Digital Commons Network^™

Impact Of Immigration Parent-Child Separation Policies On Children’S Attachment Experiences, Daisy Casasnovas

Dissertations

This critical literature review (CRP) project explores the consequences of child-parent separation by deportation laws. Considering the number of Latinx immigrant families immigrating to the United States, this review focused on how the unexpected separation by deportation impacted immigrant families and how these separations affect their children’s development, attachment style, and overall well-being. The review explored the short- and long-term consequences for immigrant children and their families, including children who are U.S.-born and remain in the country without their parents. Results from the review indicate an extensive and significant impact on attachment style and overall developmental impairments. The unexpected separation …

Childhood Obesity Interventions In The Republic Of Trinidad And Tobago: A Qualitative Study Exploring Government Policies And Their Implementation By Health Practitioners, Phyllis Woolford

Dissertations

Because of the rising prevalence of childhood obesity and overweight in the Republic of Trinidad and Tobago, and the observation that efforts to address the problem were showing disappointing results, this study seeks to explore the experiences and views of policymakers, health practitioners, and parents of overweight and obese children, in order to inform leaders and policy makers regarding the current interventions.

Method

A qualitative research case study methodology is the research design used, which, with my research questions, I considered would best uncover knowledge and provide perspectives that would provide an increased understanding of the issues arising from the …

Evaluation Of A Dirfloortime® Program For Autism Spectrum Disorder, Jennifer L. Pipitone

Dissertations

Problem. Parents with children who have neurodevelopmental disorders, such as autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD) experience high levels of parenting stress. The prevalence of ASD is on the rise in the United States. As a result, there has been an increase in the use of treatment modalities, in effort to better understand which modalities have the most positive impact on children and their parents. DIRFloortime® is a developmental treatment modality used to help strengthen the parent-child bond and used to decrease parental-child stress. The Autism Parenting Stress Index (APSI) measures the impact of an intervention …

Consistent Bedtime Routines Are Linked To Better Sleep Outcomes: Why?, Kristy Larsen

Dissertations

Results from nationwide studies estimate that between 81 and 95% of parents in the United States with young children use bedtime routines. This is auspicious given that the use of a consistent bedtime routine is linked with better sleep quality. Indeed, the use of bedtime routines has been determined to have “strong” empirical support for addressing bedtime behavior problems (e.g., bedtime resistance) and for improving children’s sleep. However, it is unclear how, or through what mechanism(s), that a consistent bedtime routine is associated with positive sleep outcomes. We evaluated compliance near bedtime and anxious distress at bedtime as possible mechanisms …

Take 10 Program Effects On Fifth Grade Academic Achievement, Emily Janes

Dissertations

Problem Less than one-fourth of children reach their recommended 60-minutes of daily physical activity. Inactivity can result in poor academic performance; whereas physical activity stimulates brain functions responsible for regulating comprehension and attention, release of brain chemicals to improve learning, and enhances neurogenesis resulting in better cognition. The purpose of this quality improvement project was to evaluate the Take 10 exercise program in a rural, Midwestern elementary school fifth grade classroom.

Methods An observational, descriptive design with a purposeful sample of fifth-grade students in a rural elementary school. Grades in math, science, and reading were examined the semester before (quarter …

Multidisciplinary Team Approach Effect On Pediatric Severe Asthma, Lila Kertz

Dissertations

Problem. Children with severe asthma are more likely to be non-adherent with their prescribed medications, often related to barriers. A holistic assessment of these patients has been suggested, but is not typically performed in most pediatric asthma clinics. The purpose of this project was to evaluate the effects of severe pediatric asthma clinic services designed to perform holistic assessments and provide comprehensive care.

Methods. An observational, descriptive design was used to evaluate the Severe Asthma Clinic for Kids (SACK) created in 2013 using a retrospective database review. A convenience sample of data collected on all children treated in the clinic …

Social-Ecological And Protective Factor Approach To Managing Parental Incarceration, Jacquelyn Harris

Dissertations

Mass imprisonment does not only impact the incarcerated individual; it also affects approximately five million children in the United States. Researchers identified and compare the impact of parental incarceration on child development. They acknowledged the protective factors across the lifecycle from a social-ecological perspective and specifically related to parental incarceration. The comprehensive literature review inspired an innovative model, the social-ecological and protective factor approach to managing parental incarceration. The primary goal of this model is to combat the detrimental effects of parental incarceration by identifying protective factors across the lifecycle and throughout the microsystem, mesosystem, and exosystem. This model is …

Resilience And Coping In Mothers Of Children With Sickle Cell Disease, Holly Carter

Dissertations

Sickle cell disease (SCD) is a prominent chronic illness in the United States. The Centers for Disease Control and Prevention (2016) estimated that one child out of every 365 African-American births will have SCD, affecting approximately 100,000 Americans. Supporting and promoting the integrity of the family and its’ members when a child has SCD is important for each family member’s well-being. Specific family characteristics, such as resilience and coping are important to understand because they can mitigate stress and create positive family outcomes (Brown et al., 1993; Cousino & Hazen, 2013; Hildenbrand, Barakat, Alderfer, & Marsac, 2015; O’Hanlon, Camic, & …

Evaluation Of A Youth Emergency Room Enhancement Program For Behavioral Health, Anne Thatcher

Dissertations

Problem. Pediatric mental health complaints and subsequent hospitalizations have been steadily increasing. The Behavioral Health Network (BHN) developed an intensive outreach case management program aimed at reducing youth mental health emergency department (ED) visits and inpatient psychiatric admissions. The Youth Emergency Room Enhancement (YERE) program was a process improvement initiative to provide immediate case management to youth and caregivers for mental health care.

Methods. A Plan-Do-Study-Act (PDSA) method utilizing a retrospective case record review occurred over a six-month period. A convenience sample of youth aged 6-20 years presenting to one of eight healthcare facilities for either ED or inpatient hospitalization …

Implementation Of National Pediatric Guidelines To Prevent Chemotherapy Induced Nausea And Vomiting In Children With Cancer, Taryn Sandheinrich

Dissertations

Purpose: The purpose of this study was to assess the use of supplemental, as needed (prn) pharmacologic interventions for uncontrolled acute chemotherapy induced nausea and vomiting (CINV) in children with cancer after implementation of new pediatric CINV prophylaxis guidelines. Description of Project: A retrospective chart review was completed on forty-three children admitted to the hospital for chemotherapy during a 3 month period in 2017 to document the use of medications given for acute breakthrough CINV. The pre-implementation group received anti-emetics based on the institutional standard of care. A second retrospective chart review was completed on thirty-three children admitted to …

The Roles Of Hpa Axis Activity And Attentional Bias In The Development Of Anxiety Symptoms In Low-Income Mexican-Origin Children, Stephanie Brewer

Dissertations

The overarching goal of this research is to increase understanding of the development of anxiety in children of low-income Mexican-origin immigrants. Mexican-origin children display disproportionately high rates of mental disorders such as anxiety, as they face many chronic stressors related to poverty and immigration. A likely mediator of this process is HPA axis activity, causing a buildup of cortisol in the body in response to chronic stress. There is a large amount of evidence indicating that HPA axis activity is a mechanism through which accumulated poverty-related stress causes mental illness, but this mediator has not been examined in relation to …

The Public Consequences Of A Personal Choice: The Impact Of The Decision To Be Childfree In Family-Friendly America, Emily Ingalls

Dissertations

The topic of diversity and inclusion has garnered increased interest over the past decade, with 78% of executives listing the topics as critical initiatives (Forbes, 2011). One group that has received little attention but continues to be stigmatized is the childfree population, or those individuals who deliberately choose not to have children. Previous research has examined opinions of this group generally and in the workplace, specifically, but this research frequently considers childfree and childless people under the same umbrella. This study examined ratings of the childfree in the workplace compared to childless adults as well as to parents. The potential …

Understanding Factors Related To Negative Mental Health Outcomes Following Childhood Unintentional Injuries, Jennifer T. Kuhn

Dissertations

Unintentional injuries are the leading cause of death for children ages 0-19 and account for 9.2 million emergency room visits in the United States each year (Borse et al., 2008). Research shows that approximately 20% of children meet criteria for PTSD following an unintentional injury (Ostrowski et al., 2011). There are several factors that may contribute to the development of PTSD including caregivers’ posttraumatic stress symptoms after the injury event. Research has not explained the association between caregivers’ PTSD and children’s risk for PTSD symptoms, but it is possible that caregivers with PTSD may be modeling anxious behaviors to their …

Just Jocking? An Exploration Of How 10-12 Year Old Children Experience An Equine Assisted Learning Programme, In A Deis School, In Limerick City., Kate Bronwyn Jones

Dissertations

Throughout Irish history, the horse has had many uses. In modern Ireland, some communities have harnessed the power of the horse to deliver a range of social interventions. However, at present, there is little published research about equine assisted programmes in Ireland. The main intention of this research project is to explore how 10-12 year old children, from a DEIS primary school in Limerick city, experience an Equine Assisted Learning (EAL) programme facilitated by the local Garda Youth Diversion Project (GYDP). The project aims to be child centred, emergent and participatory, in keeping with the United Nations Convention on the …

Including Children With Disabilities In Mainstream Education: An Exploration Of The Challenges And Considerations For Parents And Primary School Teachers, Gail Ferguson

Dissertations

Recent decades have seen children’s rights and the rights of persons with disabilities come to the fore. Current policy emphasis on inclusive education means that more children with disabilities and special educational needs are being placed in mainstream education instead of special schools, as was traditionally the case. The aim of this study was to explore the area of inclusion in education, from the perspective of primary school teachers and parents of children with intellectual disabilities. A key objective was to determine if the reality of including children with disabilities in mainstream settings corresponded with the policy on inclusion.

A …

“If They Fail That First Year, It’S Very Hard For Them To Recover”: An Exploration Of Factors That Support And Hinder The Transition To Mainstream School For Children With Special Educational Needs And Their Families., Fiona Hassett

Dissertations

The transition to school is increasingly recognised as a significant life event for children, with a positive or negative transition impacting on their social and emotional wellbeing and academic achievements. Children with special educational needs are at an increased risk of a poor adjustment to school and their families are vulnerable to additional stresses due to the child’s special educational needs. The transition to school is therefore an important period for these families, and the supports available to them to make this transition as smooth as possible are essential to provide children with the best possible start to formal education. …

Differences In Narcissistic Presentation In Abused And Non-Abused Children And Adolescents, Mallory Laine Malkin

Dissertations

The present study examined whether children and adolescents who have been victims of sexual or physical abuse report higher levels of narcissistic tendencies than children and adolescents who have not been victims of abuse. Inaddition to narcissism, internalizing symptoms, externalizing behaviors, and risky behaviors were evaluated, as such issues have been associated with both maltreatment (Baer & Maschi, 2003) and narcissism (Barry & Malkin, 2010; Bushman & Baumeister, 1998). One-hundred fifty- six (156) children and adolescents (100 females, 56 males) ranging in age from 8 to 17 (M = 12.90, SD = 2.66) were recruited as participants. The vast majority …

Efficacy Of Parent-Child Interaction Therapy With The Use Of In-Room Coaching, Cassie Shacklett Reeve

Dissertations

One significant consequence of oppositional and defiant behavior is an increase in negative interactions between caregivers and the child exhibiting those behaviors (Greene & Doyle, 1999). Parent-Child Interaction Therapy (PCIT) is an empirically supported treatment that targets the development of a nurturing parent-child relationship along with teaching effective discipline strategies to decrease child noncompliance (Bodiford-McNeil & Hembree-Kigin, 2010). The purpose of the present study was to evaluate the efficacy of PCIT when modified by utilizing strictly in-room coaching. This type of research would allow for expanded use of this empirically supported treatment into community agencies and clinics which do not …

Move Montana: An Exercise Program For Children, Adolescents, And Their Families, Deanna Lynn Babb

Dissertations

Despite advances in medical science, the prevalence of obesity in the US has more than doubled in the last three decades, to over 72 million people (CDC, 2009). The purpose of this project was to pilot an exercise program that would increase physical activity in a group of adolescents and one of their parents or guardians. A convenient sample of 10 adults and eight adolescents returned surveys and exercised through the entire eight weeks (N = 18). Ten of the 18 participants (56%), six parents and four adolescents, reported increased frequency of exercise each week throughout the eight week period. …

Estimating Pre-Morbid Intellectual Functioning Using The Das-Naglieri: Cognitive Assessment System, Amy Christine Rhodes

Dissertations

Neurological evaluation often utilizes a comparison of current test performance and previous performance to note any changes in neurological functioning. Previous methods have utilized atheoretical assessment measures such as the Wechsler Intelligence Scale for Children IV as means of determining pre-morbid functioning. The purpose of this study was to develop pre-morbid intellectual functioning equations using the theoretical Das-Naglieri: Cognitive Assessment System (CAS) as a method to determine functioning prior to a neurological injury in children. Participants included the CAS Standardization sample (N= 2,791). The sample was randomly divided into two groups (90% comprising the development sample, the remaining 10% consisting …

Anxiety Symptoms, Parent Anxiety And Functional Impairment In Pediatric Cardiology Patients With Noncardiac Chest Pain And Benign Cardiac Complaints, Cassandra Jo Mcdonnell

Dissertations

Chest pain is regularly encountered in pediatric medical settings. Because of the popular association of chest pain with coronary artery disease and myocardial infarction adults, it is often frightening for both patients and parents. However, up to 88% of pediatric chest pain patients receive no medical explanation for their pain. Chest discomfort in the absence of medical explanation that is characterized by no more than one typical angina symptom is classified as non-cardiac chest pain (NCCP). This study examined parent anxiety, child anxiety and chest pain related functional impairment in a sample of pediatric patients with NCCP in comparison to …

The Experiences And Views Of Lesbian Parents And Adult Children Of Lesbian Parents In Ireland: An Exploratory Study, Aoife Quille

Dissertations

This research focused on the experiences and views of lesbian parents and adult children of lesbian parents. The experiences of the members of lesbian-parented families determined the main areas that were explored. The lack of international and Irish research on the lived experiences of lesbian parents and their children prompted this investigation. The study was conducted using qualitative, semi-structured interviews. The sample consisted of three lesbian parents and two adult children of lesbian parents from two parent lesbian families. The findings highlighted the experiences of the parents and adult children from lesbian-parented families in reference to: the Irish legal context; …

The Impact Of Dynamic And Passive Standing On Bone Mineral Density And Appositional Growth In Immobilized Children, Megan Diane Damcott

Dissertations

The first discovery of the potential role that mechanical loading has on determining the strength of bone occurred in 1892. However, for almost a century after this discovery, the specific mechanisms influenced by mechanical loading remained locked in a mysterious 'black box'. Then in the 1960s, the 'black box' was opened and continued work has now unlocked the basic mechanisms involved in mechanical loading and whole-bone strength. This increased knowledge has spurred clinicians and researchers to investigate the impact of weight-bearing interventions on individuals with an increased risk of osteoporosis. The most common weight-bearing clinical intervention used in non-ambulant populations …

Maternal Posttraumatic Stress Disorder, Parenting, Family Functioning, And Child Outcome, Desiree Alana Sutherland

Dissertations

Although a good deal of research has been conducted examining the effects of parental psychopathology of various types (i.e. maternal and paternal depression and schizophrenia, paternal PTSD), very few studies have investigated the influence of maternal PTSD on mothers’ parenting and their children’s behavioral and psychological functioning. This paucity of research is in spite of the fact that women exhibit higher lifetime PTSD prevalence rates than men. The current study examined the influence of maternal PTSD and trauma on mothers’ parenting, family functioning, and children’s psychological well-being in a sample of 125 mothers and 34 mother-child dyads. Mothers provided self-report …

A Systematic Review And Meta-Analysis Of The Effectiveness Of Child-Parent Interventions For Children And Adolescents With Anxiety Disorders, Kristen Brendel

Dissertations

Anxiety disorders are the most prevalent psychiatric disorders in childhood (Walkup & Ginsburg, 2002; Hirshfeld-Becker & Biederman, 2002), occuring in approximately twenty percent of the population (APA, 2000; Langley Lindsey, Bergaman & Piacentini, 2002). Children and adolescents with anxiety disorders often experience many detrimental effects such as low-self esteem, issues with social and family relationships, and a decrease in overall functioning, including academic performance. In addition, if left untreated or unrecognized, anxiety disorders in childhood often lead to more severe symptoms in adulthood including depression, substance abuse, suicidal ideation, and other comorbid anxiety disorders. Evidence suggests that anxiety disorders are …

Pay Attention: Children’S Understanding, Experience And Attitudes To Having A Say In Their Everyday Lives, Aileen Murphy

Dissertations

Paying attention to children’s participation rights has gained momentum during the late 20th century. The study explored the views and experiences of children between 10 and 12 years in relation to ‘children having a voice in matters that affect them and their views will be given due weight in accordance with their age and maturity’ 10 years on from the National Children’s Strategy (NCS, 2000). Focus groups were employed to carry out the research. Children in the study demonstrated a limited understanding of the concept of rights. Children in this study provided a clear message that they wish to have …

Children As Victims, Children As Clients Towards A Framework Of Best Practice In Services For Children Who Experience Domestic Violence, Emma Byrne-Macnamee

Dissertations

Historically, the core focus of domestic violence services in Ireland and elsewhere has been to support and empower women. Children’s needs have been seen as secondary to their mothers’, although services have generally provided opportunities for play and recreation. An increasing recognition of the direct effects of family violence on children and a growing trend in child and family provision towards monitoring progress and identifying outcomes has created a necessity for services working with children who experience domestic violence to examine and appraise the nature and scope of their work. Within this context, this study describes existing provision for children …

Empirical Development Of An Instructional Product And Its Impact On Mastery Of Geometry Concepts, Donaldson Williams

Dissertations

Problem

Relatively poor levels of mathematical thinking among American school children have been identified as a major issue over the past half century. Many efforts have been made to increase the mathematics performance of children in schools. Additionally, out-of-school-time programs have attempted to address this issue as well. Holistic development is one of the distinguishing features of Seventh-day Adventist instructional programs. Yet, as of 2007, the Pathfinder program, an informal educational program operated by the world-wide Seventh-day Adventist church, had no instructional product designed to foster participants’ cognitive development in mathematics. This study focused on the empirical development of an …