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Fostering Compassionate Care For Persons With Alzheimer's Disease In Nursing Facilities., Sam Gilbert Cotton Dec 2018

Fostering Compassionate Care For Persons With Alzheimer's Disease In Nursing Facilities., Sam Gilbert Cotton

Electronic Theses and Dissertations

The aim of this dissertation study was to examine the impact of the implementation of a new Compassionate Care (CC) curriculum on the quality of care provided by Certified Nursing Assistants (CNAs) to residents with Alzheimer’s disease (AD). More specifically, this dissertation used Kirkpatrick’s model of evaluation to assess the reactions, learning, and behavior change of the CNAs exposed to the curriculum, and ultimately the impact of the curriculum on the stress levels of residents with AD. To accomplish this, we had two studies that aligned with the Kirkpatrick model of evaluation. For Study #1, the evaluation of the compassionate …


The Unequal City: The Mass Criminalization Of The Urban Poor., Elizabeth Michele Jones Dec 2018

The Unequal City: The Mass Criminalization Of The Urban Poor., Elizabeth Michele Jones

Electronic Theses and Dissertations

Exploring and understanding the widespread use of arrests and incarceration in urban neighborhoods of concentrated poverty is the subject of this dissertation. The research addresses gaps in theoretical debates about the causes of mass criminalization that position the phenomenon as the result of either neoliberalism or racism. In addition, the dissertation explores the impact of mass criminalization on urban citizenship. Urban citizenship is a theoretical frame that considers the substance of the economic, social, political, and mobility dimensions of city life. The research methodology is a case study of two impoverished neighborhoods in the city of Louisville, Kentucky that incorporates …


Understanding The Relationship Between Anti-Transgender Bias, Non-Affirmation, And Post-Traumatic Stress: A Model Of Internalized Transphobia-Mediated Post-Traumatic Stress., Sebastian Mitchell Barr Dec 2018

Understanding The Relationship Between Anti-Transgender Bias, Non-Affirmation, And Post-Traumatic Stress: A Model Of Internalized Transphobia-Mediated Post-Traumatic Stress., Sebastian Mitchell Barr

Electronic Theses and Dissertations

Transgender people’s increased risk for negative mental health outcomes, when compared to cisgender peers or the general public, has been well documented in the psychological literature. Researchers have begun to establish empirical support for a relationship between anti-transgender bias, non-affirmation of gender identity, internalized transphobia, and other transgender-specific minority stressors. Although little work has explored the mechanisms of this relationship, some psychologists have proposed conceptualizing these factors as potentially traumatic experiences and understanding the poor mental health outcomes as manifestations of complex post-traumatic stress. In this dissertation, I examine whether there is empirical support for this framework by evaluating the …


Stalkers : What Are They Thinking?, Bethany Lynne Keller Dec 2018

Stalkers : What Are They Thinking?, Bethany Lynne Keller

Electronic Theses and Dissertations

Stalking became a prominent term in U.S culture in 1990 after a celebrity was murdered by a stalker in 1989. While media portrays stalking as a violent crime, often directed towards celebrities and prominent political figures, this is a much more common occurrence than people are aware, most often directed at women and perpetrated by men. Stalking often consists of the milder end of the continuum of behaviors, such as spying and leaving gifts for the target, and is often perpetrated by an individual the target knows, such as an acquaintance of an ex-intimate. Forty-eight percent of stalkers fall in …


Framing Climate Change As National Security: A Survey-Experiment On Climate Change Perceptions., Adam Lyons Dec 2018

Framing Climate Change As National Security: A Survey-Experiment On Climate Change Perceptions., Adam Lyons

Electronic Theses and Dissertations

The issues surrounding climate change continue to have polarizing effects on many Americans. In this thesis I offer a potential bridge to this divide with a comprehensive study on how issue frames can impact how individuals shape their opinions on environmental issues. Focusing on a national security frame, I ask the central research “Will the public perceive issues of climate change differently when they are framed as threats to national security?” For this thesis I design an original experimental survey to measure the impact security framing has on participants’ perception of both climate change and environmental policy options. The survey …


Microaggressions In Lgb Individuals: The Protective Role Of Positive Lgb Identity., Ghazel Tellawi Dec 2018

Microaggressions In Lgb Individuals: The Protective Role Of Positive Lgb Identity., Ghazel Tellawi

Electronic Theses and Dissertations

The purpose of the current study was to examine LGB identity from a multidimensional approach in the context of microaggressions. The aims of the study were as follows: 1) to examine whether positive and negative facets of LGB identities are correlated; 2) to determine whether positive LGB identity facets served as protective factors against the negative impact of microaggressions; 3) to explore the unique contribution of having a positive LGB identity against the negative impact of microaggressions when compared to other protective factors (social support and outness). Participants were 135 undergraduate students recruited through the University of Louisville’s research participant …


Exploring The Capabilities Approach In A Sport For Development And Peace Setting., Jeffrey F. Levine Dec 2018

Exploring The Capabilities Approach In A Sport For Development And Peace Setting., Jeffrey F. Levine

Electronic Theses and Dissertations

Sport for Development and Peace (SDP) has become a popular approach to development. However, critical scholars remain skeptical of SDP’s effectiveness. Utilizing a holistic approach that includes local voices may help a program’s effectiveness. Scholars are searching for a framework flexible enough to accommodate the varied nature of programs. One theoretical approach is the Capabilities Approach, which evaluates well-being based on what people can do and be. This case study explored the Capabilities Approach in an SDP setting. Youth Odyssey, a non-profit organization that works with at-risk youth through adventure programming, was the case. This case study explored what role …


Public Policy And Strategies To Support Institutional And Technological Innovations In The New Water Economy: The Example Of Innovation Technology Clusters In Developing And Diffusing Water Technologies., Craig Francis Barham Dec 2018

Public Policy And Strategies To Support Institutional And Technological Innovations In The New Water Economy: The Example Of Innovation Technology Clusters In Developing And Diffusing Water Technologies., Craig Francis Barham

Electronic Theses and Dissertations

A long list of water technologies has been central to human development throughout history. From the well in ancient times to desalination in the contemporary period, water technologies are needed to produce, distribute and treat water to support human life, industry, agriculture, and environmental health. As human development puts intense pressure on the planet's limited fresh water supplies, society is turning to increasingly innovative water technologies to close the supply-demand gap. The water economy represents a significant share of total economic output it its own right, while at the same time water directly or indirectly underpins all other economic activity. …


Furthering Understanding Of Forensic Units: A Detailed Examination Of Knoxville Police Department's Crime Scene Unit., Cassandra Christina Rausch Dec 2018

Furthering Understanding Of Forensic Units: A Detailed Examination Of Knoxville Police Department's Crime Scene Unit., Cassandra Christina Rausch

Electronic Theses and Dissertations

Throughout the past three decades, the criminal justice system has decidedly employed new technologies for the purposes of establishing guilt or innocence. Forensic science, with its synthesis of scientific methodology and investigative considerations of law enforcement, ushered in the development of DNA profiling and forever changed the process of crime scene investigation.This shift in focus also led to a shift in the individuals involved in investigation, producing the widespread formation of stand-alone crime scene units. Utilizing both civilian and sworn employees of a law enforcement agency, these units became responsible for the documentation, collection, and preservation of evidence that would …


Is The Sum Greater Than The Parts? A Qualitative Case Study Of Cross-Functional Team Creativity., Tracy J. Richardson Dec 2018

Is The Sum Greater Than The Parts? A Qualitative Case Study Of Cross-Functional Team Creativity., Tracy J. Richardson

Electronic Theses and Dissertations

Creativity is an important capability for organizations to develop solutions for complex challenges. Cross-functional teams are often used within organizations in the hope of leveraging diverse perspectives to develop creative ideas. However, the process by which cross-functional teams generate new ideas is often elusive in practice and poorly understood in research. A case-study design was used to explore the complex nature of the creative process within a services industry organization, which is an understudied context for creativity. The study focused on the knowledge sharing and knowledge integration processes for cross-functional teams as well as overall team effectiveness. The results of …


Assessing The Affects Of Treatment Services, Financial Assistance, Race/Ethnicity, And Income On The Criminal Justice Outcomes Of Women On Probation., Jordan Wilfong Dec 2018

Assessing The Affects Of Treatment Services, Financial Assistance, Race/Ethnicity, And Income On The Criminal Justice Outcomes Of Women On Probation., Jordan Wilfong

Electronic Theses and Dissertations

The aim of this study is to examine the affect that treatment services have on the criminal justice outcomes of women on probation. The research to date on the treatment services provided to the criminal justice population has tended to focus on prisoners rather than probationers, with even fewer studies that include samples of women on probation. This study will investigate the impact on criminal justice outcomes of services intended to treat issues identified to increase recidivism among female probationers, such as substance use disorders, illicit drug use, mental health issues, and poverty. An additional assessment is conducted to determine …


Repetitive Negative Thinking Styles And First-Semester Academic Performance: Psychological Risk And Resilience Among Low-Income College Students., Darlene M. Davis Dec 2018

Repetitive Negative Thinking Styles And First-Semester Academic Performance: Psychological Risk And Resilience Among Low-Income College Students., Darlene M. Davis

Electronic Theses and Dissertations

College students face significant mental health and academic challenges their first academic year. The college transition period can be stressful. In addition, students are increasingly endorsing anxious and depressive symptoms. Depressive and anxious symptoms are linked to repetitive negative thinking styles that present in college students, which contributes to academic interference. The first year of college can be challenging for students who are unable to adjust and adapt. Students who struggle and feel overwhelmed by life stressors experience psychological disruption that interferes with academic performance. Growing up in poverty has been associated with lower grade point averages and poorer graduation …


Using Reality Therapy In Clinical Supervision : A Psychotherapy-Driven Model., Quentin Hunter Aug 2018

Using Reality Therapy In Clinical Supervision : A Psychotherapy-Driven Model., Quentin Hunter

Electronic Theses and Dissertations

Clinical supervision is the signature pedagogy of counseling, with most professional counselors engaging in some type of supervision during their careers (Bernard & Goodyear, 2014). Psychotherapy-based models of supervision are the oldest models, originally intended to train supervisees to practice a specific psychotherapy (e.g., psychodynamic, behavioral; Watkins & Scaturo, 2013). Pearson (2006) indicated that contemporary clinical supervision could be informed by both the research in the role of development in clinical supervision and the tenets of a theory of psychotherapy. Although Pearson (2006) provided a conceptualization of psychotherapy-driven models of supervision, there is little research into the efficacy of such …


The Role Of Hardiness In The Relation Between Perceived Daily Discrimination And Depressive Symptoms In Community College Students., Rosamond J. Smith Aug 2018

The Role Of Hardiness In The Relation Between Perceived Daily Discrimination And Depressive Symptoms In Community College Students., Rosamond J. Smith

Electronic Theses and Dissertations

In the current study, perceived daily discrimination (PDD) is conceptualized as a chronic stressor which repeatedly activates a stress response and results in depressive symptoms, per the theory of allostatic load. Psychological hardiness is explored as a potential moderator of the relation between PDD and depressive symptoms, because individuals who repeatedly demonstrate hardiness may be primed for making cognitive reappraisals of potential stressors and/or for mobilizing appropriate coping strategies, thus limiting the body’s repeated stress responses and subsequent depressive symptoms. This cross-sectional survey of a diverse sample of 305 community college students included measures of hardiness (Dispositional Resilience Scale, …


Examining The Temporal Directionality Between Teaching Behavior And Affect In High School Students., Bridget Cauley Aug 2018

Examining The Temporal Directionality Between Teaching Behavior And Affect In High School Students., Bridget Cauley

Electronic Theses and Dissertations

Previous empirical studies demonstrate a cross-sectional association between teaching behaviors and students’ positive and negative affect and depressive symptoms. However, only one study comprised only of middle school students has examined the temporal direction of these associations, meaning the temporal direction of associations for high school students remains unclear. Therefore, this two-wave study with high school students investigated the temporal direction of the associations between teaching behaviors and students’ positive and negative affect. Participating students from one public high school (N = 188; 88.8% White; 69.7% female) completed the Teaching Behavior Questionnaire and the Positive Affect and Negative Affect …


Weight Stigma And Motivation To Exercise : Exploring Associations And Constructs From The Basic Needs Theory., Stephanie R. Mcdonough Aug 2018

Weight Stigma And Motivation To Exercise : Exploring Associations And Constructs From The Basic Needs Theory., Stephanie R. Mcdonough

Electronic Theses and Dissertations

Social influences, such as weight stigma, perpetuate rates of overweight and obesity, as well as contribute to poor physical and psychological health. It has been postulated that weight stigma negatively affects motivation to exercise, though the literature is mixed and underlying mechanisms of action are not well conceived. The present study aimed to: (1) explore the relationship between frequency of experienced weight stigma and exercise motivation and behavior (2) assess how frequency of experienced weight stigma might differ based on participant characteristics such as body weight and (3) consider unique associations between frequency of personal experiences with weight-based stigma, exercise …


A Structural Equation Analysis Of The Relationships Between Ptsd, Depressive Symptoms And Suicidal Ideation : Is General Strain Theory A Viable Framework For Explaining Suicide Risk Among Correctional Staff?, Wm. Clay Johnson Aug 2018

A Structural Equation Analysis Of The Relationships Between Ptsd, Depressive Symptoms And Suicidal Ideation : Is General Strain Theory A Viable Framework For Explaining Suicide Risk Among Correctional Staff?, Wm. Clay Johnson

Electronic Theses and Dissertations

There is a large body of evidence, which suggests PTSD is strongly related to increased suicide risk, however, some studies suggest the true nature of their relationship is better explained through the development of depression due to the effects of PTSD. While a majority of the studies examining this relationship focus only on general populations, a growing body research suggests that high-risk occupations such as police, firefighters and correctional staff are developing PTSD at rates as high as 8 to 10 times that of the rate of these general samples. This study, then, aims to fill a small gap in …


Macro-Level Predictors Of Assaults Against Police In Kentucky., Virginia Paulette Redman Aug 2018

Macro-Level Predictors Of Assaults Against Police In Kentucky., Virginia Paulette Redman

Electronic Theses and Dissertations

Law enforcement is one of the most dangerous careers. Every day, while performing their jobs, police officers may find themselves in situations that place them at a high risk of being victimized or even feloniously killed by members of the public. Over the past five decades, several quantitative and qualitative research studies tried to identify the circumstances and the individual-level factors associated with an increased risk of police victimization. While most of the research studies focusing on police victimization were descriptive and/or were based on micro-level analyses, macro-level research on this topic is relatively scant. This dissertation intends to reduce …


Fostering Positive Emotion Through Self-Compassion In Individuals With Chronic Pain., Melissa E. Ellsworth Aug 2018

Fostering Positive Emotion Through Self-Compassion In Individuals With Chronic Pain., Melissa E. Ellsworth

Electronic Theses and Dissertations

Previous research in chronic pain has established that reducing or removing negative aspects of functioning, such as negative emotion, maladaptive thoughts and behaviors are associated with better outcomes in this population. More limited is the research on the role of positive aspects of functioning in those with chronic pain, specifically exploring the benefits of positive emotion and how this can be bolstered in individuals with chronic pain. Limited research to date has explored strategies to promote positive aspects of functioning, including savoring, gratitude, and mindfulness, but even more limited is research exploring the role of self-compassion as a resource for …


Navigating Mental Health Care Access In Louisville : An Ethnography Of Local Resources And Care Assemblages., Laura Drabelle Valentine Aug 2018

Navigating Mental Health Care Access In Louisville : An Ethnography Of Local Resources And Care Assemblages., Laura Drabelle Valentine

Electronic Theses and Dissertations

This thesis examines barriers to care access present in Louisville, Kentucky's community mental health care infrastructure, and how individuals who seek mental health care experience and navigate those barriers. This thesis expands research about the impacts of health care reform following the Affordable Care Act and adds to literature about the political economy of health-seeking behaviors. Drawing on assemblage theory and ethnographic research with both care-providers and care-recipients of Community Mental Health Care Organizations, I argue that both groups attempt to alleviate barriers to care access and facilitate mental health recovery through the development of formal and informal strategies. Examining …


Accuracy Differences Between Interview Formats : Examining Factors That May Influence Metamemory Utilization., Robin F. Hopkins Aug 2018

Accuracy Differences Between Interview Formats : Examining Factors That May Influence Metamemory Utilization., Robin F. Hopkins

Electronic Theses and Dissertations

Eyewitnesses are important for criminal investigations. When interviewing witnesses, police first ask witnesses to describe what they observed. This initial statement is a free narrative (FN) and is usually highly accurate. Next, police ask follow-up questions (FQs), which generate additional information but often at the cost of accuracy. This dissertation aims to examine factors that may contribute to the effect of interview format on accuracy and whether FQ instructions change detail quality provided in follow-up question responses (FQRs). Additionally, individual differences in responding to FQ instructions were explored. Subjects watched a movie clip depicting a crime. Next, subjects filled out …


Art Theft, Art Vandalism, And Guardianship In U.S. Art Institutions., Katharine L. Salomon Aug 2018

Art Theft, Art Vandalism, And Guardianship In U.S. Art Institutions., Katharine L. Salomon

Electronic Theses and Dissertations

Art crime scholars and art world professionals constantly grapple with determining the most effective methods by which to reduce and prevent victimization by art thieves and art vandals. Despite the numerous accounts of this form of criminality, there is a dearth of empirical studies focused on the security and care of art collections. Using Routine Activities Theory to guide the research, the present study explores the relationship between social and physical guardianship practices and the prevalence of art theft and art vandalism using questionnaire data collected from 111 American art museums and art galleries. The results indicate an overwhelming lack …


Effects Of Context And Individual Differences On Memory For Prior Remembering., Marcus L. Leppanen Aug 2018

Effects Of Context And Individual Differences On Memory For Prior Remembering., Marcus L. Leppanen

Electronic Theses and Dissertations

Though people often remember experiences from their lives, they are also able to remember whether a memory has previously been retrieved, which is known as memory for prior remembering. Frequent failures of memory for prior remembering can have negative consequences on how people perceive their own cognitive health. The recurrence of traumatic memory retrieval can be interpreted as a consequence of intrusive memory for prior remembering. This dissertation was conducted to improve our understanding of the factors that influence the efficacy of memory for prior remembering. The two factors that were investigated were context change and individual differences. Participants ( …


Race In Predominately White Schools : Implications For School Counselors., Katelyn Marie Gosnell Richey Aug 2018

Race In Predominately White Schools : Implications For School Counselors., Katelyn Marie Gosnell Richey

Electronic Theses and Dissertations

This study examined the phenomenon of white school counselors and the discussions about race that occur at predominately white schools. Research in the area of predominately white schools and discussions about race is severely lacking (Chandler, 2009; Chandler & McKnight, 2009). Additionally, many researchers and authors reported that conversations about race are either avoided or poorly managed in K-12 schools (Brown & Brown, 2010; Chandler & McKnight, 2009; Lintner, 2004; Burrell & Walsh, 2001; ; Loewen, 2007; Zimmerman, 2004). This points to an even greater importance on school counselors cultivating these conversations with the students at the schools in which …


Understanding The Relationship Between Positive Affect And Cortisol In Lung Cancer Patients., Lauren Ann Zimmaro Aug 2018

Understanding The Relationship Between Positive Affect And Cortisol In Lung Cancer Patients., Lauren Ann Zimmaro

Electronic Theses and Dissertations

Positive psychobiological processes within lung cancer patients are drastically understudied. This dissertation explores the nature of positive affect (PA) and potential associations with diurnal cortisol among lung cancer patients, given the prognostic significance of diurnal cortisol rhythms. Theoretical underpinnings and current literature involving PA, cancer, and diurnal cortisol are first reviewed. An original integrated model of PA and cortisol among cancer patients is then presented, from which the proposed dissertation study and analyses are derived. Sixty-one non-small cell lung cancer patients provided self-report assessment of mood (PANAS PA and NA subscales, CES-D PA subscale), medical and demographic characteristics, and 10-day …


Transgender And Racial Identities Negotiation Processes Of Transgender Asians, Asian Americans, And Pacific Islanders : A Transcendental Phenomenological Examination., Jayden Thai Aug 2018

Transgender And Racial Identities Negotiation Processes Of Transgender Asians, Asian Americans, And Pacific Islanders : A Transcendental Phenomenological Examination., Jayden Thai

Electronic Theses and Dissertations

While the field of transgender (trans) research is vastly growing and expanding, little is known about the process in which trans Asian and Pacific Islanders (API) individuals experience, navigate, and negotiate their trans and API cultural identities. The aims of this study were to: 1) examine the navigation and negotiation process for trans API individuals related to their cultural identities and values; 2) enhance, enrich, and diversify existing trans and API literature by generating foundational and complex understanding of trans API identity processes; and 3) challenge hegemonic narratives regarding trans API individuals’ lived experiences. Moustakas’ (1994) transcendental phenomenological qualitative methodology …


The ‘Just City’ Or Just A City? : Evaluating Social Justice And Equity In Planning Education., Wes Grooms Aug 2018

The ‘Just City’ Or Just A City? : Evaluating Social Justice And Equity In Planning Education., Wes Grooms

Electronic Theses and Dissertations

Contemporary evaluations of accredited planning education performance have eschewed the principles and methodologies of formal program evaluation and performance management. This dissertation tests hypotheses that this contributes to the lack of social equity and justice commitment, content, and inquiry on the part of accredited graduate planning degree programs, their clients, and administrators. The organizations, resources, and processes involved in the purveyance of accredited graduate planning education were conceptualized as a singular, evaluable program and illustrated in a series of program logic models. These models revealed sources of the inattentiveness to normative issues that past evaluations have evidenced, and informed assertions …


The Effects Of Monaural And Binaural Cues On Perceived Reverberation By Normal Hearing And Hearing-Impaired Listeners., Gregory Matthew Ellis Aug 2018

The Effects Of Monaural And Binaural Cues On Perceived Reverberation By Normal Hearing And Hearing-Impaired Listeners., Gregory Matthew Ellis

Electronic Theses and Dissertations

This dissertation is a quantitative and qualitative examination of how young normal hearing and young hearing-impaired listeners perceive reverberation. A primary complaint among hearing-impaired listeners is difficulty understanding speech in noisy or reverberant environments. This work was motivated by a desire to better understand reverberation perception and processing so that this knowledge might be used to improve outcomes for hearing-impaired listeners in these environments. This dissertation is written in six chapters. Chapter One is an introduction to the field and a review of the relevant literature. Chapter Two describes a motivating experiment from laboratory work completed before the dissertation. This …


Cross-Validation Of The Body Compassion Scale In A Sample Of Women In Perimenopause., Jennifer K. Altman Aug 2018

Cross-Validation Of The Body Compassion Scale In A Sample Of Women In Perimenopause., Jennifer K. Altman

Electronic Theses and Dissertations

This study is a cross-validation of the Body Compassion Scale (BCS) to confirm its factor structure and to assess concurrent validity in women in perimenopause. Body compassion is a construct developed by the author referring to the level of compassion with which an individual relates to her body. It is based in contemporary mindfulnessand acceptance-based conceptual models. The body is central to the experience of women in perimenopause. Moreover, this important transition has been largely medicalized— with little attention given to experiential aspects of this natural phase of life. A total of 281 women in perimenopause completed online questionnaires assessing …


Screening Older Adults For Depression : The Relationship Among Clinical Discipline Training, Barriers, Attitudes, Norms, And Perceived Behavioral Control., Ronald W. Smith Aug 2018

Screening Older Adults For Depression : The Relationship Among Clinical Discipline Training, Barriers, Attitudes, Norms, And Perceived Behavioral Control., Ronald W. Smith

Electronic Theses and Dissertations

Purpose of the Study: The purpose of this study is examine the influence of barriers on clinicians’ decisions to screen for depression in older adults or to refer to other health professionals. A second purpose is to explore how well the Theory of Planned Behavior is supported as a framework for understanding the likelihood of screening for depression and how the variables within the theory interact with barriers to affect clinician behavior. A final purpose is to explore characteristics of depression screening or referral of older adults by several clinical disciplines. Design and Methods: This study featured a …