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Evaluation Of Emotion Regulation And Associated Characteristics In Foster Children Using The Dyadic Parent-Child Coding System And Caregiver-Report Measures, Meredith A. Norman May 2014

Evaluation Of Emotion Regulation And Associated Characteristics In Foster Children Using The Dyadic Parent-Child Coding System And Caregiver-Report Measures, Meredith A. Norman

Graduate Theses, Dissertations, and Problem Reports (ETD)

The main purposes of this study were to: (a) explore the validity of a relatively new behavioral observation coding system in young children referred for treatment of disruptive behavior, (b) explore which specific foster parent behaviors are most associated with child emotion regulation, and (c) explore whether internalizing or externalizing foster child behavior problems are most associated with child emotion regulation. The sample consisted of 40 foster parent-child dyads who participated in a larger study funded by the National Institutes of Health. Assessments included behavioral observation of child emotion regulation using the Global Dysregulation Scale and a calculation of the …


Supports Of And Barriers To Pursuing A Natural Resource Degree And Career: Perspectives Of Culturally Diverse Young Adults, Kelly Balcarczyk May 2014

Supports Of And Barriers To Pursuing A Natural Resource Degree And Career: Perspectives Of Culturally Diverse Young Adults, Kelly Balcarczyk

Graduate Theses, Dissertations, and Problem Reports (ETD)

Federal natural resource agencies are facing a human resource crisis. Many natural resource professionals are reaching retirement and attracting young adults to fill vacancies may prove difficult. Although currently on the rise from a recent fall, enrollment in natural resource degree programs has not increased overall in the past three decades, which has resulted in a small and possibly shrinking pool of applicants for natural resource positions. In addition, increasingly young adults in the recruitment pool depart from the traditional background of current natural resource professionals (rural-raised, fisheries/wildlife/biology-educated, angler/hunter, white male) and agency workplace culture has not changed to match …


An Evaluation Of State Employees' Preferences For Worksite-Based Physical Activity, Nutrition, And Stress Management Programs, Peter Kadushin May 2014

An Evaluation Of State Employees' Preferences For Worksite-Based Physical Activity, Nutrition, And Stress Management Programs, Peter Kadushin

Graduate Theses, Dissertations, and Problem Reports (ETD)

Worksite wellness programs (WWPs) have evolved over the last several decades as a way to positively impact employees' health, and to manage rising healthcare costs. Despite the impact that WWPs can have both clinically and financially, participation rates in many programs remain low. Some research has reported success in increasing participation and engagement through tailoring programs to fit employee preferences. The purpose of this study was to investigate the wellness programming preferences of state employees in West Virginia. A secondary purpose was to identify how these preferences differ by health risk, worksite wellness participation, age, and gender. Respondents (N = …


Presidential Rhetoric In Times Of Crisis: A Textual Analysis Of Speeches By Franklin Roosevelt And Ronald Reagan, Samantha D. Cart May 2014

Presidential Rhetoric In Times Of Crisis: A Textual Analysis Of Speeches By Franklin Roosevelt And Ronald Reagan, Samantha D. Cart

Graduate Theses, Dissertations, and Problem Reports (ETD)

While many scholars have examined the rhetoric of presidents Franklin Roosevelt and Ronald Reagan individually, there is a gap in literature concerning crisis rhetoric specifically and little has been done in the way of comparing these two men. This study is a textual analysis of six speeches given by Roosevelt and Reagan during times of crises. Because both presidents were important in defining an era and considered great communicators, this study compares the similarities and differences of their use of presidential crisis rhetoric. Previous research shows clear patterns in presidential rhetoric, including the common use of civil religious words and …


Addressing The Elephant In The Room: A Descriptive Analysis Of Weight-Based Harassment On College Campuses, Lynnsie Doty May 2014

Addressing The Elephant In The Room: A Descriptive Analysis Of Weight-Based Harassment On College Campuses, Lynnsie Doty

Graduate Theses, Dissertations, and Problem Reports (ETD)

According to the bullying and harassment literature, over 50 percent of adolescents reported that they were targets of harassment at least once a month. A major gap within this literature is that most of these studies focus predominantly on adolescents and none focuses on older cohorts. To date only five studies have focused on college populations, but none focus on weight specifically as a factor. Although many individuals may disagree, weight-based harassment is comparable to harassment based on race and sexual orientation and affects victims just as negatively. Therefore, it is time to address the elephant in the room and …


The Impact Of Co-Presence And Visual Elements In 3d Vles On Interpersonal Emotional Connection In Telecollaboration, Hisae Matsui May 2014

The Impact Of Co-Presence And Visual Elements In 3d Vles On Interpersonal Emotional Connection In Telecollaboration, Hisae Matsui

Graduate Theses, Dissertations, and Problem Reports (ETD)

The purpose of this study is to examine participant's perception of the usefulness of the visual elements in 3D Virtual Learning Environments, which represent co-presence, in developing interpersonal emotional connections with their partners in the initial stage of telecollaboration. To fulfill the purpose, two Japanese students and two American students were paired and participated in conversational sessions in two different virtual environments: one where they shared the environments with their partners and the other where they did not.;The participants had five twenty-minute conversational sessions in Japanese in Second Life. By following single subject research designs, the quantitative data were obtained …


Factors That Influence Clinical Placements For Teacher Candidates, Kristi M. James May 2014

Factors That Influence Clinical Placements For Teacher Candidates, Kristi M. James

Graduate Theses, Dissertations, and Problem Reports (ETD)

In 2010, President Barack Obama's administration committed to reevaluate funding streams for No Child Left Behind (NCLB). This effort supported state and local initiatives designed to strengthen teacher quality. While a number of studies have examined preparation programs, candidate efficacy, and even candidate induction and attrition; few studies have sufficiently documented the factors that influence cooperating teachers' decision to mentor teacher candidates. This descriptive study identified in-service teachers' perceptions of the challenges and benefits to mentoring teacher candidates, investigated these perceptions across specific demographic aspects, and school designation (PDS or NON-PDS). Using the Teacher Perceptions questionnaire, the researcher collected data …


Middle School Students' Perceptions Of And Responses To The Inclusion Of Culturally Relevant Units In The Physical Education Curriculum, Luciana Carvalhal Braga May 2014

Middle School Students' Perceptions Of And Responses To The Inclusion Of Culturally Relevant Units In The Physical Education Curriculum, Luciana Carvalhal Braga

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background/Purpose: This study was part of a three-year, multicomponent school-based health intervention implemented in two middle schools in an Appalachian county. The purpose of this study was to examine school students' perceptions of and responses to the inclusion of culturally relevant units in the physical education (PE) curriculum. Specifically, the study examined how less predisposed to be active (LPA) and more predisposed to be active (MPA) students perceived and responded to the inclusion of archery, mountain biking, and slacklining in PE. Methods: A mixed methods design was employed, in which the results of an initial quantitative phase served to identify …


Political Sophistication: How Values And Social Capital Contribute To Political Knowledge And Cognition, Jonathan C. Young May 2014

Political Sophistication: How Values And Social Capital Contribute To Political Knowledge And Cognition, Jonathan C. Young

Graduate Theses, Dissertations, and Problem Reports (ETD)

This study argues that value types defined by Shalom Schwartz should relate to social capital and political sophistication in particular ways. Individual value types that emphasize "other-orientation" should positively relate to social capital characteristics that increase information flows which in turn will relate to increased political sophistication. On the other hand, it is expected that individual value types that emphasize "self-orientation" will positively relate to social capital characteristics that decrease information flows which in turn would correlate to decreased political sophistication. Using post-materialism as a theoretical basis and a survey that measures political knowledge and ideology, value orientation, social network …


The Nontraditional Community College Student: A Phenomenological Approach To The Educational Experience, Alexander D. Tuel May 2014

The Nontraditional Community College Student: A Phenomenological Approach To The Educational Experience, Alexander D. Tuel

Graduate Theses, Dissertations, and Problem Reports (ETD)

Nontraditional students make up a larger population at community colleges than their traditional counterparts making this study a necessity to further explore their experience (American Association of Community Colleges, 2013). To better understand this population, a phenomenological approach was taken with an emphasis on a social constructivism framework. This qualitative study utilized Seidman's (2013) three step interviewing process with the aid of photographs taken by the participants to elicit in-depth interview responses. Moustakas' (1994) modified Stevick-Colaizzi-Keen Method of Analysis of Phenomenological Data was used in this study. Four themes emerged from participant's photographs and interviews: motivation, helpful faculty/staff, external responsibilities, …


Effectiveness Of Sleep Extension On Athletic Performance And Nutrition Of Female Track Athletes, Oluremi Famodu May 2014

Effectiveness Of Sleep Extension On Athletic Performance And Nutrition Of Female Track Athletes, Oluremi Famodu

Graduate Theses, Dissertations, and Problem Reports (ETD)

Adequate sleep is an essential component to rest and recovery for athletes. Detrimental effects of inadequate sleep (sleep deprivation), on athletes' performance have been well documented. In contrast, increasing sleep (sleep extension), has not been thoroughly investigated in this population. Furthermore, the effect of sleep on an athlete's nutrition behaviors and choices has yet to be determined.;PURPOSE: The purpose of this study was to investigate the effects of one additional hour of sleep on performance and nutrition behaviors on collegiate, female, track and field athletes.;METHODS: Twenty-one females (age 20.2 +/- 1.8 yrs) maintained normal sleep habits for one week. Baseline …


Normal Violence: The Case Of Fighting On A College Campus, Brent Boyd May 2014

Normal Violence: The Case Of Fighting On A College Campus, Brent Boyd

Graduate Theses, Dissertations, and Problem Reports (ETD)

Researchers have proposed a number of theories to explain how violence becomes normalized and thereby increases the incidence of violent acts. This study explores these theories using the case of interpersonal violence on the campus of a large, Mid-Atlantic university. During the 2012-2013 academic school year, undergraduate participant observers witnessed 150 altercations, and gave detailed descriptions of when and where each altercation occurred, who was involved in them, and what consequences resulted. They also described their thoughts and feelings as they witnessed the physical altercation. Some witnesses reported experiencing fear, distress and sorrow, others experienced no adverse cognitions or emotions, …


Parenting Style And Emotion Socialization Strategies As Predictors Of Children's Emotion Regulation, Nicole Nightengale May 2014

Parenting Style And Emotion Socialization Strategies As Predictors Of Children's Emotion Regulation, Nicole Nightengale

Graduate Theses, Dissertations, and Problem Reports (ETD)

The purpose of this study was to examine the way that parenting styles (e.g., authoritative and authoritarian parenting) and parents' emotion socialization strategies (e.g., supportive and non-supportive reactions to emotions) collectively impact children's emotion regulation. Data was collected from 51 mothers (mean age = 34.4 years) and their preschool-aged children (mean age = 3.76 years). The majority of the mothers (93.8%) and children (89.6%) were Caucasian. Mothers completed a demographic questionnaire composed of demographic questions about the mother, the father, and the preschool-aged child. Mothers also completed the Parenting Practices Questionnaire (PPQ; Robinson, Mandleco, Frost Olsen, & Hart, 2005) as …


Addressing The Role Of Health Literacy In Social Science: The Revision And Validation Of The Perceived Oral Health Literacy Scale, Sara Labelle May 2014

Addressing The Role Of Health Literacy In Social Science: The Revision And Validation Of The Perceived Oral Health Literacy Scale, Sara Labelle

Graduate Theses, Dissertations, and Problem Reports (ETD)

The purpose of this dissertation was twofold. The first purpose was to develop a valid and reliable measurement of health literacy appropriate for use in social science. The second purpose was to determine whether health literacy is a skill set that can be increased through the intervention efforts of communication studies scholars. These purposes were addressed across four studies. The results of exploratory and confirmatory factor analysis provided support for a 26-item revised Perceived Oral Health Literacy Scale (LaBelle & Weber, 2013) which assesses individuals' Motivation and Ability to gain access to, understand, and use health information in order to …


Effects Of Long-Term Phonological Knowledge On Learning New Words, Elizabeth S. Smith May 2014

Effects Of Long-Term Phonological Knowledge On Learning New Words, Elizabeth S. Smith

Graduate Theses, Dissertations, and Problem Reports (ETD)

Language learning has been attributed to multiple aspects of cognition; two primary components are phonological short-term memory and long-term knowledge. Short-term memory is responsible for the temporary storage and rehearsal of new information, and long-term knowledge is responsible for storing information gained throughout the lifetime. If one or both of these areas are found to be deficient, language impairments may be present. Although the role of short-term memory and long-term knowledge has been identified as important, their relative contributions to different language processes are not completely understood. This study used a novel within-subjects approach to examine the impact of long-term …


Service-Learning And Critical Thinking Outcomes In General Education Courses, Larry J. Smith May 2014

Service-Learning And Critical Thinking Outcomes In General Education Courses, Larry J. Smith

Graduate Theses, Dissertations, and Problem Reports (ETD)

American educational reformers have noted an urgent need to develop and integrate pedagogical practices that promotes real world experiences that engage students in service and develops critical thinking skills of students. The reemergence of service-learning builds on an alternative vision of higher education that commenced with Dewey's theories of experiential learning. To meet the need of developing critical thinking skills among today's students, some researchers have proposed that integration of service-learning programs may produce a number of student learning outcomes, including critical thinking. Responding to calls for colleges to engage students in real world problems through service-learning, in 1985 Campus …


The Use Of Technology To Display Student Artwork Online, Elissa Dray May 2014

The Use Of Technology To Display Student Artwork Online, Elissa Dray

Graduate Theses, Dissertations, and Problem Reports (ETD)

This thesis was constructed to investigate the topic of displaying student artwork and projects in the online realm of art galleries. A research study was conducted questioning participants about their previous encounters with online art galleries and displaying student work. These participants were educators from various fields of study that created art related projects with their students. Participants were then introduced to the online art gallery, Artsonia and photographing student art. Benefits from joining Artsonia included parental contact, promotion of school art programs, possible fundraising opportunities, free lesson plan ideas, and increased student participation. Participants were also given the opportunity …


Examining Cohabitation In Emerging Adulthood, Jenica Dawn Hughes May 2014

Examining Cohabitation In Emerging Adulthood, Jenica Dawn Hughes

Graduate Theses, Dissertations, and Problem Reports (ETD)

Cohabitation has been repeatedly linked to negative relationship outcomes like low levels of commitment and relationship quality, but much of the current literature has utilized older data sets from the 1980s or age ranges from emerging adulthood, young adulthood, and older adulthood in the same studies. Supported by life course theory, inertia theory, and selection effects theory, the current study examined cohabitation specifically within the years of 18-25 to explore how demographic variables might be linked to the tempo of relationship transitions and the length of relationships. Additionally, the current study explored the associations between tempo of relationship transitions and …


Examining Factors Associated With Faking-Good Responding On The Child Abuse Potential Inventory, Amanda H. Costello May 2014

Examining Factors Associated With Faking-Good Responding On The Child Abuse Potential Inventory, Amanda H. Costello

Graduate Theses, Dissertations, and Problem Reports (ETD)

Child maltreatment (e.g., physical abuse, sexual abuse, emotional abuse, and neglect) remains a serious public health issue which affects an estimated 19% of victims in the United States (Fang, Brown, Florence, & Mercy, 2013; U.S. Department of Health and Human Services, 2010), and therefore, it remains important to continue to engage in quality control of the assessment, prevention, and treatment services for parents and children who have been involved in child maltreatment. Parenting capacity assessments (PCAs) are typically ordered in these cases to offer diagnostic impressions of and treatment recommendations for the referred parent (Budd, Connell, & Clark, 2011). The …


Technology Use In The Treatment And Prevention Of Eating Disorders, Jessie T. Popelka May 2014

Technology Use In The Treatment And Prevention Of Eating Disorders, Jessie T. Popelka

Graduate Theses, Dissertations, and Problem Reports (ETD)

Technology is changing rapidly in this global world. A radically different delivery of nutrition information and counseling is technologically feasible in fewer than five years. With about half of girls and a quarter of boys being dissatisfied with their bodies during adolescence into young adulthood, some negative consequences including development of disordered eating, eating disorders (ED) and poor psychological well-being may increase. New methods of delivery, from social media to virtual worlds will allow health care providers (HCP) to reach and interact with patients in different cities or even countries. Simple "tweets" to online videos may have a place in …


An Exploration Of Conceptual Teaching In Piano Study: Pedagogical Analysis Of Three Selected Intermediate Piano Works By Two American Composers, William Bolcom And Lowell Liebermann, Justin Douglas Krueger May 2014

An Exploration Of Conceptual Teaching In Piano Study: Pedagogical Analysis Of Three Selected Intermediate Piano Works By Two American Composers, William Bolcom And Lowell Liebermann, Justin Douglas Krueger

Graduate Theses, Dissertations, and Problem Reports (ETD)

Music of contemporary classical composers is often neglected because of simple lack of familiarity or because some of the material is difficult; all too frequently, recent music is allotted very little time during the long-term course of a student's piano study. These circumstances may contribute to the current situation, in which, all too often, students may get little encouragement to explore music by contemporary composers.;This paper highlights some possible reasons for the lack of exposure which contemporary classical compositions sometimes receive. The discussion continues by outlining a broad conceptual teaching paradigm and then shows ways in which a conceptual approach …


America's Lollipop Licking Tease: The Eroticization Of The Female Child In 1930s Film, Susan Jennings Lantz May 2014

America's Lollipop Licking Tease: The Eroticization Of The Female Child In 1930s Film, Susan Jennings Lantz

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation examines the eroticization of female children in film during the 1930s as a mechanism for concealing troubling realities of the Great Depression in the United States. The repressed sexuality embedded in the plots of Post Hays Code movies featuring Shirley Temple and characters such as Stella Dallas, Dorothy Gale, and Scarlett O'Hara serve to suture over a crisis of masculinity triggered by changing roles in gender, race, and class. By attempting to invoke the image of a "little girl" in place of that of a grown woman, some films (such as Gone With the Wind, and Bright Eyes) …


The Effects Of A Happiness Intervention On Measures Of Psychological Well-Being And Motivation To Quit Smoking Among Smokers With Depressive Symptoms, Kelly A. Bailey Jan 2014

The Effects Of A Happiness Intervention On Measures Of Psychological Well-Being And Motivation To Quit Smoking Among Smokers With Depressive Symptoms, Kelly A. Bailey

Graduate Theses, Dissertations, and Problem Reports (ETD)

Depressed smokers are a group of individuals whose health and overall functioning can benefit from interventions aimed to enhance well-being. Researchers have recently found significant relations between positive affect and smoking cessation success, and between low affect and smoking relapse, and unsuccessful abstinence (Cook et al., 2010; Leventhal et al., 2008, 2009; Niemiec, 2010). The examination of the effects of happiness interventions for a population considered to be “underserved” has only just begun (Borrelli, 2010, p. 2; Kahler et al., 2013). In this study, the independent variable was a happiness intervention and the outcome variables were psychological well-being and motivation …


Effects Of D-Amphetamine On Temporal Control In A Peak-Interval Procedure In Lewis And Fischer 344 Rats, Meagan E. Follett Jan 2014

Effects Of D-Amphetamine On Temporal Control In A Peak-Interval Procedure In Lewis And Fischer 344 Rats, Meagan E. Follett

Graduate Theses, Dissertations, and Problem Reports (ETD)

The present study assessed temporal control in LEW and F344 rats using a peak-interval procedure, in which fixed-interval (FI) trials were randomly presented with peak-interval (PI) trials, during which the interval was extended and no reinforcement was delivered. The peak time, or the average time at which response rates were the highest, was compared to the FI value as a measure of temporal control across three FI/PI conditions (10/30, 30/90, 60/180 seconds). There were no significant differences in temporal control as assessed by the PI procedure between LEW and F344 rats across three different conditions as well as following acute …


"It's Not Just Your Dad And It's Not Just Your Coach..." The Dual-Role Relationship In Female Tennis Players, Olivier N. Schmid Jan 2014

"It's Not Just Your Dad And It's Not Just Your Coach..." The Dual-Role Relationship In Female Tennis Players, Olivier N. Schmid

Graduate Theses, Dissertations, and Problem Reports (ETD)

Parents and coaches were encouraged to keep their roles separate in order to promote optimal youth sport participation and avoid excessive and pressuring involvement (Gould, et al., 2008; Wolfenden & Hoyt, 2005). Despite these recommendations, the phenomenon of parents volunteering to coach their own children has dramatically increased (Brown, 1998). Managing the blurred boundaries of these coaching dual-role relationships throughout the athlete's development is a delicate endeavor and remains unexplored in individual sports (Jowett, 2008; Weiss & Fretwell, 2005). Tennis has been identified as an ideal context to examine the dynamics of parenting and coaching relationships and is notorious for …


The Utilization Of Adventure Based Programming To Foster Posttraumatic Growth Within A Veteran Population: A Mixed Methods Study, Joseph A. Wassif Jan 2014

The Utilization Of Adventure Based Programming To Foster Posttraumatic Growth Within A Veteran Population: A Mixed Methods Study, Joseph A. Wassif

Graduate Theses, Dissertations, and Problem Reports (ETD)

There is a lack of research exploring interventions that promote posttraumatic growth with veterans. The current project represents a first attempt to explore posttraumatic growth among veterans who participate in a strength-based program specifically designed for the healthy reintegration and socialization of returning members of the armed services. Through the use of a mixed methods approach, I hoped to show that veterans would report increases in posttraumatic growth following participation in an Outward Bound Veterans Program. Veterans that completed the program were compared to a waitlist control, which consisted of other military personnel that had signed up for, but had …


Cultural Identity, Vocational Development, And The Meaning Of Work Among Appalachian Coal Miners: A Qualitative Study, Susan Chamberlain Jan 2014

Cultural Identity, Vocational Development, And The Meaning Of Work Among Appalachian Coal Miners: A Qualitative Study, Susan Chamberlain

Graduate Theses, Dissertations, and Problem Reports (ETD)

In this study I explore what coal mining means to underground miners in Appalachia, and how these meanings interact with participants' cultural and vocational identities. Using narrative data from eight underground coal miners, the study investigates the connections between cultural values, career, and personality. These connections are singularly intertwined in Appalachia, where economic and social landscapes have been heavily influenced by coal mining for over a century. The resulting relationships have blurred the lines of identity among career, family, and community. This qualitative study is based on data from semi-structured interviews; participant language was analyzed using grounded theory to create …


Raising Soviets On Imported Goods. Socialist Realism In Estonian Secondary Education, Helen Saask Jan 2014

Raising Soviets On Imported Goods. Socialist Realism In Estonian Secondary Education, Helen Saask

Graduate Theses, Dissertations, and Problem Reports (ETD)

This thesis examines how the political leadership of the Soviet Union tried to cultivate its desired values and principles among the people of the Estonian Soviet Socialist Republic. It illuminates one aspect of all the ideologically charged activities, and looks at Soviet Estonian schools through the lens of compulsory reading --- how were socialist realist cultural goods used to promote Sovietization in Estonian secondary schools? Moreover, the study tries to evaluate to what degree the propagandistic intention was realized in literature lessons. Emphasis lies on exploring traces of the so-called 'double-thinking,' the notion that Estonians had the tendency to separate …


Effects Of Paired Housing And Acute D-Amphetamine On Delay Discounting In Lewis And Fischer 344 Rats, Marissa Turturici Jan 2014

Effects Of Paired Housing And Acute D-Amphetamine On Delay Discounting In Lewis And Fischer 344 Rats, Marissa Turturici

Graduate Theses, Dissertations, and Problem Reports (ETD)

Lewis (LEW) and Fischer 344 (F344) rats are two genetically different strains that differ in impulsive choices made in a delay-discounting task. An operational definition of impulsive choice is a choice of a smaller-sooner reinforcer over a larger-later reinforcer. Research using LEW and F344 rats has housed rats singly. Studies have shown that paired housing influences impulsive choice, but it is not known if paired housing affects impulsive choice in the LEW and F344 strains specifically. The present study compared impulsive choice in pair-housed LEW and F344 rats to archival data from singly housed LEW and F344 rats. Impulsive choices …


Predicting Opioid Prescribing Behaviors: Influence Of An Expert Opioid-Risk Evaluation, Alison M. Vargovich Jan 2014

Predicting Opioid Prescribing Behaviors: Influence Of An Expert Opioid-Risk Evaluation, Alison M. Vargovich

Graduate Theses, Dissertations, and Problem Reports (ETD)

Opioid analgesics have been shown to be effective for short-term pain reduction; however, chronic opioid therapy does not improve functioning, and may lead to problems with dependence and abuse. Physicians report having difficulty discerning substance abuse or drug diversion, which can lead to over- or under- prescribing, poor pain management, and may contribute to the growing number of opioid-related overdose deaths. The primary aim of this study was to determine if a psychological opioid risk evaluation influenced opioid prescribing in physicians at the West Virginia University (WVU) Family Medicine Clinic. For this retrospective study, participants were 151 (89 female) adult …