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Abstracts From The 2024 Health Care Systems Research Network (Hcsrn) Annual Conference, Milwaukee, Wisconsin, Health Care Systems Research Network

Journal of Patient-Centered Research and Reviews

The Health Care Systems Research Network (HCSRN) comprises 20 learning health systems with integrated care delivery and embedded research units. The network’s annual conference serves as a forum for research teams from member institutions to disseminate project findings, explore scientific collaborations, and share insights about population-based research practices that can measurably improve health and health care for all. The theme of this year’s conference was “Advancing high-quality, equitable research in the age of new health care technologies.” Abstracts presented at HCSRN 2024 are published in this issue supplement of the Journal of Patient-Centered Research and Reviews, the journal of record …

The Role Of Adaptive Learning Programs In Secondary Mathematics: A Phenomenology Study, Shameka Sharae Gray

Doctoral Dissertations and Projects

The purpose of the transcendental phenomenological study was to discover the role of adaptive learning programs in closing the learning gaps in mathematics for secondary students in Georgia following the COVID-19 pandemic. The theory guiding this study was that of Bandura's theory on self-efficacy, as it highlights how an individual's experience impacts their belief in their ability to complete specific tasks. The central question in this study sought to identify the experiences of secondary math teachers who use adaptive learning programs to address learning gaps in mathematics following the COVID-19 pandemic. The participants for the study consisted of 10 to …

A Transcendental Phenomenological Study Exploring How Licensed Marriage And Family Therapists Describe The Emotional Impact Of The Covid-19 Pandemic, Melissa Lund

Doctoral Dissertations and Projects

The purpose of this qualitative, phenomenological study was to describe the experiences of Licensed Marriage and Family Therapists (LMFT) in private practice during the COVID-19 pandemic. The study was viewed through the lens of resilience theory, which suggests that an individual's ability to adapt and overcome adverse experiences is based on their individual level of resilience. Eight LMFTs varying in demographics, such as age, gender, and ethnicity, as well as length of time in practice participated in individual interviews exploring their lived experiences during the pandemic. The study's questions aimed to gain a better understanding of the emotional impact of …

‘A Storm Is Coming:' The New York Times Coverage Of The Covid-19 Pandemic In American Prisons, Katarzyna Celinska, Amina Cheboubi

Publications and Research

In this research, we analyzed the content of 171 articles published between March and August 2020 in the New York Times (NYT) on COVID-19 in American correctional institutions. We observed that the NYT coverage decreased significantly over 6 months. Our analysis uncovered 8 themes within two broader frames: institutional and systemic inequity. Although the themes are not mutually exclusive, we argue that ‘Responding to COVID-19,’ ‘A storm is Coming,’ ‘Collective Experience,’ and ‘Critiquing Prison Conditions’ are within the institutional framing. ‘Redefining Public Safety,’ ‘Categorizing Prisoners,’ ‘Doing Injustice,’ and ‘Making it as a Celebrity’ are the themes that highlight systemic inequity, …

Is Telehealth Equivalent To In-Person Intervention? A Replication And Extension Of Peers For Adolescents, Elyse Jeannine Adler

Dissertations (1934 -)

One commonly requested area of support for autistic youth centers around teaching and maintaining social skills, as social communication differences are a core feature of autism spectrum disorder. During the COVID-19 pandemic, many healthcare services transitioned to telehealth, and some caregivers were concerned about if telehealth services were efficacious. There is a growing body of literature supporting the effectiveness of in-person social skills interventions, however research on telehealth administration of social skills intervention is more limited. This study aimed to evaluate if the telehealth version of PEERS for Adolescents has similar effects for autistic youth as the originally developed in-person …

Identity Configuration Of Physician Clinician Educators: A Mixed Methods Study, Lindsey D. White

Organization, Information and Learning Sciences ETDs

This study explores identities of physician clinician educators (CEs) and finds that their identities are multiple and that the COVID-19 pandemic impacted CE identity configuration. Following a sequential explanatory mixed-methods design (quan -> QUAL), participants (n = 115) completed the Physician Clinician Educator Identity Survey (PCEIS) and semi-structured interviews (n = 12). Exploratory factor analysis resulted in a three-factor model; the PCEIS is an acceptable measure of singular CE identity, collective identity, and the impact of the COVID-19 pandemic on CE identity. Qualitative results confirmed the quantitative results and revealed that CEs experience identity enhancement and conflict among multiple identities …

From Motivation To Hinderance: Unveiling Resigned Employees’ Entrepreneurial Intentions And Actions, Shuaijun Zhang

Theses and Dissertations

The phenomenon known as the 'Great Resignation' witnessed a record number of employee resignations since the onset of the COVID-19 pandemic. Reports indicate that approximately 32% of those who resigned during this period transitioned to entrepreneurship. This thesis explores the relationship between resignation and entrepreneurial actions through the lens of creativity. It expands the typology of resignation beyond a simple dichotomy of voluntary and involuntary into four categories: Genius group (voluntarily resigns with high creativity), Traditional group (voluntarily resigns with low creativity), Forced group (involuntarily resigns with high creativity), and Trapped group (involuntarily resigns with low creativity). Previous research suggests …

Collegiate Student-Athlete Responses To The Covid-19 Pandemic, Alexa Jenny Chandler

Theses and Dissertations

Introduction: Exercise imposes a physiological stressor on the body which is amplified as training intensifies. Collegiate fall-sport student-athletes return after summer break (off-season) and have approximately two weeks of training (preseason) with coaching staff before competition begins. The 2020 fall season was preceded by a five-month period away from campus due to the timing of the coronavirus 2019 (COVID-19) pandemic. This also meant all commercial gyms and training facilities were closed, and student-athletes were forced to train with the resources they had at home. Upon return to campus, significant changes were made to practice and competition structures in attempt to …

Viral Reflections: Fear And Biological Misappropriations Toward Asians And Pacific Islanders, Kirk A. Johnson

Department of Justice Studies Faculty Scholarship and Creative Works

The COVID-19 pandemic has revealed the need to resolve the many challenges in society and healthcare. COVID-19 has produced millions of fatalities and reshaped how we view illness. The harm that COVID-19 has caused is not limited to physical maleficence, but also includes the social misappropriations of race and disease. Terms like “Chinese virus” and “Kung flu” are racial epithets that threaten the lives of Asians and Pacific Islanders (AAPI) by physical, verbal, and cyber-bullying. This paper will reflect on the historical, pathological, and media influences on race and disease and how these three factors became catalysts used to blame …

The Fear Of Covid-19 Scale: A Case Of A Filipino Adaptation And Validation Study, Alexie Basileyo, Dennis Erasga

Asia-Pacific Social Science Review

As a significant international health emergency, COVID-19, formerly known as 2019-nCov and later termed SARS-Cov-2 or Severe Acute Respiratory Syndrome Coronavirus 2, has introduced a myriad of behavioral, emotional, and social problems, most notably the fear of the virus itself. In response, a team of researchers developed a scale that measures COVID-19-related fear in 2020. Today, however, the scale has not been fully tested among the Filipino population in general. Hence, the present research addressed the situation by adapting and validating the original scale. Confirmatory factor analysis (CFA) and other relevant reliability analyses were employed to assess the scale’s reliability …

Perceived Disruption Of Covid-19 On Medical Education In Incoming Psychiatric Residents, Steven Sprenger, Ashley Mahajan, Jeffrey Anderson, Napatkamon Ayutyanont, Jessica C. Wells, Gregory Guldner

HCA Healthcare Journal of Medicine

Background

In 2020, the global COVID-19 pandemic caused educational disruptions to many medical students nationally. Societal and hospital guidelines, including social distancing protocols, resulted in the cancellation or postponement of many elective procedures. A shortage in personal protective equipment also contributed to restrictions in clinical experiences for trainees. The purpose of this study was to determine resident-perceived preparedness in core clinical competencies and evaluate the disruptions to core clerkships.

Methods

A survey was developed to assess self-perceptions of clinical competencies and disruptions to core clerkship experiences. It was distributed to 63 incoming psychiatric residents who were matched to training programs …

The Effects Of The Covid-19 Pandemic On Resident Education And Burnout, Timbre Backen, Oliwier Dziadkowiec, Jeffery S. Durbin, Gregory Guldner, Glenda Quan

HCA Healthcare Journal of Medicine

Background

The COVID-19 pandemic has impacted the residency experience for physicians across all specialties. There have been studies examining resident perspectives on changes in curriculum and clinical experiences due to the pandemic; however, little research has been conducted on how residents in different specialties interpreted their educational experience and rates of burnout during the pandemic.

Methods

We extended surveys to 281 residents across 15 separate residency programs between November 17, 2020, and December 20, 2020. The questions pertained to burnout and the effects of the pandemic on their careers. Differences between general and specialty medicine resident responses were analyzed using …

Mortality And Comorbidities Associated With Covid-19 Infection In Psychiatric Patients From A State Hospital, Nicole Ann E. Villa, Matthew Driben, Regina Reed, Maria Yee, Eduardo Espiridion

Transformative Medicine

Introduction: Coronavirus (COVID-19) infection has spread globally and resulted in more than one million deaths in the US as of July 2023, where it has been more severe in psychiatric wards. State hospitals are a particularly transmissible location for COVID-19, and the medications that psychiatric patients typically utilize may contribute to the incidence of comorbidities including obesity, hypertension, and diabetes. Studies have found that patients with preexisting mental health disorders and comorbidities tend to have worse COVID-19 outcomes. Thus, we examine the mortality and comorbidity rate of patients, and discuss how psychiatric medications may contribute to the risk of …

Pilgrimage In The Covid-19 Era: Uncovering Supply Side Challenges And Opportunities In Media Representations, Reni Polus, Ismail Shaheer, Naresh P. Nayak

International Journal of Religious Tourism and Pilgrimage

Pilgrimage travel, a common practice across major religions, has historically exhibited remarkable resilience to global crises, owing to the unwavering conviction of its followers. However, the COVID-19 pandemic marked a significant departure from this trend, disrupting pilgrimage tourism, unlike any event since World War II. Despite extensive research on the pandemic’s impact on tourism, limited attention has been directed towards understanding its specific effects on pilgrimage travel. This study seeks to address this gap by examining the challenges and opportunities faced by pilgrimage tourism suppliers in the aftermath of COVID-19. To obtain a comprehensive global perspective, we collected and analysed …

Dissociative Facial And Extra-Facial Motor Disorder In The Background Of Covid-19, Mithun S. Acharya, Prathvi Kalathur

Manipal Journal of Medical Sciences

Dissociative facial motor disorder/Psychogenic Facial Movement Disorder (PFMD) with extra facial features is a unique presentation. A middle-aged female working as a community health worker; presented with a 5 day acute onset illness, fluctuating in severity of unilateral left facial deficits with left eyelid closure, deviation of mouth to the right side and slurring of speech. However, her emotional facial expressions, swallowing, and cough reflex were intact. Associated ipsilateral upper and lower limb motor weakness and ataxic gait were present. Clinical examination, neuro-imaging, laboratory investigations ruled out medically explainable differentials for this presentation. Psychiatric evaluation revealed 2 years history of …

The Effects Of Covid-19 On Asian American Perception Of Mental Health, Emily Tseung

Electronic Theses and Dissertations

This study describes a qualitative study using a grounded theory, constructivist approach, which sampled (N = 6) Asian American college students who lived in the United States during the peak of the COVID-19 pandemic. Research shows that COVID significantly impacted the Asian American perception of mental health, including mental health help- seeking behaviors and discrimination experienced. The long-term effects of this are still largely unknown. In depth, semi-structured interviews were used to explore the lived experiences of these Asian Americans. Qualitative analysis revealed thematic differences for the following themes: (a) experience with mental illness, (b) mental health help- seeking …

Supporting Ontario Public Health Units To Address Adverse Childhood Experiences In Pandemic Recovery Planning: A Priority-Setting Exercise, Kimberly B Harding, Erica Di Ruggiero, Erick Gonzalez, Amanda Hicks, Daniel W Harrington, Sarah Carsley

Faculty, Staff and Student Publications

BACKGROUND: Adverse childhood experiences (ACEs) are potentially traumatic exposures experienced during childhood, for example, neglect. There is growing evidence that the coronavirus disease 2019 (COVID-19) pandemic and related socioeconomic conditions contributed to an increased risk of ACEs. As public health programs/services are re-evaluated and restored following the state of emergency, it is important to plan using an ACEs-informed lens. The aim of this study was to identify and prioritize initiatives or activities that Public Health Ontario (PHO) could undertake to support Ontario public health units' work towards ACEs-informed pandemic recovery plans.

METHODS: The Child Health and Nutrition Research Initiative method …

Entry-Level Occupational Therapy Student Volunteer Activities During Covid-19 And Beliefs About Practitioner Roles In Crisis Management, Olivia Biller, Frances Calingo, Tina M. Deangelis, Maclain Capron Ba

Student Journal of Occupational Therapy

Background: Due to the global novel coronavirus disease 2019 (COVID-19) pandemic, many students in entry-level occupational therapy programs faced changes to their daily roles, habits, and routines. To understand beliefs about OT practitioner roles in a public health crisis, a cross-sectional study was designed to understand occupational therapy students (OTS) and occupational therapy assistant students (OTAS) volunteer activities during the COVID-19 pandemic.

Methods: A survey was developed and distributed in April 2020, and closed after five weeks. Quantitative data was analyzed in Statistical Package for Social Sciences (Version 27) and open response data was categorized in Microsoft Excel.

Results: Respondents …

Intimacy Without The Chance Of Heartbreak For Richer, For Poorer, In Sickness & In Health, Cynthia Nguyen

Honors Projects

The present study investigates the effect of the COVID-19 pandemic on the consumption of porn, shifts in the production of porn consumed between men and women, and the breakdown of any pattern in adult content via film, pictures, and audio. A quantitative approach was done by using R to analyze data pulled off of Pornhub, Reddit’s GoneWildAudio subreddit, and Archive of Our Own from 2018 to 2023. Statistical inference and modeling is used to attempt to find a pattern in the production of online porn across three mediums over several years before, during, and after the pandemic. Regardless of events …

Building Trust: The Role Of Place-Based Consciousness In Vaccine Hesitancy, Ramsey W. Ash

Quantitative Social Science Undergraduate Senior Theses

Vaccine hesitancy poses a threat to public health initiatives of the 21st century. Following a stark divide in the rural/urban COVID-19 vaccine uptake and harsh disparities between these areas in COVID-19 moralities and morbidities, further understanding of the drivers of vaccine hesitancy are needed. This study makes use of the framework of place-based consciousness (PBC), pioneered by scholars of rural political science, such as Katherine Cramer, to explore this phenomenon as a mechanism by which to understand vaccine hesitancy. To examine this, an experimental survey was distributed to 300 Americans (150 rural and 150 urban) that inquired about their PBC, …

(R2068) A Study To Assess The Stress On Students Of Higher Education During Covid-19 Using Fuzzy Logic System, Monika Rathore, Uday Raj Singh, Sanjeev Kumar

Applications and Applied Mathematics: An International Journal (AAM)

The COVID-19 pandemic significantly disrupted various sectors, with higher education being one of the most severely affected. Students in higher education faced numerous challenges transitioning to online learning, leading to a surge in mental health issues. The abrupt shift in the mode of education and the inability of many students to adapt exacerbated their mental health struggles. This, in turn, contributed to a notable rise in student suicide rates in India during the pandemic-induced isolation period. Addressing this critical socio-psychological issue requires effective strategies for stress detection and management. The proposed study employed the Online Education Stress Scale (Online ESS) …

Polarization, The Pandemic, And Public Trust In Health System Actors, Alessandro Del Ponte, Alan S. Gerber, Eric M. Patashnik

Political Science Faculty Articles and Research

Context: Public opinion on the performance of health system actors is polarized today, but it remains unclear which actors enjoy the most or the least trust among Democrats and Republicans, whether the COVID-19 pandemic has influenced how people view their own physicians, and whether doctors have retained the ability to influence public beliefs about policy issues.

Methods: The authors conducted two national surveys in 2022 and 2023 to examine these questions.

Findings: Democrats rated the performance of medical research scientists and public health experts during the pandemic more highly than did Republicans and independents. About three in ten Republicans said …

Strengthening U.S. Jail Systems’ Response To Infectious Diseases: An Evaluation Of The Covid-19 Pandemic, Erinn Bacchus

Dissertations and Theses

Jails across the United States were struck with increased infections and deaths during the COVID-19 pandemic. Studies have shown the structural make up of jails, lack of preparedness plans, and overcrowding contributed to health risks and poor health outcomes both inside jails and local communities. Yet little research has been dedicated to strengthening jail responses to infectious disease outbreaks spanning prevention measures, data collection, and reentry planning. Gaps include information on the (1) myriad infectious disease mitigation strategies used in jails and adherence to CDC prevention guidelines, (2) development of a standardized epidemiologic surveillance system, and (3) experiences working at …

The Relationship Between Healthcare Access And Change In Health-Related Quality-Of-Life Among The General Population Of Five Countries During The Covid-19 Pandemic, Nadja Alexandrov, Emily Stella Scott, Mathieu F. Janssen, Erica I. Lubetkin, John N. Yfantopoulos, Gouke J. Bonsel, Juanita A. Haagsma

Publications and Research

Purpose To determine whether (1) healthcare access at onset of the pandemic and (2) age, gender, socioeconomic status (SES), and pre-existing health status were associated with change in health-related quality-of-life (HRQoL) during the COVID-19 pandemic. The study includes a general population sample of five countries.

Methods An online questionnaire was administered to respondents from Greece, Italy, the Netherlands, the UK, and the US at the onset of the COVID-19 pandemic between April 22nd and May 5th of 2020, and 1 year later between May 23rd and June 29th of 2021. The questionnaire included questions on demographic background, health status, and …

Academic Impact And Quality Of Life Among Otorhinolaryngology Residents During Covid-19 Pandemic In South India, Rakshitha Samanth, Meera N. Khadilkar, Deviprasad Dosemane

Open Access archive

The COVID-19 pandemic has led to a major public health crisis. Residents entered the frontline in triaging and treating COVID-19 patients, working overtime to meet the growing demand. Surgical practice and educational activities were restricted, thus affecting resident training. There was also a great risk to their mental health. Our study aims to assess the academic impact and quality of life including mental health status among year I, year II and year III otorhinolaryngology residents during the pandemic. A cross-sectional study was conducted among postgraduates and junior residents working in otorhinolaryngology departments in institutions across South India in October 2020. …

Independent Long Covid Journalism As A Lens For Critical Information Literacy: Conversations With The Sick Times Founders Betsy Ladyzhets And Miles W. Griffis, Andrea Baer

Communications in Information Literacy

Both the COVID-19 pandemic and the acceleration of climate change illuminate how difficult it can be to make sense of information about wicked problems—that is, issues that are highly complex and have no simple or complete solutions (Rittel & Webber, 1973). One approach to grappling with wicked problems is to consider the information practices that different people, communities, or professions use to make sense of those issues. In this Perspectives piece, I explore possible ways to practice and teach about critical information literacy by looking to the views, experiences, and professional practices of two independent journalists who report on …

A Dual-Angle Exploration Towards Understanding Lapses In Covid-19 Social Responsibility, Sean T. H. Lee, Jerome J. X. Mah, Angela K. Y. Leung

Research Collection School of Social Sciences

Breaking infection chains requires not just behaviours that allow individuals to stay healthy and uninfected (i.e. health protective behaviours) but also for those who are possibly infected to protect others from their harboured infection risk (i.e. socially responsible behaviours). However, socially responsible behaviours entail costs without clear, immediate benefits to the individual, such that public health-risking lapses occur from time to time. In this important yet understudied area, the current exploratory study sought to identify possible psychological factors that may affect people's likelihood of engaging in socially responsible behaviours. Assuming that self-perceived infection should provide an impetus to engage in …

Discrimination Experiences Among Asian American And Pacific Islander Adults During The Covid-19 Pandemic And Their Association With Mental Health Outcomes: Updated Findings From The Compass Study, Marcelle M. Dougan, Marian Tzuang, Bora Nam, Oanh L. Meyer, Janice Y. Tsoh, Van M.Ta Park

Faculty Research, Scholarly, and Creative Activity

Background: Reports of escalated discrimination experiences among Asian American and Native Hawaiian Pacific Islanders (AANHPI) continue. Methods: Using the original and follow-up surveys of the COVID-19 Effects on the Mental and Physical Health of AAPI (Asian American and Pacific Islanders) Survey Study (COMPASS I and COMPASS II) (n = 3177), we examined changes over approximately a 1-year period in discrimination experiences attributable to being AAPI and factors associated with worse mental health outcomes. Results: Experiences of discrimination remained high in COMPASS II with 60.6% (of participants (compared to 60.2% among the same people in COMPASS I) reporting one or more …

Depressive Symptoms And Substance Use Behaviors Among Young Adults Before And During Covid-19, Sarah Chun

Clinical Psychology Dissertations

Exposure to previous public health disasters have been found to have a significant negative impact on young adult mental health. Thus, it is important to examine the effect that COVID-19 had on young adult mental health. The current study examined differences in depressive symptoms as well as frequency and impairment of substance use in two cross-sectional samples of undergraduate students, one before COVID-19 and one during COVID-19. This study also examined the moderating effects of religiosity on the association between COVID-19 status and both depressive symptoms and substance use behaviors. Participants were 898 young adults (M_age = 19.83, …

Early Marriage Of Girls In The Context Of The Covid-19 Pandemic: A Literature Review, Shah Md Atiqul Haq, Mufti Nadimul Quamar Ahmed, Shamim Al Aziz Lalin, Arnika Tabassum Arno, Khandaker Jafor Ahmed

Sociology and Anthropology Student Research

The COVID-19 pandemic has had far-reaching consequences worldwide and has also led to significant changes in people's lifestyles, resulting in an increase in social problems, such as early marriages for girls in different contexts. This study aimed to examine the relationship between the COVID-19 pandemic and early marriage among girls. Our analysis of 36 studies published between 2020 and 2023 shows that the pandemic has accelerated the number of early marriages for girls in several ways. In many countries, early marriages often result from social disintegration, loss of social support, inability to pay for basic needs, prolonged school closures, economic …