Digital Commons Network^™

Advocacy With Context: The Role Of Pediatricians In Breastfeeding Success, Sanya Bansal

Honors Undergraduate Theses

Although the importance of breastfeeding is almost universally accepted, the rates of breastfeeding are improving very slowly. The current literature provides much insight as to how medical professionals such as obstetricians and lactation specialists could improve the rates of breastfeeding. The pediatrician could encourage breastfeeding at a prime opportunity: during post-natal visits. Unfortunately, there is limited research on what role the pediatrician plays in breastfeeding success. This study used in-depth, qualitative interviews from four pediatricians to gather data on the true role of the pediatrician in breastfeeding. These pediatricians were selected based on the diverse patient population they serve, considering …

Addressing Medical Mistrust Within The Black Community To Improve Their Health Ourcomes, Jillian Weathington

Honors Undergraduate Theses

Mistrust of the healthcare system is increased among the Black population compared to other race/ethnicity groups. Medical mistrust can lead to intensified health inequities and negative health outcomes among this population. Currently, there is limited research that explores ways to address medical mistrust, especially among the Black population. This study investigated medical mistrust to find ways to improve the quality of life amongst the Black population. Twenty-one participants in this study completed a Group Based Medical Mistrust Survey and five of those participants participated in a semi-structured interview. Descriptive and correlation analyses were conducted. The GBMMS was separated into three …

“My Ob/Gyn Has The Worst Bedside Manner…” A Qualitative Analysis Of Patient-Provider Communication And Mental Health Outcomes Of Women In Rural Georgia, Tobi F. Oloyede

College of Graduate Studies: Theses & Dissertations

Despite technological advances in medicine and public health innovations, maternal mortality in the United States remains significantly higher than in other developed countries. Specifically, Georgia ranks as the second worst place to give birth in the country. Maternal mental health conditions are common, manageable complications that can happen at any point during pregnancy, childbirth, or in the first year following delivery, with 1 in 5 women affected. Unfortunately, 75% of women who experience MMH symptoms are left untreated.

This study focuses on patient-provider communication through the birthing experiences of women who have been pregnant in Georgia to examine how their …

Exploring Anterior Cruciate Ligament Tears And Athletic Identity As Predictors Of Disordered Eating Behaviors In Female Collegiate Soccer Players, Niondina M. Nyström

Masters Theses

Research has consistently established the relationship between injury occurrence and subsequent mental health concerns within the athletic population (Brown et al., 2014; NCAA, 2021). Specifically, negative mental health outcomes such as anxiety, depression, and social isolation have followed the occurrence of an anterior cruciate ligament (ACL) tear (McGinley et al., 2022; Töyrä & Bergström, 2017). Similarly, because of high levels of athletic identity (AI), the inability to participate in a sport due to injury has been associated with disordered eating (DE) (Gusfa et al., 2022). Despite this, no studies have examined disordered eating and the role of athletic identity after …

Unequal Trust: Bottled Water Consumption, Distrust In Tap Water, And Economic And Racial Inequality In The United States, Daniel Jaffee

Sociology Faculty Publications and Presentations

Reviewing public health, nutrition, and social science literature, this article examines how bottled water consumption and spending in the United States differ along lines of race, ethnicity, and income, how these consumption patterns have changed in recent years, and how those shifts map onto perceptions of the safety and trustworthiness of tap water supplies, both before and since the Flint water disaster. It also addresses the differential impact of bottled water spending on household income. The findings challenge the truism that bottled water consumption is positively correlated with income, instead showing a bimodal racial and class consumption pattern that reflects …

Comparison Of Self-Reported Depression And Anxiety Scores Between U.S. Households With And Without Children At Early And Later Stages Of The Covid-19 Pandemic, Hanan Mohammed Eissa Jamali

Electronic Theses and Dissertations

Parents in particular, are disproportionately affected by the 2019 coronavirus pandemic and the lockdowns that followed. Parents had to find a way to balance work, teaching, and taking care of their kids when schools were forced to close for safety reasons. While changes in parents' mental health have been the subject of a number of studies, there have been no studies comparing the level of depression and anxiety experienced by parents with and without children below the age of 18 years in the United States. Data for this study came from Households Pulse Survey (HPS) (week 2 N = 41,996; …

The Digital Divide: The Path Towards Digital Inclusivity, Angelica Gonzalez Almanza

Social Justice | Senior Theses

The gap between those Americans who use or have access to ICTs and those who do not is referred to as the digital divide (PACEs, 2002). The pandemic has increased dependence on technology and exacerbated the digital divide, which perpetuates existing systems of racism and poverty (Early et al., 2021). In this study, a mixed-method approach was conducted to understand what digital literacy skills parents need to overcome the digital divide and support their child's education. Specifically, the study explored how the program Impact Technology training has affected parents' involvement with their child's education. There were 175 Latinx parents that …

Aging In Eastham: A Community Needs Assessment, Caitlin Coyle, Beth Rouleau

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Eastham Council on Aging. The goals of this project were to investigate the needs, interests, preferences, and opinions of Eastham’s residents age 50 or older. The contents of this report are meant to inform the Town of Eastham, the Eastham Council on Aging and Senior Center, and organizations that work with and on behalf of older residents of Eastham for the purposes of planning and coordination of services. The report will …

Utilization Of The Social Determinants Of Mental Health Framework With Older Adults For Assessment, Case Conceptualization, And Treatment Planning, Janelle L. Jones, Julia Lancaster, Lauren Robins, Wendy K. Killam, Matthew L. Nice, Bisola Duyile

Adultspan Journal

This conceptual paper will aid counselors and mental health professionals in obtaining insight to utilizing a Social Determinants of Mental Health Framework with older adult clients. Further, the article incorporates the Multicultural and Social Justice Counseling Competencies to further contextualize the therapeutic alliance. The authors utilize the Social Determinants of Mental Health Framework to frame counseling assessment, case conceptualization, and treatment planning to improve the mental health outcomes of older adults. The article utilizes a specific case example to assess, conceptualize, and plan treatment for an older adult client contextualized in their environment.

Rebranding The Battle Against Clinician Burnout, Taylor Albitar

DSW Capstone Projects

The purpose of this capstone project is to take a deep dive into the issue of burnout among marginalized healthcare providers. This paper will dissect key points in history that target wellness and define terms that are relevant to understanding the effects of burnout on a person’s work-life balance. It will be divided into several sections, including an overview of the problem and contributing factors, a thorough review of relevant literature, a conceptual idea that will explore both the problem at hand and theories that can help with its effects, and finally a practice application that will serve as the …

Family Caregiving Of The Elderly In The U.S. And Nepal, Barsha Kharel

All Graduate Theses, Dissertations, and Other Capstone Projects

In an aging society, family caregiving is becoming an increasingly important topic. Elderly adults often rely on their family members as the primary source of support as they age. This paper presents a systematic literature review of family caregiving practices for the elderly in the U.S. and Nepal. The aim is to explore the differences and similarities between the two countries in terms of family caregiving practices for the elderly. The review includes five initial literature sources and identifies two common themes: first, both societies consider family as the main source of support for the elderly, and secondly, elderly people …

Graduate Student Awareness Of Student Services, Shayla Schumacher

All Graduate Theses, Dissertations, and Other Capstone Projects

Studies have shown that student services aid in students’ success while attending college, however many students may not utilize these resources or even know they exist. Furthermore, there is limited research on graduate students’ awareness and usage of these services. Graduate students face different circumstances than other student populations yet may not access these beneficial resources. This study uses a mixed methods survey to examine graduate students’ awareness and usage of student services at a state school. This study shows attending the university as an undergraduate student first contributes to a student’s knowledge and usage of student services.

Beyond The Business Case: Moving From Transactional To Transformational Inclusion, Jamillah Bowman Williams

Georgetown Law Faculty Publications and Other Works

While workplace diversity is a hot topic, the extent to which the diversity management movement has effectively improved intergroup relations and reduced racial inequality remains unclear. Despite large investments in diversity and inclusion training and other company wide initiatives, historically excluded groups remain vastly underrepresented in leadership and the most lucrative careers, such as finance, law, and technology. This calls the efficacy of diversity, equity, and inclusion (DEI) efforts into question, particularly with respect to reducing racial inequality in the workplace.

This Article explains why it is time for organizational leaders to move beyond the transactional case for diversity and …

“Anything From The Land Is Good”: Understanding How Community Gardening In Kakisa, Northwest Territories, Can Contribute To Indigenous Food Sovereignty, Michelle Malandra

Theses and Dissertations (Comprehensive)

Rates of food insecurity in Canada’s northern Indigenous communities are at levels that should constitute an emergency. Dominant explanations for these high rates of food insecurity often ignore the ongoing impacts of colonization and over-emphasize individual choices and nutritional guidelines developed by outsiders. The importance of holistic community health is ignored, along with the cultural and social values and practices that support community health and well-being, including traditional food systems. As the acute impact of climate change in the North threatens traditional food access, a shift toward an Indigenous food sovereignty approach in health and food policy is needed. With …

Puerto Rican Retired Teachers’ Perceptions About Their Financial Sufficiency, Rossana López León

Walden Dissertations and Doctoral Studies

In Puerto Rico, the Teachers’ Retirement System, which has a membership of around 36,000 retired public-school teachers, is currently facing major restructuring and budget cuts, as part of a larger restructuring of all government agencies to meet the economic emergency they were facing. The recent retirement system reforms were focused mainly on cutting benefits, such as medications, Christmas and summer bonuses, and the cost-of-living adjustment. The purpose of this study was to explore the perceptions of retired teachers regarding their financial sufficiency, and to identify their attitudes, beliefs, and opinions/feelings in light of their socioeconomic profile. The research question focused …

Occupational Stress Of Adult Protective Service Workers, Tiffany Taylor

Walden Dissertations and Doctoral Studies

Research has revealed that adult protective service workers experience high levels of occupational stress that often result in health complications such as burnout, secondary traumatic stress, and compassion fatigue. Although several qualitative studies have been conducted over the past decade, there was limited information on the phenomenon of how stress is experienced by adult protective service workers investigating cases of alleged elder abuse. The purpose of this study was to examine the lived experiences of a sample of adult protective service caseworkers from the southwestern United States that have experienced occupational stress while investigating cases of elder abuse. This study …

All The Internet's A Stage: The Performance Of Authenticity By Instagram Wellness Influencers, Katherine Eu

Scripps Senior Theses

This paper conducted semi-structured in-depth interviews with seven influencers to examine the techniques they use to promote authenticity in content creation. The analysis identified two main techniques: (1) creating content in batches during designated “content days” and (2) incorporating mental health into their online persona. It is important to note that because sharing vulnerable information is a deliberate part of an influencer's strategy, personal mental health content should not be regarded as more authentic than other content. Additionally, the study briefly explores how a lack of boundaries can lead to ambiguity between personal identity and one’s online persona. Further research …

Lesbian, Anorexic, Disabled, And Big: Other Ways Of Being A Female Physical Education Teacher, Gustavo González-Calvo, Valeria Varea

Research outputs 2022 to 2026

Research has shown that Physical Education (PE) is a white, male, and able body-dominated profession, particularly in Spain. When some female pre-service PE teachers, who had a difficult relationship with their bodies and sports abilities, enrol in such a degree, some of these problematic relations come to light. Participants for this study were four female pre-service teachers who self-identified as lesbian, anorexic, visually impaired, and big respectively. Data were collected through participant-produced texts, graphical representations, and interviews. The authors then reconstructed the participants’ stories which are presented in the form of narratives. The conceptual tool of embodying norm-criticality helped us …

Examining Foods And Beverages Served And Child Food Insecurity Across Early Care And Education (Ece) Programs In Communities With High Rates Of Obesity And Food Insecurity, Deepa Srivastava, Lucy R. Zheng, Dipti A. Dev

Department of Child, Youth, and Family Studies: Faculty Publications

The purpose of this study was to examine implementation of serving food and beverage evidence-based practices (nutrition EBPs) across CACFP participating licensed childcare centers (CCCs, n = 51) and family childcare homes (FCCHs, n = 49) in central California. Results indicated that FCCHs reported significantly higher (p < .05) implementation of nutrition EBPs and barriers than CCCs. Both CCCs and FCCHs refer families to WIC/SNAP when they observe child food insecurity and control how much food is served to children. It is important to consider organizational structure (CCCs, FCCHs) and child food insecurity when developing policies/interventions for improving implementation of nutrition EBPs in ECEs.

Underrepresentation Of Black Participants In Drug Court: Reasons Reported For Non-Admission In Six Jurisdictions, Kathryn J. Genthon

Theses and Dissertations

Despite the beneficial impacts of drug court participation, access to these programs may not be equitable across racial groups. The reasons behind racial disparities in access to these programs are not well-documented in the current literature. This study investigates disparities in access to drug court and the possible reasons they occur. Chi-square tests are used to assess for disparities in admissions between Black and White individuals referred to drug court. Additional statistical analyses addressed the association of sex and age with admission to provide a broader picture of the impact of a variety of demographic characteristics on admission to drug …

A Coalition-Driven Examination Of Organization Capacity To Address Food Insecurity In Greater Houston: A Qualitative Research Study, Jemima C John, Jennifer Gonzalez, Sara-Grace Chan, Heidi Mcpherson, Jennifer N Aiyer, Esperanza Galvan, Nicole Browning, Shreela V Sharma

Faculty, Staff and Student Publications

BACKGROUND: Economic and social hardships have worsened food insecurity, particularly among low income and racial-ethnic minority groups. Given the core goal of the 150+ member Houston Health Equity Collective (HEC) to reduce food insecurity by 5% in 2025, we explored member organizations' capacity and challenges faced in screening and responding to food insecurity through care coordination efforts.

METHODS: A twice-administered Qualtrics XM survey (Provo, Utah) with 76 organizations, followed by five focus groups with 22 of these organizations, explored reach and response efforts to food insecurity. Qualitative assessments lasted between 0.5 to 1.5 h, were audio-recorded, cleaned, coded, and thematically …

'Logics Of Redistribution' Under Welfare Reform: The Case Of Welfare For Families With Children, Anthony Huaqui

The Journal of Sociology & Social Welfare

This article builds upon the “logics of redistribution” approach to welfare state theory, which argues that different theoretical explanations, referred to as “logics”, apply to different programs based on context and constituencies. I argue that individual programs’ can have their logics change over time as well via institutional restructuring in policymaking. To demonstrate this, I use Aid to Families with Dependent Children (AFDC), later renamed Temporary Assistance for Needy Families (TANF), as a case. This program underwent institutional restructuring in 1996 by way of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA). I use yearly state-level data from 1984 …

Occupational Stress Of Adult Protective Service Workers, Tiffany Taylor

Walden Dissertations and Doctoral Studies

Research has revealed that adult protective service workers experience high levels of occupational stress that often result in health complications such as burnout, secondary traumatic stress, and compassion fatigue. Although several qualitative studies have been conducted over the past decade, there was limited information on the phenomenon of how stress is experienced by adult protective service workers investigating cases of alleged elder abuse. The purpose of this study was to examine the lived experiences of a sample of adult protective service caseworkers from the southwestern United States that have experienced occupational stress while investigating cases of elder abuse. This study …

How Doctoral Students With Low Gre Scores Succeed: A Grounded Theory Study, Dea Mulolli, June E. Gothberg

The Qualitative Report

Most U.S. graduate schools rely on the Graduate Record Examinations (GRE) to predict readiness for graduate degree programs and differentiate between applicants in verbal and quantitative reasoning, critical thinking, and analytical writing skills. Many times, low GRE scores create a barrier to entry into U.S. graduate programs despite research showing that selecting graduate applicants based solely on academic metric thresholds does not guarantee graduate student performance and many low scorers still attain a graduate degree on time (Miller et al., 2019b; Pacheco et al., 2017; Petersen et al., 2018; Wang et al, 2013). In this study, we used a constructivist …

Building Strength Versus Getting Lean: An Analysis Of The Gendered Nature Of Fitness In Crossfit, Barre, And Personal Training, Margaret M. Jones

Master's Theses

Like many industries in contemporary society, the fitness sector is heavily gendered, andthus needs to be examined as a sector that both creates and reinforces gendered bodies. Building on previous single-method studies, I utilized a multi-methods approach of ethnography and interviews to analyze organizational and individual experiences with gender and fitness. Using West and Zimmerman’s concept of “doing gender,” I analyzed fitness organizations as a setting where gender and inequality are actively reproduced. By analyzing three fitness organizations with different gendered audiences (a barre studio, a CrossFit gym, and a personal training facility) I looked at how gender and fitness …

ความเป็นเมือง : การทำความเข้าใจสภาวะเปราะบางของกรุงเทพมหานครผ่านอาหาร, วาสนา ศรีจำปา

Chulalongkorn University Theses and Dissertations (Chula ETD)

ความเปราะบางในพื้นที่เมือง: การศึกษาผ่านมิติอาหารในบริบทกรุงเทพมหานคร กระบวนการกลายเป็นเมืองสมัยใหม่มีบทบาทสำคัญในการก่อให้เกิดความเปราะบางในพื้นที่เมือง ซึ่งมีลักษณะเฉพาะที่เกิดจากการผสมผสานของมิติต่างๆ ทั้งด้านกายภาพ สังคมวัฒนธรรม เศรษฐกิจ และคุณค่า การศึกษานี้ใช้วิธีวิทยาการวิจัยเชิงคุณภาพและการศึกษาแบบพหุกรณี เพื่อทำความเข้าใจความเปราะบางในเมืองผ่านความสัมพันธ์ของมิติเหล่านี้ โดยมุ่งเน้นการวิเคราะห์อาหารในฐานะกระแสการไหลเวียนของวัตถุและชีวิตผู้คนในเมือง เพื่อสร้างความเข้าใจเกี่ยวกับภูมิทัศน์เมืองและสภาวะความเปราะบางที่เกิดขึ้น ผลการวิจัยชี้ให้เห็นว่า ความเปราะบางในเมืองมีลักษณะเฉพาะและหลากหลาย โดยเกิดขึ้นได้หลายรูปแบบภายใต้โครงสร้างทางเศรษฐกิจ สังคม วัฒนธรรม และสิ่งแวดล้อมของเมือง บุคคลหนึ่งอาจเผชิญกับความเปราะบางหลายรูปแบบพร้อมกัน แม้แต่ผู้ที่มีสถานะทางเศรษฐกิจมั่นคงก็ยังอาจประสบกับความเปราะบางที่เกิดจากสภาพแวดล้อมของเมือง กระบวนการกลายเป็นเมืองจึงมีส่วนสำคัญในการสร้างความเปราะบางและทำให้ชีวิตผู้คนตกอยู่ในสภาวะเสี่ยงภายใต้เงื่อนไขการอยู่อาศัยในเมือง การศึกษากรณีเฉพาะของกรุงเทพมหานครผ่านมุมมองด้านอาหารในฐานะกระแสการไหลเวียนของวัตถุ แสดงให้เห็นว่าการวิเคราะห์กระบวนการของเมืองสามารถเผยให้เห็นลักษณะเฉพาะของเมืองและรูปแบบความเปราะบางที่เกิดขึ้น กรุงเทพมหานครไม่ได้เป็นเพียงพื้นที่ที่มีประชากรหนาแน่น แต่กระบวนการกลายเป็นเมืองได้หล่อหลอมวิถีชีวิตรูปแบบใหม่ ซึ่งฝังรากลึกในชีวิตประจำวันของผู้คนจนกลายเป็นความคุ้นชิน ส่งผลให้ผู้อยู่อาศัยในเมืองต้องเผชิญกับความเปราะบางในรูปแบบต่างๆ

Balancing Matters?Re-Visiting Security-Development Nexusand Its Operation On ‘Secure And Prosperous’ National Goals Thailand 2014-2024, Thiraphon Singlor

Chulalongkorn University Theses and Dissertations (Chula ETD)

The main objective of this thesis is to assess the significance of the security-development nexus for Thailand and explore the necessity of achieving balance within it. Through qualitative document analysis, the study addresses two research questions—the operations and implications of the nexus for the country’s security and prosperity. It assesses the theory of ‘balance’ across Thailand’s national-level policies, encompassing the 20-Year National Strategy and its overarching national goals of Security, Prosperity, and Sustainability, as well as the National Economic and Social Development Policy and Plan, National Security Policy and Plan, and Defense Policy. Findings reveal that Thailand’s security and development …

Weplay Denver: The Why And How: Background And Implementation Manual, Lauren Gross

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

WePlay Denver (WePlay and Nosotros Jugamos; see glossary) is a program providing caregiver-infant playgroups designed to teach families with young children the value of play as well as provide information and resources on topics related to child development, family wellbeing, and mental health. WePlay and Nosotros Jugamos are a collaboration between the University of Denver’s Graduate School of Professional Psychology (GSPP) and the Children’s Museum of Denver, Marsico Campus, and are based on a similar program from the Chicago Children’s Museum. WePlay offered its first playgroup in 2019, while Nosotros Jugamos began in 2020.

“Bhat Khaiso?”: The Role Of Food In A Bangladeshi Community In The U.S., Jinia Meherin , '23

Senior Theses, Projects, and Awards

No abstract provided.

Puerto Rican Retired Teachers’ Perceptions About Their Financial Sufficiency, Rossana López León

Walden Dissertations and Doctoral Studies

In Puerto Rico, the Teachers’ Retirement System, which has a membership of around 36,000 retired public-school teachers, is currently facing major restructuring and budget cuts, as part of a larger restructuring of all government agencies to meet the economic emergency they were facing. The recent retirement system reforms were focused mainly on cutting benefits, such as medications, Christmas and summer bonuses, and the cost-of-living adjustment. The purpose of this study was to explore the perceptions of retired teachers regarding their financial sufficiency, and to identify their attitudes, beliefs, and opinions/feelings in light of their socioeconomic profile. The research question focused …