Digital Commons Network^™

It Takes A Village: Impact Of Lgbtq+ Community On The Relationship Between Parenting Stress, Parent Mental Health, And Child Adjustment, Kevin Mcaweeney

Theses and Dissertations--Psychology

While LGBTQ+ parented families are largely the same as their cis-het parent counterparts, they still experience unique factors exclusive to them. One such factor is access to the LGBTQ+ community. While research has emphasized the importance of community within the family system, the role the LGBTQ+ community can play for LGBTQ+ parented families is largely unexplored. Additionally, LGBTQ+ research examining parents of adolescents is similarly lacking. Utilizing a sample of LGBTQ+ parents with adolescent children, and informed by ecological systems theory, self-determination theory, and the parenting stress model, I examine the influence parent’s sense of LGBTQ+ community has on the …

Evaluating The Effectiveness Of Family-Based Treatment Education On Provider's Knowledge, Anticipatory Use, And Attitudes Who Treat Adolescent Patients Diagnosed With Anorexia Nervosa, Treven Back

DNP Projects

Background. Anorexia Nervosa is a chronic, disabling, and costly disease with a higher mortality rate than any other psychiatric illness. Because of the need for medical, psychiatric, and nutritional care, treatment is complex. The current literature supports Family-Based Treatment as a first-line treatment for adolescent patients diagnosed with Anorexia Nervosa. However, a gap exists between translating family-based treatments into clinical practice. Literature shows that education and understanding providers' attitudes and beliefs are the first steps to successfully implementing family-based treatments.

Purpose. This DNP project aimed to evaluate the effectiveness of a family-based treatment education intervention on providers' attitudes, knowledge, and …

The Role Of Maladaptive Emotion Socialization In Risk For Urgency And Problem Drinking In Adolescents, Emily Atkinson

Theses and Dissertations--Psychology

Negative urgency (NU; the tendency to act rashly when experiencing negative emotions) is a robust risk factor for a number of problem behaviors, including early adolescent drinking. Little is known about the factors that precede the development of NU, and hence the full etiology of this component of risk. The current study aimed to investigate the possibility that childhood maladaptive emotion socialization (MES; the tendency for children’s expressions of emotions to be met with punishment, minimized, or invoke a reaction of distress from their parents/caretakers) increases risk for the development of NU. Secondarily, the study tested whether MES predicts increased …

Social Media Use And Mental Health: An Educational Intervention To Reduce Depression And Anxiety In Adolescents, Natalie Catlett

DNP Projects

Background: Most adolescents spend a great deal of their time using various social media platforms. However, excessive and maladaptive social media use is correlated with worsening symptoms of depression and anxiety among adolescents.

Objective: This project aimed to determine whether an educational intervention could help decrease overall time spent using social media and improve mood and mental health outcomes among adolescents with depression or anxiety disorders.

Methods: This was a quasi-experiment with a pretest and posttest design. An educational intervention about the relationship between social media use and symptoms of depression and anxiety among adolescents and strategies to minimize risk …

Peer Effects: An In-Depth Analysis, Lauren O. Dirago-Duncan

Theses and Dissertations--Economics

The social multiplier effect of peers has the potential to influence all members of a group through changing the outcomes of a single member and thus poses a strong, low-cost channel for increasing student performance. As such, peer effects are much studied in education and inform important policy decisions such as classroom composition, ability tracking, and magnet schools. These studies are often limited in scope to the contemporaneous period—how one’s peers affect them while they are around one another, but we should also be concerned with whether peer group continues to influence student outcomes after their inevitable separation. I use …

Can Less Be More? Study Load And Its Effect On Science Achievement Among Chinese Eighth-Grade Students, Xian Wu

Theses and Dissertations--Education Sciences

The present study addressed a core research question of “Can less be more?” concerning study load, which has become increasingly worrisome and controversial around the world. This idea reflects the philosophy of pursuing efficiency and effectiveness on learning, namely that a lighter study load may result in more successful academic achievement. The study adopted the IPO (input-process-output) model to address five interrelated research questions: 1) What are the structural characteristics of study load? 2) Is there any individual difference in study load? 3) What are the characteristics of teachers and schools under which students tend to have a heavier study …

Investigating Whether Ecological Models Of Community-Oriented Variables Improve Prediction Of Childhood Resilience Over A Set Of Personal Characteristic Variables Such As Impulse Control, Emotional Regulation, Relational Motivation, And Self-Reliance, Vinod Kumar Srivastava

Theses and Dissertations--Social Work

Children experiencing trauma and entering child protective services have been continuously increasing. Problems associated with childhood trauma, such as neurodevelopmental disorder, trauma and stress-related disorders, personality disorders, substance use disorder, externalizing and internalizing disorders, academic problems, relational difficulties, and delinquent behaviors, have been found increasing despite advances in trauma and translational research. Children’s trauma is mostly interpersonal in nature and nested in their immediate environment. There is a need for a change in focus from helping children to overcome challenges and adversities to strengthening the resilience-building process by utilizing functional strengths in the environment to achieve sustainable outcomes. This study’s …

Does Parental Stress Influence Parent-Child Sexual Communication?, Kirstie Otto

Theses and Dissertations--Family Sciences

This study shined a light on the impact of parent’s sexual attitudes and parental stress has on parent-child sexual communication. A sample of 203 parents between the ages of 30 and 60 were recruited to complete an online survey about their levels of parental stress, their sexual attitudes, and how often they discuss sexual communication with their adolescents. Beliefs that the responsibility of birth control should be shared between all parties involved, set the foundation that there will be higher levels of parent-child sexual communication. These findings inform therapists about the importance of creating a safe place where families can …

Evaluation Of An Intervention To Improve Screening For Substance Misuse Among 12-21 Year-Old Patients In A Rural Emergency Department, Peyton Blanton

DNP Projects

Background: In 2014, over two million children between the ages of 12-17 years of age admitted to using illicit drugs (2.3 million) and alcohol (2.9 million) in the past month. The younger a person begins misusing substances the more likely they are to have serious health consequences. It is imperative that we screen, detect, and intervene early to decrease the burden of substance misuse and addiction. Screening Brief Intervention and Referral to Treatment (SBIRT) is an evidence-based strategy used to identify adolescents who misuse substances. The CRAFFT tool is recommended for screening adolescents for substance misuse.

Purpose: The goal of …

Maternal Relationships, Bullying, And Deviance: A Comparison Of Adolescents With And Without Medical Conditions, Kristina M. Hayes

Theses and Dissertations--Family Sciences

The purpose of the current study was to examine and compare the quality of the mother-adolescent relationship, the prevalence of bullying and cyberbullying perpetration and victimization, and the prevalence of externalizing behaviors, as well as the relationship among these constructs, in a clinical and a nonclinical sample of adolescents. It tested a series of hypotheses focused on group differences in the mother-adolescent relationship, peer victimization, and externalizing behaviors (i.e. deviant behaviors and bullying perpetration) for the clinical and nonclinical samples. It also tested the relationships between the mother-adolescent relationship and peer victimization, deviant behaviors, and bullying perpetration, and whether these …

A Classroom-Based Physical Activity Intervention For Adolescents: Is There A Relationship With Self-Efficacy, Physical Activity, And On-Task Behavior?, Colleen Cornelius

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

Classroom-based physical activity is a newly explored avenue for providing physical activity opportunities to children within the school, but it is one that is showing academic gains in areas such as on-task behavior. The purpose of this study was to explore the impact of pedal desks placed in high school classrooms. Three main objectives were examined: 1) The possible increase in physical activity self-efficacy among high school students in the classroom, 2) the effectiveness of pedal desks on increased physical activity among high school students, and 3) the impact of pedal desks on increasing classroom on-task behavior. Participants included 114 …

The School Food Environment And Its Association With Dietary Intake Among Rural Adolescents, Hannah F. Hickey

Theses and Dissertations--Nutrition and Food Systems

The school food environment has the ability to increase the consumption of fruit and vegetables in rural adolescents. This study used a survey to allow adolescents in seven rural counties to self-report their fruit and vegetable intake as well as utilizing the USDA Mathematica tool and the School Nutrition and Meal Cost Study audits to evaluate what food and beverage products were actually available to adolescents. By using these two measures, associations between fruit and vegetable intake and availability of healthy and unhealthy foods were determined. The availability of healthy snacks and beverages was found to be associated with sugar-sweetened …

“I Wonder What You Think Of Me”: A Qualitative Approach To Examining Stereotype Awareness In Appalachian Students, Chelsea G. Adams

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

Historically, Appalachia has been stereotyped as being a culture bred in poverty and ignorance. Much research has shown that stereotyping reveals a pattern of behavioral change and an impact on psychological well-being for the stereotyped (e.g., Pinel, 1999; Woodcock, Jernandez, Estrada, & Schultz, 2012), and has largely been centered on race and gender (e.g., Byrnes, 2008; Tuckman & Monetti, 2011). Less is known about the development of culture-specific stereotypes such as those related to Appalachians – a highly stigmatized group (Daniels, 2014; Otto, 2002). The purpose of this study was to gain an understanding of how adolescents in rural Appalachia …

A Secondary Analysis Of Survey Data Evaluating The Lifelines Suicide Prevention Program Among Middle School Students, Nicki Sullivan

DNP Projects

PURPOSE: The purpose of this study was to evaluate student feedback of the 2015 Lifelines Suicide Prevention Program at Jessie Clark Middle School. Student feedback was examined by assessing students’ knowledge of suicide, attitudes toward suicide, knowledge of when and from whom to seek help if feeling suicidal or told by a friend that they are suicidal, and impressions of the educational presentation following participation in the Lifelines Suicide Prevention Program.

METHODS: In this secondary analysis, anonymous student responses (N=269) from a 2015 middle school survey were examined by using a mixed method design with the quantitative study measures being …

Reducing Preoperative Anxiety In Adolescents Facing Spinal Fusion Surgery, Anna Gayle Parke

DNP Projects

Reducing preoperative anxiety for adolescents facing spinal fusion surgery for the treatment of scoliosis has significant implications for clinical practice and patient outcomes for this specific population. The reality of a pending surgery creates a difficult, uncomfortable, and exhausting state of being that can lead to increased postoperative pain, sleep disturbances, and maladaptive behaviors. This final capstone project inquiry report presents three manuscripts which focus on the reduction of preoperative anxiety in adolescents facing spinal fusion surgery. The first manuscript is a literature review examining current evidence related to preoperative anxiety, adolescents undergoing spinal fusion surgery, and teaching programs aimed …

Effects Of Power Cards On Conversational Skills For High Schoolers With Autism Spectrum Disorder, Molly K. Mcgee

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

This study employed a multiple probe across settings design to evaluate the effectiveness of Power Cards, as they were originally designed by Gagnon (2001), on the conversational behaviors for two high school students diagnosed with autism spectrum disorder. Data were collected on the percentage of conversational behaviors engaged in per session, as well as the number of times the participants accessed their Power Card during conversations, and the frequency of additional questions or comments made by the participants. Results of this study indicated that Power Cards improved conversational behaviors for both participants in their first setting. While covariation occurred across …

Too Pretty For Homework: The Academic Correlates Of Sexualized Gender Stereotypes Among Adolescent Girls, Andrew A. Nelson

Theses and Dissertations--Psychology

Girls grow up in a culture of ubiquitous female sexualization, and this culture propagates stereotypes that could interfere with their academic outcomes. The current study examined the academic correlates of these sexualized gender stereotypes (SGS) among early adolescent girls. Girls (N = 99) aged 11 to 14 (M_age = 12.4 years, SD = .57 years) completed a survey assessing their academic performance, attitudes, and beliefs. The survey also assessed the degree to which girls believed that boys and girls should act in accordance with these sexualized gender stereotypes. Results indicated that higher endorsement of sexualized gender stereotypes …

Aspects Of Science Engagement, Student Background, And School Characteristics: Impact On Science Achievement Of U.S. Students, Larry J. Grabau

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

Science achievement of U.S. students has lagged significantly behind other nations; educational reformers have suggested science engagement may enhance this critical measure. The 2006 Program for International Student Assessment (PISA) was science-focused and measured science achievement along with nine aspects of science engagement: science self-efficacy, science self-concept, enjoyment of science, general interest in learning science, instrumental motivation for science, future-oriented science motivation, general value of science, personal value of science, and science-related activities.

I used multilevel modeling techniques to address both aspects of science engagement and science achievement as outcome variables in the context of student background and school characteristics. …

Evaluating A Bystander Intervention Program On Reproductive Coercion: Using Quasi-Experimental Design Strategies To Address Methodologic Issues In Randomized Community Prevention Trials, Catherine P. Starnes

Theses and Dissertations--Epidemiology and Biostatistics

Community (or cluster) randomized trials are trials in which communities or groups of individuals (clusters) are randomized to receive the intervention of interest. Community randomized trials frequently more closely resemble a natural experiment than a randomized controlled trial (RCT) following intervention allocation. In particular, the effects of non-compliance can pose methodologic challenges in estimating the intervention effect which may require a quasiexperimental approach in order to minimize bias.

The motivating example to illustrate these issues is the Green Dot High School (GDHS) study. The GDHS study was a longitudinal, cluster-randomized controlled trial designed to assess the effectiveness of a bystander …

Psychosocial Functioning In Adolescents With Temporomandibular Disorders, Monica L. Gremillion

Theses and Dissertations--Psychology

Psychosocial functioning is a key component of screening and treatment of Temporomandibular Disorders (TMD) in adults; however, psychosocial functioning in adolescents with TMD has received little empirical attention. The present study aims to examine group difference between adolescents and adults with TMD on pain and prominent psychosocial factors, such as anxiety, depression, and somatization, as well as to explore additional developmentally sensitive psychosocial factors that may be associated more with the adolescent TMD pain.

Participants included 35 adolescents aged 12-17 (M=14.89 years, SD=1.84) with TMD muscle pain who completed pain questionnaires and a comprehensive dental examination. Patients …

Trait-Based Profiles Of Adhd In Adolescents And Young Adults, Tess E. Smith

Theses and Dissertations--Psychology

Empirical work has examined the utility of using person-centered statistical approaches emphasizing traits to parsing Attention-Deficit/Hyperactivity disorder (ADHD) heterogeneity in preschool and school-aged children. However, trait-based profiles have not yet been examined in other age ranges, specifically adolescence and young adulthood. Therefore, the goal of the present study is to examine trait-based profiles in adolescents and young adults with ADHD in order to evaluate their similarity with trait-based profiles in preschoolers and children with ADHD and through comparison with external correlates (e.g., comorbidity). One hundred and eighty-two adolescents and 287 young adults completed measures of ADHD symptoms, personality and temperament …

Adolescent Risk Behaviors, Screening, And Referral At An Adolescent Health Clinic: A Retrospective Review, Cheryl Marrs

DNP Projects

Aim: Investigate provider patterns of risk behavior screening at an adolescent health clinic and describe findings from a study that investigated patterns of risk behavior screening in an adolescent health clinic.

Background: Adolescents who engage in risky behaviors are vulnerable to problems with current and future mental health issues such as depression, substance use, or other psychiatric disorders. Identifying the risky behaviors in adolescents that are associated with the potential presence of depressive symptoms can be helpful to the provider when deciding to refer an adolescent for further mental health assessment. Provider fidelity in risk behavior screening is central to …

Assessment Of Migraine Management In Adolescents, Kara L. Scott

DNP Projects

Objective: The purpose of this study is to assess how providers are managing adolescent patients with migraines in Kentucky.

Methods: A cross-sectional descriptive study via a 28-item survey instrument, which is distributed electronically via member listserve to members of the Kentucky Coalition of Nurse Practitioners and Nurse Midwives (KCNPNM).

Results: Of the 35 survey respondents, there were 29 respondents who met criteria for participation in the survey. Respondents reported the most common presenting symptom for adolescent migraine was headache. Over half of the respondents (58.6%) initiated treatment with over-the-counter medications, with ibuprofen (65.5%) being the most commonly used. 62.1% of …

Effect Of Social Peers On Risky Decision Making In Male Sprague Dawley Rats, Virginia Weiss

Theses and Dissertations--Psychology

Adolescence is a time associated with increased risk taking and peer relations. Research has shown that adolescents are more vulnerable to peer pressure compared to adults, leading to exacerbated risk taking. Preclinical research suggests that these findings may also be applicable to adolescent rodents, which find social interaction rewarding and are prone to risky behavior. There is, however, little research on the effect of social interaction on rodent models of risky decision-making. This thesis utilized social chambers, which consisted of adjacent operant chambers separated by wire mesh. Adolescent rats performed a risky decision-making task in which they had a choice …

Understanding The Pathways To Youth Involvement In The Juvenile Justice System: A Longitudinal Investigation Of Poor, Inner-City African American Adolescents, Charlene Harris

Theses and Dissertations--Family Sciences

It is widely recognized that African American youth are disproportionately represented in the juvenile justice system in comparison to other ethnic/racial groups, and this has generated a large body of research into the etiology and prevention of crime in this population. Although there has been considerable research attention to identifying and reducing the disproportionate contact among African American youth within the juvenile justice system, it is still unclear what factors contribute to their involvement in the criminal justice system. Accordingly, the dissertation tests whether self-reports of behaviors in early adolescence are predictive official offending behaviors in late adolescence, as measured …

Long-Term Trends Of Participation In Physical Activity During Adolescence With Educational Ambition And Attainment, Frances Jillian Priesmeyer

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

Insufficient physical activity is a serious concern for the youth of this nation. In 2008, more than one third of children and adolescents could be classified as either obese or overweight (Centers for Disease Control and Prevention, 2011). Poor nutrition and lack of physical activity are two major factors contributing to this epidemic. A physically active lifestyle during youth not only improves physical health, but has also been shown to improve emotional health, behavior, and academic performance. It is important that this area of research is continued and expanded so appropriate educational policies that support the health and well-being of …

The Influence Of Video Games On Adolescent Brain Activity, Joann Lianekhammy

Theses and Dissertations--Family Sciences

The current study examined electrical brain activation in adolescent participants playing three different video games. Forty-five school aged children (M=14.3 years, SD=1.5) were randomly assigned to play either a violent game, non-violent game, or a non-violent game specifically designed to "train" the brain. Electroencephalography (EEG) was recorded during video game play. Results revealed an asymmetric right hemisphere activation in the alpha band for participants in violent game group, while those in the non-violent groups exhibited left hemispheric activation. Greater right activation in emotion literature denotes signs of withdrawal or avoidance from undesired stimulus. Implications of this finding as well as …

Multidimensional Perfectionism And Social Connectivity Among Youth: Findings And Implications, Alexander Nounopoulos

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

Although traditional researchers exploring perfectionism frequently cast the construct in a negative light, a steady stream of recent studies have demonstrated that perfectionistic beliefs can yield both positive and negative outcomes. Despite this progression in the research, perfectionism remains an understudied phenomenon among youth, especially as it relates to the ways in which these individuals are perceived by others. The current study builds on the previous literature by exploring adolescent perfectionism across a variety of psychological and psychoeducational dimensions. Moreover, a unique addition to the literature offered by this study was the inclusion of peer-reports along with self-reported measures in …

An Evidence-Based Toolkit For Human Papillomavirus Vaccine Education Of Female Adolescents In The School Setting, Nancy R. Kloha

DNP Projects

A new vaccine to prevent human papillomavirus infection was approved in 2006 in the United States (U.S.). Uptake of the vaccine has been less than optimal (CDC, 2010c). New venues for promoting vaccine acceptance are needed (Middleman & Tung, 2010). The goal of this capstone clinical project is to create an evidence based toolkit for use by school nurses in educating female adolescents, parents, communities and other healthcare providers about the HPV vaccine.

Schools nurses have daily access to young people in the target group for HPV immunization. A vital component of vaccine acceptance is education of those who are …