Social and Behavioral Sciences Commons^™

Mean Flow And Dispersion In The Western Mediterranean Sea From Drifter Observations, Helga Huntley, James Turbett, A.D. Kirwan, Jr., Pierre-Marie Poulain

Faculty Scholarship for the College of Science & Mathematics

Currents in the ocean distribute water masses and everything floating in them. To understand how fast the water (and its flotsam) travels and how effectively it mixes, we need to study the flow statistics. There are two types of measurements of ocean currents: Eulerian measurements that look at how the ocean velocities change at a stationary point on the Earth; and Lagrangian measurements that follow a water mass. Dispersion and mixing is generally best captured by Lagrangian measurements. At the submesoscale (~10-1 – 10 km), the observational tool of choice are drifters, or floating buoys, tethered to a drogue that …

Women’S Comfort With Mobile Applications For Menstrual Cycle Self-Monitoring Following The Overturning Of Roe V. Wade, Gabrielle M. Salvatore, Iris Bercovitz, Danielle Arigo

Faculty Scholarship for the College of Science & Mathematics

Background: The overturning of Roe v. Wade in June 2022 has many implications for American women of reproductive age, as well as for researchers focused on women’s health in the United States (U.S.). Personal reproductive health data, such as information collected by menstrual cycle (MC) tracking applications (apps), can now be bought, sold, or accessed by law enforcement to enforce limits on abortion. American women have grown concerned about data privacy and have even deleted MC tracking apps following the overturning of Roe v. Wade. This concern is problematic as these apps may advance our understanding of women’s MC experiences …

"You Get What You Need When You Need It": A Mixed Methods Examination Of The Feasibility And Acceptability Of A Tailored Digital Tool To Promote Physical Activity Among Women In Midlife., Danielle Arigo, Jonathan Mathias Lassiter, Kiri Baga, Daija A Jackson, Andrea Lobo, Timothy C Guetterman

Faculty Scholarship for the College of Science & Mathematics

During midlife (ages 40-60), women experience myriad changes that elevate their risk for cardiovascular disease (CVD), including decreased physical activity (PA). Women cite lack of social support for PA and lack of active peers who can serve as role models as key barriers. Digital tools such as web applications can provide exposure to these social inputs; they are also accessible in daily life and require modest time investment. However, as few tools have been designed to meet the unique needs of women in midlife with CVD risk, our research team previously built a web application that is tailored for this …

Development, Feasibility, And Acceptability Of Sport: A Dating Violence And Sexual Risk Prevention Intervention For College Student-Athletes., Nicole Jaffe, Meredith Jones, D. J. Angelone

Faculty Scholarship for the College of Science & Mathematics

BACKGROUND: Student-athletes are one subgroup of college students in the USA at risk for dating violence and sexual risk behaviors. Despite this, research on student-athletes' dating behaviors is limited; existing research pertains primarily to the National Collegiate Athletic Association (NCAA) Division I athletes and focuses on male student-athletes as perpetrators of dating and sexual violence. While some existing programs aim to reduce dating violence and promote healthy relationships, these programs are education based, and not tailored to the specific strengths and challenges of student-athletes. We therefore designed Supporting Prevention in Relationships for Teams (SPoRT), a novel, four-session prevention intervention for …

Developing A Game (Inner Dragon) Within A Leading Smartphone App For Smoking Cessation: Design And Feasibility Evaluation Study., Justin S White, Marie K Salem, Séverine Toussaert, J Lee Westmaas, Bethany Raiff, David Crane, Edward Warrender, Courtney Lyles, Lorien Abroms, Johannes Thrul

Faculty Scholarship for the College of Science & Mathematics

BACKGROUND: Several stand-alone smartphone apps have used serious games to provide an engaging approach to quitting smoking. So far, the uptake of these games has been modest, and the evidence base for their efficacy in promoting smoking cessation is still evolving. The feasibility of integrating a game into a popular smoking cessation app is unclear.

OBJECTIVE: The aim of this paper was to describe the design and iterative development of the Inner Dragon game within Smoke Free, a smartphone app with proven efficacy, and the results of a single-arm feasibility trial as part of a broad program that seeks to …

Direct Support Professionals' Perspectives On Using Technology To Help Support Adults With Autism Spectrum Disorder: Mixed Methods Study., Christina A. Simmons, Abigail E Moretti, Andrea F Lobo, Patrice D Tremoulet

Faculty Scholarship for the College of Science & Mathematics

BACKGROUND: Documentation is a critical responsibility for direct support professionals (DSPs) who work with adults with autism spectrum disorder (ASD); however, it contributes significantly to their workload. Targeted efforts must be made to mitigate the burden of necessary data collection and documentation, which contributes to high DSP turnover rates and poor job satisfaction.

OBJECTIVE: This mixed methods study aimed to explore how technology could assist DSPs who work with adults with ASD and prioritize aspects of technology that would be most useful for future development efforts.

METHODS: In the first study, 15 DSPs who worked with adults with ASD participated …

Clinical Decision Support For Intervention Reduction In Neonatal Patients: A Usability Assessment, Patrice Dolhonde Tremoulet

Faculty Scholarship for the College of Science & Mathematics

Objective This study investigated how effectively simplified cognitive walkthroughs, performed independently by four nonclinical researchers, can be used to assess the usability of clinical decision support software. It also helped illuminate the types of usability issues in clinical decision support software tools that cognitive walkthroughs can identify. Method A human factors professor and three research assistants each conducted an independent cognitive walkthrough of a web-based demonstration version of T3, a physiologic monitoring system featuring a new clinical decision support software tool called MAnagement Application (MAP). They accessed the demo on personal computers in their homes and used it to walk …

Mindfulness-Based School Interventions: A Systematic Review Of Outcome Evidence Quality By Study Design., Mary L Phan, Tyler L Renshaw, Julie Caramanico, Jeffrey M. Greeson, Elizabeth Mackenzie, Zabryna Atkinson-Diaz, Natalie Doppelt, Hungtzu Tai, David S Mandell, Heather J Nuske

Faculty Scholarship for the College of Science & Mathematics

Objective: The purpose of this systematic review was to assess the current literature on mindfulness-based school interventions (MBSIs) by evaluating evidence across specific outcomes for youth.

Methods: We evaluated 77 studies with a total sample of 12,358 students across five continents, assessing the quality of each study through a robust coding system for evidence-based guidelines. Coders rated each study numerically per study design as 1++ (RCT with a very low risk of bias) to 4 (expert opinion) and across studies for the corresponding evidence letter grade, from highest quality ('A Grade') to lowest quality ('D Grade') evidence.

Results: The highest …

Improving Patient Care Coordination, Patrice Dolhonde Tremoulet

Faculty Scholarship for the College of Science & Mathematics

No abstract provided.

Dating Violence And Sexual Risk Prevention For Young Mothers, Meredith Jones

Faculty Scholarship for the College of Science & Mathematics

No abstract provided.

Predictors Of Alcohol Hangover In College Students, Chelsie Young

Faculty Scholarship for the College of Science & Mathematics

No abstract provided.

Identifying Video Game Preferences Among Adults Interested In Quitting Smoking Cigarettes: Survey Study., Caitlyn R Upton, Jessica A Nastasi, Bethany Raiff

Faculty Scholarship for the College of Science & Mathematics

BACKGROUND: Smoking is the most prevalent cause of morbidity and mortality in the United States. Although most individuals who smoke express a desire to quit smoking, only a small percentage are successful. Serious games have become popular in health sectors as a potential avenue for delivering a scalable treatment that is both accessible and engaging for the smoking population. Several smoking cessation games have already been developed, but these games feature a broad range of gameplay elements and are not necessarily based on existing video game preferences in the general or smoking population.

OBJECTIVE: To better inform treatment development, this …

Schizotypy, Lifestyle Behaviors, And Health Indicators In A Young Adult Sample, Thomas J. Dinzeo, Umashanger Thayasivam

Faculty Scholarship for the College of Science & Mathematics

Problematic lifestyle behaviors and high rates of physical illness are well documented in people with schizophrenia, contributing to premature mortality. Yet, there is a notable absence of research examining general lifestyle and health issues in participants at risk for psychosis. This form of research may help identify concerns that exist during prodromal periods related to future outcomes. Accordingly, the current study examined lifestyle and health in a nonclinical sample of 530 young adults with varying levels of schizotypy. Increasing symptom severity was associated with greater somatic symptoms and poorer sleep quality across positive, negative, and disorganized domains. Elevated negative and …

A Multi-Study Approach To Refining Ecological Momentary Assessment Measures For Use Among Midlife Women With Elevated Risk For Cardiovascular Disease., Danielle Arigo, Jacqueline A Mogle, Megan M Brown, Adarsh Gupta

Faculty Scholarship for the College of Science & Mathematics

Background: Ample evidence indicates that everyday perceptions of the social environment can affect health behaviors; these include social comparisons (i.e., self-evaluations compared to others) and positive versus negative social interactions. However, relations between social perceptions and healthy behaviors have received little attention among specific medical populations for whom an improved understanding of behavioral determinants could inform updates to tailored interventions. Research methods that capture and differentiate between stable, person-level differences and dynamic, within-person variability in these relations would be particularly useful, both for identifying their nature in daily life and informing improvements to tailored interventions.

Methods: We conducted a series …

Relations Between Social Comparisons And Physical Activity Among Women In Midlife With Elevated Risk For Cardiovascular Disease: An Ecological Momentary Assessment Study., Danielle Arigo, Jacqueline A Mogle, Joshua M Smyth

Faculty Scholarship for the College of Science & Mathematics

Women in midlife (ages 40-60) show decreases in physical activity (PA) that exacerbate risk for cardiovascular disease. Social comparisons (i.e., self-evaluations relative to others) are known to influence PA in other groups, but their association in this population is unknown. The present study used ecological momentary assessment to examine this relation among women in midlife with hypertension or another CVD risk condition (N = 75, M

A Systematic Review Of Black American Same-Sex Couples Research: Laying The Groundwork For Culturally-Specific Research And Interventions, Jonathan M. Lassiter, Jagadīśa-Devaśrī Dacus, Mallory O. Johnson

Faculty Scholarship for the College of Science & Mathematics

This article presents the findings of a systematic review of the empirical literature related to Black American same-sex couples (BASCs). We found 16 articles that met inclusion criteria. Most articles were published in journals that focused on interdisciplinary studies, HIV/AIDS, and couples and families’ studies. Approximately 63% of the articles reported external funding support. However, only one of these grants was awarded to a Black investigator. Articles predominately focused on BASCs composed of Black sexual minority men residing in major U.S. cities. Only 25% of the articles focused on couples where both partners were Black. Most studies were cross-sectional, used …

Patients' Beliefs Towards Contingency Management: Target Behaviours, Incentives And The Remote Application Of These Interventions, Carol-Ann Getty, Tim Weaver, Michael Lynskey, Kimberly C. Kirby, Jesse Dallery, Nicola Metrebian

Faculty Scholarship for the College of Science & Mathematics

Introduction Contingency management interventions are among the most efficacious psychosocial interventions in promoting abstinence from smoking, alcohol and substance use. The aim of this study was to assess the beliefs and objections towards contingency management among patients in UK-based drug and alcohol services to help understand barriers to uptake and support the development and implementation of these interventions. Methods The Service User Survey of Incentives was developed and implemented among patients (N = 181) at three UK-based drug and alcohol treatment services. Descriptive analyses were conducted to ascertain positive and negative beliefs about contingency management, acceptability of different target behaviours, …

How Do Novel Seat Positions Impact Usability Of Child Restraints?, Patrice Dolhonde Tremoulet, Aditya Belwadi, Brendan Corr, Shreyas Sarfare, Tom Seacrist, Sophia Tushak

Faculty Scholarship for the College of Science & Mathematics

Autonomous driving technology and changes in regulations may create an environment that allows novel vehicle interiors. It is important to consider impact on all types of passengers when contemplating interior design, particularly for vehicles that may be used by families with children. We developed a fixture that enables us to change the orientation of each of 4 car seats and used it to simulate three different vehicle interiors. Ten families with children aged 3 months to 7 years interacted with each of the simulated interiors as part of a usability study. Times to install and remove child restraint systems were …

Usability Of Electronic Health Record-Generated Discharge Summaries: Heuristic Evaluation., Patrice Dolhonde Tremoulet, Priyanka D Shah, Alisha A Acosta, Christian W Grant, Jon T Kurtz, Peter Mounas, Michael Kirchhoff, Elizabeth Wade

Faculty Scholarship for the College of Science & Mathematics

BACKGROUND: Obtaining accurate clinical information about recent acute care visits is extremely important for outpatient providers. However, documents used to communicate this information are often difficult to use. This puts patients at risk of adverse events. Elderly patients who are seen by more providers and have more care transitions are especially vulnerable.

OBJECTIVE: This study aimed to (1) identify the information about elderly patients' recent acute care visits needed to coordinate their care, (2) use this information to assess discharge summaries, and (3) provide recommendations to help improve the quality of electronic health record (EHR)-generated discharge summaries, thereby increasing patient …

Social Comparison Features In Physical Activity Promotion Apps: Scoping Meta-Review., Danielle Arigo, Megan M Brown, Kristen Pasko, Jerry Suls

Faculty Scholarship for the College of Science & Mathematics

BACKGROUND: Smartphone apps promoting physical activity (PA) are abundant, but few produce substantial and sustained behavior change. Although many PA apps purport to induce users to compare themselves with others (by invoking social comparison processes), improvements in PA and other health behaviors are inconsistent. Existing literature suggests that social comparison may motivate PA for some people under some circumstances. However, 2 aspects of work that apply social comparison theory to PA apps remain unclear: (1) how comparison processes have been operationalized or harnessed in existing PA apps and (2) whether incorporating sources of variability in response to comparison have been …

Curricula For Empathy And Compassion Training In Medical Education: A Systematic Review., Sundip Patel, Alexis Pelletier-Bui, Stephanie Smith, Michael Roberts, Hope Kilgannon, Stephen Trzeciak, Brian W Roberts

Faculty Scholarship for the College of Science & Mathematics

BACKGROUND: Empathy and compassion are vital components of health care quality; however, physicians frequently miss opportunities for empathy and compassion in patient care. Despite evidence that empathy and compassion training can be effective, the specific behaviors that should be taught remain unclear. We synthesized the biomedical literature on empathy and compassion training in medical education to find the specific curricula components (skills and behaviors) demonstrated to be effective.

METHODS: We searched CENTRAL, MEDLINE, EMBASE, and CINAHL using a previously published comprehensive search strategy. We screened reference lists of the articles meeting inclusion criteria to identify additional studies for potential inclusion. …

The History And Future Of Digital Health In The Field Of Behavioral Medicine., Danielle Arigo, Danielle E Jake-Schoffman, Kathleen Wolin, Ellen Beckjord, Eric B Hekler, Sherry L Pagoto

Faculty Scholarship for the College of Science & Mathematics

Since its earliest days, the field of behavioral medicine has leveraged technology to increase the reach and effectiveness of its interventions. Here, we highlight key areas of opportunity and recommend next steps to further advance intervention development, evaluation, and commercialization with a focus on three technologies: mobile applications (apps), social media, and wearable devices. Ultimately, we argue that future of digital health behavioral science research lies in finding ways to advance more robust academic-industry partnerships. These include academics consciously working towards preparing and training the work force of the twenty first century for digital health, actively working towards advancing methods …

A Mobile Game To Support Smoking Cessation: Prototype Assessment, Bethany Raiff

Faculty Scholarship for the College of Science & Mathematics

Background: Cigarette smoking results in an estimated seven million deaths annually. Almost half of all smokers attempt to quit each year, yet only approximately 6% are successful. Although there are multiple effective interventions that can increase these odds, substantial room remains for improvement. One effective approach to helping smokers quit is contingency management, where quitting is incentivized with the delivery of monetary rewards in exchange for objective evidence (e.g., exhaled carbon monoxide levels) of abstinence.

Objective: We assessed the feasibility and promise of Inspired, a contingency management mobile app for smoking cessation that uses game-based rewards to …

A New Model Of Wheezing Severity In Young Children Using The Validated Isaac Wheezing Module: A Latent Variable Approach With Validation In Independent Cohorts., Steven M. Brunwasser Phd, Tebeb Gebretsadik, Diane R Gold, Kedir N Turi, Cosby A Stone, Soma Datta, James E Gern, Tina V Hartert

Faculty Scholarship for the College of Science & Mathematics

BACKGROUND: The International Study of Asthma and Allergies in Children (ISAAC) Wheezing Module is commonly used to characterize pediatric asthma in epidemiological studies, including nearly all airway cohorts participating in the Environmental Influences on Child Health Outcomes (ECHO) consortium. However, there is no consensus model for operationalizing wheezing severity with this instrument in explanatory research studies. Severity is typically measured using coarsely-defined categorical variables, reducing power and potentially underestimating etiological associations. More precise measurement approaches could improve testing of etiological theories of wheezing illness.

METHODS: We evaluated a continuous latent variable model of pediatric wheezing severity based on four ISAAC …

Contingency Management Works, Clients Like It, And It Is Cost-Effective., Kimberly C. Kirby, Lois A Benishek, Mary B Tabit

Faculty Scholarship for the College of Science & Mathematics

No abstract provided.

Examining Multi-Session Brief Intervention For Substance Use In Primary Care: Research Methods Of A Randomized Controlled Trial., Jaclyn E Chambers, Adam C Brooks, Rachel Medvin, David S Metzger, Jennifer Lauby, Carolyn M Carpenedo, Kevin E Favor, Kimberly C Kirby

Faculty Scholarship for the College of Science & Mathematics

BACKGROUND: Brief interventions such as Screening, a single session of Brief Intervention, and Referral to Treatment (SBIRT) have shown mixed effectiveness in primary care. However, there are indications that multi-session brief interventions may demonstrate more consistently positive outcomes, and perhaps a more intensive approach would be of benefit in addressing substance use in primary care. This study compared the effectiveness of SBIRT with a single BI session (BI/RT) to a multi-session brief-treatment intervention (BI/RT+) in primary care. We also developed easy-to-use, evidence-based materials to assist clinicians in delivering these interventions.

METHODS/DESIGN: This study was conducted in three Federally Qualified Healthcare …

Dispositional Mindfulness Uncouples Physiological And Emotional Reactivity To A Laboratory Stressor And Emotional Reactivity To Executive Functioning Lapses In Daily Life, Greg Feldman, Jayne Lavalle, Kelsea Gildawie, Jeffrey M. Greeson

Faculty Scholarship for the College of Science & Mathematics

Both dispositional mindfulness and mindfulness training may help to uncouple the degree to which distress is experienced in response to aversive internal experience and external events. Because emotional reactivity is a transdiagnostic process implicated in numerous psychological disorders, dispositional mindfulness and mindfulness training could exert mental health benefits, in part, by buffering emotional reactivity. The present studies examine whether dispositional mindfulness moderates two understudied processes in stress reactivity research: the degree of concordance between subjective and physiological reactivity to a laboratory stressor (Study 1); and the degree of dysphoric mood reactivity to lapses in executive functioning in daily life (Study …

Effect Of A Cognitive-Behavioral Prevention Program On Depression 6 Years After Implementation Among At-Risk Adolescents: A Randomized Clinical Trial., David A Brent, Steven M. Brunwasser Phd, Steven D Hollon, V Robin Weersing, Gregory N Clarke, John F Dickerson, William R Beardslee, Tracy R G Gladstone, Giovanna Porta, Frances L Lynch, Satish Iyengar, Judy Garber

Faculty Scholarship for the College of Science & Mathematics

IMPORTANCE: Adolescents whose parents have a history of depression are at risk for developing depression and functional impairment. The long-term effects of prevention programs on adolescent depression and functioning are not known.

OBJECTIVE: To determine whether a cognitive-behavioral prevention (CBP) program reduced the incidence of depressive episodes, increased depression-free days, and improved developmental competence 6 years after implementation.

DESIGN, SETTING, AND PARTICIPANTS: A 4-site randomized clinical trial compared the effect of CBP plus usual care vs usual care, through follow-up 75 months after the intervention (88% retention), with recruitment from August 2003 through February 2006 at a health maintenance organization, …

Developing Community Reinforcement And Family Training (Craft) For Parents Of Treatment-Resistant Adolescents., Kimberly C Kirby, Brian Versek, Mary Louise Kerwin, Kathleen Meyers, Lois A Benishek, Elena Bresani, Yukiko Washio, Amelia Arria, Robert J Meyers

Faculty Scholarship for the College of Science & Mathematics

We describe a project focused on training parents to facilitate their treatment-resistant adolescent's treatment entry and to manage their child after entry into community-based treatment. Controlled studies show that Community Reinforcement and Family Training (CRAFT) is a unilateral treatment that fosters treatment entry of adults; however, there are no controlled trials for parents with a substance-abusing child. We examined the behavioral parent training literature to guide us in tailoring CRAFT for parents of adolescents. We discuss adaptations to CRAFT, outcomes and experiences gained from a brief pilot of the revised CRAFT program, and the future directions of this work.

A Randomized Controlled Trial Of Koru: A Mindfulness Program For College Students And Other Emerging Adults., Jeffrey M Greeson, Michael K Juberg, Margaret Maytan, Kiera James, Holly Rogers

Faculty Scholarship for the College of Science & Mathematics

OBJECTIVE: To evaluate the effectiveness of Koru, a mindfulness training program for college students and other emerging adults.

PARTICIPANTS: Ninety students (66% female, 62% white, 71% graduate students) participated between Fall 2012 and Spring 2013.

METHODS: Randomized controlled trial. It was hypothesized that Koru, compared with a wait-list control group, would reduce perceived stress and sleep problems, and increase mindfulness, self-compassion, and gratitude.

RESULTS: As hypothesized, results showed significant Group (Koru, Wait-List)×Time (Pre, Post) interactions for improvements in perceived stress (F[1, 76.40]=4.50, p=.037, d=.45), sleep problems (F [1, 79.49]=4.71, p=.033, d=.52), mindfulness (F [1, 79.09]=26.80, p

CONCLUSIONS: Results support the …