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Articles 1441 - 1470 of 2202
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Relationship Between Key Variables In Penile Plethysmograph And Viewing Time Measures Of Sexual Arousal In Sex Offending Adult Males, Lisa Loewinger Cloyd
Relationship Between Key Variables In Penile Plethysmograph And Viewing Time Measures Of Sexual Arousal In Sex Offending Adult Males, Lisa Loewinger Cloyd
Open Access Dissertations
Penile plethysmography is amongst the best measures for prediction of sexual recidivism and has been extensively researched. However, there are a variety of criticisms regarding use of penile plethysmography (PPG), including financial investment, significant training needs, lack of standardization, intrusive nature of the measure, extensive time for testing, and inability to use PPG with all groups of sexual offenders (e.g., women and adolescents). Viewing time has been studied, though not as extensively as PPG, regarding detection of sexual interest. This study examined the relationship between Monarch 21 PPG and Affinity viewing time variables, including responses to individual stimuli, a sex …
Marijuana Use Among Clinic-Referred Hispanic American Adolescents With Substance Use Disorders: Gender Differences In Predictors Of Growth Trajectory Parameters, Karen Jill Kaczynski
Marijuana Use Among Clinic-Referred Hispanic American Adolescents With Substance Use Disorders: Gender Differences In Predictors Of Growth Trajectory Parameters, Karen Jill Kaczynski
Open Access Dissertations
This study was undertaken to evaluate gender differences in predictors of substance use in clinic-referred, Hispanic American adolescents with substance use disorders. Individual (disruptive behavior disorders, depression) and family variables (family conflict, parental monitoring) were evaluated as predictors of the initial level and change over time in marijuana use, and gender was evaluated as a moderator of the associations. The study involved an analysis of an existing dataset of 113 Hispanic American adolescents (93 boys; age 12 to 17) referred for outpatient treatment for substance abuse and their parental guardian. Participants and parental guardians completed questionnaires and a structured interview …
Acute Myocardial Infarction: A Descriptive Study Of The Experience, Nancy Diane Blasdell
Acute Myocardial Infarction: A Descriptive Study Of The Experience, Nancy Diane Blasdell
Open Access Dissertations
The life threatening nature of an acute myocardial infarction has been well established and well known among health professionals and the general public for at least 40 years. In 2007, it is estimated that 700,000 Americans will suffer an acute myocardial infarction (2007 American Heart Association Heart Disease and Stroke Statistics Update). Although there is a considerable amount of literature on the acute myocardial infarction (AMI), the primary focus has been on the medical treatment and nursing care and a far less extent on the patient experience as seen from the perspective of the patient. Recently, there has been an …
Roles And Strategies Of Nurses Facilitating Diabetes Support Groups: An Exploratory Study, Joanne Fawcett Costello
Roles And Strategies Of Nurses Facilitating Diabetes Support Groups: An Exploratory Study, Joanne Fawcett Costello
Open Access Dissertations
Diabetes is a pervasive health problem with potentially devastating but preventable consequences. Although technological advances and new treatments have resulted in great optimism for controlling the disease, research indicates that the challenges of diabetes self-management are overwhelming for many. One creative intervention which has beginning empirical support and which seems to be helping many living with diabetes to sustain management of the disease and quality of life is diabetes support groups. Nurse diabetes educators have been frequent facilitators in these groups, yet little is known about how these nurses perceive their role and the strategies they use as well as …
Psychologists' Approaches To Evaluating Client Progress In Psychotherapy Practice, Nancy Hancock Brand
Psychologists' Approaches To Evaluating Client Progress In Psychotherapy Practice, Nancy Hancock Brand
Open Access Dissertations
Evidence-based mental health practice has emerged as a major priority in the search for cost-effective mental health treatments. The evaluation of client outcomes in psychotherapy practice represents an important but understudied component of evidenced-based mental health practice. Despite the growing research demonstrating that client outcomes tend to be enhanced when clinicians receive feedback on outcome measures, the utilization rates of empirically-derived outcome assessment methods among master and doctoral level clinicians remain quite low. While the literature shows that social workers evaluate client outcomes using subjective/intuitive approaches to a much greater extent than quantitative methods, less is known about the approaches …
Living With Traumatic Spinal Cord Injury, Susan M. Hunter
Living With Traumatic Spinal Cord Injury, Susan M. Hunter
Open Access Dissertations
The lengthening life span of individuals with a spinal cord injury (SCI) underscores the importance for expanding the focus of care to include living with a SCI in the community. In the literature, life for this individual has been characterized as an enduring process, including changes in views of self, disability, and life values. A major component of successful living has been seen as achieving a positive feeling of subjective well-being. However, the majority of research to date has been from only the perspective of the health care professional. The aim of this study was to better understand this experience …
Longitudinal Methods For Randomized Clinical Trials In Health Behavior Change Research, Bettina B. Hoeppner
Longitudinal Methods For Randomized Clinical Trials In Health Behavior Change Research, Bettina B. Hoeppner
Open Access Dissertations
This dissertation compares different methods for the analysis of longitudinal data obtained from randomized controlled trials (RCTs) in a series of three papers that share the characteristic of combining applied analyses based on empirical examples of health behavior change interventions with a simulation study. In study 1, traditionally used methods for the analysis of RCT data are compared to modern computer intensive methods in respect to a standard 2x3 (group*time) design. Empirical analyses of two independent samples of three health behaviors (smoking cessation, dietary intake, and sun protection) showed that the commonly assumed compound symmetrical (CS) pattern provided inadequate fit. …
Examining The Effectiveness Of A School-Based Mental Health Center's Services, Sally A. Mitchell
Examining The Effectiveness Of A School-Based Mental Health Center's Services, Sally A. Mitchell
Open Access Dissertations
Untreated mental health problems among our youth result in outcomes, including suicide, homicide, substance abuse, low grades, poor attendance, and dropping out of school (Pfeiffer & Reddy, 1998; Pumariega & Vance, 1999). SBMHC's, a Systems of Care framework, can address the limited accessibility and availability to proper mental health care for children (U.S. DHHS, 1999; Gruttadaro, 2002; Flaherty & Weist, 1999). The ecological model acknowledges the interactions between the person and systems. It is sensitive to how multiple influences (environmental, biological, psychological, social) may impact youth. Despite their increase, the research on the effectiveness of SBMHC's is limited. This study …
Modernism's Nervous Genre: The Diaries Of Woolf, James, And Sassoon, Kimberly A. Sims
Modernism's Nervous Genre: The Diaries Of Woolf, James, And Sassoon, Kimberly A. Sims
Open Access Dissertations
"Modernism's Nervous Genre: The Diaries of Woolf, James, and Sassoon" works to establish the modernist diary-as-genre within the ever-elusive concept of "nerves," which exceeded various interpretations and translations in the late nineteenth and early twentieth centuries. The body was conceived in modernist medical and social discourses as "machine," as "motor," as the site of energy and fatigue, and as apt to break down. This juncture of breaking down serves as the critical and theoretical link between the diaries of Virginia Woolf, Alice James, and Siegfried Sassoon. All three diarists suffered from nervous disorders, and each worked to self-fashion in their …
Frequent Use Of Psychiatric Emergency Services: A Multilevel Approach, Andrew William White
Frequent Use Of Psychiatric Emergency Services: A Multilevel Approach, Andrew William White
Open Access Dissertations
There is limited information available regarding individuals who make frequent use of psychiatric emergency services. In particular, there is little agreement in the research literature around individual predictors of frequent use, and no existing literature on neighborhood level characteristics that influences frequent use. The current study combines individual level data from an urban psychiatric emergency room with census tract data to examine group and individual predictors of frequent use. Results suggest the presence of several individual level risk factors, such as the existence of a psychotic disorder, presence of dual diagnosis, and lack of health insurance. Tract level predictors are …
Exploration Of Nurse Practitioner Practice With Clients Who Are Grieving, Patricia A. White
Exploration Of Nurse Practitioner Practice With Clients Who Are Grieving, Patricia A. White
Open Access Dissertations
It is estimated that, in this country, over 2.5 million people die each year with an average of five individuals who are left grieving. Nurse practitioners (NPs) have provided care to clients in primary care settings for over forty years. Although NP practice standards have identified grief as a health concern that needs to be addressed, little is known about the practice of nurse practitioners with this population. The aim of this study was to better understand how nurse practitioners assessed, developed a plan of care, and evaluated health care outcomes of their clients who were grieving. An inductive, descriptive, …
An Examination Of Risk And Resiliency Factors In Predicting Recidivism Rates Among Incarcerated Women, Dawn M. Salgado
An Examination Of Risk And Resiliency Factors In Predicting Recidivism Rates Among Incarcerated Women, Dawn M. Salgado
Open Access Dissertations
Despite evidence suggesting that the numbers of women in correctional institutions is increasing (U.S. Department of Justice, 1999) and that over 2/3 of women released from prison will return (U.S. Department of Justice, 2002), few studies have examined the influence of various risk and resiliency factors in predicting recidivism rates among incarcerated women. Data for the current study were collected from 234 incarcerated women serving in a northeastern state correctional facility between 1997 and 1999 as part of a larger project examining the discharge planning process (see Quina, 2001). Descriptive statistics derived from the initial item analysis and scale development, …
Stability, Structure, And Effects Of Perinatal Morbidity On Temperament From Infancy To Adolescence, Robin June Miller
Stability, Structure, And Effects Of Perinatal Morbidity On Temperament From Infancy To Adolescence, Robin June Miller
Open Access Dissertations
There is a considerable amount of theoretical and empirical research on child temperament; yet there is little consensus on the theoretical perspective, definition, or measurement. In addition, the empirical research has been limited by a small age span and a focus on one temperament dimension. The theoretical framework of this study was the transactional model which views the development of a child as a product of the complex interplay between the continuous, dynamic influences of the child's biological heritage and his/her life experience provided by family and social contexts. This longitudinal, descriptive, correlational research study examined the stability, structure, and …
Religiosity, Health, And Well-Being Among Middle Eastern/ Arab Muslims And Christians In The Usa: A Study Of Positive Emotion As A Mediator, Lotus Makram Meshreki
Religiosity, Health, And Well-Being Among Middle Eastern/ Arab Muslims And Christians In The Usa: A Study Of Positive Emotion As A Mediator, Lotus Makram Meshreki
Open Access Dissertations
This study examined the relationship between different dimensions of religiosity and mental health and well-being, and the mediating role of positive emotion in a sample of 181 Middle Eastern/ Arab Christians and Muslims in the U.S. Results showed a positive relationship between intrinsic religiosity and positive mental health and well-being that was mediated by positive emotion. Intrinsic religiosity had a stronger relationship to positive emotion than did extrinsic religiosity. Positive emotion in tum was related to better mental health and well-being.
Representational Status Of Minority Students In Special Education In The State Of Rhode Island, Megan O'Reilly Foran
Representational Status Of Minority Students In Special Education In The State Of Rhode Island, Megan O'Reilly Foran
Open Access Dissertations
The issue of overrepresentation of certain ethnic groups in special education has been a documented problem for decades. Several variables are hypothesized to be related to the overrepresentation of minority groups in special education including economic, demographic, and academic variables, as well as biases in the special education referral and placement process. The purpose of this investigation was to analyze characteristics of minority and non-minority children in special education in the state of Rhode Island to determine if there was a disproportionality problem in special education. Specifically, the study examined if there was a disproportionate representation of students of specific …
Analyses Of Parent And Teacher Responses On The Stress Survey Schedule For Children With Autism Spectrum Disorders, Lisa A. Femia
Analyses Of Parent And Teacher Responses On The Stress Survey Schedule For Children With Autism Spectrum Disorders, Lisa A. Femia
Open Access Dissertations
To date, the Stress Survey Schedule (SSS) is the only survey that comprises items that are highly relevant to problems often experienced by people with Autism Spectrum Disorders (ASDs). Information regarding the validity of this instrument, however, is limited. The current study collected information from parents and teachers of children between the ages of 3-18 with a primary diagnosis of ASD from multiple sites using the SSS. Convergent and divergent validity estimates were examined using Pearson product-moment correlations coefficients framed in a multi-trait--multi-method matrix. In addition, reference samples were developed for teacher and parent ratings, providing means and standard deviations …
Incremental Validity: Impact On Decision Making In Schools, Daniel Kretchman
Incremental Validity: Impact On Decision Making In Schools, Daniel Kretchman
Open Access Dissertations
Although psychologists often believe that all assessment information collected on a client should be integrated to reach a conclusion, statistical analyses and empirical evidence show that this may not be the optimal procedure for ensuring diagnostic decision-making accuracy. As a result, we are left with the question: How should psychologists determine the optimal combination of variables, or the single variable, to use in diagnosis or prediction? Proper assessment of incremental validity addresses these issues by allowing one to identify the most valid combination of assessment information beyond which either additional variables do not add information in a clinically significant way, …
An Examination Of The Effectiveness Of Community-Based Participatory Research Projects In Producing Intended Health Outcomes, John Won Lee
An Examination Of The Effectiveness Of Community-Based Participatory Research Projects In Producing Intended Health Outcomes, John Won Lee
Open Access Dissertations
Although community-based participatory research (CBPR) projects continue to grow in popularity, their effectiveness in producing positive health outcomes is not well understood. Through the examination of the outcome data of such projects, the current study sought to (i) answer the research question, "what is the evidence that CBPR projects can generate intended health outcomes?" (ii) identify and assess attributes of CBPR initiatives which may be related to the production of positive health outcomes, and (iii) test the research hypothesis: the level of community participation in defining the research question combined with the level community participation in decision making positively predicts …
Speech And Power Negotiations In Industrial Novels From 1849 To 1866, John Condon Murray
Speech And Power Negotiations In Industrial Novels From 1849 To 1866, John Condon Murray
Open Access Dissertations
This study employs Charlotte Brontë's Shirley (1849), Charles Dickens's Hard Times (1854), and George Eliot's Felix Holt (1866) to evidence how the growth of capitalist production and the development of new technologies of industry within the early- to mid-Victorian periods inspired the prioritization of the printed word over oratory and speech as a means for fulfilling the linguistic power exchanges found common in spoken discourse. Inventions such as Friedrich Gottlob Koenig and Andreas Friedrich Bauer's high-speed printing press enabled mass production and low-cost readership among the working class, who experienced literacy on multiple levels: to educate themselves, to experience leisure …
Personal Energy Management Styles And Their Influence On Work Performance, Catherine L. Pastille
Personal Energy Management Styles And Their Influence On Work Performance, Catherine L. Pastille
Open Access Dissertations
Expectations for work performance have extended beyond the traditional confines of the work place and beyond a forty-hour work week as communication technologies have made work possible any time and anywhere. At the same time as expectations for work performance are increasing, the energy workers need to perform their work is remaining relatively fixed in the short-term. This study explored the question of how workers manage their personal energy. It was proposed that employees stay energized for their work by developing energy management styles (EMS) which are relatively stable patterns of behavior through which they manage their personal energy relative …
The Cross-Generational Influence Of Parental Authority And Acculturation On Parenting Of Cape Verdean Immigrants, Silas Otniel Rodrigues Pinto
The Cross-Generational Influence Of Parental Authority And Acculturation On Parenting Of Cape Verdean Immigrants, Silas Otniel Rodrigues Pinto
Open Access Dissertations
To what extent do children's experiences with different parenting styles and cultural circumstances influence their ultimate parenting practices and attitudes? Across differing cultures, there is a mutual agreement that parents are the most influential means of transmitting values, principles and behaviors to their children. The nurturing, supportive style of parenting has been associated with positive outcomes in children. However, parenting styles and the degree of imposed parental authority may vary and can be influenced by cultural, social, and economic circumstances. In addition, parents of ethnically different backgrounds in the United States may have to modify their values and practices pending …
Using Spelling Performance To Study Literacy Acquisition In English For Spanish-Speaking Students In The Seventh Grade, Ivy E. Rollins
Using Spelling Performance To Study Literacy Acquisition In English For Spanish-Speaking Students In The Seventh Grade, Ivy E. Rollins
Open Access Dissertations
The U.S. educational system is undergoing dramatic increases in the rates of English Language Learners (ELLS), particularly those who speak Spanish as their first language (Kindler, 2002). The rising enrollment of ELL children highlights the importance of determining how to best meet the instructional needs of these students. One of the central issues pertains to whether literacy instruction should occur in Spanish or English. The prevailing recommendation is that Spanish-speaking ELL students first should learn to read in Spanish and subsequently learn to read in English. The purpose of the current study was to examine spelling development when this approach …
Disordered Eating Behaviors Among Collegiate Athletes, Stephanie Milbradt Marchand
Disordered Eating Behaviors Among Collegiate Athletes, Stephanie Milbradt Marchand
Open Access Dissertations
The purpose of this study was to examine the rates of disordered eating behaviors among collegiate athletes at a Division I university and to evaluate environmental factors that influence these behaviors. The study also examined whether athletes with more disordered eating behaviors assess and respond to environmental factors differently than athletes with fewer disordered eating behaviors. The student-athletes completed an Athlete's Questionnaire; the Body Dissatisfaction, Drive for Thinness, and Bulimia subscales of the Eating Disorder Inventory-2; and the Eating Attitude Test-26. Coaches and athletic trainers completed either a Coach's or Athletic Trainer's Questionnaire. Focus groups with athletes, coaches, and athletic …
Stage Profiles And Predictors Of Exercise In A Multiple Risk Sample, Gabriela Dye
Stage Profiles And Predictors Of Exercise In A Multiple Risk Sample, Gabriela Dye
Open Access Dissertations
Cluster and Latent class analyses were used to examine within Stage profiles of individuals at-risk for three behaviors based on their perceived Pros, Cons, and Self-efficacy. In addition, Structural equation and Latent variable modeling were used to examine the predictors of 12 months exercise participation. The results of Cluster and Latent class analyses did not replicate the results of previous studies, which delineated at least four distinct profiles within the Stages. Only two to three profiles emerged within each Stage as well as within the full dataset. Most two-cluster/class, and three-cluster/class solutions consisted of at least one cluster with extremely …
Latino Clients' Perspectives On Mental Health Services Provided At A Local Community Health Center, Natalie K. Bellman
Latino Clients' Perspectives On Mental Health Services Provided At A Local Community Health Center, Natalie K. Bellman
Open Access Dissertations
The aim of this study was to investigate the perspectives of Latino clients at a community health center regarding various aspects of the mental health services they were receiving. The sharing of the perspectives of these individuals allows their collective voice to be heard in order to provide justification for the necessary systemic changes to occur so that they can have access to the mental health services that best meet their needs. A qualitative, phenomenological research design utilizing an interview guide was used to allow the researcher the opportunity to hear first-hand from individuals about their own perspectives, and allow …
Examining The Psychological Correlates Of Binge Eating Disorder Symptomatology In A Morbidly Obese Presurgical Sample, Caren Leigh Francione
Examining The Psychological Correlates Of Binge Eating Disorder Symptomatology In A Morbidly Obese Presurgical Sample, Caren Leigh Francione
Open Access Dissertations
Bariatric surgery is considered the most effective weight loss intervention for morbidly obese individuals. A successful outcome is largely dependent on a patient's ability to make and maintain the necessary postoperative lifestyle adjustments. Early studies have suggested that the presence of certain psychiatric disorders have the potential to interfere with patients' ability to make these adjustments. To date, little is known about the actual prevalence of psychiatric disorders and their associated features in bariatric presurgical patients. The current study has four main aims. Aim 1 examined the lifetime and current prevalence of Axis I and II psychiatric disorders with an …
Parental Involvement As Predictor Of 9 Th Grade Latino Students' Intention To Complete High School Mediated By Student School Beliefs After A One Year Follow-Up, Jasmine A. Mena
Open Access Dissertations
Latinos, currently the largest ethnic minority group in the U.S. comprising 12.5% of the population, less likely to graduate from high school than Asians, Whites, and African Americans. Due to the grave implications of low education for economic and social opportunities, an investigation of the variables related to intent to graduate among Latino youth was conducted. The focus of this study was to increase our understanding of the role parents play in students' formation of their intentions to complete high school. A survey was conducted with 137 Latino high school students in 2004. The survey involved questions about their perceptions …
Personal Motivation, Body Image, Health Behavior And Stage Of Exercising, Erica Rose Checko
Personal Motivation, Body Image, Health Behavior And Stage Of Exercising, Erica Rose Checko
Open Access Dissertations
Despite the well-documented links between regular physical activity and health in both the mental and physical domains, facilitation of exercise adherence is a major practical issue in health promotion. In today's society, many people are either sedentary or too infrequently active to accrue health benefits. Previous research suggests that intrinsic motivation plays a particularly salient role in the exercise behavior process and may be implicated in long-term maintenance. The primary goal of this study is to identify the motivational factors that contribute to regular exercise. A major focus will be on the potential relationship of motivational factors and body image …
Public Writing Inside And Outside The Classroom: A Comparative Analysis Of Activist Rhetorics, Eileen Medeiros
Public Writing Inside And Outside The Classroom: A Comparative Analysis Of Activist Rhetorics, Eileen Medeiros
Open Access Dissertations
Public writing, or writing in the public sphere, is being heralded as the next step in composition studies. Embedded in public writing is the assumption that it fosters civic engagement and effects social change, the same assumptions that were made about service-learning in the 1990's--assumptions that have turned out to be incorrect, actually. This study is an investigation of those assumptions. Using a comparative methodology, this study examines the types of writing that students are producing in five different public writing classes located around the country and juxtaposes that writing with the writing produced by members of five national activist …
An Examination Of Familial Alcoholism And Attitudes Toward Alcohol Interventions Among College Students, Christy Capone
An Examination Of Familial Alcoholism And Attitudes Toward Alcohol Interventions Among College Students, Christy Capone
Open Access Dissertations
This study examined the prevalence of family history of alcoholism (FHA) and its effects on alcohol use and problems in a sample (N = 408) of college students. In addition, students' goals regarding their drinking and attitudes toward various intervention approaches, including pharmacotherapy, were investigated. Using a multilevel FHA measure, an overall prevalence rate of 65.9% and a rate of 29.1% for FHA in both first and second-degree relatives were observed. Structural equation modeling (SEM) was used to investigate relations between gender, FHA and alcohol use and problems. Results indicated a significant positive association between FHA and alcohol-related problems and …