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Giving Birth At A Critical Time: Assessing Perinatal Depression Among Syrian Refugees In Low Resource Settings, Nada Alnaji Dec 2021

Giving Birth At A Critical Time: Assessing Perinatal Depression Among Syrian Refugees In Low Resource Settings, Nada Alnaji

Theses & Dissertations

Refugee mothers are at an increased risk of suffering from stress and mental health conditions during the first year after giving birth to a child. The objective of this study is to enhance the early identification of treatable mental health conditions among perinatal women living within humanitarian settings. The central hypothesis is that a culturally specific approach can be helpful for the long-term success of mental health efforts. In this study, we use qualitative interview methods to understand the cultural paradigms and predisposing factors for perinatal depression related to being a Syrian refugee in Lebanon during the COVID-19 pandemic. In …


Using Prompt Delay And Instructive Feedback To Teach Pretend Play Skills To Children With Autism Spectrum Disorder, Gabriella R. Van Den Elzen Dec 2021

Using Prompt Delay And Instructive Feedback To Teach Pretend Play Skills To Children With Autism Spectrum Disorder, Gabriella R. Van Den Elzen

Theses & Dissertations

Pretend play involves carrying out routines, acting out roles, referencing absent or imaginary properties of objects, or substituting one object for another. Pretend play skills emerge in typically developing children by preschool age but are often absent or delayed in children with autism spectrum disorder (ASD). In the present study, we evaluated use of prompt delay, instructive feedback, and prompt delay with instructive feedback for the acquisition and maintenance of pretend play skills with children with ASD. Throughout training, we conducted free-play probes to evaluate generalization to a naturalistic setting. The results of the current study suggest that combining the …


Factors Associated With Omani’S Schoolteachers’ Reporting Behavior Of Suspected Cases Of Child Abuse And Neglect, Zeinab N. Alazri Dec 2021

Factors Associated With Omani’S Schoolteachers’ Reporting Behavior Of Suspected Cases Of Child Abuse And Neglect, Zeinab N. Alazri

Theses & Dissertations

Child abuse and neglect is a global problem that can result in severe negative consequences for victims and their societies. Numerous initiatives have been launched by the United Nations Children's Fund (UNICEF) to combat this problem. Recently, Sultanate Oman, an Arab country, has mandated schoolteachers to report suspected abuse and neglect cases to comply with UNICEF's recommendations. As schoolteachers spend a great deal of their time with children, they are in a good position to recognize and report suspected abuse and neglect cases so the victims can get the needed help and treatment. There is a dearth of information about …


Intention To Breastfeed: Breastfeeding Attitudes, Norms, Self-Efficacy, Social Support Network And Community Resources Of African American, Low-Income, Emerging Adult Women, Pregnant For The First Time, Sara E. Brown Dec 2021

Intention To Breastfeed: Breastfeeding Attitudes, Norms, Self-Efficacy, Social Support Network And Community Resources Of African American, Low-Income, Emerging Adult Women, Pregnant For The First Time, Sara E. Brown

Theses & Dissertations

African American (AA) women continue to have the lowest rates of breastfeeding. This continues to create a health disparity even though breastfeeding is extensively recognized in the scientific and health care communities as the optimal feeding choice for infants. This study examined the relationship between the external variables (social support network and community resources) and the explanatory variables (attitudes, norms, and perceived self-efficacy) and intention to breastfeed, for the AA, first time, low-income, emerging adult pregnant woman. The Integrated Behavior Model (IBM) was used as the theoretical framework to guide this study in better understanding the variables influencing breastfeeding intention. …


Translational Evaluation Of Treatment Integrity Following Training With Varying Destructive Behavior Rates, Alexandra Hardee Aug 2021

Translational Evaluation Of Treatment Integrity Following Training With Varying Destructive Behavior Rates, Alexandra Hardee

Theses & Dissertations

Behavior analysts often use behavioral skills training to teach caregivers to implement treatment for their child’s destructive behavior with high levels of integrity. Even when trained to high levels of integrity, caregivers may revert to undesirable behaviors, and treatment integrity may decrease if high rates of destructive behavior occur (i.e., relapse). In the present study, we implemented a translational evaluation with adult participants to determine the impact of training under low- or high-rate destructive behavior on treatment integrity during subsequent treatment challenges involving exposure to high rates of destructive behavior only. Participants trained to implement the treatment package under conditions …


Health Service Utilization And Expenditure In Cardio-Metabolic Conditions In The United States Adults, Kavita Mosalpuria Aug 2021

Health Service Utilization And Expenditure In Cardio-Metabolic Conditions In The United States Adults, Kavita Mosalpuria

Theses & Dissertations

Metabolic syndrome is multicomponent risk factor for cardiovascular diseases (CVD) and type 2 diabetes that reflects the clustering of at least 3 cardiometabolic risk factors, among hypertension, impaired glucose regulations, hypercholesterolemia, and obesity. CVD are the leading cause of death in the U.S. CVD occur at earlier age and is a major cause of death and disability among people with diabetes. As compared to Japan, 13.3% to 44% of the excess CVD mortality in the U.S. can be explained by the metabolic syndrome. The prevalence of metabolic syndrome was 34.3% in 2007 to 2014 and it increases with age. Metabolic …


Predicting Reinforcers To Increase Physical Activity In Young Children With Obesity Using The Six-Minute Walk Test, Jordan D. Lill May 2021

Predicting Reinforcers To Increase Physical Activity In Young Children With Obesity Using The Six-Minute Walk Test, Jordan D. Lill

Theses & Dissertations

Childhood obesity continues to be a significant public health problem in the United States in which approximately 8% to 12% of American children are obese (Cunningham, Kramer, & Narayan, 2014; Mirza et al., 2018; Ogden et al., 2014). Further, 42% of American children are engaging in less than the recommended 60 minutes of daily physical activity (Troiano et al., 2008). Several treatments have been evaluated that have included goal-setting, self-monitoring, performance feedback, and access to arbitrary tangible rewards (e.g., Hyusti, Normand, & Larson, 2011; Van Camp & Hayes, 2012), but these treatments have often failed Luttikhuis et al., 2009; Nooijan …


An Evaluation Of Trial-Based Functional Analyses Of Inappropriate Mealtime Behavior, Ashley Andersen May 2021

An Evaluation Of Trial-Based Functional Analyses Of Inappropriate Mealtime Behavior, Ashley Andersen

Theses & Dissertations

Functional analyses allow clinicians to develop treatment targeting the variables maintaining a child’s inappropriate mealtime behavior (Bachmeyer et al., 2019). Extended functional analyses can be inefficient, potentially delaying the onset of treatment. Researchers have suggested a trial-based functional analysis can increase assessment efficiency (Saini, Fisher, et al., 2019). This study compared trial-based functional analyses to extended functional analyses to determine the variables maintaining inappropriate mealtime behavior. We compared the efficiency and acceptability and evaluated treatments informed by the analyses. Exact correspondence between analyses was low (29%); however, most treatments indicated by the trial-based functional analyses (71%) resulted in improvements in …


Indices Of Happiness And Unhappiness During Treatment Of Pediatric Feeding Disorders, Laura Elizabeth Phipps May 2021

Indices Of Happiness And Unhappiness During Treatment Of Pediatric Feeding Disorders, Laura Elizabeth Phipps

Theses & Dissertations

To date, there is no research on the measurement or evaluation of indices of happiness and unhappiness for children receiving behavior-analytic treatment for feeding disorders. The purpose of the current study was to measure child indices of happiness and unhappiness before and during extinction-based treatment and to evaluate the effects of noncontingent reinforcement with extinction-based treatment on indices of happiness and unhappiness. Overall, indices of happiness were idiosyncratic, and indices of unhappiness were initially higher during extinction without noncontingent reinforcement compared to with noncontingent reinforcement. Percentage of acceptance increased for all participants during both treatments, and caregiver treatment acceptability was …


Phase Duration And Resurgence, Sean Smith May 2021

Phase Duration And Resurgence, Sean Smith

Theses & Dissertations

Resurgence, the recurrence of responding due to a worsening of reinforcement conditions for current behavior, is a prevalent form of treatment relapse. Resurgence as Choice in Context predicts that increasing the duration of exposure to reinforcement for target responding during Phase 1 will increase resurgence magnitude, whereas increasing the duration of exposure to reinforcement for alternative responding and extinction for target responding during Phase 2 will decrease resurgence magnitude. We conducted an experiment evaluating these predictions with human participants recruited through Amazon’s Mechanical Turk platform. We varied Phase 1 and Phase 2 durations across four experimental groups. Resurgence as Choice …