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Assessing The Impact Of Substituting Interaction Types: An Empirical Study Of The Interaction Equivalency Theory, Scott Alan Hauert Oct 2023

Assessing The Impact Of Substituting Interaction Types: An Empirical Study Of The Interaction Equivalency Theory, Scott Alan Hauert

STEMPS Theses & Dissertations

Multimedia technologies allow instructional designers to transform interpersonal interactions into interactions between learners and content. These learner–content interactions are more scalable in online, asynchronous distance education (DE) than interactions between learners and the instructor or interactions among learners. Additionally, learners sometimes prefer interactions with course content over interactions with their peers and instructor. Studies on learner–learner and learner–instructor interaction provide insight into the preferences and perceived effects of interaction types. However, the literature has not directly discussed the impact on performance resulting from substituting learner–content interaction for learner–learner interaction. This study examined the impact of substituting interaction types on perception …


Relationship Between Learning Communities And Campus Residency On Sense Of Belonging Among First Year Undergraduates, Lanah Kathryn Stafford Oct 2023

Relationship Between Learning Communities And Campus Residency On Sense Of Belonging Among First Year Undergraduates, Lanah Kathryn Stafford

Educational Leadership & Workforce Development Theses & Dissertations

In higher education, sense of belonging has been linked to improved outcomes such as retention and academic achievement (e,g., Pittman & Richmond, 2007). Previous research has also identified participation in learning communities and campus residency as interventions which improve sense of belonging for students in this context (e.g., Solanki et al., 2019; Soria & Roberts, 2021). However, little research has been conducted to empirically study sense of belonging as a multidimensional construct, and no research has investigated interactions between on-campus residency and learning community participation on its development.

Data were collected from 1,072 first-year students on the Sense of Belonging …


The Risk Perceptions And Evacuation Behaviors Of College Students In Coastal Communities: Exploring The Functionality Of The False Alarm And Desensitization Model, Saige Marisza Hill Oct 2023

The Risk Perceptions And Evacuation Behaviors Of College Students In Coastal Communities: Exploring The Functionality Of The False Alarm And Desensitization Model, Saige Marisza Hill

School of Public Service Theses & Dissertations

This research explores the complexity of individual response during hazards and disasters and the psychological factors that influence risk perception and response. Borrowing concepts from the false alarm theory of neurology and desensitization theory as applied to media, the false alarm and desensitization model explains the perpetuation of insufficient preparation and hazard response by individuals. The model features two primary components – hazard and disaster events resulting in false alarms and those resulting in desensitization – both of which decrease the likelihood of adequate response during subsequent events. Together, each model component leads to underestimating the potential for and severity …


Framing Automation Trust: How Initial Information About Automated Driving Systems Influences Swift Trust In Automation And Trust Repair For Human Automation Collaboration, Scott Anthony Mishler Oct 2023

Framing Automation Trust: How Initial Information About Automated Driving Systems Influences Swift Trust In Automation And Trust Repair For Human Automation Collaboration, Scott Anthony Mishler

Psychology Theses & Dissertations

The study examines how trust in automation is influenced by initial framing of information before interaction and how later active calibration methods can further influence trust repair or dampening after an automation error in a three-experiment study. As more human drivers begin to use automated driving systems (ADSs) for the first time, their initial understanding of the system can influence their trust leading to a miscalibration of trust. Prior studies have investigated how trust develops through interactions with an automated system, but few have looked at integrating swift trust and framing to calibrate trust before interaction and investigate further active …


Third-Party Reactions To Performance Feedback, Daroon Mohammed Jalil Oct 2023

Third-Party Reactions To Performance Feedback, Daroon Mohammed Jalil

Psychology Theses & Dissertations

Although the provision of feedback has traditionally been treated as a dyadic event, I argue for the existence of a neglected third-party - the witness. Drawing from the dual process model of vicarious mistreatment and feedback intervention theory, I hypothesize that 1) third parties experience negative [positive] affect when witnessing an unjust [just] feedback event, 2) negative [positive] affect is stronger when feedback cues are self-referenced [task-referenced], and 3) negative [positive] affect is related to a subsequent decrease [increase] in feedback seeking intentions. Results from a 2x2 between-subjects experiment with 470 participants provide partial support for the hypotheses. Third-parties experienced …


A Mindful Search For Basic Writing Identities: Constellating Contemplative Classroom Pedagogies, Classroom Community Circles, And Critical Discourse Analysis In A Cultural Rhetorics Ecology, Elizabeth Edwards Weems Oct 2023

A Mindful Search For Basic Writing Identities: Constellating Contemplative Classroom Pedagogies, Classroom Community Circles, And Critical Discourse Analysis In A Cultural Rhetorics Ecology, Elizabeth Edwards Weems

English Theses & Dissertations

Many Basic Writing students have stories which are informed by traumas, othering, and marginalization. Finding pedagogies which address students’ stories, in addition to meeting academic goals, is crucial. Sometimes, students question how improving their reading and writing skills can help them navigate other areas of their education and experiences, especially their lives outside of academia. I have worked to create a kairotic pedagogy which invites students to read and write ‘the word and the world’ (Freire, 1970; 1988). Using Contemplative Classroom Pedagogies, I attempted to follow Freire’s (1992) call to make “teaching a creative act, a critical act, and not …


Emotional Intelligence In Difficult Decision-Making: A Multiple-Case Study Of Community College Academic Deans, Ekaterina Kalinina Brooks Oct 2023

Emotional Intelligence In Difficult Decision-Making: A Multiple-Case Study Of Community College Academic Deans, Ekaterina Kalinina Brooks

Educational Leadership & Workforce Development Theses & Dissertations

The decisions made by leaders noticeably impact employee morale and influence the fulfillment of the organizational mission. However, making decisions can be challenging when options are complex and involve multiple risks and benefits. Navigating such decisions in an era of technology when decisions are more transparent than ever before can be particularly difficult for academic deans in community colleges. These mid-level administrators often face internal conflicts stemming from the nature of their positions, campus politics, and the challenge of working between the competing interests of faculty and senior leaders.

Over the last three decades, research has pointed out that strong …


Effect Of Acute Caffeine Ingestion On On-Field Performance In Division 1 Female Field Hockey Players, Nicole Danielle Fredricks Oct 2023

Effect Of Acute Caffeine Ingestion On On-Field Performance In Division 1 Female Field Hockey Players, Nicole Danielle Fredricks

Human Movement Studies & Special Education Theses & Dissertations

This study aimed to determine the effects of acute caffeine ingestion on on-field performance in collegiate female field hockey players. A placebo-controlled, double-blind, randomized, crossover experimental design was utilized. The participants (N=10) were female division 1 field hockey players (age: 20.0 ± 1.6 years). They competed in two 60-minute, off-season scrimmages separated by two weeks. They were randomly assigned to ingest the caffeine, 3 mg/kg of body weight, or placebo treatment 60 minutes before each scrimmage. They wore a PLAYERTEK (Catapult, Australia) global positioning system (GPS) device to track their total distance, sprint distances, power plays, and zone three and …


Using Reciprocal Teaching Strategies To Improve Reading Comprehension For English As A Second Language Students With Learning Disabilities, Hana M. Almohamadi Oct 2023

Using Reciprocal Teaching Strategies To Improve Reading Comprehension For English As A Second Language Students With Learning Disabilities, Hana M. Almohamadi

Theses and Dissertations in Early Childhood Education

Students who have problems comprehending textual material tend to experience failing grades, peer rejection, and even social isolation. Furthermore, students with poor reading comprehension demonstrate poor academic performance in all subjects, not due to difficulty in learning specific subject content (i.e., math, history, etc.), but rather their inability to comprehend reading passages related to that subject knowledge. Reciprocal teaching (RT) is an effective tool for teaching children with Learning Disabilities (LD) to improve their reading comprehension abilities. These multiple cognitive strategies can meet the needs of many students in terms of more deliberate, directed, and self-regulated learning through students’ interaction …


The Effects Of Self-Regulated Learning On Community College Students Metacognition, Motivation And Achievement In Geoscience Courses, Melani A. Loney Oct 2023

The Effects Of Self-Regulated Learning On Community College Students Metacognition, Motivation And Achievement In Geoscience Courses, Melani A. Loney

Educational Leadership & Workforce Development Theses & Dissertations

This study investigated the impact of training in self-regulated learning on community college, geoscience students’ achievement, metacognition, time management, and science motivation scales. The study also investigated the impact of SRL training on these outcomes as a function of gender and ethnicity. During the Fall of 2022, 70 community college geoscience students from 9 different classes participated in the study. The classes were bifurcated with one half of the students in each class randomly assigned to the SRL treatment and the other half to the control condition. Each week, for 10 weeks during the semester, students in the treatment group …


Nightmares And Self-Injury Among High-Risk Adolescents: Examining The Role Of Emotion Regulation, Kinjal K. Patel Oct 2023

Nightmares And Self-Injury Among High-Risk Adolescents: Examining The Role Of Emotion Regulation, Kinjal K. Patel

Psychology Theses & Dissertations

Self-injurious thoughts and behaviors (SITBs) are a public health concern among youth. SITB rates rise drastically during adolescence -- a critical and sensitive developmental period characterized by dramatic changes in biological and social systems. Prior research has identified distal risk factors which tell us who is at risk for SITBs. Emerging research suggests proximal risk factors may be useful to identify when an individual may be at risk for SITBs. One promising proximal risk factor for SITBs is sleep problems. Although the relation between sleep problems and SITBs has been widely documented, little is known about the short-term, proximal links …


Offering Social Connections For Students During An Epidemic Of Loneliness And Isolation, Jennifer Leigh Hoyt Aug 2023

Offering Social Connections For Students During An Epidemic Of Loneliness And Isolation, Jennifer Leigh Hoyt

Libraries Faculty & Staff Publications

Faculty strategically design their course plans to generate discussion and exploration among students, placing growth and evaluation as priorities throughout any given semester. Yet, when loneliness and isolation creep into classrooms, final outcomes may fall short of a well-developed syllabus. Notably, U.S. Surgeon General Vivek Murthy announced this spring that the country currently deals with loneliness and isolation at an epidemic level, leaving educators searching for more opportunities to offer social connectivity as they guide students toward academic success.


Identifying Associations Between The Family Environment And Anxiety And Depression Among Children Ages 0-17 In The United States, Reagan A. Richardson, Nicole M. Holt Aug 2023

Identifying Associations Between The Family Environment And Anxiety And Depression Among Children Ages 0-17 In The United States, Reagan A. Richardson, Nicole M. Holt

OUR Journal: ODU Undergraduate Research Journal

This study analyzes whether physical, emotional & neurological, family environment, or community-related factors display the strongest association with anxiety and depression among children ages 0-17 in the United States.

Using IBM SPSS v. 27, we conducted a univariate and multivariate logistic regression analysis on data from the 2017 National Survey of Children’s Health (NSCH) with a sample size of 21,599. Our independent variables included 30 questions from the NSCH which were compared to a mental health index score.

Our study shows that about 10.6% of children suffer from either anxiety, depression, or both, and the univariate model found that 19 …


The Mediation Effects Of Adaptive Blindness Strategies On The Relation Between Institutional Betrayal From Military Sexual Assault And Mental Health Symptoms, Rachel L. Davies Aug 2023

The Mediation Effects Of Adaptive Blindness Strategies On The Relation Between Institutional Betrayal From Military Sexual Assault And Mental Health Symptoms, Rachel L. Davies

Psychology Theses & Dissertations

Military sexual assault is a serious and prevalent issue. The frequency with which military sexual assault occurs and the nature of the response to these events within the military system may contribute to institutional betrayal. Institutional betrayal is the failure of an institution, such as the military, to prevent sexual assault from occurring and/or the failure to support a survivor after sexual assault. Adaptive blindness strategies are forms of coping strategies that help individuals navigate a relationship they depend on when there is a betrayal. Two adaptive blindness strategies are self-blame and minimization. Although the adaptive blindness strategies may allow …


The Lived Experiences Of 911 Dispatchers With Compassion Fatigue: An Interpretive Phenomenology, Angela Johnson Aug 2023

The Lived Experiences Of 911 Dispatchers With Compassion Fatigue: An Interpretive Phenomenology, Angela Johnson

Counseling & Human Services Theses & Dissertations

911 dispatchers are the “first” first responders in an emergency and play an intrinsic role in the public safety continuum. 911 dispatchers are exposed to daily and cumulative stress from the repeated empathic engagement of those they serve, and from shift work, staffing shortages, and inability to make mistakes. However, there is a dearth of peer reviewed literature on 911 dispatchers and compassion fatigue (CF). CF is described as the emotional and physical exhaustion experienced due to the constant exposure to the trauma of others. CF symptomology in 911 dispatchers has far reaching implications for not only the citizens …


Attention And Task Engagement During Automated Driving, James Richard Unverricht Aug 2023

Attention And Task Engagement During Automated Driving, James Richard Unverricht

Psychology Theses & Dissertations

Many young drivers suffer fatal crashes each year in the United States at a rate approximately three times greater than more experienced drivers. Automated driving systems may serve to mitigate young drivers high crash rates but remain underexplored in research. This dissertation project examined the effects of levels of automation and interestingness of auditory clips on latent hazard anticipation in young drivers during simulated driving. Participants drove a vehicle at varying levels of vehicle automation (SAE Level 0, 2, or 3) in simulated scenarios, each containing a latent hazard event during which a boring, neutral, or interesting auditory clip was …


Operational Hazard Anticipation: Examination Of Overt Anticipatory Behaviors In Latent Hazard Scenarios Using A High-Fidelity Driving Simulator, Sarah Elizabeth Yahoodik Aug 2023

Operational Hazard Anticipation: Examination Of Overt Anticipatory Behaviors In Latent Hazard Scenarios Using A High-Fidelity Driving Simulator, Sarah Elizabeth Yahoodik

Psychology Theses & Dissertations

Young drivers are more likely to be involved in fatal crashes compared to more experienced drivers. Perceptual-cognitive skills such as anticipating and mitigating hazards may contribute to this risk. However, the connection between anticipating a hazard and successfully mitigating said hazard is not clear. One novel concept that may bridge hazard anticipation and mitigation is operational hazard anticipation. Operational hazard anticipation is the act of engaging in anticipatory actions in preparation for the possibility of eventual hazard mitigation. This study examined a possible measure of operational hazard anticipation, hovering one’s foot over the brake and accelerator, and the relationship between …


Effects Of Physical Characteristics Of Placebos On Exercise Performance, Owen Sipes Aug 2023

Effects Of Physical Characteristics Of Placebos On Exercise Performance, Owen Sipes

Human Movement Studies & Special Education Theses & Dissertations

Previous research has shown that placebos can impact medical conditions such as irritable bowel syndrome and depression as well as elicit analgesic effects and improvements in certain exercise performances. These placebo responses occur from a variety of alterations to the placebo itself or through verbal suggestion of how helpful the placebo will be. This study aimed to observe whether changing the color and quantity of capsules can induce improvements in both vertical jump and hand grip strength. This deceptive, parallel study consisted of 28 participants, with a mean age of 24.9 (±4.3) years old, that were randomly assigned to receive …


The Impact Of Covid-19 Stressors, Racial Discrimination, And Racial Socialization On Family Functioning In Black Families, Regina L. Alexander Aug 2023

The Impact Of Covid-19 Stressors, Racial Discrimination, And Racial Socialization On Family Functioning In Black Families, Regina L. Alexander

Psychology Theses & Dissertations

Marginalized communities, specifically Black Americans, have been disproportionately impacted by the COVID-19 pandemic which has resulted in more hospitalizations and deaths within this particular community. However, this disproportionate impact of COVID-19 is likely the result of ongoing health disparities related to a lack of access to adequate healthcare. In addition to health disparities specifically related to COVID-19, Black Americans have also experienced public displays of racial discrimination resulting from the systemic racism that has occurred for many years. It has been determined that stress spillover can impact relationship factors and this same spillover may be an important factor by which …


Dismantling Anti-Blackness In Teacher Education: Centering Black Epistemologies To (Re)Construct Elementary Language Arts Education For Linguistic And Racial Justice, Jasmyn Kymberly Jones Aug 2023

Dismantling Anti-Blackness In Teacher Education: Centering Black Epistemologies To (Re)Construct Elementary Language Arts Education For Linguistic And Racial Justice, Jasmyn Kymberly Jones

Teaching & Learning Theses & Dissertations

Black students and their linguistic resources are undervalued, disdained, disrespected, and disregarded in language arts classrooms. Not only is Black Language often ignored in English language arts instruction, but language more generally remains largely hidden within elementary ELA. Elementary ELA educators are tasked with teaching a vast array of skills, content, and concepts. So, teacher education programs are responsible for ensuring that preservice teachers leave prepared to take on the task of cultivating language arts classrooms that foster students’ literacy development. However, traditionally, literacy teacher education and the ELA curriculum has maintained white mainstream English as the standard for which …


Educator Professional Development As Rhetorical Situation, Bethany Leigh Creswell Wilson Aug 2023

Educator Professional Development As Rhetorical Situation, Bethany Leigh Creswell Wilson

English Theses & Dissertations

Teacher effectiveness is recognized as the most prominent in-school influencer of student learning, and professional development (PD) of in-service educators is seen as vital to improving teachers’ effectiveness throughout their careers. Professional development is often studied atheoretically and with a linear view in which PD providers deliver instruction and teachers receive and apply that instruction as it was delivered to them. By casting them as passive, blank-slate receivers and automatic appliers of the PD, this view obscures the complexities of teachers’ role in PD. Examining educator PD through the lens of rhetoric, and viewing the PD experience as a rhetorical …


The Effect Of Viewing Different Modalities Of Alcohol-Related Social Media Content Shared By Friends On Alcohol Outcomes: A Longitudinal Examination, Megan E. Strowger Aug 2023

The Effect Of Viewing Different Modalities Of Alcohol-Related Social Media Content Shared By Friends On Alcohol Outcomes: A Longitudinal Examination, Megan E. Strowger

Psychology Theses & Dissertations

Social influences have robust associations with problematic alcohol use among emerging adult college students. Examinations of social influences increasingly focus on social media influences via alcohol-related content (ARC) sharing and viewing. Limited longitudinal research suggests that increased exposure to ARC is associated with increased alcohol consumption among college students over time. Most research examining exposure has not focused on who (e.g., specific friends) is sharing this content, the modality (e.g., photos) or the qualities of those sharing content and their relationship (e.g., closeness) to the viewer. The current study examined cross-sectional and longitudinal associations between alcohol consumption/consequences and: 1) sharing …


Examining The Relationship Between Spelling Achievement And Academic Achievement In Community College Students, Tambra Lee Riggs-Gutiérrez Aug 2023

Examining The Relationship Between Spelling Achievement And Academic Achievement In Community College Students, Tambra Lee Riggs-Gutiérrez

Educational Leadership & Workforce Development Theses & Dissertations

The relationship between spelling achievement and academic achievement in community college students was investigated in this quantitative study. The research questions focused on whether a brief (under 15 minutes) spelling screening assessment may or may not predict student academic achievement of course grade points earned in an entry-level English class or cumulative grade point average. Demographic and descriptive data were also analyzed. A linear regression analysis design was used in this study. Participants for the study were 55 students from two geographically distant campuses of one community college in the Commonwealth of Virginia in the Mid-Atlantic region of the United …


Silently Correcting Your Grammar: Responses To Feedback And Adult Learners' Rural Writing Ecosystems, Jessica Marie Kubiak Aug 2023

Silently Correcting Your Grammar: Responses To Feedback And Adult Learners' Rural Writing Ecosystems, Jessica Marie Kubiak

English Theses & Dissertations

Over a century ago, rhetoricians called on writing instructors in the U.S. to accept and even encourage language diversity among learners. Yet scholars of composition, rhetoric, and writing studies are still advocating for this via arguments for linguistic justice and translingualism, even referring to strict adherence to a single, mainstream standard for language use as a kind of violence. This disconnect between scholarship and practice is evident in the silences surrounding first-year composition language instruction. This dissertation charts that disciplinary disconnect and then describes how adult students at a rural, open-access community college experience first-year composition feedback, with special attention …


Examining The Experience And Impact Of Teen-To-Teen Crisis Line Work For Youth Volunteers: A Pilot Study, Taylor Kalgren Aug 2023

Examining The Experience And Impact Of Teen-To-Teen Crisis Line Work For Youth Volunteers: A Pilot Study, Taylor Kalgren

Psychology Theses & Dissertations

For young people, suicide is a leading cause of death. In addition, suicidal thoughts and behaviors begin during adolescence, and rates are high during this developmental period. Crisis lines are one of the oldest suicide prevention strategies used today. Crisis line work is challenging, and therefore, examining the health and safety of these operators is critical. Teen-to-teen (t2t) crisis lines are a unique resource where adolescent volunteers help their similarity aged peers. The goal of this pilot study was to begin to evaluate the impact of t2t crisis lines for youth volunteers. Twenty youth crisis line volunteers (ages 15-20) were …


Special Education Fiscal Effort And Juvenile Adjudication: A Financial Relationship Exploration, Sarah E. Finley Aug 2023

Special Education Fiscal Effort And Juvenile Adjudication: A Financial Relationship Exploration, Sarah E. Finley

Educational Leadership & Workforce Development Theses & Dissertations

Educational leaders stretch pennies, often in futile attempts, to provide equitable educational opportunities for all students. An educated populous, or lack thereof, heavily impacts not only students, but also local, state, and national economies, job markets, and public safety. Knowing where to exert public school fiscal effort to reduce juvenile crime is an issue with implications that reach far beyond the field of education. By employing a quantitative approach and analyses examining slopes of fiscal effort for special education and juvenile adjudications, this study explores the relationship between the two factors. The research points out several connections between special education …


Evaluating The Effectiveness Of Recent Educational Foundations Requirements By The Commission On Accreditation In Physical Therapy Education For Program Directors Of Physical Therapist Assistant Programs, Sharan Dawn Zirges Aug 2023

Evaluating The Effectiveness Of Recent Educational Foundations Requirements By The Commission On Accreditation In Physical Therapy Education For Program Directors Of Physical Therapist Assistant Programs, Sharan Dawn Zirges

Educational Leadership & Workforce Development Theses & Dissertations

On November 2015, the Commission on Accreditation of Physical Therapy Education (CAPTE) published position papers for the 2016 changes to the CAPTE standards. One of these position papers discussed the changes in the 2016 standards related to the qualifications for the position of a program director (PD) for a physical therapist assistant. A specific qualification requirement was added stating “experience in educational theory and methodology, instructional design, student evaluation and outcome assessment, including the equivalent of nine academic (semester) credits of coursework in educational foundations.” The effectiveness of this additional requirement has to date not been assessed. The purpose of …


Chinese International Graduate Student Agency In A Neo-Racism Context: A Narrative Analysis, Minghui Hou Aug 2023

Chinese International Graduate Student Agency In A Neo-Racism Context: A Narrative Analysis, Minghui Hou

Educational Leadership & Workforce Development Theses & Dissertations

The United States is the top destination for Chinese international students, receiving around 372,532 students from China from the academic year 2019 to 2020. The host institutions and countries have benefited from economic gains, diverse cultures, global competence, and human capital. The motivation of recruiting international students is framed in a global imaginary that is embedded in colonialism and neoliberalism. International students are often framed as cash cows and objects. Meanwhile, international students, particularly Chinese international students have been experiencing discrimination, prejudice, and exclusion due to their nationality and culture. The purpose of this narrative inquiry study was to examine …


Dental Care Utilization Among U.S. Children Participating In Early Head Start Programs, Ahlam Ibraheem Joufi Aug 2023

Dental Care Utilization Among U.S. Children Participating In Early Head Start Programs, Ahlam Ibraheem Joufi

Health Services Research Dissertations

Early childhood caries (ECC) remains one of the most common preventable diseases among children under the age of 6 years. Several national stakeholders recommend establishing a continuous collaboration of individuals involved with receiving oral health services (dental home) and routine dental care for the child by 12 months. Despite this recommendation, disparities exist among young, low-income children in preventive dental service utilization. The Early Head Start (EHS) program serves low-income children aged 0-3 years and their families and promotes oral health practices and service utilization within the program. This study aims to examine predictors of dental care utilization among children …


Assessing Sexual Minority Women’S Barriers And Facilitators To Seeking And Accessing Mental And Physical Healthcare: A Mixed Methods Study, Charlotte A. Dawson Aug 2023

Assessing Sexual Minority Women’S Barriers And Facilitators To Seeking And Accessing Mental And Physical Healthcare: A Mixed Methods Study, Charlotte A. Dawson

Psychology Theses & Dissertations

Sexual minority women (SMW) experience greater mental and physical health concerns when compared to heterosexual women. Three key areas of health SMW report these disparities are: mental health, binge eating/body size, and sexual and reproductive health. SMW also report difficulties accessing healthcare in these three areas. An exploratory sequential mixed methods design was utilized to assess barriers and facilitators to healthcare access for young SMW. Study 1 included 20 semi-structured interviews with SMW, resulting in themes of barriers and facilitators identified by participants. These themes were converted into scale items. In Study 2, an expert panel of mental and physical …