Digital Commons Network^™

The Effects Of Using Clinical Support Tools To Prevent Treatment Failure, Tiffany K. Washington

Theses and Dissertations

To date, outcome research suggests that providing clinicians with patient progress feedback and problem-solving tools is effective in improving therapeutic outcome for clients who are predicted to have a negative treatment outcome. To expand upon this body of research, the current study examined the efficacy of using these problem-solving tools (Clinical Support Tools; CST) to reduce the risk of treatment failure and enhance positive outcome with 118 clients who were not identified as at -risk for a negative outcome. Results of this study indicated that the intervention failed to lower the rate of becoming an at-risk case or to enhance …

Relations Of Depression, Social Support, And Socio-Demographic Factors On Health Behaviors Of Mothers With Premature Infants Hospitalized In A Neonatal Intensive Care Unit (Nicu), Surbhi Kanotra

Theses and Dissertations

The present study examined the relationships of depression, social support, and socio-demographic factors on health behaviors of mothers with preterm infants hospitalized in the neonatal intensive care unit (NICU). In addition, the study also assessed the moderation effect of social support on the relationship between depression and health behaviors. Eighty-nine mothers with hospitalized infants in the central Richmond area participated in the study. Analyses found that mother’s education level and her marital status to be significantly associated with her health behaviors. Mothers with a higher level of education and those who were married, were less likely to smoke and more …

Predicting Arithmetic Performance From Age And Executive Function Skills, Andrea Molzhon

Theses and Dissertations

The learning of mathematics can be a difficult process for many students. Understanding the cognitive components that contribute to arithmetic achievement may illuminate sources of difficulty and inform the development of better teaching and learning practices. Executive functions (EFs) have been implicated in the development of arithmetic skills in early childhood, but less is known about this relation across middle childhood and beyond. The current study included individuals ages 6-7, 9-10, 12-13, and 18+ years and examined the contributions of 3 components of EF, working memory (WM), inhibition, and set shifting (SS), to arithmetic skills in two domains. It was …

Maternal Depressive Symptoms And Health Outcomes In Youths With Type 1 Diabetes: A Mediational Model, Struemph Kari Morgan

Theses and Dissertations

Objectives: The rate and impact of depressive symptoms were examined with two models based on known effects of depression on variables related to diabetes management, parental involvement and diabetes conflict. The proposed models will measure potential effects high maternal depressive symptoms may have on parental monitoring and involvement and diabetes specific conflict and how these variables may in turn relate to poor regimen adherence. Methods: Participants included 225 mothers and young adolescents (aged 11-14) with T1D. Diabetes self-care behaviors were measured with the 24 Hour Recall Interview, parental involvement and monitoring were measured with the Parent Management of Diabetes Scale, …

Bullying Trends And Reporting Preferences Among An Urban, Suburban, And Rural School, Noemi E. Olsen

Theses and Dissertations

Every student has the right to a safe learning environment, yet so many students have been targets of or witnesses of bullying incidents. In spite of school administration efforts to create effective reporting systems and to implement anti-bullying programs, many students remain silent victims. The present study analyzes data collected from a School Safety Survey through SchoolTipline. This data was used to determine the bullying trends, reporting trends, and reporting preferences of 562 7th and 8th grade students at an urban, suburban, and rural school. The results of this study indicate that bullying continues to be a prevalent issue that …

Utility Of The General Validity Scale Model: Development Of Validity Scales For The Co-Parenting Behavior Questionnaire, Kimberly Parker

Theses and Dissertations

Validity scales for child-report measures are necessary tools in clinical and forensic settings in which major decisions affecting the child and family are in question. Currently there is no standard model for the development and testing of such validity scales. The present study focused on 1) creating the General Validity Scale (GVS) Model to serve as a guide in validity scale development and 2) applying this model in the development of validity scales for the Co-parenting Behavior Questionnaire (CBQ), a child-report measure of parenting and co-parenting behaviors for children whose parents are divorced. Study 1 used the newly developed GVS …

Dkefs Performance As A Measure Of Executive Dysfunction In Adult Adhd, Thad Q. Lloyd

Theses and Dissertations

The evidence suggesting Attention-Deficit/Hyperactivity Disorder (ADHD) has neurodevelopmental roots with specific impairment in executive functioning continues to grow. However, no known study to date has explored the relationship between adult males with a diagnosis of ADHD and performance on a measure of executive functioning, the Delis-Kaplan Executive Function System (DKEFS). The current investigation attempted to explore (1) whether adult males with ADHD show an overall pattern of executive dysfunction as measured by the DKEFS, (2) potential group differences on both level-of-performance and process-oriented measure scores, and (3) the clinical utility of the DKEFS in diagnosing ADHD in adult males. A …

Throwing The Baby Out With The Bathwater: When Can We Trust Self Report With The Smi Inpatient Population?, Jeffrey A. Lee

Theses and Dissertations

Reliability of self-report outcome assessment is often called into question with the severely mentally ill population. In the context of inpatient care, demand characteristics may further complicate self-report measures. Although clinician-completed outcome measures, such as the Brief Psychiatric Rating Scale-Expanded Version (BPRS-E), have become industry standard with this population, self-report assessment may be useful under certain conditions. This study sought to explore the relationship between a clinician-completed, the BPRS-E, and a self-completed measure, the SOQ, within the SMI inpatient population. A total of 357 adult participants with a minimum of three assessment iterations were analyzed. The results of the analysis …

Ethnic Identity Development Among Rural Adolescent Youth, Adam Iglesias

Theses and Dissertations

The current study evaluated the factor analytic structure and developmental trajectory of ethnic identity, as measured by the Multigroup Ethnic Identity Measure, (MEIM) among early rural adolescents. The convergent validity of the measure for rural youth was also examined. The sample for this study was drawn from a larger longitudinal study focusing on violence prevention efforts with an early adolescent sample residing in rural Florida. The final sample size for these secondary analyses was 5,695 participants. The sample was 53 % Caucasian, 24% Latino, 15% African American, and 8% Other. The mean age of the students was 11.3 years. Data …

Sudden Gains In Cognitive-Behavioral Therapy For Eating Disorders, Adriane Ito De Queiroz Cavallini

Theses and Dissertations

The present study examined whether or not the temporal pattern of symptom change defined as sudden gains is applicable to and has significant ramifications for understanding recovery from eating disorders. Sudden gains were defined as stable and clinically significant changes that take place between two sessions of treatment. Data for the current study were drawn from an efficacy study of CBT for eating disorders which included session-by-session measures of eating disorder symptomatology. Predictors of sudden gains were measured by an observer coded scale that included ratings of therapist use interventions, client change in behaviors and beliefs, client engagement, and homework …

Individual Contributions To Stigma And Attitudes Toward Help-Seeking Among Rural Emerging Adult College Students, Margaret Gsell

Theses and Dissertations

Rural communities are by definition less densely populated and more geographically isolated than non-rural communities, which often translates into higher rates of poverty and poor access to health care, especially mental health care. Previous research has found that persons residing in rural communities endorse higher rates of stigmatized beliefs towards individuals with mental illness and subsequently lower rates of professional help-seeking when compared to persons residing in non-rural communities. This study evaluated whether these attitudes were also present among emerging adults (18-24 years old) who had lived in a rural community for at least 10 years and were currently enrolled …

Mothers' Adaptation In The Neonatal Intensive Care Unit: An Examination Of The Effects Of Meaning Making, Control And Self-Enhancement On Depression, Claire Russell

Theses and Dissertations

With over 400,000 infants being hospitalized in the NICU annually, it is important to understand adjustment in their mothers. Taylor’s cognitive theory of adaptation asserts that three factors, meaning making, control, and self-enhancement, influence positive adjustment in a crisis situation such as a NICU hospitalization. Since it has never been examined, the purpose of the current study was to test the utility of Taylor’s model in mothers with an infant in the NICU. Data was collected from mothers with an infant in the NICU (N = 181) and the main hypothesis was that meaning making, control, and self-enhancement would explain …

Relational Humility, Don Davis

Theses and Dissertations

The study of humility has progressed slowly due to lack of theory and measurement issues. In the present dissertation, I review the literature on humility and propose a theory of relational humility. The model conceptualizes humility as a personality judgment, aligning its study with a large literature that spans social and personality psychology. Then, in four studies, I examined initial evidence for the theoretical model. In Study 1 (N=300), I created the Relational Humility Scale (RHS) and evaluated its items using exploratory factor analysis. The RHS was found to have 3 subscales: Global Humility, Superiority, and Accurate View of Self. …

Geropsychiatric Nursing Staff: The Role Of Empowerment, Geriatric Caregiving Self-Efficacy, And Emotional Labor At Work, Ann Smolen-Hetzel

Theses and Dissertations

The current research examined the influence of the emotional labor strategies of faking emotion and suppression of emotion, empowerment, and geriatric caregiving self-efficacy on the relationship between work stress and emotional exhaustion—one dimension of burnout—for a sample of nursing staff members employed in a state-level geriatric psychiatric hospital. The total sample included 79 participants, which included registered nurses (n = 15), licensed practical nurses (n = 23) , and human service care workers (n = 41) who completed the Stress in General scale (Stanton, Balzer, Smith, Parra, & Ironson, 2001), Maslach Burnout Inventory (Human Services Survey; Maslach, Jackson & Leiter, …

The Group Selection Questionnaire: Discriminant Outcomes And Effectiveness, Jeffrey Lee Elder

Theses and Dissertations

The Group Selection Questionnaire (GSQ; Cox et al., 2004) is a measure that has been developed to facilitate clinical decisions about a client's readiness for group psychotherapy. The GSQ has demonstrated an ability to predict which clients will experience a reduction in distress through the use of group psychotherapy. This dissertation examines the Group Selection Questionnaire's ability to measure client characteristics that predict the client's ability to benefit from receiving group psychotherapy compared to the ability to benefit from receiving another form of treatment, such as individual or a combination of individual and group psychotherapy, as measured by improved scores …

Urban Adolescents’ Cognitive Responses To Peer Victimization: Does Psychosocial Adjustment Play A Role?, Amie Bettencourt

Theses and Dissertations

Peer victimization is characterized by acts of physical, relational, and verbal aggression that can contribute to maladjustment. Youths’ responses to peer victimization are guided by social information-processing (SIP) skills that impact their adjustment. Maladjustment can contribute to biases in SIP. Biased processing occurs when youth rely on existing schemas without attending to cues from the immediate social context. These processing deficits contribute to the enactment of problematic responses that may lead to further maladjustment. However, not all youth exhibit SIP deficits. A recent study identified four adjustment clusters based on differences in aggression, anxiety, depression, social acceptance, and victimization within …

Cultural Factors And Communication During Medical Consultations With Hiv-Positive Racial/Ethnic Minority Patients, Lillian Stevens

Theses and Dissertations

This study examined the relationships between cultural characteristics, communication variables, and medical outcomes in HIV-positive racial/ethnic minority patients. Participants included 33 patients and 5 providers across two urban, community medical clinics. The patient sample was 61% African American, 24% Latino, and 15% Other/Mixed. The majority (73%) were male. Providers included one White female physician, one White male nurse practitioner, two White female nurse practitioners, and one White male physician assistant. In this descriptive study, patients completed self-report ratings of their desire for engagement in decision-making prior to their scheduled medical consultation. After their consultations, patients rated their provider regarding engagement …

A Study Of Academic Achievement Differences Between The Genders, Marissa Housman

Theses and Dissertations

This study seeks to explore the academic achievement gap between male and female students by comparing grade point averages across genders. Specifically, the researcher hypothesized that such a gap exists and that females would academically surpass their male counterparts in the classroom. Participants consisted of 300 students in grades 5, 8, and 11 from a public school district in suburban New Jersey. Grade point average (GPA) was generated by converting letter grades into numbers (4.0-0.0) and then averaged. A two-way between-groups analysis of variance (ANOVA) confirmed the hypothesis that females have a higher average GPA than males, as a whole …

Effects Of Teaching Emotions To Students With High Functioning Autism Spectrum Disorders Through Picture Books, Jennifer M. Fletcher

Theses and Dissertations

Individuals with autism spectrum disorders (ASD) struggle with identifying others' emotions, which impacts their ability to successfully interact in social situations. Because of the increasing number of children identified with ASD, effective techniques are needed to help children identify emotions in others. The use of technology is being researched as a way to help children with emotion identification. However, technology is not always available for teachers to use in classrooms, whereas picture books are much easier to access and have been successfully used to improve students' social skills. Picture books are naturally used in classroom, home, and therapy settings. This …

Difference In Scores Between Teacher Certification Program Students With And Without Paraprofessional Experience, Sarah Caroline Dunn

Theses and Dissertations

Demand for highly effective, qualified teachers grew as legislation such as No Child Left Behind (NCLB) and the Individuals With Disabilities Education Act (IDEA) raised the requirements for teachers and paraprofessionals. One suggestion for meeting this demand for teachers who can bring about the required classroom outcomes is to encourage paraprofessionals to become certified teachers—with the expectation that paraprofessionals' prior experience in the school environment will make them likely to excel as teachers. This study examined whether Brigham Young University Special Education teacher candidates with paraprofessional experience differed from candidates without paraprofessional experience in terms of performance scores during a …

Improving Undergraduate Education In Psychology Using An End-Of-Major Standardized Assessment And A Teaching Resources Wiki, David L. Mason

Theses and Dissertations

Traditionally, appeals for improving the teaching of psychology at the post-secondary level have focused on increasing teacher training and motivation. However, wide-scale success may be limited because both approaches involve significant demands on teachers' time. I describe two recommendations that may improve teaching while requiring minimal time investment from individual teachers. The first is the development of an end-of-major assessment taken by undergraduate psychology majors that would provide valuable feedback to teachers on which areas of the curriculum need improvement. The second recommendation is to create a new database of research on teaching and learning that focuses on streamlining relevant …

Sociocultural Influences On Body Image Across The Lifespan, Jaryn L. Allen

Theses and Dissertations

Body image concerns are prevalent in Western society. Sociocultural theories posit that the media are largely responsible for body image dissatisfaction because they have an omnipresent influence which consistently portrays unrealistically thin females and hyper-muscular males, which are then internalized and used as measures of comparison for the average male or female. This phenomenon has been documented in countless studies with college-age females, but evidence of sociocultural influences on body image satisfaction is not as extensive in males, younger children, or older adults.

This study examined the impact of sociocultural influences on body image satisfaction in two, predominantly Caucasian, populations, …

Examining The Cognitive And Somatic Manifestation Of Competitive State Anxiety In Special Olympics Athletes, Emilia Sue Boeschen

Theses and Dissertations

The experiences of cognitive and somatic competitive state anxiety in Special Olympics athletes and their family members or significant others was explored. This study used a multimethod approach to examining this construct to learn how performance anxiety is best understood in these athletes, who were identified on the basis of their eligibility to participate in the Special Olympics as determined by the inclusion criteria set by the state in which the research was conducted. Two methods were used including: completion of the Competitive State Anxiety Inventory by both athletes and parents, coaches, volunteers, or significant others prior to competition: and …

Do They Work? Developmental Courses In Mathematics And English At Sitting Bull College, D'Arlyn A. Bauer

Theses and Dissertations

The purpose of this study was to assess the characteristics and impact of developmental courses on students enrolled in developmental mathematics and English courses at a small mid-Western tribal college. This was a quantitative, descriptive study of the courses and the students over a six year timeframe.

All students who enrolled in developmental mathematics and English courses at Sitting Bull College during the summer of 2003 through the spring of 2009 were included in this study. There were 289 students in the Foundations Math and English courses in this timeframe.

Females made up 60% of the students studied who had …

Perceived Levels Of Empowerment In Parish Nursing, Jean C. Bokinskie

Theses and Dissertations

Parish nursing is a community-based subspecialty practice of nursing. The parish nurse (PN) melds spiritual care with nursing practice to wholistically address the needs of parishioners and faith communities. PNs work with other health care providers and organizations, as well as lay and professional church leaders to successfully develop, organize, and lead health promoting and spiritually healing activities. Empowerment of PNs is necessary to achieve positive outcomes of PN directed initiatives. Empowerment occurs through supportive and nurturing environments, as well as access to resources, information and power. However, multiple professional demands, interpersonal conflicts, and lack of adequate resources have created …

Precursors And Risk Factors Associated With The Development Of Traumatic Stress After Childbirth, Jennifer Runnals

Theses and Dissertations

A prospective study of pregnant women was undertaken to provide an estimate of rates of Posttraumatic Stress Disorder after childbirth that takes into account pre-existing trauma; to explore risk factors associated with the development of traumatic stress after birth; and to better understand incidence and risk factors associated with fear of childbirth, which is thought to contribute to postpartum Posttraumatic Stress Disorder. Ninety participants in their last trimester of pregnancy completed questionnaires that included depression, trait anxiety, PTSD, anxiety sensitivity, childbearing fear, and self-efficacy for labor. Four weeks after delivery 73 of these women completed questionnaires concerning delivery, posttraumatic stress …

Evaluation Of Psychological Recovery In Patients With Major Medical Illnesses, Kelly Marie James

Theses and Dissertations

The OQ-45.2 (Outcome Questionnaire-45.2) is a measure of psychological distress that examines patients' emotional states and level of functioning in society. This measure was administered at admission and discharge to inpatients at a level II trauma center with in- and outpatient populations in addition to the BBHI-2 (Brief Battery for Health Improvement-2) and FIM (Functional Independence Measure). Results suggested that patients demonstrated psychological improvements from admission to discharge. In addition, the OQ-45.2 was found to correlate with nearly all subtests of the BBHI-2. Finally, diagnosis, length of stay, and number of psychotherapy sessions were not predictive of improvements on the …

Change Trajectories And Early Warning System To Identify Youth At Risk For Negative Psychotherapy Outcome, Philip Legrand Nelson

Theses and Dissertations

The field of mental health treatment is making efforts to better serve all psychotherapy clients, but especially the 5–10% of clients who deteriorate in treatment (Lambert & Ogles, 2004) and the 30–60% who drop out prematurely (Pekarik & Stephenson, 1988). These efforts involve collaboration between research and practice. Both research and practice have been treatment focused for much of their history, primarily examining treatment efficacy or effectiveness, and never quite settling on the generalizability or applicability of specific treatments. The patient-focused research paradigm has shifted the focus from treatment outcomes on the group level to outcomes on the individual client …

Kindergarten And First Grade Teachers' Perceptions Of Bystander Bullying: Resolution Strategies In Selected Picture Books, Mary Lane Newman

Theses and Dissertations

Previous research suggests that most incidents of bullying occur in school settings. However, teachers are not always aware of bullying incidences and often do not intervene. As bullying has negative long-term consequences for the bully, victim, and bystander, it is important to identify effective ways to reduce this problem. Responding to incidents of bullying at school, bibliotherapy is a cost effective way to support students and teach coping strategies. Numerous bully-themed books model a variety of strategies to deter bullying. Because of their busy schedule and limited opportunities to review books, teachers may need assistance in identifying books that promote …

Social Validity Of A Behavioral Support Model, Nancy Yanette Miramontes

Theses and Dissertations

As more schools turn to School-Wide Positive Behavior Supports (SWPBS) for help with academic and problem behaviors in their schools, the need to adequately evaluate these programs on a socially relevant level increases. The present study employs social validation measures to evaluate Utah's Academic, Behavioral & Coaching Initiative (ABC-UBI), a Positive Behavior Support (PBS) initiative, on socially relevant issues. Participants from across the state of Utah who were active consumers of ABC-UBI's program, were polled for their opinion on the acceptability of the treatment goals, procedures and outcomes of the program. The results outlined several areas of much needed improvement …