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2020

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Types And Causes Of Physiological Injury In Piano Playing, With Emphasis On Piano Pedagogy In China, Ruixi Niu Jan 2020

Types And Causes Of Physiological Injury In Piano Playing, With Emphasis On Piano Pedagogy In China, Ruixi Niu

Graduate Theses, Dissertations, and Problem Reports (ETD)

Among musicians who seek medical help for their injuries each year, half are pianists. Improper playing technique is a factor influencing the development of injury. This research project focuses on the types and causes of physiological injury in the process of piano playing and includes methods of avoiding such injuries.

The types of piano-related physiological injury and associated conditions that are discussed include tenosynovitis, focal dystonia, and muscle pain. Relevant literature and investigative data—and some legends—are compared and sorted. Chinese pedagogical views concerning piano technique are discussed, along with ongoing debates concerning injury prevention and the appropriate use of exercises …


The State And War On Poverty: British Welfare Development And Its Legacies For Malawi, 1930s-1983, Gift Wasambo Kayira Jan 2020

The State And War On Poverty: British Welfare Development And Its Legacies For Malawi, 1930s-1983, Gift Wasambo Kayira

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation documents the struggles and dilemmas that the Malawian state endured as it attempted to achieve its developmental goals from the 1930s to 1983. It contributes to histories of development by focusing on the interventions both the colonial and postcolonial states made to improve the living standards of African rural communities, the ideas which shaped state programs, and the behavior of the state which such interventions reveal. Scholars typically argue that state policy in Malawi was necessarily destructive and limited the economic progress of the local communities. The state deliberately pursued land, market, and other agricultural policies that constrained …


Root Coverage Predictability In The Treatment Of Gingival Recessions On Mandibular And Anterior Teeth, Michele Agusto Jan 2020

Root Coverage Predictability In The Treatment Of Gingival Recessions On Mandibular And Anterior Teeth, Michele Agusto

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction. Mandibular anterior teeth are most frequently affected by gingival recessions. However, data regarding mucogingival treatment aimed at root coverage in this specific location is limited.

Aim. To systematically review the literature addressing the focused question: “What is the effectiveness, efficacy and efficiency of different surgical approaches on clinical and patient-related outcomes in the treatment of buccal gingival recessions on mandibular anterior teeth?”

Material methods. Electronic (Medline, Scopus, and Cochrane databases) and hand literature searches were performed for studies including at least one arm involving the use of pedicle flaps and/or free soft tissue grafts in the …


State Regulatory Heterogeneity And Clean Water Act Compliance, Quinn R. Beeson Jan 2020

State Regulatory Heterogeneity And Clean Water Act Compliance, Quinn R. Beeson

Graduate Theses, Dissertations, and Problem Reports (ETD)

This research evaluates the impact of state regulations regarding Clean Water Act (CWA) compliance on wastewater and drinking water violations in the continental United States from 2007 to 2017. Using data collected from the Environmental Protection Agency (EPA), community characteristics and state regulations are analyzed for their effects on CWA compliance. We use count data analysis techniques and annual county-level data on CWA and Safe Drinking Water Act (SDWA) violations from wastewater and drinking water facilities in the United States. The results show that total violations are higher when an additional state CWA regulation is implemented. One year after a …


Microfinance In Latin America: Poverty Alleviation And The Impact Of Institutional Mimicry, Lindsay Jouben Jan 2020

Microfinance In Latin America: Poverty Alleviation And The Impact Of Institutional Mimicry, Lindsay Jouben

Graduate Theses, Dissertations, and Problem Reports (ETD)

Microfinance has become a program of choice in the international development community. The World Bank has promoted microfinance programs under the idea that poverty alleviation can be accomplished by mainly providing credit. [1] As such, these policies are often replicated throughout the developing world. This replication is done through international organizations adopting a standard of best practices for the microfinance field. Best practices consist of a complex set of standard by which all banks must adhere if they receive funding from the World Bank or International Monetary Fund. These best practices, following neoliberal economics, lay out how microfinance should operate …


Perceptions Of Asian American Representation In Entertainment Media, Lydia Susan Owens Jan 2020

Perceptions Of Asian American Representation In Entertainment Media, Lydia Susan Owens

Graduate Theses, Dissertations, and Problem Reports (ETD)

The rise of Asian American representation in entertainment media has brought new questions to the current perceptions of Asian Americans in American culture. Where whitewashing of roles or stereotypes of the Model Minority were once portrayed frequently in the past, there are now more diverse stories being shown. When representational images are being shown in entertainment media, there is need for a media literacy lens to critically analyze these images. With this rise in Asian American representation, what are current perceptions of Asian Americans in American culture and American entertainment media? What are current levels of media literacy? This study …


Allopurinol Alters The Expression Of Cytokines And Mediators Of Immune Cells In The Systemic 2 Tissue By Decreasing Plasma Urate., Lundrim S. Marku Jan 2020

Allopurinol Alters The Expression Of Cytokines And Mediators Of Immune Cells In The Systemic 2 Tissue By Decreasing Plasma Urate., Lundrim S. Marku

Graduate Theses, Dissertations, and Problem Reports (ETD)

Diminished levels of urate have been linked to oxidative stress in birds and mammals. Urate, a major antioxidant that lowers reactive oxygen/nitrogen species (ROS/RNS), is thought to ameliorate the effects. The relationship between reduced urate, the immune system and the pathogenesis of the intestine, the liver or the brain has not been well characterized in avians. Moreover, recent studies have proposed that an increased permeability in the intestine due to some insult can induce inflammation in peripheral organs such as the brain. Allopurinol, a relatively toxic purine analogue that serves as a xanthine oxidase inhibitor, reduces urate levels which can …


Cu-Based Electrocatalysts For Carbon Dioxide Conversion To Value-Added Chemicals, Qingyang Li Jan 2020

Cu-Based Electrocatalysts For Carbon Dioxide Conversion To Value-Added Chemicals, Qingyang Li

Graduate Theses, Dissertations, and Problem Reports (ETD)

Massive usage of fossil fuel has being causing considerable emission of CO2, which increases the temperature of the planet and greatly threaten human living environment, such as soil degradation, lower agricultural productivity, desertification, less biodiversity, fresh-water reduction, ocean acidification, ozone sphere destruction, etc. A number of technologies are being developed to reduce the CO2 amount, however, all existing technologies except utilizing CO2 as a feedstock, are hardly to essentially close the anthropogenic carbon loop. Currently, considering the economy and operability, electroreduction of CO2 seems to be the most promising strategy to convert CO2 to …


Mental Health Service Use In The Kingdom Of Saudi Arabia, Abdulaziz S. Alangari Jan 2020

Mental Health Service Use In The Kingdom Of Saudi Arabia, Abdulaziz S. Alangari

Graduate Theses, Dissertations, and Problem Reports (ETD)

Objectives: The goal of this project was to increase knowledge concerning the current prevalence, needs and barriers to mental health service use in the Kingdom of Saudi Arabia (KSA). It’s purpose was to gather data that would help to inform future policy decisions aimed at optimizing the use and availability of these services in the KSA. There were three specific aims: 1) Examine the barriers to initiation and continuation of mental health treatment in people with a disorder diagnosed during the previous 12-months. 2) Explore the prevalence and predictors of mental health treatment dropout. 3) Examine the prevalence and patterns …


Evaluation Of The Care And Communication Bundle To Improve Palliative Care In Intensive Care Units, Angela Susan Bohon Jan 2020

Evaluation Of The Care And Communication Bundle To Improve Palliative Care In Intensive Care Units, Angela Susan Bohon

Graduate Theses, Dissertations, and Problem Reports (ETD)

Review of local data and concerns from nursing staff revealed the need to improve palliative care in a local, community hospital Intensive Care Unit (ICU). This effort was mobilized by implementing the Care and Communication Bundle within evidence-based time frames, into this local, community ICU, using Lewin’s Change theory as a guide for implementation. The Care and Communication Bundle is a grouping of nine palliative, quality measures found to improve palliative care in the ICU. A pre/post-educational intervention evaluated if the implementation of the Care and Communication Bundle in the ICU improved palliative care by reviewing the documentation of the …


West Virginia Dentists' Perception Of The Knowledge And Skills Of Two Vs. Four Year Dental Hygiene Graduates, Kaitlyn M. Mcquain Jan 2020

West Virginia Dentists' Perception Of The Knowledge And Skills Of Two Vs. Four Year Dental Hygiene Graduates, Kaitlyn M. Mcquain

Graduate Theses, Dissertations, and Problem Reports (ETD)

The entry level for the dental hygiene profession has, historically been an associate degree. In 2016 the American Dental Hygiene Association (ADHA) approved the Bachelor’s Degree level of education as the preferred for entry level degree. This study is to determine practicing West Virginia dentists preference for the education level of their entry-level dental hygiene employees. There were 1020 surveys electronically distributed to practicing WV dentists to obtain their opinions and preferences. WVU Research Electronic Data Capture (REDCap) was used to determine response percentages and Chi-square statistics were used to compare 2017 to 2019 response rates. Between 2016-2017 and 2018-2019, …


Lived Experiences: Exploring The Impact Of Trauma On Educator Experiences And Classroom Practices, Danelle Ann Klaman Jan 2020

Lived Experiences: Exploring The Impact Of Trauma On Educator Experiences And Classroom Practices, Danelle Ann Klaman

Education

The purpose of this phenomenological study was to explore teachers’ experiences working with children impacted by adverse childhood experiences. As a dissertation in practice, this qualitative study was intended to examine the lived experiences of educators in regard to how trauma presents itself in the classroom setting and to explore their perceptions on the greater impact of trauma towards curricular outcomes, the classroom environment, and implications with regard to their role as educators. Data were collected from 12 interviews with six female middle school educators, employed within a school district that serves a medium sized community and the surrounding rural …


Comparing And Linking Organic Carbon And Iron In Soil And Headwater Stream In A Pasture And A Forest Catchment In A Central Appalachian Region, West Virginia, Lili Lei Jan 2020

Comparing And Linking Organic Carbon And Iron In Soil And Headwater Stream In A Pasture And A Forest Catchment In A Central Appalachian Region, West Virginia, Lili Lei

Graduate Theses, Dissertations, and Problem Reports (ETD)

Continued global warming and surface water brownification are two main environmental issues which have attracted attention and are related to soil organic carbon (SOC) cycling. Iron oxides differ in reducibility and thus have essential roles in regulating SOC preservation and remineralization in soil and transport of dissolved organic carbon (DOC) from soil to surface water. In the central Appalachian region, anthropogenic disturbances are increasing, which leads to major issues of soil degradation and depletion of SOC concentrations. Cropland and pasture soils are subject to intense disturbances compared to the forest soil, which may lead to differences in SOC fractions and …


Exploring The User Experiences Of A Bird Id Mobile App Among College Students In Western India, Jayvijay V. Raol Jan 2020

Exploring The User Experiences Of A Bird Id Mobile App Among College Students In Western India, Jayvijay V. Raol

Graduate Theses, Dissertations, and Problem Reports (ETD)

This study explores user experiences of a sample of college age young adults from western India, with a bird ID mobile app. Mobile apps provide an attractive and interactive access to information and their reach and versatility can often bypass challenges of poor infrastructure and lack of access to sources for information. Studies that examine the influence of mobile apps on users’ knowledge and awareness are still in their infancy. Mobile phones and mobile applications have become increasingly prevalent in the educational setting, not only as technology for instructional delivery, but also as a means of improving user experience when …


Comparison Of Skeletal And Dentoalveolar Changes Between Two Bone-Borne Maxillary Expanders, Mohamad Sarraj Jan 2020

Comparison Of Skeletal And Dentoalveolar Changes Between Two Bone-Borne Maxillary Expanders, Mohamad Sarraj

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Bone-borne maxillary expander (BBME) are designed to provide additional anchorage to widen the maxillary arch for patients who exhibit maxillary transverse deficiency. One form of BBME is the hybrid BBME which uses mini-implants (bone-borne) and posterior teeth (tooth-borne) as anchorage for maxillary expansion. The other form of BBME is absolute BBME which only uses mini-implants as anchorage. It is not clear in the literature if there is a difference in skeletal and dental changes with these two types of expanders. The objective of this study was to compare the skeletal, dentoalveolar, and periodontal changes between the hybrid and the …


Advancing Quantitative Understanding Of Escherichia Coli Concentrations In A Contemporary Mixed Land-Use Watershed, In West Virginia, Usa, Fritz Petersen Jan 2020

Advancing Quantitative Understanding Of Escherichia Coli Concentrations In A Contemporary Mixed Land-Use Watershed, In West Virginia, Usa, Fritz Petersen

Graduate Theses, Dissertations, and Problem Reports (ETD)

A scarcity of field-based research investigating the relationships between E. coli (fecal matter) concentration, suspended particulate matter (SPM; including size distribution), physicochemical parameters (water temperature, pH, SPC, DO, chloride) and land use practices and the importance of these relationships, particularly for human health, policy makers, and water resource managers, provided the impetus for this research. A 22-site, nested-scale, experimental watershed study design was implemented to investigate E. coli concentrations and the aforementioned relationships in a contemporary mixed land use watershed in the Appalachian region of the eastern United States. Results from a reduced (n=4 sites) study showed SPM in the …


Internalization Of Sociocultural Standards Of Beauty, Perception Of Career Barriers, Depression, And State Physical Appearance Anxiety Among College Women, Adrionia Molder Jan 2020

Internalization Of Sociocultural Standards Of Beauty, Perception Of Career Barriers, Depression, And State Physical Appearance Anxiety Among College Women, Adrionia Molder

Graduate Theses, Dissertations, and Problem Reports (ETD)

Women experience barriers that impede progress in a career and career goals, resulting in reduced career-related outcomes. Although gender discrimination has been identified as a contributing factor to the differential career development of men and women in the United States (U.S.), women’s career-related outcomes may be better explained by unaccounted for career barriers. Most notably, internalization of sociocultural standards of beauty, depression, and anxiety have been found to reduce women’s career-related outcomes. Therefore, the goal of this study was to explore career barriers that currently impact women’s career development in the U.S. Based on Social Cognitive Career Theory (Lent, Brown, …


Multimorbidity, Immune Checkpoint Inhibitor Use, And Healthcare Expenditures Among Older Patients With Late-Stage Melanoma, Pragya Rai Jan 2020

Multimorbidity, Immune Checkpoint Inhibitor Use, And Healthcare Expenditures Among Older Patients With Late-Stage Melanoma, Pragya Rai

Graduate Theses, Dissertations, and Problem Reports (ETD)

With decades of unchanged cancer care with no added survival benefit, immune checkpoint inhibitors (ICI) changed the treatment landscape of late-stage melanoma in 2011. A key factor in determining the use of ICIs is the presence of pre-existing chronic conditions, which can influence the outcome. However, the prevalence of multimorbidity (defined as presence of two or more chronic conditions) among older patients with late-stage melanoma remains unknown. It also remains unknown if the presence of multimorbidity factors into the use of ICIs. Hospital-related factors associated with ICI use have been studied. Yet, patient-level factors, such as age, sex, marital status, …


Potential Benefits From Practices In Construction Waste Material Controls, Abdulaziz Alwadhenani Jan 2020

Potential Benefits From Practices In Construction Waste Material Controls, Abdulaziz Alwadhenani

Graduate Theses, Dissertations, and Problem Reports (ETD)

Construction waste is generated from the various construction activities of building, maintaining, renovating, and demolishing infrastructure facilities. These materials include, but are not limited to, concrete, rubble, fiberglass, asphalt, bricks, wood, and scrap metals. In the last few decades, there has been a significant increase in the volume of construction and demolition (C&D) waste materials in the United States (U.S.). Between 1990 and 2017, the total increase in debris generation has surpassed 320%. According to U.S. solid waste management statistics, more than 50% of C&D waste has been and continues to be transported to landfills. The disposal of C&D waste …


Role Centrality And Shared Activities With Grandchildren: Effects On Grandparent Wellbeing, Madeline Marie Marello Jan 2020

Role Centrality And Shared Activities With Grandchildren: Effects On Grandparent Wellbeing, Madeline Marie Marello

Graduate Theses, Dissertations, and Problem Reports (ETD)

Research shows that physical and mental health are closely linked (Ohrnberger, Fichera, & Sutton, 2017). Further, social role theory states that holding and enacting valued roles, such as grandparenting, can buffer the negative effects of health on depression (Reitzes & Mutran, 2004). Using data from 247 grandparents (Mean age = 66.5; range 42 to 90 years; 46.2% grandfathers), we examined whether grandparent role centrality and engagement with grandchildren altered the effects of physical health on depression. We then explored model differences between 164 custodial and 83 traditional grandparents. We found that for all grandparents the model was of sufficient fit: …


A Qualitative Case Study Research Investigation Of Youth Outcomes During An Appalachian Water-Quality Citizen Science Program, Jessica Kaplan Jan 2020

A Qualitative Case Study Research Investigation Of Youth Outcomes During An Appalachian Water-Quality Citizen Science Program, Jessica Kaplan

Graduate Theses, Dissertations, and Problem Reports (ETD)

Citizen science has grown in the past decades to not only include everyday people in research, but also varying levels of engagement with diverse opportunities for participant learning and growth. However, few studies reflect the actual learning outcomes of educational citizen science specifically in youth. This single case study research study focuses on assessing learning and other outcomes of an environmental education, collaborative citizen science program with youth in Morgantown, West Virginia. In this study, a water quality monitoring citizen science program focused on Deckers Creek in Morgantown, WV was adapted for a high school afterschool club. Potential outcomes of …


Investigation Of Particle Measurement In Different Dilution Ratios With Gasoline Direct Injection And Port Fuel Injection, John Adam Phillips Jan 2020

Investigation Of Particle Measurement In Different Dilution Ratios With Gasoline Direct Injection And Port Fuel Injection, John Adam Phillips

Graduate Theses, Dissertations, and Problem Reports (ETD)

Ambient air quality has been a concern in the United States since the mid-1900’s, forcing legislations like the Air Pollution Control Act and Clean Air Act necessary to bring focus on air pollution and quality. The Environmental Protection Agency (EPA) continues to update the requirements for more efficient vehicles and emissions sampling methods. Today the EPA has implemented regulations on modern spark ignited engines without any major focus on the type of injection technologies being used. While particle matter (PM) is a requirement to measure for a vehicle certification, more research should focus on the particle number (PN) measurements that …


Adolescent Adventures In Geology: Impacts Of Geoscience-Focused Stem Education Combined With Recreation Activities On Adolescents’ Perceived Self-Efficacy, Lauren Janowicz Jan 2020

Adolescent Adventures In Geology: Impacts Of Geoscience-Focused Stem Education Combined With Recreation Activities On Adolescents’ Perceived Self-Efficacy, Lauren Janowicz

Graduate Theses, Dissertations, and Problem Reports (ETD)

Quality, informal learning techniques combined with outdoor adventure recreation, or adventure STEM programming, is a potentially powerful complement to and extension of formal education (Fu et al., 2015). To address this underexplored field, West Virginia University (WVU) and the United States Geological Survey (USGS) partnered to create a geology STEM, outdoor adventure recreation camp. This thesis research project employed qualitative directed content analysis to examine the potential impacts of this adventure STEM program on participants’ perceptions of their outdoor recreation (OR) self-efficacy (Bandura, 1994; Mittelstaedt et al., 2009). Semi-structured interviews were conducted with 15 adolescent participants with an average age …


The Effect Of Relationship-Building Programs On The Resilience Of Women In Agriculture, Robert Bertsch Jan 2020

The Effect Of Relationship-Building Programs On The Resilience Of Women In Agriculture, Robert Bertsch

Education

The purpose of this study was to describe the relationship between participation in relationship-building programs and online social groups, and the individual resilience of women in agriculture in the United States. Women have demonstrated a unique ability to connect farms and ranches with social resources, drive change and adaptation in agriculture, facilitate farm and ranch succession, and build community after a disaster. The capacity of agriculture and rural communities to adapt in the face of significant adversity depends on those unique abilities. Improving the resilience in women in agriculture is critical to the overall resilience of rural America. Unfortunately, most …


Utilizing The Concerns Based Adoption Model To Support Teachers In Implementing The Mtss Behavior Pathway, Amanda Mae Henry Jan 2020

Utilizing The Concerns Based Adoption Model To Support Teachers In Implementing The Mtss Behavior Pathway, Amanda Mae Henry

Education

Schools and educators are faced with the tremendous task of preparing students to be successful in school and beyond in a fast-paced, ever changing world. Behavioral skills, just as academic skills are critical for student success. While the West Fargo secondary schools have established a systematic and effective structure of support for academic success, known as MTSS academics, no such structure exists to address the behavioral needs of students. Further, there is no system in place for the training of teachers to begin the implementation of the MTSS behavior supports. Without teacher training during the implementation of the program, teachers …


Selective Precipitation And Recovery Of Rare Earth Elements From Acid Mine Drainage, Robyn Lauren Christoferson Jan 2020

Selective Precipitation And Recovery Of Rare Earth Elements From Acid Mine Drainage, Robyn Lauren Christoferson

Graduate Theses, Dissertations, and Problem Reports (ETD)

The ability to secure rare earth elements (REEs) in the United States is of concern due to the rapid growth in demand and the monopolistic supply chain. The demand for REEs has skyrocketed in recent years due to the development of many green technologies. The United States and many other countries are currently reliant on China for REEs, who currently control greater than 90% of the global supply. Due to the severe impact of previous Chinese export quotas, it is important to lessen the reliance on importation and explore methods of recycling REEs from secondary sources. A secondary REE source …


Adaptation Of Coal Mine Floor Rating (Cmfr) To Eastern U.S. Coal Mines, Sena Cicek Jan 2020

Adaptation Of Coal Mine Floor Rating (Cmfr) To Eastern U.S. Coal Mines, Sena Cicek

Graduate Theses, Dissertations, and Problem Reports (ETD)

Floor heave—the excessive deformation and failure of floor strata—is a serious problem for many underground coal mining operations in the U.S. There is an accepted floor heave design methodology developed for the Illinois basin coal mines (Gadde, 2009). However, for Eastern U.S. coal mines in the Appalachian region, there is not any systematic design method to assess floor heave potential. In order to prevent stability problems associated with floor failure and to ensure the safety of the miners in this region, a systematic and proactive method to assess the potential of floor stability that also takes the floor failure mechanisms …


Respiratory Flow Characteristics Of Intensive Care Healthcare Workers Performing Patient Care Activities, Shawn R. Williamson Jan 2020

Respiratory Flow Characteristics Of Intensive Care Healthcare Workers Performing Patient Care Activities, Shawn R. Williamson

Graduate Theses, Dissertations, and Problem Reports (ETD)

In the United States, under OSHA regulations, all respirators used in the workplace must be certified by the National Institute of Occupational Safety and Health (NIOSH). Under current NIOSH standards, loose-fitting powered air-purifying respirators (PAPR) must provide a minimum operational flow of 170 liters per minute. The objective of this study was to characterize the breathing flow rates of nine health care workers during patient care activities typically performed in a hospital's intensive care unit. This characterization will be used to determine the feasibility of lowering the minimum operational flow rate of PAPRS used in health care settings.

Each participant …


Scaling-Based Robust Predictions Of Periodic Stream Water Quality Variables Across The Contiguous U.S., Mohammad Abu Zafer Siddik Jan 2020

Scaling-Based Robust Predictions Of Periodic Stream Water Quality Variables Across The Contiguous U.S., Mohammad Abu Zafer Siddik

Graduate Theses, Dissertations, and Problem Reports (ETD)

Stream water quality is at the core of the biological and ecological health of streams and rivers. Subject to the environmental variation and in-stream metabolic activities, key water quality indicators such as dissolved oxygen (DO), water temperature (Tw), and chlorophyll a (Chl a, an indicator of primary productivity) typically follow a concave-shaped diurnal cycle. Variation and changes in climatic drivers (e.g., solar radiation, air temperature, and pressure), land uses, and hydrologic variables lead to a high spatiotemporal variability in stream water quality. The spatiotemporal variation challenges the development of robust models for predictions across large scales (e.g., county, state, country), …


Pilot Study Of Behavioral Activation As Adjunct Treatment For Depression In Primary Care, Lindsay Ellen Toler Jan 2020

Pilot Study Of Behavioral Activation As Adjunct Treatment For Depression In Primary Care, Lindsay Ellen Toler

Graduate Theses, Dissertations, and Problem Reports (ETD)

Many individuals receiving care at a predominantly free primary health care clinic in the northern part of West Virginia are experiencing depression, and medication therapy is the most common form of management with limited resources for psychosocial treatment. Brief psychosocial therapy interventions provided by the primary care provider should be explored as an adjunct treatment for this population in the primary care setting.

A pilot study was conducted to explore the integration of behavioral activation, a brief psychosocial intervention focused on decreasing depressed behavior by increasing nondepressed behavior to reinforce corresponding improvements in mood. Eligible patients were invited to attend …