Medicine and Health Sciences Commons^™

Applying Emotionally Focused Group Therapy With Collegiate Student-Athletes Experiencing Disordered Eating And Poor Body Image, Emily Wagener

Educational Specialist, 2020-current

Rates of eating disorders and sub-clinical disordered eating continue to rise each year, with higher rates seen among athletes than non-athletes (Curry, 2010). Fueled Athletes is a group-style intervention for collegiate student-athletes that uses Emotionally Focused Therapy to help group members identify and transform emotions that contribute to poor body image and disordered eating behaviors. The mission of Fueled Athletes is to create a program that addresses eating problems and body image disturbances experienced by student-athletes by creating a safe space, building a support network which will lead to decreasing rates of ED / DE within the student-athlete population. Future …

Increasing Medication Adherence In Patients With Bipolar Disorder Using Mobile App Reminder, Emmaculate Ndifor

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

Background: Bipolar disorder (BD) is the fifth leading course of disability in the world, contributing to many co-morbid conditions and complications. Non-adherence to medication is prevalent in patients with BD. The aim of the project was to use an evidence-based technological intervention to enhance medication adherence in BD patients between 18- 65 years old at an outpatient behavioral health clinic.

Methods: Baseline assessment included a pre Morisky Medication Adherence (MMAS-4) questionnaire. The development of an intervention to improve medication adherence was based on Johnson’s (2002) Medication Adherence Model (MAM).

Interventions: Participants downloaded the Medisafe app, registered medications and set …

Medical Interpreters' Work Impact On Their Lives: Understanding Medical Interpreters' Work Experience, Nicholas M. Herrarte Smith

Senior Honors Projects, 2020-current

Medical interpreters in the US are crucial health workers that specialize in facilitating communication between non-English-speaking patients and English medical professionals. Although much research has been done regarding the positive impact of professional medical interpreters on LEP (limited English proficient) patients' health, it is less known how medical interpreters’ lives are impacted in this line of work. Thus, this study was aimed at gaining a better understanding on the impact that this line of work has on the lives of medical interpreters. For this study, a survey was created with questions regarding demographics, interpretation’s certification process, interpreter’s satisfaction/experience, and mental …

Exploring Barriers To Rural Mental Health Practice: A Pilot Study, Caitlin Vu

Educational Specialist, 2020-current

There is a shortage of mental health professionals in rural areas around the world. Current literature on barriers to healthcare professionals choosing to practice in rural areas mainly focuses on medical professionals, with few studies examining the barriers to rural practice for mental health professionals. Along with examining the perceived barriers and enablers to rural mental health practice, researchers wanted to further examine the reliability of the revised Barriers to Rural Mental Health Practice instrument. Researchers distributed the survey to mental health professionals across the United States. Preliminary findings support high internal reliability for the total scale and three of …

Implementing Routine Depression Screening In An Urgent Care Setting: An Implementation Science Project, Lori Conyers

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

Identifying patients with depression is essential, and early detection of depression leads to early intervention. Routine screening of patients for depression is the responsibility of the primary care provider, but many patients have not had a primary care visit in the recent past. Those patients without a primary care provider are likely not being screened for depression. Urgent care (UC) may be the best opportunity to screen patients who do not have a medical home. However, the dynamic nature of the urgent care setting may dissuade staff from engaging in routine screening. As a quality improvement (QI) effort, regular PHQ …

Delivery Of Parent-Child Interaction Therapy In A Telehealth Format: Reducing Disruptive Behaviors In Pediatric Traumatic Brain Injury, Emily D. Pogue

Dissertations, 2020-current

Traumatic brain injuries (TBIs) in childhood have been associated with disruptive behaviors and attentional problems that may worsen over time and are often experienced as challenging for those in caregiving roles. Parents of children with TBI may evoke negative interactions to manage their child’s behavior through reliance on ineffective parenting practices. This results in increasingly maladaptive parent-child interactions that maintain or worsen problem behaviors of the child and further disrupt family functioning. Despite the importance of family functioning on child post-injury outcomes, the availability of family-based treatments for children with TBI is extremely limited. Parent-Child Interaction Therapy (PCIT) is an …

Asian Immigrant Parents And Their Asian/Asian-American Children: Bridging The Emotional Gap, Natalie Vergara Realubit

Educational Specialist, 2020-current

This manuscript explores and examines Asian/Asian-American identity and values. A brief discussion of Asian immigration history, intergenerational trauma, and the impacts of COVID-19 will be linked to Asian identity. Eastern values are explored in conjunction with Western values to highlight the differences and contradictions Asians/Asian-Americans navigate. Biculturalism is explained, as well as how the navigation of values results in individuals living in their ethnic and host cultures simultaneously. Acculturation and enculturation, the model minority myth, education and the American Dream, and bicultural stress experienced by Asian-Americans and Asian international students are explored to highlight the various ways in which biculturalism …

Alcohol Use In Women: Resources And Recommendations For Counselors, Samantha Haling

Educational Specialist, 2020-current

The research shows that alcohol use is rising rapidly among women, resulting in devastating consequences that have not been sufficiently explored in counselor education and training. This paper aims to address this by providing a review of the literature which shows that women are more vulnerable to many of the physical and mental health consequences of alcohol use than men, and that they have unique treatment needs and face gender-specific risk factors and barriers to treatment. The review examines the interaction between gender and alcohol use, summarizes the existing research on the physical and behavioral health consequences of alcohol use …

Rationale For Participation In Jmu Worksite Wellness Programs, Rebecca Mathien

Masters Theses, 2020-current

Effective employee wellness programs require an adequate understanding of the needs of employees. An employee wellness needs assessment was created to target the understanding of specific topics of interest, incentives and barriers to participation, and general health status of university employees. The majority (74.1%) of the 639 survey respondents (15.3% response rate) were female (age 45.7 ± 11.7 years), full-time employees. Employees were most interested in participating in programs involving physical activity, nutrition, and lifestyle wellness. Stages of change related to these topics include physical activity (pre-action: 42.3% and action: 44.7%), nutrition (pre-action: 37.4% and action: 42.2%), and work/life balance …

How College Men Describe Their Understanding Of Sexual Assault, Sarah Anolik

Dissertations, 2020-current

Despite the proliferation of many vital bystander intervention programs across the country, approximately one in four college women will experience sexual violence. Though it was once believed that a small minority of men were responsible for the vast majority of sexual violence, an estimated 12%-25% of college men report having used sexual violence as an undergraduate student. Research across disciplines suggests several factors associated with the perpetration of sexual violence. While numerous studies have explored these constructs quantitatively on and off college campuses, there have been far fewer qualitative studies that provide insight into how men who have perpetrated violence …

Implementation And Program Evaluation Pilot Study: Educating Health Care Providers About Protecting Population Health During Climate Change., Christine Fasching Maphis

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

Recommendations regarding the need to prepare nurses and other health care providers (HCPs) for the health impacts of climate change (CC) have grown ubiquitous in the literature. Timely, efficient and sustainable strategies by the health care industry are necessary. Failure to act is predicted to result in catastrophic and lethal population health consequences. A growing body of research identifies related knowledge gaps and supports HCP competencies and best practice interventions to mitigate adverse population health impacts of CC. A social ecological framework and the PRECEDE-PROCEED approach were employed to develop and evaluate a series of online webinars designed to equip …

The Use Of Life-Like Robotic Animals In The Acute Care Setting To Assist In The Care Of Patients With Dementia, Abby Denby

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

The purpose of this pilot project was to describe the effect of life-like robotic animals on the nurses’ ability to provide care, patients’ level of agitation, use of antipsychotic medications, restraint and sitter use for patients with dementia in an acute care setting. Nurses report challenges and feelings of helplessness while caring for patients with dementia. Dementia may cause depression, agitation, aggression (physical or verbal) and a decrease quality of life. Animal Assisted Therapy (ATT) is a growing therapy in many healthcare settings but there is a lack of literature specifically related to the use of AAT in the acute …

Therapeutic Potential Of A Ketogenic Diet In The Treatment Of Major Depressive Disorder, Jordan A. Murrin

Masters Theses, 2020-current

Major depressive disorder (MDD) is the second most common mental health condition and a leading cause of disability in the world. It is theorized that MDD develops from a combination of biological, psychological, and social stressors. The condition is typically treated using pharmaceuticals and psychotherapy. However, not all individuals with MDD have access to or choose to use these treatments, or may prefer to incorporate therapeutic lifestyle changes such as exercise, sleep, and healthy eating. Even with treatment, MDD can alter brain structure and function, leading to the development of comorbid mental health and chronic metabolic conditions like obesity, cardiovascular …

The Correlation Between Personal Stressors, Anxiety And Caffeine Consumption Among Jmu Faculty, Erica B. Larocca

Senior Honors Projects, 2020-current

This study investigates the relationships between caffeine consumption, stress and anxiety among faculty at James Madison University. This was examined using a mixed methods study with a sample of twenty undergraduate faculty members from all Academic Colleges besides the College of Education. Quantitative data serves to provide descriptive statistics as well as data from the Generalized Anxiety Disorder-7 scale and the Caffeine Expectancy Scale. Qualitative data serves to learn about the motivations and habits surrounding caffeine, and about the stressors and anxieties specific to faculty members. Anxiety and caffeine are reported to have an association (p=0.656). It was found that …

Difference In Stigma Between Anorexia Nervosa, Bulimia Nervosa, And Binge Eating Disorder, And The Effect Of Eating Disorder Symptomology On Stigma In College Students, Ashley A. Matkins

Senior Honors Projects, 2020-current

Background: Eating disorders (ED) are mental illnesses characterized by unhealthy eating and exercise habits. These disorders are common in college students and, like other mental illnesses, eating disorders are highly stigmatized.

Objectives: This study evaluated how college students perceived anorexia nervosa, bulimia nervosa, and binge eating disorder, and the effect of eating disorder symptomology on stigma.

Methods: Participants were randomized to receive one of three vignettes depicting an ED. The study used the Universal Stigma Survey (USS), the Eating Disorder Examination Questionnaire (EDEQ), and demographic questions to evaluate stigma, symptomology as well as their familiarity with, and diagnosis of eating …

The Effects Of Generalized Stress And Anxiety On Clinical Athletic Training Students: A Qualitative Study, Morgan E. Dumont

Masters Theses, 2020-current

Stress and anxiety are present and acknowledged on our society as seven out of 10 United States adults deal with moderate stress or anxiety on a daily basis (Beiter et al., 2015). Sport research has primarily focused on student-athletes, how they struggle, and the resources that can be provided to help this population cope and manage their stress. However, there is lack of research about stress and anxiety among those individuals who provide the care to student-athletes, specifically the athletic training students within their clinical assignments. Athletic training students lead similar schedules to student-athletes by devoting time to prepare for …

How Does Access To Healthcare Affect Life Expectancy?, Yara Mahmoud

Senior Honors Projects, 2010-2019

Access to health care is a pressing issue in the United States, whether it be the cost of care or not having enough of it. To emphasize the importance of this topic, this paper assesses the impact of access to health services on life expectancy. A comparison is made between the universal health systems in France and Spain and the mixed system in the United States. Even though the United States spends the most on health care in the world, its statistics fall below those of other developed countries. After addressing other risk factors, it was found that individuals under …

The Correlation Between Undergraduate Students Who Attend The University Recreation Center And Students Exhibiting Symptoms Of An Eating Disorder, Olivia Daniels

Senior Honors Projects, 2010-2019

Background: The prevalence of eating disorders on college campuses indicates an important issue in contemporary society. As students experience a heightened level of freedom, they have the option to explore multiple forms of weight- management, including compulsive exercise.

Methodology: An online survey was distributed to female undergraduate students(n=206) at James Madison University.

Results: A significant relationship was found between eating disorder symptomology and where participants decided to spend their time at the University Recreation Center (UREC), as well as what type of physical activity they chose to perform. A significant inverse relationship between increasing muscle mass and burning calories was …

Understanding The Help-Seeking Behaviors Of Student-Athletes: Effect Of A Multidisciplinary Healthcare Team And The Perception Of Barriers And Facilitators For Seeking Help, Lauren M. Sander

Masters Theses, 2010-2019

This study was aimed at identifying barriers and facilitators that influence help-seeking as well as the effect of implementing an integrated healthcare approach based on current recommendations. A total of 411 student-athletes from 18 intercollegiate teams at a mid-major Division I institution in the mid-Atlantic region completed a 12–item instrument comprised of ten quantitative items and two open-ended questions. The quantitative data was analyzed using SPSS software, and a constant comparative method was used to code responses from the open-ended questions. Findings suggested a prevalence of mental health challenges among student-athletes, especially overwhelming stress, struggles with time management, and anxiety. …

Development Of A School Boredom Proneness Scale For Children, Taylor Carrington

Educational Specialist, 2009-2019

One common phrase heard from students is, “I’m bored.” However, there is no real understanding of what this actually means. In this study, elementary-age students were asked to respond to a newly developed School Boredom Proneness Scale (SBPS) including questions relating to a five-factor model of boredom. Students were also asked to rate how often they become bored at school and how bored they seem compared to classmates. In addition to student responses, parents and teachers were asked to rate how bored they thought the student was, and teachers were additionally asked to rate students’ level of work completion. The …

School Psychologists’ Current Practice, Training, And Interest In The Integration Of Substance Abuse Training As Part Of The Mental Health Profession, Margaret Dassira

Educational Specialist, 2009-2019

Adolescents’ suffering from substance abuse may also be experiencing academic, social, emotional, and behavioral difficulties. Substance abuse problems are difficult to address in schools due to barriers related to confidentiality, implementation, and resources. School personnel may also lack necessary experience or training to adequately provide these services to students’ suffering from substance abuse. School-based intervention programs have shown to be effective in helping to identify and support students with substance abuse issues (Mitchell et al., 2012; Winters et al., 2012). With both evidence-based intervention practices and competent mental health professionals, students experiencing substance abuse problems may receive needed services and …

Pain-Related Fear: Metacognitive And Health Belief Predictors Of Cogniphobia, Maddison Miles

Masters Theses, 2010-2019

Individuals who have an unreasonable fear of headache pain or painful re-injury during cognitive exertion are said to suffer from a pain-related fear referred to as cogniphobia. Specifically, individuals high in cogniphobia avoid cognitive tasks in an attempt to reduce the risk of initiating or exacerbating headache-related pain. While health beliefs concerning pain-related fear have been examined through the concept of kinesiophobia, defined as the unreasonable fear of pain or painful re-injury during physical movement, little research has been done through a cognitive framework. The health anxiety beliefs, metacognitive factors, and negative thinking patterns related to cogniphobia remain unclear. This …

The Art Of Couple Satisfaction, Kristy Koser

Dissertations, 2014-2019

ABSTRACT

It is estimated 10-15% of women aged 20-45 or 1 in 4 to 6 couples are unable to get pregnant after one year of trying to conceive. This failure to conceive within 12 months without contraception meets the requirements for a diagnosis of infertility (Association for Reproductive Medicine [ASRM], 2014). With such a large percent of the United States population navigating the world of fertility treatment, the field of mental health must also evolve, offering new areas of specialty to address this specific client population. Couples face significant concerns while undergoing fertility treatment as they cope with complex decision-making, …

Exploring The Relationship Between Team Characteristics And Mental Health Symptoms Amongst Student Athletes, Dylan Owens

Senior Honors Projects, 2010-2019

Depression and anxiety are disabling conditions that are particularly prevalent amongst young adults (Wolanin, Hong, Marks, Panchoo, & Gross, 2016). Student athletes must cope with extensive time demands that go beyond those of ordinary young adults, consequently putting them at increased risk to experiencing mental health issues. Numerous factors may influence an athlete’s well being, such as gender, injury, and type of sport. This study tests these various factors but also extends previous literature by analyzing the effects of team dynamics on student athlete mental health. An anonymous multi-part questionnaire was sent out to all JMU athletes in the Fall …

Navigating Culture: An Exploration Of Domestic Violence And Abuse Resource Provision To The Harrisonburg Iraqi Refugee Community, Kaitlin Michelle Holland

Senior Honors Projects, 2010-2019

There are currently 22.5 million refugees worldwide who have been displaced from their home countries due to war, conflict, or persecution. Of this total, only 1% are recommended for resettlement each year. In recent years, many of these resettled refugees have come from Iraq, fleeing conflict stemming from the Iraq war and ISIS. Upon resettlement, refugees face significant acculturation difficulties that can negatively affect mental health. Additionally, experiencing domestic violence and abuse (DVA) can also negatively affect physical and mental health. I researched how the refugee migration experience and domestic violence and abuse affect mental health as well as what …

Improving Adherence To Mental Health Treatment In A Low-Income Clinic, Janice G. Gandy

Doctor of Nursing Practice (DNP) Final Clinical Projects, 2016-2019

The increasing prevalence of mental illness in the United States presents significant challenges for primary care providers in low-income settings. Integrated Behavioral Health (IBH) programs have resulted in improved general health for low-income participants; however, managing appointment adherence, in which the patient attends appointment as scheduled, is particularly challenging. The purpose of this pilot project was to implement bundled interventions at a low-income primary care clinic to improve patient adherence to behavioral health treatment. The bundle of interventions included: 1) educational interventions emphasizing the benefits of IBH care 2) warm patient handoffs between the primary care provider to a behavioral …

Bites: Psychoeducational Handouts On Nutrition For Students In A Depression Group, Caitlin P. Powell

Educational Specialist, 2009-2019

The following paper describes psycho-educational techniques that focus on nutrition as a complementary self-care intervention integrated to a group for students struggling with depressed mood. Included is a review of nutrition literature as a complement to counseling in general and six nutrition “bites” with handouts that accompanied six out of eight group sessions. The impressions of group leaders and responses of group members conclude the research and provide evaluations that support such inclusion as well as recommendations for enhancement of this material.

A Systematic Review Of Complimentary Therapies To Treat Symptoms Of Post-Traumatic Stress Disorder In The Aftermath Of Domestic Abuse, Jordan A. Meeks, Saida Byrami

Senior Honors Projects, 2010-2019

Objectives: Explore the impact of intimate partner violence (IPV) on the health of female survivors. Identify complementary therapies that alleviate symptoms of psychological health impacts of IPV on women’s health.

Method: An exhaustive search of published, peer reviewed literature on complementary therapies and IPV was conducted. Databases included PubMed and CINAHL. Each article reviewed was published between the years of 2002 and 2016. The initial search produced 112 articles, abstracts of all studies were reviewed and studies were included if they addressed; a) complementary and alternative therapies, b) post-traumatic stress disorder, anxiety, and depression and, c) the impact of IPV …

Assessing Understanding Of Sexual Assault Resources And Response Among Health Sciences Students, Michelle M. Pappalardo

Senior Honors Projects, 2010-2019

Background: The widely published statistic of 1 in 5 represents the number of women on college campuses who have been sexually assaulted (White House Office of the Press Secretary, 2014). Many colleges and universities have been attempting to address the sensitive topic of sexual assault for quite some time; however, sexual violence still remains prevalent on campuses throughout the United States (Allen, Ridgeway, & Swan, 2015). Many of the roadblocks an institution faces in its efforts may stem from a lack of understanding of the true nature of student attitudes surrounding the topic of sexual assault. The specific needs of …

Adolescent Grief: The Nurse's Role In Promoting Healthy Coping Mechanisms And Preventing Future Hospitalizations, Erica C. Reighard

Senior Honors Projects, 2010-2019

Age and developmental stage directly influence the grieving individual's ability to understand and process death. Adolescents are especially vulnerable to developing negative coping skills such as substance abuse, self-destructive behaviors, and eating disorders. After a loss occurs, nurses can use their role as a caregiver who is neither a parent nor a peer to provide adolescents with an opportunity to express their grief. Nurses can educate grieving adolescents on the differences between positive and negative coping skills and can therefore reduce the number of future hospitalizations related to ineffective coping mechanisms.