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Assessing The Long-Term Effects Of Brief Behavioral Health Treatment In Primary Care Patients, Debbie Gomez 2017 University of Arkansas, Fayetteville

Assessing The Long-Term Effects Of Brief Behavioral Health Treatment In Primary Care Patients, Debbie Gomez

Theses and Dissertations

Although increasingly studies show brief behavioral health services are effective for primary care patients (Bridges et al., 2013; Bryan, Morrow, & Appolonio, 2009; Corso et al., 2012; Gomez et al., 2014), there is a paucity of research exploring the long-term effects of these interventions (e.g., Ray-Sannerud, 2012). The primary aim of the current study was to explore long-term effectiveness. Specifically, the current study 1) examined whether reductions in patient global distress following brief behavioral health care services were maintained long-term, 2) evaluated whether improvements were reliable and not due to regression to the mean effects, and 3) explored medical cost offset via ...


Can We Talk?: Synergistic Effects Of Cognitive And Behavioral Frameworks To Address Substance Use And Abuse, Lauren Jaye Adams 2017 University of South Florida

Can We Talk?: Synergistic Effects Of Cognitive And Behavioral Frameworks To Address Substance Use And Abuse, Lauren Jaye Adams

Graduate Theses and Dissertations

Behavioral economic accounts of substance use have provided a novel framework to examine constraints that affect behaviorally driven outcomes. Several behavioral studies support the application of such frameworks to examine impulsive decision-making processes as well as how subjective reward influences substance use. Based on stimulus-response models, behavioral economic research often applies mathematical formulas to draw conclusions about behavioral outcomes. These mathematical formulas, while useful, largely ignore decades of cognitive psychology research that have examined state-based influences (e.g., mood, environment, motivational processes, etc.) on behavioral sequelae. To address this issue, the present study merged a cognitive framework into two behavioral ...


Development Of Ethologically-Based Inhibitory Avoidance Models Of Fear Memory, Savannah Dalrymple 2017 University of South Florida

Development Of Ethologically-Based Inhibitory Avoidance Models Of Fear Memory, Savannah Dalrymple

Graduate Theses and Dissertations

Translational research provides a unique opportunity to investigate innate and conditioned fear to develop an integrated understanding of anxiety disorders, ultimately improving treatment for those afflicted. Many fear conditioning paradigms use physically aversive stimuli to induce fear but ethological stimuli may better represent psychological disorders from a translational standpoint. Natural predators and immobilization have been successful in inducing both innate and contextually conditioned fear in rodents but an inhibitory avoidance paradigm that uses ethologically relevant stimuli has yet to be developed. To expand the use of these stimuli into inhibitory avoidance conditioning, an inhibitory avoidance paradigm was developed to include ...


Effects Of Hypertension Education And Motivation Interviewing By Staff On Patients' Activation, Tammy C. Lu, Kathy S. James, Laura Wolfgang 2017 University of San Diego

Effects Of Hypertension Education And Motivation Interviewing By Staff On Patients' Activation, Tammy C. Lu, Kathy S. James, Laura Wolfgang

Doctor of Nursing Practice Final Manuscripts

Objective: This evidence-based practice project piloted a team-based program using Motivational Interviewing (MI) and 5 A’s (Assess, Advise, Ask, Assist, and Arrange) to promote healthy behavior and reduce blood pressure at an on-site corporate primary care clinic.

Methods: Patients were counseled using MI and the 5 A’s techniques. Patients received an educational booklet and monthly telephone follow up. Patients returned to clinic 3 months afterwards. Data collected included Dietary Screener Questionnaire scores, blood pressure, and self-rating of concern and motivation.

Results: A total of 4 people participated with variable follow-up. Readiness for change remained stable and confidence scores ...


Increasing Access To Aba Intervention For Children With Developmental Disabilities In Taiwan, Noel Hsu 2017 The University of San Francisco

Increasing Access To Aba Intervention For Children With Developmental Disabilities In Taiwan, Noel Hsu

Master's Projects and Capstones

Applied Behavior Analysis (ABA) uses a behavioral approach to help clients and their behavioral challenges. This treatment has been proven to be a highly effective intervention for children with developmental disabilities, such as autism spectrum disorders. It is widely practiced in the United States and many other developed countries; however, this intervention is not widely available in Taiwan. This phenomenon requires our investigation because it raises questions about the available supports and interventions for children with special needs in Taiwan. This project is to explore factors that influence the development of ABA intervention in Taiwan. The goal of this project ...


Behavioral Disorders: A Nutritional Checklist For The Educational Practitioner, Ronald F. Bobner, Louisa M. Marchionda, Carolyn Ridenour, Isadore Newman, Mary J. Beaubien 2017 Youngstown State University

Behavioral Disorders: A Nutritional Checklist For The Educational Practitioner, Ronald F. Bobner, Louisa M. Marchionda, Carolyn Ridenour, Isadore Newman, Mary J. Beaubien

Carolyn S. Ridenour

Millions of dollars are spent annually on special educational programs for children whose severe behavior disorders prevent them from participating in the regular school setting despite average or above average intellectual capacity. A growing body of research indicates that some of these behavior disorders are related to nutritional problems. (Pfeiffer and Iliev 1972; Kittler 1973; Mayron 1979; and Buckley 1977), and many clinicians support the view that no matter what the etiology of behavioral disorders, nutritional programs can improve the baseline data on medical, social and intellectual achievement, and on personality measures (Palmer 1978). Our purpose here is to present ...


Benefits Of Having A Pet At College: Perception Of Today’S College Students, Morgan Jenkins 2017 Georgia College and State University

Benefits Of Having A Pet At College: Perception Of Today’S College Students, Morgan Jenkins

Georgia College Student Research Events

The present literature review examined data from 10 studies that examined the benefits of pet therapy and well-being. Florence Nightingale, a pioneer of nursing, recognized these benefits in the early 1800s when she used animals to provide support to mentally ill patients. Since then, pets, but mainly dogs, have been used across various populations and in numerous settings such as with geriatrics in nursing homes, in disaster relief, with war veterans suffering from PTSD, with inmates in correctional facilities, with terminal patients in hospice care, and with pediatric patients in the hospital setting. In all of these scenarios, findings suggest ...


Role Of Food Preoccupation And Current Dieting In The Associations Of Parental Feeding Practices To Emotional Eating In Young Adults: A Moderated Mediation Study, Natalie A. Williams, Dipti Dev, Maren Hankey, Kimberly A. Blitch 2017 University of Nebraska-Lincoln

Role Of Food Preoccupation And Current Dieting In The Associations Of Parental Feeding Practices To Emotional Eating In Young Adults: A Moderated Mediation Study, Natalie A. Williams, Dipti Dev, Maren Hankey, Kimberly A. Blitch

Faculty Publications, Department of Child, Youth, and Family Studies

Parental feeding practices reflecting coercive control are related to children’s later eating behaviors, but the mechanisms underlying these effects remain poorly understood. This study examined the relationships between recalled childhood experiences of parental pressure to eat and restriction and current food preoccupation, dieting, and emotional eating in a racially diverse sample of college students (N = 711). Results revealed that parental restriction, but not pressure to eat, was associated with more emotional eating (r = 0.18, p < 0.0001). Food preoccupation mediated the association between restriction and emotional eating (95% CI [3.6495–7.2231]); however, a moderated mediation model revealed that the strength of the indirect effect of restrictive feeding on emotional eating through food preoccupation was significantly different for dieters and non-dieters (index of moderated mediation = 1.79, Boot SE = 0.79; 95% bias-corrected bootstrap CI [–3.5490 to –0.4515]). These findings provide unique insight into the mechanisms linking parental feeding practices with emotional eating in young adulthood. Future studies attempting to clarify the processes through which child feeding practices impact later eating behaviors should consider the role of current dieting.


Personality And Life Events In A Personality Disorder Sample, Linden R. Timoney, Zach Walsh, M. Tracie Shea, Shirley Yen, Emily B. Ansell, Carlos M. Grilo, Thomas H. McGlashan, Robert L. Stout, Andrew E. Skodol, Donna S. Bender, Charles A. Sanislow, Leslie C. Morey, John G. Gunderson 2016 University of British Columbia

Personality And Life Events In A Personality Disorder Sample, Linden R. Timoney, Zach Walsh, M. Tracie Shea, Shirley Yen, Emily B. Ansell, Carlos M. Grilo, Thomas H. Mcglashan, Robert L. Stout, Andrew E. Skodol, Donna S. Bender, Charles A. Sanislow, Leslie C. Morey, John G. Gunderson

Charles A. Sanislow, Ph.D.

Individuals with a personality disorder (PD) tend to experience more negative life events (NLEs) than
positive life events (PLEs). In community samples, the Five Factor Model of personality (FFM) predicts
both positive and negative life events. The present research examined whether FFM normal personality
traits were associated with positive and negative life events among individuals with 1 of 4 PDs: avoidant,
borderline, schizotypal, and obsessive– compulsive, and tested whether associations between the FFM of
personality and PLEs and NLEs were similar across the 4 PD groups and a control group. Among
aggregated PDs, neuroticism was positively associated with NLEs, whereas ...


Towards Computational Human Behavior Modeling For Just-In-Time Adaptive Interventions, Tylar Murray 2016 University of South Florida

Towards Computational Human Behavior Modeling For Just-In-Time Adaptive Interventions, Tylar Murray

Graduate Theses and Dissertations

The advent of powerful wearable devices and smartphones has enabled a new generation of “in-the-wild” user studies, adaptive behavioral intervention strategies, and context measurement. Though numerous proof-of-concept studies continue to push the limitations of what a behavioral scientist can do with these technologies, there remains a major methodological roadblock separating behavioral theory and application. Avatar-user interaction theory, for example, is not well defined in its formulation, and thus guidelines for intervention designers depend on heuristic methods and designer intuition. Computational modeling has been slow to move into behavioral science in general, but a growing population of behavioral scientists recognize this ...


E-Cigarette Use Among Women Of Reproductive Age: Impulsivity, Cigarette Smoking Status, And Other Risk Factors., Laura L. Chivers, Dennis J. Hand, Jeff S. Priest, Stephen T. Higgins 2016 University of Vermont; Harvard University

E-Cigarette Use Among Women Of Reproductive Age: Impulsivity, Cigarette Smoking Status, And Other Risk Factors., Laura L. Chivers, Dennis J. Hand, Jeff S. Priest, Stephen T. Higgins

Department of Pediatrics Faculty Papers

INTRODUCTION: The study aim was to examine impulsivity and other risk factors for e-cigarette use among women of reproductive age comparing current daily cigarette smokers to never cigarette smokers. Women of reproductive age are of special interest because of the additional risk that tobacco and nicotine use represents should they become pregnant.

METHOD: Survey data were collected anonymously online using Amazon Mechanical Turk in 2014. Participants were 800 women ages 24-44years from the US. Half (n=400) reported current, daily smoking and half (n=400) reported smokingsociodemographics, tobacco/nicotine use, and impulsivity (i.e., delay discounting & Barratt Impulsiveness Scale). Predictors of smoking and e-cigarette use were examined using logistic regression.

RESULTS: Daily cigarette smoking was associated with greater impulsivity, lower education, past illegal drug use, and White race/ethnicity. E-cigarette use in the overall sample was associated with being a cigarette smoker and greater education. E-cigarette use among current smokers was associated with increased nicotine dependence and quitting smoking; among never smokers it ...


Randomized Trial Of A Pharmacist-Delivered Intervention For Improving Lipid-Lowering Medication Adherence Among Patients With Coronary Heart Disease, Yunsheng Ma, Ira S. Ockene, Milagros C. Rosal, Philip A. Merriam, Judith K. Ockene, Pritesh J. Gandhi 2016 University of Massachusetts Medical School

Randomized Trial Of A Pharmacist-Delivered Intervention For Improving Lipid-Lowering Medication Adherence Among Patients With Coronary Heart Disease, Yunsheng Ma, Ira S. Ockene, Milagros C. Rosal, Philip A. Merriam, Judith K. Ockene, Pritesh J. Gandhi

Ira S. Ockene

A randomized trial of a pharmacist-delivered intervention (PI) versus usual care (UC) was conducted; 689 subjects with known coronary heart disease were recruited from cardiac catheterization laboratories. Participants in the PI condition received 5 pharmacist-delivered telephone counseling calls post-hospital discharge. At one year, 65% in the PI condition and 60% in the UC condition achieved an LDL-C level <100 mg/dL (P=.29); mean statin adherence was 0.88 in the PI, and 0.90 in the UC (P=.51). The highest percentage of those who reached the LDL-C goal were participants who used statins as opposed to those who did not use statins (67% versus 58%, P=.05). However, only 53% and 56% of the patients in the UC and PI conditions, respectively, were using statins. We conclude that a pharmacist-delivered intervention aimed only at improving patient adherence is unlikely to positively affect outcomes. Efforts must be oriented towards influencing physicians to increase statin prescription rates.


Methodology Of A Diabetes Prevention Translational Research Project Utilizing A Community-Academic Partnership For Implementation In An Underserved Latino Community, Philip A. Merriam, Trinidad Tellez, Milagros C. Rosal, Barbara C. Olendzki, Yunsheng Ma, Sherry L. Pagoto, Ira S. Ockene 2016 University of Massachusetts Medical School

Methodology Of A Diabetes Prevention Translational Research Project Utilizing A Community-Academic Partnership For Implementation In An Underserved Latino Community, Philip A. Merriam, Trinidad Tellez, Milagros C. Rosal, Barbara C. Olendzki, Yunsheng Ma, Sherry L. Pagoto, Ira S. Ockene

Ira S. Ockene

BACKGROUND: Latinos comprise the largest racial/ethnic group in the United States and have 2-3 times the prevalence of type 2 diabetes mellitus as Caucasians.

METHODS AND DESIGN: The Lawrence Latino Diabetes Prevention Project (LLDPP) is a community-based translational research study which aims to reduce the risk of diabetes among Latinos who have a >/= 30% probability of developing diabetes in the next 7.5 years per a predictive equation. The project was conducted in Lawrence, Massachusetts, a predominantly Caribbean-origin urban Latino community. Individuals were identified primarily from a community health center's patient panel, screened for study eligibility, randomized to ...


Methodological Limitations Of Psychosocial Interventions In Patients With An Implantable Cardioverter-Defibrillator (Icd) A Systematic Review., Elena Salmoirago Blotcher, Ira S. Ockene 2016 University of Massachusetts Medical School

Methodological Limitations Of Psychosocial Interventions In Patients With An Implantable Cardioverter-Defibrillator (Icd) A Systematic Review., Elena Salmoirago Blotcher, Ira S. Ockene

Ira S. Ockene

BACKGROUND: Despite the potentially life-saving benefits of the implantable cardioverter-defibrillator (ICD), a significant group of patients experiences emotional distress after ICD implantation. Different psychosocial interventions have been employed to improve this condition, but previous reviews have suggested that methodological issues may limit the validity of such interventions.

AIM: To review the methodology of previously published studies of psychosocial interventions in ICD patients, according to CONSORT statement guidelines for non-pharmacological interventions, and provide recommendations for future research.

METHODS: We electronically searched the PubMed, PsycInfo and Cochrane databases. To be included, studies needed to be published in a peer-reviewed journal between 1980 ...


Design And Methods For Testing A Simple Dietary Message To Improve Weight Loss And Dietary Quality, Philip A. Merriam, Yunsheng Ma, Barbara C. Olendzki, Kristin L. Schneider, Wenjun Li, Ira S. Ockene, Sherry L. Pagoto 2016 University of Massachusetts Medical School

Design And Methods For Testing A Simple Dietary Message To Improve Weight Loss And Dietary Quality, Philip A. Merriam, Yunsheng Ma, Barbara C. Olendzki, Kristin L. Schneider, Wenjun Li, Ira S. Ockene, Sherry L. Pagoto

Ira S. Ockene

BACKGROUND: The current food pyramid guidelines have been criticized because of their complexity and the knowledge required for users to understand the recommendations. Simplification of a dietary message to focus on a single key aspect of dietary quality, e.g., fiber intake, may make the message much easier to comprehend and adhere, such that respondents can achieve greater weight loss, better dietary quality and overall metabolic health.

METHODS AND DESIGN: This is a randomized controlled clinical trial with two equal sized arms. In total, 240 obese adults who meet diagnostic criteria for the metabolic syndrome will be randomized to one ...


Association Between Depression And C-Reactive Protein, Yunsheng Ma, David E. Chiriboga, Sherry L. Pagoto, Milagros C. Rosal, Wenjun Li, Philip A. Merriam, James R. Hebert, Matthew Whited, Ira S. Ockene 2016 University of Massachusetts Medical School

Association Between Depression And C-Reactive Protein, Yunsheng Ma, David E. Chiriboga, Sherry L. Pagoto, Milagros C. Rosal, Wenjun Li, Philip A. Merriam, James R. Hebert, Matthew Whited, Ira S. Ockene

Ira S. Ockene

Objective: Depression has been associated with increased cardiovascular disease risk, and a depression–related elevation of high sensitivity C-reactive protein (hs-CRP) has been proposed as a possible mechanism. The objective of this study was to examine association between 27 depression and high sensitivity C-reactive protein (hs-CRP).

Methods: Subjects consisted of 508 healthy adults (mean age 48.5 years; 49% women, 88% white) residing in central Massachusetts. Data were collected at baseline and at quarterly intervals over a one-year period per individual. Multivariable linear mixed models were used to assess the association for the entire sample and by gender.

Results: The ...


Associations Of Daily Eating Episodes, And Eating Away-From-Home With Blood Level Of Total Cholesterol, Yunsheng Ma, Elizabeth R. Bertone-Johnson, Edward J. Stanek, Nancy L. Cohen, Ira S. Ockene 2016 University of Massachusetts Medical School

Associations Of Daily Eating Episodes, And Eating Away-From-Home With Blood Level Of Total Cholesterol, Yunsheng Ma, Elizabeth R. Bertone-Johnson, Edward J. Stanek, Nancy L. Cohen, Ira S. Ockene

Ira S. Ockene

The objective of this investigation is to describe the associations of number of eating episodes and proportion of meals eaten away from home with total serum cholesterol. Data from 499 participants, recruited from a health maintenance organization in central Massachusetts, aged 20-70, were used for this analysis. Dietary information and total blood cholesterol were obtained at five sampling points (baseline and four consecutive quarters) during the one-year follow-up. A cross-sectional study was conducted. The results from the study do not support the hypothesis that the number of eating episodes per day is associated with total blood cholesterol. However, we noted ...


Observational Assessment Of Empathy In Parent-Child Verbal Exchanges And Their Influence On Child Behavior, Patty Carambot 2016 The Graduate Center, City University of New York

Observational Assessment Of Empathy In Parent-Child Verbal Exchanges And Their Influence On Child Behavior, Patty Carambot

All Graduate Works by Year: Dissertations, Theses, and Capstone Projects

Empathy, the ability to both experientially share in and understand others’ thoughts, behaviors, and feelings, is vital for human adaptation. Deficits in empathy development have implications across the lifespan for the development of prosocial behavior, social functioning, mental health disorders, and risk for antisocial behavior (e.g., Guajardo, Snyder, & Petersen, 2009; Moreno, Klute & Robinson, 2008). In light of these societal and individual burdens, it is imperative to foster and strengthen the development of this ability early in life to prevent or ameliorate such negative outcomes. This type of prevention can take a variety of forms, but parent and child verbal exchanges and modeling are often the most direct methods after two years of age (e.g., Moreno et al., 2008). The aim of this research was to inform the development of a system to naturalistically assess empathy development via home-based observation of mothers and their children’s verbal exchanges.

The proposed system, iEAR-Empathy in Parent-Child Interactions (iEAR-EPIC), is a verbal coding system to code for verbal behaviors empirically demonstrated to foster empathy development, as well as behaviors found to indicate empathy development. The development of the iEPIC was theoretically informed by Preston and de Waal’s (2002) Perception Action Mechanism (PAM) model of empathy, a neurocognitive-emotional model of empathy. This model demonstrates empathy as a maturing system in which emotional and cognitive understanding develop in tandem through brain-environment interactions. However, the iEPIC also accounts for the interplay between parents and neurocognitive emotional processes, and thus captures the parallel, increasingly interactive, development of cognitive and emotional abilities from infancy onward in the context of a parent-child dyad.

To develop and test the iEPIC, an ethnically diverse subsample of 84 mothers and their 2 to 6-year-old children were recruited from a large, northeastern, urban, public university. After consenting, mother-child dyads were recorded for a 4-hour period during the dyad’s evening routine (5-9p.m.), using a two-minutes on, 10 seconds off protocol, resulting in 28 2-minute clips (56 minutes total) per dyad. Recordings were transcribed and reviewed, and then 4 pairs of coders were trained in the iEPIC coding system, and then coded the dyad recordings for behaviors comprising the proposed iEPIC assessment system.

The iEPIC observational assessment system consists of 5 codes for each parent and child: Reflection (R), Exploring Emotion and State (EES), Emotion and State Description (ESD), and Empathic Understanding and Concern (EUC), as well as Neutral verbalizations (N; non-study-related verbalizations). The EES, ESD, and EUC each have levels of complexity, with higher levels expected to occur more frequently in older children (e.g., 4 years and older).

There were several purposes of the current study: 1) assess inter-rater reliability for the iEPIC coding system 2) determine if ...


How Best To Study For A Test: A Comparison Of Practice Retrieval And Self-Explanation, Casey Fortney 2016 Western Kentucky University

How Best To Study For A Test: A Comparison Of Practice Retrieval And Self-Explanation, Casey Fortney

Honors College Capstone Experience/Thesis Projects

Students often struggle to prepare for their exams, perhaps as a result of using an unhelpful study method. This study compared the effects of using three study methods: rereading, practice retrieval, and self-explanation. 79 college students studied a short science text passage and were tested with both verbatim and inference questions one week later. Students who reread the information did not perform differently from those who practiced retrieving or self-explained the information. Students who self-explained the information performed better on verbatim test questions than those who practiced retrieving the information. Possible explanations for these findings and implications are discussed.


Teacher Child Interaction Therapy: An Ecological Approach To Intervening With Young Children Who Display Disruptive Behaviors, Sara Marie Hinojosa 2016 University of South Florida

Teacher Child Interaction Therapy: An Ecological Approach To Intervening With Young Children Who Display Disruptive Behaviors, Sara Marie Hinojosa

Graduate Theses and Dissertations

A model of Teacher Child Interaction Therapy (TCIT) was implemented in two kindergarten classrooms of students (n = 2) who successfully completed Parent Child Interaction Therapy, but continued to demonstrate disruptive behaviors in the classroom. The current study first indicated that TCIT was implemented with integrity by both the therapists and teacher participants. Next, the effects of this intervention on the teacher’s skills, students’ disruptive behaviors, teacher’s stress, and teacher-child relationships were investigated. The treatment acceptability was also examined. Both visual and statistical analyses found a treatment effect in both cases was seen for both teachers’ increased use of ...


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