Medicine and Health Sciences Commons^™

Reduce Challenging Behaviors And Enhance Functioning In Youth With An Intellectual Disability: A Meta-Analysis Of Behavioral Interventions Using Single Case Design, Brett A. Stone

USF Tampa Graduate Theses and Dissertations

Approximately 1.8% of students in the public school system have an intellectual disability or Autism Spectrum Disorder. These disabilities cause impairment in multiple domains of functioning. If these students also have challenging behaviors, such as noncompliance, aggression, and stereotypies, these behaviors have been found to cause impairment over and beyond those of the core symptoms associated with the disability. Challenging behaviors in youth with developmental disabilities do not typically subside on their own and need intervention. Thankfully, there are evidence-based behavioral interventions for individuals with developmental disabilities to reduce challenging behaviors and increase more functional behaviors including Applied Behavioral Analysis, …

Articulatory Patterns In Children Who Use Cochlear Implants: An Ultrasound Measure Of Velar Stop Production In Bilingual Speakers, Katherine Javier

USF Tampa Graduate Theses and Dissertations

Coarticulation occurs in running speech when one speech sound or phoneme overlaps with another. It can be considered a result of the way we sequence and organize our articulators to efficiently produce consecutive consonants and vowels in fluent speech. Previous research has suggested that measures of coarticulation can provide insight into the maturity of the motor speech planning system (Barbier, Perrier, Ménard, Payan, Tiede, & Perkell, 2013; Zharkova & Hewlett, 2009; Zharkova, Hewlett, & Hardcastle, 2011). Speech stability has also been suggested as an indicator of motor speech maturity in previous research using ultrasound imaging of velar-vowel targets (Frisch, Maxfield, …

D-Cycloserine-Augmented One-Session Treatment Of Specific Phobias In Children And Adolescents, Lara J. Farrell, Allison M. Waters, Ella L. Oar, Evelin Tiralongo, Vinay Garbharran, Clair Alston-Knox, Harry Mcconnell, Nigel Collings, Melanie Zimmer-Gembeck, Caroline L. Donovan, Chris Testa, Eric A. Storch, Thomas H. Ollendick

Pediatrics Faculty Publications

Background: D-Cycloserine has potential to enhance exposure therapy outcomes. The current study presents a preliminary randomized, placebo-controlled double-blind pilot trial of DCS-augmented one-session treatment (OST) for youth (7–14 years) with specific phobia. A secondary aim of this pilot study was to explore the effects of youth age and within-session fear reduction as potential moderators of DCS outcomes in order to generate hypotheses for a larger trial. It was hypothesized that DCS would be associated with greater improvements than placebo, that children (7–10 years) would have greater benefits than adolescents (11–14 years), and that DCS effects would be stronger for participants …

Real Time Monitoring Of Children, And Adults With Mental Disabilities Using A Low-Cost Non-Invasive Electronic Device, Carlos Polanco, Ignacio Islas Vazquez, Adrian Martinez-Rivas, Miguel Arias-Estrada, Thomas Buhse, Juan J. Calva, Carlos Aguilar Salinas, Claudia Pimentel Instituto Nacional De Pediatría, Vladimir N. Uversky

Molecular Medicine Faculty Publications

There are a growing number of small children—as well as adults—with mental disabilities (including elderly citizens with Alzheimer’s disease or other forms of age-related dementia) that are getting lost in rural and urban areas for various reasons. Establishing their location within the first 72 h is crucial because lost people are exposed to all kinds of adverse conditions and in the case of the elderly, this is further aggravated if prescribed medication is needed. Herein we describe a non-invasive, low-cost electronic device that operates constantly, keeping track of time, the geographical location and the identification of the subject using it. …

The Effects Of Acoustic Bandwidth On Simulated Bimodal Benefit In Children And Adults With Normal Hearing, Sterling W. Sheffield, Michelle Simha, Kelly N. Jahn, René H. Gifford

Communication Sciences and Disorders Faculty Publications

Objectives—The primary purpose of this study was to examine the effect of acoustic bandwidth on bimodal benefit for speech recognition in normal-hearing children with a cochlear implant (CI) simulation in one ear and low-pass filtered stimuli in the contralateral ear. The effect of acoustic bandwidth on bimodal benefit in children was compared to the pattern of adults with normal hearing. Our hypothesis was that children would require a wider acoustic bandwidth than adults to 1) derive bimodal benefit, and 2) obtain asymptotic bimodal benefit.

Design—Nineteen children (6–12 years) and ten adults with normal hearing participated in the study. Speech recognition …

An Assessment Of Elementary School Children’S Diet And Physical Activity Levels, Karen Tamara Serrano Arce

USF Tampa Graduate Theses and Dissertations

With prevalence rates of obesity among children and adolescents steadily rising, childhood obesity and overweight has become a public health concern. Publically funded elementary schools are in a unique position to provide children with opportunities regarding the promotion of physical activity and healthy nutritional behaviors. Purpose: The purpose of this study was to conduct exploratory research to investigate the dietary habits of elementary school students enrolled in four Hillsborough County Out-of-School Time (HOST) care programs. Methods: The study utilized a quantitative, non-experimental study design. The instruments that were used in this research included a new questionnaire that was titled “All …

Fear Conditioning And Extinction In Youth With Obsessive-Compulsive Disorder, Joseph F. Mcguire, Scott P. Orr, Monica S. Wu, Adam B. Lewin, Brent J. Small, Vicky Phares, Tanya K. Murphy, Sabine Wilhelm, Daniel S. Pine, Daniel Geller, Eric A. Storch

Psychology Faculty Publications

BACKGROUND: Fear acquisition and extinction are central constructs in the cognitive-behavioral model of obsessive-compulsive disorder (OCD), which underlies exposure-based cognitive-behavioral therapy (CBT). Youth with OCD may have impairments in fear acquisition and extinction that carry treatment implications. We examined these processes using a differential conditioning procedure.

METHODS: Forty-one youth (19 OCD, 22 community comparisons) completed a battery of clinical interviews, rating scales, and a differential conditioning task that included habituation, acquisition, and extinction phases. Skin conductance response (SCR) served as the primary dependent measure.

RESULTS: During habituation, no difference between groups was observed. During acquisition, differential fear conditioning was observed …

Outcomes Of A Combined Mindfulness, Stuttering Modification, And Fluency Shaping Intervention For Children Who Stutter, Jennifer Kordell

USF Tampa Graduate Theses and Dissertations

A week-long intervention for five school-age children who stutter was implemented using techniques of fluency shaping, stuttering management, and mindfulness training. The purpose of this study was to investigate if children who stutter stuttered less frequently, stuttered with less struggle, and demonstrated changes in mindfulness measures after the completion of this week-long intervention. Pre- to post-treatment measures were analyzed by individual and group-level results. A comparative analysis between reading and narrative tasks was also performed. Findings indicate that three out of five children reduced the total number of disfluencies during the reading task, and two children reduced this total during …

An Exploration Of The Health Experiences Of Youth Who Were Trafficked For Sex, Christine Ann Meister

USF Tampa Graduate Theses and Dissertations

This pilot study used photovoice methodology to explore the current health needs of youth who were trafficked for sex and are now living in an alternative family care setting. The goals of this study were to add to the current literature regarding the health needs of victims of domestic minor sex trafficking and to add a qualitative aspect to the evaluation of the Citrus Helping Adolescents Negatively Impacted by Commercial Exploitation (CHANCE) program. Disposable cameras were distributed to a group of adolescent girls enrolled in the program who were then tasked with taking pictures of things that made them feel …

An Analysis Of The Association Between Animal Exposures And The Development Of Type 1 Diabetes In The Teddy Cohort, Callyn Hall

USF Tampa Graduate Theses and Dissertations

Research on exposure to animals and risk of type 1 diabetes (T1D) has had conflicting results with some researchers finding that animal exposure reduces the risk of T1D and others finding no association between animal exposure and T1D. Previously conducted studies on the association between animal exposure and T1D are case-control studies that have been limited by recall bias. The purpose of this study is to investigate the association between early life animal exposure and the risk of persistent, confirmed islet autoantibodies (IA) and T1D diagnosis among an eligible cohort of genetically high T1D risk participants enrolled in the international …

School Mental Health: Views Of Services Integration And Attitudes Toward Evidence-Based, Donna L. Burton

USF Tampa Graduate Theses and Dissertations

ABSTRACT

Purpose of the study. Through secondary data analysis of results from the School Mental Health Services Integration Survey (SMHSIS), this study describes indicators of school mental health integration preparedness, including role identification, willingness to engage in tasks associated with mental health services integration and implementation facilitators. The study also investigated the utility of a modified version of the Evidence-Based Practice Attitude Scale (EBPAS) for use with school staff.

Study rationale. With as many as 20% of children meeting criteria for mental disorders that cause impairment, the gaps in mental health services delivery to this special needs population are evident …

The Role Of Connectedness And Religious Factors On Bullying Participation Among Preadolescents In Puerto Rico, Melissa C. Mercado-Crespo

USF Tampa Graduate Theses and Dissertations

Relationships or connections with caring pro-social others (e.g., parents, teachers, school, friends, neighborhood, religion) serve as pro-resilience assets that may enhance children's abilities to cope with bullying. The purpose of this research study was to explore the roles of connectedness and religiosity as potential factors that could enhance resiliency against bullying among preadolescents in Puerto Rico (PR). This doctoral dissertation also addressed several gaps in the children's bullying, resilience and religiosity research literature.

A sample of 426 community-based afterschool program preadolescents (ages 10-12 years old) participated in this exploratory, cross-sectional study, by completing a quantitative questionnaire in paper and pencil …

Evaluation Of Urinary Pesticide Biomarkers Among A Sample Of The Population In The United States, Alex Lance Lebeau

USF Tampa Graduate Theses and Dissertations

Pesticide use in the United States continues to attract negative public attention. In recent years, this attention has focused on the effects that chronic, low-level pesticides may have, especially on children and various sub-populations. Over the past decade, studies have attempted to correlate negative health effects with detections of pesticide biomarkers in biological media. The current research investigates biomarker of exposure levels in a sample of the United States population. Data from the 2001-2002 NHANES dataset (n=11,039) was evaluated. The detection frequency of urinary biomarkers of exposure and the geometric mean from the NHANES pesticide dataset (n=3,152) were determined. Of …

Does D-Cycloserine Augmentation Of Cbt Improve Therapeutic Homework Compliance For Pediatric Obsessive Compulsive Disorder?, Jennifer M. Park

USF Tampa Graduate Theses and Dissertations

D-cycloserine (DCS), a partial agonist that acts on the N-methyl-D-aspartate (NMDA) receptor of the glutamatergic receptor complex, may enhance fear extinction learning during exposure-based therapy. Clinical studies in adults with obsessive-compulsive disorder (OCD) and non-OCD anxiety disorders - and a recent trial in pediatric OCD - have shown that DCS can improve treatment response to exposure therapy relative to placebo and exposure therapy. Some have hypothesized that improved treatment response is a function of increased compliance and engagement in therapeutic homework tasks, a core component of behavioral treatment. The present study examined the relationship between DCS and homework compliance in …

Statewide Penetration And Standard Costs Of Psychotropic Medications, Mary R. Murrin

Mental Health Law & Policy Faculty Publications

This study will examine differences in pharmaceutical utilization rates relative to financial risk arrangements of differing insurance plans. During the last four years we have noted consistent differences in utilization of expensive, psychotropic medications between individuals enrolled in Health Maintenance Organizations (HMOs), which are at financial risk for the provision of pharmaceuticals, and the MediPass program in which the state bears the risk of pharmacy expenses. Persons in HMOs had lower levels of utilization.