Social and Behavioral Sciences Commons^™

Telehealth Treatment For Opioid Use Disorder In Missouri’S Urban And Rural Areas Prior To And Since Covid-19, Aurora Rojo, Rashmi Ghonasgi, Zachary Budesa, Rachel Winograd

Undergraduate Research Symposium

Opioid use disorder (OUD) is a chronic health condition that can be adequately treated when individuals have access to needed services. Telehealth services can be delivered remotely through audio-visual technological communications rather than in-person visits, which can greatly improve care accessibility. Following the onset of COVID-19, there were swift clinical and policy adaptations to promote telehealth services across medical and behavioral health fields. This study aims to identify changes in the frequency of telehealth for OUD treatment in Missouri’s rural and urban counties prior to and since the onset of COVID-19. Chi-square tests and analysis of changes between years and …

Psychotherapist Awareness And Competence Managing Social Media Concerns, Jing Wen Ong

Electronic Theses and Dissertations

Social media use increased substantially in recent years, spurring the growth of research focused on its association with mental health. Previous research examined the relationship between positive and negative aspects of mental health and social media use. Other studies explored the relevance of social media to professional practice of psychologists including the use of social media to reach populations with limited access to mental health services and ethical dilemmas arising from social media use; however, there is limited understanding of the pertinence of social media to concerns that clients discuss in therapy and therapist competence in handling these discussions. The …

Effects Of Perpetrator And Victim Gender, Rape Myths, And Report Timing On Blame Attributions Following Sexual Assault, Katherine E. Kennon

Electronic Theses and Dissertations

Previous research examined the effects of victim gender, perpetrator gender, and rape myth acceptance on victim blaming attribution; however, fewer studies explore victim and perpetrator gender at the same time, and even fewer studies examined the relevance of factors like timing of reporting (immediate or delayed) or rurality. The primary purpose of the study, therefore, was to explore the effect of victim gender, perpetrator gender, and report timing (same day vs. six months later) on victim blaming attributions. The study also examined the role of rape myth acceptance on victim blame and compared levels of rape myth acceptance across participant …

Coping Self-Efficacy As A Moderator In The Relationship Between Trauma And Disordered Eating, Bethany Owens Raymond

Electronic Theses and Dissertations

Disordered eating behaviors are associated with a myriad of detrimental health and mental health consequences (Ackard et al., 2003; Bryla, 2003; Karkkainen et al., 2018; Quick & Byrd-Bredbenner, 2013). Previous research identifies trauma as a risk factor for disordered eating behaviors and eating disorders (Brewerton, 2007). For instance, individuals with eating disorders are more likely to report trauma than individuals with no such history (Lejonclou et al., 2014). However, because not all individuals with a history of trauma exhibit disordered eating, it is important to identify what factors might moderate this relationship. The current study aims to investigate coping-self efficacy …

Examining The Impact Of Discrete And Contextual Stress Factors On Memory, Jillian Rae Silva-Jones

Theses and Dissertations--Psychology

Stress is a complex and multifaceted process which is often not perceived as such. Therefore, given the unidimensional conceptualization of stress in previous research the current understanding of the associations between stress and memory are not well understood. This study investigates the association between stress and memory by capturing the complexity of stress through discrete and contextual stress factors. The current study used ecological momentary assessment (EMA) and geocoded indices (i.e., zip codes) of population density (i.e., urbanicity) and deprivation (socioeconomic disadvantage) in a large and diverse sample of U.S. participants (N = 8817) to examine the relationship between …

The Effects Of Race, Sociopolitical Attitudes, And Geographic Location On Criminal Scripts, To'meisha S. Edwards

Electronic Theses and Dissertations

Recent social unrest has highlighted differences in how crime is perceived based upon the race of the perpetrator. Decades of research suggests criminality is more easily associated with racial and ethnic minorities leading to the racialization of crime. Mutz (1994) noted there are personal factors as well as impersonal factors influencing views regarding race and crime. Research suggests the strongest impersonal influence on society’s perception is the media (Gilliam et al., 2002; Umair, 2016). Therefore, the narrative of linking race and crime, which is prevalent in news media, is reinforced every time viewers tune in to their local news. Additionally, …

The Relationship Between Posttraumatic Growth, Social Support, And Rurality, Chelsea Thweatt

Electronic Theses and Dissertations

The majority of Americans will experience a trauma in their lifetime (Kilpatrick et al., 2013). While some will experience severe negative symptoms as a result of their trauma (U.S. Department of Veteran’s Affairs, 2019), up to 70% of people will report positive outcomes (Calhoun & Tedeschi, 1999). Posttraumatic growth (PTG) refers to positive changes that individuals experience after a traumatic event (Tedeschi & Calhoun, 2004). A key way for PTG to occur is through social support (Shakespeare-Finch & Copping, 2006). Research found that the quality and the quantity of social support matter when predicting PTG (Shang et al., 2020). Specifically, …

Access To Autism Spectrum Disorder Services For Rural Appalachian Citizens, Angela Scarpa, Laura S. Jensen, Denis Gracanin, Sharon L. Ramey, Angela V. Dahiya, L. Maria Ingram, Jordan Albright, Alyssa J. Gatto, Jen P. Scott, Lisa Ruble

Journal of Appalachian Health

Background: Low-resource rural communities face significant challenges regarding availability and adequacy of evidence-based services.

Purposes: With respect to accessing evidence-based services for Autism Spectrum Disorder (ASD), this brief report summarizes needs of rural citizens in the South-Central Appalachian region, an area notable for persistent health disparities.

Methods: A mixed-methods approach was used to collect quantitative and qualitative data during focus groups with 33 service providers and 15 caregivers of children with ASD in rural southwest Virginia.

Results: Results supported the barriers of availability and affordability of ASD services in this region, especially relating to the need for more ASD-trained providers, …

Work Hope And Work Volition: Exploring The Influence Of Community College Students’ Rurality And Socioeconomic Status, Jesse A. Wingate

Theses and Dissertations

Data from a sample of community college students (N = 478) in Virginia were used to examine relations among rurality, socioeconomic status, work hope, and work volition. Socioeconomic status, work hope, and work volition were positively associated. However, rurality, measured both as a continuous and categorical variable, was not correlated with work hope or work volition. Additional analyses showed convergence between measures of work hope and work volition confirming construct similarity. Results, limitations, implications, and recommendations for future study are included.

Perceived Credibility Of Child Sexual Abuse Reporting, Bridget Lashbaugh-Barney

Electronic Theses and Dissertations

Understanding factors that could influence attitudes and beliefs regarding child sexual abuse may inform efforts to educate clinicians, legal and medical personnel, and even the public on potential sources of bias and barriers to treatment and other service utilization, particularly in rural communities. The purpose of the current study was to experimentally investigate the impact of child accuser age and gender and participant rural status on ratings of perceived credibility of child sexual abuse allegations described in vignettes. With this study, I aimed to not only clarify and update previous findings on accuser age and gender, but also to expand …

Self-Rated Health, Healthcare Satisfaction, Healthcare Adherence, And Medical Mistrust: The Moderating Role Of Rurality, Stephanie Alu

Undergraduate Honors Theses

The current study is part of a broader study called the Women’s Reproductive Health Survey (WRHS) which aimed to examine various aspects of women’s life experiences. This study examined the moderating effect of rurality on several factors of healthcare in a sample of women between the ages of 18 and 50. Self-rated health (SRH) was hypothesized to predict healthcare satisfaction, healthcare adherence, and medical mistrust. Furthermore, rurality was hypothesized to weaken the relationships between SRH and healthcare satisfaction and adherence; it was further hypothesized to exacerbate the relationship between SRH and medical mistrust. A survey containing a single-item measure of …

Initial Development And Validation Of The Rural Competency Scale, Cassandra Gail Pusateri

Counseling & Human Services Theses & Dissertations

Rurality is a term that can be used to describe rural residency and the cultural characteristics of rural individuals and areas. The counseling profession has increased its attention to culture with the development of the multicultural counseling competencies (Sue, Arredondo, & McDavis, 1992) and assessments designed to measure competency levels for providing services to diverse clientele (e.g., Kim, Cartwright, Asay, & D'Andrea, 2003; LaFromboise, Coleman, & Hernandez, 1991; Ponterotto, Gretchen, Utsey, Rieger, & Austin, 2002; Sodowsky, Taffe, Gutkin, & Wise, 1994). However, the commonly used definitions of culture as well as the instruments available to measure multicultural counseling competence do …

An Examination Of Education Services For Children With Autism Spectrum Disorders In Rural Areas, Melissa A. Murphy

Theses and Dissertations--Educational, School, and Counseling Psychology

Much research and media attention in recent years has focused on Autism Spectrum Disorders (ASD), a pervasive developmental disorder that impacts children in multiple areas of their lives. Early identification and intervention, as well as access to mental health, behavioral, and pediatric services for this population are crucial to their later outcomes and quality of life (American Academy of Pediatrics, 2001; Blane & Borden, 2008; Jacobson & Mulick, 2000; Rogers & Vismara, 2008). Unfortunately, research suggests that access to educational services may be complicated for individuals living in rural areas (Applequist, 2009; Collins et al., 2005, Ludlow, Conner, & Schechter …

Does Being Rural Matter?: The Roles Of Rurality, Social Support, And Social Self-Efficacy In First-Year College Student Adjustment, Allison L. Bitz Phd

College of Education and Human Sciences: Dissertations, Theses, and Student Research

One out of every three first-year college students will not return for a second year of college (Postsecondary Education Opportunity, 2010). Due to a variety of factors, minority students are at an even higher risk of dropping out of college. Rural youth, comprising approximately 22% of the nation’s total youth, form a significant minority population; yet the rural student experience in college has not yet been widely considered in research. The purpose of this quantitative study was to explore college adjustment and its predictors among first-year students, with an emphasis on the role of rurality in college adjustment. Social self-efficacy, …