Digital Commons Network^™

Art Therapy For Bereaved Siblings After Pediatric Cancer Death, Daniela Ramirez-Ibarra

Electronic Theses, Projects, and Dissertations

Children and adolescents whose siblings die due to pediatric cancer are at an increased risk for several mental health issues and high risky behavior engagement. There is currently very little literature on the topic of a sibling’s grief despite its potentially critical and persisting consequences. Through qualitative research in analyzing art projects made by bereaved siblings, this is an exploratory study of how an art program may help bereaved or grieving children access their feelings using a non verbal modality of expression. The research study was conducted at a community-based non-profit organization which focuses on supporting families of children with …

Reflection And Connection: Trauma-Informed Yoga And Its Aid In Trauma Healing In Female Identifying College Students, Gabrielle V. Sandoval

Graduate Theses and Dissertations

Traumatic experiences affect female identifying folks at an unequal rate compared to other populations. Trauma-informed yoga (TIY) has become a popular intervention for treatment of symptoms related to trauma. By utilizing tenets such as meditation, intentional movement, and trauma-informed language and positioning, this practice focuses on the mind-body-connection to establish feelings of safety. Although trauma education and interventions are becoming commonly implemented on college campuses, there is a gap in implementation and empirical studies evaluating such campus programs. To explore how TIY could aid this population, a four-week yoga intervention was created. Four participants engaged in a weekly TIY class …

Primary Care Employees' Knowledge And Self Efficacy About Human Trafficking, Mollie Zehmer

Graduate Theses and Dissertations

Human trafficking is a worldwide issue that is detrimental to individuals, families, and communities. However, it is a hidden issue, and without proper training, it goes unnoticed. Many primary care employees do not know much about trafficking or how to identify trafficked persons, but with proper training they could potentially help clients that are trafficked persons. The purpose of this quasi-experimental study was to determine if human trafficking training would increase primary care employees’ knowledge and self-efficacy about human trafficking. The training included topics such as general knowledge, risk factors, identifiers, and the role of healthcare employees. Participants in the …

The Importance Of Framing The Context Of Black/African Americans' Livelihood To Enhance Health Outcomes And Mitigate Health Inequalities, Elvis Gyan

Theses, Dissertations and Culminating Projects

This study investigates the portrayal of Black/African Americans in Health Marriage and Relationship Education (HMRE) programs, which predominantly follow Eurocentric models while examining how social and structural determinants (e.g., community context) influence stress levels, general health, and relationship satisfaction through two main objectives. Firstly, it aims to scrutinize the acknowledgment of biases towards non-Eurocentric communities in published Administration of Children and Families HMRE programs, analyzing 39 research studies. Secondly, it examines the interplay between perceived community context, stress as a mediator, general health, and relationship satisfaction among Black/African Americans across three distinct articles by testing hypothesized process models. Results for …

Does Assisted Living Provide Assistance And Promote Living?, Sheryl Zimmerman, Robyn Stone, Paula Carder, Kali Thomas

Institute on Aging Publications

Assisted living has promised assistance and quality of living to older adults for more than eighty years. It is the largest residential provider of long-term care in the United States, serving more than 918,000 older adults as of 2018. As assisted living has evolved, the needs of residents have become more challenging; staffing shortages have worsened; regulations have become complex; the need for consumer support, education, and advocacy has grown; and financing and accessibility have become insufficient. Together, these factors have limited the extent to which today's assisted living adequately provides assistance and promotes living, with negative consequences for aging …

Brief Resolved Unexplained Event (Brue), Children's Mercy Kansas City

Clinical Pathways

No abstract provided.

Behavioral Health Professionals’ Perception Of Anxiety Disorders Amongst African American Clients, Chantel K. Gant

LSU New Orleans Theses and Dissertations

Abstract

Anxiety disorders are frequent and increasing across the United States including for ethnically diverse populations (Carter et al., 2012). There is a need for education in the community on anxiety disorders about indicators of anxiety, severity and therapeutic approaches that would be beneficial (Johnson & Coles, 2013). It is imperative to know the variation in anxiety for African Americans to aid in therapeutic resources and counseling designed for this population (Hopkins & Shook, 2017). Prior research includes more of a focus on behavioral health professionals’ perspectives in conjectural situations rather than actual clinical practice (Joy & Bartholomew, 2021; Lawrence …

Social Determinants Of Health And Risk Of Stillbirth In The United States, April Adams, Deepa Dongarwar, Lena Shay, Mariana Baroni, Eunique Williams, Priscilla Ehieze, Rhanna Wilson, Alexia Awoseyi, Hamisu M Salihu

Faculty, Staff and Students Publications

Objective: Our aim was to evaluate the impact of social determinants of health (SDoH) risk factors on stillbirth among pregnancy-related hospitalizations in the United States.

Study design: We conducted a cross-sectional analysis of delivery-related hospital discharges using annualized data (2016-2017) from the Healthcare Cost and Utilization Project's Nationwide Inpatient Sample. The International Classification of Diseases, 10th Revision ICD-10-CM codes were used to select women with singleton stillbirth. Z-codes were utilized to identify SDoH risk factors and their subtypes. The association between SDoH risk factors and stillbirth was assessed using survey logistic regression models.

Results: We analyzed 8,148,646 hospitalizations, out of …

The Naked Truth: Policy On Tackling The Std Crisis Among Young Adults In Louisiana, Chijindu Eke, Matthew Kelley, Madeline Barclay

Journal of the Louisiana Public Health Association

No abstract provided.

Expanding The Access To Kidney Transplantation: Strategies For Kidney Transplant Programs, Angie Nishio Lucar, Ankita Patel, Shikha Mehta, Anju Yadav, Mona Doshi, Megan Urbanski, Beatrice Concepcion, Neeraj Singh, M. Lee Sanders, Arpita Basu, Jessica Harding, Ana Rossi, Oluwafisayo Adebiyi, Milagros Samaniego-Picota, Kenneth Woodside, Ronald Parsons

Department of Medicine Faculty Papers

Kidney transplantation is the most successful kidney replacement therapy available, resulting in improved recipient survival and societal cost savings. Yet, nearly 70 years after the first successful kidney transplant, there are still numerous barriers and untapped opportunities that constrain the access to transplant. The literature describing these barriers is extensive, but the practices and processes to solve them are less clear. Solutions must be multidisciplinary and be the product of strong partnerships among patients, their networks, health care providers, and transplant programs. Transparency in the referral, evaluation, and listing process as well as organ selection are paramount to build such …

Comparative Analysis Of Acceptance And Commitment Therapy’S Effectiveness In An Intensive Outpatient Program Setting, Efrain Frank Ellin Iii

Electronic Theses and Dissertations

This thesis presents a comparative analysis of acceptance and commitment therapy (ACT) and treatment as usual (TAU) within an intensive outpatient program setting, evaluating their effectiveness in enhancing various dimensions of psychological well-being. Guided by two main research questions, the study investigates whether ACT demonstrates greater or equal effectiveness compared to TAU and if it provides more immediate effects on psychological well-being within three weeks. Utilizing a quasi-experimental design, the research incorporates a comprehensive array of measurement tools to assess outcomes related to anxiety, depression, stress, psychological flexibility, cognitive flexibility, emotion regulation, mindfulness self-efficacy, and life satisfaction among participants. The …

Patient Engagement In Designing, Conducting, And Disseminating Clinical Pain Research: Immpact Recommended Considerations, Simon Haroutounian, Katherine J. Holzer, Et Al.

2020-Current year OA Pubs

In the traditional clinical research model, patients are typically involved only as participants. However, there has been a shift in recent years highlighting the value and contributions that patients bring as members of the research team, across the clinical research lifecycle. It is becoming increasingly evident that to develop research that is both meaningful to people who have the targeted condition and is feasible, there are important benefits of involving patients in the planning, conduct, and dissemination of research from its earliest stages. In fact, research funders and regulatory agencies are now explicitly encouraging, and sometimes requiring, that patients are …

Drivers Of Being Unhoused And The Prevalence Of Health Conditions Among Unhoused Individuals In Asheville, Nc, Andrea K. Yontz, Amber Beane, Tessa Frank, Amy Upham, Dustin V. Patil, Dan Pizzo, Steve Buie, Jacqueline R. Halladay

HCA Healthcare Journal of Medicine

Background

During the COVID-19 pandemic, there was an increase in the number of unhoused individuals in Asheville, North Carolina resulting in more tent encampments.

Understanding the physical, mental, and socially determined health characteristics associated with being unhoused can help guide stakeholders with policy development, healthcare program planning, and funding decisions to support unhoused individuals.

Methods

In this study, we used an observational cross-section methodology. Using a convenience sample approach, we interviewed 101 participants who were receiving services from 2 emergency hotel shelters, a day center, and a resource center. Data were analyzed using descriptive statistics, and open-ended responses were collected …

How And Why Foster Care Impacts Maltreated Youths' School Performance, Mallory Constantine

Lincy Institute Events

Youth mistreated within the foster care system are more likely to miss school as compared to non-maltreated peers. A single report of child maltreatment has a rapid and negative effect on school attendance and causes serious, long-term effects on school performance. A report of maltreatment substantiated by the department of family and child services removes a youth from a foster home and places the child in an alternative setting. These disruptions in foster care often result in additional problems with school behavior, achievement, and attendance. This lecture will explore how disruptions in foster care affect school behavior and performance and …

Determinant Factors Of Academic Stress: A Study Of First-Year University Students In Indonesia, Ade Herdian Putra, Zadrian Ardi

Jurnal Kajian Bimbingan dan Konseling

Academic stress can reduce academic performance in first-year university students. Based on theoretical studies and previous research, three factors are predicted to influence academic stress: academic self-efficacy, life satisfaction, and happiness. This study analyzes the correlation of academic self-efficacy, life satisfaction, and happiness with first-year university students' academic stress. This research uses a quantitative approach with correlational methods and path analysis. The participants in this research were 720 first-year university students in Indonesia. The research instruments used were the Academic Self-Efficacy Scale, Life Satisfaction Scale, Happiness Scale, and Academic Stress Scale. Research data was collected online and then analyzed using …

Effectiveness Of Group Guidance With Group Investigation Learning Model To Develop Students' Assertiveness, Muya Barida, Gefira Nurchairunnissa, Wahyu Nanda Eka Saputra, Aprilia Setyowati, Ediyanto Ediyanto, Adi Atmoko

Jurnal Kajian Bimbingan dan Konseling

Adolescents require assertiveness in socializing and interacting with their social environment in order to be able to express themselves well. However, there are still many adolescents who have not been able to express their thoughts, feelings, and hopes. This research aims to test the efficacy of group guidance services using the group investigation learning model to increase adolescent assertiveness. This research uses a one-group pretest-posttest research design to achieve the research objectives. The research subjects were six students at State Junior High School. The techniques and instruments used for data collection were an assertiveness scale. The assertiveness scale was tested …

Expanding Youth-Friendly Hiv Self-Testing Services During The Covid-19 Pandemic: Qualitative Analysis Of A Crowdsourcing Open Call In Nigeria, Onyekachukwu Anikamadu, Oliver Ezechi, Alexis Engelhart, Ucheoma Nwaozuru, Chisom Obiezu-Umeh, Ponmile Ogunjemite, Babatunde Ismail Bale, Daniel Nwachukwu, Titilola Gbaja-Biamila, David Oladele, Adesola Z Musa, Stacey Mason, Temitope Ojo, Joseph Tucker, Juliet Iwelunmor

2020-Current year OA Pubs

BACKGROUND: HIV self-testing (HIVST) among young people is an effective approach to enhance the uptake of HIV testing recommended by the World Health Organization. However, the COVID-19 pandemic disrupted conventional facility-based HIV testing services, necessitating the exploration of innovative strategies for the effective delivery of HIVST.

OBJECTIVE: This study analyzed the outcomes of a digital World AIDS Day crowdsourcing open call, designed to elicit youth responses on innovative approaches to promote HIVST among young people (14-24 years) in Nigeria during COVID-19 restrictions.

METHODS: From November 2 to 22, 2020, a World AIDS Day 2020 crowdsourcing open call was held digitally …

Healthcare Team Members’ Views On Social Determinants Of Health Screening And Referral Practices In A Pediatric Emergency Department, Jadelynn Nagy, Natalie J. Tedford, Sahlil Ahmed, Sofia Thoms, Akiko Kamimura, Maija Holsti

Patient Experience Journal

We aimed to explore the healthcare team members’ (HTMs) views on social determinants of health (SDH) screening and referral processes in a pediatric emergency department (PED). We conducted a cross-sectional, mixed-methods study to explore PED HTMs’ views on social care practices at a quaternary-level children’s hospital. The survey was created using a goal identification framework. The survey gathered quantitative and qualitative data by assessing SDH screening practices, comfort and personal habits in screening, prioritization of SDH domains, workflows to perform screening, and perceived barriers to screening. Quantitative data were analyzed using descriptive statistics. Qualitative data were analyzed using thematic analysis …

Evidence Based Practice Guidelines For The Pediatric Autistic Spectrum Disorder Population, Calvin Sparks

Doctor of Nursing Practice Scholarly Projects

Children with autism spectrum disorder (ASD), as well as caregivers, experience significant challenges in their interactions with healthcare providers in a clinical setting. This is primarily due to their issues with communication, social interaction, and sensory sensitivities to anesthetic treatment during premedication or preoperative environments. Due to these characteristics, it is important to maintain and update the current standards of care for children with ASD while utilizing evidence-guided strategies to provide a pre-operative assessment effectively. The pre-operative assessment is a critical component that renders impact throughout the surgical experience with the purpose of risk stratification, preparation of altering the normal …

The Heavy Mark Of Ptsd The Justice System Leaves On The People Going Through It., Ezavier Miller, Angel Emetuche, Sakina Ahmed

ENGL 1102 Showcase

This is a paper about how the justice system in it's many forms can cause PTSD. Not only to the criminals that go through it but also the children, victims. With many process having extensive repercussion causing PSTD to take hold of the many people that seek the justice system for help or judgement.

Maltreatment And Resilience: Examining The Unique Roles Of Threat And Deprivation, Priscilla Herrera

Undergraduate Research Symposium Posters

Background and objectives: This study aimed to investigate the involvement that maltreatment type, specifically threat and deprivation, play in a child’s life. We examine how threat uniquely contributes to resilience and how deprivation impacts resilience. Literature has highlighted differences in the effects of deprivation and threat in recent research that shows the impact on various neurological systems.

Methods and approach: Participants included youth aged 11-17 years in the Department of Family Services (DFS) custody following removal from their home after substantiated child maltreatment and were assessed. 90 of the youth in the sample reported that they have experienced threat-based maltreatment, …

An Exploration Of The Lived Experience Of Novice Adjunct Nursing Faculty As They Transition From Clinical Expert To Novice Educator, Angelique Tolentino-Martin

Doctoral Dissertations and Projects

This transcendental phenomenological study aimed to describe and understand the lived experiences of novice adjunct nursing faculty teaching in the United States in undergraduate nursing programs as they transition from clinical practice to academia. The theories that guided this study are Meleis’ transition theory and Schoening’s nurse educator transition model which provide a framework for the transition experiences for novice adjunct nursing faculty. The central research question is: What are the lived experiences of novice undergraduate adjunct nursing faculty transitioning from clinical expert to novice nurse faculty? Purposive sampling and snowball sampling were used to recruit participants who were novice …

Helping Yourself To Help Others: Understanding The Impact Of Empathy On Providers In The Healthcare System, Eva Fabino '24

Social Work Student Scholarship

Eva Fabino ’24, Social Work and Psychology major
Faculty Mentor: Dr. Kathleen Kranz, Social Work

Psychedelic-Assisted Therapy: An Emerging Best Practice For Trauma Care?, Amelie Neubert '24

Social Work Student Scholarship

Amelie Neubert ’24, Social Work major
Faculty Mentor: Dr. Katherine Kranz, Social Work

Food Insecurity Screening Of Families In A Level Iii Neonatal Intensive Care Unit, Katelyn P. Vawter Rn, Bsn, Rnc-Nic, Megan Ortiz Rn, Bsn, Bobby Bellflower Dnsc, Nnp-Bc, Faanp

Doctor of Nursing Practice Projects

Full Study Title: Food Insecurity Screening of Families in a Level III Neonatal Intensive Care Unit

Background: Early infancy food insecurity (FI) is linked to poor health later in life, and Neonatal Intensive Care Units (NICUs) are often overlooked. Routine FI screening can help identify and assist the families suffering from FI seen in the NICU before being discharged home.

Purpose: The aim was to identify if families were assessed for FI by social workers or if they were more likely to report FI in a brief survey.

Method: A randomized chart review of social work notes for 30 NICU …

The U.S. Military Does Not Adequately Prepare Members For Transition From Service, Emily Graham

Population Health Research Brief Series

Nearly 250,000 U.S. military members transition out of service each year. The Transition Assistance Program (TAP) provides information, tools, and training to prepare service members for their transition to civilian life. However, nearly half of veterans say the military did not adequately prepare them for their transition from service. This issue brief highlights the shortcomings of veteran transition programs, like TAP, and provides recommendations for improving transition outcomes through more holistic programs.

Ccr2+ Monocytes Replenish Border-Associated Macrophages In The Diseased Mouse Brain, Lingxiao Wang, Jiaying Zheng, Shunyi Zhao, Yushan Wan, Meijie Wang, Dale B Bosco, Chia-Yi Kuan, Jason R Richardson, Long-Jun Wu

Faculty, Staff and Student Publications

Border-associated macrophages (BAMs) are tissue-resident macrophages that reside at the border of the central nervous system (CNS). Since BAMs originate from yolk sac progenitors that do not persist after birth, the means by which this population of cells is maintained is not well understood. Using two-photon microscopy and multiple lineage-tracing strategies, we determine that CCR2+ monocytes are significant contributors to BAM populations following disruptions of CNS homeostasis in adult mice. After BAM depletion, while the residual BAMs possess partial self-repopulation capability, the CCR2+ monocytes are a critical source of the repopulated BAMs. In addition, we demonstrate the existence of CCR2+ …

The Anatomical Embodiment Of Morning Routines In The Reduction Of Anxiety: An Intervention, Natalie Wright

Expressive Therapies Capstone Theses

The topic under investigation is whether physically embodying a morning routine that was designed through the lens of Laban Bartenieff Movement Analysis (LBMA) will reduce daily symptoms of individuals diagnosed with Generalized Anxiety Disorder.

Since morning routines play a significant part in one’s preparation for the day, I created an individualized LBMA morning routine for a specific client to embody. In addition to the routine, the client documented the process of their anxiety levels on a weekly basis. This client was a white, female, 19-year-old, lesbian college student who was previously diagnosed with Generalized Anxiety Disorder (GAD). The movement analysis …

The Impact Of Outpatient Supportive Oncology On Cancer Care Cost And Utilization, Brooke Worster, Yifan Zhu, Gregory Garber, Sawyer Kieffer, Aaron Smith-Mclallen

Department of Medical Oncology Faculty Papers

BACKGROUND: Supportive oncology (SO) care reduces symptom severity, admissions, and costs in patients with advanced cancer. This study examines the impact of SO care on utilization and costs.

METHODS: Retrospective analysis of utilization and costs comparing patients enrolled in SO versus three comparison cohorts who did not receive SO. Using claims, the authors estimated differences in health care utilization and cost between the treatment group and comparison cohorts. The treatment group consisting of patients treated for cancer at an National Cancer Institute-designated cancer center who received SO between January 2018 and December 2019 were compared to an asynchronous cohort that …

Implementation Of Psychiatric Collaborative Care Management In Rural Primary Care Practices, Ryan Dean Kruis

MUSC Theses and Dissertations

Behavioral health (BH) disorders are highly prevalent in the United States and especially concerning in rural communities which disproportionately lack access to BH services. While models for integrating BH into primary care, such as psychiatric collaborative care management (CoCM), have shown promise in mitigating the BH crisis, implementation in rural communities has proved challenging.
This dissertation examines implementation of CoCM nationally and in rural settings through three distinct aims. First, a claims-based retrospective cohort study was used to determine whether commercially insured patients receiving CoCM had lower acute BH care utilization and cost as compared to similar patients not receiving …