Digital Commons Network^™

The Effect Of Parent-Child Relationships On Healthcare Utilization Among Children With Chronic Medical Health Concerns, Karina Guerra-Guzman

Theses and Dissertations

Parents of children with chronic health complaints are more likely to utilize healthcare services for their child, and are prone to experiencing increased stress and anxiety related to their child’s compromised health status. As these parents navigate managing their child’s health and integrating parenting behaviors, they are dealt with unique stressors that are likely to impact their parenting styles, anxiety, and use of healthcare services. However, most studies that have examined HCU in the context of parent-child relationships have neglected children with chronic health concerns (CHCs). This study examined the relationship between parenting styles across parents of children with a …

Beyond Labels: Understanding The Complexities Of Lgb Employee Team Networks, Mohammed S. Akib

Theses and Dissertations

This study aimed to investigate the team network of lesbian, gay, and bisexual (LGB) employees, as well as the factors influencing those team networks. The findings were based on responses from 13 participants who identified as either lesbian, gay, or bisexual. Participants completed a 60-minute interview, which was audio recorded and transcribed for analysis. The data was analyzed using MaxQDA qualitative analysis software, employing a phenomenological approach. Two research questions were addressed: (1) How, if at all, does the form and nature of the team network differ between the subgroups of LGB employees? and (2) How do various contextual factors …

Does What Doesn’T Kill You Make You Stronger? Examining The Effects Of Resilience And Functional Outcomes On Post-Traumatic Growth In Adults With Acquired Disability, Dominique Renee Ghirardi M.S.

Theses and Dissertations

Disabilities acquired in adulthood are often unexpected and disruptive because a loss of functioning can affect one’s ability to maintain employment, pursue their interests, and participate in social activity without assistance or accommodation. This is especially true for those who experience a life-altering injury or develop a chronic health condition between the ages of 18 and 64, as they likely have not planned for the financial and social adjustments that life with a disability involves. However, factors such as post-traumatic growth can reveal the extent to which someone experiences personal growth and improvement in the wake of a traumatic and …

Charter For Smarter Hats: How Team Charters Dynamically Improve Trust And Emotions In Human-Agent Teams, Dan Manh Nguyen

Theses and Dissertations

Although human-agent teams have received significant attention from both practitioners and researchers in recent years, human attitudes and emotions towards agents present collaborative barriers that reduce effective teaming. Borrowing from literature on traditional human team interventions, this study examines how team charters may be leveraged to set up better trust relationships and emotional states over time, and how these key emergent states influence both objective performance scores and subjective performance ratings. Using data from 43 individuals who participated in a search-and-rescue simulation with four agent teammates, discontinuous growth modeling was used to examine differences in trust and upsetness over time …

An Evaluation Of Process- And Performer-Based Improvement To Increase Online Giving In Churches, Lauren Elizabeth Rivera

Theses and Dissertations

The COVID-19 pandemic accelerated the adoption of electronic transactions for many churches. Churches which were more inclined to establish online giving platforms weathered the disruption of the pandemic more successfully. Electronic transactions proved to be an efficacious modality for churches to maximize tithing and offering. Behavioral Systems Analysis (BSA) is an evidence-based framework which can inform decision-making, starting with macro-level assessments of the effects of external variables on adaptive systems and systematically funneling down to focus on processes and individuals. This study examined the effects of a process and performer-based intervention, through automation, to increase the percentage of online giving …

The Relationship Between Parental Trauma History And Perceptions Regarding Their Child’S Healthcare And Utilization Of Healthcare Services, Krishna Patel

Theses and Dissertations

Abstract

TITLE: The Relationship Between Parental Trauma History and Perceptions Regarding Their Child’s Healthcare and Utilization of Healthcare Services

Adverse child events (ACEs) have been associated with a number of physical and mental health problems and have also been linked to increased health care utilization. While parents who have an ACE history may tend to seek healthcare services for themselves, limited studies have examined the impact of their trauma history on seeking healthcare services for their child. Healthcare utilization may also depend on the parents’ level of health anxiety, as well as their anxiety about their child’s health status. This …

A Comparison Of Defensiveness In Mmpi-2-Rf Profiles Of Male Sex Offenders And Child Custody Litigants, Kyla M. Jones

Theses and Dissertations

Clinical evaluations have had a long-standing role in criminal and civil legal proceedings due to the intersection between various legal criteria and aspects of psychological functioning. The Minnesota Multiphasic Personality Inventory (MMPI; Hathaway & McKinley, 1943) and its subsequent versions have been among the most commonly utilized and empirically supported measures of personality and psychopathology in assessing forensic populations. One application for which MMPI instruments have been particularly useful is in the evaluation of sex offenders. This is in part due to the tests’ built-in validity scales, as MMPI underreporting scales are found to be effective in assessing sex offenders’ …

Sun Protection Behaviors And Skin Cancer Risk Among Children Of Color, Williana Magloire

Theses and Dissertations

Sun protection is beneficial for children of color as it decreases the risk for sunburns, hyperpigmentation, and most importantly, skin cancer. Invasive melanoma is commonly seen in children of color due to inadequate sun protection. Parental and caregiver modeling of sun protection behaviors may decrease the likelihood of skin cancer among children of color. The American Academy of Pediatrics (AAP, 2011) has suggested that pediatricians adopt the role of informing parents about the benefits of using sun protection products for their young children. They recommended that providers discuss sun protection behaviors with both the parent/child beginning at the age of …

Development Of Optimal Cut Scores For Within-Normal-Limits Mmpi-2-Rf Profiles Of Sex Offenders, Ilona Iikhtman

Theses and Dissertations

Alleged and convicted sex offenders are generally required to undergo forensic evaluations that frequently include a psychological assessment to answer a wide range of psycho-legal questions. A critical component of the psychological assessment of sex offenders is the evaluation of personality and psychopathology. The Minnesota Multiphasic Personality Inventory (MMPI) and its subsequent editions have been the most widely used personality assessment measures in forensic evaluations, including sex offender evaluations, and in research conducted with sex offenders. The previous literature demonstrates that a subgroup of sex offenders often produce test scores reflective of the general population, which is referred to as …

An Examination Of Mmpi-3 Score Patterns Of Sex-Trafficked Women, Edleen De Jesus-Sanchez

Theses and Dissertations

Sex trafficking is a hidden crime that affects many vulnerable groups such as women and children. Prior research has demonstrated that individuals currently or formerly engaged in sex trafficking experience heightened levels of depression, anxiety, posttraumatic stress disorder (PTSD), and other mental health concerns. Most of these studies relied on structured interviews and, to date, no empirical studies have evaluated the psychological difficulties of sex trafficking victims with an empirically valid measure. The Minnesota Multiphasic Personality Inventory-3 (MMPI-3; Ben-Porath & Tellegen, 2020a) is a personality assessment measure widely used to assess sexual abuse survivors, substance abusers, and various inpatient and …

The Effect Of Non-Offending Caregiver Substance Use On Posttraumatic Stress Symptoms In Survivors Of Child Sexual Abuse, Katelynn Robison Jones

Theses and Dissertations

Prevalence rates for child sexual abuse and substance use have often been difficult to determine. The Centers for Disease Control and Prevention (2022) estimated that one in four girls and one in thirteen boys experience childhood sexual abuse (CSA) in the United States. Similarly, the Substance Abuse and Mental Health Services Administration (2021) estimated that 58.7% of individuals over the age of 12 have used a substance in the last month. Despite the identification of both of these experiences as relatively common societal concerns, the impact of parental substance use on children and families has primarily been evaluated in a …

Am I Committed Or Conflicted? Examining Implications Of Self-Concept Structure For Self-Regulation, Well-Being, And Performance, Nicholas Aaron Moon

Theses and Dissertations

Although research on self-concept is extensive, few studies have examined the relationship between specific aspects of self-concept structure (e.g., self-concept clarity) and self-regulation constructs (e.g., goal commitment). In addition, research has linked aspects of self-concept structure with well-being outcomes, but less is known about the mechanisms involved in these relationships. This research addresses these two issues by examining self-concept structure (self-concept clarity and self-concept differentiation) as antecedents of key self-regulatory mechanisms (goal commitment and goal conflict) and how these linkages may help explain connections between self-concept structure and well-being and performance. More specifically, two studies examined these relationships, with Study …

Effect Of Variable Delays To Reinforcement On Skill Acquisition Of Tacts In Children With Autism, Ya-Chien Yang

Theses and Dissertations

Basic research has established that immediate reinforcement produces the best outcome when learning a skill. More recent research has followed, showing that even 8-10 seconds of brief delays may impair learning. In one of the few applied studies on this topic, Majdalany et al. (2016) showed that participants with Autism Spectrum Disorder (ASD) acquired tacts more quickly with immediate reinforcement, compared to delays of 6s and 12s. However, no research has examined variable delays to reinforcement, which may be more common in classrooms and clinics. Thus, the purpose of the proposed study was to expand previous research by examining variable …

Further Evaluation Of The Effects Of Music And Rird On Vocal Stereotypy, Keith Happel

Theses and Dissertations

Vocal stereotypy (VS), or vocalizations that are noncontexual or nonfunctional, is commonly exhibited in individuals on the autism spectrum. The nature of vocal stereotypy may pose an issue for some individuals, ranging from social ostracization to the inability to perform daily tasks. Previous research has shown that access to matched stimulation (e.g., music) and response interruption and redirection (RIRD), a form of punishment, are effective at decreasing vocal stereotypy (Gibbs et al., 2018). However, in the aforementioned study, researchers did not evaluate a less intrusive treatment in isolation prior to implementing punishment. The purpose of the current investigation is to …

Do Women See Leadership As Risky? The Potential Role Of Stereotypes And The Perception Of Risk In Claiming A Leader Identity, Julia Macgregor-Peralta

Theses and Dissertations

The purpose of this research was to determine if women perceive leadership as riskier than men do, and whether that could be holding women back. Specifically, this study investigated the influence of gender and leadership views on the development of leader identity and the role that perception of risk of leadership plays. Role Congruity Theory of Leadership, Lack of Fit, and Adaptive Leadership Theory were used as theoretical frameworks in this cross-sectional study using 2022 archival data. Participants were undergraduate and graduate students from five different universities in the United States. Leader role alignment (LRA), which is the congruence between …

Increasing Cheerleader Safety Through The Observer Effect, Madison Elizabeth Duke

Theses and Dissertations

Cheerleading has a high rate of serious injuries, but the safety of cheerleaders has seldom been researched. Behavior analytic research has never investigated cheerleading and has rarely focused on improving the safety of athletes. The present study examined scored observations, a common intervention in the behavior-based safety literature, as a method to increase the safety of cheerleaders completing basic movements. This has previously been shown to produce the observer effect, wherein an observer’s safe behavior is increased after observing and scoring the behavior of another performer. Scored observations alone increased basic cheerleading movements to a mastery criteria for one of …

Actions Speak Louder Than Words: The Role Of Organization Segmentation Norms On Work-Family Enrichment, Engagement & Burnout, Sarah Jensen

Theses and Dissertations

Increased frequency of virtual work environments has changed the dynamics of boundary management decisions for employees and underscored the importance of organizations being aware and purposeful of how their norms will impact their employees. The goal of this study was to a) understand how organizations norms towards segmentation impact employee burnout, engagement, and enrichment, and b) how segmentation preferences, job demands, and job crafting strengthen these relationships. Two samples of participants were recruited from a mental health organization (N = 73) and mTurk (N = 80) to complete surveys on the variables for the study. Organizations with a norm for …

Relations Between Heart Rate And Precursors To Aggression With Children With Autism Spectrum Disorder, Emily Wynn Dowling

Theses and Dissertations

Aggression is a commonly reported problem behavior for individuals diagnosed with autism spectrum disorder. When assessing and treating aggression, there are risks of injury to the client and staff when the problem behavior is aggression. Investigating physiological arousal states of clients may be fruitful if this physiological measure can be used to predict occurrences of problem behavior, such as aggression. Previous research has shown varied results when investigating the relations between heart rate and problem behaviors. For some individuals, heart rate increased preceding problem behavior and for others heart rate decreased (Barrera et al., 2007). The temporal relation between heart …

Comparing Video Modeling To Tactile Feedback To Train Medical Skills, Kelcie Erin Mccafferty

Theses and Dissertations

Medical skills and practices have been continuously advancing, with many recent advancements in clinical practice. However, medical training has yet to develop in tandem with medical advancement. Behavior analysis has a large body of research and practice in the area of skill acquisition to offer the medical field. TAGteach® is one example of a behavior analytic method that could be beneficial to the medical field. Although traditional applications of TAGteach® have been proven to be effective, they may not be socially valid or accepted by the larger population or medical professionals. The purpose of the present study was to compare …

Exploring Factors That Influence Disagreements In Self-Other Ratings In 360-Degree Feedback Systems, Robert Allen Miller

Theses and Dissertations

360-degree feedback systems are some of the most widely used ratings systems in organizations today. The current study examined the use of 360-degree feedback systems as a method for capturing job performance in organizations and the challenges associated with accuracy in ratings due to individual differences in perception. The study investigated the links between self-other rating tendencies and narrow facets of personality and examined how an individual’s personality affects self- and other-ratings of their performance behaviors. The findings suggest that various aspects of personality differentially affect both self- and other-ratings of performance, providing a deeper understanding of how individual differences …

The Relationship Between Self-Rated Circumplex Traits And Other-Rated Job Performance, Michael Robert Sawdy

Theses and Dissertations

The Big Five has emerged as the dominant personality model in the researcher literature (Judge & Bono, 2000), yet there is still debate about how personality should be modeled within the Big Five framework as well as which personality traits relate most strongly to important outcomes across domains (DeYoung et al., 2007; Digman, 1997; Hofstee et al., 1992; Judge et al., 2002). The purpose of this study was to compare complex personality traits as defined by the circumplex personality approach to simple, hierarchical personality traits as defined by the standard personality model approach in relation to other-rated job performance. Overall, …

The Examination Of Factors That Influence Trust In A Multi-Agent Team Context, Cherrise Ficke

Theses and Dissertations

Current dyadic teams in the human-agent teams literature demonstrates that Propensity to Trust in Technology (PTT), previous experience with an agent, levels of autonomy (LOA), workload, and mission performance affect trust and mission performance to some capacity. However, the purpose of this study was to expand this line of research by examining how these factors influence trust and mission performance in a multi unmanned aerial vehicle (UAV) context. To investigate the relationship between these factors and trust, an archival study was conducted using data from a previously-conducted, multi-UAV study. The previous study utilized a within-subjects repeated measures design in which …

Empirical Evaluation Of A Novel Spatial Disorientation Induction Strategy, Michaela Cathlin Satter

Theses and Dissertations

It is estimated that spatial disorientation-related accidents account for roughly 33% of all aviation mishaps with a 90% fatality rate (Gibb et al., 2011). Research meant to establish common practices and standardization of spatial disorientation (SD) training is needed to work toward decreasing this staggering statistic. The current study investigated the viability of a novel SD Induction Strategy that combined rotation about the vertical axis, visual cue input from a wireless virtual reality (VR) head mounted display (HMD) flight environment, and tactile input from a wireless joystick controller. To assess this combination’s effectiveness, Bank situation awareness (SA) and Pitch SA, …

A Multi-Level Comparison Of Increasing Training Modalities To Train Behavior Analysts To Conduct An Intensive Pediatric Feeding Intervention, Ronald Joseph Clark

Theses and Dissertations

A common focus within behavior analytic clinical practice is to incorporate training with caregivers to promote successful transition of clinical services. In the pediatric feeding literature, for example, training caregivers to ensure maintenance and generalization of the intervention is expected. However, training staff members to provide specific behavioral interventions has received less attention. The current study systematically implemented three levels of training to evaluate the level of intensity required to train behavior analytic staff (i.e., behavior technicians, Registered Behavior Technicians®, and Board-Certified Behavior Analysts®) to implement a feeding protocol with a role play partner. Only one participant met the mastery …

The Future Of Socialization: Linking Socialization To Employee Engagement, Alexander Michael Dechurch

Theses and Dissertations

This study examines the relationship between socialization and engagement. In doing so this study investigates and measures the impact that social integration, task mastery, autonomy, role clarity, satisfaction with socialization, job embeddedness, network characteristics, network capital, and online socialization have in linking socialization to engagement. The sample for this study utilized data from Amazon Mechanical Turk. The results suggest that institutionalized socialization tactics relate to higher reported engagement. In addition, social integration, autonomy, job embeddedness, network strength, and network capital each play a significant role in the observed relationship

Effect Of Brain Injury On Demand Of Alcohol, Whitney Michele Chaney

Theses and Dissertations

Brain injury, or damage to the brain and/or surrounding structures, is listed by the CDC as the leading cause of disability and death in the United States. This kind of injury can result in symptoms that physical, cognitive, and behavioral functioning in those affected. Despite this, current literature reflects a significant deficiency in the understanding and management of behavioral symptoms, that present after the injury, in most neurorehabilitative treatments. This study aimed to investigate whether sustaining a brain injury can effect an individual’s demand intensity for alcohol, if their demand was inelastic, and their probability for misuse of alcohol. To …

Trauma And Linguistic Markers For Symptom Severity In Prolonged Exposure For Primary Care, As Observed Through The Use Of Narrative Review, Robert Alexander Ryan

Theses and Dissertations

Traditional trauma therapies used in the primary care setting (e.g., hospital, medical clinic, etc.) have posed challenges to patient success because they are not designed for the shorter duration treatment that is typical in primary care settings. One alternative solution is the Prolonged-Exposure for Primary Care protocol (PE-PC) that utilizes prolonged exposure using a brief take home assignment and several journaling prompts that are processed using principles from Cognitive Processing Therapy (CPT). Still in its early stages of development, the PE-PC protocol can provide symptom relief in as little as four, 30-minute sessions and reflects one of the first trauma …

Perceptions Of Quality Of Healthcare Using A Trauma-Informed Care Perspective Among Trauma Survivors, Jane Axelle Komen

Theses and Dissertations

Trauma is an all-too-common occurrence with the potential for several farreaching, deleterious effects both mentally and physically. Several studies have found an association between exposure to trauma and cardiovascular, immune, and musculoskeletal system complications. It has also been linked to chronic pain, cancer, and obesity, in addition to several functional and structural neurological effects. Trauma survivors have also been found to utilize healthcare services at a higher rate than those who have not reported experiencing trauma. Trauma-informed care is a relatively novel concept that has been introduced to increase the sensitivity with which these individuals are treated when attending healthcare …

The Effects Of Introversion And Treatment Delivery Modality On Therapeutic Outcomes In A Community Mental Health Clinic, Maria Olga Consbruck

Theses and Dissertations

Objective: The present study examines the effectiveness of teletherapy services for individuals with varying levels of introversion. This study also investigates the comparability of teletherapy to in-person services provided by clinicians in training. Introduction: Virtual platforms, such as teletherapy, have exponentially increased in use by clinicians and community members due to the Covid 19 pandemic. The pandemic has illuminated surprising secondary benefits of teletherapy. Research has shown that teletherapy results in greater accessibility, feasibility, and acceptability of treatment. Teletherapy platforms can reach remote and rural communities, and better address financial and time barriers. Current research indicates that teletherapy services are …

The Relationship Between Hallucinations And Visuospatial Impairment Among Individuals With Dementia, Ruta Sohoni

Theses and Dissertations

Objective: This study examines the neuropsychological functioning, specifically using the Hooper Visual Organization Test (VOT), to understand the impact of hallucinations on the level of impairment in the visuospatial domain.

Method: Archival data obtained over three years from a total of 73 patients from the Health First Memory Disorder Clinic was used in this study. Participants were included in the study if they endorsed experiencing hallucinations, were given the VOT during their brief neuropsychological evaluation, and were diagnosed with dementia or unspecified neurocognitive disorder. The patient’s electronic medical record was used to retrospectively gather additional details regarding their hallucinations and …