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Examining The Home Interventionist Model Of Care In Pediatric Asthma, Katherine D. Lohr
Examining The Home Interventionist Model Of Care In Pediatric Asthma, Katherine D. Lohr
Theses and Dissertations
Pediatric asthma disproportionately affects children living in urban areas and within families reporting an income below the poverty threshold. Home interventionist models of care, utilizing interventionists from the communities they serve, have been found to improve pediatric asthma symptoms and reduce Medicaid costs. Home interventionists, such as community health workers (CHWs) and Healthy Homes assessors (HHAs), focus on connecting care among schools, providers, and homes, and empowering families in accessing resources to overcome barriers to care. However, research is just beginning to understand how home interventionists create positive change among families within low-income, urban communities. This dissertation study used a …
Associations Between Expressed Emotion, Mental Health, And Functioning In Families: Child Asthma Status As A Moderator, Katherine W. Dempster
Associations Between Expressed Emotion, Mental Health, And Functioning In Families: Child Asthma Status As A Moderator, Katherine W. Dempster
Theses and Dissertations
Expressed emotion (EE), the affective attitudes and behaviors of one toward another, can affect caregivers’ behaviors toward their child. Research examining associations between EE and child/family outcomes is mixed; these associations may be affected by other influences such as the presence of a chronic disease or parent mental health. In this study of families living in an urban area, we examined associations between EE and child outcomes (anxiety/depressive symptoms) and family functioning, with parent anxiety as a covariate. We evaluated child asthma status as a moderator as the presence of a chronic illness may strengthen the association between EE and …
Examining Sleep And Family Functioning In Pediatric Craniopharyngioma Using Ecological Momentary Assessment, Nour Al Ghriwati
Examining Sleep And Family Functioning In Pediatric Craniopharyngioma Using Ecological Momentary Assessment, Nour Al Ghriwati
Theses and Dissertations
Craniopharyngiomas are among the most common brain tumors in children and are associated with greater rates of sleep problems compared to other pediatric cancers. However, research examining sleep among youth with craniopharyngioma has been limited by a reliance on retrospective reports or sleep studies. Families also play a crucial role in children’s adjustment following a pediatric cancer diagnosis, yet remarkably little is known about transactional associations between family functioning and sleep in pediatric cancer. This study examined cross-sectional and daily associations among family functioning, affect, and sleep difficulties for youth with pediatric craniopharyngioma using retrospective reports and ecological momentary assessment …
The Context Of African American Emotion Expression: College Campus Influences, Deon Brown
The Context Of African American Emotion Expression: College Campus Influences, Deon Brown
Theses and Dissertations
Theoretical frameworks suggest that African Americans express emotion in context-specific ways that are unique to their familial socialization experience (Boykin, 1986; Dunbar, Leerkes, Coard, Supple, & Calkins, 2017). However, less is known about how African Americans express emotion across familial and public contexts. The current study was interested in exploring the contextual differences in emotion expression among 188 African American/Black college students from 3 different types of college campuses: predominantly White (i.e., PWI), historically Black (i.e., HBCU), and racially diverse. Data were collected via an online survey in which students reported the school they attend, their emotion expression in the …
Motivation, Mindfulness, And Metabolic Factors Predicting Adolescent Adherence And Attrition In A Multidisciplinary Weight Management Program, Stephen Trapp
Theses and Dissertations
Estimated rates of obesity are notably high in the United States and pose a significant public health concern. A number of deleterious physical and psychosocial conditions are associated with pediatric obesity and the cost of its treatment is considerable. Accordingly, the number of weight management treatments has increased to meet this growing public health challenge. Unfortunately, insufficient participation in weight management treatment, namely low adherence and high attrition, often impede the effectiveness of these programs. Although the barriers associated with inadequate adherence and elevated rates of attrition are documented, there is a dearth of research on the predictors of the …
Using Structural Equation Modeling To Understand The Role Of The Family In Pediatric Asthma Contexts, Nour Al Ghriwati
Using Structural Equation Modeling To Understand The Role Of The Family In Pediatric Asthma Contexts, Nour Al Ghriwati
Theses and Dissertations
Family factors have long been associated with the psychosocial adjustment of children with chronic illnesses, such as asthma (Minuchin, 1975; Rapee, 1997). Research indicates that negative family factors may also contribute to child disease severity, via bio-behavioral mechanisms of effect (Wood et al., 2006); however, these pathways have yet to be examined with a comprehensive focus on more positive family factors. This study sought to examine whether factors such as family cohesion, problem solving abilities, and communication influence asthma symptom severity in children via their effects on child depression and anxiety symptoms. Using structural equation modeling, we identified significant indirect …
Family Processes As Moderators Of The Impact Of Peer, School, And Neighborhood Influences On Adolescent Aggression, Alison Kramer-Kuhn
Family Processes As Moderators Of The Impact Of Peer, School, And Neighborhood Influences On Adolescent Aggression, Alison Kramer-Kuhn
Theses and Dissertations
Despite theoretical support for the role of the family in providing a foundation to protect youth against risks for aggression, there is little published literature examining a protective influence. This study examined family functioning and perceived parental messages about fighting and nonviolence as moderators of the relation between risk factors and adolescent aggression. The specific risk factors included affiliating with a delinquent group of peers, attending a school with norms that support aggression, and witnessing violence within the community. Secondary analyses were conducted on data collected from a high-risk sample of 537 adolescents in 2 cohorts from 18 schools. Adolescents …
A Dual Dilemma: An Examination Of Body Dissatisfaction Among Asian American Females In Emerging Adulthood, Sarah Javier
A Dual Dilemma: An Examination Of Body Dissatisfaction Among Asian American Females In Emerging Adulthood, Sarah Javier
Theses and Dissertations
The purpose of this study was to examine what factors contribute to and result from body dissatisfaction using the theoretical framework of the Tripartite Model of Influence, which included family, peer, and media influence. Participants were recruited from SONA and student organizations and participated in an online survey (N =148). A MANCOVA indicated that Asian and White females did not differ in body dissatisfaction and other health outcomes. Thin-ideal internalization mediated the relationships between media influence, peer influence, and body dissatisfaction among Asian American females. Moderation analyses indicated that ethnic identity, Asian American identity, and acculturation did not moderate the …
The Reciprocal Relation Between Maternal Depressive Symptomatology And Adolescents’ Aggression: The Role Of Parenting Practices And Family Functioning, Kelly Pugh
Theses and Dissertations
Research on family influences on adolescents’ aggression has revealed a relation between maternal depressive symptoms and adolescents’ frequency of aggression. A recent cross-sectional study of these relations (Pugh & Farrell, 2011) indicated that maternal depressive symptoms had a significant relation with teachers,’ students,’ and mothers’ reports of adolescents’ aggression. This effect was mediated by parenting practices and family functioning. The cross-sectional designs used in previous studies examining relations between maternal depressive symptoms and adolescents’ aggression make it difficult to draw clear inferences regarding the causal nature of this association. The present study used longitudinal data across five waves of data …
How Does Mothers' Depression Influence Adolescents' Aggression? The Role Of Parenting, Family Functioning, And Informant Discrepancy, Kelly Pugh
Theses and Dissertations
Previous research has found that maternal depression is predictive of adolescents’ aggression. The present study examined three mechanisms believed to account for this relation: parenting practices, family functioning, and informant discrepancy. The data for this study are from the Multisite Violence Prevention Project which collected data from a high-risk sample of sixth grade students, parents, and core teachers. A within-subjects analysis of variance examined the association between maternal depression and informant discrepancy. Structural equation modeling compared the relation between maternal depression and adolescents’ aggression as a function of parenting practices and family functioning. Results indicated that maternal depression was related …
Familial And Self Systems As Contributors To Sexual Decision-Making Patterns Of Young African American Women, Christina M. Grange
Familial And Self Systems As Contributors To Sexual Decision-Making Patterns Of Young African American Women, Christina M. Grange
Theses and Dissertations
This study utilized a is a two-phase mixed methods design to examine partner-based expectations and perceptions of factors that affecting condom use among African American women recruited at a sexually transmitted infection (STI) clinic. Phase One utilized qualitative methods to analyze interviews from 25 unmarried, African American women between ages 18--26. Interviews explored the following two research questions: (1) How do young adult African American women conceptualize relationships as illustrated by their expectations of their partner and their expectations of themselves in the relationship? (2) What messages do women recall receiving from their family members about sexual opportunities, intercourse, consequences …
The Long-Term Effects Of Direct Verbal Victimization And Family Support On Anxious And Aggressive Behaviors In Urban Adolescents: Do Mean Words Have A Lasting Impact?, Amie Bettencourt
Theses and Dissertations
Stressful life events that occur within the context of interpersonal relationships are problematic for adolescents. Peer victimization, a stressful interpersonal event, involves acts of both physical and verbal harassment, and can contribute to psychosocial maladjustment among youth. Direct verbal victimization is a specific form of peer victimization involving name-calling and teasing that is particularly prevalent among adolescents, but has rarely been studied separately from other types of victimization.This form of victimization is associated with adjustment problems, including anxiety and aggression among adolescents. Despite the significant association between direct verbal victimization and negative adolescent adjustment outcomes, not all youth who experience …
Co-Parenting In Intact And Divorced Families: Its Impact On Young Adult Adjustment, Jill A. Ferrante
Co-Parenting In Intact And Divorced Families: Its Impact On Young Adult Adjustment, Jill A. Ferrante
Theses and Dissertations
Co-parenting is the ideal parenting relationship after divorce, characterized by involvement of both parents in all decisions regarding their children. Children who report that their parents demonstrate healthy co-parenting are generally better adjusted than their peers who experience unhealthy co-parenting. The present study examined the potential mediating roles of co-parenting and parenting practices upon the relationship between marital status and young adult adjustment. Data were analyzed via structural equation modeling. Participants were 340 undergraduate students from intact and divorced/separated families. Data were obtained via questionnaires that tapped a range of adjustment factors (i.e., mental health, fear of intimacy, work ethic, …