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Articles 2431 - 2460 of 4613
Full-Text Articles in Entire DC Network
Reliability And Validity Of The Humboldt Food Addiction Questionnaire, Sarah R. Taylor
Reliability And Validity Of The Humboldt Food Addiction Questionnaire, Sarah R. Taylor
Cal Poly Humboldt theses and projects
Current research shows that foods high in sugar, salt, and fat can illicit addictive responses (Pursey, Stanwell, Gearhardt, Collins, & Burrows, 2014). Although measures of overeating pathology exist, only a few are dedicated to food addiction. Two of these measures are the Yale Food Addiction Scale (YFAS; Gearhardt, Corbin, & Brownell, 2009b) and the Eating Behaviors Questionnaire (EBQ; Merlo, Klingman, Malasanos, & Silverstein, 2009). Given the shortage of food addiction measures, the Humboldt Food Addiction Questionnaire (HFAQ) was developed to supplement the need for additional tools. Recruited from both a university and online, 626 participants completed this study. Reliability of …
The Relationship Between Stress, Social Problem Solving, And Psychological Distress In Mothers Of Daughters With Eating Disorders, Sarah M. Hittinger
The Relationship Between Stress, Social Problem Solving, And Psychological Distress In Mothers Of Daughters With Eating Disorders, Sarah M. Hittinger
PCOM Psychology Dissertations
Mothers of daughters with eating disorders are at risk for experiencing high levels of psychological distress, which can have negative implications for mothers themselves and the children under their care. Coping strategies that effectively manage the stress of the caregiving role have been found to reduce psychological distress, but the literature does not clearly define the type of coping that is best indicated for this population of caregivers. Coping via social problem solving has been found to predict less psychological distress and moderate the stressdistress relationship in many caregiver populations. The relationship between stress, coping via social problem solving, and …
Predicting Post-Treatment Recurrence Of Child Maltreatment Among Substance-Abusing Parents, Emily Noel Neger
Predicting Post-Treatment Recurrence Of Child Maltreatment Among Substance-Abusing Parents, Emily Noel Neger
Theses and Dissertations
Approximately one quarter of parents identified by Child Protective Services (CPS) as having committed child maltreatment will be reidentified within a year. Children who are multiply victimized are at the greatest risk for detrimental outcomes across development. This study looked to determine whether four predictors of interest could help differentiate parents who recommitted maltreatment within an 18-month follow-up period from those who did not. Predictors assessed were the severity of a parents’ substance use, parents’ level of social conflict, parents’ belief in the use of harsh parenting practices and parents’ overall quality of life. Covariates of interest included a parent’s …
A Mixed Method Feasibility Assessment Of A Youth Participatory Action Research Program To Promote Physical Activity: Evaluating Implementation Within Two Pre-Existing Aftercare Programs Serving Middle School Youth, Michelle Abraczinskas
Theses and Dissertations
Obesity interventions to date have had small effects, which may be due to youth disengagement. In youth participatory action research (YPAR), youth become involved in research to make changes that impact their lives. Thus, integrating YPAR into a physical activity intervention, like we do in the current study, is a novel strategy to engage youth and increase empowerment for health behavior change. YPAR is typically implemented with high school youth, standalone, and within elective classrooms or focused after school programs; yet, YPAR can benefit all youth, so we expanded its reach into pre-existing aftercare programs. Participating youth were predominantly minority, …
Independent And Interactive Associations Of Negative Affect, Restraint, And Impulsivity In Relation To Binge Eating Among Women, Tyler B. Mason, Kathryn E. Smith, Jason M. Lavender, Robin J. Lewis
Independent And Interactive Associations Of Negative Affect, Restraint, And Impulsivity In Relation To Binge Eating Among Women, Tyler B. Mason, Kathryn E. Smith, Jason M. Lavender, Robin J. Lewis
Psychology Faculty Publications
There is growing recognition that impulsivity may serve as an underlying risk factor for binge eating. In addition, the association of impulsivity with binge eating may be moderated by other affective and cognitive risk factors. This study examined independent and interactive associations of negative affect, dietary restraint, and facets of impulsivity with binge eating. A diverse sample of 566 undergraduate women completed online questionnaires of study variables. Results revealed a three-way interaction of negative affect, dietary restraint, and attentional impulsivity in relation to binge eating. Women who were high on each of these three variables reported the greatest levels of …
Preconceptional Health Behavior Change In Women With Overweight And Obesity: Prototype For Smart Strong Healthy Women Intervention, Frank T. Materia, Joshua M. Smyth, Kristin E. Heron, Marianne Hillemeier, Mark E. Feinberg, Patricia Fonzi, Danielle Symons
Preconceptional Health Behavior Change In Women With Overweight And Obesity: Prototype For Smart Strong Healthy Women Intervention, Frank T. Materia, Joshua M. Smyth, Kristin E. Heron, Marianne Hillemeier, Mark E. Feinberg, Patricia Fonzi, Danielle Symons
Psychology Faculty Publications
Background: The prevalence of maternal perinatal obesity is rising, and in turn, increases health risks and morbidity for both mother and child. Past evidence suggests the preconceptional Strong Healthy Women (SHW) intervention can reduce multiple biobehavioral risk factors for adverse perinatal health. The SHW intervention, however, was time- and resource-intensive to deliver. Mobile health (mHealth) technologies provide an opportunity to expand intervention reach while reducing implementation cost and burden. Previous research suggests that preconceptional women are broadly supportive of using smartphones for behavior change, yet few studies have elicited their specific preferences for a targeted mHealth intervention. The objective of …
Sexual Coercion, Drinking To Cope Motives, And Alcohol-Related Consequences Among Self-Identified Bisexual Women, Michelle L. Kelly, Sarah J. Ehlke, Robin J. Lewis, Abby L. Braitman, Wendy Bostwick, Kristin E. Heron, Cathy Lau-Barraco
Sexual Coercion, Drinking To Cope Motives, And Alcohol-Related Consequences Among Self-Identified Bisexual Women, Michelle L. Kelly, Sarah J. Ehlke, Robin J. Lewis, Abby L. Braitman, Wendy Bostwick, Kristin E. Heron, Cathy Lau-Barraco
Psychology Faculty Publications
Background: Given higher sexual victimization and greater alcohol use among bisexual women, a critical public health challenge is to understand within-group variation that may heighten or explain these associations in bisexual women. Objectives: The present study tested a moderated-mediation model in which sexual coercion was hypothesized to be associated with alcohol-related consequences via drinking to cope motives in self-identified bisexual women who reported at least occasional binge drinking. Negative affect was hypothesized to moderate the sexual coercion-drinking to cope motives association. Methods: Participants were a community sample of 107 self-identified bisexual women (age M = 20.97, SD = 2.11) who …
Self-Care And Self-Compassion Of Disaster Responders: Predictors Of Resilience, Marie F. Macedonia
Self-Care And Self-Compassion Of Disaster Responders: Predictors Of Resilience, Marie F. Macedonia
Antioch University Dissertations & Theses
Every year, natural and human-made disasters occur around the world bringing chaos and destruction to unsuspecting populations. Disaster responders, both trained professionals and volunteers, rally from around the world to provide care, help, and support to survivors of these catastrophes. Responders operate often in tragic circumstances and are exposed to various stressors. Despite a large body of literature on self-care and growing research on self-compassion and their respective effects on resilience (Friborg et al., 2006; Germer & Neff, 2013; Leary, Tate, Adams, Allen, & Hancock, 2007; Roysircar, 2008) there exists no measure that assesses first responders’ self-care, self-compassion, resilience, and …
Social Support And Psychotherapy For Asian And Pacific Islanders With Hiv/Aids, Venus Vacharakitja
Social Support And Psychotherapy For Asian And Pacific Islanders With Hiv/Aids, Venus Vacharakitja
Walden Dissertations and Doctoral Studies
HIV/AIDS rates among Asian and Pacific Islanders (APIs) have increased steadily in recent years. The Health Resources and Services Administration reported in 2011 that people living with HIV/AIDS experience psychiatric disorders at a rate 4 to 8 times higher than the general population, with as many as 60% experiencing depression. Studies show that short-term psychotherapy reduces depression and anxiety in people with HIV/AIDS, and studies have indicated that patients have better health outcomes when they receive psychotherapy in conjunction with medical treatment. It is not known how social support relates to psychotherapy attendance or health outcomes as measured by CD4 …
Life Stress, Coping, Perceived Health, And Health Outcomes Among Eastern Orthodox, Athina-Eleni Goudanas Mavroudhis
Life Stress, Coping, Perceived Health, And Health Outcomes Among Eastern Orthodox, Athina-Eleni Goudanas Mavroudhis
Walden Dissertations and Doctoral Studies
Clergy exhibit higher stress and mortality rates in relation to their nonclergy counterparts. Despite current research on clergy stress and mortality rates, health perceptions and health outcomes of Western religious oriented clergy have been understudied. Even less is known about health perceptions and health outcomes of Eastern religious oriented clergy. The role of stress, coping, and health perceptions in predicting actual health outcomes is important to study in clerical populations because of the impact their health might have on serving their parishioners. The purpose of this nonexperimental correlational study was to determine the relative strength of life stress, coping styles, …
Problem Behavior Of A Child With Autism And Problem Behavior Of A Typically-Developing Sibling Moderated By Maternal Parenting Stress, Jennifer Torchetti
Problem Behavior Of A Child With Autism And Problem Behavior Of A Typically-Developing Sibling Moderated By Maternal Parenting Stress, Jennifer Torchetti
Walden Dissertations and Doctoral Studies
Drawing on Bowen's family systems theory, this study was designed to fill a gap in research regarding how raising a child with autism impacts the systemic functioning of a family unit, and provide evidence of the need for more comprehensive resources and support for families of children with autism. In this study, families of children with autism were invited to complete the Parenting Stress Index and the Strengths and Difficulties Questionnaire. These measures were used to determine the relationship between the level of problem behavior of a child with autism and the level of problem behavior of a typically-developing sibling …
Public Service Announcements To Promote Physical Activity, Jennifer Erickson
Public Service Announcements To Promote Physical Activity, Jennifer Erickson
Walden Dissertations and Doctoral Studies
The World Health Organization (WHO) promotes physical activity as a primary way to maintain health, but many individuals do not participate in this health-promoting behavior. Despite the potential for public service announcements (PSAs) to communicate health information and promote behavioral change, no prior research on developing video PSAs to promote physical activity was found. The purpose of this quasi-experimental study was to examine how affective and information video PSAs for a public health campaign affect future levels of intention to engage in physical activity. The PSAs were developed and filmed specific for this study using the model of goal directed …
Physician-Patient Relationships And Their Effect On T2dm Patient Treatment Adherence, Cindy Schmidt
Physician-Patient Relationships And Their Effect On T2dm Patient Treatment Adherence, Cindy Schmidt
Walden Dissertations and Doctoral Studies
Type 2 diabetes (T2DM) is a health epidemic that continues to worsen. A major concern is that treatment adherence rates hover around 50%, despite the introduction of new medications, treatments, and technology. Lack of adherence by patients can lead to complications like blindness, kidney disease, and amputations. While there have been many studies conducted to evaluate patient factors related to adherence, fewer studies have been conducted to evaluate the role of the physician-patient relationship. The purpose of this study was to examine the correlation between the physician-patient relationship and patient treatment adherence, and examine the moderators of age, education, ethnicity, …
Childhood Lead Exposure And Attention-Deficit/Hyperactivity Disorder Symptoms: A Meta-Analysis, Megan Glenn Brown
Childhood Lead Exposure And Attention-Deficit/Hyperactivity Disorder Symptoms: A Meta-Analysis, Megan Glenn Brown
Walden Dissertations and Doctoral Studies
Lead exposure during childhood is a significant global public health concern as the potential effects of exposure can result in the need for long-term treatment, diminished productivity in society, and financial strain on the health care system. There is strong evidence of a relationship between lead exposure and attention-deficit/hyperactivity disorder (ADHD); however, there is a gap in the current literature regarding the relationship between lead exposure and specific symptoms of ADHD and the strength of that relationship. The purpose of this meta-analysis was to examine and help quantify this relationship. Cohen's d was used as the standardized mean effect size …
Family Relational Experiences During Major Transitions With A Chronic Illness, Juanita Sibayan
Family Relational Experiences During Major Transitions With A Chronic Illness, Juanita Sibayan
Walden Dissertations and Doctoral Studies
Although health care transitions have received some attention in the literature, few researchers have emphasized family relational experiences and communication during major changes while living with a chronic illness. The purpose of this phenomenological study was to understand the lived experience of parents and their adult children while transitioning from pediatric to adult care of a chronic illness. The bio-psychosocial theory, family systems theory, and attachment theory established the context for this study. A criterion-based sampling technique and snowball sampling were used to recruit 7 parents and 6 of their adult children aged 18 to 30 years who were diagnosed …
Perceptions Of Obese African American Women Regarding Altering Traditional Soul Food Preparation, Patricia Young
Perceptions Of Obese African American Women Regarding Altering Traditional Soul Food Preparation, Patricia Young
Journal of Social, Behavioral, and Health Sciences
The obesity epidemic continues to be a major concern in the United States. The World Health Organization reported that 1.4 billion adults were either obese or overweight African American (AA) women have the highest incidence of obesity worldwide. A qualitative descriptive study was used to explore the perceptions of obese AA women about altering how they prepare soul food to make it healthier. The empowerment model and the health belief model were used to frame this study. Data were collected using a nonprobability purposeful sampling strategy. The sample for this study consisted of four focus groups with six to seven …
Expressions Of Optimism Bias And "Self" Versus "Other" Perceived Controllability In The Context Of Military-Related Risks, Lauren Lachica-Muschett
Expressions Of Optimism Bias And "Self" Versus "Other" Perceived Controllability In The Context Of Military-Related Risks, Lauren Lachica-Muschett
College of Graduate Studies: Theses & Dissertations
This study aimed to examine expressions of optimism bias and perceived controllability specifically regarding risks often associated with military service. Optimism bias refers to people’s tendency to believe they are less susceptible to experiencing negative life events compared to others. Previous studies show high levels of optimism bias are associated with strong perceptions of personal controllability. Optimism bias is a significant aspect of health promotion research particularly in the field of general occupational health and safety (OHS). However, optimism bias has never been investigated in the military OHS domain. Given the number of risks associated with military occupations, examination of …
The Relationships Among Trauma History, Disordered Eating, Body Dissatisfaction, And Social Anxiety, Rebekah Mitchell
The Relationships Among Trauma History, Disordered Eating, Body Dissatisfaction, And Social Anxiety, Rebekah Mitchell
College of Graduate Studies: Theses & Dissertations
Eating disorders are highly prevalent and cause significant psychological impairment, up to and including death (Arcelus, Mitchell, Wales, & Nielson, 2011). This research examined how trauma history in the general population explains variation in eating disorder risk. The purpose of the current study was to provide further evidence for the relationship between abuse history and eating disorder risk. Disordered eating behaviors, body dissatisfaction, and social anxiety are all known risk factors for the development of eating disorders (Brewerton, 2007). Trauma history is related to all three of these known risk factors (Brewerton, 2007) with sexual trauma being more linked to …
Project Sweat (Summer Weight And Environmental Assessment Trial): Study Protocol Of An Observational Study Using A Multistate, Prospective Design That Examines The Weight Gain Trajectory Among A Racially And Ethnically Diverse Convenience Sample Of Economically Disadvantaged School-Age Children, Laura C. Hopkins, Christine Penicka, Carly Evich, Blake Jones, Carolyn Gunther
Project Sweat (Summer Weight And Environmental Assessment Trial): Study Protocol Of An Observational Study Using A Multistate, Prospective Design That Examines The Weight Gain Trajectory Among A Racially And Ethnically Diverse Convenience Sample Of Economically Disadvantaged School-Age Children, Laura C. Hopkins, Christine Penicka, Carly Evich, Blake Jones, Carolyn Gunther
Faculty Publications
Introduction Racial/ethnic minority school-age children are at risk for unhealthy weight gain during the summer, and there is a dearth of information regarding the underlying behavioural and environmental factors. The study objective is to provide an in-depth examination of dietary and physical activity behaviours and food, physical activity, and social environments of African American and Hispanic school-age children during the summer.
Methods and analysis An observational study will be conducted using a multistate (Ohio and Indiana, USA) prospective design examining the weight gain trajectory among a racially/ethnically diverse convenience sample of economically disadvantaged school-age children. In addition, a subset of …
Exploring The Preparedness Of Novice (Student) Paramedics For The Mental Health Challenges Of The Paramedic Profession: Using The Wisdom Of The Elders, Lisa Holmes
Theses: Doctorates and Masters
This study investigates the preparedness of novice (student) paramedics for the mental health challenges of the paramedic profession and identifies the coping strategies used by veteran paramedics to successfully meet these challenges. The lived experience of veteran paramedics is utilised to provide this important assistance.
Initially, two surveys were developed and administered to 16 course coordinators and 302 students of the 16 accredited undergraduate degree paramedicine courses across Australia and New Zealand, to identify the perceived need (for preparation) within the curriculum. In addition, the anticipations, confidence and fears of novice (student) paramedics, course coordinators and veteran paramedics were also …
Holistic Health: Shaping Women’S Experiences Of Positive Body Image, Helen Elizabeth Monks
Holistic Health: Shaping Women’S Experiences Of Positive Body Image, Helen Elizabeth Monks
Theses: Doctorates and Masters
This PhD thesis seeks to contribute to a nuanced understanding of positive body image and how it is expressed among a group of women participating in holistic health culture in a modern Western society. Qualitative data were collected from in-depth ethnographic interviews with 25 women in Perth, Western Australia, to illuminate an understanding of their holistic health beliefs and practices, perceptions of appearance and health ideals, as well as their understandings of positive body image. Thematic analysis of the data through Nvivo revealed several overarching themes, demonstrating how certain aspects of holistic health culture may encourage or dissuade the development …
Possible Breakdown Of Dopamine Receptor Synergism In A Mouse Model Of Huntington's Disease, Samantha F. Kennedy
Possible Breakdown Of Dopamine Receptor Synergism In A Mouse Model Of Huntington's Disease, Samantha F. Kennedy
LSU New Orleans Theses and Dissertations
The model of basal ganglia function proposed by Albin, Young and Penney (1989) describes two anatomically independent motor pathways, the direct and indirect. However, under normal conditions striatal dopamine (DA) is required for the expression of motor behavior, and DAergic control of the two pathways (via D1 and D2 receptors, respectively) is dependent on co-activation. We tested for a possible breakdown of D1/D2 synergism using transgenic R6/1 mice bearing the human huntingtin allele (Htt). Motor stereotypy, observed prior to the onset of HD-related symptoms, was rated on a 5-point scale following activation of: A) D1 receptors alone, B) D2 receptors …
Neighborhood Cohesion, Neighborhood Disorder, And Cardiometabolic Risk, Jennifer N. Robinette, Susan T. Charles, Tara Gruenewald
Neighborhood Cohesion, Neighborhood Disorder, And Cardiometabolic Risk, Jennifer N. Robinette, Susan T. Charles, Tara Gruenewald
Psychology Faculty Articles and Research
Perceptions of neighborhood disorder (trash, vandalism) and cohesion (neighbors trust one another) are related to residents’ health. Affective and behavioral factors have been identified, but often in studies using geographically select samples. We use a nationally representative sample (n = 9032) of United States older adults from the Health and Retirement Study to examine cardiometabolic risk in relation to perceptions of neighborhood cohesion and disorder. Lower cohesion is significantly related to greater cardiometabolic risk in 2006/2008 and predicts greater risk four years later (2010/2012). The longitudinal relation is partially accounted for by anxiety and physical activity.
Peace Guardians, Watts Bears And The Maori Haka, Zachariah Fisher
Peace Guardians, Watts Bears And The Maori Haka, Zachariah Fisher
The Transdisciplinary STEAM+ Journal
In the summer of 2017, Peace Guardians carried out a summer school program for twenty inner city kids ranging from 8-13 years old in Watts Los Angeles. The program was part of the annual Watts Bears summer school. The Watts Bears are group of student football and track athletes coached by the Los Angeles Police Department. Working in conjunction with the Watts officers and coaches, Peace Guardians and guest teachers spent four hours a day with the students facilitating mindfulness exercises and the Haka as wellness tools to incorporate into their lives in and out of the classroom and football …
Understanding Behavioral Health And Treatment Engagement With Former Users Of Prenatal Substances: A Strengths-Focused Mixed Methods Inquiry, Jennifer G. Benson, Peggy Maclean, Andrew Hsi, Sarah J. Erickson
Understanding Behavioral Health And Treatment Engagement With Former Users Of Prenatal Substances: A Strengths-Focused Mixed Methods Inquiry, Jennifer G. Benson, Peggy Maclean, Andrew Hsi, Sarah J. Erickson
Psychology ETDs
Accessible services for users of prenatal substances are lacking, and treatment engagement is poor with services that are available. Furthermore, legal consequences are often punitive, which ultimately damages the well-being of mother and child. Milagro and FOCUS are two New Mexico programs that provide comprehensive, coordinated care, including medication-assisted treatment, to former users of prenatal substances during pregnancy (in the Milagro Program) and for three years post-birth (in the FOCUS Program). This mixed methods study explored the lived experiences of women from this complex, high-risk population, using a high-engagement sample of women who utilized services at both Milagro and FOCUS. …
A Translational Evaluation Of Renewal Of Inappropriate Mealtime Behavior, Vivian Ibañez, Cathleen C. Piazza, Kathryn M. Peterson
A Translational Evaluation Of Renewal Of Inappropriate Mealtime Behavior, Vivian Ibañez, Cathleen C. Piazza, Kathryn M. Peterson
Theses & Dissertations
The term renewal describes the recurrence of previously extinguished behavior that occurs when the intervention context changes. Renewal has important clinical relevance as a paradigm for studying treatment relapse because context changes are necessary for generalization and maintenance of most intervention outcomes (Podlesnik, Kelley, Jimenez-Gomez, & Bouton, 2017). The effect of context changes are particularly important during intervention for children with feeding disorders because children eat in a variety of contexts, and extinction is an empirically supported and often necessary intervention. Therefore, we used an ABA arrangement to test for renewal during intervention with 3 children diagnosed with a feeding …
Life Being An International Student In The United States: Acculturation, Culture Shock, And Identity Transformation, Lai Yan Vivyan Lam
Life Being An International Student In The United States: Acculturation, Culture Shock, And Identity Transformation, Lai Yan Vivyan Lam
Master's Theses
The population of international students at community colleges in the United States has increased significantly over the past decade. International students play a big role in building the cultural diversity on campus by bringing over different cultures and sharing their global perspective to the local community. However, they often face challenges adapting into American culture due to cultural differences in education system, language, lifestyle, etc. By looking into the acculturation process of international students to analyze the culture shock and cultural identity changes they experienced, this paper intends to seek ways to help this group of students to ease their …
Women And Eating: Cognitive Dissonance Versus Self-Perception Theory
Women And Eating: Cognitive Dissonance Versus Self-Perception Theory
Intuition: The BYU Undergraduate Journal of Psychology
Eating attitudes and eating beliefs in females might be explained by cognitive dissonance (conforming beliefs to match behaviors) or self-perception theory (beliefs inferred by behaviors). A sample of 129 female undergraduates, divided into three groups, were taken to see if the food they ate affected their attitude towards food or body image. A healthy food group consisted of low calorie foods, a junk food group consisted of high calorie foods, and a control group was given no food. Participants completed the Eating Attitudes Test (EAT) and Body Image Scale (BIS). There were no differences between groups on BIS (p=0.60), suggesting …
Beyond The End Line - Putting The Mental Health Of Female Athletes First, Katherine Scholten
Beyond The End Line - Putting The Mental Health Of Female Athletes First, Katherine Scholten
Honors Projects
Currently one in five adults are affected by mental illness. Student-athletes are a population that is under diagnosed for mental illness. In the world of college athletics, mental pain is as regular as physical pain. Coaches often push their athletes to suffer in silence for the betterment of the team. The NCAA has recognized the importance of mental health in college athletics, yet there is still much work to be done among universities across the country. This document is to serve as a resource and a guide on the effects of mental health among female student athletes and the best …
Preschoolers And Pandas Making Friends: A Journey About Healing From Brain Injury, Barbara Anne Doucette
Preschoolers And Pandas Making Friends: A Journey About Healing From Brain Injury, Barbara Anne Doucette
Museum Studies Projects
Preschoolers that have obtained Non-Accidental Injury (NAI) from familial child abuse are in need of having a unique place for neurorehabilitation in correlation with traditional therapies. My thesis project suggests adding an exhibit annex to an existing giant panda exhibit that will give preschoolers an opportunity to help develop new neuropathways when exposed to mediation and creative activities. Meditation and creative activities are being examined by neuroscientists as an aid in neuroplasticity after brain injury. This thesis reviews the neurotypical preschooler’s milestones and the playful means by which they are achieved. Conjoining the contemporary museums’ and zoological gardens’ outreach to …