Digital Commons Network^™

Development, Implementation, And Evaluation Of Teach Back Curriculum For Community Health Workers, Jennifer Holcomb, Gayla M Ferguson, Logan Thornton, Linda Highfield

Faculty, Staff and Student Publications

Teach Back is a commonly used communication method to improve patient understanding and retention of health information. The method has been shown to be effective in improving patient and healthcare system outcomes, including patient health literacy and hospital readmissions. Community health workers (CHWs) are frontline healthcare workers who can help address patient health and social needs associated with hospital readmissions. However, a gap exists in Teach Back curricula and training methods reflecting the scope of work for CHWs. The objective of this training was to provide CHWs with didactic information and skill building practice curriculum focused on the integration of …

Severity Of Child Autistic Symptoms And Parenting Stress In Mothers Of Children With Autism Spectrum Disorder In Japan And Usa: Cross-Cultural Differences, Noriko Porter, Katherine A Loveland, Sepideh Saroukhani, Yana Posey, Kana Morimoto, Mohammad H Rahbar

Faculty, Staff and Student Publications

The purpose of this study was to compare the relationship between parenting stress and autistic symptom severity in the U.S. and Japan. Fifty-two U.S. and 51 Japanese mothers of children aged 2-12 with autism completed measures of parenting stress and child characteristics, including the parenting stress index (PSI), the social communication questionnaire (SCQ), and social responsiveness scale-2 (SRS-2). There was a nonlinear relationship between the child's autistic symptom severity and parenting stress in both countries. We also found some cultural differences: in the parent domain, the relationships between children's SCQ scores and PSI scores differed significantly between the U.S. and …

Additive And Interactive Associations Of Environmental And Sociodemographic Factors With The Genotypes Of Three Glutathione S-Transferase Genes In Relation To The Blood Arsenic Concentrations Of Children In Jamaica, Mohammad H Rahbar, Maureen Samms-Vaughan, Yuansong Zhao, Sepideh Saroukhani, Sheikh F Zaman, Jan Bressler, Manouchehr Hessabi, Megan L Grove, Sydonnie Shakspeare-Pellington, Katherine A Loveland

Faculty, Staff and Student Publications

Arsenic (As) is a metalloid that has been classified as a xenobiotic with toxic effects on human beings, especially on children. Since the soil in Jamaica contains As, dietary intake is considered the main source of As exposure in Jamaicans. In addition, glutathione S-transferase (GST) genes, including

Evaluation Of The Kitchen Microbiome And Food Safety Behaviors Of Predominantly Low-Income Families, Christina K Carstens, Joelle K Salazar, Shreela V Sharma, Wenyaw Chan, Charles Darkoh

Faculty, Staff and Student Publications

Bacterial pathogens in the domestic environment present a risk to residents, particularly among susceptible populations. However, the impact of consumer demographic characteristics and food handling methods on kitchen microbiomes is not fully understood. The domestic kitchen bacterial communities of ten predominantly low-income families in Houston, TX, were assessed in conjunction with a cross-sectional food safety survey to evaluate differences in household and surface-specific microbiomes and bacterial foodborne pathogen presence. Three kitchen surfaces within each household, including the sink drain, the refrigerator handle, and the counter, were environmentally sampled and metataxonomically evaluated via targeted 16S rRNA sequencing. Disposable dish sponges were …

Emergence Of Dual And Multicarbapenemase Coproducing Organisms In The United States, Bekana K Tadese, Tolulope Olumuyiwa, Charles Darkoh

Faculty, Staff and Student Publications

Carbapenemase-producing organisms commonly carry a single carbapenemase gene conferring resistant to carbapenems and other β-lactam antibiotics. Here, we report rare cases of multidrug-resistant

Crowdsourced Pedagogy: Editing Wikipedia And The Framework For Information Literacy For Higher Education, Courtney Stine

Faculty and Staff Scholarship

Although often used by students for academic research, Wikipedia has historically been ignored or shunned by librarians in the information literacy classroom. However, as one of the most popular websites worldwide, Wikipedia matters. Visitors frequent Wikipedia to get free access to information, reference articles for background information during current events, and as a starting point for further research. Librarians can implement Wikipedia as a crowdsourced pedagogical tool for teaching students the six information literacy threshold concepts in the ACRL Framework for Information Literacy for Higher Education.

Writing and editing Wikipedia articles showcases the research process, requiring students to understand how …

Colonial Prehistories Of Indigenous North America, Mark A. Mattes

Faculty and Staff Scholarship

One of the most common inquiries received by Filson Historical Society librarians concerns the myth of Prince Madoc and the Welsh Indians. Of the myth’s many versions, the one most familiar to Ohio Valley History readers goes like this: Madoc, a Welsh prince escaping an internecine conflict over political rule at home, supposedly sailed to North America in the twelfth century. His force either landed at the Falls of the Ohio or made it there after landing further south and being driven north by hostile locals, possibly Cherokee people. Madoc and his contingent intermixed with Indigenous populations, whose fair-haired, blue-eyed, …

Risk Of Developing Alzheimer's Disease And Related Dementias In Association With Cardiovascular Disease, Stroke, Hypertension, And Diabetes In A Large Cohort Of Women With Breast Cancer And With Up To 26 Years Of Follow-Up, Xianglin L Du, Lulu Song, Paul E Schulz, Hua Xu, Wenyaw Chan

Faculty, Staff and Student Publications

BACKGROUND: No study on the long-term incidence of Alzheimer's disease (AD) and related dementias (ADRD) has been reported in women with breast cancer by vascular diseases.

OBJECTIVE: to determine the risk of ADRD in association with cardiovascular diseases (CVD), stroke, hypertension, and diabetes in women with breast cancer.

METHODS: Study identified 246,686 women diagnosed with breast cancer at age≥65 years in 1991-2015 from the Surveillance, Epidemiology, and End Results (SEER)-Medicare linked database. Women were free of ADRD at the time of cancer diagnosis and followed from 1991 to 2016.

RESULTS: Cumulative incidence of AD over 26 years of follow-up varied …

Feasibility And Acceptability Of Technology-Supported Sexual Health Education Among Adolescents Receiving Inpatient Psychiatric Care, Allison E Olmsted, Christine M Markham, Ross Shegog, Ana M Ugueto, Erica L Johnson, Melissa F Peskin, Susan T Emery, Kimberley A Baker, Elizabeth W Newlin

Faculty, Staff and Student Publications

Mental illness in adolescence is associated with high-risk sexual behaviors including multiple sex partners, infrequent or inconsistent condom use, and nonuse of contraception. Inpatient psychiatric care represents a promising setting to provide sexual health education. This pilot study investigates the feasibility and acceptability of online sexual health education in this group by assessing usability and impact on short-term psychosocial outcomes. We administered online modules on healthy relationships, pregnancy prevention, condom use, and sexually transmitted infection (STI) prevention to youth. We evaluated outcomes using a single group, pre/post-intervention design. One quality improvement session assessed staff acceptability of the programming. Participants included …

"Don't Know Where To Go For Help": Safety And Economic Needs Among Violence Survivors During The Covid-19 Pandemic, Leila Wood, Elizabeth Baumler, Rachel Voth Schrag, Shannon Guillot-Wright, Dixie Hairston, Jeff Temple, Elizabeth Torres

Faculty, Staff and Student Publications

The COVID-19 pandemic and related quarantine has created additional problems for survivors of interpersonal violence. The purpose of this study is to gain a preliminary understanding of the health, safety, and economic impacts of the COVID-19 pandemic on people that are experiencing or have previously experienced violence, stalking, threats, and/or abuse. An online survey, open from April to June 2020, was taken by people with safety concerns from interpersonal violence. Participants were recruited from IPV and sexual assault-focused agencies, state coalitions, and social media. Quantitative data were summarized using descriptive methods in SPSS and coding methods from thematic and content …

Role Of Feedback And Social Anxiety In Dating Situations, Kanika Singh

Masters Theses

Social anxiety has been linked to both the Fear of Negative Evaluation (FNE) and the Fear of Positive Evaluation, suggesting that receiving feedback (whether positive or negative) is difficult for persons with social anxiety. However, little research has examined whether receiving feedback in an evaluative setting (e.g., dating) can directly affect social anxiety levels. Thus, this study examined whether varying types of feedback (negative, positive, and neutral) can affect the levels of social anxiety for individuals in a dating scenario. Feedback was provided to participants and examined in relation to their levels of FNE and FPE. Participants consisted of undergraduate …

Pathway Lasso: Pathway Estimation And Selection With High-Dimensional Mediators, Yi Zhao, Xi Luo

Faculty, Staff and Student Publications

In many scientific studies, it becomes increasingly important to delineate the pathways through a large number of mediators, such as genetic and brain mediators. Structural equation modeling (SEM) is a popular technique to estimate the pathway effects, commonly expressed as the product of coefficients. However, it becomes unstable and computationally challenging to fit such models with high-dimensional mediators. This paper proposes a sparse mediation model using a regularized SEM approach, where sparsity means that a small number of mediators have a nonzero mediation effect between a treatment and an outcome. To address the model selection challenge, we innovate by introducing …

In Utero Exposure To 17Α-Hydroxyprogesterone Caproate And Risk Of Cancer In Offspring, Caitlin C Murphy, Piera M Cirillo, Nickilou Y Krigbaum, Barbara A Cohn

Faculty, Staff and Student Publications

BACKGROUND: 17α-hydroxyprogesterone caproate is a synthetic progestogen initially approved in the 1950s to treat gynecologic and obstetrical conditions. Despite continued concerns about safety and short-term efficacy regarding the use of 17α-hydroxyprogesterone caproate for the prevention of preterm birth in pregnant women, little is known about the long-term effects of 17α-hydroxyprogesterone caproate on the health of the offsprings.

OBJECTIVE: To examine the association between in utero exposure to 17α-hydroxyprogesterone caproate and the risk of cancer in the offspring.

STUDY DESIGN: The Child Health and Development Studies was a population-based cohort of >18,000 mother-child dyads receiving prenatal care in the Kaiser Foundation …

Determinants Of Social Distancing Adherence, Philip Gerretsen, Julia Kim, Eric E Brown, Lena C Quilty, Samantha Wells, Fernando Caravaggio, Jianmeng Song, Marcos Sanches, Branka Agic, Bruce G Pollock, Ariel Graff-Guerrero

Faculty, Staff and Student Publications

Introduction: Governments and public health authorities across many jurisdictions implemented social (physical) distancing measures to contain the spread of the 2019 novel coronavirus disease (COVID-19). Adherence to these measures is variable and likely influenced by various factors. This study aimed to 1) identify the individual sociodemographic, COVID-19 and social distancing related, and psychological determinants of social distancing adherence, and 2) explore regional differences in social distancing adherence in the United States (U.S.) and English-speaking Canada based on each region's discrepant response to social distancing restrictions.

Methods: A web-based repeated cross-sectional survey was conducted in 4,942 English-speaking participants from the four …

Using Implementation Mapping To Develop Implementation Strategies For The Delivery Of A Cancer Prevention And Control Phone Navigation Program: A Collaboration With 2-1-1, Lynn N Ibekwe, Timothy J Walker, Ebun Ebunlomo, Katharine Ball Ricks, Sapna Prasad, Lara S Savas, Maria E Fernandez

Faculty, Staff and Student Publications

Cancer prevention and control (CPC) behaviors, such as cancer screening, human papillomavirus vaccination, and smoking cessation, are critical public health issues. Evidence-based interventions have been identified to improve the uptake of CPC behaviors; however, they are often inconsistently implemented, affecting their reach and effectiveness. Patient navigation is an evidence-based approach to increasing CPC behaviors. Nevertheless, there are few navigation programs that use systematically developed implementation strategies to facilitate adoption, implementation, and maintenance, which affects uptake and outcomes. This article describes the development of a multifaceted implementation strategy designed to facilitate delivery of a CPC phone navigation program to increase breast, …

Acceptance- And Mindfulness-Based Techniques For Physical Activity Promotion In Breast Cancer Survivors: A Qualitative Study, Michael C Robertson, Emily Cox-Martin, Yue Liao, Sara A Flores, Ross Shegog, Christine M Markham, Kayo Fujimoto, Casey P Durand, Abenaa Brewster, Elizabeth J Lyons, Karen M Basen-Engquist

Faculty, Staff and Student Publications

PURPOSE: The purpose of this study was to develop and characterize the relevance and potential utility of an electronically delivered acceptance- and mindfulness-based approaches to physical activity promotion for insufficiently active breast cancer survivors.

METHODS: The acceptance- and mindfulness-based physical activity intervention was delivered to participants electronically over the course of 4-8 weeks. It consisted of didactic videos, experiential exercises, and workbook-type activities that targeted principles from acceptance and commitment therapy (ACT). We conducted semi-structured, in-depth interviews with participants after they completed the intervention. Three coders conducted qualitative data analysis on interview transcripts to identify overarching themes and subthemes.

RESULTS: …

Covid-19 In Children And The Influence On The Employment Activity Of Their Female Caregivers: A Cross Sectional Gender Perspective Study, Catalina Jaime Trujillo, Natalia Herrera Olano, Kevin Rico Gutiérrez, Daniela Medellín, Paola Sánchez, María Lucía Mesa-Rubio, Melisa Sofía Naranjo, Sergio Mauricio Moreno, Carolina Bonilla, Pedro Barrera, Sonia M Restrepo-Gualteros, Luz Marina Mejia, Olga Lucía Baquero, Juan Gabriel Piñeros, Andrea Ramírez Varela

Faculty, Staff and Student Publications

INTRODUCTION: During the COVID-19 pandemic, women disproportionately assume more unpaid activities, affecting their employment.

OBJECTIVE: Describe the influence of COVID-19 on the employment of caregivers of children and adolescents from a gender perspective.

METHODS: Cross-sectional study in three high-complexity hospitals in Bogotá, Colombia from April 2020 to June 2021. A subsample of the FARA cohort was taken, including those patients with a positive test for SARS-COV2. We took as our analysis category children older than 8 years and younger than 18 years who had a positive SARS-COV2 test, as well as, caregivers of all children with a positive SARS-COV2 test. …

Incidence, Etiology, Sociodemographic And Clinical Characterization Of Acute Respiratory Failure In Pediatric Patients At A High-Altitude City: A Multicenter Cohort Study, Sarha M Vargas Muñoz, Sara De Vivero Haddad, Aldo M Beltran, Carolina Bonilla Gonzalez, Melisa Naranjo Vanegas, Sergio Moreno-Lopez, Paola Rueda-Guevara, Pedro Barrera, Juan Gabriel Piñeros, Luz Marina Mejía, María Lucia Mesa, Sonia Restrepo-Gualteros, Olga Lucía Baquero Castañeda, Andrea Ramírez Varela

Faculty, Staff and Student Publications

BACKGROUND: Acute respiratory failure is a life-threatening medical condition, associated with a variety of conditions and risk factors, including acute respiratory diseases which are a frequent cause of pediatric morbidity and mortality worldwide. In Colombia, the literature related to ARF is scarce.

OBJECTIVE: To determine the incidence, causes, and sociodemographic and clinical characteristics of ARF in three hospitals in Bogota, a high-altitude city located in Colombia, during the COVID-19 pandemic.

METHODS: A multicenter prospective cohort study called the FARA cohort was developed between April 2020 - December 2021. Patients older than one month and younger than 18 years with respiratory …

Epidemiology Of Antibiotic Use And Drivers Of Cross-Border Procurement In A Mexican American Border Community, Heather T Essigmann, David A Aguilar, William B Perkison, Katherine G Bay, Magdalena R Deaton, Sharon A Brown, Craig L Hanis, Eric L Brown

Faculty, Staff and Student Publications

BACKGROUND: The U.S.-Mexico Border is an area of opportunity for improved health care access; however, gaps remain as to how and where U.S. border residents, particularly those who are underinsured, obtain care. Antibiotics are one of the most common reported drivers of cross-border healthcare access and a medication of particular concern since indiscriminate or inappropriate use is associated with antimicrobial resistance. In addition, many studies assessing preferences for Mexican pharmaceuticals and healthcare in U.S. border residents were done prior to 2010 when many prescription medications, including antibiotics, were available over the counter in Mexico.

METHODS: Data used in this study …

Palmitic Acid Impedes Extravillous Trophoblast Activity By Increasing Mrp1 Expression And Function, Yunali V. Ashar

Theses and Dissertations

Normal function of placental extravillous trophoblasts (EVT), which are responsible for uteroplacental vascular remodeling, is critical for adequate delivery of oxygen and nutrients to the developing fetus and normal fetal programming. Proliferation and invasion of spiral arteries by EVT depends upon adequate levels of folate. Multidrug resistance-associated protein 1 (MRP1), which is an efflux transporter, is known to remove folate from these cells. We hypothesized that palmitic acid (PA) increases MRP1-mediated folate removal from EVT, thereby interfering with EVTʼs role in early placental vascular remodeling. HTR8/SVneo and Swan-71 cells, first trimester human EVTs, were grown in the absence or presence …

Latine Family Math Engagement: A Phenomenological Study Of Co-Design Approaches, Susana Beltran-Grimm

Theses and Dissertations

Mathematics achievement at school entry is the strongest predictor for eighth-grade performance, regardless of race, gender, or family socioeconomic status. Yet, California Latine children continue to lack in math proficiency, struggling with concepts such as knowledge of numbers, counting, and spatial and pattern skills development. Existing literature has demonstrated that Family Engagement support children’s development. However, Latine parents often feel less comfortable doing math themselves and in participating in their children's math learning. This interpretive phenomenology research study was designed to uncover participants’ cultural repertoires and learning experiences to explore how Latine families perceived and engaged in co-design workshops to …

Behaviors That Impact The Economic Outcomes Of Mergers & Acquisitions; The Premium Price Paid And Return On Investment, Darryl Laws

Theses and Dissertations

This quantitative study explores the impact of overconfidence bias, lying for strategic advantage, and co-operation (or non-cooperation) among 29 highly experienced private equity fund and investment managers. Using four structured experiments, M&A professionals were assigned buyer and seller roles and allowed to choose among investment opportunities. Within a game theory framework, the buyers and sellers bargained over the purchase price. The results of these experiments were explored using a linear regression format. The skill level of the participants was measured using a financial literacy test prior to the experiments and two overconfidence measures were constructed. Lying for strategic advantage was …

Psychosocial Factors In Fibromyalgia: A Phenomenological Understanding Of The Experiences Of Latinas, Elisenda Rodes

Theses and Dissertations

Fibromyalgia (FM) is a syndrome characterized by chronic, widespread musculoskeletal pain. Its prevalence is estimated to be about 2% to 5% of the adults in the United States (Arnold et al., 2019). However, significant variations exist in this respect, due to a lack of consensus about the guidelines for FM diagnosis by physicians. FM symptoms are not restricted to pain, and often include fatigue, anxiety, depression, somatic and cognitive symptoms, and poor quality of life. Although its etiological causes are still not clear, important psychological, social, and cultural factors have been linked to the onset, maintenance, and to the ways …

Treating Gut Feelings: A Systematic Review Of Psychological Treatments For Pediatric Inflammatory Bowel Disease, Venus Mirbod

Theses and Dissertations

Psychological comorbidities and psychosocial challenges are prevalent among children and adolescents with Inflammatory Bowel Disease (IBD). However, a comprehensive review of the availability and effectiveness of psychological treatments for pediatric IBD patients is lacking. This systematic review aimed to determine the availability and efficacy of psychological interventions for children and adolescents with IBD. The systematic review was conducted in accordance with PRISMA guidelines and performed using two electronic databases, PsycINFO and PubMed, from inception until March 2022. Databases were searched for English-language, controlled trials of psychological interventions for children and adolescents with IBD. Outcomes of interest included: depression, anxiety, health-related …

Purpose Built Communities: A Concentrated Urban Poverty Intervention, Shannon R. Bergman

Theses and Dissertations

This collective case study research evaluated how the concentrated urban poverty revitalization model administered by Purpose Built Communities (PBC) works to mitigate or eliminate intergenerational poverty and create thriving neighborhoods. There are 5 elements to the PBC revitalization model: (a) mixed-income housing, (b) a cradle-to-college educational accountability system, (c) focus on community health, (d) a tightly defined geographic neighborhood, and (e) the assignment of a Community Quarterback (CQ). This research demonstrated iterative improvements in the socioeconomic well-being of adults and children from the inception of the revitalized community. This was evaluated by adult employment rates, childhood educational achievement, and health …

How Technology Can Advance Port Operations And Address Supply Chain Disruptions, Kevin Dowgiewicz

Theses and Dissertations

Supply chain disruptions continue to be a significant challenge as the world economy recovers from the pandemic-related shutdowns that have strained global supply chains. Shocks challenge the adaptability and resilience of maritime ports. The reaction of automated container terminals to supply chain disruptions has renewed interest, given the dramatic scenes of ships anchored for weeks. In this dissertation, I provide a vision of how technology can enhance a port’s ability to anticipate and handle shocks by improving coordination, cooperation, and information exchange across port stakeholders. The vision will be helpful for academics and practitioners to perform research that advances theory …

Music Interventions In The Treatment Of Adolescent Trauma: A Systematic Review, Diana C. Hereld

Theses and Dissertations

As multidisciplinary research continues to uncover the promise of non-invasive interventions such as music in mental health treatment, clinicians, researchers, and music scholars alike have increasingly come together through the field of music psychology. As such, it is unsurprising that some of the most significant findings have come from cross-disciplinary studies in music and medicine. The juxtaposition of music and mental health creates a unique and substantial need for integration of literature across multiple disparate settings, including clinical psychology, education, neuroscience, music therapy, behavioral medicine, and psychiatry. Through methodological application of a textual narrative evidence synthesis, this review examines multiple …

Social Emotional Learning For Latino Students, Norma Guzmán

Theses and Dissertations

The purpose of the study was to examine how teachers teach Social Emotional Learning (SEL) to Latino students in transitional kindergarten through second grade. Latino students experience academic and emotional challenges due to parental education, language barriers, cultural difference, environmental challenges, and poverty. Integrating SEL into the classroom environment can be beneficial for Latino students to meet academic, social, and emotional development. A review of the literature supports that SEL can be a methodology to integrate into the school or classroom environments which support Latino achievement. As such, the classroom instructor is the critical participator in integrating SEL into the …

The Chemistry Laboratory Experience Of El Camino Students While In Emergency Remote Teaching Due To The Covid-19 Pandemic, Shaun A. Cook

Theses and Dissertations

Future college environments, including those in chemistry, will entail flexible formats. The pandemic spurred appreciation of the need, and though it has largely passed, adaptability to multiple formats in the future has been a critical part of planning for a rapidly changing future. Experiences during the pandemic will guide pedagogical changes and practices in the future. At El Camino College in Southern California, the chemistry department provided varied laboratory instruction to students during Emergency Remote Teaching. Understanding the experience students had during this extraordinary time is essential. Students who took courses that had an online laboratory course completed a mixed-methods …

Change Readiness And The Mediating Role Of General-Dispositional Internal Structures, Genevieve Joy Clark

Theses and Dissertations

This case study offers insight toward the impact of the general-dispositional, internal structures on a planned organizational change in the field of education. The process used and the findings of this may be applicable to a variety of fields. Stones’ strong structuration (2005) served as the theoretical framework guiding this study, though Chater and Loewenstein’s (2016) model of sensemaking offers supplementary consideration.

The context for study was the shift to virtual learning because of the COVID-19 global pandemic and subsequent closure of schools beginning in March 2020. This empirical study examined agents-in-situ’s response to the change, including the structuring interactions …