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The Perception Of Latino Mothers’ Experience With The Healthcare System In East Tennessee, Christopher G. Bush

Undergraduate Honors Theses

As the Hispanic population continues to grow in the United States, especially in the South, it is critical for healthcare workers to provide culturally competent care as required by certain laws. The Latina experience is of significant importance due to the role Latina mothers play in their families and communities. It is necessary to understand the perspective of this population and the experience of the Latina mother in regards to healthcare; specifically, how have language barriers hindered care, what perceptions of bias or discrimination have been encountered, and how do these factors influence their healthcare decisions and outcomes. Research has …

Non-Language Barriers To Effective Care Of The Hispanic Population, Elizabeth M. Dobbins

Undergraduate Honors Theses

This research study was designed to improve the quality of health care received by the Hispanic population in northeast Tennessee. After reviewing past research, it is evident that the Hispanic population reports a lower level of health care satisfaction and a greater number of health disparities. Although attempts to reconcile this problem have included implementing regulations and guidelines on the cultural competency of and the provision of language services by health care providers, no measurable improvement has been noted. To positively impact this pervasive problem, the focus must shift away from how health care agencies can affect health care for …

Central Auditory Processing And The Link To Reading Ability In Adults, Lisa M. Brody

Honors Scholar Theses

What makes someone a good reader? What makes someone a poor reader? The root biological marker of reading ability has yet to be determined. Many scientists agree that phonological awareness, the understanding of speech sounds, and phonological decoding are key components of reading ability (Melby-Lervag, Lyster, & Hulme, 2012). In addition to this, new research suggests that the auditory system, specifically the timing of auditory processing in the brain, provides a crucial platform that supports the development of reading ability (Banai et al., 2009). This thesis provides empirical data to support the link between reading skill …

The Preschool Kitchen Task Assessment (Pkta): Assessing Validity Of A Performance-Based Assessment Of Executive Function, Emily Fry, Hayley Gilligan, Liza Henty-Clark, Jennifer Weissensee

Dissertations, Masters Theses, Capstones, and Culminating Projects

Background and purpose. Executive function (EF) deficits is a growing area of focus in pediatric occupational therapy practice. However, there is a lack of performance-based assessments of EF in preschool-aged children. This study sought to establish preliminary criterion-related validity of the Preschool Kitchen Task Assessment (PKTA), a test of EF in preschoolers developed by Christine Berg, Ph.D., OTR/L, in which children complete a multi-step craft project.

Subjects. Fifteen typically developing preschool-aged children participated in this study.

Methods. An exploratory design was used to assess criterion-related validity of the PKTA. Participants completed the PKTA along with several established neuropsychological assessments of …

Theory Of Mind And Inhibitory Processing Among Bilingual Mexican American Young Children, Sarah E. Stegall

Theses and Dissertations - UTB/UTPA

Bilingual children have been found to demonstrate advantages on tasks dependent in part or in whole on inhibitory processing compared to their language dominant and/or monolingual peers. This study examines relations among performance on theory of mind (ToM), inhibitory processing (FF), and performance on an ambiguous-figures (AF) tasks among monolingual and bilingual children. Participants included 135 Hispanic children ages 4.5 to 8 from predominately low-income families. Results revealed a relationship between FF and AF performance with ToM performance and found no differences in performance between monolingual, language-dominant, and balanced-bilingual children.

The Efficacy Of A Social Communication Intervention To Increase Syntactic Complexity In Narratives Of Children With Language Impairment, Alexandra Smith

Theses and Dissertations

Research has shown that children with Language Impairment (LI) struggle with social communication skills in addition to their characteristic syntactic difficulties. This pilot study analyzed the potential change in grammatical complexity in narratives of five children with LI when enrolled in a social communication intervention. The intervention itself focused on teaching emotion understanding by reading and reenacting children’s stories and journaling. Grammatical limitations were indirectly addressed by clinician modeling of complex forms during the intervention sessions. Each child’s productions were assessed and analyzed for grammatical complexity during retelling a book in the Mercer Mayer “a boy, a dog, and a …

Developing A Bilingual, Computer-Tailored, Hpv Vaccination Promotion Intervention Targeting Latino Parents, Angela Chia-Chen Chen, Ashish Amresh

Publications

In this paper we present an innovative, computer-tailored application aimed at increasing Latino parents' intention to vaccinate their adolescent children against Human Papilloma Virus (HPV). HPV infection is the most common sexually transmitted infection in the United States. Latinas have the highest age-adjusted incidence rate for HPV-associated cervical cancer compared with their counterparts in other racial/ethnic groups. HPV vaccines offer hope against HPV-associated diseases. Because parental consent is required for children under age 18 to receive t h e HPV vaccination in most U. S. states, parents' attitudes and intention to have their children vaccinated are keys for promoting HPV …

Productions Of Metalinguistic Awareness By Young Children With Sli And Typical Language, Lucy E. Long

Electronic Theses and Dissertations

This study seeks to: (1) determine if differences exist between children with Specific Language Impairment (SLI) compared to age-matched (AM) and language- matched (LM) children with typical language development (TL) in rates and proportions of five types of metalinguistic productions and (2) test theories of metalinguistic production. Forty-five children, 24 with TL and 21 with SLI, paired for age or language level, formed two groups. Previously collected data from two studies of verb learning (Proctor-Williams & Fey, 2007; Proctor- Williams, unpublished) were analyzed for rates and types of metalinguistic productions. Results yielded no within or between group significant differences in …

Exploring The Relationship Between Early Childhood Attentional Control And Language Ability, Jaima S. Price

Electronic Theses and Dissertations

Relatively few studies have investigated the relationship between early childhood attentional control and later cognitive outcomes, especially language development. The current study is an investigation of the relationship between the executive functioning (EF) component of attentional control and language ability in the second year of life. More specifically, the predictive nature of two aspects of attentional control, attentional focus and resistance to distraction, was be the primary focus of the proposed study. Although it was expected that children both high in attentional focus and resistance to distraction would have significantly superior language development than infants with lower attentional capacities, analyses …

Intraprofessional Nursing Communication And Collaboration: Apn-Rn-Patient Bedside Rounding, Rita M. Herm-Barabasz

UNLV Theses, Dissertations, Professional Papers, and Capstones

Executive Summary

Leading advisory agencies have long advocated that health care must be safe and effective (Institute of Medicine [IOM], 2001). In order for health care to be safe and effective, good communication and collaboration are essential. Research has found that in health care, poor communication and teamwork failures are the major contributors to adverse events (Cornell, Townsend-Gervis, Vardaman, & Yates, 2014; The Joint Commission, 2011; O’Leary, 2012). Such communication-related adverse events can cause avoidable injury, loss of life, and financial devastation. In light of advanced practice nurses’ (APN) increasing contribution in care management, and in order to ensure delivery …

Survival Of The Fittest: The Role Of Linguistic Modification In Nursing Education, Brenda Strauch Moore

UNLV Theses, Dissertations, Professional Papers, and Capstones

This project’s long term goal was to improve English-as-a-Second-Language (ESL) nursing student retention. Improving the quality of multiple choice exams is a first crucial step. ESL students find multiple-choice exams to be one of the most challenging aspects of nursing school. One reason for this is the presence of linguistic errors in exam questions. Linguistic errors include: irrelevant question content, poor sentence structure, and culturally biased words or phrases. Non-ESL students are less affected because exams are written in their native language. Linguistic modification, as part of best practices in item writing, removes these types of errors. The U.S. Department …

The Predictors Of Cultural Competence In The Baccalaureate Degree Nursing Curriculum: Implications For Nursing Education, Angela Elizabeth Silvestri-Elmore

UNLV Theses, Dissertations, Professional Papers, and Capstones

Health care providers are members of a helping profession and need to provide quality care to all members of society. As a result of current and projected demographic changes within the United States (U.S.), health care professionals are faced with the challenges of providing culturally competent care and fulfilling the role as the “helping profession.” From 2000 to 2010, the Asian population increased by 43.3%, the Hispanic population grew by 43%, the Native Hawaiian and other Pacific Islander population increased by 35.4%, the American Indian or Alaskan Native population increased by 18.4%, and the African American population increased by 12.3%. …

Preliteracy Skills Promoted In Children’S Spanish-Language Books, Katherine Marie Suter

Masters Theses

As of July 1, 2013, the latest census figures indicate that there are approximately 54 million Latinosliving in the U.S. (US Census Bureau, 2013). However, many Latino children still do not receive the services or resources they need to perform well academically. The primary aim of this research study is to determine if the books available to Spanish-speaking Latino¹ populations in two Michigan Counties contain features that might be used to facilitate beginning pre-literacy skills.

Children’s Spanish-language books from bookstores and public libraries were analyzed to determine the presence of features that might facilitate print awareness, phonological awareness, and …

Bridging Theories Of Phonological Awareness For Deaf And Hard Of Hearing Children: Perspectives From Verbotonal Specialists In The United States, Jazmin Rambeau

Honors Theses

Approaching literacy instruction for children who are deaf and hard of hearing is one of the most significant challenges within global education because there are various evidence-based theories in the literature as to why children who are deaf and hard of hearing often manifest impaired reading abilities compared to children with normal hearing, and how they may acquire literacy skills differently. This study aims to identify agreements within the literature regarding the role of phonological awareness in literacy acquisition for children who are deaf and hard of hearing, and how tools such as the Verbotonal method of auditory therapy may …

Family Planning, Pregnancy, And Birth In Guatemala: Maya Women And Modern Healthcare, Kelsay Payton

Honors Theses

Within Maya populations in rural Guatemala, childbearing is considered a sacred and spiritual experience, in addition to a physical one. This country is home to some of the highest rates of maternal and infant mortality in Latin America, along with the largest disparities in health care, primarily between the indigenous Maya and ladino women (Schooley 2009). The use of biomedical reproductive services remains surprisingly low among the Maya, while it is continually rising in the ladino populations. To increase the overall reproductive health care in these indigenous communities, attention must be given to the understanding of Maya’s beliefs, therefore enabling …

Conversational Scaffolding With Couples With An Aphasic Partner, Mary Jo Bissmeyer

Undergraduate Honors Thesis Collection

Aphasia is an acquired language disorder experienced by approximately one million Americans today, many recovering from stroke or traumatic brain injury. Traditional therapy has focused solely on regaining specific linguistic skills, including auditory comprehension, speech, reading, and/or writing. Conversation partner training is a newer trend in aphasia intervention that has emerged thanks to an increasingly social model of disability and the pressure to deliver meaningful and cost effective health services. It fits nicely with the Life Participation Approach to Aphasia, which encourages clinicians to help individuals with aphasia and their families set and meet their own goals for therapy, which …

2015 - The Twentieth Annual Symposium Of Student Scholars

Symposium of Student Scholars Program Books

The full program book from the Twentieth Annual Symposium of Student Scholars, held on April 16, 2015. Includes abstracts from the presentations and posters.

Unsteady Nasalance Traces Among Sustained Vowels In Typical Adult Speakers: Prevalence & Potential Causes, Catherine Hearit

Honors Theses

Background. Vowels are a commonly used stimulus for evaluating speech resonance because hypernasality is best detected in vowel sounds. It was observed that steady-state sustained vowels show considerable within sample nasalance variance, although nasalance is expected to be stable for this speech target.

Purpose. The purpose of the study was to ascertain the prevalence of variability among normal speakers in steady state vowel nasalance traces and to determine the variables that predict variability.

Methods: Sixty-one participants aged 18 through 30 years were recruited. All participants were lifelong residents of the lower peninsula of Michigan with normal hearing sensitivity and no …

The Compass, Issue 2, Arcadia University Honors Program

The Compass

Issue 2 of The Compass, a scholarly journal edited and produced by students in the Arcadia University Honors Program.

Handling Human Hacking: Creating A Comprehensive Defensive Strategy Against Modern Social Engineering, Charles Snyder

Senior Honors Theses

Social engineering is one of the most devastating threats to any company or business. Rather than relying upon technical flaws in order to break into computer networks, social engineers utilize a suave personality in order to deceive individuals through clever conversation. These devious conversations frequently provide the attacker with sufficient information to compromise the company’s computer network. Unlike common technical attacks, social engineering attacks cannot be prevented by security tools and software. Instead of attacking a network directly, a social engineer exploits human psychology in order to coerce the victim to inadvertently divulge sensitive information. Further complicating the issue, the …

The Meaning Of Patient-Nurse Interaction For Older Hospitalized Women: A Phenomenological Study, Deborah Mize

Doctor of Education (EdD)

The purpose of this dissertation is was to explore how older women perceived their interactions with nurses after receiving care in a hospital setting. Older women are a vulnerable population subject to being overlooked or misunderstood by the nurses caring for them, hence the importance of this study. To gather the data on older women’s lived world of nursing care, I used a phenomenological approach based on a hermeneutic framework that considers linguistic, historical, and social factors to interpret older women’s lived world of nursing care while hospitalized. I personally interviewed seven women between the ages of 66 and 81 …

Online Searching In Pbl Tutorials, Jun Jin, Susan M. Bridges, Michael G. Botelho, Lap Ki Chan

Interdisciplinary Journal of Problem-Based Learning

This study aims to explore how online searching plays a role during PBL tutorials in two undergraduate health sciences curricula, Medicine and Dentistry. Utilizing Interactional Ethnography (IE) as an organizing framework for data collection and analysis, and drawing on a critical theory of technology as an explanatory lens, enabled a textured understanding of student practices and beliefs regarding online searching during face-to-face PBL tutorials. Two event maps trace key transitions in learning regarding online searching in one cycle of problem-based learning in each program. From a critical perspective, analysis of students’ stimulated recall interviews indicated that the use of students’ …

Evaluation Of The American-English Quality Of Life In Short Stature Youth (Qolissy) Questionnaire In The United States., Monika Bullinger, Rachel Sommer, Andreas Pleil, Nelly Mauras, Judith L. Ross, Ron Newfield, Lawrence Silverman, Anja Rohenkohl, Janet Fox, Julia Quitmann

Department of Medical Genetics Faculty Papers

BACKGROUND: The European Quality of Life in Short Stature Youth (QoLISSY) is a novel condition-specific instrument developed to assess health related quality of life (HrQoL) in children/adolescents with short stature from patient and parent perspectives. Study objective was to linguistically validate and psychometrically test the American-English version of the QoLISSY instrument.

METHODS: Upon conversion of the British-English version to American-English, content validity and acceptance of the questionnaire were examined through focus group discussions with cognitive debriefing in 28 children/adolescents with growth hormone deficiency (GHD) or idiopathic short stature (ISS) and their parents. In the subsequent field test with 51 families …

Ciis Today, Spring 2015 Issue, California Instituite Of Integral Studies

CIIS Today

This volume is the Spring 2015 issue of CIIS Today, the Magazine of the California Institute of Integral Studies.

Muslim Women And United States Healthcare: Challenges To Access And Navigation, Dayna M. Seeger

What All Americans Should Know About Women in the Muslim World

This paper offers an analysis of the interactions of Muslim women in the US healthcare system in order to unpack challenges and propose potential accommodations. Islam may inform values or considerations in the context of other cultural factors or present Muslim women with specific challenges in seeking healthcare based on Islamic teachings or social constructs. This paper examines these factors by elaborating on an overview of Muslim interpretations of healthcare using religious authorities, text from the Qur’an, and social norms. It then delves into challenges faced by Muslim women in the US healthcare system and the implications of those challenges …

Ear Specific Anl Measurements In Individuals With Unilateral And Asymmetrical Sensorineural Hearing Loss, Rebecca Howard

Doctoral Dissertations

The present study sought to determine if ANLs differ between ears within subjects with unilateral or asymmetrical SNHL. ANL was measured in four conditions (i.e., binaural, better ear, poorer ear unmasked, and poorer ear masked) in fifteen adults, nine with unilateral SNHL and six with bilateral asymmetrical SNHL. A significant difference between ANL in the four conditions (i.e., binaural, better ear, poorer ear unmasked, and poorer ear masked) was identified; however, the subjects with unilateral and asymmetrical SNHL behaved similarly throughout the testing. When comparing the four conditions, the results showed a significant difference between both the binaural ANL and …

The Effect Of Auditory Processing Abilities On Acceptable Noise Levels, Brandee E. Richardson

Doctoral Dissertations

The purpose of the present study was to determine typical acceptable noise levels (ANLs) in children diagnosed with auditory processing disorder (APD) and compare those to ANLs in children without APD. Sixteen participants, eight children with APD and eight children without APD, were administered a complete audiological evaluation and a series of APD tests [Filtered Words, Competing Sentences, and Auditory Figure Ground (0) subtests of the SCAN– 3C; Staggered Spondaic Word test; and Pitch Pattern test] to determine normal or abnormal auditory processing ability. Conventional ANLs were measured on each participant to determine acceptance of background noise. The results …

The Impact Of Vaccine Hesitancy On The Polio Vaccine In South Asia, Leah Everist

Independent Study Project (ISP) Collection

A disease that paralyzes hundreds of children each year, polio is incurable but also entirely preventable through vaccination. Though part of the reason some children are not reached for immunization is that they are in areas too volatile for healthcare workers to access, vaccine hesitancy is increasingly being recognized as an important player. The objective of this study is to ascertain the degree to which vaccine hesitancy affects polio vaccine campaigns in Afghanistan and Pakistan, the countries in South Asia where polio continues to be endemic, to assess the drivers behind hesitancy in this region, and to present recommendations for …

Different Neural Mechanisms For Causal Processing In Language And Perception: An Fmri Study, Brett B. Bankson, Dirk B. Den Ouden

Communication Sciences and Disorders Faculty Articles and Research

Information that is used to establish and evaluate causal relationships between objects and events can be gleaned from many sources, especially those that rely on language and perception. For example, sentences with a verb structure using change of state verbs such as “to break” or “to freeze” imply sequential events that express understood causal relationships. At this time, little research has examined the neural correlates of causal verb processing or has compared them to the more well researched brain activity involved in perceptual causal processing. This study investigated the extent to which the evaluation of causal verbs and causal image …

Knowledge Of Stroke Symptom And Risk Factors And Acculturation Among Cambodian Immigrants Living In Southern California, Samantha N. Sangsanoi-Terkchareon

Dissertations

The purpose of this quantitative study was to describe and examine the relationships between age, gender, educational level, health insurance status, and income to level of acculturation and knowledge of stroke symptom and risk factors recognition among Cambodian immigrants (n=200) living in Southern California. The data were analyzed using Pearson correlation, Kendal Tau, Chi-Square, and multiple regression to the determine relationship between depend and independent variables. The results of this study were that Cambodian participants’ mean age was 46.07 (SD= 17.51), average years of education were 8.95 (SD=5.26) and the mean number of people in each household was …