Digital Commons Network^™

Just Go To The Office! An Intersectional Exploration Of The Role Of Race And Gender In Discipline Referral Reasons, Kamilah B. Legette, Yoli Anyon

Faculty Research, Scholarly, and Creative Activity

Educators’ differential selection of Black and Latine students for office discipline referrals is a significant driver of inequity in exclusionary outcomes. Using demographic data and discipline records for all students in one large urban school district, we use descriptive statistics and multilevel regression models to consider whether referral reasons are racialized and if these patterns intersect with gender. Our analyses indicate that educators are consistently more likely to refer Black students than White students to the office for several subjective reasons, including habitual disruption, that are purportedly race-neutral but privilege Whiteness. They are less likely to make referrals for Black …

Alzheimer’S Disease (Ad) Knowledge In Korean Americans: Identifying Knowledge Gaps And Misconceptions And Examining Predictors Of Ad Knowledge, Sang E. Lee, Michin Hong, Banghwa L. Casado

Faculty Research, Scholarly, and Creative Activity

Objectives: This study examined Alzheimer’s disease (AD) knowledge and its predictors among Korean Americans (KAs). Design: Convenience sampling was used to recruit KAs in the Greater Washington metropolitan area. A total of 268 KAs participated in the study and completed a cross-sectional survey in 2014. Using the Alzheimer’s Disease Knowledge Scale (ADKS), overall and domain knowledge was assessed. Multiple regression analyses were conducted for overall and domain knowledge with predictors including exposure to AD, social engagement, sources and frequency of health-related information, stigmatic beliefs (pity, antipathy, and social distance), English proficiency, and education. Results: KAs reported a 59% accuracy in …

Medication Initiation, Patient-Directed Discharges, And Hospital Readmissions Before And After Implementing Guidelines For Opioid Withdrawal Management, Jillian Zavodnick, Md, Nicolette M. Heinsinger, Angelo C. Lepore, Robert C. Sterling

Department of Medicine Faculty Papers

OBJECTIVES: Rising rates of hospitalization for patients with opioid use disorder (OUD) result in high rates of patient-directed discharge (PDD, also called "discharge against medical advice") and 30-day readmissions. Interdisciplinary addiction consult services are an emerging criterion standard to improve care for these patients, but these services are resource- and expertise-intensive. A set of withdrawal guidelines was developed to guide generalists in caring for patients with opioid withdrawal at a hospital without an addiction consult service.

METHODS: Retrospective chart review was performed to determine PDD, 30-day readmission, and psychiatry consult rates for hospitalized patients with OUD during periods before (July …

Raising Godly Leaders : For Finishing The Task In Thailand, Weerawut Hongsa

ATS Dissertations

No abstract provided.

Neighborhood Market Potentials For Alcohol Use And Rates Of Child Abuse And Neglect, Bridget Freisthler, Christiana Kranich, Jennifer Price Wolf, Reiko Boyd, Paul J. Gruenewald

Faculty Research, Scholarly, and Creative Activity

Background: Alcohol use can lead to child abuse and neglect even if the person using alcohol does not use heavily. Yet relatively few measures that reflect alcohol use are available at smaller geographic units. We assess whether the estimated level of total alcohol use per capita is related to measures of child abuse and neglect that include substantiated reports of maltreatment, total entries into foster care, and alcohol-related entries into foster care. Methods: Our sample consists of 326 Census block groups in Sacramento, California over three time points (978 space–time units). Administrative data for substantiations of child abuse and neglect …

Sleep Health Education To Promote Public Health: Attitudes And Desired Learning Goals Among Social Work Students, Christine Spadola, Danielle B. Groton, Kerry Littlewood, Cassie Hilditch, Shanna Burke, Suzanne M. Bertisch

Faculty Research, Scholarly, and Creative Activity

Social workers are often front line behavioral health providers for underserved populations, many of whom experience sleep disturbances. Inadequate sleep presents a public health challenge and is associated with many adverse physical health and mental health consequences. Social workers are uniquely positioned to promote sleep health among individuals experiencing health inequities. However, sleep is rarely included as part of the curricula in social work programs in the U.S. We conducted qualitative formative research to investigate social work students’ perceptions of sleep education and desired sleep learning objectives. Twenty-five social work students were recruited via a listserv e-mail to participate in …

Un-Erasing Race In A Medical-Legal Partnership: Antiracist Health Justice Advocacy By Design, Danielle Pelfrey Duryea, Peggy Maisel, Kelley Saia

Faculty Scholarship

This Article covers a potential response to a Massachusetts state law which has been interpreted to require health care providers and birthing hospitals to report to state authorities any infant born to a person taking medication of opioid use disorder. While the statute mandates reports where a professional has "reasonable cause to believe that a child is suffering physical or emotional injury" as a result of substance dependence at birth, the Article highlights that many institutions report all infants born to persons with substance abuse disorders, regardless of risk of harm, for fear of penalty for failure to report. As …

Cognition And Education Benefits Of Increased Hemoglobin And Blood Oxygenation In Children With Sickle Cell Disease, Joanna P. Macewan, Allison A. King, Andy Nguyen, Anuj Mubayi, Irene Agodoa, Kim Smith-Whitley

2020-Current year OA Pubs

BACKGROUND: Among individuals with sickle cell disease (SCD), decreased hemoglobin is associated with lower oxygen saturation (SpO2) and increased risk of stroke, both of which are associated with lower intelligence quotient (IQ) scores. Thus, increasing hemoglobin and SpO2 in individuals with SCD may increase IQ and educational attainment.

METHODS: A cohort simulation model was built to determine academic performance and educational attainment based on cognitive function (measured by IQ) of a pediatric SCD cohort randomly assigned to treatment and control groups. The model contained two key stages: childhood (<10 years) and adolescence (≥10 years). In stage 1, increased hemoglobin and increased SpO2 (assigned to the treatment group) were determinants of higher IQ, prevention of IQ deterioration over time. Increased hemoglobin was also a determinant of decreased stroke risk. In stage 2, improvement in adolescent IQ as a result of treatment was a determinant of academic performance.

RESULTS: In a simulated cohort of 2000 children and adolescents with …

2023 Community Based Care: Resident And Community Characteristics Report On Assisted Living, Residential Care, And Memory Care Communities, Ozcan Tunalilar, Paula Carder, Sarah Dys, Diana Jacoby, Sheryl Elliott, Minju Kim, Nathan Finch Parsons, Wafi Albalawi, Christine Wolf

Institute on Aging Publications

The Institute on Aging at Portland State University (IOA/PSU) presents findings from the ninth annual study of Oregon community-based care: assisted living and residential care facilities (AL/RC) with and without memory care endorsement (MC). In this year’s study, we included information about various resident, community, and staff characteristics, including: 1) Residents: sociodemographic characteristics (e.g., age, sex, race, ethnicity), length of stay, personal assistance, health conditions, status, service use, medications, and advanced care planning/legal documentation; 2) Communities: capacity, occupancy rates, resident move-in and move-out locations, private pay charges, Medicaid reimbursement to facilities, staffing, resident transportation use, COVID-19 impacts; and 3) Staff: …

A Preliminary Framework For Managing Sleep Inertia In Occupational Settings, Katya Kovac, Grace E. Vincent, Jessica L. Paterson, Cassie J. Hilditch, Sally A. Ferguson

Faculty Research, Scholarly, and Creative Activity

Sleep inertia, the temporary period of impairment experienced upon waking, is a safety hazard that has been implicated in serious work-related incidents resulting in injuries as well as the loss of life and assets. As such, sleep inertia warrants formal management in industries where personnel are required to undertake their role soon after waking (e.g. emergency services, engineers, and health care). At present, there is a lack of practical, evidence-based guidance on how sleep inertia could be formally managed at an organizational level. We propose a preliminary framework for managing sleep inertia based on the translation of research findings into …

Does Parent Report Of Child Physical Abuse And Supervisory Neglect Differ By Method Of Study Recruitment Or Mode Of Survey Administration?, Bridget Freisthler, Christiana Kranich, Jennifer Price Wolf

Faculty Research, Scholarly, and Creative Activity

General population studies find that rates of child maltreatment are higher than those identified in the child welfare system. Some modes of administration may result in higher disclosure rates of child maltreatment by respondents. This study assesses differences in characteristics of parents who are recruited using telephone sampling techniques or via the internet and whether the survey was administered by telephone or the web. We have 1599 parent respondents recruited from listed samples and Craigslist advertisements. Surveys were administered via the telephone or online. Survey included measures of parenting behaviours, psychosocial characteristics and demographics for the parent, child and family. …

Victims Of Human Trafficking And Exploitation In The Healthcare System: A Retrospective Study Using A Large Multi-State Dataset And Icd-10 Codes, Alexander Gutfraind, Kezban Yagci Sokat, Guido Muscioni, Sami Alahmadi, Jonathan Hudlow, Ronald Hershow, Beau Norgeot

Faculty Research, Scholarly, and Creative Activity

Trafficking and exploitation for sex or labor affects millions of persons worldwide. To improve healthcare for these patients, in late 2018 new ICD-10 medical diagnosis codes were implemented in the US. These 13 codes include diagnosis of adult and child sexual exploitation, adult and child labor exploitation, and history of exploitation. Here we report on a database search of a large US health insurer that contained approximately 47.1 million patients and 0.9 million provider organizations, not limited to large medical systems. We reported on any diagnosis with the new codes between 2018-09-01 and 2022-09-01. The dataset was found to contain …

Hearing Aid Loan Program For Hearing Loss At The End Of Life, M. Courtney Hughes, Diane Schecklong, King Chung

Faculty Articles, Papers, and Other Scholarship

This article describes a hearing aid loan program to provide free amplification devices for patients at the end of life to help them communicate more effectively at this critical time. It includes steps for establishing such a program, addressing challenges, and the role of the informal caregiver throughout the intervention. Healthcare professionals and social workers are encouraged to develop similar programs and use the information here as helpful suggestions to consider for their programs.

Parenting Style In Childhood And Attitudes Toward Caregiving In Adulthood: A Qualitative Study, Abby Baumbach, M. Courtney Hughes, Lily Derain, Yujun Liu

Faculty Articles, Papers, and Other Scholarship

This study aims to explore how relationships with parents during childhood can influence an individual’s attitude toward caregiving later in life. The qualitative data came from 47 respondents who care for adult loved ones, with a caregiver mean age of 46.7. The respondents reflected on their recent experience of providing care for their loved ones and how experiences with their caregivers growing up may have influenced their caregiving attitudes. Using a codebook thematic analysis, themes were generated linking childhood experiences to current attitudes toward caregiving. Themes included reciprocating good care, performing obligatory care, and stopping the generational transference of negative …

Adapting An Intervention To Support Young Caregivers Of Cancer Survivors: A Study Protocol, Janet Njelesani, Melinda S. Kavanaugh, Jean Hunleth

2020-Current year OA Pubs

INTRODUCTION: Of the family members providing care, in the United States over 5.4 million are young people (<18 years of age) and they are the caregivers receiving the least support overall. Given the need to support cancer survivors through a family-centered practice approach, this lack of support and intervention for young caregivers represents a substantial gap in cancer care. In this study, we will adapt a young caregivers intervention, YCare, with young caregivers in families affected by cancer in order to advance support for families in cancer settings. YCare is an intervention that improves the support young caregivers provide through a peer-engaged, multidisciplinary model but has previously not been studied in the cancer care setting.

METHODS: Guided by the updated Consolidated Framework for Implementation Research (CFIR) we will engage stakeholders (i.e., young caregivers, cancer survivors, health care providers) using qualitative (i.e., one-on-one semi-structured interviews) and arts-based methods. Stakeholders will be recruited via cancer registries and community partners. Data will be analyzed descriptively using deductive (e.g., CFIR domains) and inductive (e.g., cancer practice settings) approaches.

DISCUSSION: The results will indicate the critical components for adapting the YCare intervention to the cancer practice context including new intervention elements and …

Intersections Of Disproportion: A Critical Quantitative Examination Of Dis/Ability And Gender In Black Students’ School Discipline Outcomes, Ceema Samimi, Noah Jefferson, Shelby Flanagan, Yolanda Anyon

Faculty Research, Scholarly, and Creative Activity

This study uses critical race quantitative intersectionality to examine the impacts of gender and dis/ability type on Black students’ school discipline outcomes. We use multilevel logistic regression models to analyze data from a large urban school district, considering the intersectional impact of gender and dis/ability type on school discipline outcomes among Black students (suspension, restorative justice, referral to law enforcement). We found that Black students identified as male, labeled with emotional dis/abilities, or identified as having ADHD were more likely to experience school discipline consequences than those who were not. These findings suggest that gender and dis/ability status are significant …

Shifting Mediates Gendered Racial Microaggressions And Perceived Racism Among Asian American Women, Glenn Gamst, Christine Ma-Kellams, Lawrence S. Meyers, Leticia Arellano-Morales

Faculty Research, Scholarly, and Creative Activity

Introduction: Microaggressive attacks on Asian American women increased during the COVID-19 pandemic. The present study tested whether Asian American women's shifting, a coping strategy employed by some women of color to alter their self-presentation in response to perceived racism, mediated the association between gendered racial microaggressions and self-perceived subtle and blatant racism. Methods: A convenience sample of 253 Asian American adult women completed the gendered racial microaggressions scale for Asian American women (GRMSAAW), the Asian American women's shifting scale (AsAWSS), and the subtle and blatant racism scale for Asian American college students (SABR-A2). Results: Results from a structural equation model …

Examining Pandemic Stress And Mental Health Among A Community-Based Sample Of Sexual Minority Women In Los Angeles County, Alison Cerezo, Roberta E. Emetu, David B. Rivera, Isaiah J. Jones, Jacquelyn Chin, Adrian Valadez, Laurie Drabble

Faculty Research, Scholarly, and Creative Activity

In partnership with community stakeholders, the present study aimed to gather descriptive data on pandemic-related stress and its association with mental health outcomes among a community sample of self-identified sexual minority women (SMW) in Los Angeles County (N = 84; Mage = 35.61). The sample was comprised solely of women (i.e. self-identified gender identity as woman, including cisgender and transgender women). Data were collected in April 2021, the ‘third wave’ of the COVID-19 global pandemic. Los Angeles experienced some of the highest COVID-19 incidence rates in the United States. Yet, there was a significant lack of COVID-19 data on SMW, …

The "Right To City" In The Era Of Crowdsourcing, Alexandra Flynn

All Faculty Publications

This article explores the meaning and context of crowdsourcing at the municipal scale. In order to legitimately govern, local governments seek feedback and engagement from actors and bodies beyond the state. At the same time, crowdsourcing efforts are increasingly being adopted by entities – public and private – to digitally transform local services and processes. But how do we know what the “the right to the city” (RTTC) means when it comes to meaningful and participatory decision-making? And how do we know if participatory efforts called crowdsourcing—a practice articulated in a 2006 Wired article in the context of the …

“Cops Or Coaches?” The Statutory Role Of Juvenile Probation Officers In A Transformative Age, Justin Iverson, David S. Tanenhaus

Scholarly Works

For more than a century, juvenile justice proponents have had a difficult time precisely defining the proper role of the juvenile probation officer while simultaneously stressing that the juvenile probation department is the “workhorse” of the entire system. Existing literature largely focuses on which aspects of policing and social work these officers should embody while ignoring the foundational moorings in state statutes. This Article offers both a historical account of the rise of the juvenile probation officer and a thorough analysis of each state’s laws regarding peace officer status, employing authority, the power of arrest, and the power to carry …

Healthcare Workers' Well-Being: A Systematic Review Of Positive Psychology Interventions, Alexandra P Townsley, Jenny Li-Wang, Rajani Katta

Faculty, Staff and Students Publications

Given persistent occupational stressors and multiple challenges in the delivery of healthcare, there is an increased focus on the well-being of healthcare workers. Responding to these challenges will require a multipronged approach, focusing on system level, organization, and individual actions. Positive psychology interventions (PPIs) represent a promising area for individual action. This systematic review indicates that PPI, delivered via many methods, holds promise for improving the well-being of healthcare workers, although there is a clear need for additional randomized controlled trials utilizing defined and standardized outcome measures. In this review, the most commonly evaluated PPIs were mindfulness-based or gratitude-based interventions. …

The Daily Association Between Affect And Alcohol Use: A Meta-Analysis Of Individual Participant Data, Jonas Dora, Marilyn Piccirillo, Kelly Arbeau, Stephen Armeli, Marc Auriacombe, Bruce Bartholow, Adriene M. Beltz, Shari M. Blumenstock, Cynthia Mohr, Multiple Additional Authors

Psychology Faculty Publications and Presentations

Influential psychological theories hypothesize that people consume alcohol in response to the experience of both negative and positive emotions. Despite two decades of daily diary and ecological momentary assessment research, it remains unclear whether people consume more alcohol on days they experience higher negative and positive affect in everyday life. In this preregistered meta-analysis, we synthesized the evidence for these daily associations between affect and alcohol use. We included individual participant data from 69 studies (N = 12,394), which used daily and momentary surveys to assess affect and the number of alcoholic drinks consumed. Results indicate that people are not …

Trauma‐Informed Care Implementation Assessment Instrument, Karen Cellarius, Aliza Tuttle, Christine A. Da Rosa

Regional Research Institute for Human Services

Trauma Informed Oregon’s Trauma-Informed Care (TIC) Implementation Tool provides a framework for incorporating trauma-informed policies, practices and care into any organization’s structure. It was originally created in 2022 by Trauma Informed Oregon (TIO) and the Human Services Implementation Lab (iLab) at Portland State University’s Regional Research Institute. Implementation of Trauma-Informed Care is an ongoing process and is not expected to happen all at once. Systematically assessing TIC implementation accomplishes two things. First, it documents the extent that the organization is trauma-informed and clearly identifies systemic strengths, weaknesses and gaps. Second, it helps the organization decide on overall goals, and identify …

Educational Myths Of An American Empire: Colonial Narratives And The Meriam Report, Madhu Narayanan

Educational Leadership and Policy Faculty Publications and Presentations

The Meriam Report is a remarkable historical artifact of the United States' colonial project. The idea of a stronger nation through education embodied in the report betrays the report's imperial core. The report's authors express moral outrage at the failure of the United States to respect the human dignity of Native Americans. To absolve these failures, the report repeatedly looks to education as the way forward. My interest is in the discursive construction of that argument, specifically how new discourses of progress, scientific management, and modern administrative principles were used to justify expansion of the federal government and solidify the …

A Black Prometheus Among The Gods: Illuminating African American Literary Tradition In Sam Greenlee's The Spook Who Sat By The Door, Kenneth L. Rainey Iii

Cal Poly Humboldt theses and projects

In his hard-hitting novel The Spook Who Sat by the Door Sam Greenlee aims to help his target African American audience to succeed and thrive as their true selves with the novel functioning as a guide to resisting the ever-present physical and spiritual threat faced daily. On the one hand the novel functions as a manual for civil uprising, but underneath that surface, Greenlee argues that true African American resistance comes through nurturing self-determination, self-love, and self-esteem. This project also argues that Spook ought to be located closer to the center of the African American literary canon and provides comparisons …

Indigenous Women In Active Drug Abuse Recovery: An Analysis Of Native And Non-Native Programs, Raquel J. Muñoz

Cal Poly Humboldt theses and projects

In general, much has been written on the experiences of prototypical women in drug recovery programs, however there is only a scarcity of research on the experiences of rural women of color in drug recovery programs. Very few Northern American cultures had experience with alcohol before the first wave of European settlers. Responses to intergenerational trauma faced by Native women include substance abuse, depression, anxiety, low self-esteem, suicidal thinking, and more. Due to socioeconomic disadvantages drug and alcohol abuse tends to be a coping mechanism for many Native American women. Drawing on the narratives of ten Indigenous women who are …

Knowledge Sharing And Referral Practices By Traditional Birth Attendants In Low-Income Urban Areas Of Southwest Nigeria, Janet O. Adekannbi, Joy O. Oluwafemi

Library Philosophy and Practice (e-journal)

Traditional birth attendants (TBAs) are important for maternal health care especially in Africa’s low-income areas. Without doubt, the relevance of TBAs in developing countries such as Nigeria is not expected to reduce in the foreseeable future. The knowledge of traditional birth attendants will continue to be needed and considering the tacit nature of their knowledge, there is a need to preserve the knowledge in this profession and promote sharing of best practices to prevent maternal mortality issues. This study investigated the knowledge sharing (KS) and referral practices of TBAs in low-income urban areas of South-west Nigeria. Qualitative approach was adopted …

A Randomized Implementation Trial To Increase Adoption Of Evidence-Informed Consent Practices, Erin D Solomon, Jessica Mozersky, Melody Goodman, Meredith V Parsons, Kari A Baldwin, Annie B Friedrich, Jenine K Harris, James M Dubois

2020-Current year OA Pubs

INTRODUCTION: Several evidence-informed consent practices (ECPs) have been shown to improve informed consent in clinical trials but are not routinely used. These include optimizing consent formatting, using plain language, using validated instruments to assess understanding, and involving legally authorized representatives when appropriate. We hypothesized that participants receiving an implementation science toolkit and a social media push would have increased adoption of ECPs and other outcomes.

METHODS: We conducted a 1-year trial with clinical research professionals in the USA (

RESULTS: Participants who engaged more with the toolkit were more likely to have tried to implement an ECP during the trial …

Situating Implementation Science (Is) In Res(Is)Tance: A Conceptual Frame Toward The Integration Of Scholarship From The Black Radical Tradition, Cory D Bradley, Whitney C Irie, Elvin H Geng

2020-Current year OA Pubs

This manuscript undertakes a disciplinary self-critique of the field of implementation science, a field which attempts to bridge the gap between evidence-based interventions and their practical application. Despite the heightened emphasis on health equity and racial disparities, the field's current discourse is limited by key epistemic shortcomings. First, even though prevalence of implementation gaps between racialized groups in the United States necessitates a comprehensive understanding of the systems perpetuating these disparities, the field does not operate with a general explanation for disparities not as a failure of systems, but a system historically and structural designed to produce disparities. Second, the …

Training In Eight Low-And Middle-Income Countries: Lessons Learned From A Pilot Study Using The Who-Tdr Dissemination And Implementation Massive Open Online Course, Ashlin Rakhra, Victor Davila-Roman, Ana A Baumann, Et Al.

2020-Current year OA Pubs

INTRODUCTION: Non-communicable diseases (NCDs) are a leading cause of morbidity and mortality in low-and middle- income countries (LMICs). Despite this, a lack of funding, training and mentorship for NCD investigators in LMICs exists. In an effort to gain knowledge and skills to address these gaps, participants from the Global Research on Implementation and Translation Science (GRIT), a consortium of studies in eight LMICs and their networks, attended the dissemination and implementation (D&I) massive open online course (MOOC) developed by the Special Programme for Research and Training in Tropical Diseases at the World Health Organization to strengthen D&I capacity building. Here, …