Digital Commons Network^™

Exploring The Therapeutic Alliance With Adolescents And Their Caregivers: A Qualitative Approach, Jillian M. Hawks

Theses and Dissertations--Family Sciences

The therapeutic alliance is largely recognized as an important component of the therapeutic process. For clients of all ages, the therapeutic alliance has been associated with positive outcomes and increased engagement in therapy (Bachelor, 2013; Bhola, & Kapur, 2013; Liber et al., 2010). However, very few studies have explored the complex process of fostering the therapeutic alliance with adolescent clients, while also maintaining a positive therapeutic relationship with the adolescent’s caregivers. The present study attempted to fill the gap in the literature through qualitatively exploring therapists’ perspectives of the therapeutic alliance with adolescents and their caregivers.

In order to discover …

The Perceptions, Knowledge, Benefits And Barriers Of Hispanics Regarding The Dietary Guidelines For Americans, Luisyana De Amor Gamboa

Theses and Dissertations--Nutrition and Food Systems

Background: Hispanics are the largest minority group in the U.S. and by the year 2060 the number of Hispanics is projected to double. They are disproportionately affected by obesity and chronic diseases which translate into decreased quality of life, loss of work opportunities and perceptions of injustice for the Hispanic population. The Dietary Guidelines (DG) provide information to help Americans make healthy food and physical activity choices and if followed can be a means of reducing the health disparity gap. However, culturally relevant recommendations specific to Hispanics’ health and nutritional habits are often lacking. The purpose of this study was …

Development Of A Measure Of Craving Suppression, Brian T. Upton

Theses and Dissertations--Psychology

While there is evidence to support the efficacy of mindfulness-based treatment for substance use, the mechanisms through which they lead to therapeutic outcomes have received less attention. A growing body of literature suggests that the ways in which people respond to cravings may be an important mediator of change. Individuals with substance use problems may use them to cope with or avoid negative experiences, which could include the experience of craving itself. Thought suppression in particular has been investigated as a specific form of experiential avoidance, and findings suggest that thought suppression strategies may interfere with attempts to quit using …

Exploring Bisexual-Identified Persons Experiences Of Belonging, David Pascale-Hague

Theses and Dissertations--Educational, School, and Counseling Psychology

Belonging is a basic and fundamental human need (Baumeister, & Leary, 1995) that is associated with psychosocial health (Cohen, 2004). Unfortunately, community belonging is a challenge for those with a bisexual identity. Binegativity, minority stress, and the invisibility of bisexual-identities may interfere with attempts to develop a sense of community belonging (Bradford, 2004). Little systematic research has examined bisexual-identified people’s perceptions and experiences of belonging to a community. This project addressed the question, “What are bisexual individuals’ experiences of community belonging/social exclusion?” Semi-structured interviews were conducted with a sample of 12 bisexual-identified persons. Interview transcripts were analyzed using a constructivist …

Exchange Mechanisms, Consumption, And Household Provisioning Strategies: Maya Economy And Political Economy In The Kiuic Polity, Yucatán, México, Christopher M. Gunn

Theses and Dissertations--Anthropology

This project examines household exchange systems in the ancient Maya polity of Kiuic, located in the Puuc Hills of northwestern Yucatán, México. Comparisons of variation in domestic artifact assemblages are used to evaluate household participation in exchange networks organized around three kinds of distribution: (1) non-market horizontal exchange among social equals; (2) vertical exchange across socioeconomic ranks; and (3) market exchange, in which price rather than rank structures access to goods. Intensive analyses of ceramic morphology, mineralogy, and chemical composition will document attribute variation within household artifact assemblages, and comparisons of the degrees to which households share overlapping ranges of …

Water Quality Trading From The Point Source Perspective: Willingness To Pay For Abatement Credits And Preferences For Water Quality Trading Market Mechanism, Andrew Mclaughlin

Theses and Dissertations--Agricultural Economics

As part of the EPA’s initiative to reduce the hypoxic zone in the Gulf of Mexico, a feasibility study for a potential water quality trading (WQT) program in the Kentucky River Watershed (KRW) was conducted. While theoretically, emission trading programs are among the most efficient means of reducing pollution, empirical evidence suggests low-trade volume as a primary concern for the long-term success of such programs. Some of the important reasons for the low volume of trade are due to lack of suitable market trading mechanism for point sources and lack of information on willingness to pay (WTP) for abatement credits. …

Divorces Of Marriage Immigrants In South Korea: An Examination Of Factors Affecting Divorce, Sanghee Kim

MPA/MPP/MPFM Capstone Projects

In South Korea, as of 2013, ten out of a hundred newlywed couples included a marriage immigrant, i.e. someone who came to the country for the purpose of getting married to a native (Statistics Korea). South Korea, a traditionally homogeneous society, has seen an increase in marriage immigrants, primarily women, in recent years. Multicultural families face a variety of challenges. Marriage immigrants experience cultural and lifestyle differences, language problems, poverty, and domestic violence. In 2011, the divorce rate in multicultural families reached 10 percent and the average length of a marriage that ended in divorce was 4.9 years (Statistics Korea). …

A Model Modality: Assessing The Educational Integrity Of The Blended Basic Course, Michael G. Strawser

Theses and Dissertations--Communication

The creation of a hybrid/blended basic course aligns with university goals and may increase viable curricular options for student success. If universities offer hybrid courses, they ought to do so based on data-driven evidence confirming that face-to-face (F2F) and hybrid courses are comparable. Thus, the purpose of this study was to assess the learning outcome achievement of students enrolled in a blended (hybrid) version of the basic course. More specifically, a comparative analysis of student affective, cognitive, and behavioral learning outcome achievement in face-to-face sections and hybrid sections was conducted. This study also examined affect for course delivery format for …

Adolescent Perceptions Of Nutrition: Identifying Memorable Messages, Audrey S. Bachman

Theses and Dissertations--Communication

Research is necessary to uncover ways to improve adolescent nutrition and reduce obesity rates, particularly in the Appalachian region, which has high rates of food insecurity and adolescent obesity. The current study examines rural cultural norms about food, memorable messages adolescents received about nutrition, and the sources of identified memorable messages. Adolescents shared memorable messages during comprehensive, semi-structured, small group interviews in which participants revealed their individual experiences. Thematic framework analysis is used to present the range and nature of memorable messages about nutrition and to develop strategies for future health campaigns and interventions. This qualitative method of sequential inductive …

Changing States: Using State-And-Transition Models To Evaluate Channel Evolution Following Dam Removal Along The Clark Fork River, Montana, Christopher Van Dyke

Theses and Dissertations--Geography

Located just east of Missoula, Montana, Milltown Dam stood from 1908 to 2008 immediately downstream of the Clark Fork River’s confluence with the Blackfoot River. After the discovery of arsenic-contaminated groundwater in the nearby community of Milltown, as well as extensive deposits of contaminated sediment in the dam’s upstream reservoir, in 1981, the area was designated a Superfund site – along with much of the Upper Clark Fork Watershed. This motivated the eventual decision to remove the dam, perform environmental remediation, and reconstruct approximately five kilometers of the Clark Fork River and its floodplain. This study is part conceptual and …

Life-Cycle Cost Analysis Of Reinforced Concrete Bridges Rehabilitated With Cfrp, Jeffrey L. Smith

Theses and Dissertations--Civil Engineering

The deterioration of highway bridges and structures and the cost of repairing, rehabilitating, or replacing deteriorated structures is a major issue for bridge owners. An aging infrastructure as well as the need to upgrade structural capacity for heavier trucks adds to problem. Life-cycle cost analysis (LCCA) is a useful tool for determining when the deployment of fiber-reinforced polymer (FRP) composite components is an economically viable alternative for rehabilitating deteriorated concrete bridges.

The use of LCCA in bridge design and rehabilitation has been limited. The use of LCCA for bridges on a project level basis has often been limited to the …

The Structuration Of Chinese Migrant Workers: Institutional Transitions, Life Experiences And Subjective Experiences, Fayin Xu

Theses and Dissertations--Sociology

Chinese migrant workers are workers who (1) migrate from the countryside, where they have the rights to contract farm land, work in agricultural production, and build houses on allotted residential site, and (2) work in non-agricultural sectors of cities and towns, where they don’t receive the same urban welfare benefits as local urban residents. Chinese migrant workers are characterized by their dagong lifestyle, which means “leaving their home in rural villages, going into cities, and working for others, in order to make money.” Though this group of people emerges in the rural-urban migration process associated with the rapid industrialization and …

Fruit And Vegetable Consumption Of Division I Collegiate Football And Volleyball Players Pre- And Post-Deregulation Of Snacks By The Ncaa, Emily Ludwig

Theses and Dissertations--Nutrition and Food Systems

The deregulation of snacks by the National Collegiate Athletic Association (NCAA) permits institutions to provide enhanced snacks incidental to participation. Athletes may now have the opportunity to improve their diet quality. The purpose of this research was to assess the consumption of fruits and vegetables as well as body composition of Division I collegiate athletes. The sample included 19 American football players and 8 volleyball players. Paired t-tests were performed to compare fruit intake, vegetable intake, and body fat percentage pre- and post-deregulation of snacks. Linear regression models were used to determine correlations between change in fruit intake and change …

Tactical Police Officers, Romantic Attachment And Job-Related Stress: A Mixed-Methods Study, Natalie Fagan

Theses and Dissertations--Sociology

Stressors stemming from tactical policing such as social isolation and increased work responsibilities often spill over into the home and affect personal relationships. Using attachment theory as the guiding framework, this mixed methods study aimed to obtain a better understanding of the factors involved in maintaining long-term relationships between tactical officers and their romantic partners. Phase I consisted of surveys administered to tactical officers in Kentucky and measured romantic partner attachment, organizational and operational police stressors. Research questions examined how operational and organizational stress correlated with attachment while controlling for demographics. Analysis indicated that holding a rank above an officer …

An Examination Of The Psychometric Properties Of The Working Model Of The Child Interview Coding Scheme With Biological Mothers Who Have Maltreated, Brian D. Gustman

Theses and Dissertations--Educational, School, and Counseling Psychology

There are hundreds of thousands of children living in foster care in the United States on any given day. Mental health professionals may be called upon to assist with evaluating the parental capacity of these children’s parents in order to inform reunification decisions. One of the key parental capacity domains to be evaluated is the relationship between parent and child (Schmidt et al., 2007). The Working Model of the Child Interview coding scheme (WMCI; Zeanah et al., 1996) is one tool for evaluating this relationship. There is a significant practice-to-research gap with this measure. To date, no peer-reviewed studies have …

Transgender Individuals' Social Support Experiences In Central Appalachia, Angela J. Aaron

Theses and Dissertations--Educational, School, and Counseling Psychology

The majority of empirical studies in transgender psychology have focused on the negative experiences of urban transgender individuals (Grossman & D’Augelli, 2007; Koken, Bimbi, & Parsons, 2009; Melendez & Pinto, 2007; Singh & McKleroy, 2011; Strain & Shuff, 2010; Xavier, Bobbin, Singer, & Budd, 2005). Less is known about the experiences of rural transgender individuals (Fassinger & Arseneau, 2007; Grossman, 2008) especially in Central Appalachia (Gray, 2009). The purpose of this study was to examine transgender individuals’ perceptions of social support in Central Appalachia. Bronfenbrenner’s (1977) ecological model framed the analysis of social support experiences within the culture of Central …

The Longitudinal Effects Of Participation In Structured Extracurricular Activities On Educational Achievement, Future Earnings, And Symptoms Of Depression With School Belongingness As A Mediating Variable In A Low-Income Sample, Christina L. Stacy

Theses and Dissertations--Educational, School, and Counseling Psychology

The purpose of this study was to examine the potential outcomes of participating in structured extracurricular activities (SEA) as an adolescent. Research has previously demonstrated that beneficial outcomes commonly associated with SEA participation include academic achievement and educational/career ambitions, positive social outcomes, and psychological well-being. It is thought that the benefits of SEA participation may be mediated by adolescents’ feelings of school belongingness and positive relationships. By extension, school belongingness is a key contributor to engagement, academic achievement, positive social relationships, and mental well-being. Although the research is typically positive, one must be careful in overgeneralizing that increasing student participation …

Three Essays On The Economic Impact Of Immigration, James Sharpe

Theses and Dissertations--Economics

With the significant rise in immigration to the U.S. over the last few decades, fully understanding the economic impact of immigration is paramount for policy makers. As such, this dissertation consists of three empirical essays contributing to the literature on the impact of immigration. In my first essay, I re-examine the impact of immigration on housing rents and completely controlling for endogenous location choices of immigrants. I model rents as a function of both contemporaneous and initial economic and housing market conditions. I show that existing estimates of the impact of immigration on rents are biased and the source of …

Should We Stay Or Should We Go?: A Study Of Indian It Migrants In Raleigh-Durham, North Carolina: Deciding To Stay In The United States Or Return To India, Andrew Robert Patrick Ashley

Theses and Dissertations--Geography

Over the past two decades, an increasing number of IT professionals from India have been migrating to the United States on temporary H-1B or F-1 visas. This thesis offers a case study to address how migrants on such temporary visas decide whether to seek further residency in the United States or return to India. Based on interviews conducted in 2013 and 2014 in the Raleigh-Durham area of North Carolina, I examine the factors migrants consider, as well as how the struggles presented through the visa programs may effect these considerations. I also analyze how mass migration from India has changed …

The Use Of Improved Technology And Market-Based Incentives To Increase Forest Resource And Biodiversity Conservation In Rwanda, Kelly M. Rayens

Theses and Dissertations--Forestry and Natural Resources

This study evaluated the effectiveness of two distinct approaches to ecosystem conservation in Rwanda’s Nyungwe National Park: cookstove technology adoption and market-based policy instruments. A June 2014 survey of 250 households revealed that use of improved cookstove technology dramatically decreased fuelwood consumption for households in rural Rwanda, but that design, engineering and conflicting policy issues can hamper the widespread use of energy-efficient cooking technology. The second component of this research used the analytic hierarchy process (AHP) within a multi-criteria analysis (MCA) framework to explore the options for designing and implementing market-based instruments around the country’s conservation targets, particularly the highly …

State Violence, Mobility And Everyday Life In Cairo, Egypt, Christine E. Smith

Theses and Dissertations--Geography

State violence in Egypt is an embedded part of daily life and popular culture, and well documented in social and news media. The uprisings of January 11, which took place in Egypt were organized in large part against violence and torture regularly delivered by police forces. In this dissertation I examine the implications of chronic state violence on everyday life for low-income Egyptians. In doing so, this dissertation provides analysis of how violence shapes forms of intimacy within social life, how it shapes urban landscapes and the politics therein and how it informs individual piety and banal practices of security. …

Environmental Governance In The Carbon Economy: Regulating Greenhouse Gas Emissions In California's Cap-And-Trade Program, Patrick M. Bigger

Theses and Dissertations--Geography

Since 2006 California has been pursuing the most ambitious climate change policy in the United States, implementing a suite of greenhouse gas reduction measures ranging from automobile refrigerant disposal rules to clean energy standards for electric power utilities. The most significant of these measures is the creation of a cap‐and‐trade program. Through this program, regulators seek to create a knowable price‐signal to incentivize emissions reductions among polluters. Using a suite of ethnographic methods, this dissertation looks at the people, ideas, and institutions that have been mobilized in the creation of California’s cap‐and‐ trade program.

Substantively, the dissertation engages with three …

Relax And Log On Facebook: Examining Students’ Use Of Facebook To Relieve Academic Stress Through Perceived Social Support, Tamika Tompoulidis

Theses and Dissertations--Communication

College students often times experience academic stress, whether it is due to homework, exams, GPA requirement, or even adapting to the college environment. Social support has been known to reduce stress levels and affect psychological well-being. Social support can also be prevalent on social media sites, such as Facebook. Facebook users can communicate with friends near and far and find the needed support during times of stress. While college students are active Facebook users, little research has examined whether Facebook affects academic stress levels. This study examined if college students use Facebook to gain social support for stress above and …

Saving Our Sisters: Effects Of A Computer-Based Version Of Sista On The Hiv-Related Behaviors Of African American Women, Krystal Frieson

Theses and Dissertations--Educational, School, and Counseling Psychology

Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS) are infectious diseases wreaking irreparable havoc on the lives of millions all around the world. Of those infected and affected by HIV in the United States, African Americans disproportionately bear the burden of this disease, which has resulted in a major crisis within the African American community. In 2010, African Americans accounted for approximately 44% of all new HIV infections among adolescents, 13 years of age and older, and adults [Centers for Disease Control and Prevention [CDC], 2012). These statistics become even more dismal when both race and gender enter the …

Effectiveness Of Psychotherapy For Youth In Poverty: A Benchmarking Study Of A Public Behavioral Health Agency Using A Client Feedback System, Jonathan Kodet

Theses and Dissertations--Educational, School, and Counseling Psychology

Objective: The purpose of this study was to evaluate the effectiveness of a public behavioral health (PBH) agency that had implemented continuous outcome feedback as a quality improvement strategy.

Method: I investigated the pre-post treatment outcomes of 4,389 ethnically diverse youths (6 to 17 years old) at or under the poverty line participating in treatment (from January 2008 to March 2014) for a broad range of primary diagnoses including depression and anxiety disorders (23%); adjustment disorders (27%); Attention Deficit/Hyperactivity Disorder (13%), various V-codes (18%); bipolar disorders (3%); and substance use disorders (2%). I also investigated the treatment outcomes …

Hispanic Religious Outreach In The Upper U.S. South: Missionary Outreach, Strategies, And Institutional Praxis Among Mainstream Denominations, John Benitez

Theses and Dissertations--Geography

Hispanic religious ministry provides a way for long established mainstreams to stay afloat in the face of the demographic realities in the U.S. today. Unfortunately, the lack of literature, particularly in geography, precludes the examination of elements of contemporary Hispanic religious outreach, including such considerations as strategies, their effectiveness, and institutional praxis among mainstream religious denominations in the U.S.

Using a hybrid methodology that relies on several techniques, I examine Hispanic religious ministry in the Upper U.S. South, which geographers tell us is America’s newest Hispanic destination. I, thereby, develop and present here a case study to compare Hispanic religious …

Early Voting Methods And The Impact On Voter Turnout, Courtney Harris

MPA/MPP/MPFM Capstone Projects

In 2004, over 27 million Americans voted prior to Election Day through early voting policies that exist in the United States. One of the most discussed questions is whether early voting has an effect on voter turnout.

In this analysis, I will review the voter turnout of states during the 2008 and 2010 election years. By executing this analysis, I hope to determine if these policies affect voter turnout. The implications of this analysis are useful for informing state decisions regarding voting procedures and can assist the other states in determining if these polices, and similar methods in the future, …

Do Air Pollutant Emissions Lead To An Increase In Total Personal Health Care Costs By State?, Dana Jespersen

MPA/MPP/MPFM Capstone Projects

Total personal health care costs are increasing in the United States every year. Currently personal health care costs are predicted to increase at a national average rate of 6.5 percent. This is on track with the historical data. The increase has returned to the 6.0 percent mark after falling down to an increase of 3.7 percent in 2013. Recovering from the recession and the implementation of the Affordable Care Act has contributed to the steady increase back up to the average 6 percent increase per year. When looking at individual states, all averaged around the 6 to 8 percent increase …

Did Beijing's Vehicle Use Restriction Policy Reduce Smog In 2014? A Time Series Analysis Using Chinese Government And Us Embassy Data, Ning Li

MPA/MPP/MPFM Capstone Projects

Objective:

The analysis in this paper is designed to find out whether the vehicle use restriction policy issued by Beijing Municipal Government contributed to a change of air quality in 2014. I analyze both Chinese data and data collected by the U.S. Embassy in Beijing in order to determine whether the type of data used makes a difference to the findings.

Method:

I conduct a regression analysis with time series data. The analysis unit is the day. The main independent variable is the holiday schedule during 2014 that determined whether the restriction policy was in place or not. There are …

Explore The Relationship Among Lung Cancer Stigma, Social Support, And Psychosocial Distress, Lisa Maggio

Theses and Dissertations--Nursing

There is longstanding causal relationship between cigarette smoking and lung cancer. Smoke-free policies and anti-smoking campaigns have been linked to the decline in smoking acceptance and contribute to the unintended consequence of stigmatizing smokers. Lung cancer is viewed as a self-inflicted disease and patients’ feel judged in a manner different from other cancers affecting social interactions between family, friends, and healthcare professionals. Lung cancer stigma contributes to depression, anxiety, poor self-esteem, guilt, shame, blame, threatens a person’s social identity, and limits social support that deeply affects patients and their support persons.

This dissertation contains a review of the literature related …