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A Qualitative Analysis Of Teacher-Report Modifications Of A Tier 2 Evidence-Based Program In Elementary Schools After Implementation Supports Are Withdrawn, Navneet Kaur

Theses and Dissertations

Growing literature emphasizes the importance of examining modifications (i.e., responses to unforeseen challenges and deliberate changes to a program) made by implementers to understand the long-term outcomes of evidence-based programs (EBPs), particularly after formal implementation supports, such as training and coaching, are withdrawn. Although prior research has documented that they occur during implementation, less is known about whether modifications occur once external supports are no longer available, and if so, what types of modifications are made, and the rationale for them. This gap is especially salient in school settings for teacher-delivered interventions. To address this gap, this study used semi-structured …

Posttraumatic Growth In Appalachian Youth: Findings From An Outpatient Pediatric Trauma Specialty Clinic, Marinne M. Morgan

Graduate Theses, Dissertations, and Problem Reports (ETD)

Childhood traumatic event exposure (CTE) involves exposure to extreme events that overwhelm one’s ability to cope. Childhood traumatic event exposure has been linked to a wide range of adverse mental and physical health consequences, including posttraumatic stress symptoms (PTSS). Fewer studies have examined positive trajectories following childhood traumatic event exposure, such as posttraumatic growth (PTG), especially in understudied regions such as Appalachia. The current study used a cross-sectional design to examine posttraumatic growth in 14 youths aged 9 to 15 years seeking trauma-focused therapeutic services at an outpatient pediatric trauma specialty clinic in West Virginia. In line with previous research, …

Do Transdiagnostic Factors Predict Emotion Recognition?, Grace L. Wheeler

Graduate Theses, Dissertations, and Problem Reports (ETD)

While emotion recognition deficits have been found in several anxiety and related disorders (e.g., social anxiety, obsessive-compulsive), consistent results have not been established. To clarify the relationship between emotion recognition abilities and anxiety, the current study tested if transdiagnostic factors related to anxiety are predictors of emotion recognition abilities. Data was analyzed from participants (N = 188) recruited via CloudResearch; they completed measures of three transdiagnostic factors related to anxiety (e.g., anxiety sensitivity, intolerance of uncertainty, and rumination), followed by an emotion recognition task. Multiple regression analyses revealed higher levels of anxiety sensitivity predicted worse recognition for anger, disgust, …

Weighing The Costs: Understanding How Eating Disorder History And Motivation For Use Impacts Experience On A Glucagon-Like Peptide-1 Receptor Agonist And Interest In Future Use, Kimberly M. Gauert

Electronic Theses & Dissertations (2024 - present)

Glucagon-Like Peptide-1 receptor agonist (GLP-1 RA) medications have become popular tools due to their effectiveness regarding weight loss and chronic disease management. The drastic increase in demand for these medications has led to widespread availability and an increase in “off-label” use for cosmetic purposes. Although GLP-1 RA medications have the potential to positively impact overall health and wellbeing, there is also concern regarding potential misuse of these medications by those with a history of eating disorder behaviors. However, few studies to date have examined the relationship between a history of eating disorder pathology, reason for GLP-1 RA use, and current …

Academic Satisfaction Of Graduate Students In Mental Health Professions: Mediating Roles Of Burnout And Engagement, Yu Ying Li

Electronic Theses & Dissertations (2024 - present)

Academic satisfaction for students is as critical to their retention and well-being as job satisfaction for working adults; however, it has received limited empirical attention particularly among graduate students in mental health-related programs. One of the barriers to mental health trainees’ satisfaction with their academic training is burnout. The current study evaluated the applicability of Study Demands-Resources (SD-R) framework (Lesener et al., 2020) to trainees. Specifically, this study examined the relations between study demands (i.e., perceived stress), study resources (i.e., supervisory alliance and social support), student burnout, student engagement, and academic satisfaction. It also tested if student burnout and engagement …

A Moderated Mediation Analysis Of Mental Health Literacy, Personal Stigma, And Gender On Help-Seeking Intentions In College Students, Anna M. Gentile

Electronic Theses & Dissertations (2024 - present)

Although many college students experience mental health challenges, help-seeking rates remain disproportionately low relative to reported need (Abelson et al., 2022). Identifying factors that facilitate help-seeking is critical for improving access to mental health support in this population. Prior research has identified mental health literacy as a significant predictor of help-seeking behavior and intentions among college students (Gorczynski et al., 2017; Smith & Shochet, 2011), whereas personal stigma, which is defined as a person’s negative attitude towards people with mental health concerns (Griffiths et al., 2006), has been consistently associated with reduced help-seeking (Abelson et al., 2022). Grounded in the …

Sources Of Tensions In Ai Adoption For Organ Procurement Organizations, Amaneh Babaee

Masters Theses

"Although medical AI systems have promise, the healthcare system has not fully integrated them for improved organizational operations. Studies have been conducted to identify root causes for this hesitancy without targeting a specific domain in healthcare. This generalization can be enhanced for the nuanced or domain-specific factors that offer practical insights to organizations leader. In this thesis, I focus on the factors and sources of tensions in AI adoption in transplant system, which is highly regulated but encourages innovation. Applying the Extended Technology, Organization, Environment (TOE) framework, 10 interviews were conducted at Organ Procurement Organizations (OPOs).

Although not always technically …

The Relationship Between Interoceptive Awareness And Eating Disorder Symptomatology, Madelyn G. Johnson

Electronic Theses & Dissertations (2024 - present)

Interoceptive awareness (IA; e.g., the ability to perceive and interpret internal bodily sensations) is increasingly recognized as central to eating disorder (ED) psychopathology, yet findings remain mixed regarding whether heightened IA is protective or maladaptive. Across two studies using a sample of 654 college students (Mage = 18.74, SD = 1.56; 46% White; 58% female) from a large northeastern U.S. university, we examined (1) how specific IA facets relate to ED symptom severity, and (2) whether anxiety sensitivity (AS) helps explain these associations. In Study 1, linear regressions predicting Eating Disorder Examination Questionnaire–7 (EDE-Q7) scores showed that nearly all MAIA-2 …

Investigating A Mindfulness Curriculum And Prompting For Generalization On Overall Engagement Time, Caitlyn Ruggiero

Electronic Theses & Dissertations (2024 - present)

Mindfulness is a practice that has existed for centuries (Felver et al., 2022) and has been adapted to address various aspects of human life. Among the various uses of mindfulness practices, they have been adapted for use in school settings to support the use of adaptive learning behaviors in the classroom. For the target behavior to change in the natural setting, the student receiving intervention must be able to generalize the learned mindfulness skills to the classroom. The current study aimed to determine whether participation in the Soles of the Feet mindfulness intervention increased students’ overall engagement time (OET) in …

Disentangling Exercise Motivation From Eating Disorder Symptom Severity: A Dominance Analysis Of Compulsive Exercise Predictors, Sarah E. Siegel

Electronic Theses & Dissertations (2024 - present)

Compulsive exercise (CE) appears frequently in eating disorder (ED) samples but also occurs in nonclinical populations, raising the possibility that different motivational processes drive the behavior, perhaps depending on ED pathology. This study examined the relative contribution of exercise motives to CE while separating motivational variance from ED symptom severity. Undergraduate women (N = 376; 38.3% White, 28.8% Black) completed the Exercise Motivations Inventory–2 (EMI-2), the Compulsive Exercise Test (CET), and the 7-item Eating Disorder Examination Questionnaire (EDE-Q7). An exploratory factor analysis of EMI-2 subscales yielded four factors: Affective Well-being (Enjoyment, Revitalization, Stress Management), Health/Function (Ill-health Avoidance, Nimbleness, Positive Health, …

Perceived Autonomy To Exercise Rights: Race And Ethnicity And Citizenship In Consent Searches, Srishti Katuri

Electronic Theses & Dissertations (2024 - present)

Consent searches—police searches conducted with an individual’s permission—constitute the majority of warrantless searches in the United States. Although these encounters are legally described as voluntary, scholars have long questioned whether civilians truly feel free to refuse an officer’s request to conduct a search. The present study examined how race and ethnicity and citizenship status influence civilians’ consent decisions and perceived freedom to deny consent in a hypothetical police encounter. A community sample of 191 adults from New York State read a vignette in which a police officer requested to search their backpack. Then, participants reported their ideal and anticipated consent …

Relational Efficacy Beliefs In Supervision Of Master’S Level Counseling Trainees As Predictors Of Counseling Interests And Goals, Taylor Karnilaw

Electronic Theses & Dissertations (2024 - present)

Master's level counseling trainees have condensed training periods before making career-related decisions and are often placed in settings with high rates of burnout and turnover. Supervision has been shown to be a protective factor for burnout and has the potential to be a source of self-efficacy, which has been linked with career-related outcomes like occupational interests and goals (Lent et al., 2018; O’Connor et al., 2018). Moreover, within the context of close relationships, like supervision, efficacy beliefs are believed to be shaped by a network of beliefs, including relation-inferred self-efficacy, self-efficacy, and other-efficacy (Lent & Lopez, 2002). The current study …

School-Based Antecedent Interventions Derived From Structural Analyses: A Systematic Review And Meta-Analysis, Georgia M. Gaertner

Electronic Theses & Dissertations (2024 - present)

Disruptive behaviors in the classroom setting present immediate challenges for both students and teachers and are associated with a host of negative, long-term outcomes. Antecedent interventions are a group of behavior management strategies that can be used to target disruptive behaviors before they occur. This study consisted of a systematic review and meta-analysis of school-based antecedent interventions that were derived from a structural analysis. The results indicated that structural analytic research on school-based antecedent interventions has been conducted with students across diverse educational settings and with students with a variety of disabilities and conditions. Elementary school students and male students …

Improving Clinical Decision-Making: Reducing The Affect Heuristic In Substance Use Treatment, Corey M. Monley

Electronic Theses & Dissertations (2024 - present)

Therapists are at risk for engaging in the affect heuristic, which occurs when automatic emotional reactions influence clinical decision-making more than objective data about clients. Emotional reactions are common when treating clients using substances (CUS), but the influence of the affect heuristic on therapists’ clinical decision-making with CUS has yet to be quantified. This study investigated (1) the extent to which therapist trainees engage in the affect heuristic with CUS and (2) whether it can be reduced through brief cognitive science training. Graduate-level therapists (n = 130) were randomized to one of two conditions: brief online training involving …

The Moderating Effect Of Self-Efficacy On The Relationship Between Social Determinants Of Health And Alcohol Use In A Diverse Adult Sample, Cara L. Fresquez

Electronic Theses & Dissertations (2024 - present)

Heavy alcohol consumption is associated with a range of psychosocial problems and chronic conditions, resulting in approximately 140,000 preventable deaths each year. With these potential consequences in mind, it is understandable that 46% of individuals who consume alcohol report attempting to reduce the quantity of alcohol they drink; however, very few enter formal treatment. Despite this, many people will decrease their heavy drinking over time, presumably due to individual and environmental factors, particularly self-efficacy and protective social determinants of health (SDoH). This study aimed to answer the research question “How is SDoH adversity related to the likelihood of reporting reduced …

Paying The Price: How Financial And Health Stress Can Impact Incidental Memory In The Survival Processing Paradigm, Bailey C. Hall

Electronic Theses & Dissertations (2024 - present)

Cognitive psychologists have examined how evolutionary pressures can shape memory systems and how survival-relevant information is processed. Nairne et al. (2007) established the survival processing paradigm and showed that processing information within a survival context reliably enhances later recall. Previous research has identified academic pressure and financial stress as the most influential stressors for undergraduate students (Patel & Lewis, 2023). Financial stress is widespread and influences multiple domains of life, including health behaviors and psychological well-being (Northern et al., 2010). In this study, two scenarios were created to explore financial and health stress compared to the original grassland survival scenario. …

Family Routines And Cognitive Emotion Regulation: The Role Of Harsh Parenting And Family Activities, Vidhi Jain

Electronic Theses & Dissertations (2024 - present)

Cognitive emotion regulation (CER), consisting of adaptive and maladaptive strategies, is a critical developmental process linked to various well-being outcomes across the lifespan. Family contexts such as daily routines, parenting, and engagement shape the development of emotion regulation. Existing literature generally links family routines to better CER outcomes (Selman & Dilworth-Bart, 2023), but has not yet investigated the impact of routines in adverse family environments. The present study examined whether harsh parenting and the frequency of shared family activities jointly moderate the relationship between family routines and adaptive and maladaptive CER. A sample of emerging adults (N = 210; …

Effect Of Workload, Burnout, And Flexible Work Practices On The Well-Being Of University Faculty And Staff, Caroline O. Rogers

Electronic Theses & Dissertations (2024 - present)

The present study examined the impact of workload, burnout, and flexible work practices (FWPs) on the well-being of higher education employees from the perspective of Job Demands-Resources (JD-R) theory. A moderated mediation model was hypothesized, wherein workload would be associated with well-being through burnout, and that this association would be attenuated by the presence of FWPs. A total of 477 full-time faculty, staff, and affiliated research foundation employees from a large public university in the Northeast region and a broader range of colleges and universities across the United States of America completed a cross-sectional survey. Validated measures assessed workload (Quantitative …

Emotional Factors Influencing Adaptive Memory: An Examination Of The Role Of Valence In The Survival Processing Effect, Dailyn Q. Clark

Electronic Theses & Dissertations (2024 - present)

Encoding information (e.g., words) in terms of their survival value produces enhanced recall relative to encoding the same information in terms of its value to other schematically similar situations (Nairne et al., 2007). In the survival memory paradigm, a scenario focused on imagining being stranded in the grasslands of a foreign land is followed by the rating of individual words (e.g., orange, mountain) as to their relevance to that scenario (Nairne et al., 2007). Using an incidental test of memory, it is often revealed that memory for those words is higher than for those same words encoded under non-survival, control …

Social Class Differences Between Client And Therapist: A Grounded Theory Study Of Working-Class Clients' Perspectives, Micah Herman

Electronic Theses & Dissertations (2024 - present)

Although a substantial body of research highlights the importance of broaching differences related to race, ethnicity, gender, and sexual orientation in psychotherapy, considerably less attention has been paid to social class, a dimension of socio-cultural identity that profoundly shapes individuals’ life circumstances, their sense of self, and their relationships with others. In recognition of our limited understanding of how working-class clients perceive and respond to class-based cultural differences between themselves and their therapists, the present grounded theory study addressed (1) how working-class clients experience and make meaning of social class differences in the therapeutic relationship and (2) what clients see …

The Effect Of A Functionally Indicated Choice-Based Antecedent Intervention On Academic And Behavioral Outcomes For Students In A Public School, Alyssa M. Rodriguez

Electronic Theses & Dissertations (2024 - present)

The present study examined the effects of functionally indicated choice-based antecedent interventions on academic and behavioral outcomes for elementary general education students exhibiting elevated levels of off-task behavior during independent seat work. A replicated hybrid single-case design was used to compare two interventions: choice of task sequence (across-activity choice) and choice of peer (within-activity choice). Brief functional behavioral assessments (FBAs) informed hypothesized behavioral function and intervention match. Dependent variables included academic engagement (on-task behavior), with off-task behavior conceptualized as its inverse, as well as academic completion and accuracy; social validity was assessed from teachers and students. Results indicated support for …

Understanding The Intergenerational Transmission Of Risk And Resilience In Black Birthing Parent-Infant Dyads: Physiological Coregulation & Cultural-Contextual Factors, Annabelle Armah

Electronic Theses & Dissertations (2024 - present)

Symptoms of postpartum depression (PPD) are common, particularly for Black birthing parents who may face increased psychosocial risk during the perinatal period. Previous work has demonstrated that PPD can have significant ramifications not only for maternal wellbeing but for infants’ regulatory development. PPD may influence the concordance or mutual influence of biological states between parents and children (i.e., physiological synchrony). Physiological synchrony is thought to be implicated in the development of self-regulation and may be a mechanism through which PPD undermines infants’ emerging regulatory capacities. In Black families, cultural-contextual factors, like racism or cultural practices, may additionally shape birthing parent …

Investigating The Effects Of Values Clarification And Self-Compassion On Mental Health Self-Stigma And Willingness To Seek Psychological Help, Sara V. White

Electronic Theses & Dissertations (2024 - present)

Mental health self-stigma, or the harmful beliefs that one holds about his or her mental illness, is associated with psychological distress and acts as a significant barrier to help-seeking. Yet, self-stigma is notoriously resistant to change when targeted directly. To address such concerns, the present study examined the effects of two brief writing interventions, self-compassion and values clarification relative to a control condition, in reducing self-stigma and improving willingness and intentionality to seek psychological help. Additionally, the present study also explored the contributions of two theoretically relevant mechanisms—state self-compassion and psychological (in)flexibility—on self-stigma, and whether resistance to self-compassion negatively impacted …

The Chemistry Of Red Lipstick: The Impact Red Lipstick Has On Society, Lilliana Weldeslassie

Electronic Theses & Dissertations (2024 - present)

Cosmetic chemistry is deeply embedded in everyday life, shaping the products people use from morning to night. Among these, red lipstick stands out as a formulation that blends complex chemistry with a cultural meaning. This thesis examines the scientific foundations of red lipstick through its chemical composition, pigment structure, toxicological history, analytical methods, and evolving sustainability practices. Historically, red lipsticks relied on high-risk ingredients such as lead, mercury, and other toxic metals, reflecting an era before chemical safety and regulatory oversight were incorporated.²¹ Modern formulations have established safer synthetic dyes, natural waxes, plant-based oils, and stabilizers created to optimize …

Perceptions Of Psilocybin-Assisted Psychotherapy And Standard Interventions For Nicotine Cessation, Philip Kamilar-Britt

Electronic Theses & Dissertations (2024 - present)

Clinical trials suggest potential therapeutic utility of psilocybin-assisted psychotherapy (PAP) for nicotine cessation. In response to promising outcomes, research into PAP for nicotine dependence is growing. However, attitudes towards PAP among the general public, especially daily nicotine users, remains understudied. To address this knowledge gap, we recruited daily nicotine users (N=534) to complete an anonymous online survey with questions on demographics, nicotine use, prior history with psychedelics, and attitudes towards PAP and standard interventions for nicotine cessation. As hypothesized, daily nicotine users were more familiar with standard interventions and rated them more favorably than PAP. Despite differences in treatment attitudes, …

Psychometric Assessment Of The Facilitative Systemic Intervention Skills Rating System– Spanish Version, Sarah J. Crosky

Electronic Theses & Dissertations (2024 - present)

Despite the growing understanding of therapist factors in client outcomes, there remains limited understanding of the skills that distinguish effective family therapists. The aim of the present study was to assess the interrater reliabilities and factorial structure of a Spanish version of the Facilitative Systemic Intervention Skills (FSIS; Jones et al., 2023a), an observational rating system for evaluating the skillfulness of family therapists in delivering systemic interventions. The FSIS includes eight empirically and theoretically informed systemic therapy skills (Inclusiveness, Empathy for Relational Difficulties, Responsiveness to Safety Concerns, Collaborative Stance, Conceptualizing Family Problems Systemically, Responsiveness to Disparate Goals, Focus on Family …

Cognate Awareness Training For Novice L2 Learners: Orthographic And Phonological Routes To Vocabulary Learning, Jennifer M. Martin

Electronic Theses & Dissertations (2024 - present)

Within the study of cross-linguistic influence, research on cognate facilitation has consistently shown that proficient bilinguals process cognates (e.g., English “sock” and German “Socke”) more efficiently than non-cognates. However, less is known about how novice adult learners may benefit from these similarities during the earliest stages of second language acquisition or how instructional interventions might facilitate this process. This dissertation addressed this gap through experiments with English-speaking adults learning German. A series of experiments examined the effects of cross-linguistic similarity and explicit cognate awareness training on vocabulary acquisition. Experiment 1A found robust similarity effects in written recall and …

Audiovisual Motion Onset Asynchrony As Expectation Violation: Effects On Memory And Liking In Media Contexts, Sijia Song

Electronic Theses & Dissertations (2024 - present)

This research presents the first systematic investigation of motion-onset asynchrony (MOA) as a form of audiovisual temporal incongruency grounded in contemporary spatial audio and extended reality (xR) systems. MOA—the delay between the onset of visual and auditory motion—was manipulated at three levels (0 s, 1.1 s, 3 s) to test its effects on cognitive (memory) and affective (liking) outcomes during short 2D animated video viewing. Guided by inverted-U models of expectation violation, it was hypothesized that moderate MOA would be associated with the highest memory performance and liking ratings and that liking would mediate MOA’s effects on memory. Across two …

Providers' Perceptions Of Barriers And Facilitators To Implementing Non-Pharmacological Treatment For Adults With Chronic Pain: A Meta-Synthesis, Mikhaela Mcfarlin

Electronic Theses & Dissertations (2024 - present)

Background. Chronic pain is a public health concern impacting approximately 20% of adults in the U.S. Nonpharmacological interventions are considered first-line treatments for patients with chronic pain, yet nonpharmacological interventions remain significantly underutilized. While previous research has explored barriers from the patient’s perspective, limited attention has been paid to providers’ experiences implementing these treatments. This qualitative meta-synthesis aimed to examine provider-perceived barriers and facilitators to implementing nonpharmacolgical treatments for adults with chronic pain. Methods. Independent reviewers conducted systematic searches across PubMed, PsycInfo, CINAHL, and ProQuest Dissertations using relevant (e.g., “mental health provider”, “nonpharmacological”) and applied inclusion criteria to …

The Efflorescence Of Apocalypticism (Imminent & Prepping Beliefs): Considering Informational And Motivational Regulatory Mechanisms, James T. Good Mr.

College of Graduate Studies: Theses & Dissertations

In the last quarter of the 21st century, apocalyptic beliefs emerged in scholarly and lay representations notably doubling over the last decade. With nearly forty percent of United States citizen reporting this belief, unfulfilled questions arose: What drives discrepancies in beliefs of an imminent end of the world? Additionally, what drives beliefs in the need to prepare for an end of the world? These individual questions were examined together in this study using Construal Level Theory (CLT) and Regulatory Focus Theory (RFT) in an attempt to identify how psychological mechanisms are significantly affecting the fluctuations, in these self-reported beliefs. A …