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Implementation Of A Mindfulness Approach To Emotional Regulation In A Public High School., Kaelin Cherise Shay

Doctor of Nursing Practice Papers

According to the Gallup and Walton Family Foundation-State of American Youth Survey for 2023, schools in the United States received an average grade of C+ when it comes to supporting their students’ mental health, highlighting a potential area for improvement in the school system (Wilcoxon & Marken, 2023). This quality improvement project aimed to teach high school students about emotional regulation using a mindfulness platform and evidence-based techniques designed for the school environment. The sessions focused on improving the students’ understanding of emotions and emotional regulation and helping them apply techniques to regulate emotions in a healthy manner.

This project …

Relationships Between Fitness Levels, Physical Activity Participation, Hemoglobin A1c Levels, And Motor Proficiency In Adolescent Patients With Type 1 Diabetes., Caroline E. Frye

Electronic Theses and Dissertations

Physical activity is a critical component of a healthy lifestyle and can lead to improved fitness levels and blood glucose management, as well as decreased HbA1c levels. PURPOSE: The purpose of this study was to determine if there are relationships between cardiorespiratory fitness, muscular strength, muscular endurance, flexibility, body composition, physical activity participation, hemoglobin A1C levels, and motor proficiency in adolescent patients with T1D. METHODS: Pediatric patients with a diagnosis of T1D enrolled in a sports medicine program were invited to participate in this study. Retrospective clinical chart reviews were conducted to determine participant’s sociodemographic and anthropometric measures and most …

Evaluation Of Sensory Room Education To Promote Usage In An Inpatient Psychiatric Setting: A Quality Improvement Project., Breanna M. Coulardot

Doctor of Nursing Practice Papers

Seclusion and restraints are intended to be used as a last resort intervention if a patient presents as harmful to themself or others. However, the use of seclusion and restraints in mental health practice has been questioned for several decades. A 26-year study that researched restraint-related fatalities among children and adolescents in the United States from 1993 to 2018 disclosed 79 deaths (Nunno et al., 2022). Seclusion and restraints also restrict autonomy which can cause retraumatization if a patient was previously neglected or abused (Hammer et al., 2011). Many patients presenting to the project site are survivors of neglect and …

Implementation And Evaluation Of A Mental Health Referral Pathway For School Nurses., Jessica Rivera

Doctor of Nursing Practice Papers

Nearly one in six American children between the ages of six and 17 have a treatable mental disorder (American Academy of Family Physicians [AAFP], 2020). Still, less than half do not receive help from a mental health professional (Whitney & Peterson, 2019). School nurses have an opportunity to bridge the gap by improving youth access to mental health care. Purpose: The purpose of this quality improvement project was to implement and evaluate a mental health referral pathway for school nurses. The specific aims were to improve school nurses' preparedness to recognize and address mental health concerns and to increase the …

Factors Influencing American Indian Adolescents' Abstention And Desistance From Drug Usage., Ruben Olegovich Pavlov

Electronic Theses and Dissertations

Informed by Hirschi’s (1969) social bond theory and by Gottfredson and Hirschi’s (1990) general theory of crime (GTC), the proposed study intends to identify the factors more likely to differentiate drug-use desisters (i.e., adolescents who reported life-time usage, but did not report recent drug use) from those who never used drugs and from those who reported continuous use of drugs. The study is based on a quantitative analysis of survey data collected between 2009 and 2013 and obtained from a sample of American Indian (AI) adolescents, attending schools located on or near American Indian reservations. Although recent statistical information indicates …

Concurrent Reporting Of Adverse Childhood Experiences Among Perspectives Of Adolescents And Caregivers., Katie J. Berghuis

Electronic Theses and Dissertations

The consequences of Adverse Childhood Experience (ACE) events in youth have predominantly been studied through retrospective studies that assess adults’ first 18 years of life or caregiver report of ACEs in youth. Reliance on only caregiver report to discern ACEs is a limitation amongst prior studies as research has found that caregivers tend to underestimate ACEs among their children, and there is even a greater discrepancy of reporting between caregivers and youth 12 years and older. Therefore, this study investigated concurrent reporting of self-report ACE scores in adolescents – defined in this study as 12 to 20 years old – …

A Network Investigation Of Eating Disorder Symptoms And Risk Factors Before And After A Prevention Program In Adolescent Girls., Jordan E. Drake

College of Arts & Sciences Senior Honors Theses

Eating disorders (EDs) are psychological disorders characterized by disturbances in eating that commonly develop during adolescence and may be influenced by risk factors, both ED-specific (i.e., factors linked to future ED symptoms) and transdiagnostic (i.e., factors underlying multiple psychological disorders). Network analysis allows for the study of the connections between ED symptoms and risk factors by identifying central symptoms (i.e., the most interconnected symptoms) and bridge symptoms (i.e., symptoms which strongly connect across the symptom and risk factor clusters). Examining networks of ED symptoms and risk factors in adolescence can inform how risk factors influence ED development, as well as …

Fatalism As A Cultural Influence On Correlates Of Anxiety And Worry In Latino/A Adolescents., Judy Mier-Chairez

Electronic Theses and Dissertations

Evidence that Latino/as in the United States experience lower rates of anxiety disorders as compared to the non-Latino/a White population has not yet led to the identification of the sources of these differences. Higher rates of anxiety disorders among more acculturated Latino/a individuals compared to those lower in acculturation suggest there are influential cultural variables relevant to anxiety, specifically that there is a loss of a protective Latino/a cultural factor in the acculturation process. Fatalism, an often-cited Latino/a cultural characteristic, emerges as an intriguing candidate for exploration in relation to anxiety due to the shared elements of future orientation and …

Assessing Perfectionism As A Predictor Of Exercise Dependency Over Time., Sarah E. Ernst

College of Arts & Sciences Senior Honors Theses

Exercise is generally thought to be beneficial for physical and mental health; however, when done in excess, exercise can lead to damaging physical, psychological, and social health consequences. This type of exercise is known as exercise dependency and is frequently associated with eating disorder pathology. Perfectionism (high standards and evaluative concerns) is a risk factor for eating disorders and is also associated with exercise dependency. However, no studies have examined longitudinal relationships between perfectionism and exercise dependency. The current study used a sample of adolescent females (N = 444) from a Southeastern United States high school, and participants completed …

The Conceptualization Of The Positive Cognitive Triad And Associations With Depressive Symptoms In Adolescents., Caroline M. Pittard

Electronic Theses and Dissertations

Depressive symptoms during adolescence have been found to be associated with negative outcomes such as decreased academic performance, absenteeism, substance abuse, and poor physical health. The positive cognitive triad has been considered to be a protective factor against adolescent depressive symptoms. The positive cognitive triad is made up of three subfactors of cognitions, specifically, positive cognitions about the self, the world, and the future. This dissertation examined the various conceptualizations of the positive cognitive triad and their relation to depressive symptoms. These conceptualizations included considering the positive cognitive triad as a single overall protective factor (additive model), as multiple possible …

Spring Into Action: Role Models For Sun Safety., Kelsey A. Grothouse

Doctor of Nursing Practice Papers

Ultraviolet radiation during childhood increases a person's risk for skin cancer later in life. Research has provided support for a multifaceted intervention that targets youth in order to decrease these future risks. The purpose of this paper is to discuss the implementation of an intervention that taught youth athletic football coaches and parent helpers to act as role models and influence sun safe behavior in their youth athletes in order to help reduce the carcinogenic effects of UV radiation in the future. The intervention consisted of a one-hour training session with coaches and parent helpers of a youth football team …

A Peer-Support Mental Health Response Training For Lgbtqia+ Adolescents., Megan A Chernosky

College of Arts & Sciences Senior Honors Theses

This paper will discuss the correlation between participation in a mental health peer-support training and adolescents’ self-reported feelings of preparedness to deal with mental health crises. The paper will focus on lesbian, gay, bisexual, transgender, queer, intersex, asexual, and other non-heterosexual, non-cisgender youth (LGBTQIA+) between the ages of 13 and 21 years old. The study used a quantitative, written survey with eighteen questions before the intervention, and another with five questions after the intervention. The study originally involved eleven participants, but the number of participants decreased to seven due to attrition. The intervention was administered to every participant. The data …

Self-Forgiveness In Japanese Adolescents., Tetsuo "Ted" Sato

Electronic Theses and Dissertations

The literature of forgiveness has been proliferated the last two decades (Davis et al., 2015b), but it has primarily focused on forgiveness of others and the research of self-forgiveness has just increased in recent years (Worthington & Langberg, 2012). Woodyatt and Wenzel (2013a) proposed a process-oriented approach of self-forgiveness while considering three possible responses to the self (i.e., genuine self-forgiveness, pseudo self-forgiveness, and self-punitiveness) after interpersonally offending others. Self-forgiveness among children and adolescents and in Japanese culture was discussed. The association of self-forgiveness to depressive and anxiety symptoms, and culturally and developmentally unique factors (i.e., fear of negative evaluation and …

Positive Deviance, Contraceptive Self-Efficacy And Social Desirability In Sexually Active Adolescent Females : A Mixed Methods Approach., Ashley D. Miller

Electronic Theses and Dissertations

Unintended pregnancy is an issue that impacts women of all ages, ethnicities, and socioeconomic statuses. It also impacts the child that results and the society in which they live. In the United States, adolescents experience unintended pregnancy more than adolescents in other countries. The purpose of this dissertation was to explore the factors that contribute to successful contraceptive use among adolescent females (ages 13-18) seeking reproductive health services at a local family planning clinic. The theoretical framework of contraceptive self-efficacy (CSE) was used to frame this understanding. The exploration was conducted in three ways: a critical review of the literature …

An Examination Of Teacher Instruction And Student Engagement Involving Adolescents With And Without Challenging Behavior., Regina Gilkey Hirn

Electronic Theses and Dissertations

The interactions between teachers and students provide a venue for instructional delivery and ultimately student achievement in the school setting. However, not all students experience positive interactions with teachers in the typical classroom setting, especially those students exhibiting behavioral challenges. These students are observed with greater off task behavior and increased classroom disruptions when compared with their peers. This dissertation examined teacher and student behavior observed in a typical high school classroom exemplifying these interactions. Direct observations of students and teachers were conducted to answer several research questions addressing teacher behaviors: classroom instruction, opportunities to respond, and feedback to students …