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The Contribution Of African American Parents’ Stem Racial Socialization And Support To Adolescent Academic Outcomes, Rachel J. Davis

Theses and Dissertations

Historically, African Americans have experienced various inequalities in education that have long contributed to overall educational attainment gaps within the African American community (St. Mary, Calhoun, Tejada, & Jenson, 2018). Thus, African American parents are tasked with instilling messages of racial pride into their children and providing educational support that serve as protective factors against racial discrimination in education (Koch, Lundh, & Harris, 2019). Theoretical frameworks provide a basis of understanding how parent socialization contributes to African American educational outcomes, specifically noting the role of parents’ beliefs and values in dictating mechanisms of value transfer (e.g., buying toys or learning …

The Cb1 Receptor Positive Allosteric Modulator, Zcz011, Attenuates Naloxone-Precipitated Withdrawal Signs In Oxycodone-Dependent Mice And Inhibits Small Intestinal Transit In Mice, Julien Dodu

Theses and Dissertations

The endogenous cannabinoid system tightly regulates a myriad of physiological and pathophysiological functions. Effects of cannabinoids in ameliorating opioid withdrawal signs has been known for decades. Naloxone precipitates several withdrawal signs (e.g., diarrhea, weight loss, jumps, paw flutters, and head shakes) in opioid dependent rodents. ∆⁹-tetrahydrocannabinol (THC) has been shown to ameliorate opioid withdrawal in mice through the activation of cannabinoid type-1 (CB₁) receptors. Inhibition of the endocannabinoid degradative enzymes also attenuates these withdrawal signs (i.e., diarrhea, weight loss, jumps, paw flutters, and head shakes) in opioid-dependent mice. Specifically, inhibition of fatty acid amide hydrolase (FAAH), …

The Importance Of Connection: Contributions Of Relationships With Fathers And Connections To School To Delinquent Behavior And Positive Youth Development, Colleen S. Walsh

Theses and Dissertations

Risk-taking and boundary pushing are hallmarks of adolescent behavior, making the identification of promotive and protective factors related to both delinquent behavior and positive adolescent functioning essential. Previous studies have provided compelling evidence that suggests aspects of familial relationships may successfully attenuate delinquent behavior and support positive functioning outcomes. Despite these findings, the father-adolescent relationship is understudied in association with these outcomes. The current study examined relations between adolescents’ perception of school connectedness and father-adolescent relationship quality and delinquent behavior and positive adolescent functioning outcomes. This study used data collected when youth were nine and fifteen years old from the …

Access To Behavioral Health Services: Supply, Coverage, And Health Insurance Literacy, Heather Saunders

Theses and Dissertations

This dissertation examines policy and individual barriers to behavioral health (BH) service utilization. The full reach of federal policies like the Affordable Care Act (ACA) and the Comprehensive Addiction and Recovery Act (CARA) may be limited by state policies and the supply of the workforce available to deliver these services. Further, individual factors, such as low health insurance literacy, may influence patterns of behavioral healthcare utilization. Despite efforts to increase access to behavioral health services, treatment rates remain low, suggesting that barriers remain. To explore the effectiveness of these policies and examine remaining barriers, this dissertation explores three main research …

Prolactin Drives A Dynamic Stat5a/Hdac6/Hmgn2 Cis-Regulatory Landscape Exploitable In Er+ Breast Cancer, Justin M. Craig

Theses and Dissertations

The hormone prolactin has been implicated in breast cancer pathogenesis and regulates chromatin engagement by the transcription factor, STAT5A. STAT5A is known to inducibly bind promoters and cis-regulatory elements genome-wide, though the mechanisms by which it exerts specificity and regulation of target gene expression remain enigmatic. We previously identified HDAC6 and HMGN2 as cofactors that facilitate prolactin induced, STAT5A mediated gene expression. Here, multi-condition STAT5A, HDAC6, and HMGN2 ChIP-seq with parallel condition RNA-seq are utilized to reveal the cis-regulatory landscape and cofactor dynamics underlying prolactin stimulated gene expression in breast cancer. We find that prolactin regulated genes are …

Examining The Effect Of Item-Writing Flaws On The Psychometric Parameters Of Pharmacy Therapeutics Examinations, Veronica P. Shuford

Theses and Dissertations

Colleges and schools of pharmacy (C/SOP) use direct measures of assessment to provide evidence of student learning, with multiple-choice questions (MCQs) being one the most common formats used in health sciences education to assess students’ knowledge, skills, and abilities (Pate & Caldwell, 2014). This study examined the occurrence of item-writing flaws (IWFs) in the Clinical Therapeutics Module (CTM) sequence of courses at a college of pharmacy at an academic health center in the southeastern United States. The goals of the study were to: (1) identify the most common item-writing flaws on examinations in the CTM sequence of courses, (2) determine …

Efficient Vengeance: The Role Of Processing Fluency In Making Decisions About Retaliation, Samuel J. West

Theses and Dissertations

Aggressive behavior is a harmful and pervasive psychological and behavioral phenomenon. Inherent to every act of aggression are decisions regarding the modality, severity, and timing of such actions. Prevailing theories of aggression emphasize the role of cognitive processes in aggression, especially retaliatory aggression. Despite this emphasis, few cognitive processes have been examined for their possible involvement in making decisions about retaliatory aggression. Across two studies, I examined the role of processing fluency in making decisions about retaliation. I drew from contemporary models of aggression (e.g., the General Aggression Model) and processing fluency (e.g., the Multi-Source Account) to develop hypotheses in …

Amixicile, A Novel Antimicrobial Agent, And Its Effect On The Salivary And Subgingival Microbiome In Rhesus Macaque Monkeys, Erin E. Block

Theses and Dissertations

Background/Purpose: Periodontitis is an inflammatory disease with a bacterial etiology in a susceptible host. A selective antibiotic with minimal systemic side effects could be a useful adjunct to traditional periodontal therapy. Amixicile is a novel antimicrobial agent that targets pyruvate: ferredoxin oxidoreductase (PFOR), an enzyme that is critical for anaerobic bacterial metabolism and has been found to have little-to-no side-effects in animal models. The aim of this study was to prospectively evaluate the effect of amixicile on clinical periodontal parameters and the composition of the oral microbiome in rhesus macaque monkeys. It was hypothesized that the amixicile would reduce growth …

Socio-Ecological Predictors Of Social Connection Among Older Adults, Georganna Amateau

Theses and Dissertations

Decades of research has established an unequivocal link between states of social connection and health status. Lack of social connection, whether construed as social isolation or loneliness, negatively influences health and is highly associated with cardiovascular disease, high blood pressure, fall risk, and premature death. Despite extensive research on social isolation and loneliness, evidence relative to the broader construct of social connection suffers. Few studies inform practice standards for community-based organizations. This study aimed to develop a multidimensional, continuous composite variable of social connection and use the composite variable to examine predictors with a socio-ecological lens.

A secondary data analysis …

The Relationships Between Adolescents’ Future Aspirations And Postsecondary Enrollment: Finite Mixture Models, Chu Yi Lu Qiu

Theses and Dissertations

This study took person-centered statistical approaches to explore the multidimensional construct of adolescents' future aspirations and its associations with three covariates (i.e., gender, race, and SES) and a binary, distal outcome measure, postsecondary enrollment. Fourteen survey items representing the multidimensionality of adolescents' future aspirations were extracted from two-waves of Educational Longitudinal Study:2002 student data. The multidimensionality or the latent construct of the adolescents' future aspirations were explored using two finite mixture models called latent class analysis (LCA) and latent transition analysis (LTA). Based on the students' response patterns on the fourteen indicators, three latent classes representing three levels of aspiration …

Understanding Predictors Of Telemedicine Adoption Before, During, And After The Covid-19 Pandemic, Bradford S. Pierce

Theses and Dissertations

This study examined change in physicians’ use of telemedicine before, during, and expectations after the COVID-19 pandemic. It also examined the ability of personal and environmental variables to predict telemedicine adoption, and applied the theory of reasoned action and technology acceptance model to physicians’ adoption of telemedicine during the pandemic. A total of 230 licensed physicians currently practicing in the United States were recruited. Telemedicine accounted for 3.72% of physicians’ clinical work prior to the pandemic, 46.03% during the pandemic, and predicted 25.44% after the pandemic ends. Physicians within hospitals reported less telemedicine use during the pandemic (M = …

Feeling The Squeeze: The Association Between Multigeneration Caregiving And Informal Caregivers’ Health, Christine L. Patterson

Theses and Dissertations

While U.S. public policy and research has focused on the health needs of the aging population, less attention has been given to the consequences informal caregivers face caring for this generation. With the segment of the population aged 65 years or older growing rapidly, it is important to understand the factors that place informal caregivers at risk for poor health outcomes and health behaviors. Since multigeneration caregivers balance more personal, work, and caregiving demands than single-generation informal caregivers of older adults, they may be at higher risk for poor health outcomes. The aim of this study was to examine the …

Nurse Cognition In Response To Alert Generation During Bar Code Medication Administration (Bcma): An Examination Of Human Factors, Elizabeth A. Sloss

Theses and Dissertations

Introduction: Nurses are at the forefront of care delivery, spending more time with patients than most other providers. Paramount to patient safety is the ability for nurses to make clinical decisions free from human error. Yet, the dynamic clinical environment in which nurses work is characterized by uncertainty, urgency, and high consequence, necessitating that nurses make quick and critical decisions. Notably, medical errors related to clinical decision-making, including medication administration errors, may occur more frequently among new graduate nurses. Therefore, the aims of this dissertation study are to 1) examine patterns of alert generation and alert response decisions (decision outputs) …

Difficult Paintings, Hao (Damien) Ding

Theses and Dissertations

The sublime as a concept has a fraught and racist history. However, it remains the single most helpful idea in describing the deeply felt state of being when one comes across something ineffably powerful. From an art-making perspective, this thesis, and the accompanying exhibition of installations and paintings, proposes an alternative construction of the concept of the sublime. Using Lacanian psychoanalysis as a conceptual point of departure, a painter can manipulate the relationship of the viewer and paintings to create paradoxical moments of simultaneous intimacy and distance, which interact to create an alternative path towards the sublime. Through descriptions of …

Validation Of A Screening Tool For Pediatric Obstructive Sleep Apnea: A Pilot Study, Julia A. Giardina

Theses and Dissertations

Purpose: The purpose of this study was to evaluate the Pediatric-Modified-STOP-Bang (PM-STOP-Bang) as a screening tool to assess sleep related breathing disorders (SRBD) within a pediatric population. The specific aims of this study were: 1) compare the PM-STOP-Bang scores with those from the validated Pediatric Sleep Questionnaire (PSQ), 2) determine the ability of the PM-STOP-Bang and the PSQ screening tools to accurately detect children of high risk for SRBD from a one-night home sleep apnea test (HSAT).

Methods: Orthodontic patients were screened using the PM-STOP-Bang at VCU Graduate Clinic. Patients (n=10) who were recruited and enrolled. Five were determined to …

Victimization And Psychological Wellbeing Among Sexual And Gender Minority Emerging Adults: Testing The Moderating Role Of Emotional Comfort From Companion Animals, Jennifer L. Murphy, Camie A. Tomlinson, Angela Matijczak, Kelly O'Connor, Shelby Mcdonald

Graduate Research Posters

Introduction: Human-animal interaction science is a growing field, largely due to the potential psychosocial benefits companion animals provide to humans. One way companion animals may influence psychosocial outcomes is through their ability to provide emotional comfort, though few studies have examined relationships between sexual and gender minority stressors (i.e. discrimination, victimization, rejection), human-animal interaction, and psychological wellbeing. To address this gap in the literature, the current study evaluates whether, and to what extent, the association between gender-based victimization and psychological wellbeing (i.e., anxiety, depression, self-esteem) varies as a function of emotional comfort from companion animals among emerging adults.

Methods: Data …

Family Learning Culture Assessment: Development Of Metrics Of The Collective Epistemic Orientations And Achievement Motivations In Diverse Families, Catina Venning

Graduate Research Posters

The family, in educational psychology research, is unidimensional. It is either a covariate, a tool for school agenda or narrowly defined by a single person, usually the mother and her college educational attainment. These diminutions of family hamper efforts to fully understand critical contextual factors that impact student learning, like family. Inspired by Cultural Historical Activity Theory (CHAT) and Family Communication Practices (FCP), Family Learning Culture Theory (FLCT) emerged as the conceptual framework for a exploratory research project, which interviewed three middle-class family representatives, of high school students in two school districts in a Southeastern city in the United States. …

Principal Components Analysis Corrects Collider Bias In Polygenic Risk Score Effect Size Estimation, Nathaniel S. Thomas, Peter B. Barr, Fazil Aliev, Sally I. Kuo, Danielle M. Dick, Jessica E. Salvatore

Graduate Research Posters

BACKGROUND: Genome-wide polygenic scoring has emerged as a way to predict psychiatric and behavioral outcomes and identify environments that promote the expression of genetic risks. An increasing number of studies demonstrate that the effects of polygenic risk scores (PRS) may be biased by the inclusion of heritable environments as covariates when the environment is influenced by unmeasured confounding variables, an example of collider bias. Inclusion of the principal components of observed confounders as covariates may correct for the effect of unmeasured confounders.

METHODS: A simulation study was conducted to test principal components analysis (PCA) as a correction for collider bias. …

Cultural Socialization And Ethnic-Racial Identity Mediated By Positive And Negative Conversations About Race: Exploring Differences Among Students Of Color And White Students, Maria J. Cisneros, Eryn Delaney, Chelsea D. Williams, Sabrina Hawa, Chloe Walker, Fantasy Lozada, Su Jinni, Danielle Dick

Graduate Research Posters

Objectives: The current study examined associations between cultural socialization and ethnic-racial identity (ERI) via positive and negative conversations about one’s ethnicity/race. Differences between students of color (SOC) and White students (WS) were explored.

Method: Diverse college students 18-22 (M age = 18.46) participating in a university-wide study provided self-reports of childhood cultural socialization, engagement in conversations about ethnicity/race during college, and ERI.

Results: Cultural socialization was associated with more positive conversations about race, and, in turn, greater ERI exploration, resolution, and affirmation among SOC and WS. Additionally, negative conversations about race were associated with greater ERI exploration and …

Strengthening Mental Health Diagnostic Detection In Integrated Primary Care, Julia Brechbiel

Theses and Dissertations

Primary care behavioral health (PCBH) is crucial for providing mental health treatment to underserved, minority, and uninsured populations. There is a lack of knowledge about accurate mental health diagnoses at PCBH. Underdetection of mental health symptoms has the potential to worsen racial and socioeconomic disparities. Using an expert review process, I developed an abbreviated diagnostic clinical interview (ADCI) for integrated primary care. Next, patients (N = 82) completed the interview after attending PCBH appointments. According to the interview, 63.4% of participants met criteria for a diagnosis, while 64.7% received a diagnosis from their provider. A large portion of patients …

Modulation In Nmda Receptor Function Alleviates Safety Learning Deficit In Females Who Experienced Chronic Stress During Adolescence, Zuby C. Okafor

Theses and Dissertations

Anxiety disorders disproportionately impact women and are more prevalent in people with a history of chronic stress. Post-traumatic stress disorder (PTSD) is a type of stress and trauma-related disorder that is largely characterized by hyperarousal to fear-based cues. The inability to dissociate the fear-response from a non-threatening cue is known as impaired safety learning. Given that N-methyl-D-aspartate (NMDA) receptors are key mediators of learning behaviors, we examined the role of NMDAr function in deficient safety learning. Previous studies have shown that female rats with a history of stress have altered NMDAr gene expression and altered glutamatergic signaling; therefore, we hypothesized …

A Mixed Methods Approach To Examine Racial Disparities In Adherence To Surveillance Mammography Among Breast Cancer Survivors, Megan C. Edmonds

Theses and Dissertations

PURPOSE: Annual surveillance mammography is a critical part of routine cancer care for breast cancer (BC) survivors; reducing mortality by 39%. However, disparities exist with regard to adherence to surveillance mammograms among BC survivors; Black women are 44% less likely to adhere than their White counterparts. Despite the existence of this racial disparity for over a decade, little is known about factors that explain reasons for Black BC survivors’ non-adherence. This is because most studies have not evaluated the role of healthcare delivery or psychosocial factors. Guided by the Behavioral Model for Vulnerable Populations, the purpose of this mixed methods …

Art Museum Docent Coordinators’ Perceptions: A Difficult Kind Of Balancing Act, Jennifer E. Schero

Theses and Dissertations

With visitors numbering in the millions, museums provide numerous entry points for attendees to engage with the objects in their care, including offering tours of their collections. Looking specifically at art museums, many institutions utilize volunteers to facilitate these guided looking experiences. Considerable research within the field of museum education focuses on the qualities of effective touring and methods and theories to support these endeavors. However, there is a lack of research focusing on the docent coordinators who oversee these volunteer guides. This study utilizes interpretive phenomenological analysis to explore perceptions of encyclopedic art museum docent coordinators concerning their preparation …

Third Culture Kids - Playing To Heal, Amna Sana

Theses and Dissertations

With increased globalization and a large expat population, Qatar is home to increasing numbers of Third Culture Kids (TCKs). TCKs are children who live in a country where their parents are non-native, children who grow up between cultures. Young TCKs, especially children between the ages of three and seven, do not possess the skills to adequately vocalize their feelings, but fortunately, play therapy allows them to articulate problems and feelings on their own terms. This thesis addresses the emotional hurdles facing TCKs, using concepts derived from play therapy and offering a series of interactive objects designed to reflect emotional expression …

Why We Follow Celebrities: An Examination Of Parasocial Interaction And Fan Engagement In A Celebrities’ Social Media Pages, Mohammed A. Alasmari

Theses and Dissertations

Social media sites have become essential for organizations and celebrities, allowing them to build relationships and interact with fans. Previous research found openness and perceived interactivity to improve social media engagement. The current study used the concepts of parasocial interactions and relationships to enhance the current knowledge of how celebrities influence their followers through Twitter. The study looked at perceived openness, perceived interactivity, and media engagement in relation to parasocial interaction and relationships using the Qualtrics survey response from 905 participants on Fayez Al-Malki’s Twitter page. The results indicated that both celebrities' and followers' posts employed openness and perceived interactivity, …

The Impact Of Healthcare Professional Students' Racial, Hiv-Related, And Abortion-Related Biases On Recommendations For Prenatal Care, Alison J. Patev

Theses and Dissertations

Black women and HIV-positive women have increased maternal mortality rates and other negative pregnancy outcomes, in part due to disparate prenatal care. Although women who seek abortions do not have the same negative outcomes, abortion stigma exists and is normalized in healthcare. Limited work has examined prenatal care provision for women in these groups, and even less work has explored the prenatal care provision by healthcare trainees (i.e., medical, nurse practitioner, and physician assistant students). Examining the role of bias on the prioritization of prenatal care items by healthcare trainees is imperative. Healthcare education sets the stage for future practice, …

Threat Assessment Team Activity And Outcomes In K-12 Public Schools: Integrating Methods To Better Understand School Safety, Jessica C. Smith

Theses and Dissertations

The use of threat assessment teams in schools is recommended as a violence prevention measure in K-12 public schools. The present study focused on the threat assessment process in the K-12 environment in Virginia and is the first to examine the association between threat assessment and school safety in tandem over time and the first to incorporate the views of K-12 threat assessment practitioners. Findings from this study demonstrate that while the number of threat assessments has increased overtime, threat assessment practitioners identified numerous concerns regarding threat assessment training, expressed doubts about fidelity to the recommended process, and revealed an …

Functional Limitations And Well-Being Throughout The Adult Lifespan: The Moderating Role Of Sleep, Claire M. Williams

Theses and Dissertations

Functional limitations represent individuals’ difficulty with completing essential activities of daily living, such as sitting, stooping, and walking. Though functional limitations have been linked to lower well-being outcomes, less is known about potential protective factors for well-being in the experience of functional limitations. The present study used archival data from the MIDUS Refresher study to evaluate how sleep and salient aspects of identity may alter the association between the experience of functional limitations and well-being. In particular, this study had two central aims: to examine the associations between functional limitations, life satisfaction, and affect and detect how aspects of identity …

An Ecological Approach To Improving Reentry Programs For Justice-Involved African American Men, Precious Skinner-Osei, Peter Claudius Osei

Journal of Prison Education and Reentry (2014-2023)

This article is a re-analysis of a previous study (please see https://doi.org/10.1080/10911359.2017.1402724). Considering the previous findings, in addition to the recent discussions around criminal justice reform, race, policing, and mental health in the United States, the data were reanalyzed using an updated version of QSR NVivo. The new findings revealed that reintegrating justice-involved African American men back into society requires reentry programs to utilize a different approach. Reentry programs must be constructed under the notion that the process involves multiple interrelated components that interact with larger systems outside the individual or organization's immediate control or organization advocating for them. …

Commonwealth Times 2020-11-18

Commonwealth Times, 1969-

No abstract provided.