Digital Commons Network^™

Feasibility Of A Parent-Focused, Stress Management Intervention To Decrease Adolescent Bmi, Reduce Stress, And Increase Well-Being Among African American Families, Colby J. Kipp

Theses and Dissertations

African American adolescents in the United States experience a higher prevalence of obesity as compared to their White counterparts. This health inequity presents a public health concern as consequences of weight-related chronic diseases often persist into adulthood and are increasingly problematic. As chronic stress has been found to be higher among African American youth compared to White adolescents, it presents as a potential barrier to participation for African American families in health promotion interventions. Additionally, it may be beneficial to target stress in health promotion programs as a modifiable factor in conjunction with health behaviors that may improve outcomes related …

Nutrition Facts Label Use Among U.S. Adolescents, Jennifer Beth Mandelbaum

Theses and Dissertations

Despite the promise of Nutrition Facts label (NFL) use as a population-level intervention with broad reach, few studies have examined determinants of adolescents’ NFL use, and how this label use may be associated with nutrition behaviors. This study used data from the International Food Policy Study, an online cross-sectional survey of trends in dietary patterns and policy-relevant behaviors in the U.S. and five other countries. First, this study examined 1) whether NFL use was associated with healthy eating efforts and 2) whether there were sociodemographic differences in NFL use among U.S. adolescents. Results demonstrated that NFL use was positively associated …

Gratitude Buffers The Effects Of Stressful Life Events On Early Adolescents’ Life Satisfaction And Externalizing Behaviors But Not Internalizing Behaviors, Mimi Scott Webb

Theses and Dissertations

Identifying psychological strengths that foster healthy development in youth has become a topic of exploration in the field of positive psychology (e.g., Suldo & Huebner, 2004; Valle et al., 2006). Gratitude is a promising trait-like characteristic with qualities indicative of a potential psychological strength that may serve as a protective factor for early adolescents in the face of stressful life events. This study utilized data from a sample of 1,880 middle school students from the Southeastern United States. Hierarchical regression analyses investigated gratitude’s role as a moderator in the relationship between stressful life events and adolescent well-being. Specifically, gratitude’s ability …

Association Of Caregiver Attitudes With Adolescent Hpv Vaccination In 13 Southern Us States, Lavanya Vasudevan, Jan Ostermann, Yunfei Wang, Sayward Harrison, Valerie Yelverton, Laura J. Fish, Charnetta Williams, Emmanuel B. Walter

Faculty Publications

Background and objectives: HPV vaccination coverage is lower than that of other adolescent vaccines in the southern US. This study sought to characterize caregiver attitudes associated with adolescent HPV vaccination in the southern US and to inform interventions to promote HPV vaccination. Methods: From December 2019 – January 2020, caregivers of adolescents (ages 9–17 years) living in thir- teen southern US states were recruited from a nationally-representative online survey panel. Caregivers (N = 1,105) completed a cross-sectional survey that assessed general adolescent vaccine attitudes as well as those associated with the HPV vaccine and HPV vaccination decision-making. The primary study …

Food Insecurity And Suicidal Behaviors Among Us High School Students*, Andrea D. Brown, Hilary Seligman, Sarah Silwa, Ellen Barnidge, Kathryn L. Krupsky, Zewiditu Demissie, Angela D. Liese

Faculty Publications

BACKGROUND: Food insecurity (FI) rates in the United States are particularly high among households with children. This research set aims to analyze if high school students experiencing FI had higher risk for mental health and suicidal behaviors.

METHODS: Using combined data from 11 states that conducted the 2017 Youth Risk Behavior Survey, a total of 26,962 and24,051 high school students were used to estimate race/ethnicity and sex-stratified prevalence ratios (PRs) from Poissonregression models. A single-question was used to measure the exposure of FI and outcomes of mental health and suicidalbehaviors.

RESULTS: Overall, 10.8% of students reported FI. Students experiencing FI …

The Age Of E-Cigarette Initiation And Association With Frequency Of Use And Risk Of Combustible Tobacco Cigarette Smoking Initiation, Andy Hu

Senior Theses

Background - Studies have shown that electronic nicotine delivery systems (ENDS) are unsafe for consumption. However, the prevalence of e-cigarette use among adolescents and young adults continues to increase, which is being addressed by research. Little attention has been paid to the effects of earlier age of ENDS initiation.

Purpose - This paper examined published research studies on the topic of the age of initiation of e-cigarette use in relation to 1) frequency of e-cigarette use and 2) risk of combustible tobacco cigarette smoking initiation. This research tested the hypothesis that an earlier age of e-cigarette initiation was associated with …

Melody And Memory: Black Language In The Low Country, Dywanna Smith, Kenesha Johnson

South Carolina Association for Middle Level Education Journal

Black Language has historically been marginalized as a broken form of Standard English forcing the speakers of this language to conform and devalue their native tongue. This impact has led to a negative stigma on Black Language and forced Black people to relinquish their cultural literacies. This study reflects on understanding why Black Language must be recognized as a legitimate language. It also illustrates why Black Language should be welcomed into the classroom as it provides a pathway to self-actualization affording Black students the opportunity to self-define and self-validate their existence. Special emphasis is placed on how language impacts adolescent …

Smoking Behaviors, Mental Health, And Risk Perceptions During The Beginning Of The Covid-19 Pandemic Among Mexican Adult Smokers, Emily E. Loud, Katia Gallegos-Carrillo, Inti Barrientos-Gutiérrez, Edna Arillo-Santillán, Victoria C. Lambert, Luis Zavala-Arciniega, Jim F. Thrasher Ph.D., Ma, Ms

Faculty Publications

Mexico is one of the countries most affected by COVID-19. Studies have found that smoking behaviors have been impacted by the pandemic as well; however, results have varied across studies, and it remains unclear what is causing the changes. This study of an open cohort of smokers recruited from a consumer panel (n = 2753) examined changes in cigarettes per day (CPD), daily vs. non-daily smoking, recent quit attempts, perceived stress, depression, and perceived severity of COVID-19 at two points during the pandemic: March and July 2020. Differences in CPD between waves were estimated with Poisson regression using generalized estimating …

Determining Diagnosis Date Of Diabetes Using Structured Electronic Health Record (Ehr) Data: The Search For Diabetes In Youth Study, Kristin M. Lenoir, Lynne E. Wagenknecht, Jasmin Divers, Ramon Casanova, Dana Dabelea, Sharon Saydah, Catherine Pihoker, Angela D. Liese Ph.D., Debra Standiford, Richard Hamman, Brian J. Wells, The Search For Diabetes In Youth Study Group

Faculty Publications

Background Disease surveillance of diabetes among youth has relied mainly upon manual chart review. However, increasingly available structured electronic health record (EHR) data have been shown to yield accurate determinations of diabetes status and type. Validated algorithms to determine date of diabetes diagnosis are lacking. The objective of this work is to validate two EHR-based algorithms to determine date of diagnosis of diabetes. Methods A rule-based ICD-10 algorithm identified youth with diabetes from structured EHR data over the period of 2009 through 2017 within three children’s hospitals that participate in the SEARCH for Diabetes in Youth Study: Cincinnati Children’s Hospital, …

Exertional Heat Illness Risk Factors And Physiological Responses Of Youth Football Players, Susan W. Yeargin, John J. Dickinson, Dawn M. Emerson, Jessica Koller, Toni M. Torres-Mcgehee, Zachary Y. Kerr

Faculty Publications

OBJECTIVE: To determine which intrinsic and extrinsic exertional heat illness (EHI) risk factors exist in youth American football players and observe perceptual and physiological responses of players during events (games and practices). METHODS: Cross-sectional cohort study observing 63 youth football players, varying in position. Independent variables were league (weight-restricted (WR, n = 27) and age-restricted (AR, n = 36)) and event type. Dependent variables were anthropometrics, work-to-rest ratio, and wet bulb globe temperature. Descriptive variables included preparticipation examination and uniform configuration. A subset of 16 players participated in physiological variables (heart rate and gastrointestinal temperature). Data collection occurred on 7 …

Sex-Based Differences In Concussion Outcomes Among Adolescents And Young Adults, Jacob James Michael Kay

Theses and Dissertations

Concussive injuries among youth are a serious public health concern in the United States, with increasing incidence leading the Centers for Disease Control and Prevention to classify these injuries a “silent epidemic.” Though most concussions in youth resolve within a few weeks, a significant proportion (~15-20%) of individuals will experience persisting symptoms that can negatively affect important aspects of social life, as well as academic and vocational performance. Furthermore, guidelines from the most recent Consensus Statement on Concussion in Sport highlight the importance of considering individual characteristics that may modify the nature and outcomes of concussion. Biological sex is one …

Effects Of A Physical Activity Intervention On The Stress Reduction Of Underserved Adolescent Youth, Gwenyth C. Asbury

Senior Theses

Stress levels of American teenagers are rising. Studies show that teens are reporting higher stress levels than what they perceive to be healthy and that these levels are higher than the levels of perceived stress reported by adults (APA, 2013). In addition to reporting unhealthy levels of stress, adolescents are reporting feeling overwhelmed and depressed due to their stress (APA, 2013). These findings are especially true for underserved adolescents who are more likely to have exposure to violence, discrimination, racism and conditions of poverty in addition to experiencing the typical stressors associated with adolescence (American Academy of Child and Adolescent …

Sex Differences In Becoming A Current Electronic Cigarette User, Current Smoker And Current Dual User Of Both Products: A Longitudinal Study Among Mexican Adolescents, Rosibel Rodríguez-Bolaños, Edna Arillo-Santillán, Inti Barrientos-Gutiérrez, Luis Zavala-Arciniega, Charity A. Ntansah, Jim Thrasher

Faculty Publications

This study aimed to assess sex differences in predictors for becoming a current exclusive electronic cigarette (e-cigarette) user, current exclusive smoker, or current dual user (concurrent smoking and e-cigarette use). This longitudinal study included 2399 females and 2177 males who had tried neither cigarettes nor e-cigarettes at baseline and attended 57 middle schools in the three largest cities in Mexico. We estimated multinomial logistic models stratified by sex. At follow-up, the prevalence of current exclusive e-cigarette use was 6.4% for males and 5.5% for females; current exclusive smoking was similar among males (3.6%) and females (3.5%); dual use was 2.4% …

Life Satisfaction In Adolescents With High-Functioning Autism Spectrum Disorder, Kathleen Blackburn Franke

Theses and Dissertations

The present study was informed by the Emerging Disability Paradigm, which emphasizes the importance of research regarding positive experiences, personality, and social relationships for individuals with disabilities (Schalock, 2004). The purpose of this study was to provide preliminary evidence regarding the reliability and validity of measures of self-reported psychosocial assets and life satisfaction (LS) for adolescents with high-functioning autism spectrum disorder (HFA). Additional purposes included identifying the overall levels of general and domain-specific LS within adolescents with HFA, comparing these levels to those of a sample of typically developing adolescents, and describing the relation between psychosocial assets and LS for …

The Impact Of Communication Deficits On Puberty And Sexual Development In Adolescents On The Autism Spectrum, Ashton Wolfe

Theses and Dissertations

Transitioning into a sexually mature adult is a challenging time for both an adolescent with autism spectrum disorder (ASD) and his or her family. Sexual development begets challenges due to the demands it places on the social and communication skills needed to explore developmental changes that are occurring physically, emotionally and hormonally. A diagnosis of ASD is largely established by quantifying impediments in social and communication skills through observation. With deficits in these skills, one can assume that social and communication difficulties can create obstacles in the sexual development of affected individuals. Our study used quantitative and qualitative measures to …

The Relationship Between Motor Competence And Health-Related Fitness In Children And Adolescents, Carlos Luz, Luı´S P. Rodrigues, An V. De Meester, Rita Cordovil

Faculty Publications

Background and aims

In the last twenty years, there has been increasing evidence that Motor Competence (MC) is vital for developing an active and healthy lifestyle. This study analyses the associations between motor competence and its components, with health-related fitness (HRF).

Methods

A random sample of 546 children (278 males, mean = 10.77 years) divided into four age groups (7–8; 9–10; 11–12; 13–14 years old) was evaluated. A quantitative MC instrument (evaluating stability, locomotor and manipulative skills), a maximal multistage 20-m shuttle-run test and the handgrip test, height and BMI were used in the analyses. Pearson correlations and standard regression …

Antecedents Of Adolescents’ Gratitude: Personality, Social Support, And Stressful Life Events, Hannah Reckart

Theses and Dissertations

An increase in the emphasis of positive aspects of functioning has led to expanded attention paid to the field of positive psychology. Within in this arena, the construct of gratitude has emerged as a factor of interest, specifically in adults; however, while a basis for research of gratitude in children exists, it is lacking in breadth. Support for gratitude’s significant relations with psychosocial, psychological, and academic factors has been shown in prior research, and presumed personal and environmental antecedents of gratitude have been indicated. The present study was exploratory in nature and included a sample of 1506 students from four …

Prevalence And Predictors Of E-Cigarette Trial Among Adolescents In Argentina, Paola Morello, Adriana Perez, Lorena Peña, Paula Lozano, Jim Thrasher, James Sargent, Raul Mejia

Faculty Publications

Introduction: Over the last few years, the increasing use of electronic cigarettes has become a new public health problem. Since 2011, Argentina has had a complete ban on marketing and sale of e-cigarettes. However, e-cigarettes are marketed online and can be easily bought in stores. We conducted a longitudinal study to evaluate the determinants of e-cigarette trial among Argentinean early adolescents.

Methods: A school-based longitudinal study was conducted in 2014-15, in 3 large cities in Argentina. Among students who reported never smoking an e-cigarette at baseline, we assessed demographics, media use, sensation seeking, smoking behavior, network member smoking, use of …

Association Of Sleep Behavior To Physical Activity And Bmi In 9th And 10th Grade Students, Sonia Lina Davda

Senior Theses

Despite the topic’s popularity in research, the relationship between sleep duration and physical activity (PA) remains unclear. Measurement protocol differences, highly specific samples, and incomplete data contribute to varying results suggesting that additional research is needed. The purpose of the TRACK II study was to examine the relationship between PA, BMI, and self-reported sleep in adolescents. 369 9 th and 10 th grade students from 2 diverse school districts participated in the study. Participants completed a self-reported sleep questionnaire and had their height and weight measured. Demographic variables were also reported by participants. Actigraph accelerometers were used to objectively measure …

Evaluating The Validity Of Self-Reported Smoking In Mexican Adolescents, María Del Carmen Valladolid-López, Tonatiuh Barrientos-Gutiérrez, Luz Myriam Reynales-Shigematsu, Jim Thrasher, Ingris Peláez-Ballestas, Eduardo Lazcano-Ponce, Mauricio Hernández-Ávila

Faculty Publications

Objectives We aimed to evaluate the validity of the self-reported smoking indicator used in the Global Youth Tobacco Survey (GYTS).

Setting 43 middle and high-school classrooms from 26 schools were selected from Mexico City and Cuernavaca, Morelos.

Participants A total of 1257 students provided both a questionnaire and a urine sample.

Primary and secondary outcome Sensitivity and specificity of self-reported smoking compared to urinary cotinine. Validity indices were evaluated by subgroups of gender, social acceptability of smoking (ie, smoking parents or friends) and smoking frequency.

Results Sensitivity and specificity for current smoking were 93.2% and 81.7%, respectively. Validity indices remained …

Life Satisfaction And Academic Performance In Early Adolescents: Evidence For Reciprocal Relationships, Zi Jia Ng

Theses and Dissertations

Student well-being remains a relatively neglected topic despite its intimate link to positive school outcomes. As academic achievement is the yardstick of student success and school accountability, school-based mental health research and practice have focused primarily on the assessment and treatment of learning and behavioral problems. This shortterm longitudinal study sought to establish the role of student subjective well-being in academic achievement. Based on the engine model of well-being (Jayawickreme, Forgeard, & Seligman, 2012), the study focused on life satisfaction as a process variable and academic performance as an outcome variable. Using two waves (five months apart) of data, the …

Attention-Deficit/Hyperactivity Disorder And Academic Performance: Student Engagement In The Classroom, Emily B. Mancil

Theses and Dissertations

Youth with Attention/Deficit-Hyperactivity Disorder (ADHD) have many obstacles to positive development (including difficulties in school settings) and are in need of support. However, few studies have focused on the ways in which positive factors, such as student engagement (SE), may be beneficial for this population to identify strategies for supporting their strengths. Although many studies have examined academic and behavioral aspects of SE, few studies have examined the psychological (i.e., teacher-student relationships, peer support for learning, family support for learning) and cognitive (i.e., control and relevance of school work, future aspirations and goals, extrinsic motivation) sub-components of engagement. The current …

Effects Of Exercise On Bmi Z-Score In Overweight And Obese Children And Adolescents: A Systematic Review With Meta-Analysis, George A. Kelley, Kristi S. Kelley, Russell R. Pate

Faculty Publications

Background: Overweight and obesity are major public health problems in children and adolescents. The purpose of this study was to conduct a systematic review with meta-analysis to determine the effects of exercise (aerobic, strength or both) on body mass index (BMI) z-score in overweight and obese children and adolescents.

Methods: Studies were included if they were randomized controlled exercise intervention trials ≥ 4 weeks in overweight and obese children and adolescents 2 to 18 years of age, published in any language between 1990–2012 and in which data were available for BMI z-score. Studies were retrieved by searching eleven electronic databases, …

Evaluating The Effects Of A Strengths-Based, Professional Development Intervention On Adolescents’ Academic, Social, And Emotional Outcomes, Jason Michael Bird

Theses and Dissertations

This study examined the overall efficacy and treatment fidelity of a semester long after school intervention aimed at improving middle school students’ overall academic achievement, subjective well-being (SWB), gratitude, and self-efficacy. Participants in the study included 6th to 8th grade students from two public middle schools in South Carolina. Upon registration for the after school program, students were randomly assigned to one of two conditions: (1) the Leadership and Young Professionals (LYP) treatment group or (2) the wait list control group who received intervention during the following school semester. Both subjective (self-report) and objective measures were collected on participants at …

An Evaluation Of A Mediational Model Of Adolescent Global Life Satisfaction, Michael D. Lyons

Theses and Dissertations

This study extended previous research by simultaneously examining determinants and presumed psychosocial mechanisms related to the development of individual differences in adolescent life satisfaction, based on Evans‟ (1994) proposed model. Specifically, this study assessed the relations between personality (extraversion, neuroticism) and environmental experiences (stressful life events) on early adolescents‟ global life satisfaction as mediated by approach and avoidance coping behaviors using a sample of 529 students from one middle school in the south eastern United States. The results of this study found partial evidence to support Evans‟ model. Statistically significant relations were found for a number of individual pathways between …

Testing Bidirectional Contextual Effects Of Adolescent Risk Factors On Young Adulthood Outcomes: A Life Course Perspective To Gangs, Andrea E. Lamont

Theses and Dissertations

Leading theories in developmental science emphasize the role of the individual as an active agent in shaping her or his environment. Yet, most empirical work has focused on unidirectional models, ultimately treating the individual as a passive recipient of environmental risk. Part of this gap between theory and analysis is methodological in nature – i.e., classical statistical methods typically do not allow for the modeling of bidirectional influences or complex longitudinal relations. Recent advancements in longitudinal methodologies, however, expand our ability to answer more nuanced developmental questions. In this dissertation, I demonstrate how advanced longitudinal methods could be used to …

Motivational Interviewing And School-Based Mentoring To Improve Middle School Students' Academic Performance, John Terry

Theses and Dissertations

The development of effective and feasible interventions that are deliverable within schools are badly needed in order to address high levels of unmet academic and social/emotional need in children and adolescents. In order to address these needs, two interventions were developed, delivered, and tested in this study. One was an eight-session School-based Mentoring (SBM) program based on evidence-based academic enabling activities. The other was a one-session report card coaching program based on Motivational Interviewing (MI). Previous studies of these SBM and MI interventions found mostly small or statistically non-significant effects on academic performance. The current study tests the hypothesis that …

Family-Focused Physical Activity, Diet, And Obesity Interventions In African-American Girls: A Systematic Review, Daheia J. Barr-Anderson, Alexis W. Adams-Wynn, Katherine I. Disantis, Shiriki Kumanyika

Faculty Publications

Obesity interventions that involve family members may be effective with racial/ethnic minority youth. This review assessed the nature and effectiveness of family involvement in obesity interventions among African-American girls aged 5-18 years, a population group with high rates of obesity. Twenty-six databases were searched between January 2011 and March 2012, yielding 27 obesity pilot or full-length prevention or treatment studies with some degree of family involvement and data specific to African-American girls. Interventions varied in type and level of family involvement, cultural adaptation, delivery format, and behavior change intervention strategies; most targeted parent-child dyads. Some similarities in approach based on …

What's Love Got To Do With It: Securing Access To Justice For Teens, Lisa V. Martin

Faculty Publications

During the past 15 years, researchers have documented the pervasiveness, severity, and lasting impact of dating violence on American adolescents. Studies also have shown teens to be firmly resistant to disclosing abuse to adults. Nonetheless, civil protection orders - the civil legal remedy most commonly relied upon to redress intimate partner violence in adult relationships - often remain inaccessible to abused teens. State protection order statutes exclude teens from their protections by restricting rights to standing by age and the relationship between the parties. When states grant teens standing, they often deter teens from pursuing the protections extended to them …

How Many Steps/Day Are Enough? For Children And Adolescents, Catrine Tudor-Locke, Cora L. Craig, Michael W. Beets, Sarahjane Belton, Greet M. Cardon, Scott Duncan, Yoshiro Hatano, David R. Lubans, Timothy S. Olds, Anders Raustorp, David A. Rowe, John C. Spence, Shigeho Tanaka, Steven N. Blair

Faculty Publications

Worldwide, public health physical activity guidelines include special emphasis on populations of children (typically 6-11 years) and adolescents (typically 12-19 years). Existing guidelines are commonly expressed in terms of frequency, time, and intensity of behaviour. However, the simple step output from both accelerometers and pedometers is gaining increased credibility in research and practice as a reasonable approximation of daily ambulatory physical activity volume. Therefore, the purpose of this article is to review existing child and adolescent objectively monitored step-defined physical activity literature to provide researchers, practitioners, and lay people who use accelerometers and pedometers with evidence-based translations of these public …