Digital Commons Network^™

Examining Professional Self-Doubt And Professional Quality Of Life Among Licensed Professional Counselors In Texas, Celia A. Ramos

Theses and Dissertations

Licensed Professional Counselors (LPCs) in Texas frequently navigate emotionally demanding work, including high caseloads, complex client needs, and sustained exposure to client distress. Over time, these professional demands can contribute to stress, emotional fatigue, and job strain, increasing vulnerability to burnout and reducing professional quality of life (Bardhoshi & Um, 2021; Maor & Hemi, 2021; McCarthy et al., 2010; Thompson et al., 2014). This quantitative research study examined the professional quality of life of LPCs in Texas using the Professional Quality of Life Scale (ProQOL) based on gender, ethnicity, age, licensure type, years of experience, does work setting induce compassion …

Instructional Systems Design In Lesson Planning For Substance Use Treatment Groups: A Mixed Methods Exploratory Study, Michelle Robin Gould

Theses and Dissertations

This study explored lesson planning for substance use disorder (SUD) treatment groups, investigating the presence of components from the ADDIE (Analysis, Design, Development, Implementation, Evaluation) instructional systems design (ISD) process in routine facilitator lesson planning practices. Using an exploratory mixed-methods convergent parallel design, data were collected via an online survey featuring closed- and open-ended questions regarding self-reported planning activities and perceived effectiveness. Quantitative analysis confirmed that SUD facilitators perform tasks associated with all five ADDIE phases. Qualitative findings showed that facilitators perceive themselves as effective planners despite logistical and organizational constraints. However, facilitators do not appear to conceptually link instructional …

Hispanic Academic Leadership In The Health And Human Services, Gabriela Elizabeth Rangel

Theses and Dissertations

In the United States, there are 63.7 million Hispanics (U.S. Census Bureau, 2023), making them the largest racial or ethnic minority in the country. National data from 2019 indicates that only 6% of tenured faculty in the U.S. were Hispanic, highlighting a significant underrepresentation of leaders in academia (NCES, 2024). This study employed a phenomenological approach with purposeful sampling, utilizing semi-structured interviews with ten participants who had leadership experience in academia within Health and Human Services (H&HS). The interviews served to explore various aspects, such as what were their aspirations to become leaders, their perceptions of the characteristics and qualities …

Cyberbullying And Mental Health Issues Among University Students, Brandi N. Cruz

Theses and Dissertations

According to the CDC (2024), bullying can lead to social and emotional distress, self-harm, and death. Bullying can also increase the risk for depression, anxiety, and poor academic achievement. The increased use of social media and the rise in cyberbullying (CB) and related mental health concerns among emerging adults is highly disconcerting, especially given their propensity for mental health problems. The purpose of this study is to increase the understanding of young university students’ perceptions about CB victimization and whether CB affects their mental health. A cross-sectional research design was used to conduct the study. In this study the number …

Job Satisfaction And Vocational Services In Persons With Acquired Brain Injury, Claudia Eliza Gonzalez

Theses and Dissertations

The incidence of acquired brain injuries continues to rise world-wide resulting in increased disability status and national costs related to these injuries (Ahonle et al., 2020; BIAA, 2024; CDC, 2003; CDC, 2015; CDC, 2023; Grigorovich, et al., 2017; Tyerman et al., 2017). Long-term health effects associated with acquired brain injuries have social and environmental impacts that influence the individual with the injury beyond acute treatment and rehabilitation (Ahonle et al., 2020; CDC, 2023; Frieden et al., 2015; Grigorovich, et al., 2017; Tyerman et al., 2017). This, in turn, affects employment as many individuals with brain injuries are unable to return …

Social Participation And Health-Related Quality Of Life For Adults With Neurodevelopmental Disabilities: Capabilities Mediation And Employment Status And Social Security Disability Insurance Moderation, Kayi Ntinda

Theses and Dissertations

Social participation is a key determinant of health-related quality of life (HRQoL) of adults with neurodevelopmental disabilities (NDDs), yet how individuals with NDDs engage socially to support their HRQoL remains poorly understood. Furthermore, the influences of personal capabilities, employment status, and Social Security Disability Insurance (SSDI) as social factors for well-being are underexplored with this population.

This cross-sectional study investigated the direct and indirect effects of social participation on HRQoL, examining capabilities as a mediator and employment status and SSDI receipt as moderators. The study sample comprised 304 adults with NDDs (females = 83.3%; age range 18 to 60 years …

The Impact Of Positive Psychology Use Upon Gls Outcomes For People With Chronic Pain Syndromes, Timothy Michael Curtis

Theses and Dissertations

The essence of being human is realized by our discovery of meaningful purpose throughout each important stage of our lives. If we perceive that we lack this meaningful purpose in our lives, it could become a distressful source of suffering to our sense of well-being emotionally, cognitively and perhaps, spiritually. A strong indicator of well-being comes from a good evaluation we ascertain as to how well we believe outcomes in our lives are consistent with our goals and values, which is also known as satisfaction with life. Research findings indicate that the more someone experiences repeated negative life events, the …

Breast Cancer Survivors’ Readiness-To-Work Perceptions: A Pilot Study, Joy Darlene Cain

Theses and Dissertations

This pilot study explored the perceptions of women who have been diagnosed with breast cancer and struggles they experienced when returning to work or maintaining employment. It sought to understand the impact of cancer treatment on work demands and how or if that impacted the survivor’s perception of her employment status. This study found significant differences in the RTW perceptions for women with breast cancer in the areas of marital status, physical effort, work strategies, and work-related help. The most significant difference were the differences between women with partners and women without partners. Surprisingly, women without partners, while they do …

Taking It To The Streets: A Comparative Case Study Of Urban Street Medicine Programs For The Unhoused Population, Dolly Dimple Harris

Theses and Dissertations

“Taking it to the Streets” originated from the 1960s social and political activism (Doohan & Mishori, 2019). The term reflects the 1990s movement when a Philadelphia physician decided that caring for the unhoused population was necessary and started street medicine. Street medicine is an alternative medical approach to formal healthcare intended to address unhoused individuals in their lived environment. In the street medicine model, healthcare providers offer medical support for the unhoused in alleyways, parks, under bridges, and encampments. The purpose of this comparative case study was to examine two street medicine programs’ administrative processes and how they provide healthcare …

Community Reintegration Of Previously Incarcerated Individuals From A Virtue Perspective, Cindy Noemi Hernandez

Theses and Dissertations

Community reintegration is one of the most important indicators that determine the success of previously incarcerated individuals’ rehabilitation. It is influenced by several factors such as support, attitudes, strengths, and virtues. One emerging area of study that can be related to community reintegration is virtue. The concept of virtue has received increasing attention in rehabilitation research, focused on how one’s virtuous pursuit of excellence improves well-being and adaptation (Kim et al., 2016). In that community reintegration is a type of life adjustment, virtue can be related to community reintegration. The present study examined community reintegration and perceived support of previously …

The Role Of Hope In Recovery From Sexual Assault For Hispanic Women, Esmeralda Rivera

Theses and Dissertations

Despite a growing amount of academic literature, there is a lack of research examining the levels of hope in Hispanic women recovering from sexual assault trauma. This quantitative survey investigates hope in Hispanic women healing from sexual assault trauma. The Miller Hope Scale (MHS) examines the variations and correlations between degrees of hope and demographic, personal, and self-advocacy factors. The research employs the Trauma Symptom Checklist—40 to investigate the correlation between levels of hope and trauma among women who have undergone sexual assault. Ninety-one Hispanic women from a crisis center in the U.S. were recruited for the study. Descriptive statistics, …

Emotion Regulation From A Virtue Perspective: Applications For Individuals With Adverse Childhood Experiences, Maria Eugenia Palomo

Theses and Dissertations

The purpose of this study is to explore the contributory effect of Virtues in differentiating one’s ability to regulate emotion. Convenience sampling will be utilized to obtain a total of 102 participants who had adverse childhood experiences. Participants will be recruited via collaboration with local behavioral counseling agencies. Two behavioral health counseling agencies located in Hidalgo County, including Corazon Consulting, Inc. and A Better Tomorrow, LLC, have agreed to be part of the present study. The research packets used in this study consisted of two parts: 1) a demographic information form, and 2) a research questionnaire that includes three instruments …

Sustainability Of Military Values Post Military Service: A Quantitative Study, Jennifer Ann Jazinski

Theses and Dissertations

Military-to-civilian transitioning represents a multidimensional process of adjustment, encompassing mental and physical health, basic physiological needs, practical (e.g., employment), and cultural domains. The intent of this study is to examine the sustainability of military values (e.g., duty, integrity, ethics, honor, courage, and loyalty) post-military service and to identify whether reported levels of sustained military values impact veterans’ reported level of Quality of Life (QoL). This study will assess the impacts demographic variables (e.g., gender, ethnicity, relationship status, age, number of children, highest level of education, student status, employment status, comfort with finances, living status, county of residence). and military service …

Wellness Interventions For College Students With Intellectual Or Developmental Disability: A Multi-Manuscript Dissertation, Madeline Bree Saunders

Theses and Dissertations

This multi-manuscript dissertation comprises two interconnected articles that collectively explore the experiences of college students with intellectual or developmental disabilities (IDD) engaging in wellness interventions within inclusive postsecondary education (IPSE) settings in the southeastern region of the United States. Wellness interventions within both manuscripts adhere to procedures outlined by the Wellness Counseling Intervention (WCI; Barrio Minton et al., n.d.) and group adaptation (WCI-G; Ohrt & Castle, n.d.). Manuscript 1 (Chapter 3) involves a mixed-method approach to understand the experiences six student participants, group members, engaging in the WCI-G across a total of 10-weeks. Manuscript 2 (Chapter 4) adheres to consensual …

Breaking Barriers: Factors Contributing To Successful Employment Outcomes For Black Males With Mental Health Diagnosis And Undergoing Vocational Rehabilitation, John C. Williams

Theses and Dissertations

Black males with mental health diagnoses face substantial barriers to gaining and maintaining employment. Tailored employment support services may help increase employment access, yet utilization remains low among this demographic area. The purpose of this quasi-experimental study is to explore the employment challenges for Black males with mental health diagnoses in the US. This quantitative study will utilize a data mining approach drawing from an ex post facto national rehabilitation services dataset. Archival data will be extracted from the Rehabilitation Service Administration 911 (RSA-911) database. Descriptive statistics will first profile the extracted sample of vocational rehabilitation clients on demographic variables. …

Psychosocial Impact Of Assistive Technology On Veterans With Disabilities In Higher Education, Maricela Rosales

Theses and Dissertations

The purpose of this dissertation study was to examine the psychosocial impact of assistive technology (AT) on veterans with disabilities in higher education. A current problem is that there is a research and knowledge gap in the AT needs of student veterans with disabilities living in South Texas, as well as in the psychosocial impact that AT for everyday life activities has on the quality of life of student veterans with disabilities who live with functional limitations. Descriptive and inferential statistics were used to examine the psychosocial impact variables with participants from higher education institutions via online and in-person surveys. …

Licensed Professional Counselors In Texas: The Role Of Stigma In Seeking Counseling Services, Raquel C. Vasquez

Theses and Dissertations

The literature on stigma has revealed this attribute as a deterrent to seeking mental health services. This study encompassed an investigation of the impact of self-stigma and public stigma on the intentions to seek mental health services of Texas Licensed Professional Counselors. A survey was sent via email, social media platforms associated with Licensed Professional Counselors, and snowball sampling to recruit participants. The participants (N = 99) completed self-report measures about self-stigma, public stigma, social desirability characteristics, and attitudes towards seeking mental health help. The results indicated that neither self-stigma nor public stigma was a deterrent to seeking mental health …

Measuring Evidence Application In Routine Mental Health Settings: Testing A Coding System And Providing A Proof Of Concept, Eleanor Wu

Theses and Dissertations

Over the past 25 years, there have been increasing calls to advance the application of evidence in routine mental health settings for youth and families. Methods in the field for characterizing evidence application have played a critical role in shaping these efforts, which, to-date, have largely focused on measuring providers’ adherence to practices from evidence-based programs in treatment sessions. While this program-centric paradigm for characterizing evidence application has supported the widespread implementation of evidence-based programs in public mental health settings, it is limited in scope and applicability for characterizing all the ways that evidence may be applied across a service …

A Descriptive Exploration Of Selected Employment Barriers And Supports For Individuals With Visual Impairments In Bangladesh, Mohammed Mozadded Hossen

Theses and Dissertations

Employment is crucial for individuals with disabilities, including those with visual impairments, as it facilitates financial independence, promotes social inclusion, enhances the quality of life, and enables the utilization of valuable job-related skills. However, some barriers obstruct opportunities for employment for individuals with visual impairments, which affect different areas of their lives. This dissertation investigated the employment barriers, supports, and outcomes for individuals with visual impairments in Bangladesh, with an aim to understanding the factors that impacted employment outcomes for individuals with visual impairment, including access to education and training, availability of employment supports …

Examining Time Spent On Social Media And Its Effects On Mental Health In Terms Of Body Image Concerns, Self Esteem And Overall Quality Of Life Among U.S. Adults, Rigel Macarena Pinon

Theses and Dissertations

Daily exposure and dependence on computer-based technologies (smartphones) allows for 24/7 constant access to social media (i.e., Facebook, Instagram, Twitter, YouTube, TikTok, and other sites) and has empirically shown to have a positive and negative impact on the mental health of individuals across cultures in our society. Depending on user intent, exposure, and interests, social media platforms can create a sense of community; however, some of the platforms and what users post about themselves has led to cyberbullying, low self-esteem, user addiction, suicide, self-harm behaviors such as eating disorders, sexual dysfunction, and other mental health issues such as depression and …

Life After Discharge: Predicting Longitudinal Trajectories Of Community Integration And Global Functioning In Black Individual With Traumatic Brain Injury, Chimdindu Ohayagha

Theses and Dissertations

The onset of traumatic brain injury (TBI) begins a chronic health pathway that contributes to various impairments and comorbidities across the lifespan. Common consequences of TBI include mental health issues, cognitive impairments, and reduced functional independence, all of which impact how an individual integrates into their community. Community integration is a primary goal for rehabilitation after TBI. Studies show that racially/ethnically minoritized individuals have a higher incidence of TBI, higher rates of mortality, and report poorer functional and community integration outcomes. Limited studies have explored longitudinal outcomes of community integration in a Black-only sample of individuals with TBI. Additionally, no …

The Impacts Of Caregiving And Social Support On Stress For Multiple Sclerosis: A Study On Informal Caregivers, Jacqueline Mercado

Theses and Dissertations

The purpose of the present quantitative study was to gain an increased understanding of the impacts of caregiving and social support on stress for unpaid informal caregivers of persons with Multiple Sclerosis. Caregiving for MS can be rewarding yet stressful. Informal caregivers are the primary source of ongoing home care for family members or friends with MS. Due to the complexity of care, caregivers are especially vulnerable to higher strain as they often feel unprepared for this role. This study examined perceived social support and demographic variables on caregivers' stress to gain insight into mediating caregiver psychosocial challenges. …

Postsecondary Students With Disabilities: Predictors Of Academic Performance/Gpa, Uzoamaka Barbara Okori

Theses and Dissertations

The determination of people with disabilities to enroll in postsecondary education did not remove the struggles and challenges of adjusting to the college environment despite the provisions of the legislation. Students with disabilities still had problems with degree completion, graduation rates, barriers caused primarily by their unwillingness to disclose their disabilities, and the support networks of these students. This study explores the relationship between the acceptance of disability, self-efficacy, support, and the academic performance/grade point average of postsecondary students with disabilities who receive disability accommodations through their institution’s disability service offices.

Although there has been an increase …

Student Perceptions Of The Effectiveness Of Collegiate Recovery Programs And Collegiate Recovery Communities, Michael Anthony Herold

Theses and Dissertations

Research on the objective effectiveness of Collegiate Recovery Programs and Collegiate Recovery Communities (CRPs / CRCs) has shown success in maintaining recovery and improving academic outcomes for college students in recovery, but research on the experiences of this population is starting to emerge. This study used a mixed-method design to investigate the perceptions of members of CRPs / CRCs regarding the impact of participation on their recovery from substance abuse and their overall quality of life. Thirty-one participants completed the Drug Avoidance Self-Efficacy Scale (DASES) and the Quality of Life Index – Generic Version iii (QLI). Paired samples t-tests were …

Examining Factors Among People With Opioid Use Disorder And Comorbid Mental Health Disorders, Tori Denae Livingston

Theses and Dissertations

Opioid use disorder (OUD) affects over two million Americans, and over 42,000 Americans perished of opioid overdoses in 2016 (Volkow et al., 2019). During the initial years of the opioid crisis, overdose deaths were primarily attributed to prescription analgesics, heroin, and synthetic opioids. However, it was illicit prescription opioid painkiller use that ranked highest in terms of fatalities (Volkow et al., 2019). The increasing prevalence of opioid use among individuals with mental health disorders is in stark contrast to the ongoing opioid crisis (Prince, 2019). Additionally, there is evidence that individuals undergoing substance use treatment and concurrently suffering from a …

Quality Of Life Among Caregivers Of Individuals With 22q11.2 Deletion Syndrome And Intellectual Disability, Sandra Garza Ochoa

Theses and Dissertations

Caregiving for a person with 22q11.2 chromosome deletion syndrome (22q) often entails dealing with medically life-threatening complications and is significantly compounded when the care recipient has comorbid 22q and intellectual disability (ID). The purpose of this study was to examine the effect of support, spirituality, and resiliency on the quality of life (QOL) of caregivers of individuals with comorbid 22q/ID to ascertain if these protective factors would reduce their caregiving burden. Study participants consisted of 469 caregivers of persons with 22q/ID who were recruited through 22q social advocacy groups. Correlational analyses, analyses of variance, and multiple regression analysis were used …

Attitudes And Compassion Of Student Counselors-In-Training Toward Individuals Who Are Homeless, Kristine R. Gonzalez

Theses and Dissertations

With the increased numbers of homeless individuals over the past several years, it is important to consider factors that contribute to chronic homelessness, including barriers to service delivery that impede one’s ability to exit homelessness. The purpose of this quantitative study was to examine the attitudes and compassion among student counselors-in-training (SCITs) toward individuals experiencing homelessness as these students represent future mental health providers who will be serving the homeless, a highly marginalized population. A total of 162 graduate students from two southwestern Hispanic-serving institutions were recruited for the study. A correlational analysis, independent t-tests, and one-way ANOVAs were conducted …

Examining The Relationship Between Multicultural Training And Cultural Humility Development In Cacrep-Accredited Counselor Education Programs, Sabrina Monique Johnson

Theses and Dissertations

To account for and adjust to the diversifying communities in the United States, CACREP, the ACA, and AMCD are making strides to increase counselor competence. Their efforts have involved incorporating standards that govern counselor training and practice to ensure counselors’ development of multicultural competence. In recent literature, researchers have proposed cultural humility development to further enhance the development of counselor cultural awareness and sensitivity, however there are minimal studies exploring the relationship between current multicultural training practices and the development of cultural humility characteristics of counselor trainees’ in CACREP-accredited counselor education programs. The current study has two primary aims: (1) …

The Contribution Of Self-Efficacy And Counselor Biases Effects On Clinical Reasoning In New Counselors, Ashley Faith Waddington

Theses and Dissertations

Clinical reasoning is widely used among several medical professionals and personnel to diagnose conditions to streamline the treatment process in an effective manner. Researchers have explored clinical reasoning in nursing literature and the medical profession, however, have not been explored in counselor education despite counselors being one of the largest groups of individuals diagnosing mental health conditions. The purpose of the present study was to investigate the correlation of self-efficacy and counselor biases influence on uncertainty with diagnosis in new counselors. The hypothesized directional relationship was explored in new counselors as the hypothesis suggests that higher levels of self-efficacy and …

Arab American Muslims’ Attitudes Toward Seeking Mental Health Services: The Roles Of Acculturation, Religion, And Cultural Beliefs, Tharwah Alzoubi

Theses and Dissertations

The purpose of this study was to identify the relationship between acculturation, religion, cultural beliefs, and attitudes toward seeking mental health services among Arab American Muslims. A total of 280 participants were surveyed for this study. Regression analysis was conducted to explore relationships among the variables; the alpha level was set at .05. The first research hypothesis was accepted as it showed statistical significance in the relationship between attitudes toward seeking mental health services and demographic variables. The standardized regression coefficients, or beta coefficients ranged from -.008 for gender to .24 for marital status, R=.31 (P<.05). Two variables were significant at the .05 level (marital status, and health insurance). The second hypothesis was also accepted as it showed relationship between attitudes toward mental health services and acculturation, religion and cultural beliefs; the standardized regression coefficients, or beta coefficients ranged from .05 for cultural beliefs to a -.25 for religion, R=.44 (P<.05). The variables of acculturation and religion were significant at the .01 level. Cultural beliefs were not significant at .05 level.