Digital Commons Network^™

Application Of Self-Efficacy Training In Group Aural Rehabilitation: An Interprofessional Collaborative Model, Stephen D. Roberts, Nancy A. Delich

JADARA

Few studies have explored self-efficacy training with persons with hearing loss (PHLs), yet alone with their communication partners (CPs). The purpose of this mixed-method study was to examine the impact of self-efficacy training as a framework for an Interprofessional Psychosocial Group Aural Rehabilitation (IPGAR) workshop with PHLs and their CPs. Four PHLs and their four CPs consented to participate in the IPGAR workshop that employed interventions including short lectures, psychosocial exercises, communication strategies training, speech perception training, adaptive/stress reduction exercises, and group discussions relevant to mutually established shared goals for each couple. The participants reported improved communication abilities in the …

Post-Secondary Employment And Education Outcomes Of Young Adults Reporting Both Vision And Hearing Impairments In The High School Longitudinal Study Of 2009, Emily M. Lund

JADARA

This article reports the post-secondary education and work activities of 43 young adults who reported a history of both hearing and vision disabilities (i.e., deafblindness [DB] in Wave 4 of the High School Longitudinal Study of 2009. Most of the sample reported having worked, attended post-secondary education, or both since completing secondary education. Approximately half of the sample still lived with their parents, and most reported receiving financial support from their parents. Thus, although engagement in work and education was relatively high, most participants had not achieved financial independence.

A Three Article Study Examining Sexual And Gender Minority Competency Of Health Service Providers, Corrine N. Wilsey

Health Services Research Dissertations

Sexual and gender minority (SGM) individuals endure a number of health disparities, such as higher rates of violence, mental health conditions, and more medical conditions. These disparities are exacerbated by the fact that SGM individuals face issues such as accessing health insurance, social support programs, and health service providers who are knowledgeable about SGM health issues. Certain health service provider governing organizations (i.e., the American Psychological Association, the Association of American Medical Colleges, and the Gay and Lesbian Medical Association) have recognized the need for guidelines regarding SGM care in recent years and published guidelines for health service providers regarding …

Wellness And Coping Of Residents In A Skilled Nursing Facility, Christine M. Larson

Doctoral Dissertations and Projects

Depression is common among older adults in long-term care (LTC) facilities. As many as 50%-80% of residents will experience depressive symptoms or have a diagnosis of depression. Depression increases the risk of poor health-related outcomes in older adults. A review of the literature suggests that early intervention using movement-based techniques decreases the risk for depression and improves depressive symptoms. This scholarly project aimed to reduce the risk of depression of residents in an LTC located in a suburban area in Midwestern United States. The LTC facility and a Doctor of Nursing Practice (DNP) student implemented the Chair One Fitness program …

Psychosocial Impacts And Employment Preparedness Of Participating In An Hiv Peer Program: Implications For Tailoring A Vocational Counseling Model For Plwh, Erin R. Mckinney-Prupis

Dissertations and Theses

Background:

Medical advancements in HIV care should have reduced barriers to employment for PLWH, yet in 2017 only 47.7% of PLWH reported being employed, as compared to 62.9% in the general population. Employment is a significant social determinant of health, it impacts a variety of factors related to health, including earned income, access to healthcare, and social connectedness. Quantitative and qualitative studies have identified several concerns PLWH have about entering the workforce; the most pressing being fear of losing benefits. Targeted work readiness programs for PLWH is an important approach to help PLWH overcome their unique barriers to work, such …

Access To Eye Care Before And After Vision Loss: A Qualitative Study Investigating Eye Care Among Persons Who Have Become Blind, Tosha Zaback, Stephanie Lam, Joan Randall, Teresa Field, Mitchell V. Brinks

The Qualitative Report

Navigating access to eye care requires that patients recognize the need for screening and care, employ limited financial and social resources, manage complex health insurance policies, and access specialty clinical care. We investigated the experience of patients through the progression of vision loss to blindness, utilizing qualitative methods. We conducted structured telephone interviews with 28 persons with blindness throughout Oregon. Utilizing closed and open-ended questions, we explored patient experience on the events preceding avoidable blindness. Coding for emergent themes was conducted independently by two researchers using a constant comparative method. Participants described important barriers to accessing eye care: at the …

Utilizing Phq-9 To Standardize Healthcare Assessments, Angela M. Wooley

Cohort VIII

Depression is a serious condition that if left untreated can lead to life threatening situations. Healthcare providers are responsible for recognizing and assessing those individuals dealing with depression. Screening tools have been shown to be beneficial in assisting healthcare providers to identify those individuals meeting the depression criterion. The PHQ-9 is a self-administered screening tool that has shown to be reliable and valid in screening individuals for depression in most healthcare settings. The PHQ-9 was utilized in this project and, as shown by evidence-based practice, can assist clinicians in assessing for depression and provide valuable information regarding the severity of …

Social Participation In College Students With Chronic Pain, Megan Chamberlain, Megan Chinn, Jennifer Pineda, Camille Santiago, Jamie Spitzer, Patricia Tran

Occupational Therapy | MSOT Capstone Projects

College students with chronic pain often experience difficulty engaging in social activities both on and off campus due to stigma, misconceptions, or social exclusions (Culp & Rojas-Guyler, 2014). To fully understand the barriers to social engagement, the researchers used a qualitative phenomenological approach and semi-structured interviews to explore the lived experiences of 15 college students with chronic pain (pain lasting more than six months). Four main themes were identified: the additional influence of personality on social participation; stigma and lack of understanding of chronic pain; the “domino effect” of pain impacting energy, sleep quality, and ability to function throughout the …

Factors Associated With Quality Of Life And Dialysis Compliance, Viviana Garcia Guerra

Theses and Dissertations

This dissertation study explored the relationship between quality of life (QoL) and dialysis compliance with family support, spirituality, age, gender, and socioeconomic status (SES) among people with end stage renal disease (ESRD). Utilizing the Biopsychosocial Spiritual Framework, this study pursued to inform mental health professionals working with people undergoing dialysis about the factors that influence QoL and dialysis compliance. This descriptive quantitative dissertation study included 79 participants who self-identified as persons receiving either hemodialysis or peritoneal dialysis. Participants were members from closed social online forums and the National Kidney Foundation.

The current study found that family support and SES predicted …

Improving The Classroom Experience By Providing Teachers With A Mindfulness Intervention, Andrea P. Almaguer-Botero

Theses and Dissertations

The purpose of this study was to improve the classroom environment for teachers by providing them with a mindfulness-based intervention. This experimental study evaluated the outcomes of an eight-week stress and mindfulness prevention intervention (SPAM) created specifically for teachers. The current study measured the following variables: mindfulness, stress, self-efficacy, job satisfaction, and well-being. This study used a four-way ANOVA (2 X 3 X 2 X 5) with two between subjects’ factors, groups and levels, and two within subjects/repeated measures factors, pre-test-posttest and scales. There were 14 teacher participants in the experimental group and 19 teacher participants in the control group. …

Individual Difference As A Factor In Ethical Decision-Making, Dan W. Reagan Jr.

Theses and Dissertations

Despite the dominance of modernistic ethics in counseling there has been a growing development of postmodern thought. There has been a growing understanding the limitations of ethical codes and purely rational thinking in ethical decision-making. Part of this new paradigm is an appreciation for the role of affect and context in the decision-making process. A post-modern approach to counseling ethics seems to be increasingly accepted among persons working in the social service field but little research has been attempted to evaluate the implications of such a change in training and practice. This study attempted to explore possible relationships between individual …

Attrition In A Holistic Job Skills Training Program: A Qualitative Study, Jeaniece Silas

Electronic Theses and Dissertations

Today thousands of individuals and families are unemployed or underemployed and are seeking ways to combat poverty and become employed. One way that individuals seek to gain employment is by attending job skills training and adult education programs. However, there are barriers that hinder those individuals from successfully completing the programs. The purpose of this study is to explore the experience of applicants of a nonprofit job skills training program called FaithWorks and explore the reasons why applicants were not able to continue and, or complete the program. This study was conducted, through qualitative interviewing of four participants (N=4) utilizing …

A Proposal To Implement Assertive Community Treatment Into A Primary Care Shelter Clinic, Julie Churcher-Fields

Theses and Graduate Projects

Individuals who are experiencing homelessness and severe mental illness have a difficult time accessing healthcare systems. Without mental health treatment and stable housing, individuals develop multiple needs that must be addressed during an individual visit. Without treatment for mental health symptoms, individuals may experience a negative impact on their quality of life and the ability to get basic needs met. Community organizations have an obligation to provide integrated care with a goal to improve overall health for this population. As nurse leaders there is an opportunity to be advocates and implement innovative ideas to improve care. In a large adult …

From Isolation To Communication: Connecting Adults Who Have Hearing Loss With Their Communication Partners, Stephen D. Roberts, Nancy A. Delich

JADARA

As Baby Boomers enter the late adulthood stage of life, hearing loss continues to be one of the most prevalent, chronic, and isolating conditions facing older adults today. Research has focused on the negative consequences of hearing loss on the health and the person’s well-being, but it is equally important to recognize that hearing loss also leads to communication loss. The resulting social isolation and the collateral effects of hearing loss on the communication partner are the focus of this mixed-method study that explored the hearing loss-related quality of life for both parties. Five overarching themes emerged from the analysis, …

Hiring Individuals In Addiction Recovery: Characteristics, Levels Of Concern And Willingness, Alicia B. Becton, Sara Werner Juarez, Roy K. Chen

School of Rehabilitation Services & Counseling Faculty Publications

Research suggests employment is a key factor in an individual’s recovery and employer’s views have historically limited opportunities for highly marginalized groups. Objectives: This study provides an analysis of views among employers regarding the hiring of individuals in addiction recovery. Methods: A convenience sample of 382 employers affiliated with the chambers of commerce was recruited to participate in this study. The authors used descriptive and inferential statistical methods to analyze data received through an online questionnaire. Results: The results suggest gender influences the views of employers to hire individuals in recovery. Women are more likely to hire individuals in recovery …

Incapacité Due À Un Trouble Musculosquelettique : Les Inquiétudes Liées À L'Environnement De Travail, Marie-France Coutu, Marie-José Durand, Iuliana Nastasia, Fergal O'Hagan, Patrick Gosselin, Marie-Élise Labrecque, Sara Pettigrew, Djamal Berbiche

Rapports de recherche scientifique

Environ une personne sur trois dans le monde vivrait avec un trouble musculosquelettique (TMS) persistant. Plusieurs auteurs soulignent l’influence significative des facteurs psychosociaux, dont l’anxiété, sur le développement de l’incapacité prolongée. Associées à l’anxiété, des inquiétudes excessives ont été documentées chez des travailleurs ayant une douleur persistante d’origine musculosquelettique. Les inquiétudes ne favorisent pas l’adaptation en contexte d’une situation problématique. Cependant, aucune étude n’a jusqu’à présent tenté de comprendre ces inquiétudes, en lien avec l’environnement de travail. Une meilleure compréhension de ce phénomène semble un incontournable pour offrir une action mieux ciblée aux travailleurs ayant une incapacité au travail prolongée. …

An Exploratory Factor Analysis: Factors Influencing Employers’ Disposition To Hire And Retain Persons With Disabilities, Javier N. Rodriguez, Irmo Marini, Roy K. Chen, Jesus Tanguma

School of Rehabilitation Services & Counseling Faculty Publications

BACKGROUND:

There is a significant disparity in employment rates for persons with disabilities when compared to persons without disabilities. Understanding factors that influence employers’ disposition to hire and retain persons with disabilities is the first step in developing an educational intervention plan that is conducive to employers being more receptive to hiring persons with disabilities.

OBJECTIVE:

The purpose of this study is to survey and explore factors that influence employer’s disposition to hire and retain persons with disabilities and devise a scale that goes beyond attitudes.

METHODS:

To assess the factor structure and internal consistency of the new scale an …

A Population-Based Investigation Of Health-Care Needs And Preferences In American Adults With Multiple Sclerosis, Chungyi Chiu, Malachy Bishop, Bradley Mcdaniels, Byung-Jin Kim, Lebogang Tiro

Early Childhood, Special Education, and Counselor Education Faculty Publications

Background: Comprehensive and effective multiple sclerosis (MS) health care requires understanding of patients’ needs, preferences, and priorities. Objective: To evaluate priorities of patients with MS for their MS care. Methods: Participants included 3003 Americans with MS recruited through the National MS Society and the North American Research Committee on Multiple Sclerosis patient registry. Participants completed a comprehensive questionnaire on aspects of their health-care experiences. Results: Participants identified the top 3 health-care priorities as (1) the affordability of MS health care, (2) ensuring that non-MS health-care providers have more education about MS and how it can interact with other conditions, and …

Workplace Discrimination For Persons With Hearing Loss: Before And After The 2008 Ada Amendments Act, Brian T. Mcmahon, James Grover, Megan C. Mcmahon, Jeong Han Kim

School of Rehabilitation Services & Counseling Faculty Publications

BACKGROUND:

Individuals with hearing loss experience unique barriers to employment frequently documented in the areas of communication and education. The purpose of this article is to contribute to extend this inquiry to the uniqueness of workplace discrimination involving persons with hearing loss.

OBJECTIVE:

This study investigated differences in allegations of workplace discrimination filed by persons with hearing loss (“Hearing”) compared to those filed by persons with other physical or neurological disabilities (General Disability, or “GENDIS”) before and after the enactment of the 2008 Americans with Disabilities Act Amendments Act (2008 Amendments).

METHODS:

Using secondary data collected from the Equal Employment …

The Need For A Physical Therapy Clinic In Pucallpa, Peru, Isabella M. Sutton, Abby M. Waldek, Brylie M. Wiedmaier

All Electronic Theses and Dissertations

In developing countries, complications from traumatic injuries account for a significantly higher number of deaths annually compared to developed countries. Not only are traumatic injuries more likely to occur in developing countries, but limited access to quality healthcare and adequate funds to pay for services make it much more likely for individuals to be left with lifelong disabilities. With that, this community service project worked with Scalpel at the Cross (SATC), an orthopedic medical ministry based in Pucallpa, Peru to expand their ability to provide free orthopedic surgeries and physical therapy following traumatic injuries. The community service project will help …

Perceptions Of Collaboration With A Doctor Of Clinical Laboratory Science, Leah Jane Ames

Graduate Research Theses & Dissertations

Every person in America seeks medical care at some point, trusting and relying on highly educated healthcare professionals and sophisticated technology to solve their medical problem. The majority of clinicians rely on laboratory testing to provide insight into a patient’s illness. Unfortunately, the appropriate laboratory tests are not always ordered correctly during a patient’s initial visit. A study that examined 15 years of inappropriate test utilization indicates that, on average, 20.6% of lab tests were ordered when they weren’t needed and 44.8% of lab tests that were needed were not ordered. This is considered a medical error that can lead …

Neuropsychological Change After A Single Season Of Head Impact Exposure In Youth Football, Arthur C. Maerlender, Eric Smith, P. Gunnar Brolinson, Joseph J. Crisco, Jillian Urban, Amaris Ajamil, Steven Rowson, Eamon T. Campolettano, Ryan A. Gellner, Srinidhi Bellamkonda, Emily Kieffer, Mireille E. Kelley, Derek Jones, Alex Powers, Jonathan Beckwith, Joel Stitzel, Richard M. Greenwald, Stefan Duma

Center for Brain, Biology, and Behavior: Faculty Publications

Objectives: Head impact exposure (HIE) in youth football is a public health concern. The objective of this study was to determine if one season of HIE in youth football was related to cognitive changes.

Method: Over 200 participants (ages 9–13) wore instrumented helmets for practices and games to measure the amount of HIE sustained over one season. Pre- and post-season neuropsychological tests were completed. Test score changes were calculated adjusting for practice effects and regression to the mean and used as the dependent variables. Regression models were calculated with HIE variables predicting neuropsychological test score changes.

Results: For the full …

The Role Mentoring Plays In The Transition Of Practice Of Newly Credentialed Athletic Trainers, Stacy E. Walker, Stephanie Mazerolle Singe, Julie M. Cavallario

Ellmer School of Nursing Faculty Publications

Context: Mentoring has been identified as an important method to support newly credentialed athletic trainers during their transition to practice. Gaining a better understanding of this relationship could provide valuable insights that may assist employers and professional programs to develop a plan, which could better facilitate the transition.

Objective: To examine what aspects of the mentoring relationship provided the most benefit during transition to practice.

Design: Grounded theory.

Setting: Individual phone interviews.

Patients or Other Participants: 13 athletic trainers who graduated from a professional master's program, were certified between February and July of 2016, and obtained employment between July to …

Stress And Job Satisfaction As Predictors Of Teacher Turnover Intentions, Alrick Thompson

Walden Dissertations and Doctoral Studies

High teacher turnover is problematic because of the costs associated with recruiting and training new hires. However, some of the factors originating outside of the working environment that may influence teacher turnover intentions are not fully understood. The purpose of this quantitative correlational design study was to examine the extent to which job satisfaction, commuting stress, and financial stress are predictors of teacher turnover intentions. The study involved a purposive sampling of 227 teachers within a school district in the South Eastern part of the United States. Hobfoll’s conservation of resources theory provided the theoretical framework for the study. Validated …

Using Data-Enabled Performance Feedback And Guidance To Assist Employment Consultants In Their Work With Job Seekers: An Experimental Study, John Butterworth, Alberto Migliore, Kelly Nye-Lengerman, Oliver Lyons, Amy Gunty, Jill Eastman, Paul Foos

All Institute for Community Inclusion Publications

BACKGROUND:The success of job seekers with disabilities in achieving their employment goals depends in large part on the quality of employment supports that they receive from employment consultants. OBJECTIVE:To test the effectiveness of data-enabled performance feedback to assist employment consultants in implementing standards of effective employment supports. METHODS:A total of 187 employment consultants in 30 states were randomly assigned to intervention or control groups. The intervention group received data-enabled performance feedback and guidance for 12 months, whereas the control group continued with business as usual. Both groups completed baseline and quarterly surveys throughout the intervention. RESULTS:One year after baseline, the …

Managing Occupational Stress Among Nigerian Police Officers Deployed To Borno State, Nigeria, Babatunde Salmon Alabi

Walden Dissertations and Doctoral Studies

The police officers in Borno State, Nigeria, lack adequate training to manage the occupational stress when deployed to perform their civic duties of protection of lives and properties. Using the theory of psychological stress and coping, the purpose of this general qualitative study was to explore strategies that police officers deployed to Borno State of Nigeria used in managing occupational stress when discharging their duties. The research question was written to address the strategies required by police officers deployed to Borno State, Nigeria, in managing occupational stress when discharging their duties. Using semistructured interviews, 15 participants were selected who had …

New Perspectives On Faculty Stress: Its Relationship With Work Engagement, Teaching Effectiveness, And Program Preferences To Manage Stress, Rocio Alvarenga

Open Access Theses & Dissertations

The purpose of the study was to analyze faculty stress with three interrelated parts. First, the study examined the relationship between work engagement, stress factors, stress outcomes, and faculty characteristics. Next, the study analyzed the relationship between students' perception of faculty stress, faculty teaching effectiveness, class size, and student classification. Finally, the study investigated faculty preferences for health and wellness programs in the workplace. The study used two anonymous online questionnaires to collect data from 45 faculty participants and 119 student participants from a U.S. public, four-year research university. For faculty, the results demonstrated statistically significant strong relationships between all …

Pain Experiences And Their Relation To Opioid Misuse Risk And Emotion Dysregulation, Jonathan W. Nauser, Cecelia I. Nelson, Richard T. Gross, Alison M. Vargovich

Faculty & Staff Scholarship

Pain is a complex, multidimensional experience but often is measured as a unidimensional experience. This study aimed to separately assess the sensory and affective components of pain and identify their relations to important pain-related outcomes, particularly in terms of opioid misuse risk and emotion dysregulation among patients with chronic pain receiving treatment in Appalachia. Two hundred and twelve patients presenting to a multidisciplinary pain center completed the Difficulties in Emotion Regulation Scale (DERS-18), Screener and Opioid Assessment for Patients with Pain—Revised (SOAPP-R), and short-form McGill Pain Questionnaire (SF-MPQ). The sensory experience of pain was unrelated to emotion dysregulation (r = …

Physician Assistant Burnout And Fulfillment Related To Career Development And Physician Relationship, Kari Sue Bernard

Walden Dissertations and Doctoral Studies

Physician workforce shortages are driving increased clinical and administrative use of non-physician healthcare providers. As a result, physician assistants (PAs) may experience role expansion in a positive or negative manner. The purpose of this study was to determine if aspects of PA career development related to role expansion interacted with the quality of the collaborative physician (CP) relationship to predict PA well-being. The job demands-resources (JD-R) model was used as the theoretical foundation and the National Academy of Medicine’s conceptual model of clinician well-being was used as the conceptual framework. Research questions addressed whether PA experience level predicted well-being, and …

Managing Energy As Experienced By Female Federal Senior Managers, Gwendolyn Jones Crimiel

Walden Dissertations and Doctoral Studies

Senior managers experience a drain on personal energy while trying to meet the demands of work. The purpose of this hermeneutic phenomenological study was to explore how female senior managers describe lived experiences of managing and renewing personal energy while at work. The theoretical framework included conservation of resources theory and effort recovery theory. Data were collected from semi-structured interviews with 14 female senior managers who experienced managing and renewing their personal energy at work. Data analysis involved coding to capture the essence of the experiences and to identify common themes. Findings indicated that insufficient energy affected participants’ mental and …