Digital Commons Network^™

Community-Clinic Linkages For Promoting Hiv Prevention: Organizational Networks For Prep Client Referrals And Collaborations, John A Schneider

Faculty, Staff and Student Publications

Community-clinic linkages may help communities increase HIV pre-exposure prophylaxis (PrEP) uptake. Referrals from community-based organizations may be particularly important for linking Black men who have sex with men (MSM) to PrEP. This study describes PrEP referral and HIV/STI prevention networks among organizations that serve MSM in Houston, TX (N = 40), and Chicago, IL (N = 28), and compares network positions of organizations based on percentage of Black/African American clients. A majority of organizations conducted PrEP awareness/promotion activities, but fewer made PrEP referrals, with little overlap between the collaboration and referral networks. The networks tended to have a …

Sexual Coercion, Unintended Pregnancy, And Poor Reproductive Health Among Adolescent Girls (Aged 13 - 19) In Mexico, Arun Kumar Acharya, Maria Luisa Martinez

Dignity: A Journal of Analysis of Exploitation and Violence

In Mexico, nearly 23,000 adolescents between the ages of 12-17 years suffer sexual coercion every year. This group also has a high birth rate of 77/1,000 adolescents, which indicates that one in every five pregnant women is an adolescent. This study describes the sexual coercion of victims and their views regarding the experience based on data collected from 37 Mexican girls between the age of 13 to 19, selected purposively using the snowball method in Monterrey city, Mexico. Results indicate that sexual coercion among adolescents is a serious problem, where 70% of adolescents experienced vaginal sexual coercion, nearly 22% experienced …

Epidemiological Algorithm For Early Detection Of Covid-19 Cases In A Mexican Oncologic Center, Moisés González-Escamilla, Diana Cristina Pérez-Ibave, Carlos Horacio Burciaga-Flores, Vanessa Natali Ortiz-Murillo, Genaro A. Ramírez-Correa, Patricia Rodríguez-Niño, Rafael Piñeiro-Retif, Hazyadee Frecia Rodríguez-Gutiérrez, Fernando Alcorta-Nuñez

School of Medicine Publications

An early detection tool for latent COVID-19 infections in oncology staff and patients is essential to prevent outbreaks in a cancer center. (1) Background: In this study, we developed and implemented two early detection tools for the radiotherapy area to identify COVID-19 cases opportunely. (2) Methods: Staff and patients answered a questionnaire (electronic and paper surveys, respectively) with clinical and epidemiological information. The data were collected through two online survey tools: Real-Time Tracking (R-Track) and Summary of Factors (S-Facts). Cut-off values were established according to the algorithm models. SARS-CoV-2 qRT-PCR tests confirmed the positive algorithms individuals. (3) Results: Oncology staff …

The Important Factors Applicants Consider When Choosing A Residency: A Survey Study, Amber Alexandria Quave, Hossein Akhondi, Napatkamon Ayutyanont

HCA Healthcare Journal of Medicine

Background

While medical school graduates compete to get matched into the best residency programs, programs also compete to attract the best applicants. The applicant’s decision to rank their programs of interest is determined by several factors, many of which are not always apparent.

Method

This study aimed to evaluate significant factors involved in an applicant’s residency program selection. A 12-question survey was sent between June 2020 and September 2020 to all first-year internal medicine residents in the United States (US) through an online national database of residencies using the Survey Monkey platform. We asked them to rank the most significant …

Public Perception And Obedience With Social Distancing Policies During The Covid-19 Pandemic In Jakarta, Indonesia, Widyamurti Widyamurti, Edwina Bernita Sitorus, Dewi Susanna, Bambang Wispriyono, Aria Kusuma, Renti Mahkota

Kesmas

The Indonesian Government established a social distancing policy to prevent COVID-19 transmission. However, this implementation will be ineffective without the compliance of the people. This study aimed to analyze the relationship between public perception and obedience with social distancing in terms of the variables based on the Health Belief Model. This study used a cross-sectional design with a population of Daerah Khusus Ibukota (DKI) Jakarta’s indigenes within the productive age of 15-64 years. The sample comprised 408 participants, with the independent variables of sociodemographics (age, gender, occupation, and education) and health beliefs (perceived susceptibility, severity, benefits, barriers, and self-efficacy). Meanwhile, …

Tell Me Your Story: Evaluating Health And Human Flourishing In Congregations In Disadvantaged Neighborhoods, Isaac Voss

Essays

No abstract provided.

Using Client And Supervision Feedback To Improve Supervision In Health Care, Daryl Mahon Ba, Ma

Counseling and Family Therapy Scholarship Review

This paper seeks to establish a conceptual model of client and supervisee feedback that can be used to improve supervision processes and outcomes in health and social care settings. Supervision is a beneficial practice development endeavor that practitioners find rewarding for various reasons. However, the impact of supervision on client outcomes in health and social care settings is scant and not all supervision is helpful; indeed, harmful and inadequate supervision is also prevalent. Using supervisory measures of the alliance between supervisor and supervisee may be one method to help improve processes and outcomes. In addition, providing client feedback to practitioners …

A Humanistic, Culturally Sensitive Approach To Telesupervision: A Case Study, Tony Falasca

Counseling and Family Therapy Scholarship Review

In this case study, the unique features of providing telesupervision in a humanistic, systematic approach that takes in cultural issues are discussed.With the COVID-19 pandemic, therapists who supervise students have not only moved to various online platforms to supervise students, but also had to adjust to the uniqueness of telesupervision and to issues brought into supervision such as culture. In this case study a strong working alliance start to develop with this student prior to starting telesupervision. It allowed trust to develop by getting to know the student, looking at what the student wanted in during supervision and the requirements …

Addressing The Disparities In Dementia Risk, Early Detection And Care In Latino Populations: Highlights From The Second Latinos & Alzheimer's Symposium, Yakeel T. Quiroz, Michele Solis, María P. Aranda, Alicia I. Arbaje, Mirna Arroyo-Miranda, Laura Y. Cabrera, Minerva Maria Carrasquillo, Maria M. Corrada, Gladys E. Maestre, Rosa V. Pirela

School of Medicine Publications

The Alzheimer's Association hosted the second Latinos & Alzheimer's Symposium in May 2021. Due to the COVID-19 pandemic, the meeting was held online over 2 days, with virtual presentations, discussions, mentoring sessions, and posters. The Latino population in the United States is projected to have the steepest increase in Alzheimer's disease (AD) in the next 40 years, compared to other ethnic groups. Latinos have increased risk for AD and other dementias, limited access to quality care, and are severely underrepresented in AD and dementia research and clinical trials. The symposium highlighted developments in AD research with Latino populations, including advances …

Qualitative/Covid Journals, Judy Schmitt

Library Faculty Works

No abstract provided.

A Mediation Analysis Of The Role Of Girl Child Marriage In The Relationship Between Proximity To Conflict And Past-Year Intimate Partner Violence In Post-Conflict Sri Lanka, Ruvani W. Fonseka, Lotus Mcdougal, Anita Raj, Elizabeth Reed, Rebecka Lundgren, Lianne Urada, Jay G. Silverman

Faculty Research, Scholarly, and Creative Activity

Background
Studies from many contexts indicate that proximity to conflict is associated with increased likelihood of intimate partner violence (IPV), and girl child marriage is associated with both proximity to conflict and increased IPV. In this study, we consider whether girl child marriage acts as a mediator of the association between proximity to conflict and IPV in the context of Sri Lanka, which sustained long-term conflict until 2009.
Methods
We analyzed responses of currently partnered women between ages 18 and 49 in the 2016 Sri Lankan Demographic and Health Survey (N = 13,691). Using logistic regression analyses, we measured associations …

They Built My Soul: A Qualitative Analysis Of The Impacts Of Home Repairs In Rural Tennessee, Bethesda O'Connell, Ada Sloop, Nicole Intagliata, Melisa Miller, Megan Quinn

Journal of Appalachian Health

Background: Housing is an important social determinant of health and substandard housing is linked to physical, mental, and social health problems.

Purpose: The purpose of the study was to qualitatively assess the impacts of repairs to substandard housing in rural East Tennessee through twenty-eight interviews.

Methods: Zoom was utilized for recording phone interviews in January– February 2021 and NVivo software was used for thematic analysis in May–July 2021.

Results: Themes that emerged included environmental risk reduction, impacts on physical health, impacts on mental health, impacts on financial well-being, and willingness to receive future assistance from service organizations.

Implications: Further …

Post Traumatic Growth Amongst Australian Bravery Award Recipients, Tom Voigt, Joanne Williams, Catherine M. Bennett, Angela Dew, Susan Balandin

Heroism Science

This study explored aspects of Post Traumatic Growth (PTG) amongst Australian Bravery Award recipients exposed to serious or life-threatening trauma. PTG is the process whereby some people experience growth following traumatic experiences. Previous PTG research has focused on specific disasters, incidents or cohorts of survivors. We explored a range of incidents in both civilian and non-civilian award recipients. Sixty-five Australian Bravery Award recipients (37 civilian and 28 non-civilian) completed the Post Traumatic Growth Inventory and provided additional demographic information about their bravery incident. Results showed that civilians experienced significantly higher growth (mean PTG score = 49.7 than non-civilians (mean PTG …

Effect Of Computer-Assisted Cognitive Behavior Therapy Vs Usual Care On Depression Among Adults In Primary Care: A Randomized Clinical Trial, Jesse H. Wright, Jesse J. Owen, Tracy D. Eells, Becky F. Antle, Laura B. Bishop, Renee Girdler, Lesley M. Harris, R. Brent Wright, Michael J. Wells, Rangaraj Gopalraj, Michael E. Pendleton, Shehzad Ali

Counseling Psychology: Faculty Scholarship

Importance Depression is a common disorder that may go untreated or receive suboptimal care in primary care settings. Computer-assisted cognitive behavior therapy (CCBT) has been proposed as a method for improving access to effective psychotherapy, reducing cost, and increasing the convenience and efficiency of treatment for depression.

Objectives To evaluate whether clinician-supported CCBT is more effective than treatment as usual (TAU) in primary care patients with depression and to examine the feasibility and implementation of CCBT in a primary care population with substantial numbers of patients with low income, limited internet access, and low levels of educational attainment.

Design, Setting, …

Do Speech-Language Pathology Graduate Students Practice Daily Vocal Hygiene Regimens?, Jennifer Giddings

Student Theses and Dissertations

This survey was designed to help determine if students training to become speech-language pathologists (SLP) in the Master of Communication Disorders program at Arkansas State University practice daily vocal hygiene regimens and understand the importance of maintaining a healthy voice. The items within the survey consisted of closed ended questions and rating scales. The questions were placed into categories which included water/caffeine intake, vocal exercises, and vocal use. The results indicated that most SLP graduate students implement routines to maintain good vocal health practices. This study revealed a need to further investigate vocal hygiene regimens in other professional voice users …

Does Proximity To Conflict Zones Moderate Associations Between Girl Child Marriage, Intimate Partner Violence, And Contraception In Postconflict Sri Lanka?, Ruvani W. Fonseka, Lotus Mcdougal, Anita Raj, Elizabeth Reed, Rebecka Lundgren, Lianne Urada, Jay G. Silverman

Faculty Research, Scholarly, and Creative Activity

Women’s primary contraceptive method type is impacted by the gender inequities of girl child marriage and intimate partner violence (IPV). Outside of South Asia, proximity to conflict zones has been found to impact contraceptive use, girl child marriage, and IPV, possibly moderating associations between these variables. We created multinomial regression models using the 2016 Demographic and Health Survey data from postconflict Sri Lanka to study associations between primary contraceptive method type (modern spacing methods, sterilization, and traditional methods compared to no method) and the gender inequities of girl child marriage and past year sexual, physical, and emotional IPV and to …

African-American Lay Pastoral Care Facilitators’ Perspectives On Dementia Caregiver Education And Training, Nik M. Lampe, Nidhi Desai, Tomeka Norton-Brown, Alexandra C. H. Nowakowski, Robert L. Glueckauf

The Qualitative Report

The African-American Alzheimer’s Caregiver Training and Support Project 2 (ACTS 2) is a faith-integrated, skills-training and support program for distressed African American family caregivers of persons living with dementia across Florida. Caregivers participate in a 12-week, telephone-based, skills-building and support program led by faith community workers (i.e., lay pastoral care facilitators) who provide volunteer services to their denominations. In this case study, we examined facilitators’ perspectives and recommendations for supplementary audiovisual and written training materials to optimize group process and goal-setting skills. Utilizing a qualitative approach, we explored facilitators’ needs, experiences in using current training materials, and recommendations for supplementary …

Implementing Interprofessional Education: Challenges For Csd Graduate Programs, Claire M. Edwards, Jason M. Newell

Teaching and Learning in Communication Sciences & Disorders

The focus on interprofessional education (IPE) for professional training programs in allied health professions, such as speech-language pathology, has recently increased. There is currently limited pedagogical literature regarding both the instruction and application of IPE in any given discipline. This paper will outline challenges CSD graduate programs may face when implementing IPE content within the existing curricula and explore possible solutions. Delineation of preparation and integration process of an IPE course taught at a small liberal arts university where it was cross-listed in two undergraduate pre-professional programs in speech-language pathology and social work will be provided. Elements of the course, …

Keeping A Distance To Go Further, Wee Kiat (Lin Weijie) Lim

Perspectives@SMU

Social distancing has social costs, but nobody is safe until everyone is

Immigration, Politics, And Mental Health: An Undergraduate Independent Study, Abigail O. Akande, Erinn K. Rajapaksa

Journal of Human Services: Training, Research, and Practice

The implications of a polarizing political climate on the plight of immigrants with disabilities in the United States are physiological and emotional. Rehabilitation and human services professionals are inclined to recognize the intersection of the process of immigration with related legislation and the presence of disability. Undergraduate students of relevant disciplines can benefit from the focused investigation that an independent study can provide – particularly because legislative directives evolve so rapidly, are directly associated with service provision and the availability of resources, and draw upon training and continuing education expectations from a variety of practitioner ethical codes.

Examining The Job Satisfaction Of Direct Care Workers During Covid-19: A Quantitative Descriptive Study, Sonja A. Stewart

All Theses And Dissertations

This quantitative descriptive study examined the job satisfaction of 39 Direct Care Workers (DCWs) who worked during the COVID-19 pandemic from March 2020-December 2021 in the United States. This was done not to determine cause and effect between the pandemic and job satisfaction of DCWs: the pandemic was simply used as a timeframe. A REDCap survey was posted to two DCWs groups on Facebook which contained information on the study, an electronic version of the Job Satisfaction Survey (JSS) by Paul Spector (2021) and general demographics questions. Snowball sampling was also encouraged for particpants to share the survey with other …

Mental Health Problems And Service Gaps Experienced By Pregnant Adolescents And Young Women In Sub-Saharan Africa: A Systematic Review, Joan Mutahi, Anna Larsen, Pim Cuijpers, Stefan Swartling Peterson, Jurgen Unutzer, Mary Mckay, Grace John-Stewart, Teresa Jewell, John Kinuthia, Manasi Kumar

Brain and Mind Institute

Background: Pregnant adolescent girls and young women (AGYW, aged 12–24 years) are at high risk for mental health problems, particularly in the Sub-Saharan African (SSA) region.

Methods: We performed a systematic review of mental health studies among pregnant AGYW in SSA published between January 1, 2007 and December 31, 2020 in PubMed, Embase, CINAHL, PsycInfo, and Global Index Medicus following PRISMA guidelines (PROSPERO: CRD42021230980). We used Bronfenbrenner's bioecological model to frame and synthesize results from included studies.

Findings: Our search yielded 945 articles from which 18 studies were included (N = 8 quantitative, N = 9 qualitative, …

From Abortion Rights To Reproductive Justice: A Call To Action, Erica Goldblatt Hyatt, Judith L.M. Mccoyd, Mery Diaz

Publications and Research

As aggressive cultural and legislative attacks on abortion rights and access continue, we call upon social workers to pursue the liberatory aims of the reproductive justice (RJ) movement. We argue that the RJ framework, rooted in feminist theory, aligns with social work’s social justice ethos and goals, appropriately guiding advocacy and intervention. After outlining the central aims and tenets of the RJ movement, we consider policies that impair RJ and those that could promote RJ, focusing on enhancing body sovereignty, childbearing, and parenting. We conclude with concrete recommendations for how social workers can pursue RJ professionally and personally.

Culturally Safe And Integrated Primary Health Care: A Case Study Of Yerin Eleanor Duncan Aboriginal Health Services’ Holistic Model, Julieann Coombes, Patricia Cullen, Keziah Bennett-Brook, Marlene Longbottom, Tamara Mackean, Belinda Field, Vickie Parry

Journal of the Australian Indigenous HealthInfoNet

Objective

To understand the importance of culturally safe integrated primary health care for Aboriginal families in the Central Coast of New South Wales, where their social and emotional wellbeing is impacted through a range of health issues related to domestic and family violence.

Methods
An Indigenous methodology of yarning through conversational semi-structured interviews with seven primary health care workers at Yerin, an Aboriginal Community Controlled Health Service (ACCHS) in New South Wales. Yarning sessions explored factors that enable and/or inhibit the provision of holistic and comprehensive trauma and culturally informed responses to Aboriginal and Torres Strait Islander women who experience …

Social Determinants Of Health And Depression Among African American Adults: A Scoping Review Of Current Research, Brooks Yelton, Daniela B. Friedman, Samuel Noblet, Matthew C. Lohman, Mark M. Macauda, Mayank Sakhuja, Katherine H. Leith

Faculty Publications

Depression in the United States (US) is increasing across all races and ethnicities and is attributed to multiple social determinants of health (SDOH). For members of historically marginalized races and ethnicities, depression is often underreported and undertreated, and can present as more severe. Limited research explores multiple SDOH and depression among African American adults in the US. Guided by Healthy People (HP) 2030, and using cross-disciplinary mental health terminology, we conducted a comprehensive search to capture studies specific to African American adults in the US published after 2016. We applied known scoping review methodology and followed Preferred Reporting Items for …

Medical School Watercooler Newsletter - January 27, 2022, Lindsey Lyle

Watercooler Newsletter

This is the January 27, 2022 edition of the Frederick P. Whiddon College of Medicine's newsletter - Watercooler.

Contents include:

• USA Center for Healthy Communities partnership develops advocates for community well-being
• Faculty and alumni to perform in Doc Rock fundraising event
• USA College of Medicine alumna returns to USA Health as otolaryngologist
• Meet a Med Student: Arcole Brandon

Know Thyself: A Cultural Humility Framework For Diabetes Education For Lesbian, Gay, Bisexual, Transgender, And Queer (Lgtbq) Individuals, Katie Savin, Theresa Garnero

All Faculty Scholarship

The lesbian, gay, bisexual, transgender, and queer (LGBTQ) community is a diverse and vulnerable population that, aware or not, diabetes care and education specialists encounter on a regular basis. According to Smith and Gates’s analysis of the 2000 United States Census Data, gay and lesbian families live in 99.3 percent of all counties in the United States, which is likely an undercount. In Northern California, where LGBTQ visibility is better than in many places in our nation, it’s astounding to hear some colleagues comment that they only have heterosexual patients. You can’t “tell” who belongs to this group just by …

Rural Pregnant Women’S Experiences With Substance Use Disorder: A Qualitative Study, Cami Weber

Dissertations

Rural pregnant women with substance use disorder (SUD) are an understudied vulnerable population that often experiences poor pregnancy outcomes (Higgins et al., 2019; Jumah, 2016; Kramlich et al., 2018; Shaw et al., 2015). Despite the high prevalence and high burden associated with SUD, rural women are less likely than non-pregnant women to seek addiction treatment and complete an outpatient treatment program during pregnancy (Shaw et al., 2015). This study aimed to give voice to rural Missouri women with SUD. The research questions explored the life experiences and motivations for seeking treatment using a qualitative, descriptive research design with grounded theory …

Mindful Parenting And Parent Technology Use: Examining The Intersections And Outlining Future Research Directions, Melissa A. Lippold, Brandon T. Mcdaniel Phd, Todd M. Jensen

Health Services and Informatics Research

Popular media attention and scientific research in both mindful parenting and technology use in the context of parenting has expanded in the 21st century; however, these two streams of research have largely evolved separately from one another. Thus, in this conceptual paper, we integrate the research on mindful parenting with that on parents’ technology use and parenting to examine how parent technology use may impact or be linked with aspects of mindful parenting. Mindful parenting theory outlines five key components: listening with full attention, self-regulation in the parent–child relationship, emotional awareness of self and child, nonjudgmental acceptance of self and …

“We Are Doing The Absolute Most That We Can, And No One Is Listening”: Barriers And Facilitators To Health Literacy Within Transgender And Nonbinary Communities, C. Riley Hostetter, Jarrod Call, Donald R. Gerke, Brendon T. Holloway, N. Eugene Walls, Jennifer C. Greenfield

Graduate School of Social Work: Faculty Scholarship

Transgender and nonbinary (TNB) individuals face disparities in nearly every aspect of health. One factor associated with poor health outcomes in other marginalized populations is health literacy, yet no identified studies examine health literacy in TNB samples. Moreover, most health literacy frameworks focus primarily on the capacities of individual patients to understand and use healthcare information, with little attention given to provider literacy and environmental factors. In partnership with a statewide LGBTQ advocacy organization, we recruited 46 transgender and nonbinary individuals to participate in seven focus groups conducted in urban, suburban, and rural locations throughout Colorado. TNB participants consistently engaged …