Digital Commons Network^™

Perceptions, Expectations, And Attitudes About Adolescent Telepsychiatry Among Indian American Family Caregivers, Udayvir Jalf

Honors Undergraduate Theses

Adolescent mental health concerns have risen sharply in the United States. The COVID-19 pandemic marked a significant turning point in mental health care access, with telehealth having become a central mode of care delivery. With adolescent telehealth, caregiver involvement has shown to improve treatment adherence and outcomes. Little is known, however, about how Indian American caregivers experience and navigate their adolescent’s virtual mental health care. This qualitative study investigated the perceptions, expectations, and attitudes of Indian American family caregivers regarding adolescent telepsychiatry and caregivers’ involvement. In depth semi-structured interviews were conducted with Indian American caregivers of adolescents who completed at …

The Impact Of Medicaid Policy Limitations On Access To Eating Disorder Treatment: Uncovering The Consequences Of A System Built To Fail, Meghan Frost

DSW Capstone Projects

Individuals who rely on Medicaid face major barriers when trying to access eating disorder (ED) treatment, reflecting broader patterns of structural disadvantage in publicly funded health care. Research shows delayed diagnosis, limited access to ED specialists, and frequent denials for recommended services. These gaps occur because Medicaid policies do not match the needs of evidence based ED care, resulting in delayed or incomplete care for many individuals with eating disorders.

This issue is highly relevant to social work practice because the policies shaping these barriers are complex and difficult for clients and ED providers to navigate. Social workers across clinics, …

Longitudinal Association Between Sleep Disturbance And Disordered Eating In Adolescents: The Mediating Role Of Emotion Dysregulation, Antonia Louise Hamilton

Theses - ALL

Accruing evidence suggests a significant relationship between sleep disturbances and disordered eating. Early adolescence is a period of heightened vulnerability for sleep disturbances and disordered eating. However, the longitudinal relationship between sleep disturbance and disordered eating remains unclear in early adolescent samples. The current study aims to examine if sleep disturbance longitudinally predicts disordered eating in early adolescents three years later, how the odds of having clinically significant disordered eating change per each unit increase in sleep disturbance, and if emotion dysregulation mediates these relationships. It is hypothesized that baseline sleep disturbance will predict greater disordered eating at follow-up, and …

How Do Childhood Experiences Influence Risk-Taking Behavior In Adolescence?, Sidney Zimmerman

Psychology Student Publications

This paper explores how positive and adverse childhood experiences influence adolescents’ risk-taking behaviors. It explains that positive experiences often lead to healthy, growth-promoting risks, while adverse experiences can increase impulsivity and unhealthy risk-taking. Overall, it emphasizes that early life experiences shape how young people approach challenges and make decisions during adolescence.

Perceived Parental Relationship Quality And Adolescent Conscious Bias: Important Links Between Affect, Agency, Gender, And Race/Ethnicity, Amanda Terrall, Michael J. Merten, Thulitha Wickrama

General Human Environmental Sciences Faculty Publications and Presentations

Introduction Guided by attachment, social cognitive, and ecological systems theories, this study examined the direct and indirect effects of perceived parent-adolescent relationship quality on youths' conscious bias toward individuals facing socioeconomic or minority-related challenges.Methods Data were collected from 702 U.S. 18-year-olds via Qualtrics online panels. Measures included parent relationship quality, negative affect, human agency, and conscious bias (disregard for minority experiences and blaming attitudes).Results The findings revealed that strong parent-teen bonds indirectly influenced conscious bias through psychosocial wellbeing. However, while negative emotions were universally influential, the impact of human agency varied depending on gender and race/ethnicity.Discussion Study findings underscore the …

Exploring The Recognition Of Internalizing Problems Among Black Students: Delving Into The Youth Mental Health Help-Seeking Pathway, Marketta A. Adams

LSU Master's Theses

The mental health of Black adolescents is a growing concern, with high prevalence rates of internalizing disorders such as anxiety and depression. National studies report that nearly 47% of Black adolescents experience a mental health disorder by age 18, with over 60% reporting moderate to severe depressive symptomology. Despite these alarming rates, Black youth underutilize mental health services, often due to cultural stigma, limited access to culturally competent care, and under-recognition of their mental health needs. This study aimed to explore problem recognition as a key component in the mental health help-seeking pathway for Black adolescents in school settings. Grounded …

Clinicians’ Perceptions Of Restorative Justice And Community-Based Intervention Programs For Juvenile Offenders, Jacque Timberlake

Walden Dissertations and Doctoral Studies

The main goals of restorative justice and community-based intervention programs include reducing reoffending behavior, successful reintegration, and yielding greater satisfaction among participants. Although clinicians play a vital role in conducting rehabilitation methods for youth offenders, the problem was a lack of literature that explored clinicians’ perceptions of implementing more effective alternatives such as restorative justice and community-based intervention programs. The purpose of this generic qualitative study was to explore clinicians’ perceptions of administering rehabilitative interventions for youth offenders, specifically in reducing recidivism, adequately addressing mental health concerns, and evaluating overall program effectiveness. The risk-need responsivity model and the good lives …

Leveraging After School Programs As Resources To Support Adolescent Health And Wellbeing Within Underserved Communities: A Qualitative Study, Olivia Staples

Theses and Dissertations

Over the past decade, youth have shown a consistent rise in stress, major depression, anxiety, and suicide, with underserved youth (low-income, minoritized communities) at greatest risk of exposure to chronic stress, related outcomes, and less access to health services (APA, 2017). Afterschool programs (ASPs), which serve as important resources in underserved communities, can be a critical support for youth health and well-being (Afterschool Alliance, 2019). However, few studies have examined ways in which ASPs address the challenges underserved youth face across their ecosystem to promote youth resilience (Jones & Deutsch, 2011). Using qualitative interview data from staff and youth across …

Adolescent Executive Function As A Resilience Factor In The Family Stress Model Among Mexican-Origin Families, Su Yeong Kim, Yayu Du, Tianlu Zhang, Jingyi Shen, Kiera M. Coulter, Lester Sim, Wen Wen, Belem G. Lopez, Maria M. Arredondo, Shen Yishan, Hou Yang

Research Collection School of Social Sciences

Mexican-origin families often face economic hardship due to systemic oppression, increasing the likelihood of adolescent marijuana use. While the family stress model provides insight into the mechanism of the association between family economic hardship and adolescent marijuana use, resilience factors are relatively unknown. The present study uses a three-wave longitudinal data set of Mexican immigrant families in the United States (Wave 1—adolescents: Mage = 12.29, SD = 0.93; mothers: Mage = 38.57, SD = 5.71) to investigate the mechanism underlying the association between family income and adolescents’ likelihood of marijuana use, guided by the family stress model. The protective role …

Supporting Community Safety Through University-Community Partnerships: Exploring Models Of Engagement, James M. Frabutt

Journal of Community Engagement and Higher Education

This paper explores various models of university-community engagement to support youth violence prevention and community safety. A series of case examples from the Center for Youth, Family, and Community Partnerships at the University of North Carolina at Greensboro are highlighted. The case examples-four projects spanning a six-year time period-are the springboard for exploring issues of funding, community collaboration, sustainability, leadership, evaluation, and communication.

Youth And Parent Knowledge And Perceptions Of Spina Bifida: Associations With Neurocognitive Factors, Self-Management, And Quality Of Life, Olivia Emery Clark

Dissertations

Spina bifida (SB) is a common congenital birth defect with multiple and varied medical, physical, and psychological impacts. The objective of these studies is to examine youth and parent condition-related knowledge in the context of SB and associations with executive function, quality of life, and medical self-management. Collectively, these studies examine both qualitative and quantitative multi-informant data from youth with SB, their parents, and their teachers. The first study used growth analyses to examine changes in condition-related knowledge over time, predicted by executive dysfunction and inattention, and predictive of medical self-management skills. The second study used qualitative coding methods to …

Best Practices For Hybrid Positive Youth Development Programming, William Wilton, Claudia Mincemoyer, Jill Lingard, Maria Walker

Journal of Youth Development

CLOVER by 4-H is an online learning platform that creates a space for youth to explore interactive learning experiences across a range of 4-H program areas. This article provides an overview of a pilot conducted around the implementation of CLOVER by 4-H to provide positive youth-development experiences in 4-H programming. As a result of the pilot, three distinct models for hybrid program delivery and a set of seven best practices for hybrid positive youth development have been identified. This article outlines the hybrid models that were examined and discusses the best practices for hybrid PYD with examples from the pilot …

Contributions Of Adverse Childhood Experiences, Racism, Therapy And Health Habits To Cardiovascular Health In African American Adults, Tahra Chaunice Nobles

Doctoral Dissertations

This dissertation explores the impact of Adverse Childhood Experiences (ACEs), racism, health habits, and therapy engagement on cardiovascular disease (CVD) among Black adults. This study builds on the Biopsychosocial Model and Allostatic Load Theory to examine how trauma, racism, and health habits influence cardiovascular health outcomes in the African American population. Through a quantitative analysis, this study investigates whether ACEs, experiences of racism, engagement in health habits, and participation in therapy contribute to the development or mitigation of CVD in Black adults. A total of 83 participants were included in the study, with data collected on ACEs, the frequency of …

Pass It On: Developing Children's Identity With Biblical Storytelling At First Baptist Church Of Sanford, Caleb Mccord

Doctoral Dissertations and Projects

In a culture where many youths are not only leaving the church but also facing psychological issues like identity crises, it is important that children develop their identity as God’s Word prescribes rather than the preference-based identities pushed by secular parties. To best ensure this development, then it is essential that children receive biblical storytelling from both the church and also the parents at home, the latter of which is underutilized in many modern Christian homes. This thesis posits that if parents are made aware of the need for biblical identity development and trained to do so, then they will …

Understanding Hispanic Cultural Strengths Through Parents’ Voices: Insights For Interdisciplinary School Personnel, David Moran, Johana Rocha, Kristy Carlisle

Journal of Human Services Scholarship and Interprofessional Collaboration

Examining the strengths of Hispanic cultural values among K-12 school students is a generally understudied concept, and from their parents’ perspective specifically. This study sought to take a qualitative approach toward the exploration of Hispanic parents’ perspectives on how their cultural values promote strengths within their school-aged children. Hispanic parents (N = 8) participated in bilingual (i.e., Spanish and English) focus groups, with the results providing content that can inform culturally responsive prevention and intervention strategies to support the roles of interdisciplinary school personnel who regularly interact with the children. Findings pointed to (a) interaction with peers and school …

Intergenerational Family Dynamics Among Caregivers And Children’S Social-Emotional Development In China, Weiman Xu

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

The early years of a child’s life are pivotal for social-emotional development. While extensive research has explored the role of family settings in fostering children's social-emotional development (Bornstein, 2005), the impact of grandparental involvement, particularly the caregiving dynamics between generations, remains less well understood. This study aims to fill this gap by examining two critical aspects of intergenerational dynamics among caregivers (i.e. parent-grandparent coparenting and parent-grandparent relationship quality) and their associations with children’s social-emotional development (i.e. social skills and problem behaviors). Two specific aims were delineated: 1) examine the unique contribution of parent-grandparent coparenting, especially the power and authority domain …

Nature's Medicine? The Associations Of Organized Youth Sport, Unstructured Physical Activity, And Land-Use Recreation With Children's Mental Health, Emotional Control, And Social Well-Being, Natalie Stagnone, Katherine Alexander, Kat V. Adams, Travis Dorsch

Human Development and Family Studies Student Research

Physical activity is well-established as beneficial for children’s physical and mental health, yet limited research has explored how different activity types impact psychosocial outcomes. This is a cross-sectional study that examined associations between youth participation in organized sport, unstructured physical activity, and land-use recreation and their psychosocial health. Survey data were collected from 3246 caregivers of children in the Intermountain West region of the United States. Respondents reported on children’s physical activity engagement and psychosocial outcomes, including mental health, emotional control, and social well-being. All three activity types were significantly associated with improved psychosocial health (p < 0.001). Compared to organized sport, unstructured physical activity and land-use recreation were associated with significantly higher levels of mental health and emotional control (p_adj < 0.001), although with a small effect size (η^{2 …}

Which Adolescents Benefit Most From Positive Psychology Interventions: Examining The Common Factors Of Therapeutic Change, Nicolette Bauermeister

USF Tampa Graduate Theses and Dissertations

The literature has found positive psychology interventions to be effective at improving the subjective well-being of youth (Tejada-Gallardo et al., 2020). Further research is needed to identify variables such as common factors of change that could be contributing to whether youth report improved outcomes after participating in a positive psychology intervention. This study examined common factors of therapeutic change as predictors for outcomes such as positive affect, negative affect, and life satisfaction, which are components of subjective well-being. This dissertation aimed to fill the gap in the literature regarding common factors of change as predictors of outcomes in school-based positive …

Effect Of Ipv On Latino Children's Perspectives Of Fatherhood, Elizabeth Berks

University Honors Theses

Intimate partner violence (IPV) can be found in many cultures throughout the world, with varying levels of acceptability, victimization, and perpetration. Approximately one in five couples report experiencing at least one instance of IPV in a given year. Women are victims of IPV more frequently than men, and experience more severe injuries. 20% of women report a lifetime history of physical IPV victimization by their current or past partners. Further, women are also ten times more likely to be killed due to IPV than men are. Presently, empirical research literature surrounding the dynamics and impacts of IPV is heavily focused …

An Exploration Of The Lived Experiences Of Black Female Kinship Caregivers In Parenting Youth Aged 13-18, Tyla Wilder

Walden Dissertations and Doctoral Studies

This qualitative phenomenological study explored how the intersection of identities related to race and gender shapes the lived experiences of Black female kinship caregivers raising youth aged 13–18. Drawing on Intersectionality Theory, the study sought to understand the caregiving challenges, emotional resilience, and systemic barriers encountered by this underrepresented population. Nine participants were recruited through purposive and snowball sampling and engaged in in-depth semi-structured interviews. Thematic analysis revealed that cultural norms and racialized gender expectations often compelled Black females to assume caregiving roles without institutional recognition or support. Participants described emotional isolation, financial instability, and limited access to legal and …

Feasibility And Effectiveness Of A Mindfulness Stress Reduction Intervention, Diana Guadalupe Marin

Loma Linda University Electronic Theses, Dissertations & Projects

Health disparities in low-resource communities lead to poor physical and mental health outcomes. To reduce health disparities, the United States has looked to global health initiative and is starting to rely on lay health workers more consistently as a promising and sustainable force. Community Health Worker (CHWs) work alongside the local health care system to connect vulnerable populations to needed care. However, the demand of their role puts CHWs at risk for stress, burnout, and vicarious trauma. Mindfulness-Based Stress Reduction (MBSR) is a stress reduction intervention that has been empirically supported to reduce stress and burnout in numerous populations. To …

Family-Based Health Promotion To The Early Phases Of Pediatric Acute Lymphoblastic Leukemia Treatment: A Qualitative Review, Anna Van Asselt, Renee Gilbert, Hide Okuno, Ann M. Davis, Keith J. August, Carolyn R. Bates, Robert C. Gibler

Research Days

Introduction: Excessive weight gain during early phases of Acute Lymphoblastic Leukemia (ALL) treatment elevates risk for long-term morbidities, late effects, and secondary cancers. Behavioral factors including physical inactivity and poor diet quality play a significant role in weight outcomes. Existing health behavior and obesity interventions do not address challenges that children and families face during cancer treatment. The current study qualitatively investigated caregiver, child, and multi-disciplinary expert perspectives on health behavior engagement and intervention content for the future adaptation of NOURISH-ALL.

Method: Caregivers (N=11) and youth with ALL (N=6) in the first year of treatment completed semi-structured interviews …

Embedded Roots: Exploring Healing Through Digital Storytelling: Application And Training, Joselyn M. Carvalho

Expressive Therapies Theses

This review examines digital and expressive storytelling in a clinical, community-based health center, focusing on its impact and relationship with trauma. Existing research has explored how digital storytelling serves as an intervention for addressing intergenerational trauma, trauma transmission, identity development, and social systems affecting youth. This community engagement project integrates these ideas with reflections from clinicians, exploring how clinicians' involvement in digital storytelling may influence care, confidence, and cultural understanding. Theories central to this research include Bronfenbrenner's ecological systems theory and systems-based awareness maps, which help examine the broader systems that influence youth as they develop their narratives. The transmission …

A First-Generation 4-H Youth Member Intervention Framework To Support Members To Enter, Engage, And Persist In The Program, Jeremy Elliott-Engel, Nicholas A. A Morris

Journal of Youth Development

The First-Generation 4-H Youth Member (FG4-HYM) Intervention Framework is an organizational management perspective for preparing 4-H youth programs that supports the welcoming of youth and families that have no previous experience with the organization. Using the Bronfenbrenner ecological model, we explore the multiple layers of 4-H program management that support the participation of FG4-HYM in the 4-H club program. This framework provides a tool for 4-H professionals to use when assessing their program’s readiness to provide high-quality programming to all audiences, regardless of their families’ previous experience with the organization. This framework represents the foundational requirements that an organization must …

Full Issue, Volume 20, Issue 2

Journal of Youth Development

No abstract provided.

Administrator Reflections On Youth Sport Programming: Moving Forward After The Covid-19 Pandemic, Alysha Matthews, Meredith Wekesser, Karl Erickson, Scott Pierce, Adam L. Kelly

Journal of Youth Development

AbstractYouth sport has been a context where positive youth development (PYD) can be promoted (Fraser-Thomas et al., 2005). However, for youth sport to effectively foster PYD, all adult leaders need to understand and invest in the approach. The youth sport context is a large system that encompasses multiple stakeholders across the developmental lifespan of athletes (Dorsch et al., 2022). Much of PYD research reflects the contributions of parents and coaches (e.g., Harwood et al., 2019; Vella et al., 2011), yet often overlooked is the administrator role in PYD. Administrators are tasked with communicating and reinforcing organizational missions across stakeholders for …

Redefining Children’S Experience In Social Services Offices, Julia K. Bryant

Human Development and Family Sciences Undergraduate Honors Theses

The effects of childhood trauma are far-reaching and diverse, influencing physical, emotional, and mental health across a child’s entire lifetime. Research indicates that children who experience adverse childhood experiences (ACEs) such as abuse or neglect are at an increased risk for various consequences and that the environments they encounter post-trauma play a significant role in shaping their experiences. Social services offices, where many traumatized children are taken for interviews or assessments after being removed from their homes, can often become places of additional distress. This project seeks to address this issue by proposing redesigns for social services offices to create …

Parenting Among Mothers With High Psychosocial Stress In South-Central Appalachia: Aspirations, Actions, And Intervention, Kelly Daniel

Electronic Theses and Dissertations

Conceptualizations of adaptive parenting within Appalachia have been historically limited by the scarcity of research with the region as well as stereotyped depictions of Appalachian parents. As such, this project aimed to examine Appalachian parenting through a culturally sensitive lens by centering lived experiences through the ecological systems theory. The sample included mothers (n = 41) who attended Mom Power, an attachment-based, trauma-informed parenting skills intervention in the Appalachian Highlands. Reflective Thematic Analysis was used to analyze qualitative interview data by exploring and conceptualizing current parenting challenges and associated maternal feelings and reactions. Results include the development of a metaphor …

Does Resilience Moderate The Relation Between Caregiver Behaviors And Post-Traumatic Symptoms In Young Adults?, Akila Uma Gopalkrishnan

Master's Theses

Exposure to a potentially traumatic event (PTE) is not an uncommon experience for children and adolescents. After exposure to adverse events, youth may experience significant maladjustment and posttraumatic stress symptoms (PTSS). As such, researchers continue investigating potential risk and protective factors contributing to youth post-trauma adjustment. Considering their critical role in children’s development, caregivers likely play a key role in youth post-trauma adjustment. However, the field lacks studies on caregiver behaviors following youth PTE exposure and on factors, such as resilience, that could influence how children respond to stress and caregiver environments. I aimed to evaluate: (a) how perceived caregiver …

Evaluation Of The Implementation Of Foster Youth Independent Living Programs In The State Of California, Ingrid Flores

Electronic Theses, Projects, and Dissertations

Foster youth transitioning into adulthood often confront a myriad of challenges stemming from limited social capital and unstable support systems. The transition out of foster care, particularly for Transitional Age Youth (TAY), is fraught with barriers including disconnection from familial ties, inadequate knowledge regarding higher education, financial instability, unemployment, and housing insecurity. In 2021, approximately 4,920 foster children aged out of the system, facing the option to participate in extended care programs designed to facilitate their transition into independent living. Despite these programs, many youths struggle to achieve self-sufficiency. Key legislation, including the Child Abuse Prevention and Treatment Act, and …