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Community Informant And Mental Health Provider Perspectives On Access To Mental Healthcare For Lgbtqia+ Communities In Virginia, Chariz Seijo

Theses and Dissertations

The existing literature on mental health disparities for lesbian, gay, bisexual, transgender, queer, intersex, and asexual (LGBTQIA+) populations suggests members of LGBTQIA+ populations are at greater risk of mental health disorders than cisgender and heterosexual individuals. The COVID-19 pandemic has also exacerbated mental health disparities for many, including LGBTQIA+ populations. Combined with mental health provider shortages and anti- LGBTQIA+ bills across the country, inequities in mental healthcare are a significant concern. This qualitative study was designed to gather unique perspectives of key community informants and mental health providers on their experiences with mental healthcare provision to LGBTQIA+ communities in Virginia. …

A Qualitative Analysis Of Caregiver Goals For Urban Children With And Without Asthma, Megan M. Carlson

Theses and Dissertations

Pediatric asthma is a major public health concern that disproportionately affects children of color and youth living in low-income, urban areas. The implications for public health, child health, and family functioning necessitates our understanding and addressing experiences by families who are facing barriers within their socio-demographic context in addition to the stressors associated with managing pediatric asthma. The current study applied qualitative methods to interviews with caregivers of children with and without asthma in an effort to more deeply connect with caregivers’ experiences and yield richer information about the intersection of identities as Black caregivers living in an urban setting …

Implementing Integrated Care In Family Medicine: Description And Outcomes In An Underserved Population, Zach Radcliff

Theses and Dissertations

Introduction: Family physicians provide access to medical and behavioral healthcare for many underserved populations. Integrating behavioral health clinicians into primary care practices has been proposed as one of the most effective ways to increase access to necessary behavioral health services for many Americans. Integrated behavioral healthcare (IBHC) has begun to be implemented in family medicine practices but there is limited research examining the impact for patients and clinic staff. This study begins to fill this gap in the literature by examining the effects of implementing integrated behavioral healthcare in an urban family medicine clinic in a medically underserved area.

Objective: …

Understanding Over-The-Counter Medication Use And Decision-Making Among Community-Dwelling Us Older Adults: A Mixed-Methods Approach, Yoshita Paliwal

Theses and Dissertations

Introduction

Older adults are regular consumers of over-the-counter (OTC) medications. OTC medications are generally considered safe, and convenient to use without requiring a prescription. However, the safety of an OTC medication and the final health outcome depends in part upon consumers’ perceptions, beliefs, and their decision-making about OTC medication use. The main objectives of this study were: 1) to examine the prevalence and characteristics of OTC medication use among community-dwelling US older adults (65 years and older), 2) to explore older adults’ knowledge, attitudes, beliefs and experiences about OTC medications, and 3) to elicit the OTC medication decision-making process in …

“Rip It!”: A Juxtapositional And Critical Discourse Analysis Of Gender Violence In 3 Tyler Perry Films, Avina Ross

Graduate Research Posters

This qualitative study uses juxtapositional, intersectional and critical discourse analyses as one composite framework to assess Black female victimness and matriarchy in three Tyler Perry films. Findings exposed a transitional archetype model consisting of 5 domains (Victim, Bitterfruit, Matriarch, Forgiver and Princess) whereby victimized characters are portrayed using racist and sexist stereotypes. Additionally, rich juxtapositions in the films with regard to Black female victimness and matriarchy were also revealed. These juxtapositions play out in the transitional archetype model and reiterate a harmful racist gendered stereotype: strong, Black women (matriarchs) are not and cannot, by way of their strength, aggressiveness and …

Use And Perspectives Of A Social Marketing Campaign To Improve Fruit And Vegetable Intake, Allison Palmberg

Theses and Dissertations

The current study evaluated the development and acceptability of a social marketing campaign to improve emerging adults’ fruit and vegetable (FV) intake. A social marketing campaign was developed through focus groups with 24 college students. Materials were implemented in two dining locations at Virginia Commonwealth University. Sales of carrots, apples, and chips were collected in three phases: baseline, implementation of the campaign, and washout. In addition, surveys were collected from 303 diners across all phases and locations. Results indicated an increase in carrot sales, decrease in sales of chips sold with a meal, and mixed findings regarding sales of apples …

African American Women’S Perceptions Of Hiv Prevention Communication With Their Reproductive Health Providers, Valerie Burge-Hall

Theses and Dissertations

In spite of a decline in HIV incidence rates among African American women, they still bear the most significant disease burden among U.S. women. Findings from numerous studies indicate probable explanations for the disparity, such as the impact of poverty, limited healthcare access, low literacy, and living in areas with high HIV rates. Additionally, many study results provide insight regarding prevention strategies. However, the aim of this study is to explore African American women’s perceptions regarding what HIV prevention communication, if any, occurred with their reproductive health providers (RHPs). In this study, 20 African American women with unknown HIV status …

“Cause That’S The Only Skills In School You Need” A Qualitative Analysis Of Revenge Goals In Poor Urban Youth, Lena Janina Jäggi

Theses and Dissertations

Ample research shows that revenge goals are correlated with maladjustment and retaliation is an important factor driving youth violence. Still, in environments with limited institutionalized interventions revenge might be an indispensable tool to maintain social equilibrium. This qualitative secondary analysis of 50 (30 Boys) revenge scenarios from a larger longitudinal study (N=358 dyads of youth/maternal caregiver) expands existing one-dimensional knowledge of revenge from closed-answer vignettes to the rich real world experience of 10-16 year old youth from an urban community sample. Key findings showed significant qualitative differences in both cognition and emotions of revenge scenarios. Ten distinct patterns emerged and …

Implications Of Child Abduction For Human Rights And Child Welfare Systems: A Constructivist Inquiry Of The Lived Experience Of Guatemalan Mothers Publically Reporting Child Abduction For Intercountry Adoption, Carmen Monico

Theses and Dissertations

The Hague Convention on the Protection of Children and Co-operation in Respect of Intercountry Adoption was agreed upon in 1993 at the Hague Conference on Private International Law to address growing allegations of abduction, sale, and trafficking of children around the world. The Hague Convention guides countries to attend to the “best interest of the child” in making decisions on intercountry adoptions, and to apply the “principle of subsidiarity,” which calls for the consideration of family and kinship placement and national adoption prior to the consideration of intercountry adoption. This dissertation research focused on the experience of Guatemalan mothers reporting …

A Qualitative Analysis Of Latina Adolescents' And Their Mothers' Perspectives On Adolescent Dating Violence, Carla Shaffer

Theses and Dissertations

Adolescent dating violence is a prevalent and disconcerting reality for many adolescents. Communication with others (e.g., parents, older siblings, friends) about dating violence may buffer some negative outcomes associated with experiencing dating violence. Although researchers are attending more to this public health problem, what we know about the messages that adolescents receive about dating violence is limited, especially for Latina teens. To address this gap in the literature, 18 Latina adolescents (14-17 years) and their mothers participated in semi-structured interviews to explore their beliefs about what dating violence means to them, messages that are shared about dating violence with mothers …

Unaccompanied Refugee Minors And Their Strategies To Navigate A New World: A Grounded Theory, Justin Scott Lee

Theses and Dissertations

ABSTRACT UNACCOMPANIED REFUGEE MINORS AND THEIR STRATEGIES TO NAVIGATE A NEW WORLD: A GROUNDED THEORY By Justin Scott Lee A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University. Virginia Commonwealth University, 2012 Chair: Pamela J. Kovacs, Ph.D. Associate Professor This study explored how unaccompanied refugee minors (URMs) define success. The population of URMs consists of individuals who, through forced migration from their country of origin, were resettled in the United States through the URM program. Little is known about the ways in which refugee adolescents view the resettlement process …

Living With Hiv: Views Through The Blog, Linda Eastham

Theses and Dissertations

The purpose of this qualitative descriptive study was to develop a greater clarity of how HIV infected individuals live and work within the sphere of HIV infection as represented through unsolicited, personal narratives posted on blogs. Existing, single author, personal blogs were identified via a search engine. Blogs were defined as the blog author's postings and all responses, whether written by the blog author or a reader respondent. Inclusion and exclusion criteria were developed to respect indicators of bloggers' intentions for privacy, e.g., blogs which required a password were excluded. A total of 14 blogs met inclusion criteria. Actions to …

Disaster Management Policy And People With Disabilities In The United States And Jamaica, Jessica Jagger

Theses and Dissertations

Natural and human-influenced disasters impact every demographic group around the world. People with disabilities face unique barriers to disaster preparedness, mitigation, response, and recovery related to functional needs and societal barriers. This study examines the relationship between emergency management planners and disability communities, by exploring the intent of emergency management policy, implementation of the policy, and the experiences of people with disabilities in Jamaica and Virginia. In this study, 36 people with disabilities were interviewed about their experiences with disaster, and 18 planners were interviewed about the intent and implementation of disaster management plans. Participants were from different communities across …

A Community-Engaged Research Approach To The Development Of An Assessment Tool For Historical Data Collection Of Saara Client Population, Jessica Markey

Theses and Dissertations

Through collaboration between the Substance Abuse and Addiction Recovery Alliance (SAARA) and several community partners, a need was identified for a new measurement tool to gather comprehensive client histories for program evaluation and development. The purpose of this study was to (1) develop a culturally relevant and organizationally appropriate mechanism for the collection of comprehensive client histories and (2) to provide the opportunity for staff to engage in a new process of developing and implementing data collection strategies. As a result of the use of a community-based participatory approach, (1) a missed opportunity for program evaluation and development was identified, …

Voices Of Summer: Interviews With Middle School Students Repeating Academic Courses In Summer School, James Frye

Theses and Dissertations

As the needs of society changed, states faced increasing pressure from the federal government to raise educational standards. States adopted rigorous standards, however many students failed to meet defined proficiency levels, necessitating summer school attendance or grade retention. Factors associated with academic failure have been extensively documented in the academic literature. The factors identified in the research can be organized into six categories, including motivation, age and ability, withdrawal from school, parents and guardians, school practices, and teacher practices. The purpose of the current study was to explore middle school students’ perceptions of factors which contributed to the academic outcomes …