Digital Commons Network^™

Knowledge, Attitudes, And Subjective Norms Associated With Covid-19 Vaccination Among Pregnant Women In Kenya: An Online Cross-Sectional Pilot Study Using Whatsapp, Sylvia Ayieko, Walter Jaoko, Rose Okoyo Opiyo, Elkanah Omenge Orang'o, Sarah E Messiah, Kimberly Baker, Christine Markham

Faculty, Staff and Student Publications

COVID-19 vaccination during pregnancy has been recommended, but the perceptions related to uptake remain unexplored. This pilot study aimed to explore how perceptions influence COVID-19 vaccine uptake among a sample of 115 pregnant women in Kenya, recruited via WhatsApp. Data were collected using an adapted online questionnaire between May and October 2022. Logistic analyses assessed the relationship between COVID-19 vaccination uptake and the Theory of Reasoned Action (TRA) constructs: attitudes and subjective norms. COVID-19 vaccination coverage was 73%, with vaccine hesitancy estimated at 41.4% among the unvaccinated group. Most participants had completed college education and had good knowledge of COVID-19 …

Cost-Effectiveness Analysis Of Favipiravir And Remdesivir As Covid-19 Treatment In South Tangerang, Banten Province - Indonesia, Wahyu G. Putro, Andriani R. Fahriyati, Gilberto A. Julian, Tania R. Amalia, Zaki M. Riski

Pharmacology and Clinical Pharmacy Research

COVID-19 is a contagious ailment primarily attributed to the severe acute respiratory syndrome coronavirus. Indonesia persists in confronting the COVID-19 pandemic, and South Tangerang City has emerged as one of the municipalities in Indonesia that has been significantly affected. There are two categories of medications employed for COVID-19 treatment according to government policies, namely favipiravir and remdesivir. This study aims to as- sess the cost-effectiveness of favipiravir and remdesivir medications at the South Tangerang General Hospital, Indonesia. The present study employs a retrospective research design characterized by a quantitative approach, utilizing cross-sectional methodologies. The analy- sis mostly consists of descriptive …

The Unprecedented Stressors Of Early Childhood Educators During The Covid-19 Pandemic And Post-Pandemic Restoration: A Case Study, Ida Mae Lewis

Doctoral Dissertations and Projects

The purpose of this case study was to describe the unprecedented stressors of early childhood educators (ECE) during the COVID-19 pandemic and the post-pandemic restoration at two early childhood education centers (ECEC) in a midwestern state. The central research question was: How did the COVID-19 pandemic’s unprecedented stressors impact ECE in the post-pandemic era? Data collection included structured interviews with open-ended questions, focus groups, and documents. The three data sources were triangulated for themes, perspectives, and interpretations, and coding was used to help gain a deep understanding of the stressors experienced by early childhood educators. The conceptual framework guiding this …

Impact Of The Increased Use Of Telehealth On Health Care Management And Administration: The Case Of New Care Management Practices, Immacula Pierre

Doctoral Dissertations and Projects

The COVID-19 pandemic has brought unprecedented challenges to healthcare systems worldwide, forcing them to adapt and implement alternative modes of healthcare delivery quickly. Telehealth, the delivery of healthcare services through telecommunication technologies, has become crucial in providing continuous care while reducing the risk of virus transmission. This qualitative study aimed to explore healthcare managers' perceptions of the use of telehealth and its impact on healthcare practices during the pandemic, particularly in terms of provision and quality control. A purposive sample of 10 healthcare managers from different healthcare settings in the United States participated in semi-structured interviews conducted via video conferencing. …

Effect Of Anti-Interleukin-6 Agents On Psychopathology In A Sample Of Patients With Post-Covid-19 Syndrome: An Observational Study, Alessio Simonetti, Antonio Restaino, Evelina Bernardi, Ottavia Marianna Ferrara, Stella Margoni, Antonio Maria D'Onofrio, Federica Ranieri, Delfina Janiri, Vincenzo Galluzzo, Matteo Tosato, Georgios D Kotzalidis, Francesco Landi, Gabriele Sani

Faculty, Staff and Students Publications

Interleukin 6 (IL-6) receptor inhibitors tocilizumab and sarilumab have recently been approved for severe coronavirus disease 2019 (COVID-19). They also affect mood, even though their effect on the post-COVID-19 syndrome-related psychopathology still has to be investigated. The aim of this study was to investigate their effect on psychopathology in a sample of patients with post-COVID-19 syndrome. We included 246 patients (34% female, 66% male) aged 18–75 years who had been hospitalized for COVID. Patients were split into those who received anti-IL-6 receptor agents (Anti-IL-6-R, N = 88) and those who did not (Ctrl, N = 158). The former group was …

Collateral Effects Of Covid-19 Stay-At-Home Orders On Violence Against Women In The United States, January 2019 To December 2020, Patricia C. Lewis, Yuk F. Cheong, Nadine J. Kaslow, Kathryn M. Yount

Health Science Faculty Publications

Background: The necessary execution of non-pharmaceutical risk-mitigation (NPRM) strategies to reduce the transmission of COVID-19 has created an unprecedented natural experiment to ascertain whether pandemic-induced social-policy interventions may elevate collateral health risks. Here, we assess the efects on violence against women (VAW) of the duration of NPRM measures that were executed through jurisdictional-level orders in the United States. We expect that stay-at-home orders, by reducing mobility and disrupting non-coresident social ties, are associated with higher incident reporting of VAW.

Methods: We used aggregate data from the Murder Accountability Project from January 2019 through December 2020, to estimate count models examining …

The Impact Of Loneliness Post-Pandemic And Immersed In The Upcoming Political Election, Regina M. Luttrell Ph.D., Gwen Pratt, Abigail Kludt, Amy Barone, Kwadwo Osei-Poku, Lihan Wang

Real Chemistry Emerging Insights Lab

The Real Chemistry Emerging Insights Lab emerged with a partnership between Real Chemistry and the Public Relations department at the S.I. Newhouse School of Public Communication and serves as a multidisciplinary research center focusing on analytics, artificial intelligence, digital and emerging media for a number of organizations regarding communications.

Healthcare professionals and organizations are interested in identifying how mental health impacts different U.S. generational groups after the COVID-19 pandemic and the intersectionality of U.S. Politics. Our team focused on two generational cohorts – Generation X (1965-1980) and Generation Z (1997-2012) – as an entry point into navigating the impact of …

Coping With The Covid-19 Pandemic: Examining Meaning-Making In A Socioecological Framework, Emilia Eva Mikrut

Theses and Dissertations

During 2020, the COVID-19 pandemic emerged as a threatening, unpredictable, and uncontrollable stressor. Meaning-making, or one’s ability to make sense of a stressful life event, integrate the event into one’s narrative of the world and meaning in life, and accordingly revise life goals, is a salient intrapsychic process contributing to psychological adjustment in the face of very stressful or traumatic experiences such as chronic health issues, interpersonal grief, and natural and man-made disasters. Early findings provide evidence for the critical role of meaning-making in coping with stressors associated with the COVID-19 pandemic. Though meaning-making is a universal process, one’s capacity …

Understanding The Importance Of Administrative Mental Health Support For Frontline Nurses Post Covid-19, Sarah Mah

Nursing | Senior Theses

During the peak of the COVID-19 pandemic, intensive care units and critical care units were overwhelmed with the number of patients that were on the floors. It was during this time that nurses were experiencing the most mental health decline.

Several factors can be associated with the rapid decline of nurses’ mental health. However, these issues could ultimately stem from the lack of action taken by healthcare administration. This includes increased workload and the lack of PPE, resources institutional support. Because these units played such a vital role during the pandemic, it is imperative that healthcare administrators do what they …

Biophilic Design And Biophilic Cities: An Explainer, Kincaid Brown

Law Librarian Scholarship

The COVID-19 pandemic brought into focus that outdoor activities in natural settings have a positive impact on mental health, and individuals participating in outdoor activity report higher rates of emotional well-being than individuals who do not participate in such activity. Biophilic design is an architectural practice that aims to connect people to nature through design concepts with one of the benefits being psychological. Other benefits of biophilic design include improvements to environmental quality, physical health, support of animal species and habitats, and more resilient and energy-efficient cities.

Between Wages And Wellbeing: Examining The Role Of Employers In Increasing Covid-19 Vaccine Uptake In The State Of West Virginia, Nathaniel Udoh Godwin

Graduate Theses, Dissertations, and Problem Reports (ETD)

The novel coronavirus disease 2019 (COVID-19) stretched public health systems globally, with millions of cases confirmed across all continents of the world. The United States health systems struggled as the country grappled with emerging variants of the virus, differing levels of vaccine acceptance, misinformation, and disparity in health outcomes. As COVID-19 vaccines emerged, the U.S. Government sought to bolster uptake through myriad measures, including announcing vaccine requirements for federal employees, which was met with mixed reactions. Accordingly, some employers and businesses adopted a “no jab, no job” policy, while others stopped short of mandates but encouraged and incentivized vaccine uptake …

Connecting In Crisis: Exploring Online Informal Communications In Florida’S Unemployment Struggle, Anna V. Eskamani

Graduate Thesis and Dissertation 2023-2024

The COVID-19 pandemic led to widespread unemployment, significantly impacting Floridians who faced delays and systemic issues with the state's unemployment system. This study examines crisis communication within a Reddit community, focusing on how individuals used informal communications to navigate the unemployment benefits crisis. Guided by Rhetorical Arena Theory (RAT) and Uses and Gratification Theory (U&G), the research addresses: (1) How did individuals in the active audience discuss challenges faced when trying to access Florida’s unemployment system? (2) What lessons can be drawn from the analysis of informal communications on social media for improving crisis communication strategies during future crises? A …

From Crisis To Classroom: Evaluating Academic Success In Vulnerable Populations During The Covid-19 Emergency Education Era, Jake Novak

Graduate Thesis and Dissertation 2023-2024

This study investigated school closures' impact on students from vulnerable populations in elementary classrooms. The research places an emphasis on the importance of an equitable and effective educational system in every community. It highlights the role of formal education in providing opportunities for social advancement and promoting the development of individuals and nations. The impact of the COVID-19 Emergency on access to quality education and the challenges and inequities faced by vulnerable populations are emphasized. This research also discusses the Sustainable Development Goals (SDGs) established by the United Nations in 2015 to ensure inclusive and equitable education for all children …

Cultivating Green Public Spaces And Backyard Gardens Amid Covid-19: An Anthropological Study Of Metro-Orlando Gardeners, Chelsea N. Daws

Graduate Thesis and Dissertation 2023-2024

This dissertation critically analyzes home and community gardens within Metro-Orlando by considering the ways that the COVID-19 pandemic impacts residents' garden participation and access to green public spaces. The study utilizes an ethnographic approach to produce informed understandings of participants' experiences within local gardens, alternative food networks, and community supported agriculture analyzed using Marxian theoretical frameworks. Findings are primarily grounded in qualitative information derived from interviews, participant observation, and photovoice. Data were collected both prior to the global COVID-19 outbreak and over subsequent months of lockdown and public health mitigation measures. Primarily focusing on local community garden organizers, community garden …

Black Males’ Experiences Of Resilience: A Narrative Study On College Students Experiences During The Covid-19 Pandemic, Keshia R. Graham

Theses and Dissertations

Black men’s resilience has historically been discussed, interwoven, and disguised by deficit-based models rather than strength-based ones. The current study examined Black men's resilience using a strength-based model for Black male students in higher education institutions. Specifically, the experiences and resilience of Black men before and during the COVID-19 pandemic were explored. This study targeted Black male students from an urban institution, with the aim to find out what key elements supported their resilient behavior throughout the most challenging times in their college career. The African American Male Theory and Resiliency Theory used as the theoretical framework. A narrative methodology …

Balancing Acts: Navigating The Impact Of Working From Home On Women, Families And Beyond, Gayle Marie Hardison

Department of Conflict Resolution Studies Theses and Dissertations

The COVID-19 pandemic had a significant impact on the world and continues to impact us four years later. One of the most significant impacts the pandemic had is on the way we work. To stop the spread of the virus and to safeguard the public, countries around the world issued stay-athome orders which required all but essential workers to stay at home beginning in March of 2020 in the United States and throughout the world. This transformed the way and where we worked and a large portion of the workforce which was able, began working from home or teleworking. What …

Unpacking The Influencing Factors Of Telehealth Usage Among Older Consumers, Xiaojing Sheng, Yuri Martirosyan, Khondoker Sayeed Hossain, Reto Felix, Arjun Singh

Marketing Faculty Publications

This research unpacks the challenges and motivations of telehealth usage among older consumers—an understudied population in the extant telehealth literature. Through surveying a sample of older consumers who regularly migrate to winter in the southern areas of the United States, our qualitative analysis uncovers motivations (i.e., convenience, ease of use, efficiency, and a forced option) and challenges (i.e., telehealth limitations, privacy concerns, and lack of trust, access, and skills) of older consumers’ telehealth usage. Further, logistic regression identifies attitude toward telehealth, gender, and health status as significant predictors of telehealth usage behavior. Contributions to theory and practice are also discussed.

Physical Activity, Anxiety, Depression, And Coping In Turkish Men And Women During The First Wave Of Covid-19, Bijen Filiz, Funda Coşkun Özyol, Bengü Güven, Ezel Nur Korur, Yılmaz Yüksel, Cavit Işık Yavuz, Kele Ding, Jingzhen Yang, J. Larry Durstine Phd, Facsm, Faacvpr, Fnak, Ming-Kai Chin, Gıyasettin Demirhan

Faculty Publications

A need exists to better understand the relationships between COVID-19, coping behaviors, physical activity and stress, and COVID-19’s impact on way of life. A cross-sectional study design was used to examine adult physical activity, hope, depression, anxiety, and coping status by gender during the COVID-19 pandemic, and to determine the impact of these variables on the coping process. The study also examined the effect of gender on the relation between physical activity and dependent variables. A global survey instrument was used in this study, including 1,400 Turkish adults. This study identified significant gender-based differences regarding physical activity, hope, depression, anxiety, …

Compliance With World Health Organization Covid19 Preventive Behaviors In Rural Counties In Western Kenya: A Cross-Sectional Study, Caleb Nyaranga, Cholo Wilberforce, Fletcher J. Njororai

Population Health Leadership and Analytics Faculty Publications and Presentations

Introduction: the World Health Organization (WHO) recommended various measures to tackle COVID-19, and were adopted by many governments, targeting behavior change among citizens to lower the transmission. There was a paucity of data on the patterns of compliance with different measures within individuals and whether people adhere to all recommended measures or cautiously prefer few but not others. Understanding compliance behaviors and associated factors is important for developing interventions to increase compliance.

Methods: cross-sectional study was conducted among adults in the western region of Kenya. A sample of 806 participants was selected using a stratified sampling method. A structured questionnaire …

The Phenomenological Meaning Of Activities Outside The Home: A Qualitative Solicited Diary Study Of Undergraduate College Students Experiences During The Covid-19 Pandemic, Thomas Nagle

West Chester University Master’s Theses

Dramatic changes to everyday life during the COVID-19 pandemic created a “frame shift” (Goffman, 1974), as mundane activities took on new significance among evolving norms. Our qualitative study explores the phenomenological meaning of engaging in activities outside the home during the first two years of the pandemic, through solicited unstructured diaries kept by college students. We selected n=33 diarists who met our inclusion criteria. Across the selected entries from each diary, emic coding revealed four types of activities discussed: taking care of necessities, navigating from A-to-B, socializing, and spending time in nature. While etic coding …

A Multidimensional Look Into Covid-19’S Reverberating Psychological Consequences, Talia Schulder

Dissertations and Theses

Introduction: The COVID-19 pandemic has exacerbated preexisting inequities in depression and anxiety symptoms, particularly for marginalized populations. Post-disaster mental health has often been investigated in both public health and clinical psychological literature, and the present dissertation integrates both disciplinary frameworks to understand the reverberating psychological consequences of the pandemic. Methods: Data were collected Winter 2022-2023, and the present analyses used descriptive statistics, correlations, and structural equation models to measure associations between variables of interest. Two separate SEMs were conducted with variables often used in public health literature. Specifically, these models assessed the indirect relationship between COVID-19-related financial and social stress …

The Importance Of Endrew: Analyzing The Influence Of A New Legal Precedent In Pennsylvania Due Process Hearing Officer Decisions Before And After Covid-19 Closures, David H. Rush

Journal of Human Services: Training, Research, and Practice

In 2017, a new standard for determining substantive violations of the Individuals with Disabilities Education Act (IDEA) was established with the ruling for Endrew F. v. Douglas County School District. Recently, the United States Department of Education and State Education Agencies have cited the Endrew decision as being important in defining what constitutes a free and appropriate public education (FAPE) under the IDEA, in light of mandated school closures due to the COVID-19 Pandemic. Despite its noted importance, there has been limited analysis into how this new legal precedent has influenced special education due process hearing officer decisions. …

Adjustments To Social Work Practice During The Covid-19 Pandemic In North Carolina: Effects On Burnout And Commitment, Aaron R. Brown, Jayme E. Walters, Aubrey E. Jones, Lara Cates

Journal of Human Services: Training, Research, and Practice

Since the onset of the COVID-19 pandemic, the demand for social workers in the U.S. and abroad has increased. There is demand for more social workers in North Carolina due to ongoing and increasing mental health, substance use disorder, and child welfare needs. COVID-19 has taken a toll on the personal and professional lives of social workers, and research is needed to understand the pandemic’s effects on burnout and commitment among social workers. The present study sought to understand how the COVID-19 pandemic affected the personal and professional lives of social workers practicing in North Carolina and to determine how …

Mental Resilience And State Anxiety In Bulgarians Living In Their Country Of Origin Or Abroad During Covid-19 Pandemic, Stanislava Stoyanova

Papers from the International Association for Cross-Cultural Psychology Conferences

Comparing state anxiety and mental resilience among people living in their country of origin and emigrants abroad may reveal if they have different experiences of negative emotional states, as well as different resources for coping with changes in everyday life brought by the COVID-19 pandemic. The participants were 142 Bulgarians living in Bulgaria during COVID-19 pandemic and 142 Bulgarians living in different countries abroad, whose age varied from 21 to 44 years old. The study was conducted online by means of Qualtrics applying Spielberger’s State Anxiety Scale and Connor-Davidson Resilience Scale CD-RISC2. State anxiety was significantly lower (t(282) = 3.242, …

A Case Study Of Technology Integration At A Community College During A Disruption Of Learning Due To A Global Pandemic, Cara Suzanne Barth-Fagan

Dissertations

This paper discusses the challenges and opportunities of remote learning during the COVID-19 pandemic. It highlights the financial stress, digital divide, and inequalities in educational opportunities that arose during this period. However, it also acknowledges the advantages of remote learning, such as flexible scheduling, individualized learning, and global collaboration. The study design used was qualitative, aiming to identify the perceived levels of student engagement and support between faculty and students, and the perceived levels of success of completing a blended learning course in an online, hybrid, or hyflex format during a global pandemic. The paper concludes by emphasizing the importance …

Impact Of Covid-19 On Individuals With Aphasia: Effects On Quality Of Life And Communication, Kaci L. Gammon

Honors College Theses

Speech-language pathologists (SLPs) help people with aphasia (PWA) manage their communication symptoms and become more independent by supporting them linguistically and emotionally. During COVID-19, speech and language services were not as readily available to PWA due to quarantine restrictions resulting in isolation within this population. Individuals with aphasia had to redirect and find a new way to function daily. This study explored factors that affected quality of communication and quality of life for PWA during the pandemic, including technology, living situation, timing of stroke, and speech-language pathology services. Through an online survey, PWA from across the country expressed how their …

The Seroprevalence Of Sars-Cov-2-Specific Antibodies In Australian Children: A Cross-Sectional Study, Archana Koirala, Jocelynne Mcrae, Philip N Britton, Marnie Downes, Shayal A Prasad, Suellen Nicholson, Noni E Winkler, Matthew V N O'Sullivan, Fatima Gondalwala, Cecile Castellano, Emma Carey, Alexandra Hendry, Nigel Crawford, Ushma Wadia, Peter Richmond, Helen S Marshall, Julia E Clark, Joshua R Francis, Jeremy Carr, Adam Bartlett, Brendan Mcmullan, Justin Skowno, Donald Hannah, Andrew Davidson, Britta S Von Ungern-Sternberg, Paul Lee-Archer, Laura L Burgoyne, Edith B Waugh, John B Carlin, Zin Naing, Nicole Kerly, Alissa Mcminn, Guillian Hunter, Christine Heath, Natascha D'Angelo, Carolyn Finucane, Laura A Francis, Sonia Dougherty, William Rawlinson, Theo Karapanagiotidis, Natalie Cain, Rianne Brizuela, Christopher C Blyth, Nicholas Wood, Kristine Macartney

Staff and Researcher Publications

Background: Following reduction of public health and social measures concurrent with SARS-CoV-2 Omicron emergence in late 2021 in Australia, COVID-19 case notification rates rose rapidly. As rates of direct viral testing and reporting dropped, true infection rates were most likely to be underestimated.

Objective: To better understand infection rates and immunity in this population, we aimed to estimate SARS-CoV-2 seroprevalence in Australians aged 0-19 years.

Methods: We conducted a national cross sectional serosurvey from June 1, 2022, to August 31, 2022, in children aged 0-19 years undergoing an anesthetic procedure at eight tertiary pediatric hospitals. Participant questionnaires were administered, and …

Vaccine Hesitancy In Those Experiencing Homelessness And Housing Instability In Marin County: Is Covid-19 Any Different?, Kelsey Bas

Global Public Health | Senior Theses

Introduction:

COVID-19 booster hesitancy amongst different populations is a continuing public health issue. Within Marin County, individuals experiencing homelessness or housing instability are not receiving their booster vaccination in spite of receiving the primary series of the COVID-19 vaccine. Hence, there is a lack of research that reveals the barriers and motivation as to why individuals experiencing homelessness and housing instability in Marin are facing hesitancy towards the COVID-19 booster.

Methods:

In this qualitative study, the researcher interviewed clients of the Ritter Center. Semi-structured interviews were conducted with individuals ages 18 and older, currently experiencing homelessness or housing instability, and …

The Social, Mental, And Physical Health Impacts Of The Covid-19 Pandemic On People With Hiv: Protocol Of An Observational International Multisite Study, Yvette P. Cuca, Christine Horvat, Inge Corless, Craig Phillips, Álvaro José Sierra-Perez, Solymar Solís Báez, Emilia Iwu, Motshedisi Sabone, Mercy Tshilidzi Mulaudzi, Sheila Shaibu

School of Nursing & Midwifery, East Africa

As the COVID-19 pandemic spread across the world, immunocompromised individuals such as people with HIV (PWH) may have faced a disproportionate impact on their health and HIV outcomes, both from COVID-19 and from the strategies enacted to contain it. Based on the SPIRIT guidelines, we describe the protocol for an international multisite observational study being conducted by The International Nursing Network for HIV Research, with the Coordinating Center based at the University of California, San Francisco (UCSF) School of Nursing. Site Principal Investigators implement a standardized protocol to recruit PWH to complete the study online or in-person. Questions address demographics; …

Financial Strain, Health Behaviors, And Psychological Well-Being Of Family Caregivers Of Older Adults During The Covid-19 Pandemic, Yujun Liu, M. Courtney Hughes, Heng Wang

Faculty Articles, Papers, and Other Scholarship

Objectives

Methods

Results