Digital Commons Network^™

Training Pediatric Primary Care Providers In Behavior Management Strategies, Kate Burger

Dissertations

Childhood mental health disorders are a significant public health concern in the United States. It is estimated that every year 13 to 20% of children living in the United States experience a mental health disorder (National Research Council and Institute of Medicine, 2009). Despite the clear need for mental health care, less than half (45.6%) of children with one or more emotional, behavioral, or developmental conditions receive treatment from a mental health professional (The National Survey of Children's Health, 2007). There is growing evidence that integrating mental health services into pediatric primary care can result in increased treatment access as …

Qualitative Analogue Study On Student Therapist’S Reactions To Client Suicidality, Cynthia A. Beevers

Dissertations

Suicidal clients are a reality for both professional and student therapists providing counseling (Chemtob et al., 1988; Dexter-Mazza & Freeman, 2003; Goodman, 1995; Howard, 2000; Jacobson, Ting, Sanders, & Harrington, 2004; Kleespies, Penk, & Forsyth, 1993; Kleespies, Smith, & Becker, 1990; Mackelprang, Karle, & Cash, 2014; McAdams & Foster, 2000). Previous research has investigated the experiences of professional therapists working with suicidal clients, but little is known about student therapists’ experiences with suicidal clients. Only two studies were found investigating the experiences of student therapists working with suicidal clients (Kleespies et al., 1993; Kleespies et al., 1990). However, in the …

Perspective Taking, Multicultural Course Completion, And Political Ideology Affiliation Effects On Zero-Sum Belief Endorsement By White Counseling Trainees, Lindsay A. Okonowsky

Dissertations

Research suggests many Whites tend to see racism as a zero-sum game, which means they believe gains for one group necessitate losses for another group (Wilkins, Wellman, Babbitt, Toosi, & Schad, 2015). Given the theoretical underpinnings of multicultural competence, and the notion that beliefs drive actions, adherence to zero-sum game-oriented beliefs may interfere with individuals in helping professions’ abilities to provide multiculturally competent services to their clients. The primary purpose of this study was to examine the effects of perspective taking and multicultural course completion as interventions with White, master’s level, counseling trainees’ endorsements of zero-sum beliefs (ZSBs). A secondary …

Counselor Educators’ Perceptions Of Nontraditional Master’S-Level Counseling Students And How Those Perceptions Shape Teaching Practices, Pamela J. Jordan

Dissertations

Graduate students age 40 and older, defined as “nontraditional” for this study, consistently represent approximately 20% of the graduate student population (United States Department of Education National Center for Education Statistics, 2015). Master’s degree programs in counseling may attract a higher percentage of these students, as some studies suggest that careers in fields such as counseling are sought out by adults changing careers at midlife and later (Bluestone & Melnik, 2010; Schaefers, 2012). These nontraditional students bring to the classroom their own characteristics of age, life stage, and experience, and they have distinct strengths and challenges that set them apart …

Treatment Preference, Changes In Preference, And Quality Of Life, Chelsea Sage-Germain

Dissertations

The current study investigates whether treatment preferences prior to beginning treatment are different from treatment preferences at later points in treatment, and whether preferences are related to treatment outcome. While research to date supports the notion that matching clients to treatment in line with their preferences can improve retention and outcomes, results have been equivocal. Further, this research is typically conducted by measuring preferences just one time, prior to starting treatment. It is conceivable that preferences for treatment change over time as patients become more knowledgeable about their presenting problems and about the therapy process. A total of 969 participants …

Incidence Of Head Injury Among Synchronized Skaters: Rates, Risks, And Behaviors, Gretchen L. Mohney

Dissertations

Data regarding risk and rates for head injury and concussion specific to the sport of synchronized skating is absent from literature. This study investigated the rate and risk for head injury and concussion as a function of team level, identified behaviors to include education, neurocognitive baseline screening and protective equipment utilization, and the implementation of return to sport protocols.

An anonymous cross-sectional survey was implemented at the 2018 U.S. Synchronized Skating Championships. Participants were female members of a qualifying team, ages 13 and older, at the intermediate participation level and higher. The survey response rate was 42% (520/1232). Among the …

Why Don’T We Have A Peace Memorial? The Vietnam War And The Distorted Memory Of Dissent, Christian G. Appy

Center for the Study of Ethics in Society Papers

First paragraph:

Exactly a year before he was murdered, Martin Luther King Jr., gave one of the greatest speeches of his life, a piercing critique of the war in Vietnam. Two thousand people jammed into New York’s Riverside Church on April 4,1967, to hear King shred the historical, political, and moral claims U.S. leaders had invoked since the end of World War II to justify their counter-revolutionary foreign policy. The United States had not supported Vietnamese independence and democracy, King argued, but had repeatedly opposed it; the United States had not defended the people of South Vietnam from external Communist …

Application Of A Three-Lever Drug Discrimination Method To Differentiate The Interoceptive Stimulus Effects Of 3, 4-Methylenedioxypyrovalerone And 4-Methylmethcathinone In Male Sprague-Dawley Rats, Trent Bullock

Masters Theses

Psychoactive “bath salts” represent a continuing drug abuse problem. The synthetic cathinones, 3, 4-methylenedioxypyrovalerone (MDPV) and 4-methylmethcathinone (4-MMC) are popular constituents of “bath salts” in the United States and the United Kingdom, respectively. Addiction to these substances has proven difficult to treat, possibly requiring targeted therapeutics. Drug discrimination is a preclinical assay that may aid in treatment development. Thus far, two-lever (drug vs no drug) discrimination studies have exhibited asymmetrical substitution patterns between 4-MMC and MDPV. Therefore, a three-lever discrimination method was employed in which 12 male Sprague-Dawley rats were trained to discriminate 0.5 mg/kg MDPV, 2.0 mg/kg 4-MMC, and …

Facebook Intensity Use Related To Gender Identity And Self-Esteem Among Female College Students, Li Zhang

Masters Theses

As a popular social media platform, Facebook has already become a vital part of college students’ social lives. The purpose of this study is to explore the relationships among Facebook use, gender identity and the level of self-esteem among young female college students (from age 18 to 23). Previous studies have argued that Facebook has the ability to enhance or reshape gender identity by providing control over online self-presentation. In addition, by using Facebook intensively and frequently, users gain popularity (a larger network of Facebook friends), which also increases users’ self-esteem and the feeling of being connected with others. In …

Beta-Testing Of An Interactive Multimedia Computer Program Of Exposure Therapy For Ptsd, Marie C. Barrett

Dissertations

Posttraumatic Stress Disorder (PTSD) results in significant impairment for the individual and substantial costs to society. Research indicates that cognitive behavioral psychotherapy (CBT) is the most effective treatment for PTSD and that among CBT treatments, exposure therapy is the treatment technique with the strongest evidence to recommend it for PTSD treatment. Computerized programs that deliver evidenced-based treatments offer a potential solution to barriers that prevent individuals from accessing and completing treatment. The present study evaluates the clinical and practical functionality of a computer-based program designed for the treatment of PTSD. Results indicate that completion of the program is associated with …

(Don’T) Stand By Me: Social Regulation Of Response To Threat In Interracial Dyads, Carmelita Sharonique Foster

Dissertations

A number of factors contribute to retention among college students, including social support and feelings of belonging (Rayle & Chung, 2007). Although college campuses are among the most racially diverse settings in our segregated society (Fischer, 2011), students differ in their perception of the racial climate on campus (Chavous, 2005). Social Baseline Theory (SBT) proposes that human functioning under stress is dependent on adequate social support and that, at baseline, biological systems are adapted to operate interdependently rather than independently (Hughes, Crowell, Uyeji, & Coan, 2012). Specifically, the substantial empirical support for SBT shows that stressful situations are less toxic …

Primary Care Physician Delivered Brief Behavioral Intervention For Adult Obesity And Associated Health Conditions, Julia C. Huston

Dissertations

Obesity is a chronic health condition with prevalence rates that have continued to rise steadily over the past 30 years to the point that it has now been declared a global epidemic and a serious public health concern. Obesity is associated with significant physical and economic costs, primarily resulting from co-occurring health conditions that increase the risk of morbidity including type II diabetes, hypertension, dyslipidemia, stroke, coronary heart disease, and respiratory problems. Despite the dissemination of several obesity treatments, including pharmacotherapy, lifestyle modification, and bariatric surgery, the prevalence and severity of obesity continues to rise. Federal guidelines recommend the use …

Demonstrating Functional Analytic Psychotherapy As An Independent Variable In Efficacy Research: A New Measure Of Treatment Fidelity, Lindsey E. Knott

Dissertations

Functional Analytic Psychotherapy (FAP) is a contextual behavior therapy that takes an in session, in vivo focus to improve client outcomes. This in vivo (IV) focus is distinctive of FAP and involves the therapist utilization of contingencies in session to decrease problematic response classes and increase more adaptive response classes (i.e., a differential reinforcement procedure). This contingent responding is proposed to be FAP’s mechanism of action leading to client change. FAP efficacy research mainly consists of small n single-case studies or group designs combing FAP with another CBT intervention. Maitland & Gaynor (2012) offered recommendations for increasing FAP efficacy research, …

The Integration Of Creative And Expressive Arts In A Young Adult Problem-Solving Court, Ricky J. Pope

Dissertations

Interaction with the criminal justice system exacts substantial costs on human potential, and alternative practices are emerging to address this social issue. This research explores the integration of creative and expressive arts in a young adult problem-solving court. The Young Adult Diversion Court (YADC) was created to help young adults 17- 20 years of age complete requirements for probation. Successful completion of the program provides participants the opportunity for the initial criminal charge to be dismissed and made non-public on the criminal record. This qualitative study is informed by interpretive interactionism and narrative inquiry to provide a method to understand …

The Effects Of Decoding Instruction On Oral Reading Fluency For Older Students With Reading Delays, Gaige J. Johnson

Dissertations

Struggling older readers often have difficulty with early decoding skills (Tolman, 2005; Toste, Williams, & Capin, 2017). If they are unable to master decoding, they may have difficulty with more complex skills, such as passage reading fluency. The current study extends research on reading fluency for older students by evaluating the combined effects of a phonics procedure and a fluency-building strategy on their reading fluency. Participants were older students with below grade level reading performance who had deficits in oral reading fluency and decoding. Dependent variables were the number of correctly sorted word patterns and the number of correct words …

An Examination Of Age Labels In Music Related Dissertations And Theses: 2009-2016, Phillicia Jackson

Masters Theses

The life expectancy rate of advanced age individuals has increased dramatically in recent years, creating a greater need for research topics related to this segment of the population. Smith (2009) completed a content analysis of the use of age labels describing this advanced age group using dissertations and theses produced between 1983 and 2008. This current investigation replicated the process used in the earlier study using dissertations and theses completed between 2009 and 2016. The same search procedure, inclusion criteria, and analysis protocol was used, in order to be able to evaluate changes which may have occurred over time. A …

A Parametric Analysis Of Choice Under Risk, David W. Sottile

Masters Theses

Accurate assessment of risk propensity is important because risky choices underlie a broad range of behavioral problems. The Balloon Analogue Risk Task (BART) is an assessment that measures propensity to engage in risky choice. While this is a useful assessment, the BART changes two variables that affect risky choice simultaneously, probability of an undesirable outcome and stake size, which cannot be separated within the context of the BART. The goal of this study was to evaluate the separate and combined effects of key factors that are likely to risky choice (Magnitude of payoff, probability of an undesirable outcome, and stake …

College Self-Funding Predicting Deviant Behaviors, Blake A. Darling

Masters Theses

This study examines the effects of the source of college funding on student participation in four deviant behaviors: monthly binge drinking, monthly marijuana use, illicit drug use, and academic cheating. Using secondary data from a self-reported online survey conducted at a midwestern University, competing hypotheses based in general strain theory and social bond theory, were tested. Logistic regression analyses of the four deviant behaviors suggest that the source of college funding has a very limited effect. Only in the cases of marijuana use and illicit drug use were significant relationships observed; where students whose funding came from their parents were …

Contribution Of Monoaminergic Mechanisms To The Discriminative Stimulus Effects Of 3,4-Methylenedioxypyrovalerone (Mdpv) In Sprague-Dawley Rats, Harmony I. Risca

Masters Theses

3,4-Methylenedioxypyrovalerone (MDPV) is a popular synthetic cathinone reported to have a high abuse potential and comparable pharmacological actions to those of cocaine. The aim of this study was to evaluate a variety of monoaminergic agents for substitution, potentiation, or antagonism in rats trained to discriminate MDPV. Male Sprague-Dawley rats were trained to discriminate 0.5 mg/kg MDPV and a variety of monoaminergic drugs were tested for substitution and/or potentiation of the MDPV cue. In separate experiments, stimulus antagonism tests were conducted with selected dopamine antagonists or serotonin antagonists in rats trained to discriminate 1 mg/kg MDPV. Full substitution for MDPV was …

What Provides For Me As I Provide For Others? A Study Of Homeless Shelters Employees Within Kalamazoo, Michigan, Melanie Jezior

Masters Theses

Homeless shelters run on one thing: workers. Without workers there is no supportive aid for the homeless. A daunting and emotional job that is taken on by thousands, but why? Is the goal in entering this line of work to make an impact on homeless populations, a lasting difference? Everyone has their own personal reasons, however what are the main reasons for people going into a job like shelter work? What is it that motivates these workers to continue this line of work or motivates them to leave? It is a job that offers low pay, and emotional settings. A …

The Relationship Between Hypermobile Joints And Tendonitis, Rachel Braden, Nicole Coughlin

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

No abstract provided.

Wmu Student Aims To Clean Up The Fashion Industry, College Of Education And Human Development

Family and Consumer Sciences News

Western Michigan University - undergraduate student Avery Green. His fashion startup, House of Pariah, goes against the grain, selling nonconformity and placing an emphasis on sustainability and inclusion.

16-09 Transportation Mobility Among Low-Income, Transportation Disadvantaged Older Adults Living In A Low Density Urban Environment Using Innovative Data Collection Methods, Noelle Fields, Courtney Cronley, Stephen Mattingly, David Levine, Vivian J. Miller, Erin R. Murphy, Marcus Crawford, Lubia Gwak, Saeed Reza Ramezanpour Nargesi, Ziaur Rahman, Meenakshi Balasubramanian

Transportation Research Center Reports

This study investigates the transportation disadvantage that low-income, older adults face on an individual basis. To accomplish this, research team members custom designed an innovative “travel diary” app, MyAmble, which tracks planned, completed, failed/uncompleted trips, and unserved trips in its Trip Planner module. In addition to the typical transportation planning data (e.g. origin, destination, mode), MyAmble collects data related to the completed or failed/uncompleted trip’s impact on the participant’s mood and quality of life. MyAmble utilizes 3 additional modules (Challenge Logger, Travel Buddy, and Travel History) to collect qualitative data related to the role that transportation plays in the participant’s …

Overcoming Barriers By Doing Things Differently, Jennifer Fortuna

The Open Journal of Occupational Therapy

Tom Yendell, an artist based in Hampshire, England, provided the cover art for the Summer 2018 issue of The Open Journal of Occupational Therapy (OJOT). “Silk Flowers” is a mouth painting made from acrylic on silk. Born a bilateral congenital amputee, Tom has learned to use his toes the same ways others use their hands. Tom relies little on aids and adaptations in his everyday life. He believes learning to do things your own way is empowering. As a world-renowned mouth and foot painter, Tom is a living example of how barriers can be overcome by doing things differently. Through …

Development And Evaluation Of A Collaborative Model Level Ii Fieldwork Program, Annmarie T. Kinsella, Catherine V. Piersol

The Open Journal of Occupational Therapy

This project developed a Collaborative Model Level II Fieldwork (CM-FWII) program to evaluate the effect of the program on fieldwork educator and student understanding of the model and changes in knowledge, perceptions, and satisfaction. Four fieldwork educators (FWEd) were recruited from two pediatric and two adult practice settings. Eight occupational therapy (OT) students met participation criteria and agreed to participate. A pre/post design was used to evaluate change in knowledge and perceptions. Satisfaction with the collaborative model (CM) was examined after the 12-week fieldwork rotation. Analysis procedures included a priori coding, calculation of frequency distributions, and thematic analysis of transcribed …

Sexual Functioning In Occupational Therapy Education: A Survey Of Programs, Kate Eglseder, Sheridan Webb, Miranda Rennie

The Open Journal of Occupational Therapy

Despite the importance of sexuality to overall quality of life and well-being for individuals with disabilities, occupational therapy practitioners continue to under-address this issue. One possibility for the lack of attention in this area is the comfort and knowledge level of practitioners. In their seminal work, Payne, Greer, and Corbin (1988) surveyed occupational therapy programs in the United States in an effort to identify the amount of sexuality education provided. This study was aimed at identifying current trends in the provision of sexuality education for occupational therapy students. Despite the nearly 30-year gap in this area of research, and the …

How Service Dogs Enhance Veterans’ Occupational Performance In The Home: A Qualitative Perspective, Terry K. Crowe, Mylinh T. Nguyen, Brenda G. Tryon, Stephanie Barger, Victoria Sanchez

The Open Journal of Occupational Therapy

Background: This qualitative study explored the lives of veterans diagnosed with posttraumatic stress disorder (PTSD) and/or traumatic brain injury (TBI) and how the partnerships with their service dogs supported improved occupational performance in their homes.

Method: Semi-structured individual interviews were conducted with six veterans with PTSD and/or TBI who graduated and received their service dogs from the Paws and Stripes Program in Albuquerque, NM. Home activities of daily living (self-care, household tasks, leisure activities, and family and friend relationships) guided the interview questions. The individual interviews were audio recorded, transcribed, and coded using qualitative data analysis software. Preliminary themes were …

Levels Of Arousal In Positive Moods: Effects On Motor Performance, Carolina Valencia, Krista Currier, Sarah Lindsay, Pamela Lemperis, Titus Hughes, Jeanne Sowers

The Open Journal of Occupational Therapy

Background: The use of simple preparatory methods, such as listening to relaxing music, may decrease negative emotions and enhance performance. The purpose of this research was to explore whether certain types of music, as a preparatory task, could enhance motor performance.

Method: Fifty-six participants were randomly assigned to a condition before completing a pre and postdexterity test using the Purdue Pegboard Test (PPT). Performance was assessed with the PPT and arousal of mood was assessed with the Affect Grid. During the postdexterity test, the participants heard no music or specific music based on their condition. The experimental conditions …

Use Of Neuromuscular Electrical Stimulation In The Treatment Of Neonatal Brachial Plexus Palsy: A Literature Review, Denise Justice, Jonathan Awori, Spencer Carlson, Kate W-C Chang, Lynda J-S Yang

The Open Journal of Occupational Therapy

Background: The purpose of this study was to conduct a review of current literature on the effectiveness of neuromuscular electrical stimulation (NMES) for restoring motion and function in neonatal brachial plexus palsy (NBPP).

Method: A database search was conducted for NMES articles published between 1947 and 2015. Pre and posttreatment data were extracted for muscle power, active range of motion (AROM), and morphometric measurements.

Results: An initial search yielded 2,721 articles. A further title/abstract review produced 27 articles; of these, four met the inclusion criteria. Treatment protocols varied. There were no changes in average Medical Research Council …

Increasing Competency For Parents Of Adolescents With Executive Functioning Deficits: Enhancing Occupational Performance With Mindfulness, Kimberly S. Mollo, Bernardo A. Merizalde, Jennifer E. Lape

The Open Journal of Occupational Therapy

Background: Executive functions are higher order cognitive processes occurring in the frontal lobe that influence cognitive, emotional, and behavioral functions. Adolescents with executive functioning deficits are at risk for difficulties in all domains of occupational functioning. Parents of these adolescents often live in a persistent state of stress that leads to highly reactive exchanges with their children. Studies have shown that a mindful approach to parenting can enhance a parent’s caregiving ability and self-awareness in the family unit.

Methods: A pretest/posttest study evaluated the effectiveness of a 6-week mindful parenting program. Four parents of adolescents with executive function deficits participated …