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Reflections On Focus Group Participant Recruitment In An Indian Youth Mental Health Study, Debanjali Saha, Ketoki Mazumdar Aug 2026

Reflections On Focus Group Participant Recruitment In An Indian Youth Mental Health Study, Debanjali Saha, Ketoki Mazumdar

The Qualitative Report

In this article, I (DS) critically reflected on my journey as an Indian graduate student while navigating dissonant expectations versus reality from the planning to data collection phase of my doctoral research, especially the challenges involved in the participant recruitment process for focus group discussions. The goal of my study was to understand the narratives of various stakeholders of the Indian higher education community on students’ mental health on Indian college campuses using Participatory Action Research strategy with the help of focus group discussions. Recruiting participants was a crucial first step in this endeavor. Six FGDs were conducted with a …


Generation X’Sperspectives On Indonesian National Pride: A Reflexive Thematic Analysis, Rizal Kurniawan, Sartana Sartana, Avin Fadhila Helmi Aug 2026

Generation X’Sperspectives On Indonesian National Pride: A Reflexive Thematic Analysis, Rizal Kurniawan, Sartana Sartana, Avin Fadhila Helmi

The Qualitative Report

Having a sense of national pride is crucial for the well-being and progress of a country. It plays a vital role in the overall development of a nation and its people. Generation X (individuals born between 1960 and 1980) in Indonesia have experienced many national events and these events influence how they feel about being part of Indonesia. However, empirical research has not shown which events are sources of pride for them. Our study identifies sources of national pride for Generation X in Indonesia. The research data was collected using an open questionnaire and analyzed using a reflexive thematic analysis …


Sexual Grooming And Other Barriers To Disclosure Of Childhood Sexual Abuse, Lillian A. Steedman Aug 2026

Sexual Grooming And Other Barriers To Disclosure Of Childhood Sexual Abuse, Lillian A. Steedman

Theses, Dissertations and Culminating Projects

Child sexual abuse is a serious and prevalent problem in the United States and is associated with negative consequences across numerous life domains (e.g., psychological, physical, socioeconomic). Disclosure of sexually abusive experiences may facilitate victims’ abilities to obtain psychological, social, and legal support. It has been theorized that sexual grooming plays a role in decreasing the likelihood of disclosure and of disclosures being believed. Therefore, this dissertation examined associations among sexual grooming, other barriers, and disclosure decisions and timing. Participants were recruited and screened online for eligibility to participate in a survey examining details of the abuse, trauma-related shame, disclosure …


Beyond The Binary: The Intersection Of Substance Use And Lgbtq+ Identity, Allyana Musa Aug 2026

Beyond The Binary: The Intersection Of Substance Use And Lgbtq+ Identity, Allyana Musa

Educational Specialist, 2020-current

Substance use among LGBTQ+ youth remains a significant public health concern, with rates of alcohol, marijuana, and other substance use consistently exceeding those of their heterosexual peers. This systematized review examines the literature on substance use interventions for LGBTQ+ youth, with a focus on identifying the program components and theoretical orientations associated with effective and affirming outcomes. Following PRISMA guidelines, a systematic search of ERIC and PsycINFO was conducted to identify peer-reviewed studies published between 2016 and 2026 that addressed substance use among LGBTQ+ youth. Eligible studies included quantitative, qualitative, mixed methods, and conceptual research examining substance use, risk and …


A Systematized Review Of Parent Experiences With Special Education Placement In Rural Communities, Madeline Bishop Aug 2026

A Systematized Review Of Parent Experiences With Special Education Placement In Rural Communities, Madeline Bishop

Educational Specialist, 2020-current

Parents of children enrolled in special education programs often face unique challenges, particularly in rural settings where access to resources and communication with school personnel can be limited. This systematized review explores how rural school systems can best support parents during the special education process. A systematized review of articles published between 2005 and 2025 was conducted. A thematic analysis of 20 articles revealed 3 themes following the review: benefits and barriers to rural special education, professional relationships, and parents’ strain and appreciation. Overall findings highlight the importance of the experiences between parents and school personnel regarding special education. Limited …


Finding Balance: School-Based Yoga Interventions And Their Alignment Within Multi-Tiered Systems Of Support, Ursula Vogt Aug 2026

Finding Balance: School-Based Yoga Interventions And Their Alignment Within Multi-Tiered Systems Of Support, Ursula Vogt

Educational Specialist, 2020-current

School-based interventions that support emotional regulation and student well-being are increasingly emphasized within Multi-Tiered Systems of Support (MTSS). Yoga has emerged as a potential school-based practice; however, its outcomes, alignment with MTSS frameworks, and implementation characteristics remain unclear. This systematized review examined (a) psychological, emotional, and behavioral outcomes associated with school-based yoga interventions, (b) their alignment with Tier 1 and Tier 2 supports, and (c) implementation characteristics that support feasibility in school settings. A systematic search identified 21 U.S.-based studies, which were analyzed using thematic analysis. Findings indicated that yoga interventions were associated with improvements in emotional regulation, stress and …


Supporting Every Student: Optimizing School-Based Mental Health Services For Students With Intellectual Disabilities, Sarah K. Eggleston Aug 2026

Supporting Every Student: Optimizing School-Based Mental Health Services For Students With Intellectual Disabilities, Sarah K. Eggleston

Educational Specialist, 2020-current

Youth with intellectual disabilities (ID) are at considerably greater risk of developing mental health problems compared with the general population; however, their needs are less likely to be identified, and they often face barriers to accessing quality mental health care. School-based mental health professionals (SBMHPs) are uniquely positioned to support students within their natural learning environments, where many common barriers to service provision have been removed. The present study examined the current state of practice among SBMHPs in Virginia in identifying and supporting the needs of students with ID, as well as SBMHPs’ training experiences. An online cross-sectional, mixed-methods survey …


Students With Borderline Intellectual Functioning: Dropping The Label And Reducing The ‘Line’, Samantha M. Sitzman Aug 2026

Students With Borderline Intellectual Functioning: Dropping The Label And Reducing The ‘Line’, Samantha M. Sitzman

Educational Specialist, 2020-current

Students with Borderline Intellectual Functioning (BIF) often experience significant academic and social-emotional difficulties while remaining ineligible for many formal special education services, creating challenges in identifying and supporting this population within school settings. This convergent mixed methods study examined school psychologists’ perspectives regarding the challenges experienced by students with BIF, the interventions commonly used to support them, and the systemic barriers associated with service delivery. Twenty-two practicing school psychologists in Virginia completed a researcher-developed survey containing quantitative and qualitative items. Quantitative data were analyzed using descriptive statistics, and qualitative responses were analyzed using thematic analysis.

Findings indicated that school psychologists …


Juvenile Lifers: Adapting To Life While Doing Life, Tristin Faust Aug 2026

Juvenile Lifers: Adapting To Life While Doing Life, Tristin Faust

Theses, Dissertations and Culminating Projects

This qualitative study examined psychosocial maturation among individuals sentenced to life imprisonment for offenses committed during adolescence. Archival interview and survey data were analyzed for 30 men who had been resentenced and released after serving an average of 31 years in prison. Findings revealed a developmental progression across four stages: pre-incarceration, initial incarceration, catalysts for change, and later incarceration. Participants described entering prison with developmental immaturity compounded by trauma, unstable home environments, educational disruption, and antisocial peer influence. Their early years of incarceration were marked by anger, fear, misconduct, and survival-oriented behavior. Over time, participants identified discrete events and ongoing …


Examining Social Anxiety And Barriers To Engagement In School-Based Mental Health Services Among Black American Adolescents, Taylor Walls Aug 2026

Examining Social Anxiety And Barriers To Engagement In School-Based Mental Health Services Among Black American Adolescents, Taylor Walls

Theses, Dissertations and Culminating Projects

Social anxiety is common among Black American adolescents, though research examining the experience of social anxiety among this population is very limited. Furthermore, few studies have explored how sociocultural factors, such as racial discrimination and mental health stigma, may shape Black American adolescents’ perceptions of social anxiety and school-based mental health services. Using qualitative methods, the present study explored Black American adolescents’ perceptions of social anxiety, barriers to help-seeking, and views regarding school-based mental health services. A total of 15 Black American high school students in the northeastern United States (ages 14-15 years; M=16.0, SD=1.2) participated in focus groups and …


Cognitive Flexibility In Broader Autism Phenotype: Does Bilingualism Benefit And Emotion Hinder?, Nardin M. Yacoub Aug 2026

Cognitive Flexibility In Broader Autism Phenotype: Does Bilingualism Benefit And Emotion Hinder?, Nardin M. Yacoub

Theses, Dissertations and Culminating Projects

The broader autism phenotype (BAP) is a milder manifestation of autistic traits just below the clinical threshold for Autism Spectrum Disorder (ASD), and provides a framework for studying and defining these traits in individuals related to autistic people. Cognitive flexibility (CF) is an executive functioning (EF) skill characterized by the ability to switch between tasks or thoughts based on environmental demands. The current study examined whether BAP was associated with CF and how bilingualism and emotion influenced this relationship across development. Previous research has found that bilinguals show enhanced task-switching abilities. Individuals with BAP may show differences in emotional processing, …


Development And Validation Of A Multidimensional Measure Of Role Ambiguity: Integrating Nlp-Based Factor Analytic Techniques With Traditional Psychometrics, Md Allama Ikbal Sijan Aug 2026

Development And Validation Of A Multidimensional Measure Of Role Ambiguity: Integrating Nlp-Based Factor Analytic Techniques With Traditional Psychometrics, Md Allama Ikbal Sijan

Theses, Dissertations and Culminating Projects

This dissertation developed and validated the Multidimensional Role Ambiguity Scale (MRAS), a measure that separates role ambiguity into five subdimensions: goal/expectation/responsibility ambiguity, process ambiguity, priority ambiguity, behavior ambiguity, and performance criterion ambiguity. Although role ambiguity is one of the most studied role stressors in organizational research, it has been measured largely as a single global score, a practice that masks differences among its facets and may explain the inconsistent criterion relationships reported in prior work. Scale development followed the three-step framework of Singh and Rhoads (1991). Thirty items were generated from working definitions grounded in role theory, and fifteen research …


When Ai Joins The Team: Exploring Team Development Interventions In Human-Ai Teaming, Lizzie Bell Aug 2026

When Ai Joins The Team: Exploring Team Development Interventions In Human-Ai Teaming, Lizzie Bell

All Dissertations

Team development interventions (e.g., team charters) are systematic activities designed to improve team competencies and processes with the goal of improving overall effectiveness and related outcomes. However, with the growing prevalence of human-autonomy teams, less is known about the effects of team development interventions when an artificial intelligence (AI) agent is included as a teammate. Given the growing utilization of AI in teams, this study investigated the effects of incorporating the AI agent into the chartering process. More specifically, in this study, 60 teams of three (two human and one AI agent) were randomly assigned to one of two conditions: …


Explaining The Relationship Between Trust And Dependence: The Unexplored Interactive Effect Of Workload And Individual Differences In Cognitive Abilities, Connie Ku Aug 2026

Explaining The Relationship Between Trust And Dependence: The Unexplored Interactive Effect Of Workload And Individual Differences In Cognitive Abilities, Connie Ku

All Dissertations

Trust is often treated as a key driver of automation use, with the assumption that higher trust leads to greater dependence. Yet findings have been inconsistent, with trust-dependence correlations ranging from negative to positive, and some studies finding no relationship at all. One factor that may explain this inconsistency is mental workload, which has received little attention as a moderator. This research examined whether workload moderates the trust-dependence relationship, and whether attention control, working memory, and fluid intelligence further shape this moderation.

Study 1 used a web-based AI chatbot quiz to test whether workload moderated the trust-dependence relationship. Trust was …


Using Photovoice And Life Course Theory To Understand The Lived Experiences Of Filipino Teenage Parents, Nina Linly D. Capulong, Liane Peña Alampay, Bernice Landoy Mamauag, Jennel Drezza Fe C. Reyes Aug 2026

Using Photovoice And Life Course Theory To Understand The Lived Experiences Of Filipino Teenage Parents, Nina Linly D. Capulong, Liane Peña Alampay, Bernice Landoy Mamauag, Jennel Drezza Fe C. Reyes

Psychology Department Faculty Publications

Teenage parents face the unique challenge of simultaneously navigating adolescence and parenthood. Rising adolescent pregnancy rates in the Philippines necessitate urgent efforts to better understand and support them. Using Photovoice, Filipino teenage parents captured their lived experiences through photographs, resulting in eight themes: (1) Managing stresses and conflicts in partner relationships, (2) Peers as a source of emotional support, (3) Support and strain in family relationships, (4) Shifts in normative adolescent experiences and priorities, (5) Strain and agency in balancing roles, (6) Desire to enhance parenting knowledge and skills, (7) Environmental drivers of early sexual exposure, (8) Sexual knowledge from …


Can Employees Report Stress-Related Problems Without Repercussions? Understanding The Determinants Of Stress Stigma, Kristieona L. Epting Aug 2026

Can Employees Report Stress-Related Problems Without Repercussions? Understanding The Determinants Of Stress Stigma, Kristieona L. Epting

All Theses

Few studies examine the stigma associated with reporting stress-related work concerns, or stress stigma. When employees refrain from communicating their experience of stressors due to the worry of negative repercussions, leaders become unable to gain full insight into the organizational factors causing stress. Learning more about employees’ reluctance to communicate stress concerns can help companies identify workplace stressors. Additionally, prior research has shown that an individual's core self-evaluation (i.e., fundamental evaluation of self) influences how they interpret and react to environmental situations. Individuals with higher levels of CSE may experience fewer adverse consequences from unfavorable job characteristics than a person …


"Always Online, Never At Ease: Fear Of Missing Out (Fomo) As A Partial Mediator Between Adverse Childhood Experiences (Aces) And Physical Health, Psychological Functioning, And Psychosocial Adjustment Among College Students", Evelyn Pensamiento Aug 2026

"Always Online, Never At Ease: Fear Of Missing Out (Fomo) As A Partial Mediator Between Adverse Childhood Experiences (Aces) And Physical Health, Psychological Functioning, And Psychosocial Adjustment Among College Students", Evelyn Pensamiento

Psychological Science Undergraduate Honors Theses

Adverse Childhood Experiences (ACEs) are potentially traumatic events, such as abuse, neglect, and household disruption, that occur during the first 18 years of life. ACEs have been found to be strongly linked to negative outcomes, such as poor physical health, poor mental health, low self-esteem, low emotion regulation, poor college adjustment, low life satisfaction, and low social connectedness, and high loneliness (Felitti et al., 1998; Carbonell et al., 2018; Cloitre et al., 2019; Mosley-Johnson et al., 2018; Yayan et al., 2019). Previous literature suggests that fear of missing out (FoMO) may help explain some of the negative consequences of ACEs …


Attrition Of The Midwifery Workforce: Understanding Factors Associated With Leaving The Profession, E. Brie Thumm, Amy H. Goh, Elizabeth G. Phillips, Zachary Giano Aug 2026

Attrition Of The Midwifery Workforce: Understanding Factors Associated With Leaving The Profession, E. Brie Thumm, Amy H. Goh, Elizabeth G. Phillips, Zachary Giano

College of Health Professions Faculty Papers

OBJECTIVE: To understand why advanced practice midwives (certified nurse-midwives and certified midwives) leave the workforce.

STUDY SETTING AND DESIGN: A multi-method, multi-source investigation included secondary analysis of certification data of advanced practice midwives and a cross-sectional online survey with closed- and open-ended items. Advanced practice midwives' active certification data were used to compare self-reported demographic characteristics of advanced practice midwives who reported working in the discipline of midwifery to those who did not (n = 9704). A survey was conducted in 2022 with individuals who allowed their certification to lapse between 2017 and 2021 (n = 303) and individuals who …


Exploring Rural Culture And Gambling Harm Among Young Adults In Central Appalachia, Noah S. Anderson, James P. Whelan, Meredith K. Ginley Aug 2026

Exploring Rural Culture And Gambling Harm Among Young Adults In Central Appalachia, Noah S. Anderson, James P. Whelan, Meredith K. Ginley

Appalachian Student Healthcare Research Review

Background: Gambling-related harms are increasing among young adults, yet limited research has examined how rural cultural identity shapes gambling engagement and associated harms. Appalachia is a predominantly rural region with distinct cultural values, limited behavioral health access, and increasing exposure to legalized and informal gambling opportunities.

Purpose: This study examined whether Appalachian self-identification and affective states are associated with gambling engagement and gambling-related harm among college students residing in central Appalachia.

Methods: Participants were 395 undergraduate students recruited from a central Appalachian public university who completed an online survey assessing Appalachian self-identification, gambling engagement, gambling-related symptom severity (Problem Gambling Severity …


Masculinity, Psychological Flexibility, And Machismo: An Initial Examination Of Relationships To Interpersonal Violence, Geraldine Granados Todd Aug 2026

Masculinity, Psychological Flexibility, And Machismo: An Initial Examination Of Relationships To Interpersonal Violence, Geraldine Granados Todd

Dissertations

Intimate Partner Violence (IPV) is a grave problem in many areas of the world. Latin American countries have some of the highest rates of IPV in the world. One factor potentially impacting these rates has been hypothesized to be traditional machismo. Machismo is a complex construct that has proven difficult to define. A substantial challenge lies in distinguishing the characteristics that are unique to machismo from broader masculine gender role norms. Additionally, machismo seems to have a more “positive” side to it, encompassing loyalty to family, honor, and responsibility. This has been coined caballerismo. Studies looking at the impact of …


Evalutating Self-Instructional Training Materials To Teach Caregiver Implementation Of A Reading Program, Ky'aria Moses Aug 2026

Evalutating Self-Instructional Training Materials To Teach Caregiver Implementation Of A Reading Program, Ky'aria Moses

Dissertations

Approximately 69% of fourth grade students and 70% of eighth grade students performed below the proficient level on the 2024 National Assessment of Educational Progress (NAEP) reading assessment, highlighting ongoing gaps in early literacy skills (NAEP, 2024). Caregiver implementation of instructional reading strategies can positively impact children’s literacy development; however, training is often required to ensure fidelity. Teach Your Child to Read in 100 Easy Lessons (TYC), is an evidence-based Direct Instruction reading program designed for caregiver implementation, yet its written self-instructional Practice Guide may be insufficient for developing fluent instructional delivery. Research suggests that programmed instructional formats incorporating active …


Severity-Informed Analysis Of Staff-Worn Personal Protective Equipment Use In An Applied Behavior Analysis Clinical Setting, Trey Ximenez Aug 2026

Severity-Informed Analysis Of Staff-Worn Personal Protective Equipment Use In An Applied Behavior Analysis Clinical Setting, Trey Ximenez

Dissertations

Staff who provide care for individuals with autism spectrum disorder and intellectual disability experience high workplace injury rates, particularly in applied behavior analysis settings (Hardesty 2020; Hardesty et al., 2025; Romani et al., 2020). Despite these elevated risks, organizations lack evidence-based criteria for determining what protection to recommend to staff based on documented injury outcomes (Irwin Helvey et al. 2024). This study examined how staff injury characteristics are associated with staff-worn personal protective equipment (PPE) use in an inpatient neurobehavioral unit. A retrospective analysis of 1,998 staff injury incidents from 105 patients (2020-2024) tested whether injury severity, injury type relevance, …


Black Protection: Black Social Media Competency And Urban, Black Adolescents On Social Media, Taylor A. Williams Aug 2026

Black Protection: Black Social Media Competency And Urban, Black Adolescents On Social Media, Taylor A. Williams

Dissertations

While urban, Black adolescents interact with racial identity content on social media, their identity is primarily shaped through offline experiences and later reflected or reinforced online. Through the concept of Black social media competency (B-SMC), this study examined the relationships between Black urban adolescents’ social media use, exposure to race-related content, and experiences navigating the digital environment. The study used a qualitative design, grounded in the phenomenological and ecological frameworks, with 21 adolescents recruited from two urban, Midwestern schools and programs to participate in semi-structured interviews, and data were analyzed using thematic analysis to identify patterns in how the participants …


The Relationship Between Depression And Cognitive Proficiency Index Across Biological Sex, Angela N. Ferdinardo Aug 2026

The Relationship Between Depression And Cognitive Proficiency Index Across Biological Sex, Angela N. Ferdinardo

Dissertations

Depression is a widely studied mood disorder, and understanding its effect on cognitive functioning has become an important area of research. While research has examined relationships among depression, working memory, and cognitive deficits, limited research has explored depressive symptoms and cognitive proficiency across biological sex. Depression manifests similarly in men and women, though men are more likely to experience irritability, impulsivity, and anger, while women tend to experience sadness, stress, and sleep disturbances (Johns Hopkins Medicine, 2023). Women are also more likely to seek treatment and cope differently than men. This study examined the relationship between depression and cognitive proficiency …


Seeing The Unspoken: A Pilot Eye-Tracking Study Of Moral Injury Among Veterans, Eva M. Valdez Aug 2026

Seeing The Unspoken: A Pilot Eye-Tracking Study Of Moral Injury Among Veterans, Eva M. Valdez

Dissertations

This pilot study examined associations between self-reported moral distress, state distress, combat exposure, deployment history, and maximum pupil reactivity among veterans diagnosed with PTSD. Participants viewed neutral and morally relevant images while pupil responses were recorded using eye-tracking technology. Self-report measures included moral distress severity, exposure to potentially morally injurious events, Subjective Units of Distress Scale (SUDS) ratings, total deployments, number of combat deployments, and Combat Exposure Scale scores. Maximum pupil reactivity was calculated by subtracting the mean z-scored maximum pupil response during neutral image presentations from the mean z-scored maximum pupil response during morally relevant image presentations. This variable …


The Legacy Of Trauma: Exploring The Effect Of Generational Stress On Gut Health And Mental Well-Being In Black Women, Jocelynn Jones Aug 2026

The Legacy Of Trauma: Exploring The Effect Of Generational Stress On Gut Health And Mental Well-Being In Black Women, Jocelynn Jones

Dissertations

This dissertation examines how generational trauma and chronic stress may relate to gut health and mood outcomes among Black women. Using a literature review design, this work brings together research on intergenerational trauma, gendered racism, Superwoman Schema, weathering, allostatic load, mood disorders, reproductive health disparities, and the microbiota-gut-brain axis. The central argument is that depression, anxiety, gastrointestinal symptoms, fatigue, reproductive vulnerability, and healthcare mistrust should not be understood as fully separate concerns when they may be shaped by shared stress conditions. The proposed integrated model does not claim that trauma directly causes gut dysbiosis or mood disorders. Instead, it suggests …


Pathways To The Streets: A Proposed Model Examining The Factors Influencing Gang Affiliation And Involvement Among Young Black Men In The United States, Ceauna L. Juarez Aug 2026

Pathways To The Streets: A Proposed Model Examining The Factors Influencing Gang Affiliation And Involvement Among Young Black Men In The United States, Ceauna L. Juarez

Dissertations

This literature review examined gang involvement among young Black men in the United States and explored the factors that contribute to joining gangs and the consequences that may follow. The first chapter provides a brief history of gang involvement in Black communities and introduces Erikson’s development model, self-determination theory, and the minorities’ diminished returns as the three theoretical frameworks. The second chapter discusses common challenges faced by young Black men who are currently involved in gangs or are at risk of joining. The chapter explores issues such as life expectancy after gang involvement, adverse childhood experiences, mental health concerns, and …


Intergenerational Trauma And Grief Among The Latine Community: Proposed Interventions And Treatment Considerations, Alexandra M. Johnson Aug 2026

Intergenerational Trauma And Grief Among The Latine Community: Proposed Interventions And Treatment Considerations, Alexandra M. Johnson

Dissertations

The intersectionality of bereavement, trauma, and culture has many clinical considerations, including the impact on individuals and families. Traumatic events can impact an individual directly, collectively, and intergenerationally. The Latine community is one of the largest cultural groups in the United States, and mental health treatment often includes several cultural considerations. This critical literature review examined how the Latine community has been impacted by intergenerational trauma, specifically through experiences of grief and loss, to inform clinical focus, case conceptualization, and identify gaps in the literature. The first chapter provides a brief history of the intersectionality of intergenerational trauma and bereavement, …


Evaluating The Motivations Of Participants In Online Equine Extension Courses, Sarah Vos Aug 2026

Evaluating The Motivations Of Participants In Online Equine Extension Courses, Sarah Vos

Department of Animal Science: Dissertations, Theses, and Student Research

Traditional program evaluations emphasize participant demographics, knowledge gain, behavior change, and program impact. However, evaluating participant motivation can provide addition insight into why participants enroll in extension programs and help explain participant engagement and persistence throughout a program. The purpose of this study was to evaluate participant motivation in two online equine extension courses and examine potential relationships between motivation, demographics, and course delivery method, and describe participant engagement in Virtual Horse Judging Camp (VHJC). This cross-sectional study utilized convenience sampling of participants in two online equine extension courses, Horse Adult Leader Training and Educational Resource (HALTER) and VHJC. The …


Investigation Of A Novel Behavioral Assessment Of Challenging Behavior In The Context Of Medical Necessity And Disability Theory, Madison S. Walker Aug 2026

Investigation Of A Novel Behavioral Assessment Of Challenging Behavior In The Context Of Medical Necessity And Disability Theory, Madison S. Walker

All NMU Master's Theses

Individuals with neurodevelopmental disabilities often engage in challenging behaviors that interfere with daily functioning and community participation. Many standardized assessments focus on indirect, descriptive measurements that emphasize frequency, while providing limited information about medical severity, ongoing management strategies, and functional outcomes. This misalignment may limit the clinical utility of assessments, as scores may not consistently align with medical necessity criteria or arguments supporting the maintenance of current treatments. The first study extends on Reyes-Martín et al. (2022), which reviewed 24 assessments of challenging behaviors, by further evaluating assessment characteristics relevant to clinical decision-making and treatment justification. Findings highlight variability across …