Digital Commons Network^™

Barriers To Healthcare Faced By Individuals With Autism Spectrum Disorder And Their Families, Jennifer Lu

Theses and Graduate Projects

Background: Autism Spectrum Disorder (ASD) is a neurodevelopmental condition that is characterized by impairments in social interaction and communication as well as repetitive behaviors or interests that can affect daily functioning. ASD individuals are also more likely to experience poor physical and mental health along with reduced life expectancy compared to non-autistic people. Thus, it is crucial that those with ASD are able to obtain adequate healthcare. However, there is limited research on the barriers to medical care access faced by those with ASD and their families.

Purpose: Due to the lack of autism awareness in the general population and …

Development Of A Multidimensional Measure Of Wellbeing For Emerging Adults Utilizing A Convergent Parallel Mixed Method Design, Kelley Marie Wick

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Attempting to conceptualize wellbeing is difficult, and the current research literature does not offer a standard definition that encapsulates the complexity of this construct, nor has there been a thorough consideration the impact of culture and societal standards of behavior on wellbeing. Additionally, the emergence of a new developmental period between adolescence and true adulthood (emerging adulthood) offers an additional layer of nuance, as many of the traditional scales currently used to measure wellbeing are inappropriate for emerging adults. A major gap in the current research literature is the reluctance in developing measures with the help of the target population. …

Five A Day, The Rainbow Way: A Nutrition Education Toolkit For Elementary School Aged Children, Sasha Menard

Department of Nutrition Student Projects

Learning Outcome: Develop a nutrition educational toolkit based on Social Cognitive Theory (SCT) for obesity prevention among elementary school-aged children by improving determinants of fruit and vegetable intake.

Background: Poor consumption of fruits and vegetables is a major contributing factor to childhood obesity, increasing the risk for chronic diseases later in life. There is a need for multicomponent nutrition educational tools to influence children to improve their eating behavior by increasing their awareness and self-efficacy. The current project describes the development of a 3-component toolkit for improving participants’ knowledge and values related to fruit and vegetable intake among 6-11-year-olds.

Methods: …

A Stepwise Evaluation Of Pairing, Shaping, And Nonremoval Of The Spoon For Children With Autism And Feeding Difficulties, Nicole C. Demchuk

Theses & Dissertations

Feeding difficulties are pervasive for children with autism. The present study investigated the effects of a pairing intervention on cooperation with demands/acceptance of new foods, inappropriate behaviors, proximity to therapist, and indices of happiness for three children with autism and avoidant restrictive food intake disorder. When the pairing intervention alone was not effective to decrease inappropriate behaviors and increase acceptance of new foods, we implemented shaping procedures. Shaping was effective to increase acceptance of four new foods for two participants. For the third participant, we ultimately implemented nonremoval of the spoon procedures to decrease inappropriate behaviors and increase acceptance of …

Cooperative Extension’S Role In Addressing The Opioid Overdose Crisis: Best Practices From The Heart Initiative Model, Hailey Judd, Alise Williams Condie, Ashley C. Yaugher, Mateja R. Savoie-Roskos, Gabriela Murza, Timothy Keady, Sadie Wilde, Rachel Myrer, Maren Wright Voss

Journal of Extension

Cooperative Extension is in a unique position to address health and wellness concerns across the country, particularly in rural areas with local Extension services. One innovative model, the Health Extension: Advocacy, Research, and Teaching (HEART) Initiative, unites Extension, community organizations, and community members in collaborative activities to address the complex, multifaceted components of substance use disorder. The model utilized a multidisciplinary team and community-based participatory research (CBPR) approach with evidence-based practices to increase Extension’s abilities to guide and tailor programming to local needs and to create significant impacts. Cooperative Extension’s long history of engagement in the community, with state and …

Caring Until It Hurts: A Survey Of Compassion Fatigue And Moral Injury Among Wild Animal Caregivers And Its Implications For Animal Welfare In Zoos, Aquariums, Rehabilitation Centers, And Sanctuaries, Nadiya L. Delgado

Theses and Dissertations

Caregivers for captive wild animals are fundamental to the overall care, welfare, and conservation of animals in their charge, fulfilling diverse and critical roles. Caring for others, whether humans or animals, exposes caregivers to compassion fatigue – a state of emotional and physical exhaustion resulting from prolonged empathetic engagement with those they assist, and moral injury – psychological distress that arises from actions, or the lack of them, which violate one's moral or ethical code. This distress can manifest as intense feelings of guilt, shame, or a sense of betrayal by oneself or others. These phenomena are pertinent in environments …

Sex Differences In The Diets Of Forest-Dwelling Baboons (Papio Anubis), Kara Hartunian

Theses and Dissertations

The ability to eat and switch between many food sources is an adaptative feeding strategy utilized for meeting nutritional needs across different environments, seasons, and physiological conditions. Baboons (genus Papio) excel at both dietary flexibility and foraging selectively, and consequently have one of the most widespread geographic distributions in the Order. To further expand to our understanding of baboon feeding ecology, I analyzed foraging activity and the nutritional characteristics of the diets of the relatively understudied rainforest baboons (Papio anubis) living in Kibale National Park, Uganda. I also investigated if there are differences in food type choice …

A Quantitative Examination Of Tobacco And Marijuana Use On Oral Health Outcomes Among Young Adults In Texas, Meenakshi Dasagi

Dissertations and Theses (Open Access)

This dissertation aimed to quantify the relationship between methods of tobacco and marijuana use and their impact on oral health. Tobacco use was defined as smoking combustible tobacco (cigarettes, cigars, and hookah) or electronic aerosolized vaping nicotine with an e-cigarette.5,9 Similarly, marijuana use was defined as smoking combustible marijuana (joints, blunts, and spliffs) or vaping marijuana with an e-cigarette.8 Despite the prevalence of nicotine vaping and marijuana use among young adults1,3-4,7,14-15, there is limited evidence of their association with oral health in Texas. To address this issue, this dissertation comprising three studies analyzed longitudinal data from the Texas Adolescent Tobacco …

Examining The Theory Of Planned Behavior As An Explanation For Why Some Creatives Learn To Use Generative Ai Tools, Navrose Bajwa

Theses, Dissertations and Culminating Projects

Artificial Intelligence (AI) can create art which earlier was restricted to humans. This involvement of AI in creating art poses risks of automation for the arts and design industry. One way with which artists can respond to this threat is to engage in proactive coping behavior and learn to use generative AI (GAI) for their work. Using an expanded version of Theory of Planned Behavior, this study looked at the predictors of graphic designer’s intentions to learn how to use GAI for art and design work. It was hypothesized that attitudes, social norms, perceived behavioral control and automation awareness would …

Engagement And Retention Of College Students With Anxiety And Depressive Symptoms In A Digital Mental Health Intervention Using A Brief Peer Support Model, Emily A. Kline

Theses, Dissertations and Culminating Projects

Digital mental health interventions (DMHIs) show promise in improving access to mental health care for college students suffering from depression and anxiety symptoms. Nonetheless, the usefulness of DMHIs is limited by high user attrition. Leveraging peer support among college populations may be a feasible and cost-effective option to improve DMHI engagement and improve mental health outcomes. This open pilot study evaluated the feasibility, acceptability, and initial efficacy of a skill-based peer support group in enhancing user engagement in a DMHI for depression and anxiety symptoms. Participants were 20 undergraduate students at a university in New Jersey with elevated depression and …

Instrument Not Ornament: Exploring Women’S Experiences Of Body Objectification And Belonging To An All-Women’S Mountain Biking Group In The Ozarks, Katherine Ketchum

Graduate Theses and Dissertations

Description: Despite the attention given to body positivity, body neutrality, and body appreciation, women are consistently and overwhelmingly experiencing body objectification and its harmful effects being normalized by society and internalized individually (Shorter et al., 2008). At the same time, the popularity of mountain biking for women and all-women's mountain biking groups in the Ozarks has grown exponentially in recent years, yet gender stereotypes and disparities for women remain (Irvin et al., 2021). The purpose of this study was to make meaning of (1) women’s experiences of body objectification and (2) women’s experiences belonging to an all-women's mountain biking group …

Play Therapists Attitudes, Knowledge, And Skills In Identifying Disordered Eating In Children And Adolescents., Hailey Thomas

Graduate Theses and Dissertations

The prevalence of disordered eating among children and adolescents has been steadily increasing, posing an increase in the need for treatment. Recognizing and addressing disordered eating in childhood and adolescence is critical to fostering a healthy relationship with food and body image and ensuring the overall well-being of youth. Play has long been considered an important factor in understanding children's lives and experiences and is the recommended counseling approach for children and adolescents (Landreth, 2012). Play therapy is grounded in the fundamental understanding that play is children's and adolescents' natural mode of expression, where toys are their words, and play …

Acculturation, Well-Being And Identity Of Oromo Immigrants, Hawi M. Wako

Dissertations

The purpose of this study was to examine the relationship between racial and ethnic identity, acculturative stress, and well-being for first generation Oromo immigrants. Studies regarding immigration, acculturative stress, identity, and well-being have primarily centered on Hispanics, Asians, and Caribbean individuals, but there has been a lack of attention toward Black African immigrants, including Oromo immigrants. The lack of inquiry into Black African immigrants, especially Oromo immigrants, creates a perception that all immigrants are the same, leading to a generic approach toward immigrant interventions and falls short of meeting the unique mental health needs of specific African communities.

Immigrants must …

Testing The Feasibility And Acceptability Of A Mindful Self-Compassion Group Workshop Among Individuals With Eating Disorders: A Pilot Study., Brenna Mary Williams

Electronic Theses and Dissertations

Background. Shame and self-criticism are mechanisms shown to influence eating disorders (EDs). Self-compassion has been theorized to target shame and self-criticism and is a protective factor against EDs. One intervention shown to increase self-compassion and reduce shame and self-criticism is the Mindful Self-Compassion program (MSC). However, MSC has yet to be tested among individuals with an ED diagnosis. The current study investigated the feasibility, acceptability, and preliminary outcomes of MSC delivered in a live, online format among individuals with an ED. Methods. Sixty-one participants completed baseline questionnaires measuring ED symptoms, trait self-compassion, self-criticism, and shame. Participants also answered questionnaires at …

The Adaptation Wedge: Capacity-Building Scenarios For India’S Cities, Jagan Shah

Midwest Social Sciences Journal

The increasing frequency and severity of floods, heat waves, and storm surges impacting global cities, combined with the growing morbidity in public health, necessitates prompt and effective climate action. Adaptation and mitigation require adequate and appropriate institutional, technical, and societal capacities—all of which are in short supply in most low- and middle-income country cities that are experiencing growth while suffering vulnerabilities. Although national governments are alerted to climate risk and the imperatives of planning, financing, and managing climate transitions, their responses to capacity constraints and approaches to capacity building display neither urgency nor scale. We use a scenario-building methodology to …

Preschool Executive Control And Adolescent Dietary Outcomes: Highlighting The Role Of Context, Marla Lopez

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Research has identified executive control (EC) as an important predictor of dietary outcomes among youth. Executive control in preschool age has been shown to predict important outcomes across development for youth, indicating that good, foundational EC abilities are associated with successful development in later life. Dietary outcomes across adolescence, an important transitional period for establishing healthy eating behaviors, are understudied. Therefore, the current study sought to link two critical developmental periods, examining how preschool EC is associated with dietary trajectories across adolescence. Further, the study aimed to identify how contextual factors, specifically indices of socio-economic status and the home and …

The Effects Of Ambient Light Intensity On Affordance Perception, Tyler Overstreet

Dissertations

Humans can reliably perceive whether a slanted ground surface can be stood on or not. In the present study we investigated how differences in ambient lighting conditions affected the perception of stand-on-ability. The study manipulated lighting conditions (photopic, mesopic, scotopic) under which participants made affordance judgements about the stand -on-ability of a presented ramp in a virtual reality environment. We hypothesized that less visual information would be available in the scotopic condition, which would result in changes to affordance boundaries and movement complexity, when measured from head sway and center of pressure. Results indicated that participants’ affordance judgements were more …

The Role Of 5-Ht6 Receptor Activation In Learning Consolidation, Jasmine Alyssa Robinson

Electronic Theses, Projects, and Dissertations

The focus on serotonergic dysfunction as a contributor to cognitive deficits in disorders such as autism spectrum disorder, Alzheimer's disease, and schizophrenia drives researchers to investigate the functional impact of specific serotonin receptor types on executive functioning. By discerning the potential enhancement or impairment effects, this endeavor seeks to unravel the complex interplay between serotonin receptors and cognitive abilities. Specifically, within the three domains of learning, acquisition, consolidation, and retrieval, we find serotonergic modulation to be pivotal. Recent studies have highlighted the 5-HT6 receptor as a novel target for cognitive enhancement. However, the majority of the research investigates the effects …

Psychological Science And Immigration Today: Apa Task Force Report On Immigration And Health, American Psychological Association, Alfonso Mercado, Amanda Venta, Dina Birman, German Cadenas, Gail Ferguson, Luz M. Garcini, Giselle A. Hass, Maryam Kia-Keating, William Martinez

Psychological Science Faculty Publications

The report emphasizes the importance of culturally competent mental health services and explores the impact of anti-immigration policies on mental wellbeing. In today’s climate in which immigration is often met with hostility, it is crucial that we, as researchers and mental health professionals, understand the unique challenges faced by immigrants and use this understanding to foster positive change. Together, we can better support the wellbeing and resilience of our immigrant communities by using psychological research to inform and advance practice and policy.

Mental Health Of Healthcare Workers In Kosovo During The Covid-19 Pandemic, Latif Hoxha

All Dissertations

ABSTRACT

This study explored the mental health of healthcare practitioners in Kosovo during the COVID-19 pandemic, focusing on the prevalence of stress, depression, and anxiety, and the associated individual, family, and work-related factors. The research employed a cross-sectional design with a sample of 449 healthcare workers from two hospitals in Kosovo. The Depression, Anxiety, and Stress Scale (DASS-21) was used to assess mental health symptoms, while socio-demographic and work-related information was collected through a questionnaire.

Based on the descriptive statistics of DASS-21 scores, the prevalence of mental health issues among the participants included high levels of depression (18%), anxiety (25%), …

Facilitating Parental Scaffolding Of Joint Book Reading With Toddlers, Tiffany Pempek Rahl

Dissertations, 2020-current

Developmental research confirms the importance of early parental language input for building children’s vocabulary and language skills (Hart & Risley, 1995). While reading with a caregiver is a common way for language input to occur, the approaches parents utilize often fail to capitalize on techniques for improving language and pre-literacy skills (Huebner & Meltzoff, 2005). The purpose of this study was to assess the effectiveness of embedding tips for scaffolding parent reading strategies into a children’s book. Thirty-eight parent-child dyads participated in a 2-week intervention. Families were randomly assigned to receive either a book with embedded tips (experimental condition) or …

Emotional Eating In Adolescents With Obesity: Case Series, Paula Dayan

Electronic Theses, Projects, and Dissertations

Childhood obesity remains a significant public health concern, with substantial implications for physical and mental well-being. This thesis aims to explore the intricate relationship between emotional eating and obesity among adolescents, with a focus on identifying emotional triggers and assessing their psychological impact. Utilizing a cross-sectional study design at a university in southern California, data were collected from two adolescents aged 13-18 years. Through surveys and body composition measurements, participants' emotional barriers to weight loss and readiness for change were assessed. The findings underscore the presence of varying degrees of emotional hurdles among adolescents with obesity, including depression, frustration, and …

How Far Does The Apple Fall? Intergenerational Processes Underlying The Attainment Of Decent Work And Implications For Occupational Health And Well-Being, Baylor A. Graham

All Dissertations

Despite decades of progress spurred by the Decent Work Agenda (International Labor Organization, 1999), efforts to improve working conditions, ensure fair wages, and establish health and well-being as fundamental standards in employment practices continue to be sorely needed. The burden of inadequate decent work has demonstrated profound effects on individual health and well-being. However, the effects of inadequate decent work are rarely investigated over long periods of time and are entirely unexplored in relation to effects on children as they age and enter the workforce themselves. Accordingly, this dissertation investigated the intergenerational effects of decent work, extending beyond the immediate …

Differences In Bilinguals And Multilinguals Diagnosed With Alzheimer's Disease, Nathalie Rios Carreon

University Honors Theses

Alzheimer’s Disease does not have a cure but there are different things that can be done to manage the disease. Keeping your brain healthy is important to keep cognitive reserve (CR) strong and intact. One way to keep CR intact is to speak more than one language. Previous research done shows that monolinguals typically get diagnosed with Alzheimer's disease 4 to 5 years earlier than bilinguals and multilinguals. Using existing articles it was found that this new research was similar to research already done. Speaking more than one language keeps the brain healthy in many different ways. Research suggests that …

Healing Through Caring And Knowledge-Making In Everyday Food Practices Among Lgbtq+ Black, Indigenous, People Of Colour, Elizabeth Grace Wong

All Graduate Theses and Dissertations, Fall 2023 to Present

Three different models are used in this study to understand how everyday food practices carry healing potential through the interwoven process of caring and knowledge-making. Daily food practices reflect a mixture of tradition and modernity— borne out of our roots and our contexts. Anzaldúa’s (1987) Borderland Theory helps us understand how this mixture is made by people who straddle two borders or worlds and contest those confines. Chavez-Dueñas et al.’s (2019) HEART model names strengthening our cultural and familial traditions and roots as part of the broader processes of building cultural consciousness and connection, and engaging in collective healing. Finally, …

Atypical Responses To Sensory Stimuli Or Eating Environments In Children With Autism Spectrum Disorder, Lydia Rockers

Graduate Theses and Dissertations

Children with autism spectrum disorder (ASD) often encounter challenges in processing sensory inputs. Children with ASD may experience feeding difficulties and over- or under- stimulation during food-related activities such as eating or shopping. These have impacts on the health and well-being of individuals with ASD in childhood and throughout their lives. Further research is needed to address the impact of ambient sound levels in a retail or restaurant setting. The main objective of this thesis was to address these gaps by identifying responses to various environmental and food related stimuli. The findings of this research addressed differences in responses between …

The Relationship Between Physical Activity, Acculturative Stress, And Cognitive Function In South-Asian Immigrants, Suchana Das Bandhan

Walden Dissertations and Doctoral Studies

Although previous research has indicated that acculturative stress and lack of physical activity may contribute to age-related cognitive decline in older immigrants, previous research has not investigated the combined influence of acculturative stress and physical activity on cognitive function in a population of older immigrants. This quantitative correlational study aimed to investigate this relationship among older South-Asian immigrants using acculturation theory to guide the research. Acculturative stress was measured using the Social, Attitudinal, Familial, Environment Acculturative Stress Scale. Physical activity was measured using the Community Healthy Activities Model Program for Seniors. Cognitive functioning was measured using the Trail-Making test, Stroop …

Psychological Profile Of Brazilian Jiu-Jitsu Athletes, Leandro De Lorenco-Lima

Doctoral Dissertations and Projects

Martial arts and combat sports have been shown to influence several desirable psychological factors positively. This quantitative study aimed to explore the differences in mental strength, resilience, grit, self-efficacy, self-control, aggression, life satisfaction, and mental health between belt ranks in Brazilian Jiu-Jitsu (BJJ) athletes. A sample of 410 BJJ participants (323 males and 87 females) from 18 to 60 years of age was included in this study. Data was collected anonymously via Google Form and included the Mental Strength Scale, Brief Resilience Scale, Grit Scale, General Self-Efficacy Scale, Brief Self-Control Scale, Brief Aggression Questionnaire, Satisfaction with Life Scale, Mental Health …

Framing The Path To Fitness: Age Differences In Response To Framed Exercise Messages, Iliya Sherif, David B. Taullahu, Alyssa R. Minton, Joseph A. Mikels

DePaul Discoveries

Physical activity is one of the most protective health behaviors one can engage in, yet 75% of active adults in the US, meaning those who exercise regularly, fall short of the recommended levels of physical activity, with an even greater percentage of older adults living inactive lives, meaning they exercise minimally and engage in prolonged sedentary behavior (CDC, 2019). The goal of the current study was to explore different types of message framing targeted at encouraging older and younger adults to exercise. We recruited older adults (n = 184; Mage = 69.45 years, age range: 65- 80 years) and younger …

Nourish: Promoting Body Acceptance Through Christ-Centered Identity In Female Collegiate Cross Country Runners, Kirsten E. Howland, Melinda B. Smith

Movement and Being: The Journal of the Christian Society for Kinesiology, Leisure and Sports Studies

Competitive runners are at increased risk for developing eating disorders (EDs), which can have serious effects on both sport and life. Clinical and psychological treatments for EDs are largely ineffective; therefore, to reduce the incidence of disordered eating in young runners, there is a need for preventative programs focused on shifting cultural attitudes and mindset. The purpose of this study was to implement and evaluate Nourish, a Biblically-based pilot program designed to promote body appreciation and a holistic view of the self through rooting identity in Christ. Seven members of the women’s cross country team at a private Division …