Digital Commons Network^™

Transdisciplinary Evaluation Of Telehealth Experiences Of Diabetic Participants’ And Their Coaches’ In “Stopping Diabetes In Its Tracks” (Sdit) A Descriptive Mixed- Methods Customer Experience Map Journey, Cindy Delgado

CGU Theses & Dissertations

Introduction: This study captured the experiences of diabetic patients and their coaches during the Covid- 19 transition to virtual delivery. Previous research has focused on the feasibility and effectiveness of in-person versus telehealth delivery of Diabetes Prevention Program (DPP). However, few studies have merged perspectives from the field of ethnic studies, public health, and customer service research during a pandemic to understand the experience of telehealth from end-users. Methods: A mixed-methods evaluation was conducted using interviews and quantitative surveys to provide insight into personal perspectives to in-person and telehealth experience. A customer-experience journey map (CXJM) was then created of Stopping …

Effective Models In Community And Student Run Clinics, Jonathan Nyman

Theses and Graduate Projects

Background: Over 3.5 billion people—half of the world’s population, did not have access to any healthcare facilities or services in 2017.1 In order to provide more healthcare to more individuals, student run clinics (SRCs), community-based health systems, and other low-cost clinics have opened up all over the world.

Purpose: It is important, however, to understand how these clinics run, their effectiveness, and how they may increase healthcare access. This study analyzed articles involving free or low-cost clinics to determine which models are utilized within free or low-cost clinics to provide effective standard of care resulting in increased healthcare …

Spirituality-Based Programs For African American Women, Sophelia Predom Kelly

Walden Dissertations and Doctoral Studies

Because spirituality or personal value conflicts might arise between social workers and their clients, the purpose of the study was to understand personal and spirituality value conflicts. The theoretical framework for this study was adult transformative learning theory. The research questions examined how the participants described personal and spirituality value conflicts. Data were collected from interviews with two groups from Houston, Texas; Group 1 represented homeless or previously homeless African American women who self-identified as spiritual but nonreligious, and Group 2 represented White licensed master social workers. Researcher responses to the same interview questions were also recorded. Thematic data analysis …

Birthing While Black: Anti-Oppressive Social Work Practices For Improved Maternal Health Outcomes, Sara Hall

DSW Capstone Projects

Black women die at a disproportionate rate than white women in the United States due to maternal mortality. Black women are three times more likely to die because of a maternal complication than any other demographic. Although the United States has a highly developed healthcare system, it also has the worst maternal mortality rate out of developed nations. The focus of this research is social work practices that can be implemented to improve Black maternal health outcomes.

The systematic literature review focuses on gaps in social work literature related to maternal mortality and health equity, solutions for social workers to …

Calling Attention To Campus Trends: Let’S Talk About Wellness, Mandy Magalhaes, Rachel Cullity

The Graduate Review

Abstract

This article explores the emerging focus on self-care and wellness amongst college students. In this article, the authors highlight the cultural shift from the “grind culture,” the complete and exhaustive dedication towards one’s work, to a focus on individual and community well being and how educational institutions are responding to students’ needs (Absher, 2020). Bridgewater State University's current response to student wellness is discussed, with a focus on the School of Social Work’s research efforts, programs and services being implemented, from the voices of graduate students. Self-care and wellness is an emerging conversation occurring in many professions and educational …

Analyse Prospective De L’Adaptation Des Travailleurs En Centre De Protection De L’Enfance Et De La Jeunesse Exposés À Un Évènement Potentiellement Traumatique : Effets D’Une Intervention De Soutien Par Des Pairs, Stéphane Guay, Alexandre Lemyre, Josianne Lamothe, Steve Geoffrion

Rapports de recherche scientifique

Problématique. Les travailleurs des services de protection de l’enfance sont exposés de manière répétée à des événements potentiellement traumatiques (EPT) dans le cadre de leur travail, notamment des actes de violence. Ils sont ainsi susceptibles de développer des problèmes de santé mentale tels que l’anxiété, l’insomnie, la dépression et des symptômes de stress post- traumatiques. Sur le plan professionnel, les EPT engendrent des coûts élevés pour l’individu et l’organisation : baisse de la satisfaction au travail, absentéisme, changement d’emploi, baisse de productivité, etc. Dans ce contexte, le Centre de la protection de l’enfance et de la jeunesse (CPEJ) du Centre-Sud-de-l’Île …

Status Anxiety And Overall Life Satisfaction Of Young Adults In The Bay Area, Samuel Casco

Global Public Health | Senior Theses

The published literature suggests social comparisons have significant negative effects on an individual’s psychological well-being. However, there is little to no research to suggest that an individual’s attainment of societal success has a relationship with one’s perceived life satisfaction.

A mixed-methods study involved young adults ages 18-29 in the Bay Area and were selected via a student researcher in the Global Public Health department of Dominican University of California. 115 participants completed surveys regarding self-perceived life satisfaction and status anxiety through the Qualtrics Survey Collection Tool. A Pearson’s Chi-Squared Test was conducted to find an association between life satisfaction and …

Trauma-Informed Care Training For Medical Students, Tanisha Clark, Jill Mcleigh, Hilda Loria, Laura Lamminen

Integrated, Trauma-Informed Care

Due to the high prevalence of trauma and secondary trauma and the associated potential adverse health outcomes for both patients and providers, it is imperative that medical and allied professionals receive training in trauma as a constitutive element of their professional development. Despite the growing recognition of the importance of TIC, Ditcher and colleagues (2018) found in a survey of 263 family medicine residency programs that only 27.0% had TIC in the curriculum. Following a review of the literature and discussions with healthcare providers offering TIC in an integrated pediatric primary care setting, a brief, 45-minute online TIC training adapted …

Parents’ Perspectives On Early Intervention For Children With Autism, Tiffany Schmidt

Walden Dissertations and Doctoral Studies

The purpose of this study was to analyze parent perspectives on early intervention services for children with autism. Research has shown a significant positive impact of early intervention on children with autism. A total of eight parents participated in this basic qualitative study guided by social cognitive theory. Participating parents were those whose child had an autism diagnosis and were receiving or had received early intervention services in Southeast Michigan. Data analysis included establishing themes and codes to organize the data into categories. Thematic analysis was applied by analyzing interview transcripts. The research questions used to collect data addressed parents’ …

Implementation Of Client-Centered Care Coordination For Hiv Prevention With Black Men Who Have Sex With Men: Activities, Personnel Costs, And Outcomes—Hptn 073, Darren L. Whitfield, La Ron E. Nelson, Arnošt Komárek, De Anne Turner, Zhao Ni, Donte T. Boyd, Tamara Taggart, S. Raquel Ramos, Leo Wilton, Geetha G. Beauchamp, Lisa Hightow-Weidman, Steven J. Shoptaw, Manya Magnus, Kenneth H. Mayer, Sheldon D. Fields, Darrell P. Wheeler

GW Authored Works

Background: Black men who have sex with men (MSM) experience disproportionate rates of HIV infection in the USA, despite being no more likely to engage in sexual risk behaviors than other MSM racial/ethnic groups. HIV pre-exposure prophylaxis (PrEP) has been shown to reduce risk of HIV acquisition; however, rates of PrEP use among Black MSM remain low. Clinical, psychosocial, and structural factors have been shown to impact PrEP use and adherence among Black MSM. Care coordination of HIV prevention services has the potential to improve PrEP use and adherence for Black MSM, as it has been shown to improve HIV-related …

College Of Health And Human Service Faculty’S Confidence And Inclusion Of Lgbtq+ Health Content In Curriculum, Carley S. Kanter

Honors Theses and Capstones

In the health care system, those who identify as lesbian, gay, bisexual, transgender, queer, (LGBTQ+) face discrimination and health disparities. Students who are better prepared in higher education to provide care for this population have higher levels of confidence in LGBTQ+ health content than those who have less exposure. Therefore, faculty who teach curriculum related to health and wellness have an opportunity to prepare students to provide high quality, patient centered care by teaching culturally competent care that is inclusive of LGBTQ+ populations. The aim of the study is to determine whether the degree of confidence in teaching LGBTQ+ health …

Attitudes Towards Fentanyl Test Strips Among A Cohort Of People Who Use Drugs In Rural Kentucky, Alaina Murphy

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Background and aims Fentanyl-related overdoses have largely contributed to the nearly 500,000 opioid overdose deaths in the United States since 1999. Fentanyl test strips (FTS) are a new technology that is designed to help prevent these overdoses. People who use drugs (PWUD) can test their drug supply for fentanyl by placing the strip in a sample of the drug. However, access to FTS varies across the country. This variance is largely due to rural PWUD not having the same access to harm reduction programs, compared to urban settings. This study uses data on PWUD in rural Kentucky to evaluate attitudes …

Examining The Association Between Cervical Cancer Screenings, Health Care Access, And Socio-Demographics Among Women Of Urban/Rural Status In Kentucky, Madison Penix

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Background: This study focuses on cervical cancer screening rates (e.g., Pap testing) among women of urban/rural status in Kentucky. Specifically, this study’s primary objective is to examine the association between cervical cancer screening rates and health care access among the women of interest. Secondarily, this study aims to identify which socio-demographic variables impact cervical cancer screening rates and health care access. The purpose of doing so is to better understand what disparities and barriers might be contributing to the suboptimal screening rates observed throughout Kentucky.

Methods: An empirical analysis utilizing secondary data from the 2020 Behavioral Risk Factor Surveillance Survey …

Should Self-Breast Awareness Be Part Of Self-Care?, Omolola Okunromade, Yelena Tarasenko

Eagles Talking About the Public’s Health

No abstract provided.

Qualitative Analysis Of Cancer Care Experiences Among Rural Cancer Survivors And Caregivers, Kendra L. Ratnapradipa, Jordan Ranta, Krishtee Napit, Lady Beverly Luma, Tamara Robinson, Danae Dinkel, Laura Schabloske, Shinobu Watanabe-Galloway

Journal Articles: Epidemiology

PURPOSE: Rural (vs urban) patients experience poorer cancer outcomes and are less likely to be engaged in cancer prevention, such as screening. As part of a community needs assessment, we explored rural cancer survivors' and caregivers' experiences, perceptions, and attitudes toward cancer care services.

METHODS: We conducted 3 focus groups (N = 20) in Spring 2021 in rural Nebraska.

FINDINGS: Three patterns of cancer diagnosis were regular care/screening without noticeable symptoms, treatment for symptoms not initially identified as cancer related, and symptom self-identification. Most participants, regardless of how diagnosis was made, had positive experiences with timely referral for testing (imaging …

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

Walden Dissertations and Doctoral Studies

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

The Program To Reduce Implicit Bias In Carroll Hospital Center Using The Implicit Association Test, Katherine E. Traynor

Capstone Showcase

Natural brain processes make all individuals susceptible to unconscious bias; however, stressful, fearful, or anger-evoking situations as well as the negative influence of media and social surroundings increase the risk of holding obstructive bias, and there is a greater risk of being negatively impacted by this phenomenon when belonging to a minority population (Rose & Flores, 2020). As a result, high rates of infant mortality (10.2 deaths per 1,000 live births for the Non-Hispanic Black population compared to 4.1 in the White population) and cardiovascular related diseases (190.0 cases per 1,000 in the Non-Hispanic Black population compared to 161.3 in …

Beyond The Covid-19 Pandemic: The Importance Of Social Determinants Of Health In Educating Healthcare Leaders, Tashuna Albritton, Miguel Muñoz-Laboy, Umadevi Yokeeswaran, Marlene Camacho-Rivera

Publications and Research

As scholars of color and educators in the health professions, we are compelled to advocate for the inclusion of the study of health disparities and social determinants of health (SDOH) throughout higher education to understand, analyze, and effectively respond to healthcare access disparities, including COVID-19 disparities, in Black and Latinx communities across the United States. In addition to our identities and lived experiences, healthcare access disparities and their root causes are woven throughout the courses that we teach in the departments of social medicine, social work, and social and behavioral sciences.

Increasing Staff Compliance With Routine Hcv Screening And Improving Linkage To Care Among Patients Testing Hepatitis C Positive In The Emergency Department, Carson G. Swartz

DNP Projects

Background: Hepatitis C virus (HCV) is a blood-borne pathogen that can cause severe liver disease, cancer, and death and is a significant source of morbidity and mortality in the United States. Several academic medical centers including University of Kentucky Healthcare have implemented routine HCV screening for patients presenting to the emergency department (ED) and have discovered a large viral burden amongst patients who are often symptomatic.

Purpose: The purpose of this doctoral project is to increase staff compliance, confidence, and education regarding the HCV screening process in an urban, Level I emergency department, as well as to evaluate whether an …

The Effects Of Cultural Competency Training On Providers Knowledge, Skills And Attitudes Towards The Latino Population, Jennifer L. Peppiatt

DNP Projects

Background: Providers in the United States (U.S.) healthcare system need to understand the cultural values, beliefs, and traditions of the growing Latino population. As a result, academic institutions are incorporating cultural competency training in their curricula. However, a noticeable knowledge gap exists for those currently practicing in the healthcare arena, impacting patient and provider satisfaction and healthcare outcomes.

Purpose: The purpose of the study was to obtain a baseline assessment of the cultural competence of a select group of Advanced Practice Providers (APPs) caring for the Latino population at the University of Kentucky and provide a targeted educational intervention, followed …

Proximity And Parental Interaction: Examining The Relationship Between Proximity Data And Mother-Infant Interaction Among Mothers With And Without Depression, Paige Farrenkopf

Public Health Theses

Background: There is a lack of data on response behaviors among young mothers in low- and middle-income countries. Emerging passive sensing technology has been increasingly allowing researchers to collect this type of day-to-day behavioral data.

Methods: We administered PHQ-9 depression surveys and the Observation of Maternal-Child Interaction (OMCI) measure to young mothers between the ages of 15-25 in the Chitwan region of Nepal, and conducted key informant interviews with all mothers selected for participation.

Results: Among 54 mother-infant dyads, we found that there was no statistically significant correlation between maternal responsiveness and proximity. When we stratified participant groups by depression …

2022 Annual Report For Ebp Workforce Development, Evidence To Practice, Cep Annual Reports, Lisa Staples, Ronnie Rubin, Brooke Dupre, Gabrielle Gonzalez, Willandra Whiting, J. Henning, Sonita Singh, Stephen Phillippi

Policy & Position Papers

No abstract provided.

A Qualitative Investigation Of Organizational Challenges And Facilitators To Screening Individuals Experiencing Homelessness For Hepatitis C Virus (Hcv) In Houston, Texas, Alane Celeste-Villalvir, J Michael Wilkerson, Christine Markham, Lourdes Rodriguez, Vanessa Schick

Faculty, Staff and Student Publications

BACKGROUND: Individuals experiencing homelessness may be at a disproportionately high risk for hepatitis C (HCV) because they may be more likely to engage in HCV risk behaviors. Community organizations that provide services to these vulnerable individuals can effectively screen, diagnose, and navigate them into HCV care. However, screening people experiencing homelessness for HCV at such organizations is limited by various challenges that remain understudied, including budgetary considerations and strategies to improve teamwork and communication. Accordingly, this study investigated the organizational challenges and facilitators to HCV screening of individuals experiencing homelessness as reported by homeless services providers.

METHODS: Staff (N = …

"Don't Know Where To Go For Help": Safety And Economic Needs Among Violence Survivors During The Covid-19 Pandemic, Leila Wood, Elizabeth Baumler, Rachel Voth Schrag, Shannon Guillot-Wright, Dixie Hairston, Jeff Temple, Elizabeth Torres

Faculty, Staff and Student Publications

The COVID-19 pandemic and related quarantine has created additional problems for survivors of interpersonal violence. The purpose of this study is to gain a preliminary understanding of the health, safety, and economic impacts of the COVID-19 pandemic on people that are experiencing or have previously experienced violence, stalking, threats, and/or abuse. An online survey, open from April to June 2020, was taken by people with safety concerns from interpersonal violence. Participants were recruited from IPV and sexual assault-focused agencies, state coalitions, and social media. Quantitative data were summarized using descriptive methods in SPSS and coding methods from thematic and content …

Using Implementation Mapping To Develop Implementation Strategies For The Delivery Of A Cancer Prevention And Control Phone Navigation Program: A Collaboration With 2-1-1, Lynn N Ibekwe, Timothy J Walker, Ebun Ebunlomo, Katharine Ball Ricks, Sapna Prasad, Lara S Savas, Maria E Fernandez

Faculty, Staff and Student Publications

Cancer prevention and control (CPC) behaviors, such as cancer screening, human papillomavirus vaccination, and smoking cessation, are critical public health issues. Evidence-based interventions have been identified to improve the uptake of CPC behaviors; however, they are often inconsistently implemented, affecting their reach and effectiveness. Patient navigation is an evidence-based approach to increasing CPC behaviors. Nevertheless, there are few navigation programs that use systematically developed implementation strategies to facilitate adoption, implementation, and maintenance, which affects uptake and outcomes. This article describes the development of a multifaceted implementation strategy designed to facilitate delivery of a CPC phone navigation program to increase breast, …

The Role Of Organizational Leaders In Employee Self-Care: A Change Management Approach, Olivia Dawn Honaker

DSW Capstone Projects

Although literature demonstrates that helping professionals have had high levels of stress and burnout for decades, the COVID-19 pandemic has only exacerbated the issue. The already burdened healthcare workers, now facing increased workloads, long hours, and high-level exposure to trauma, have created an urgency to address this significant risk to helping professionals. The current capstone will bring awareness to organizational leaders regarding the importance of employee self-care and the benefits of implementing employee self-care programs. First, a systematic literature review will examine self-care in helping professions and explore how organizational leaders operationalize employee self-care programs. In addition, the capstone aims …

Healthcare Equity For Transgender Individuals, Mollie Staggs

DSW Capstone Projects

In the field of social justice and integrity, Social Work has dedicated itself to improving the welfare of the world, in which we all participate and interact. There are countless issues in our society that warrant professional attention for the fundamental purpose of positively impacting the livelihood of subcategories of people. For this particular Capstone Project, the focus is on transgender individuals’ systemic healthcare barriers that cisgender people within the United States do not similarly experience. The purpose is to unveil these disparities to then pose progressive alterations within the healthcare system to make the navigation and accessibility better for …

The Syndemic Landscape: A New Paradigm For Montana Suicide Prevention Grounded In Agricultural Renewal, Emory Chandler Padgett

Graduate Student Theses, Dissertations, & Professional Papers

Montana has had one of the highest suicide rates in the nation for half a century, and since 2000, it has risen almost 50%. Despite suicide’s alarming persistence in the state, there has been minimal academic study of suicide or mental health specifically in Montana, so this thesis attempts to answer a few questions: Why does Montana have such a high suicide rate? Is there something culturally, historically, or socially unique about Montana that contributes to suicide? Are current prevention efforts helpful, harmful, or lacking? Could a consideration of culture and land benefit an understanding of suicide in Montana? What …

Faculty Perspectives On Quality Of Online Courses In Health Education And Promotion Programs, Dana Wawrzyniec

Walden Dissertations and Doctoral Studies

The need to make quick transitions online due to COVID-19 challenged many Health Education and Promotion (HEP) faculty to identify how to create quality online HEP courses. A review of the literature identified the need for qualitative research on the quality of online courses from the faculty’s perspective. The purpose of this general qualitative study was to explore the perceptions and experiences of HEP faculty at multiple universities, in terms of the organization and facilitation of their online courses, communication between instructor and student, and assessment of students. The community of inquiry (COI) framework, which evaluates the teaching, social, and …

The Association Of Suicidality With Video Gaming And Physical Inactivity Among U.S. Adolescents, Mary Colleen Cyrus

Walden Dissertations and Doctoral Studies

Suicide represents a leading cause of death in U.S. young people, and the rate is increasing. Although young people are spending more time each day playing video or computer games, there is limited research on the association, if any, between playing video games and suicidality. The purpose of this study was to identify whether there is a statistically significant association between video gaming, physical inactivity, and suicidality (suicidal ideation, planning, and attempts). Age, race, gender, and being bullied electronically and in school were assessed as potential confounding variables. The interpersonal theory of suicidal behavior and the social-ecological theory served as …