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Demographic Characteristics, Level Of Drug Use, And Self-Esteem Among Female Students In Kaduna, Nigeria, Gladys Geyyourk John

Walden Dissertations and Doctoral Studies

Starting the early 1990s, the prevalence of nonmedical prescription drug use in Nigeria has been increased, especially among college students. Potential adverse effects such as poor academic performance and low self-esteem are known, but it is not understood whether demographic factors, level of drug use, and self-esteem are related to drug use for female college students. The purpose of this quantitative correlational study of a cross-sectional nature was to determine if there were predictive relationships between demographics (age, socioeconomic level, educational level, and history of mental illness), level of drug use (as measured by the Drug Abuse Screening Test [DAST], …

Volunteer Coordinators’ Practices To Motivate And Retain Volunteers In Animal Welfare Organizations, Amy J. Clement

Walden Dissertations and Doctoral Studies

Animal welfare organizations depend on volunteers to continue to take care of animals and rehome them. Animal overpopulation is estimated at 70 million animals and without enough volunteers to help socialize them, they can be unadoptable and subject to euthanasia. The problem addressed through this study was volunteer turnover in animal welfare organizations and resulting negative impacts on animal welfare. Researchers have examined person-organization fit related to employee retention in for-profit environments but not the experience of volunteer coordinators in animal welfare organizations. The purpose of this general qualitative study was to examine practices and experiences of volunteer coordinators to …

Efficacy As Safety: Dominant Cultural Assumptions And The Assessment Of Contraceptive Risk, Andrea Bertotti, Emily S. Mann, Skye A. Miner

Sociology & Criminology Faculty Research

To reduce rates of unintended pregnancy, medical and public health associations endorse a contraceptive counseling model that ranks birth control methods by failure rate. This tiered model outlines all forms of birth control but recommends long-acting reversible contraceptives (LARC) to eliminate user error and increase continuation. Our critical discourse analysis of gynecology textbooks and medical recommendations examines how gendered and neoliberal ideas influence risk assessments underlying the tiered contraceptive counseling model. Specifically, we explore how embodied, lifestyle, and medical risks are constructed to prioritize contraceptive failure over adverse side effects and reproductive autonomy. We find that the tiered model's focus …

Evaluating The Impact Of Incentives On Clinical Trial Participation: Protocol For A Mixed Methods, Community-Engaged Study, Jerome T. Galea, Karah Y. Greene, Brandon Nguyen, Andrea N. Polonijo, Karine Dubé, Jeff Taylor, Christopher Christensen, Zhiwei Zhang, Brandon Brown

Social Work Faculty Publications

Background: Monetary incentives in research are frequently used to support participant recruitment and retention. However, there are scant empirical data regarding how researchers decide upon the type and amount of incentives offered. Likewise, there is little guidance to assist study investigators and institutional review boards (IRBs) in their decision-making on incentives. Monetary incentives, in addition to other factors such as the risk of harm or other intangible benefits, guide individuals’ decisions to enroll in research studies. These factors emphasize the need for evidence-informed guidance for study investigators and IRBs when determining the type and amount of incentives to provide to …

Closing Delivery Gaps In The Treatment Of Tuberculosis Infection: Lessons From Implementation Research In Peru, Courtney M. Yuen, Ana Karina Millones, Daniela Puma, Judith Jimenez, Jerome T. Galea, Roger Calderon, Gabriela S. Pages, Meredith B. Brooks, Leonid Lecca, Tom Nicholson, Mercedes C. Becerra, Salmaan Keshavjee

Social Work Faculty Publications

Background: Targeted testing and treatment of TB infection to prevent disease is a pillar of TB elimination. Despite recent global commitments to greatly expand access to preventive treatment for TB infection, there remains a lack of research on how best to expand preventive treatment programs in settings with high TB burdens.

Methods: We conducted implementation research in Lima, Peru, around a multifaceted intervention to deliver TB preventive treatment to close contacts of all ages, health care workers, and people in congregate settings. Key interventions included use of the interferon gamma release assay (IGRA), specialist support for generalist physicians at primary-level …

A Review Investigating The Relationship Between Cannabis Use And Adolescent Cognitive Functioning, Elena Cyrus, Makella S. Coudray, Sandra Kiplagat, Yandra Mariano, Ines Noel, Jerome T. Galea, Dexter Hadley, Jessy G. Dévieux, Eric Wagner

Social Work Faculty Publications

No abstract provided.

Incident Tuberculosis Diagnoses In Children At High Risk For Disease, Milagros Wong, Julia M. Coit, Milagros Mendoza, Silvia S. Chiang, Helen Marin, Jerome T. Galea, Leonid Lecca, Molly F. Franke

Social Work Faculty Publications

We followed 35 children meeting a research definition for unconfirmed tuberculosis (TB) but in whom a pediatric pulmonologist did not diagnose or treat TB. After a median follow-up of 16.4 months, most children were not diagnosed with TB following a comprehensive evaluation. However, 2 were diagnosed with TB, demonstrating high TB risk (6%; exact 95% CI, 1%–19%). In some contexts, researchers may wish to supplement these research definitions with clinical decision data and longitudinal follow-up in order to improve specificity.

Prediction Tool To Identify Children At Highest Risk Of Tuberculosis Disease Progression Among Those Exposed At Home, Meredith B. Brooks, Leonid Lecca, Carmen Contreras, Roger Calderon, Rosa Yataco, Jerome Galea, Chuan-Chin Huang, Megan B. Murray, Mercedes C. Becerra

Social Work Faculty Publications

Background: There is a dearth of research to understand which children, among those who are exposed at home to tuberculosis (TB), are at the highest risk of TB disease, to tailor care. We sought to identify predictors of TB progression in children.

Methods: We conducted a prospective cohort study of children living with adults with pulmonary TB in Lima, Peru (2009–2012). We applied classification and regression tree analysis to examine potential predictors of incident TB disease during 12 months in 3 age groups (0–4, 5–9, and 10–14 years). We calculated the relative risk (RR) for top predictors in each age …

A Non-Specialist Depression Care Pathway For Adolescents Living With Hiv And Transitioning Into Adult Care In Peru: A Nested, Proof Of Concept Pilot Study, Jerome T. Galea, Carmen Contreras, Milagros Wong, Karen Ramos, Valentina Vargas, Hugo Sánchez, Renato A. Errea, Leonid Lecca, Molly F. Franke

Social Work Faculty Publications

Background: Adolescents living with HIV (ALWH) are disproportionally impacted by depression, experiencing worse HIV outcomes. Integrated depression and HIV care may support antiretroviral adherence. This study pilot tested for proof of concept a basic depression care pathway for ALWH to inform depression care integration with HIV services in Peru.

Methods: ALWH were screened for depression with the Patient Health Questionnaire-9 (PHQ-9). Participants with PHQ-9 scores of ⩾10 or suicidal ideation (SI) were eligible for Psychological First Aid (PFA) delivered by non-mental health specialists. Participants with PHQ-9 re-assessments of ⩾20 or SI were referred to specialized services.

Results: Twenty-eight (11 female, …

Impact Of The Sars-Cov-2 Pandemic On Adolescents Living With Hiv In Lima, Peru, Renato A. Errea, Milagros Wong, Liz Senador, Alicia Ramos, Karen Ramos, Jerome T. Galea, Leonid Lecca, Hugo Sánchez, Carlos Benites, Molly F. Franke

Social Work Faculty Publications

Adolescents living with HIV (ALWH) have lower rates of virologic suppression and higher rates of immunologic decline compared to their older counterparts, potentially placing them at high-risk for developing severe SARS-CoV-2 disease. ALWH who are transitioning to adult care face additional challenges to remaining in care and adhering to treatment. In this special section we report the experiences of ALWH in the process of transitioning to adult HIV services during the COVID-19 pandemic. In first place, the government-mandated stay-at-home order has substantially limited access to full HIV care by restricting public transportation, HIV medication stock-outs, and the suspension of routine …

2021 Annual Reports And Resolutions, American Dental Association

ADA Transactions

This item is part of the Annual Reports and Resolutions subtitle of the ADA Transactions, a serial publication of the annual activities of the ADA House of Delegates (HOD)/Board of Trustees (BOT) made up of three separate subtitles: Annual Reports and Resolutions, Supplements, and Transactions. Generally, the ADA Transactions are published in multiple volumes throughout the year. Older versions include reports from all departments as subsections, while more recent versions include only those of councils, commissions, and committees.

Compassionate Care: Working With Students With Aces, Leah Massey Huttlinger, Andrea Gardner Nordberg

Instructional Modules for Professional learning Responding to Opportunities and Valuing Educators (IMPROVE)

This Professional Learning Module (PLM) was created for educators to learn more about adverse childhood experiences (ACEs) and the negative impact trauma has on student learning. Participants in the PLM will learn about ACEs, the brain science related to trauma, behaviors associated with ACEs in the classroom, strategies to help mitigate the impact of ACEs in the classroom. Participants will have the opportunity to apply these strategies to real-life situations within the PLM. The PLM was meant to be completed independently, in small groups, or as whole-group faculty training. The option to submit a certificate for CEUs is provided upon …

Trauma Informed Leadership: Leading Through The Chaos, Christina Ruegamer, Joan T. Dorsey, Laine Smith, Megan G. Robertson

Instructional Modules for Professional learning Responding to Opportunities and Valuing Educators (IMPROVE)

The purpose of this professional learning module is to create and promote trauma-informed leadership. Throughout the module, leaders will also learn about the six trauma-informed principles on establishing a trauma-informed site. The design of this professional learning module is to prepare leaders in addressing situations involving trauma at their site. This module can be used individually for leadership training and/or professional development. It should take one to two hours to complete. Once the training is completed, an assessment will be given. Upon successful completion of the assessment with a score of 80% or higher, a certificate will be provided via …

Structured Training Programs For Direct Support Professionals On Behavior Intervention Support Plans, Melody Lane Barnes-Meisenhelder

Walden Dissertations and Doctoral Studies

Direct support professionals work with developmentally disabled individuals and are responsible for implementing behavior intervention support plans (BISPs). Little is known about the efficacy of supplemental BISP training in these professionals. The purpose of this quantitative experimental study was to investigate the efficacy of BISP training to improve knowledge and applied understanding of BISPs in direct support professionals. Social validation, treatment fidelity, and change theories served as the foundations of the study. Seventy-three newly hired direct support professionals were randomized into an experimental group with a 2-day workshop training or a standard training group. BISP knowledge was assessed before and …

Hospice Social Workers In The Death With Dignity Process, Lisa M. Carter

Walden Dissertations and Doctoral Studies

Hospice social workers are in an ethical conundrum due to the contrast between honoring clients’ self-determined life closure and hospice organization prescribed non-participation in requests for physician-assisted death. The National Hospice and Palliative Care Association and the International Hospice and Palliative Care Association have issued position statements that the hospice philosophy of care is to provide comfort and reduce suffering, not to hasten death. Social workers are bound by a code of ethics to honor patient choice in end-of-life decisions. This generic qualitative study gives voice to hospice social workers in the Pacific Northwest regarding their motivations and responses to …

Professional Nurse Attitudes Of Poverty Before And After Participation In A Poverty Simulation, Beth Mueller

Walden Dissertations and Doctoral Studies

Implicit bias in healthcare toward those living in poverty may contribute to inequalities in care and increase the likelihood of patient noncompliance. The purpose of this study was to determine if participation in a poverty simulation had an impact on the attitudes of professional nurses toward those in poverty. Mezirow’s transformational theory was used to guide the study by allowing the learner to examine meaning and revise perspective after participation in an online module. This module included an online poverty simulation created by The United Way of Connecticut titled Making Tough Choices as well as a pre- and post-simulation survey …

Attitudes Toward Seeking Counseling Of Women Residing In Public Housing, Belinda M. Newkirk

Walden Dissertations and Doctoral Studies

Women living in public housing projects experience adverse outcomes because they do not seek treatment for mental illness. It is unclear whether such women have attitudes toward voluntarily accessing mental healthcare services affected by their optimism, experienced stigma, self-efficacy, and resilience. The purpose of this quantitative study was to determine whether the individual determinants of resilience, self-efficacy, experienced stigma, and optimism predicted attitudes toward seeking professional mental health services of women living in public housing based on the self-efficacy, resilience, stigma, optimism, and help-seeking behavior theories. The first research question focused on bivariate correlations among resilience, self-efficacy, experienced stigma, and …

Covid-19: A Driving Factor For Pre-Existing Racial Disparities In Food Insecurity, Christina S. Cook, Sandhya Lohani, Jeffery A. Jones, Stacy Smallwood Ph.D., Tilicia L. Mayo-Gamble

Eagles Talking About the Public’s Health

No abstract provided.

Unveiling The Digital Divide In The United States, Emmet Raichle

Renée Crown University Honors Thesis Projects - All

No abstract provided.

Intertext 2021 — Complete Issue

Intertext

No abstract provided.

The Rise In Use Of Emotional Support Animals By College Students: The Impact Of Parenting Styles, Misty G. Smith, Samantha Ballard, Jill Willis

Journal of Higher Education & Student Affairs

As the generational context of higher education shifts, a rise of Emotional Support Animals (ESA) and mental health concerns are present for students on college campuses. While previous studies have aimed to address the relevancy and controversy of ESAs in higher education as well as their effectiveness in supporting individuals, less research has explored underlying factors that contribute to the use of an ESA. The purpose of this study was to explore the parenting behaviors of parents/caregivers of students with ESAs in comparison to parents/caregivers of students without ESAs. An embedded mixed methods design was used. Participants completed the Parenting …

From Digital Divide To Digital Literacies And Mother-Child Pedagogies: The Case Of Latina Mothers, Jie Y. Park, Laurie Ross, Deisy Rodriguez Ledezma

Sustainability and Social Justice

This article reports on a qualitative study of 22 Latina mothers and their experiences supporting their children’s remote education during COVID-19. Drawing on digital literacies and mujerista theory, the authors analyzed focus group data to find the following: Latina mothers’ struggles involved not just understanding online learning platforms but an educational system that was not responsive to the economic constraints and stressors faced by families; Latina mothers perceived the school district’s response to COVID-19 as performative and inadequate; Latina mothers developed mother-child pedagogies or pedagogies in which the mother and child are involved in teaching to and learning from each …

Gentrification As An Institution Of Injustice: Understanding The Displacement Of Low-Income Families And Erasure Of Culture, Diana Hernandez

CMC Senior Theses

In the last decade, gentrification has become a world-wide strategy for capital accumulation, but is one that disproportionately prioritizes corporate interests over community interests. Although often disguised as a form of urban revitalization, gentrification economic renewals lead to higher rent prices that consequently pushes poor communities out of their home and makes urban spaces geared towards affluent middle-class families only. Gentrification is not a natural phenomenon, but is instead a man-made project that is rooted in capitalism and neoliberal understanding of the market economy. This paper explores the roots of creating profit by means of privatization, especially when discussing housing. …

Community-Based Disaster Risk Management And Covid-19: How Local Ngos In Latin America Adapted To The Pandemic, Emily Pugh

CMC Senior Theses

The global COVID-19 pandemic posed new challenges for communities across Latin America: lack of access to potable water and food, loss of jobs and lack of access to technology now needed for children to attend school. By interviewing different leaders of NGOs throughout the continent, I was able to find out how local NGOs were adapting their typical activities to help their communities face these new and worsening challenges. While the NGOs in this study do not primarily focus on disaster relief, each adapted their initiatives to deal with the current needs of the community they serve. Some were able …

Resident Centered Behavioral Health: A Program Evaluation, Anna Olinger

All Graduate Theses, Dissertations, and Other Capstone Projects

Behavioral health concerns, such as depression and behavioral symptoms, impact older adults at significant rates. These concerns impact an individual’s quality of life, health status, and mortality. When behavioral health concerns cannot be effectively managed in the community by the individual or their caregivers, a skilled-nursing facility is often the next step. Unfortunately, those caring for older adults in these settings have not always had access to the training they need to care for individuals with depression or behavioral symptoms. The Resident Centered Behavioral Health program set out to change this. The program implemented an interactive, behavioral health training program …

Intersections Of Environmental Justice And Sustainable Development: Framing The Issues, Sumudu A. Atapattu, Carmen G. Gonzalez, Sara L. Seck

Articles, Book Chapters, & Popular Press

This chapter proceeds as follows. Section 1.2 describes the evolution of the concept of sustainable development from the 1987 report of the World Commission on Environment and Development (WCED) to the Sustainable Development Goals (SDGs). It discusses contem- porary degrowth and green growth movements, before introducing the relatively novel concept of just sustainabilities, a synthesis of environmental justice and sustainable development. Section 1.3 de!nes environmental justice and discusses its relationship to human rights and the social pillar of sustainable development, reflecting on which dimensions of environmental justice are well reflected in this book and which proved more dif!cult to address. …

What Covid-19 Is Revealing About Nyc Schools: Are We Learning Our Lessons?, Benita R. Miller, Anne Williams-Isom

Fordham Urban Law Journal

No abstract provided.

Social Workers To The Rescue?: An Urgent Call For Emergency Response Reform, Celia Goble

Fordham Urban Law Journal

No abstract provided.

An Asset-Based Approach To Problem-Based Learning In K-12 Stem, Samantha Heller

Electronic Theses and Dissertations, 2020-2023

Educators and policymakers advocate for the implementation of problem-based approaches to STEM education in K-12 classrooms to help students develop 21st-century skills such as the ability to think critically, collaborate, and problem-solve. The first exploratory case study in this three-article dissertation examines how students engage in STEM-focused PBL experiences and the meaning of these experiences for the development of their STEM identities. The second study utilizes Braun and Clarke's reflective thematic analysis framework to explore the experience of a model STEM teacher at a high-performing STEM-focused elementary school as she implemented problem-based learning in the first year of a school-wide …

The Importance Of Care Coordination Of Patients With Multimorbidity: An Evaluation Of The Patient-Centered Medical Home Model, Mary Boksa

Biology and Microbiology Graduate Students Plan B Research Projects

The rise in multimorbidity among various patient populations has made fragmentation of care an increasingly common issue due to the need for specialized care of each chronic condition and complexity of treatment plans. Implementation of care coordination intervention models has been identified as an essential component in combating this fragmented nature of our current health care system. This is done by providing an organized model of care and improving communication between all parties involved in care and treatment plans. This literature review will begin with a brief discussion on the importance of care coordination and components needed for implementation and …