Digital Commons Network^™

Developing Partnerships And Recruiting Dyads For A Prostate Cancer Informed Decision Making Program: Lessons Learned From A Community-Academic-Clinical Team, Daniela B. Friedman, Kim M. Johnson, Otis L. Owens, Tracey L. Thomas, Delisa S. Dawkins, Lucy Gansauer, Sharon Bartelt, Nancy M. Waddell, Pastor Jacqueline Talley, James D. Bearden Iii, James R. Hébert

Faculty Publications

Prostate cancer (PrCA) is the most commonly diagnosed non-skin cancer among men. PrCA mortality in African-American (AA) men in South Carolina is ~50% higher than for AAs in the U.S as a whole. AA men also have low rates of participation in cancer research. This paper describes partnership development and recruitment efforts of a Community-Academic-Clinical research team for a PrCA education intervention with AA men and women that was designed to address the discordance between high rates of PrCA mortality and limited participation in cancer research. Guided by Vesey's framework on recruitment and retention of minority groups in research, recruitment …

Communication-Based Assessment Of Developmental Age For Young Children With Developmental Disabilities, Shari L. Deveney, Lesa Hoffman, Cynthia J. Cress

Department of Psychology: Faculty Publications

Purpose: In this study, the authors compared a multiple-domain strategy for assessing developmental age of young children with developmental disabilities who were at risk for long-term reliance on augmentative and alternative communication (AAC) with a communication-based strategy composed of receptive language and communication indices that may be less affected by physically challenging tasks than traditional developmental age scores.

Method: Participants were 42 children (age 9–27 months) with developmental disabilities and who were at risk for long-term reliance on AAC. Children were assessed longitudinally in their homes at 3 occasions over 18 months using multiple-domain and communication-based measures. Confirmatory factor analysis …

Gay And Lesbian Health Disparities: Evidence And Recommendations For Elimination, M. R. Barker

Journal of Health Disparities Research and Practice

Research suggests that significant health disparities exist among the gay and lesbian population in the United States. These disparities impact both the short- and long-term health outcomes of this population. This study first provides a current literature review of available research on gay and lesbian health disparities and organizes these findings according to health topic. The paper then investigates recommendations for the elimination of racial and ethnic health disparities and examines their applicability in eliminating sexual minority disparities. While many recommendations are valid, this paper analyzes the six thought to have the greatest potential in eliminating gay and lesbian health …

Educating And Empowering Elders: Improving The Health Of Senior Latino Diabetics Through Community Collaboration, G. D. Cleghorn, Jean Lussier, Martha Velez, Marianna Canovitch, Marilyn Licciardello, Sarah Stanlick

Journal of Health Disparities Research and Practice

According to the American Diabetes Association (ADA), diabetes is the sixth leading cause of death among Americans.1 As of 2005, estimates indicate 20.8 million people – 7 percent of the population – afflicted by diabetes, 6.2 million of which are undiagnosed. 1 While diabetes is a growing problem for the United States as a whole, older, poverty-stricken Latinos and other minority groups have felt the encumbrance of this trend most intensely.2 In Massachusetts, the burden of diabetes among Caribbean Latinos is 11.8 percent, which is 2.5 times greater than the prevalence for the majority of the population in the state …

Southeastern Pennsylvania (Sepa) Regional Enhancements Addressing Disconnects (Reads) In Cardiovascular Health Communication, Rickie Brawer, Mph, Phd, James D. Plumb Md, Mph, Rob Simmons, Drph, Mph, Mches, Cph Drph,Mph,Ches, Martha Romney, Jd, Rn, Mph, Patricia Yurchick, Rn, Mba, Cphq, Leslie Sterns, Esther Moberg

JCIPE 2012

Seminar (39 PowerPoint slides)

The objective of SEPA- READS is to enhance the capacity of health care systems and professionals to address health literacy needs of adults’ (aged 50+) to improve cardiovascular health outcomes by 1) identifying, implementing and evaluating educational/systems changes designed to improve written materials, navigation and provider communication skills, and 2) enhancing the ability of older adults to communicate effectively with healthcare providers. This is accomplished by: 1) creating a broad-based Cardiovascular Health Literacy Coalition (CHLC) 2) improving the ability of adults to communicate effectively with healthcare providers/staff at multiple points of care.

The CHLC consists of …

Southeastern Pennsylvania (Sepa) Regional Enhancements Addressing Disconnects (Reads) In Cardiovascular Health Communication, Rickie Brawer, James D. Plumb, Rob Simmons, Martha Romney, Patrick Yurchick, Esther Moberg

JCIPE 2012

The objective of SEPA- READS is to enhance the capacity of health care systems and professionals to address health literacy needs of adults’ (aged 50+) to improve cardiovascular health outcomes by 1) identifying, implementing and evaluating educational/systems changes designed to improve written materials, navigation and provider communication skills, and 2) enhancing the ability of older adults to communicate effectively with healthcare providers. This is accomplished by: 1) creating a broad-based Cardiovascular Health Literacy Coalition (CHLC) 2) improving the ability of adults to communicate effectively with healthcare providers/staff at multiple points of care.

The CHLC consists of a Coalition Steering Committee …

Intelligibility And The Sinewave Speech Carrier Phrase Effect, Danielle R. Werle

Honors Theses

Several studies have examined the perception of sinewave speech. Early work showed that listeners could transcribe sinewave sentences. Recent work on sinewave vowels found that listeners could recognize sinewave speech at the phonetic level with moderate (about 50-55%) accuracy. Sinewave vowel intelligibility scores improve significantly when preceded by a sinewave carrier phrase, an effect that disappears when the carrier phrase is removed. The present study was designed to examine this carrier phrase enhancement effect and analyze whether listeners require the carrier phrase to be intelligible to produce increased intelligibility scores. Sinusoidal carrier phrases and /hVd/ syllables were generated from recordings …

Linguistic Devices, Emotionality, And Memorability Of Computer Mediated Communication, Angela M. Mion

Undergraduate Honors Thesis Collection

I examined whether college students use shortcuts, pragmatics, and errors in text messages differently depending on their gender and the emotionality of the message. Results indicate that the prevalence of particular shortcuts differed across happy, sad, and angry messages, but gender did not influence use of linguistic devices. In a second study, I examined the emotionality and memorability of text messages versus voicemails. Results indicate that texts may be remembered better than voicemails, and happy, sad, and angry messages may be remembered differently by men and women.

Weak Central Coherence Theory Problem Solving In Adults With Asperger Syndrome, Marie Ferderer

Honors Theses

This study examined the effect of Weak Central Coherence on problem solving strategies in adults with Asperger Syndrome. A group of adults with Asperger Syndrome and a group of Neurotypical adults were assessed using a riddle game. This game required participants to solve a riddle based on a cryptic language clue. The types of problem solving strategies employed by each group were recorded and compared in statistical analyses.

Significant differences in problem solving strategy were obtained for the two groups. The neurotypical group evidenced a strategy in which they considered the meaning of the language clue while attempting to solve …

A Human Capital Approach To Reduce Health Disparities, Saundra Glover, Sudha Xirasagar, Yunho Jeon, Keith Elder, Crystal N. Piper, Harris Pastides

Journal of Health Disparities Research and Practice

Objective: To introduce a human capital approach to reduce health disparities in South Carolina by increasing the number and quality of trained minority professionals in public health practice and research.

Methods: The conceptual basis and elements of Project EXPORT in South Carolina are described. Project EXPORT is a community based participatory research (CBPR) translational project designed to build human capital in public health practice and research. This project involves Claflin University (CU), a Historically Black College University (HBCU) and the African American community of Orangeburg, South Carolina to reduce health disparities, utilizing resources from the University of South Carolina (USC), …

Parental Involvement In Speech-Language Intervention, Victoria Beech Finley

Honors Theses

This thesis examines how parents of children who are successful in therapy are involved, from the parent’s perspective. Literature on parental involvement in therapy is limited, especially findings from the parent’s perspective. This thesis follows a phenomenological qualitative design. The investigator interviewed three mothers regarding their participation. The investigator then transcribed the interviews and cyclically analyzed them to find salient themes across all three. There were two shared themes, acceptance and emotions. It is hoped that this study will provide insight for other parents so that they can contribute to their children’s success in speech-language intervention.

Headturn Preference Of 10-Month Infants For Familiar And Unfamiliar Signs, Steven Thomas Kulsar

Dissertations, 2014-2019

Most deaf babies born in the United States are born into hearing families and show a developmental lag in spoken language acquisition, reading, writing, and social development when compared to deaf babies of deaf parents or hearing babies of hearing parents, due to limited language access. A modified headturn paradigm has been devised to assess infant preference to various familiar and unfamiliar ASL stimuli, to determine parallels between auditory-spoken and visual-spatial languages. If visual perception of first signs parallels auditory perception of first words, we would expect infants exposed to ASL as their native language to show a preference for …

Factor Structure Of A Multidimensional Gender Identity Scale In A Sample Of Chinese Elementary School Children, Lu Yu, Dong Xie, Daniel T. L. Shek

Pediatrics Faculty Publications

This study examined the factor structure of a scale based on the four-dimensional gender identity model (Egan and Perry, 2001) in 726 Chinese elementary school students. Exploratory factor analyses suggested a three-factor model, two of which corresponded to "Felt Pressure" and "Intergroup Bias" in the original model. The third factor "Gender Compatibility" appeared to be a combination of "Gender Typicality" and "Gender Contentment" in the original model. Follow-up confirmatory factor analysis (CFA) indicated that, relative to the initial four-factor structure, the three-factor model fits the current Chinese sample better. These results are discussed in light of cross-cultural similarities and differences …

Frequency And Associated Factors For Anxiety And Depression In Pregnant Women: A Hospital-Based Cross-Sectional Study., Niloufer Sultan Ali, Iqbal Azam Syed, Badar S. Ali, Ghurnata Tabbusum, Sana S. Moin

Department of Family Medicine

Antepartum anxiety and/or depression is a major public health problem globally. The aim of this study was to estimate the frequency of antepartum anxiety and/or depression among pregnant women. This was a cross-sectional study conducted in a tertiary care hospital among pregnant women. A total of 165 pregnant women were interviewed by a clinical psychologist using HADS for assessing anxiety and/or depression and also collected information regarding sociodemographic, obstetric, family relationships, and home environment. Out of the total of 165 pregnant women about 70 percent of them were either anxious and/or depressed. The increasing age of women (P-value = 0.073), …

Spatiotemporal Coupling Of The Tongue In Amyotrophic Lateral Sclerosis, Mili S. Kuruvilla, Jordan R. Green, Yana Yunusova, Kathy Hanford

Department of Special Education and Communication Disorders: Faculty Publications

Purpose: The primary aim of the investigation was to identify deficits in spatiotemporal coupling between tongue regions in amyotrophic lateral sclerosis (ALS). The relations between disease-related changes in tongue movement patterns and speech intelligibility were also determined.

Methods: The authors recorded word productions from 11 individuals with ALS with mild, moderate, and severe dysarthria using an x-ray microbeam during word productions. A coupling index based on sliding window covariance was used to determine disease-related changes in the coupling between the tongue regions across each word.

Results: The results indicated decreased spatiotemporal coupling of mid-posterior tongue regions and reduced tongue speed …

Relationships Between Vocabulary Size, Working Memory, And Phonological Awareness In Spanish-Speaking English Language Learners, Brenda K. Gorman

Speech Pathology and Audiology Faculty Research and Publications

Purpose: The goals of this study were to evaluate the impact of short-term phonological awareness (PA) instruction presented in children's first language (L1; Spanish) on gains in their L1 and second language (L2; English) and to determine whether relationships exist between vocabulary size, verbal working memory, and PA in Spanish-speaking English language learners (ELLs).

Method: Participants included 25 kindergartners who received PA instruction and 10 controls. A 2-way within-subjects repeated measures multivariate analysis of variance (MANOVA) was conducted to evaluate gains. Relationships between PA gains, Spanish and English vocabulary, and memory, as measured using nonword repetition and experimental …

Building Interaction With An Isolated Population Through Social Media: The Deaf Community, Margaret Bodemann

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

The purpose of the study is to discover the effects of social media on the deaf community. Ten individuals, aged from 21 to 29, participated in this study. There was no control for race, ethnicity, or socioeconomic status. An Internet survey was used to gather data. Results suggest that hearing impaired individuals do use social media and that the ways in which is it used varies as a function of degree of hearing loss.

A Family's View: The Necessity And Effects Of Therapy Throughout Alzheimer's Disease From The Family's Perspective, Kerri Taylor

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

The purpose of this study is to determine what activities and/ or level of human interaction will prolong language and functionality in Alzheimer’s disease in order to showcase the importance of therapy for those affected with Alzheimer’s. The participants will include 50 Alzheimer’s patients’ family members or close friends. Twenty five of these should have a relative affected by AD and living on their own or with family, and twenty five should have a relative that lives in an assisted living facility or nursing home. Each of the living situations will represent the stage of the disease the patient is …

Breast Health And Mammography Screening In Older Women, Martha A. Ibarra Phd, Msn, Anp, Rn

Dissertations

Age-related health disparities in breast cancer screening are a public health concern. From 2002 to 2006, the median age for newly diagnosed cases of breast cancer was 61 years and the median age for breast cancer mortality was 68 years of age (Surveillance Epidemiology and End Results [SEER], 2009). Mammography is the best available screening tool for breast cancer detection (Susan G. Komen Foundation, 2008). The Centers for Medicare and Medicaid Services (CMS, 2006) reported that only about half of older women who are eligible for mammograms through Medicare obtain a mammogram every two years. The literature identifies psychosocial barriers, …

Neurophysiologic Investigation Of The Auditory What And Where Pathways In Young And Middle-Aged Adults, Ann Marie Olson

Theses, Dissertations and Culminating Projects

When a sound is heard, individuals intrinsically attempt to identify the sound and its location. This automatic and parallel processing is known as the auditory “what” and “where” pathways. The present study involved the neurophysiologic investigation of the auditory dual pathways in an attention and working memory task as a function of age. Using identical stimuli, event-related potentials were measured in young and middle-aged adults with normal hearing for both pitch identification (“what” pathway) and location (“where” pathway). Results showed differences in cortical processing of the “what” and “where” pathways as a function of age and task instruction. Although processing …

Phenotypic And Electrophysiologic Characterization Of A Mouse Model Of Fragile X Syndrome, Snigdha Roy

Theses and Dissertations (ETD)

Fragile X syndrome (FXS) is the most common form of inherited mental retardation. It is caused by a mutation in the fragile X mental retardation (FMR1) gene on the X chromosome. Many children with FXS exhibit autistic behaviors and deficits in motor coordination including speech articulation deficits. The development of the FMR1 knockout (Fmr1 KO) mouse, in which the Fmr1 gene is inactivated, has provided an animal model that can be used to investigate underlying neuro-physiological mechanisms associated with FXS as well as to evaluate potential therapeutic treatments. In this study, quantitative behavioral assays were used, such as long term …

The Delivery System Design Of A Community Mental Health Center And Provision Of Quality: Cardiometabolic Screening For Persons With A Severe Mental Illness Prescribed Atypical Antipsychotic Medication, Dawn Marie Vanderhoef

Theses and Dissertations (ETD)

Background: Persons with a severe mental illness (SMI) prematurely lose up to 25 years of life when compared to the general population. This patient population has increased morbidity and mortality due to higher than normal rates of obesity, hypertension, diabetes, and cardiovascular disease. Treatment of SMI often includes the use of atypical antipsychotic (AA) medication which has been associated with the development of cardiometabolic illnesses. In response to the higher rates of co-morbid, chronic physical illness, monitoring guidelines for cardiometabolic illness have been published. Despite these guidelines, screening rates for cardiometabolic illness in this population remain low. Neither community mental …

Cultural Competence In The Baccalaureate Degree Nursing Curriculum, Angela Elizabeth Silvestri

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." In the past 10 years, minority populations have increased in the U.S. For example, the African American population experienced an approximate 12.3% increase, and the Hispanic population increased by 43%. Just as it is necessary for health care professionals to respond to the increase in …

Phonological Complexity: The Interaction Of Three-Element Clusters And Word Lexacility On Speech Sound Disorders, Heidi Joann Simon

Theses and Dissertations

Phonological complexity and word lexicality have been shown to induce phonological change in children with speech-sound disorders (SSDs); however, no prior research has used three-element cluster treatment target to directly compare real words (RW) to non-words (NW). Thus, the current research project sets out to answer the question of treatment efficacy in terms of real words and non-words using the complex three-element target, /str-/. Using a repeated measures single-subject research design, five children (5;7 to 7;7) were split into two SSD treatment groups (RW and NW) and directly compared in terms of learning during treatment, generalization from treatment, sound segments …

The Lived Experiences Of Mexican Heritage Mothers Caring For Overweight Preschool Children, Susan Mcdonald

Nursing Theses and Dissertations

Mexican heritage children are at greater risk to become overweight or obese than children of other ethnic or racial groups. The objective of this study was to gain insight into the lived experiences of Mexican-heritage mothers caring for overweight or obese preschool children. A qualitative, hermeneutic phenomenological design was selected for this study. Saturation was achieved with 12 mothers of Mexican heritage. Data collection and analysis was guided by the phenomenological approach of Max van Manen. Six themes and sixteen subthemes emerged from the data. Maternal caring practices were influenced by their Mexican heritage, emotional burdens, perceptions of child's weight …

The Immigrant Hispanic Population: Perceptions About Cultural Competency In The Healthcare Setting, Cheryl Swanson

Nursing Theses and Dissertations

Cultural competence has been reported as a means of impacting health disparities in minority populations. The Hispanic population has grown exponentially in the United States accounting for over fifty million people on the latest census report. Continued immigration by persons of Hispanic origin occurs for many reasons offering a challenge to nurses and other healthcare workers to provide culturally competent care. The majority of research on cultural competence and the immigrant Hispanic patient has been conducted from the viewpoint of the healthcare provider. Additionally, most research that has taken into account the perspective of the immigrant Hispanic patient focuses on …

Spontaneous Recovery In Children With Expressive Language Delay, Jaimie Sierakowski

Honors Theses

By age 2, most children have an expressive vocabulary of approximately 200 words and begin to combine these words into meaningful phrases. However, some children acquire expressive language skills more slowly than others while displaying no signs of cognitive, receptive, or sensory delays. These children who experience an expressive language delay are often characterized in the literature as late talkers. Research shows that many of these children have delays early in childhood, but eventually catch up to their typically-developing peers, with no need for language intervention. Others, however, continue to experience expressive delays and. have an increased risk of developing …

Faculty Requirement For A Portuguese Language Optometry Program: Experience And Challenges Of The Mozambique Eye Care Project, Diane Wallace

Conference Papers

Faculty recruitment for a Portuguese-language optometry program: experiences and challenges of The Mozambique Eye Care Project

Ms Diane Wallace BOptom, MPA

University of KawZulu Natal, South Africa

Purpose

The Mozambique Eyecare Project (MEP) is a unique institutional collaboration in a programme for the development, implementation and evaluation of a regional optometry training model for Portuguese-speaking Africa. The Project was initiated in February 2009 with the first cohort of undergraduate students beginning classes at Lúrio University in Northern Mozambique. This is the first Portuguese-language optometry program in Africa, and with no professionally qualified optometrists locally, faculty had to be recruited from …

Research Brief: Technology And Health Education: An Exploratory Study Of Older Chinese Immigrants, Jenny H. Tsai, Vicky Taylor, Shin-Ping Tu

Journal of Health Disparities Research and Practice

Technology advances, especially in the Internet, provide new tools to deliver health education to limited English proficient immigrants. This paper presents the findings of a qualitative descriptive study of older limited English proficient Chinese immigrants’ perspectives regarding computer-based health education. The sample consisted of 33 foreign-born Chinese recruited in Seattle, Washington. Data were generated through six focus groups and an 18-item demographic questionnaire. The analyses revealed that the majority was not skillful in computer use and Internet browsing, and the Internet was not a common health information source. Nevertheless, participants were supportive of having computer-based health information designed for Chinese …

Health Care Disparities For Persons With Limited English Proficiency: Relationships From The 2006 Medical Expenditure Panel Survey (Meps), Diane L. Smith

Journal of Health Disparities Research and Practice

Inadequate communication between patients with limited English proficiency (LEP) and providers can be associated with lower access to health care. The purpose of this research was to determine if there is a significant difference among those persons whose primary language is English and those with LEP in ability to access care and preventative screenings and perception of interaction with their physician. Chi square analysis was performed to determine if there was a significant relationship between primary language spoken and access to health care and patient-provider interaction. Data were obtained from the 2006 Medical Expenditure Panel Study. Results show that there …