Digital Commons Network^™

Exploring Parent Support For School-Based Health Programs To Reduce Childhood, Alaphiah Delaney Campbell Byfield

Walden Dissertations and Doctoral Studies

The rise in childhood obesity rates continues globally despite the design and implementation of social programs aimed at curtailing that phenomenon. The government of Jamaica has indicated that a whole-of-government, whole-of-society approach is needed to control obesity. The literature has shown that in Jamaica, support for being fluffy impedes progress toward addressing the problem of childhood obesity; being fluffy is considered attractive and a sign that one has a good life. Studies have shown that obese or overweight children are at risk for developing psychosocial (e.g., having low self-esteem, and underperforming academically) and medical problems (e.g., noncommunicable diseases such as …

The Effect Of Parental Socialization On The Postsecondary Plans Of Latino/Hispanic Students, Nilda Ivette Rosario

Walden Dissertations and Doctoral Studies

Latino/Hispanics are one of the largest ethnic minority groups in the United States, yet they are underrepresented in higher education. Grounded on the social cognitive theory and the Hoover-Dempsey and Sandler model, the purpose of this study was to examine the relationship between parental expectations, parental involvement, parental self-efficacy, and postsecondary planning of Latino/Hispanic students. The research questions were formulated to determine whether parental factors among Latino/Hispanic parents can predict postsecondary educational outcomes among Latino/Hispanic students. A quantitative correlational research study design was used. The target population was Latino/Hispanic parents residing in the United States with at least one child …

Complementary And Alternative Medicine Treatment-Related Beliefs In Cannabidiol Users With Generalized Anxiety, Aleta A. Cohn

PCOM Psychology Dissertations

Despite limited research supporting its benefits, adults in the United States commonly use herbal forms of complementary and alternative medicine (CAM) such as cannabidiol (CBD) for anxiety. Little is known about the treatment-related beliefs that may motivate their choice to use CAM. The present study used mixed methods to assess differences in CAM-related treatment beliefs in a sample of adults with generalized anxiety. For a cross-sectional online survey hosted via Research Electronic Data Capture (REDCap), 180 adults were recruited. Generalized anxiety symptoms and severity were assessed using the Generalized Anxiety Disorder 7 (GAD-7) screener. Beliefs about CAM were measured through …

Phenomenology Of How The Doctor-Patient Relationship Plays A Role In Cardiovascular, Sanam Sarahbi

Walden Dissertations and Doctoral Studies

Cardiovascular disease (CVD) is the leading cause of death in men and women for most racial and ethnic groups in the United States. Physicians are the most frequently sought-after source of support for self-management of chronic diseases of patients. Social support from physicians may help facilitate patient resiliency. This phenomenological study involved using the social support theory as the theoretical lens and health literacy as the conceptual framework to explore how CVD patients perceive experiences with their physicians foster resiliency. Semi-structured interviews were used to collect rich descriptions of CVD patient experiences. Data were analyzed by using Moustakas’ modification of …

Experiences In Informal Mentoring Among African American Women In Management, Alexandria Simone Samuels-Ross

Walden Dissertations and Doctoral Studies

There is a lack of African American women representing senior management and executive positions within nonprofit organizations due to organizational culture, gender stereotypes, and failure to capitalize on the talents of women in general. The purpose of this generic qualitative study was to explore the informal mentoring experiences of African American women employed as managers for over two years in nonprofit organizations. Research has suggested the need for further study of on-the-job mentoring and its impact on employees’ job satisfaction and opportunities to advance within an organization. The theoretical framework that guided the study was social exchange theory, which is …

Exploring The Behavioral Health Clinician Shortage At A Rural Midwestern U.S. Agency, Tracy L. Wilson

Walden Dissertations and Doctoral Studies

Behavioral health clinician shortages are a significant and ongoing problem in the United States, especially in rural areas, which have higher rates of homelessness, suicide, substance use, and violence rates than urban areas. The purpose of this qualitative case study was to explore factors contributing to the behavioral health clinician shortage in a rural midwestern U.S. public health department. The goal was to gain a better understanding of this shortage and explore strategies and solutions for recruiting and retaining behavioral health clinicians at the agency’s facilities. The Baldrige excellence framework undergirded the investigation. Data sources included interviews with three administrative …

Screening For Energy Restriction In Middle And Late Life, Kate Happel Krautbauer

Master's Theses and Doctoral Dissertations

The most commonly used screening tools for disordered eating, the Eating Attitudes Test (EAT-26) and Eating Disorders Examination–Questionnaire (EDE-Q), rely on the detection of shape and weight concerns to identify potentially dangerous caloric restriction among adolescent girls and young adult women. It is unclear how accurate these measures are at detecting restriction among adults 40 years and older. These adults may be vulnerable to developing or maintaining restrictive eating patterns when healthcare providers recommend weight loss as a preventative health measure or when acute or chronic illnesses (e.g., diabetes or cancers) impact eating. The present online study (a) evaluated the …

Health Disparities And Psychosocial And Behavioral Interventions For Type 2 Diabetes Within Latinx Communities: A Systematic Review, Elisa Hernandez-Guerrero Smith

Theses and Dissertations

As Hispanic adults are 70% more likely than non-Hispanic White adults to be diagnosed with diabetes (Centers for Disease Control and Prevention, 2022), there is an urgent need to provide culturally appropriate care to the people with diabetes of Latinx heritage. The purpose of this systematic review is to better understand the availability and effectiveness of psychosocial and behavioral interventions for T2DM within the Latinx population. Additional focus was given to the impact of health disparities and complexities within the Latinx population that have been diagnosed with, or are at risk of, T2DM. With a greater understanding of health disparities …

Icu-Related Medical Trauma: A Socioecological Exploration Of Contributing Factors And Experiences Of Traumatic Stress In Adult Icu Survivors, Jacqueline Hanson

Theses and Dissertations

Advances in biomedical technologies and critical care are leading to increased survivorship rates of ICU patients. During critical care, patients confront a variety of stressors that may contribute to adverse psychological outcomes, including posttraumatic stress. The nature of posttraumatic stress in this population differs from that associated with traditional trauma. The phenomenon of medical trauma in ICU survivors is complex: it is highly subjective, exists on a continuum, is cumulative in nature and carries cumulative effects, involves a combination of endogenous and exogenous, physical and emotional stressors that vary in intensity and duration, occurs in an interpersonal context that involves …

Systematic Review Regarding The Use Of Mindfulness-Based Mobile Applications To Reduce Psychological Symptoms And Enhance Well-Being Among General And Clinical Population Adults: Benefits, Limitations And Future Directions, Brian Clawson

Theses and Dissertations

Mindfulness is now utilized throughout Western Society and is part of the growing behavioral health, self-help, and wellness movements. Mobile applications have become increasingly popular for a wide variety of uses related to physical health, mental health, and self-improvement. Therefore, mindfulness-based mobile applications have promise both as stand-alone tools for end-users seeking self-help resources and as clinician-recommended adjunctive tools to enhance the process and outcomes of professional therapy. This systematic review identified, reviewed, and synthesized the findings from studies (n = 29) concerning the impact of mindfulness-based mobile applications on specific aspects of psychological functioning in both the general population …

A Qualitative Comparison Of Parent And Childcare Provider Perceptions Of Communication And Family Engagement In Children's Healthy Eating And Physical Activity, Danae Dinkel, Maggie Rasmussen, John P. Rech, Kailey Snyder, Dipti Dev

Department of Child, Youth, and Family Studies: Faculty Publications

Background: Parents and childcare providers play a substantial role in the development of health behaviors among the children they care for. In order to ensure the optimal growth and development of children, communication and family engagement in childcare is critical. Previous studies examining parent or provider perceptions about healthy eating or physical activity have explored these concepts individually and/or have only included only parents or providers. Therefore, the purpose of this study was to compare childcare provider and parent perceptions of communication regarding healthy eating and physical activity as well as use of best practice strategies on family engagement for …

The Effect Of Parental Socialization On The Postsecondary Plans Of Latino/Hispanic Students, Nilda Ivette Rosario

Walden Dissertations and Doctoral Studies

Latino/Hispanics are one of the largest ethnic minority groups in the United States, yet they are underrepresented in higher education. Grounded on the social cognitive theory and the Hoover-Dempsey and Sandler model, the purpose of this study was to examine the relationship between parental expectations, parental involvement, parental self-efficacy, and postsecondary planning of Latino/Hispanic students. The research questions were formulated to determine whether parental factors among Latino/Hispanic parents can predict postsecondary educational outcomes among Latino/Hispanic students. A quantitative correlational research study design was used. The target population was Latino/Hispanic parents residing in the United States with at least one child …

Community Stress And Resilience During Covid-19: Assessing The Emotional Profile Of The City Of Hamilton Using A Social Media Analysis, Senyo Agbeyaka

Theses and Dissertations (Comprehensive)

This study investigated stress and resilience at the neighbourhood level in Hamilton Ontario in pre- and peri-pandemic conditions using a social media analysis. Sentiment analysis of geo-located Twitter posts produced within Hamilton census tract boundaries was conducted using Stresscapes and EMOTIVE, validated software that extract and code emotional information from human language expressions about stress and hope (a proxy for stress), respectively. Baseline levels of both emotions were measured using aggregate scores at the census tract level in Hamilton from tweets produced during two pre-pandemic periods (March 2019 to July 2019; and August 2019 to February 2020), with a replication …

The Coronavirus Shopping Anxiety Scale: Initial Validation And Development, Ruchika Sachdeva

WCBT Faculty Publications

Purpose

The purpose of this study is to develop a scale to measure coronavirus shopping anxiety. Numerous studies have developed a scale for measuring coronavirus anxiety and fear, notably absent is a concerted effort to review and assess the impact of coronavirus on the shopping anxiety of consumers. This scale fulfills this gap.

Design/methodology/approach

The steps taken for checking the various psychometrics of the scale include item generation, followed by exploratory factor analysis (EFA) through SPSS and confirmatory factor analysis through AMOS. The data were collected from over 208 respondents.

Findings

This study resulted in the development of a nine-item …

Examining Perceived Stigma, Disclosure, Self-Compassion, And Health-Related Quality Of Life In College Students With Cystic Fibrosis, Anna R. Hangge

Electronic Theses and Dissertations

Cystic Fibrosis (CF) is a life-limiting genetic disorder that affects the lungs, pancreas, and other organs. Recent advances in CF-related healthcare have improved the life expectancy of individuals with CF from childhood to approximately 50 years old (CFF, 2020). Therefore, more individuals with CF are attending college and facing challenges within this new stage of life. This study examined perceived stigma, disease disclosure, self-compassion, and health-related quality of life (HRQoL) in a sample of current and former college students with CF to understand their psychosocial experience of managing their illness while in college. Results indicated that perceived stigma and HRQoL …

Early Risk Factors For School-Age Adhd And Irritability: The Roles Of Prenatal Risk, Intrusive Parenting Style During Preschool And Caregiver-Child Attachment Quality., Ashley M. Rainford

Dissertations and Theses

ADHD is a highly impairing neurodevelopmental disorder and the family context provides a critical early environment where children’s risk for the disorder may be heightened or reduced. A parent’s style, that is their approach to interacting and guiding the child may provide children with warmth and security, or elicit fear, distrust and disappointment, both of which in turn impact behavior. However, the parent-child relationship is not unidirectional; it is dynamic. Children with high ADHD-like behaviors have greater difficulty relating to and interacting with their caregivers, while caregivers become increasingly stressed and show greater hostility and less warmth in their parenting. …

Covid-19 Vaccine Related Anxiety Partially Mediates The Association Between Covid-19 Related Anxiety And Student Adjustment To College During The Pandemic, Hanh Nguyen

Dissertations and Theses

The COVID-19 pandemic caused severe disruptions to the education of millions of college students, who were forced to adapt to sudden changes in living and learning environments. In this study, we sought to investigate two different dimensions of anxiety that were specific to the pandemic – COVID-19 related anxiety and COVID-19 vaccine anxiety – hoping to pinpoint the relationship between these two variables and students’ ability to adapt to college. Specifically, using cross sectional survey data during three semester waves (Spring 2021, Fall 2021, and Spring 2022) we hypothesized (1) a decreasing trend across time in both COVID-19 related anxiety …

Joint Laughter Between Patient And Therapist: Exploring The Function Of These Moments And Their Relationship To The Working Alliance In Short-Term Psychotherapy, Molly Rappaport

Dissertations and Theses

Laughter emerges in infancy and reflects mutually aroused and regulated positive affect within the caregiver-infant relationship and repeated cycles of shared, co-regulated positive arousal have been shown to play a critical role in fueling secure attachment bond formation and laying the groundwork for the infant’s capacity for affect regulation (Schore, 2003). Throughout life, laughter continues to function as an attachment behavior with the possibility of promoting interpersonal closeness or creating distance. Attitudes toward the role of laughter in psychotherapy vary among psychodynamically-oriented clinicians and research has mostly focused on the kinds of humor and interventions that provoke laughter rather than …

Health Risk Perceptions Regarding Electronic Nicotine Delivery Systems (Ends) Among Individuals With Respiratory Illnes, Sarah Ann Sebban

Theses and Dissertations

Electronic nicotine delivery systems (ENDS), also known as electronic cigarettes, are portable battery-powered devices used to smoke or “vape” a flavored solution which usually contains nicotine. Many national organizations (CDC, AMA, AAFP, ALA, AHA) have recognized the alarmingly increased rates of ENDS use in the United States, especially among certain populations. Those most likely to engage in ENDS use are youth and young adults, and adults who already smoke combustible cigarettes. Many people perceive ENDS use as a healthier alternative to smoking regular cigarettes and thus, are more willing to initiate ENDS use. However, research has indicated that ENDS use …

Old Minds, New Marketplaces: How Evolved Psychological Mechanisms Trigger Mismatched Food Preferences, Michal Folwarczny, Tobias Otterbring, Valdimar Sigurdsson, Lynn K. L. Tan, Norman P. Li

Research Collection School of Social Sciences

Principally due to unhealthy food choices, almost half of adults worldwide are overweight or obese. Current food retail practices bear some responsibility for such public health issues. We argue that numerous attempts to promote healthy eating have been unsuccessful due to the failure to account for our outdated evolved food selection mechanisms. Building on the evolutionary mismatch hypothesis and contrasting ancestral versus present-day foraging environments, we discuss how marketing activities exploit evolutionarily old food preferences and elicit unhealthy food choices for profit maximization at the expense of public health in terms of food consumption. We conclude by explaining how to …

Mobile Health App For Adolescents: Motion Sensor Data And Deep Learning Technique To Examine The Relationship Between Obesity And Walking Patterns, Sungchul Lee, Eunmin Hwang, Yanghee Kim, Fatih Demir, Hyunhwa Lee, Joshua J. Mosher, Eunyoung Jang, Kiho Lim

Nursing Faculty Research

With the prevalence of obesity in adolescents, and its long-term influence on their overall health, there is a large body of research exploring better ways to reduce the rate of obesity. A traditional way of maintaining an adequate body mass index (BMI), calculated by measuring the weight and height of an individual, is no longer enough, and we are in need of a better health care tool. Therefore, the current research proposes an easier method that offers instant and real-time feedback to the users from the data collected from the motion sensors of a smartphone. The study utilized the mHealth …

Treating Gut Feelings: A Systematic Review Of Psychological Treatments For Pediatric Inflammatory Bowel Disease, Venus Mirbod

Theses and Dissertations

Psychological comorbidities and psychosocial challenges are prevalent among children and adolescents with Inflammatory Bowel Disease (IBD). However, a comprehensive review of the availability and effectiveness of psychological treatments for pediatric IBD patients is lacking. This systematic review aimed to determine the availability and efficacy of psychological interventions for children and adolescents with IBD. The systematic review was conducted in accordance with PRISMA guidelines and performed using two electronic databases, PsycINFO and PubMed, from inception until March 2022. Databases were searched for English-language, controlled trials of psychological interventions for children and adolescents with IBD. Outcomes of interest included: depression, anxiety, health-related …

Blood Metabolites Predicting Mild Cognitive Impairment In The Study Of Latinos-Investigation Of Neurocognitive Aging (Hchs/So), Shan He, Einat Granot-Hershkovitz, Ying Zhang, Jan Bressler, Wassim Tarraf, Bing Yu, Tianyi Huang, Donglin Zeng, Sylvia Wassertheil-Smoller, Melissa Lamar, Martha Daviglus, Maria J Marquine, Jianwen Cai, Thomas Mosley, Robert Kaplan, Eric Boerwinkle, Myriam Fornage, Charles Decarli, Bruce Kristal, Hector M Gonzalez, Tamar Sofer

Faculty, Staff and Student Publications

INTRODUCTION: Blood metabolomics-based biomarkers may be useful to predict measures of neurocognitive aging.

METHODS: We tested the association between 707 blood metabolites measured in 1451 participants from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL), with mild cognitive impairment (MCI) and global cognitive change assessed 7 years later. We further used Lasso penalized regression to construct a metabolomics risk score (MRS) that predicts MCI, potentially identifying a different set of metabolites than those discovered in individual-metabolite analysis.

RESULTS: We identified 20 metabolites predicting prevalent MCI and/or global cognitive change. Six of them were novel and 14 were previously reported as …

The Mother-Daughter Attachment-Bond In Adulthood After Childhood Sexual Abuse, Dionne Carla Dauphin

Walden Dissertations and Doctoral Studies

AbstractChildhood sexual abuse (CSA) may have a significant impact on the attachment bond between adult women and their mothers when CSA is disclosed during childhood. When CSA is known by the mother during the period of abuse, and she failed to intervene on behalf of her daughter, there can be long-lasting effects on the mother-daughter attachment bond in the future. There is a gap in the research literature regarding the attachment bond between the mother-daughter dyad in adulthood influenced by CSA known by the mother during the period of abuse. The purpose of this phenomenological study was to understand the …

The Experience Of Providing Direct Care To Children Victims Of Boko Haram Insurgencies In Nigeria, Felicia Etuke

Walden Dissertations and Doctoral Studies

The insurgency of terrorism leaves lasting economic, social, academics, spiritual, religious, and psychological effects, but often children’s psychological welfare is neglected in the aftermath of terrorist attacks. Boko Haram’s presence in Nigeria has left many children orphaned, displaced, and impoverished. Thus, there is a need to highlight the importance of the role that care providers play in securing the psychological health of the child victims of Boko Haram insurgency. This qualitative, phenomenological study explored the experiences of care providers to the child victims of Boko Haram insurgency in Nigeria. Compassion fatigue theory was used as a theoretical framework for the …

The Experience Of Affection Expressed Between Black Male Friends, David Manning

Walden Dissertations and Doctoral Studies

AbstractAffectionate communication supports the maintenance and sustenance of long-term relationships for the purposes of survival and procreation. Friendship has been identified as one of the most significant relationships throughout an individual’s lifespan, supporting improved mental and physical health. This qualitative study explored the expressions of affection experienced within Black male friend dyads. Two research questions were posed, what is the experience of Black men receiving and giving affection to other Black men within the context of friendships? Also, are the affectionate needs of Black men being met within their Black male friendships? Affectionate exchange theory and social learning theory were …

The Lived Experience Of Individuals Thinking About Food And Coping With Stress, Tobi Martin

Walden Dissertations and Doctoral Studies

Stress results in many people altering their eating patterns, often consuming food high in sugar and fat. Such behavior is a factor in the growing obesity epidemic and can potentially cause the development of chronic diseases, resulting in employment problems and billions of extra dollars spent on national health care programs. Researchers have focused on the concept of “emotional eating” while overlooking the overarching research question of this study, which was about exploring the experience of individuals using eating behavior as a coping mechanism to deal with stress. All responses were viewed through the lens of social cognitive theory. Interviews …

Overeating As A Coping Response To Workplace Gender Discrimination: The Role Of Resilience And Social Support, Rosemarie Charmain Mitchell

Walden Dissertations and Doctoral Studies

Gender discrimination in the workplace continues to be a persistent source of stress for women even after 5 decades of antidiscrimination legislation in the United States. Women are more likely than men to cope with stress by overeating, which is a risk factor for chronic illnesses and obesity. Much less is known about the protective factors that could weaken the association between perceived stress and overeating. The purpose of this quantitative study was to address this gap in the literature by examining whether resilience and social support are moderators of the overeating response for women who have experienced gender discrimination …

Health Responsibility In Community College Students, Christine Phillips

Walden Dissertations and Doctoral Studies

Community college students are less healthy than 4-year college students, and they tend to have a higher allostatic load than their 4-year counterparts. Although research demonstrated that community college students are at greater risk for physical and mental illness, a better understanding of how community college students perceive their health responsibility was needed. A basic qualitative approach was employed to study how community college students experience health responsibility. Self-determination theory and the health belief model were used to guide the development of a semistructured interview and analysis plan. Thirteen adult credit-seeking students were interviewed. Data were analyzed using a top-down …

The Lived Experience Of Older, Independent Residents During The Covid-19 Pandemic, Karen Graeb Stanley

Walden Dissertations and Doctoral Studies

The growing older population confronting the risks of the COVID-19 pandemic have a story to tell of their experiences that may influence the way society confronts future pandemics. Little research has been done on older adults in independent living communities and their experiences with the COVID-19 pandemic. This study aimed to fill that gap using the biopsychosocial model as a framework to guide the exploration of the research question addressing the lived experiences of older, independent residents during the COVID-19 pandemic. Using a basic qualitative analysis design, a purposive sample of 10 participants from a continuing care retirement community were …