregnancy experiences among Black women and birthing people with Type 1 diabetes (T1D). Previous studies about pregnancy and T1D have included mainly white, cisgender women. Three participants qualified for inclusion in the present study and participated in semi-structured interviews, which the researcher analyzed using an interpretative phenomenological analysis (IPA) framework. Participants described feeling uncertain about whether aspects of their pregnancy experiences were related to obstetric and/or medical racism. Similarly, participants sometimes seemed uncertain about how racism may affect their …


The Grindr Complex: The Behavioral Health Impact Of Sexual Racism On Latinx Men Who Have Sex With Men, Luisalfredo Plascencia Aug 2023

The Grindr Complex: The Behavioral Health Impact Of Sexual Racism On Latinx Men Who Have Sex With Men, Luisalfredo Plascencia

Doctoral Dissertations

Given the social history surrounding the issue of HIV/AIDS in the LGBTQ+ community and the unique and intersectional experiences that Latinx Men who have Sex Men (MSM) have in their community, this dissertation’s research will contribute to the growing work on sexual racism and how it correlates with various elements of behavioral health. The study investigated the moderation impact of Latinx cultural values of caballerismo and familismo on the relationship between experiences sexual racism to mental health symptoms. The study also examined the moderation of caballerismo and familismo and psychological flexibility on the relationship between experiences of sexual racism to …


The Mental Health Of First-Generation College Students Of Color, Devin Hallquist Aug 2023

The Mental Health Of First-Generation College Students Of Color, Devin Hallquist

Doctoral Dissertations

College students who identify as a person of color and are also the first person in their family to attend college must navigate challenges related to white supremacy, institutional racism, and structural inequality. Though the amount of research on first-generation college students of color is steadily increasing, there remains a lack of research on the mental health of these students. Through an intersectional approach, the current study explored the mental health of first-generation college students of color during their sophomore year of college. Participants in the current study completed questionnaires related to psychological symptoms, experiences of racial/ethnic stress, and ethnic …


The Role Of Trait Mindfulness, Perceived Stress, And Impulsivity In Understanding The Relationship Between Stress Mindset And Psychological Intimate Partner Aggression, Sarah Joyanna Johnson Aug 2023

The Role Of Trait Mindfulness, Perceived Stress, And Impulsivity In Understanding The Relationship Between Stress Mindset And Psychological Intimate Partner Aggression, Sarah Joyanna Johnson

Doctoral Dissertations

Perpetration of psychological intimate partner aggression is a pervasive health issue and has been estimated to occur in 60 to 90 percent of relationships. Effects of intimate partner violence on its victims has been demonstrated to have lasting physical and mental health issues. Psychological intimate partner aggression has been demonstrated to have particularly harmful effects, above and beyond those identified in physical intimate partner aggression. Psychological intimate partner aggression has been demonstrated to be impacted by impulsivity, stress-mindset, perceived stress, and mindfulness. The present study proposed to examine a path analysis model of the relation between stress-mindset and psychological intimate …


Sexual Violence And Psychological Distress: The Roles Of Coping Self-Efficacy, Self-Blame, Shame, Activism, And Feminism, Charlotte Strauss Swanson Aug 2023

Sexual Violence And Psychological Distress: The Roles Of Coping Self-Efficacy, Self-Blame, Shame, Activism, And Feminism, Charlotte Strauss Swanson

Doctoral Dissertations

In the current study, we investigated potential direct, indirect, and moderated relations in the links between exposure to sexual violence and PTSD symptom severity and depression among a sample of 440 United States women who had experienced sexual assault in adulthood. We found that sexual violence exposure was both directly and indirectly related to PTSD symptom severity via less trauma coping self-efficacy, greater behavioral and characterological self-blame, and more shame. Sexual violence exposure was also indirectly related to depression via the same explanatory variables, except for behavioral self-blame. Contrary to our hypotheses, results indicated that involvement in anti-sexual activism and …


A Path Model Of Scct Applied To The Rural Appalachian Community, Sean M. Murphy Aug 2023

A Path Model Of Scct Applied To The Rural Appalachian Community, Sean M. Murphy

Doctoral Dissertations

The current study investigates the relationship between variables in the Social Cognitive Career Theory model as applies to rural Appalachia. A path model was conducted in order to see which variables are significantly related, as well as which paths differ from the hypothesized model, in this population. Results suggest that there is a direct effect of college going self-efficacy (CGSES) on college planning behaviors (CPB), as well as direct paths from barriers and postsecondary supports (PSS) to pursuing a education after high school. Indirect effects were also found from PSS and Barriers to CPB through CGSES. Surprisingly, no direct path …


An Electronic Validation Of The Test Of Memory Malingering (Tomm), Bonnie M. Smith Aug 2023

An Electronic Validation Of The Test Of Memory Malingering (Tomm), Bonnie M. Smith

Doctoral Dissertations

Within the context of a counterbalanced design, 46 students from a large state university in the southeast were administered the Test of Memory Malingering (TOMM) and the electronic version of the Test of Memory Malingering (TOMM-E). The TOMM was developed by Dr. Tom Tombaugh in 1996 and was originally designed to be administered in a paper and pencil format. The objective of this study was to establish equivalence between the computer-administered TOMM-E and the traditional paper-based TOMM. Each assessment consists of two trials and simple random assignment was used to determine which assessment format was administered to participants first. Time …


Investigating The Transfer Of Learning, Psychological, And Neural Effects In Immersive Virtual Reality, Logan Taylor Markwell Aug 2023

Investigating The Transfer Of Learning, Psychological, And Neural Effects In Immersive Virtual Reality, Logan Taylor Markwell

Doctoral Dissertations

Achieving mastery or expertise requires a substantial amount of quality practice. Recent technological developments have introduced a novel approach to practice, virtual reality. Specifically, virtual reality offers a low-cost, customizable opportunity to practice while minimizing the risk of the individual. Given that some types of practice may not lead to the acquisition of a motor skill, or worse, lead to detriments of that skill, understanding the developing science of motor behavior in relation to virtual reality is imperative. The following literature review will begin with a brief historical account of the evolution of virtual reality. Next, some terms of virtual …


"You're Not Thriving, You're Just Trying To Survive The Environment That You're In:" Mental Performance Consultants' Narratives Of Emotional Abuse In Sport, Victoria Lynn Bradshaw Aug 2023

"You're Not Thriving, You're Just Trying To Survive The Environment That You're In:" Mental Performance Consultants' Narratives Of Emotional Abuse In Sport, Victoria Lynn Bradshaw

Doctoral Dissertations

Emotional abuse is defined as “a pattern of deliberate non-contact behaviors by a person with a critical relationship that has the potential to be harmful” (Stirling & Kerr, 2008, p. 178). Specifically, in the context of sport, emotional abuse is one of the more frequently occurring forms of abuse (Kavanagh, Brown & Jones, 2017; Kirby, Greaves & Hankvisky, 2000; Wilson & Kerr, 2021). Years after the termination of those emotionally abusive experiences, athletes are left to try and cope with and manage the short and long-term impacts that tend to develop as a result of repeated exposure to harmful behaviors …


Sexual Evangelism: Youth Activism And The Fight For Comprehensive Sex Education In East Tennessee, Elena Schuch Aug 2023

Sexual Evangelism: Youth Activism And The Fight For Comprehensive Sex Education In East Tennessee, Elena Schuch

Doctoral Dissertations

In the face of structural oppression perpetuated in part by a conservative U.S. state that limits their access to comprehensive and accurate information about sexual/reproductive health (SIECUS, 2019), each year high school students (aged 14-18) in East Tennessee are recruited by Family Futures to form a peer education/activism group promoting comprehensive sex education awareness. While youth’s participation in activism is often situated in terms of individual empowerment separate from structural forces (Watts & Flanagan, 2007; Bay-Cheng, 2017), our understanding of how youth negotiate their experiences with sex education activism as situated within larger systems is limited, particularly as youth’s voices …


Evaluating Complex Post-Traumatic Stress Disorder (Cptsd): Construct Validity And Correlates, Rebecca Mills Skadberg Aug 2023

Evaluating Complex Post-Traumatic Stress Disorder (Cptsd): Construct Validity And Correlates, Rebecca Mills Skadberg

Doctoral Dissertations

A new diagnosis present in the International Classification of Diseases-11 (ICD-11), complex posttraumatic stress disorder (CPTSD), has proven controversial due to some findings which reveal symptom overlap with other disorders such as post-traumatic stress disorder (PTSD) and borderline personality disorder (BPD). This study sought to further examine construct validity of CPTSD in a community sample of trauma exposed adults, further evaluating the symptom profiles in comparison to PTSD, BPD, and also major depressive disorder (MDD) symptomology. Samples (n=805-1000, 54.5%-68.6% Female, 56.4%-61.5% White, aged 20-79) were drawn from the National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III) survey and evaluated …


Understanding Filipino Wellness: Investigating The Effects Of Colonial Mentality And Enculturation, Juliene Grace P. Fresnedi Aug 2023

Understanding Filipino Wellness: Investigating The Effects Of Colonial Mentality And Enculturation, Juliene Grace P. Fresnedi

Doctoral Dissertations

Filipino Americans are the third largest Asian American group within the United States and report significantly worse mental health when compared to other population groups. As a result of colonization by both Spain and the United States, Filipino culture has been perceived as a unique blend of cultural influences. Despite there being over 4.1 million Filipinos residing in the US there is a significant lack of research that directly investigates the well-being of this population and to what extent factors such as colonial mentality, enculturation, and generational status have an impact. The present study seeks to address this gap in …


Implementing The Color Wheel System To Improve Individual Student Behavior And Reduce Repeated Teacher Directions, Jade Bennett Aug 2023

Implementing The Color Wheel System To Improve Individual Student Behavior And Reduce Repeated Teacher Directions, Jade Bennett

Doctoral Dissertations

Researchers have demonstrated the Color Wheel System (CWS) to be a resource-efficient and effective classroom management system within various contexts; however, there is limited research examining the impact of the CWS on teacher behavior (i.e., reducing repeated teacher directions) and individual student in-seat behavior. Using a withdrawal (ABAB) design, the purpose of this study was to evaluate the effectiveness of the CWS in decreasing repeated teacher directions and increasing student in-seat behavior. Momentary time sampling was used to record individual student in-seat behavior. Frequency recording over a 20-min time interval was used to record repeated teacher directions and frequencies were …


The Association Between Psychotic Symptoms And Romantic Relationship Quality Among Young Adult Ethnic Minorites, Tashagaye T. Mckenzie May 2023

The Association Between Psychotic Symptoms And Romantic Relationship Quality Among Young Adult Ethnic Minorites, Tashagaye T. Mckenzie

Doctoral Dissertations

This study aimed to examine the association between psychotic symptoms and the quality of romantic relationships amongst ethnic minority young adults. Approximately 10.4 million people, which represents 4.2% of the adult population in the U.S, are currently diagnosed with severe mental illnesses, including psychotic disorders. Prior research found that ethnic minorities, in general, have an increased risk of developing psychotic disorders such as schizophrenia. People with SMI generally have issues being and maintaining romantic relationships. However, being in positive romantic relationships is associated with better physical and mental well-being. The final sample size for the study consisted of 411 young …


The Role Of Multiple Object Views In Early Word Learning: A Dynamic Process, Abigail Julian Dimercurio May 2023

The Role Of Multiple Object Views In Early Word Learning: A Dynamic Process, Abigail Julian Dimercurio

Doctoral Dissertations

Word learning is a complex process that involves multiple interacting components. One of these components is the motor system. During the first few years of development, the onset of motor skills predicts the development of language skills such that earlier onsets of crawling and walking relate to greater vocabulary sizes. It is thought that this relationship occurs due to a developmental cascade where gaining locomotive skills allows for greater environmental exploration, thus, more opportunities to learn new words. One area of interest in this cascade is object manipulation. Moving objects in a way that creates multiple views is related to …


Visual Working Memory Encoding And Action: An Investigation Using Fnirs And Mouse-Tracking, Kaleb Thomas Kinder May 2023

Visual Working Memory Encoding And Action: An Investigation Using Fnirs And Mouse-Tracking, Kaleb Thomas Kinder

Doctoral Dissertations

Visual working memory (VWM) guides the motor system by temporarily keeping relevant information in mind. As an interface between perception and action, VWM plays a critical role in supporting goal-directed behavior. Research on the relationship between VWM and action has primarily focused on the effect of VWM on motor output. Traditional approaches index outcome responses, such as accuracy, but this practice provides limited information on underlying VWM processes. Conversely, the influence of action on VWM processes has received less attention and its neural correlates are not well understood. In this thesis, I examined VWM-action links using functional near-infrared spectroscopy (fNIRS) …


African American Female Identified Therapists' Experiences Working Culturally Similar And Dissimilar Populations, Kimiko J. May Dec 2022

African American Female Identified Therapists' Experiences Working Culturally Similar And Dissimilar Populations, Kimiko J. May

Doctoral Dissertations

African-American female-identified individuals continue to be one of the smallest subgroups of licensed therapists. However, this group continues to grow steadily and offer services to a broad array of clientele. While the aims of literature have grown to include populations that have been historically marginalized, the research surrounding African-American female-identified therapists is scarce. Deep understanding of their lived experiences while navigating the multifaceted nature of clinical work has been grossly overlooked. This study aimed to qualitatively analyze the lived experiences of African-American female-identified therapists who work with diverse populations using interpretative phenomenological analysis. Since the nature of clinical work is …


Developing Queer Faith: Exploring Experiences Of Cognitive Dissonance And Identity Integration For Lgbq Catholics Individuals, Kendal M. Vaarwerk Dec 2022

Developing Queer Faith: Exploring Experiences Of Cognitive Dissonance And Identity Integration For Lgbq Catholics Individuals, Kendal M. Vaarwerk

Doctoral Dissertations

While religion may be meeting existential needs, it may, at the same time, be asking the LGBQ youth to be someone different than who they are (Longo et al., 2018). LGBQ individuals experience severe cognitive and emotional consequences because of oppressive religious doctrine, including guilt, shame, self-loathing, and suicidal ideation (Schuck & Liddle, 2001). When LGBQ individuals are involved with religious belief systems that cast rejecting or disapproving messages about LGBQ individuals, these individuals often experience more internalized negative self-messages, as well as more significant challenges in developing and accepting one’s sexual identity (Page et al., 2013). Therefore, this very …


Psychological Determinants Of Physical Activity And The Prediction Of Physical Activity Levels In African American Men, Alvin L. Morton Iii Dec 2022

Psychological Determinants Of Physical Activity And The Prediction Of Physical Activity Levels In African American Men, Alvin L. Morton Iii

Doctoral Dissertations

African American (AA) men experience disproportionally higher rates of non-communicable, chronic diseases (e.g., cardiovascular, type 2 diabetes, and renal failure) than White men. Physical activity (PA) is known to reduce the progression of CVD, type 2 diabetes, and renal failure. National statistics illustrate that AA men are less likely to get sufficient levels of PA to obtain health benefits. Although many factors (e.g., biomedical, socio-cultural) influence participation in PA, the psychological factors at the individual level are essential to beginning and maintaining activity. Therefore, understanding the psychological determinants of PA in AA men and their associations with meeting national guidelines …


Coping Styles As Potential Mediators In The Relationships Between Morally Injurious Events, Moral Injury, And Meaning-Making, Marjorie A. Perkins Dec 2022

Coping Styles As Potential Mediators In The Relationships Between Morally Injurious Events, Moral Injury, And Meaning-Making, Marjorie A. Perkins

Doctoral Dissertations

Exposure to morally injurious events has consistently been correlated with negative mental health outcomes for military servicemembers and veterans (Bryan et al., 2014; Currier et al., 2015a; Currier et al., 2015b; Currier et al., 2017; Dennis et al., 2017; Jordan et al., 2017; Maguen et al., 2009, 2010; Maguen, Vogt et al., 2011; Nash et al., 2013). However, some servicemembers and veterans may experience a deeper sense of understanding of the event and/or growth after a potentially morally injurious experience through a process called meaning-making (Park, 2013). The present study seeks to examine the relationship between individual coping styles and …


Clinicians' Perspectives On The Effectiveness Of Trauma - Focused Cognitive Behavioral Therapy With African American Children: A Qualitative Study, Jada Carter Aug 2022

Clinicians' Perspectives On The Effectiveness Of Trauma - Focused Cognitive Behavioral Therapy With African American Children: A Qualitative Study, Jada Carter

Doctoral Dissertations

Literature exploring clinicians' perspectives on the effectiveness of trauma-focused cognitive behavioral therapy with African American children who suffer from trauma-related disorders is very limited. The current study examined clinicians' perspectives on the TF-CBT model when utilized with this population, including their experiences working with African American children and families with observable types of trauma-related disorders. This research study also explored the various facets of trauma that African Americans encounter in childhood and the barriers that prevent them from receiving adequate mental health care. Thematic analysis was utilized to explore themes that emerged when treating African American children with TF-CBT. Five …


The Impact Of #Metoo On Reasons For Sexual Assault Disclosure, Cheryl H. Tien Aug 2022

The Impact Of #Metoo On Reasons For Sexual Assault Disclosure, Cheryl H. Tien

Doctoral Dissertations

Sexual assault is a long-standing widespread problem. Yet, despite the high prevalence of sexual assault, it is the most underreported crime of all crimes reported to the police (Bureau of Justice, 2018). The #MeToo movement has had a significant impact on the way in which sexual assault survivors disclose their experiences and the reasons they disclose. Disclosure appears to be an important factor in survivors’ healing from their assault, with increasing coping, greater attachment to others, and positive growth cited as effects of disclosure provided that the response to the disclosure is positive to the survivor (Ahrens & Aldana, 2012; …


Understanding Help-Seeking In Rural Counties: A Serial Mediation Model Of Self-Reliance, Stigma, And Attitudes Toward Psychologists, Emily M. Keller Aug 2022

Understanding Help-Seeking In Rural Counties: A Serial Mediation Model Of Self-Reliance, Stigma, And Attitudes Toward Psychologists, Emily M. Keller

Doctoral Dissertations

Rural areas in the Southern United States are characterized by certain cultural values, including self-reliance. Prior research has shown that cultural values can affect stigmatizing beliefs about mental health needs and service utilization. The present study examined a four-stage chain of serial mediation where higher levels of general self-reliance would be related to increased levels of public stigma, which would, in turn, be related to greater levels of self-stigma, followed by higher self-reliance about managing mental health problems, and finally, more negative attitudes toward seeking out help from psychologists. Community members who lived in rural counties in the Southern United …


Ambivalent Sexism And Condom Use Self-Efficacy Amongst Men Who Bottom: A Serial Mediation Model, Elliott Nolan Devore Aug 2022

Ambivalent Sexism And Condom Use Self-Efficacy Amongst Men Who Bottom: A Serial Mediation Model, Elliott Nolan Devore

Doctoral Dissertations

The effects of gendered power dynamics between men and women during sexual encounters are well documented in the literature. Specifically, internalizing sexist beliefs about masculine dominance and feminine submission is related to worse sexual health outcomes. Less is known, however, about gendered power dynamics between men having sex. Those who engage in anal sex as the receptive partner (i.e., bottom) are feminized and shamed in various cultures, viewed as submissive, and may have internalized sexist beliefs and, thus, sexual role prejudice. Consequently, bottoms may feel less sexual autonomy, which influences their condom use self-efficacy. This is important given that bottoms …