Digital Commons Network^™

Predicting Therapists’ Intentions To Use An Innovation: The Role Of Innovation-Specific, Individual, And Organizational Factors, Jonathan KuʻUhoaepilipono Ahuna

Theses and Dissertations

Understanding factors that contribute to an individual’s decision to use an innovation can increase the public health impact of innovations in children’s mental health services. Objective. This study examined whether and to what extent therapists’ innovation-specific judgements (e.g., innovation is easy to use, socially desirable) were associated with intentions to use an innovation using constructs from one of the most robust theories of innovation use–the Unified Theory of Acceptance and Use of Technology (UTAUT). Method. Two aims were addressed using data collected from 95 therapists and 28 supervisors who participated in a multi-site cluster randomized trial. Therapists used either a …

An Intersectional Lens To Covid-19: Promoting Youth Well-Being In The Midst Of Social-Political Stressors, Magdalena S. Moskal

Theses and Dissertations

Guided by interpretative phenomenological methodology and intersectionality theory, this thesis aims to uncover the mental health experiences of youth surrounding the COVID-19 pandemic. This study also seeks to situate these experiences with the subsequent stressors that young people face in the current social-political context (e.g., witnessing trauma in the media, uprisings to address racism and the resulting backlash, rhetoric of the 2020 presidential election). Furthermore, this thesis aims to give insight and voice how intersectionality shapes the COVID-19-related experiences of youth in South Carolina. Data was collected through semi-structured interviews with 23 participants aged 16-21 years old in South Carolina. …

Experiences Of Stigma, Social Support, And Anxiety In People Living With Hiv In South Carolina, Sarah J. Miller

Theses and Dissertations

People living with HIV (PLHIV) experience numerous psychosocial stressors, including HIV-related stigma and heightened prevalence of mental health disorders such as depression, substance use disorders, and anxiety. However, limited research has investigated predictors of anxiety within this population. This study aimed to explore the relationship between HIV-related stigma and anxiety symptoms among PLHIV in South Carolina (SC) and to examine the role of social support as a mediator for this relationship. A total of 402 PLHIV receiving HIV care at large immunology center in SC completed a paper and pencil survey, reporting sociodemographic variables, as well as experiences of HIV-related …

Associations Between Child Characteristics And Maternal Mental Health In Families Of Children With Autism, Fragile X Syndrome, And Autism Associated With Fragile X Syndrome, Tiffany Nicole Worley

Theses and Dissertations

The present study examined the association between various child characteristics and maternal mental health concerns in three high-risk groups of mothers ± those of children with non-syndromic autism spectrum disorder (NSASD), mothers of children with fragile X syndrome (FXS), and mothers of children with fragile X syndrome and autism (FXS+ASD). Research has shown that mothers of children with NSASD and FXS are thought to share a degree of genetic vulnerability to mental health concerns it is key to examine the various other factors that may contribute to difficulties within the family system and maternal stress, depression, and anxiety.

Participants for …

Race, Racial Matching, And Cultural Understanding As Predictors Of Treatment Engagement In Youth Mental Health Services, Wendy Chu

Theses and Dissertations

Racially marginalized youth experience barriers that impact their ability to maximally benefit from mental health services; thus, efforts to identify strategies that support youth treatment engagement may address mental health and treatment disparities. This study examined the role of youth race, youth-therapist racial matching, and youthreported therapist cultural understanding on youth’s early treatment engagement in mental health services. The youth sample (n = 1159; M_age = 13.8 years, SD = 2.9; 52.1% female) comprised of 778 (67.1%) Latinx, 221 (19.1%) African American, 139 (12.0%) White, and 21 (1.8%) Asian American clients. The therapist sample (n = 126; Mage …

Co-Occurrence And Non-Overlap Among Behavioral And Health-Related Problems In Preschool Children, Chandni Patel

Theses and Dissertations

Integrating mental health and healthcare services increases the reach of healthcare while reducing costs and stigma associated with seeking mental health services. To provide such services for preschool aged children we must first understand how behaviors related to healthy lifestyle and mental/behavioral health overlap. This study examined the relationship between behavior problems, sleep duration, screen time, and eating patterns and assessed the frequency of co-occurring problems in these areas. Because of the importance of parenting across these domains, the association between parent disciplinary strategies and the co-occurrence of behaviors in the different problem areas was assessed. MANOVAs revealed that there …

Examining Non-Targeted Effects Of The Connect Through Play Project: Implications For Addressing Mental Health Of Underserved Middle School Youth, Jessica Dandan

Theses and Dissertations

Early adolescence is a developmental phase accompanied by several changes occurring in various biopsychosocial domains, associated with an increased vulnerability to mental and physical health problems. Youth of minority status and/or low socio- economic status have been shown to be more susceptible, as they are more likely to incur greater exposure to stressors accordingly. Coincidently, as psychological problems emerge such as internalizing disorders, physical activity engagement declines; those trends seem to persist into adulthood and have been associated with numerous negative health outcomes. Evidence points to the direct impact of physical activity, as well as, social variables such as social …

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. …