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Old Dominion University

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Health Services Research Dissertations

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Sexual Violence Victimization, Mental Health, And University-Based Health Service Use Among College Females, Julie E. Stoner Jul 2018

Sexual Violence Victimization, Mental Health, And University-Based Health Service Use Among College Females, Julie E. Stoner

Health Services Research Dissertations

Females between the ages of 18 and 24 consistently experience higher rates of sexual violence compared to females in any other age group (Sinozich & Langton, 2014). Approximately one in five college women experience sexual violence victimization (SVV; Krebs, Lindquist, Berzofsky, Shook-Sa & Peterson, 2016) during the academic year. Among undergraduate female students, 23.1% are victims of sexual violence due to physical force, violence or incapacitation (Cantor et al., 2015). Sexual victimization has been associated with several short- and long-term psychological health consequences, accounting for enhanced symptoms of depression, anxiety, PTSD, and suicide risk (Basile, Smith, Breiding, Black & Mahendra, 2014). Compared with the general population, college women are consistently less likely to disclose an experience of sexual assault (Fisher, Cullen & Turner, 2000). Despite the high rates of sexual violence against college females, only 11% of rapes are reported to college authorities, making sexual victimization the most underreported violent crime among this population (Kilpatrick, Resnick, Ruggiero, Conoscenti & McCauley, 2007). College students are 13% less likely to report an incident of sexual assault to police versus nonstudents in the same age group (Sinozich & Langton, 2014) and one-third of female students never tell anyone about the victimization (Fisher et al., 2000)

The overarching purpose of this dissertation was to examine sexual violence victimization, mental health and health service utilization among college females using an emotion science framework. The first purpose of this dissertation was to perform a systematic review to examine the frequency of sexual victimization and the moderating characteristics of utilization of college-based health resources (Stoner & Cramer, 2017; Article I). The second purpose was to test a coping-mental health framework for the prevention of suicide among sexual minority and heterosexual victims of assault sexual assault victims (Article II). The third purpose was to examine rates of sexual victimization and health service utilization in a sample population, to examine how mental health symptoms impact health service use, and examine the rates of actual and willingness to use health services (Article III ...


The Information-Motivation-Behavioral Skills Model: An Examination Of Obesity Prevention Behavioral Change In Children Who Participated In The Afterschool Program Virginia Beach Let’S Move, Marilyn Miroshlava Bartholmae Jul 2016

The Information-Motivation-Behavioral Skills Model: An Examination Of Obesity Prevention Behavioral Change In Children Who Participated In The Afterschool Program Virginia Beach Let’S Move, Marilyn Miroshlava Bartholmae

Health Services Research Dissertations

The purpose of this study was to examine the utility of the Information-Motivation-Behavioral Skills Model (IMB) as a foundation to design childhood obesity prevention afterschool programs. This study employed a secondary analysis of pre (n=172), post (n=170), and 1-year follow-up (n=32) evaluations of the obesity prevention afterschool program Virginia Beach Let’s Move for children ages 5-11 years. Independent variables included demographic characteristics for the participating children and their parents. Dependent variables used in this study were the IMB constructs information and motivation. Motivation was measured by the attitudes of the children and information was measured by ...


Predictors Of Developmental Screenings For Young Children, Janice Chandler Ranne Jan 2010

Predictors Of Developmental Screenings For Young Children, Janice Chandler Ranne

Health Services Research Dissertations

This study examines the usefulness of the New Model of Children's Health and its Influences for the identification of predictors for health service effectiveness. Health service effectiveness is measured by probability estimations of whether young children receive formal or informal developmental screenings. Screenings lead to prevention of communication delays in later childhood. Formal screenings with standardized questions are preferred over informal screenings, which are knowledgeable observations. The theoretical framework is a child-centered socio-ecological theory that is untested for use in health service effectiveness studies until the present one. Four developmental concepts of the theoretical framework, social environment, physical environment ...


Application Of The Interactional Model Of Cultural Diversity To Identify Diversity Climate Factors Associated With Organizational Effectiveness In Accredited U.S. Physical Therapist Education Programs, Elizabeth Francis Giles Jan 2008

Application Of The Interactional Model Of Cultural Diversity To Identify Diversity Climate Factors Associated With Organizational Effectiveness In Accredited U.S. Physical Therapist Education Programs, Elizabeth Francis Giles

Health Services Research Dissertations

Accredited U.S. physical therapist education programs are responsible for the preparation of its graduates to provide culturally sensitive care to meet the physical therapy needs of an increasingly diverse population. While the importance of workforce diversity has been articulated, the effect of diversity climate on organizational effectiveness within accredited U.S. physical therapist education programs has not been described. The purpose of this study was to evaluate the effectiveness of the Interactional Model of Cultural Diversity (IMCD, Cox, 1993) as a theoretical framework to identify diversity climate factors associated with organizational effectiveness in accredited U.S. physical therapist education ...


The Contribution Of Selected Cognitive And Noncognitive Variables To The Academic Success Of Medical Technology Students, Mildred Keels Fuller Apr 1994

The Contribution Of Selected Cognitive And Noncognitive Variables To The Academic Success Of Medical Technology Students, Mildred Keels Fuller

Health Services Research Dissertations

The research problem for this study assessed the relationship of cognitive and noncognitive variables to the academic success of African-American versus Caucasian medical technology students attending traditionally black institutions versus majority institutions. Academic success was defined as cumulative grade point average, cumulative clinical practica grades, and graduation status. The cognitive variable was the preclinical cumulative grade point average, and the noncognitive variables were the noncognitive subscale scores.

Seventy-five senior medical technology students provided demographic data, and completed the Noncognitive Questionnaire (Tracey & Sedlacek, 1984) that assessed eight noncognitive dimensions: positive self-concept; realistic self-appraisal: understands and deals with racism; prefers long-range goals to short-term or immediate needs; availability of strong support ...


The Effect Of Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome Education Program On Knowledge, Attitudes And Sexual Behavior Of Selected College Students, Arlene Jaine Jackson Montgomery Apr 1994

The Effect Of Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome Education Program On Knowledge, Attitudes And Sexual Behavior Of Selected College Students, Arlene Jaine Jackson Montgomery

Health Services Research Dissertations

The problem studied in this investigation was whether a behaviorally focused Human Immunodeficiency Virus (HIV)/Acquired Immune Deficiency Syndrome (AIDS) Program affects the knowledge, sexual attitudes and sexual behavior of college students.

Three hundred and six first-and third-year college students were included in the study from one university located in Southeastern Virginia. The sample was predominately female, African-American and mainly between the ages of 16-22 years of age.

Freshmen students were presently enrolled in the institution's HIV/AIDS education program, which was a part of a required course. The class sessions consisted of a pretest prior to student's ...


A Comparison Of The Effectiveness Of Two Types Of Clinical Instruction On Selected Variables Among Urban Baccalaureate Nursing Students, Janice Parks Hylton Apr 1993

A Comparison Of The Effectiveness Of Two Types Of Clinical Instruction On Selected Variables Among Urban Baccalaureate Nursing Students, Janice Parks Hylton

Health Services Research Dissertations

The purpose of this study was to provide baseline data regarding student perceptions of bureaucratic, professional, and service values and of instructors/preceptors as role models for each model of clinical supervision, traditional versus preceptored. A non-probability, convenience sample included 113 baccalaureate nursing students from two accredited programs in an urban area. Two instruments were used to identify student perceptions of bureaucratic, professional, and service values and of instructors/preceptors as role models. The results of the questionnaires revealed no significant differences between the students' perceptions of bureaucratic and service values and perceptions of instructors/preceptors as role models, Students ...


A Comparison Of Two Theories Of Resistance To Innovation In Medical Record Administration Baccalaureate Degree Programs, Joyce Brown-Harvey Jan 1992

A Comparison Of Two Theories Of Resistance To Innovation In Medical Record Administration Baccalaureate Degree Programs, Joyce Brown-Harvey

Health Services Research Dissertations

Resistance to innovation is a major obstacle to the successful implementation of planned change in colleges and universities. The purpose of this study was to compare two explanations of resistance to innovation to determine which one best explains the variance in receptivity and proposed innovations among faculty members in medical record administration programs. One explanation holds that organizational members' receptivity to change is a function of their personalities. The second explanation holds that members respond to specific innovations and that they do so in terms of whether the innovation would increase or reduce their present status.

The faculty of baccalaureate ...


History And Analysis Of Food Guides In The United States, Barbara B. Carlson Jan 1991

History And Analysis Of Food Guides In The United States, Barbara B. Carlson

Health Services Research Dissertations

This work elucidates the development of nutrient-based dietary standards in the United States from the original energy and protein-based standards proposed by Atwater in 1894 to the micronutrient-based Recommended Dietary Allowances revised by the National Research Council in 1989. This qualitative historical research chronicles the development and subsequent revisions of nutrient-based food guides and food guidance models issued in the United States between 1916 and 1991. A literature search of historical food guides, research, and review papers from the fields of nutrition science and education, dietetics, and health science provided primary sources of information for the history. A literature search ...