Counseling Commons^™

Effect Of Company-Driven Disability Diversity Initiatives: A Multi-Case Study Across Industries, Brian N. Phillips, Teresa A. Granger, Chase Ochrach, Kathryn A. Thomas, Antonio Reyes, Rachel F. Kesselmayer, Catherine A. Anderson, Katherine B. Friedman, Multiple Additional Authors

Counselor Education Faculty Publications and Presentations

OBJECTIVE: In this article, we share insights emerging from case studies conducted across seven companies.We illustrate the motives, processes, and outcomes of these initiatives. METHODS: This study is built on the previously published case studies conducted across seven companies. We applied elements of consensual qualitative research (CQR) for the data collection and analyses before performing an in-depth qualitative content analysis using the data coded for each company, looking for commonalities and differences. RESULTS: Although practices differed, all companies experienced noted benefits. Committed leadership and complementary company values facilitated successful outcomes for initiatives. The strength or salience of disability-inclusive actions and …

A Call To Action For Disability And Rehabilitation Research Using A Discrit And Disability Justice Framework, Toni Saia, Rana Yaghmaian, Rachel Cuesta, Carlyn Mueller, Roxanna N. Pebdani

Counselor Education Faculty Publications and Presentations

Purpose: Disability and ableism exist within a societal context that does not ignore the many facets of a person’s identity, however often our disability research does not recognize how experiences vary based on the intersecting identities individuals hold. This article utilizes Intersectionality, Dis/ability Critical Race Studies (DisCrit), and Disability Justice to identify ways for rehabilitation researchers to adapt their research practices for maximum inclusivity and representation.

Materials and Methods: Using these three frameworks, we have developed a call to action including recommendations for rehabilitation researchers to consider as they design and implement research projects.

Results: Incorporating these frameworks provides an …

International Mental Health Education, Service, And Research: Working Across Cultural Boundaries With Humility, Creativity, And Perseverance [Keynote], Yun Shi, Zachary Pietrantoni, Maha Y. See

Counselor Education Faculty Publications and Presentations

This keynote presentation addresses doing International mental health education, services, and research with humility, creativity, and perseverance.

Facilitating Role Understanding And Collaboration Between Aspiring School Counselors And Principals, Shelby K. Gonzales, Dodie Limberg, Kathleen M. W. Cunningham

Counselor Education Faculty Publications and Presentations

Using a convergent mixed-methods design, we investigated role understanding and collaboration between school counselors and principals. Specifically, this study situated aspiring school counselors and principals in a curriculum intervention on the role of their counterpart and then brought the two professions together in a collaborative powerful learning experience. The results of our pilot study demonstrate that both school counselor and educational leadership graduate students benefit from and value a presentation on roles of their opposite counterpart and the opportunity to practice collaboration in their graduate preparation programs.

Sensation Seeking And Adolescent Drinking: Do Protective Behavioral Strategies Lower Risk?, Diana M. Doumas, G. Michael Russo, Raissa Miller, Susan Esp, Nadine R. Mastroleo, Rob Turrisi

Counselor Education Faculty Publications and Presentations

Using a cross-sectional design, we examined protective behavioral strategies (PBS) as a moderator of the relationship between sensation seeking and hazardous drinking and alcohol-related consequences among high school seniors (N = 212). Hierarchical regression analyses indicated sensation seeking was a significant predictor of binge drinking (β = 0.65, p < 0.001), prepartying (β = 0.71, p < 0.001), gaming (β = 0.75, p < 0.001), and alcohol-related consequences (β = 0.69, p < 0.001). Further, PBS moderated these relationships such that among high sensation seeking adolescents, PBS use was associated with better outcomes, including lower levels of binge drinking (β = −0.37, p < 0.01), prepartying (β = −0.44, p < 0.01), gaming (β = −0.31, p < 0.05), and alcohol-related consequences (β = −0.53, p < 0.001). We discuss counseling implications, including assessment and harm reduction strategies focusing on PBS to reduce hazardous drinking among high sensation seeking adolescents.

Adding Chinese Herbal Medicine To Routine Care Is Associated With A Lower Risk Of Rheumatoid Arthritis Among Patients With Asthma: A Population-Based Retrospective Cohort Study, Wei-Chiao Chang, Hanoch Livneh, Wei-Jen Chen, Chang-Cheng Hsieh, Yu-Han Wang, Ming-Chi Lu, How-Ran Guo, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Objective: Due to the shared pathogenesis of asthma and rheumatoid arthritis (RA), patients with asthma were found to have a higher risk of RA. While the benefits and safety of Chinese herbal medicine (CHM) for asthma have been reported, the scientific evidence regarding its effect on RA is limited. This longitudinal cohort study aimed to determine the relation between CHM use and RA risk in patients with asthma.

Methods: Using the nationwide claims data, we enrolled 33,963 patients 20–80 years of age who were newly diagnosed with asthma and simultaneously free of RA between 2000 and 2007. From this sample, …

Association Of Chinese Herbal Medicine Use With The Depression Risk Among The Long-Term Breast Cancer Survivors: A Longitudinal Follow-Up Study, Shu-Yi Yang, Hanoch Livneh, Jing-Siang Jhang, Shu-Wen Yen, Hua-Lung Huang, Michael W.Y. Chan, Ming-Chi Lu, Chia-Chou Yeh, Chang-Kuo Wei, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Background

Breast cancer patients are at elevated risk of depression during treatment, thus provoking the chance of poor clinical outcomes. This retrospective cohort study aimed to investigate whether integrating Chinese herbal medicines citation(CHM) into conventional cancer therapy could decrease the risk of depression in the long-term breast cancer survivors.

Methods

A cohort of patients aged 20–70 years and with newly diagnosed breast cancer during 2000–2008 was identified from a nationwide claims database. In this study, we focused solely on survivors of breast cancer at least1 year after diagnosis. After one-to-one matching for age, sex, and baseline comorbidities, breast cancer patients …

An Investigation Of How School Counselors Adapted Their Delivery Due To Covid-Induced Disparities, Dodie Limberg, Elizabeth Villares, Shelby Gonzales, Angie Starrett, Nadiya Rosen

Counselor Education Faculty Publications and Presentations

We utilized a mixed-methods design to understand how a national sample of 589 school counselors adapted their approach to address K–12 students’ academic, social/emotional, and career development during the COVID-19 pandemic. More specifically, we examined how COVID-19–induced disparities influenced school counselors’ delivery of services. We identified six themes using thematic analysis and conducted a t test to further understand what services and strategies counselors were actively using 6 months after the onset of COVID-19. Our findings suggest that school counselors continued to adjust their comprehensive school counseling programs to address pandemic-induced disparities.

Parecoxib Reduced Postsurgical Pain And Facilitated Movement More Than Patient Controlled Analgesia, Szu-Ching Chiu, Hanoch Livneh, Jin-Cheng Chen, Chia-Ming Chang, Honda Hsu, Tsay-I Chiang, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Background: Postoperative pain management is an imperative issue for patients undergoing lumbar spinal fusion surgery. Delayed pain relief is associated with poor clinical outcomes. This study compared the effects of intravenously administered patient-controlled analgesia (PCA) with intravenous parecoxib, both commonly used methods for analgesic pain control after surgery.

Methods: A non-randomized study was used to recruit 68 patients who were scheduled to receive lumbar spinal fusion surgery at a hospital in Taiwan from April through December of 2020. The group treated with parecoxib received an initial perioperative dose of parecoxib 40 mg during a 30-min period and then postoperative intravenous …

Healing Layers Of Trauma: Culturally Responsive Counseling With Asian American Clients, Yun Shi, Atsuko Seto, Sharon Stanley

Counselor Education Faculty Publications and Presentations

Learning Objectives
Objective 1: To understand the wide range of traumatic experiences that affect the Asian American population and implications for counseling practice.
Objective 2: To articulate the foundation for establishing a therapeutic relationship with clients of Asian descent.
Objective 3: To be able to apply 3 5 trauma informed and culturally responsive counseling strategies for facilitating the growth and healing of Asian American clients.

Can The Concepts Of Energy And Psychological Energy Enrich Our Understanding Of Psychosocial Adaptation To Traumatic Experiences, Chronic Illnesses And Disabilities?, Hanoch Livneh

Counselor Education Faculty Publications and Presentations

The aim of this paper is to familiarize the reader with the concept of psychological energy (PE), and the role it plays in deepening our understanding of psychosocial adaptation to traumatic life events and, more pointedly, the onset of chronic illness and disability (CID). In order to implement this aim, the following steps were undertaken: First, a brief historical review of the nature of energy, force and action, as traditionally conceived in the field of physics, is provided. Second, an overview of PE is presented, with a shared emphasis on both its historical underpinnings and its present conceptualizations in the …

Heavy Drinking Among High School Student Athletes And Non-Athletes: Do Differences Emerge As Early As The Ninth Grade?, Diana M. Doumas, Nadine Mastroleo

Counselor Education Faculty Publications and Presentations

Background: High school athletes have been identified as a high-risk group for heavy drinking. Little is known, however, about the timing of when student athlete heavy drinking begins to diverge from that of non-athletes. Objectives: The aim of the current study is to examine differences in changes in heavy drinking among ninth grade student athletes and non-athletes across the academic year. We hypothesized that student athletes would report greater increases in heavy drinking compared to non-athletes from fall to spring semester. Methods: Ninth grade students (N = 217) aged 13 to 15 completed questionnaires on heavy drinking indices, quantity of …

Making Sense Of Counseling And Counselor Training In The Chinese Context: Two Ipa Studies On U.S.-Trained Chinese Counselors’ Experiences Practicing In China, Yun Shi

Counselor Education Faculty Publications and Presentations

No abstract provided.

A Comparison Of The Risk Of Fracture In Rheumatoid Arthritis Patients With And Without Receiving Chinese Herbal Medicine, Hou-Hsun Liao, Hanoch Livneh, Yu-Jung Chung, Ching-Hsing Lin, Ning-Sheng Lai, Hung-Rong Yen, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Objective: Patients with rheumatoid arthritis (RA) often suffer from bone complications due to persistent joint inflammation, especially incident fracture. Nowadays, Chinese herbal medicines (CHMs) have provided safe and effective therapy for treating skeletal conditions, but it is unclear whether CHMs can prevent fracture onset among RA individuals. This study aimed to determine the association between the use of CHMs and the risk of fracture among them.

Methods: This retrospective, population-based study retrieved administrative health data from the Taiwan National Health Insurance (NHI) database to identify patients with newly diagnosed RA between 2000 and 2009. Of the 6178 incident …

The Relationship Between Witnessing Bullying, Defending Targets, And Internalizing Symptoms: An Analysis Of Gender Differences Among Sixth-Grade Students, Aida Midgett, Diana M. Doumas, Matt Peck, Amanda Winburn

Counselor Education Faculty Publications and Presentations

We examined the moderating effect of gender on witnessing bullying, defending, and internalizing symptoms among sixth-grade students at one middle school in the northwestern United States. Results indicated that for females, witnessing bullying was positively associated with depressive symptoms and social anxiety, whereas for males, defending was positively associated with depressive symptoms. Findings suggest the importance of equipping female students with strategies to cope with witnessing bullying and providing male students with appropriate intervention skills for defending targets.

Adding Pay-For-Performance Program To Routine Care Was Related To A Lower Risk Of Depression Among Type 2 Diabetes Patients In Taiwan, Wei-Cheng Lian, Hanoch Livneh, Hui-Ju Huang, Ming-Chi Lu, How-Ran Guo, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Background: Patients with type 2 diabetes (T2DM) often experience depression during treatment, negatively influencing their treatment compliance and clinical outcomes. Recently, the pay-for-performance (P4P) program for chronic diseases, with high-cost and high-risk feature, such as T2DM, has been implemented and has been operational for several years. Nevertheless, its effect on the risk of developing depression among T2DM cases is unknown. This study aims to explore the association of P4P use with the subsequent risk of developing depression among these patients.

Methods: This cohort study used a nationwide health insurance database to identify patients 20–70 years of age newly diagnosed with …

The Relationship Between Witnessing Cyberbullying And Depressive Symptoms And Social Anxiety Among Middle School Students: Is Witnessing School Bullying A Moderator?, Diana M. Doumas, Aida Midgett

Counselor Education Faculty Publications and Presentations

The purpose of this study was to examine the relationship between witnessing cyberbullying and depressive symptoms and social anxiety among middle school students (N = 146). Students completed questionnaires assessing experiences witnessing cyberbullying, school bullying, depressive symptoms, and social anxiety. Regression analyses revealed that witnessing cyberbullying was associated with higher levels of depressive symptoms even after controlling for frequency of witnessing school bullying. Further, for depressive symptoms, the moderating effect of witnessing school bullying was significant, indicating that students who witnessed both cyberbullying and school bullying reported the highest level of depressive symptoms and those that reported not witnessing …

Reducing Alcohol Use Among High School Athletes: A Randomized Controlled Trial Of A Brief, Web-Based Personalized Normative Feedback Intervention, Diana M. Doumas, Nadine R. Mastroleo

Counselor Education Faculty Publications and Presentations

High school athletes are at risk for heavy alcohol use, which is associated with consequences that may negatively impact performance and eligibility to participate in sports. This study evaluated the efficacy of a web-based personalized normative feedback intervention on reducing alcohol use among high school athletes in their senior year. Class periods were randomized to the intervention or an assessment-only control group. Athletes completed surveys at baseline and at a 6-week follow-up. They were classified as high-risk or low-risk drinkers based on baseline reports of binge drinking. Results indicated that for athletes classified as high-risk drinkers, those in the intervention …

The Association Between Witnessing Cyberbullying And Depressive Symptoms And Social Anxiety Among Elementary School Students, Diana M. Doumas, Aida Midgett

Counselor Education Faculty Publications and Presentations

Cyberbullying is a significant problem among school-aged youth. Although a growing body of literature has documented the association between cyberbullying victimization and mental health risks, there is limited research examining the impact of witnessing cyberbullying, particularly among elementary school students. To address this gap, we conducted a cross-sectional study with elementary school students (N = 122). Students completed questionnaires assessing witnessing cyberbullying, witnessing school bullying, bullying victimization, depressive symptoms, and social anxiety. Regression analyses revealed that witnessing cyberbullying was positively associated with depressive symptoms (β = 0.25, p < 0.04) and social anxiety (β = 0.30, p < 0.01), even after controlling for frequency of witnessing school bullying and bullying victimization. Further, the moderating effect of witnessing school bullying was significant for depressive symptoms (β = −0.44, p < 0.001) and social anxiety (β = …

Psychometric Evaluation Of The Arthritis Self-Efficacy Scale In Chinese Adults With Rheumatic Diseases: A Cross-Sectional Study, Tzung-Yi Tsai, Ming-Chi Lu, Hanoch Livneh, Miao-Chiu Lin, Ning-Seng Lai, How-Ran Guo

Counselor Education Faculty Publications and Presentations

The Arthritis Self-Efficacy Scale (ASES) was designed to assess the degree of self-efficacy among patients with arthritis. Though the original English version of this instrument has shown a high degree of reliability and validity, a Chinese version of this scale has yet to be validated. Therefore, the aim of this cross-sectional study was to evaluate the psychometric characteristics of the Chinese version of ASES (C-ASES) in a population of Chinese adults with rheumatic diseases (RDs).

The Relationship Of Acupuncture Use To The Endometriosis Risk In Females With Rheumatoid Arthritis: Real-World Evidence From Population-Based Health Claims, Hanoch Livneh, Wei-Jen Chen, Chien-Hui Hsu, Ying-To Hu, Ning-Sheng Lai, How-Ran Guo, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Objectives: Women affected by rheumatoid arthritis (RA) have a higher risk of endometriosis, an estrogen-dependent, chronic inflammatory disease. Though acupuncture has long been a safe and effective therapy for treating inflammatory conditions, it is unclear whether it could prevent the onset of endometriosis. This study aims to determine the effect of acupuncture on the subsequent risk of endometriosis in female RA patients.

Methods: Between 1998 and 2010, female subjects with RA were recruited from a nationwide database (5,736 patients; age ≥20 years). Enrolled patients included 2,407 acupuncture users and 2,407 nonusers randomly selected using propensity scores. The occurrence of endometriosis …

A Randomized Controlled Trial Of The Echeckup To Go For High School Seniors Across The Academic Year, Diana M. Doumas, Susan Esp, Rob Turrisi, Laura Bond

Counselor Education Faculty Publications and Presentations

Background: Among high school students, seniors report the highest levels of alcohol use and hazardous drinking. Technology-based interventions are a promising approach for reducing alcohol use among this age group. Objectives: This randomized controlled trial investigated the efficacy of the eCHECKUP TO GO, an online personalized feedback intervention, on reducing alcohol use among high school seniors across the academic year (ClinicalTrials.gov Identifier NCT03613818). Drinker risk status, with students classified as high- or low-risk drinkers based on baseline reports binge drinking, was examined as a moderator of intervention effects. Method: Participants (N = 311) were recruited from two high schools. …

Sex Differences In The Acceptability And Short-Term Outcomes Of A Web-Based Personalized Feedback Alcohol Intervention For High School Seniors, Diana M. Doumas, Susan Esp, Rob Turrisi, Laura Bond, Sherise Porchia, Brian Flay

Counselor Education Faculty Publications and Presentations

Despite the escalation of alcohol use through high school, the majority of research on school-based alcohol interventions has been conducted with junior high students or first and second year high school students. Preliminary research indicates a brief, web-based personalized feedback intervention developed for college students (eCHECKUP TO GO) may be a promising program for high school seniors. Although these studies demonstrate positive intervention effects, there is some evidence for greater program efficacy for females in this age group. The current study investigates sex differences in program acceptability of the eCHECKUP TO GO and its relationship to short-term alcohol outcomes among …

Impact Of A Brief, Bystander Bullying Prevention Program On Depressive Symptoms And Passive Suicidal Ideation: A Program Evaluation Model For School Personnel, Aida Midgett, Diana M. Doumas, Claudia Peralta, Laura Bond, Brian Flay

Counselor Education Faculty Publications and Presentations

The purpose of this article is to present a study that can serve as a model of program evaluation for school personnel that can be used to improve services and demonstrate program efficacy to key stakeholders. The study presented in this article evaluated the impact of a brief, bystander bullying program (“stealing the show,” “turning it over,” “accompanying others,” and “coaching compassion,” [STAC]) on depressive symptoms and passive suicidal ideation among middle school students in a rural, low-income community (N = 130). This topic was selected as there is limited research examining the efficacy of bystander programs on improving …

Reduced Stroke Risk Among Patients With Atrial Fibrillation Receiving Chinese Herbal Medicines Treatment: Analysis Of Domestic Data In Taiwan, Li‐Cheng Zheng, Hanoch Livneh, Wei‐Jen Chen, Miao‐Chiu Lin

Counselor Education Faculty Publications and Presentations

Background and objectives: Patients with atrial fibrillation (AF) reportedly have a much higher risk of death due to stroke. Faced with this heavy burden, it remains unclear if the Chinese herbal medicines (CHMs), the most common form complementary and alternative medicine, can lower the risk of stroke for them. This study aimed to evaluate the association of CHMs use with stroke risk among them. Materials and Methods: From a nationwide database, 11,456 AF patients aged ≧ 20 years between 1998 and 2007 were identified. Afterwards, we enrolled 2670 CHMs users and randomly selected 2670 non-CHMs users using the propensity score …

Efficacy Of The Echeckup To Go For High School Seniors: Sex Differences In Risk Factors, Protective Behavioral Strategies, And Alcohol Use, Diana M. Doumas, Susan Esp, Rob Turrisi, Laura Bond, Brian Flay

Counselor Education Faculty Publications and Presentations

Objective: The purpose of this randomized controlled study was to examine sex as a moderator of the efficacy of a brief, web-based personalized feedback intervention (eCHECKUP TO GO) on decreasing cognitive risk factors for alcohol use, increasing protective behavioral strategies, and reducing alcohol use among high school seniors. Method: Participants (n = 311) were high school seniors randomized by class period to the eCHECKUP TO GO intervention or assessment-only control group. Participants completed online surveys at baseline and 30-day follow-up (91.0%; n = 283). Results: Students in the intervention group reported a significant reduction in normative perceptions of peer …

Gaining Administrative Support For Doctoral Programs In Counselor Education, Rebecca Scherer, Regina Moro, Tara Jungersen, Leslie Contos, Thomas A. Field

Counselor Education Faculty Publications and Presentations

Initiating and sustaining a counselor education and supervision doctoral program requires navigating institutions of higher education, which are complex systems. Using qualitative analysis, we explored 15 counselor educators’ experiences collaborating with university administrators to gain support for beginning and sustaining counselor education and supervision doctoral programs. Results indicate the need to understand political elements, economical aspects, and the identity of the proposed program. Limitations and areas for future research are presented.

The Impact Of A Brief Bullying Bystander Intervention On Depressive Symptoms, Aida Midgett, Diana M. Doumas

Counselor Education Faculty Publications and Presentations

The authors evaluated the impact of a brief bullying bystander intervention (STAC) on depressive symptoms among high school students using a randomized controlled design. Results of path analyses provided support for a mediational model in which the intervention was associated with an increase in sense of school belonging, which in turn was associated with a reduction in depressive symptoms. The authors discuss implications for high school counselors and counselors in other settings working with adolescents.

A Mixed Method Evaluation Of A Culturally Adapted, Brief, Bullying Bystander Intervention For Middle School Students, Molly Moran, Aida Midgett, Diana M. Doumas, Sherise Porchia, Steve Moody

Counselor Education Faculty Publications and Presentations

The purpose of this mixed method study was to examine the appropriateness of a brief, bullying bystander intervention (STAC) adapted for a middle school in a low-income, rural community with a predominantly White and Hispanic student body. We were also interested in understanding the experiences of the students who participated in the intervention. Quantitative analysis suggested that students gained knowledge about bullying, increased their confidence to intervene in bullying situations, and used the STAC strategies to intervene in bullying behavior. Analyzing the qualitative data using Consensual Qualitative Research methodology ([CQR] Hill et al.) revealed four domains in which students (a) …

The Use Of Generic Avoidant Coping Scales For Psychosocial Adaptation To Chronic Illness And Disability: A Systematic Review, Hanoch Livneh

Counselor Education Faculty Publications and Presentations

This systematic review examined the validity of generic coping-with-stress measures in the relationships between avoidance-type coping and psychosocial adaptation to chronic illness and disability. Major data bases were searched for studies on the association between avoidance-type coping and psychosocial adaptation to chronic illness and disability. Findings indicated that reliance upon avoidance-type coping is linked to reports of poorer psychosocial adaptation. The veracity of these findings must be treated cautiously owing to conceptual, structural, psychometric, and other issues. Users of generic coping measures should consider these concerns prior to empirically investigating the link between generic avoidance-type coping measures and psychosocial adaptation …