Digital Commons Network^™

The Experience Of Occupational Therapists' Approaches And Interventions For School-Aged Children And Adolescents With Anxiety, Meg O'Brien, Emily Terhaar

Occupational Therapy Capstones

In the realm of occupational therapy there is not a clear or cohesive evidencebased approach that OT's use to guide intervention planning with school-aged children or adolescent who have anxiety or anxiety secondary to another medical condition. Therefore, the purpose of this study was to gain an understanding of the experience of 6 pediatric occupational therapists in an outpatient setting in developing and implementing interventions for this population. Researchers utilized a phenomenological qualitative research method completing six interviews to understand the experience of the participants. Findings suggest that occupational therapists who participated in this study feel that they have skills …

Constituting Children's Bodily Integrity, Jessie Hill

Faculty Publications

Children have constitutional rights to bodily integrity. When children are abused by state actors, courts do not hesitate to vindicate those rights. Moreover, in at least some cases, children’s bodily integrity rights protect them within the family, giving them the right to avoid unwanted physical intrusions regardless of their parents’ wishes. Nonetheless, the scope of this right of children vis-à-vis their parents unclear; the extent to which it applies beyond the narrow context of abortion and contraception has been almost entirely unexplored and untheorized. This Article is the first in the legal literature to analyze the constitutional right of minors …

The Child Quasi-Witness, Richard D. Friedman, Stephen J. Ceci

Articles

This Essay provides a solution to the conundrum of statements made by very young children and offered against an accused in a criminal prosecution. Currently prevailing doctrine allows one of three basic outcomes. First, in some cases the child testifies at trial. But this is not always feasible, and when it is, cross-examination is a poor method for determining the truth. Second, evidence of the child's statement may be excluded, which denies the adjudicative process of potentially valuable information. Third, the evidence may be admitted without the child testifying at trial, which leaves the accused with no practical ability to …

Social Support Networks Among Children With Intellectual And Developmental Disabilities, Laura Hapke

Honors Theses and Capstones

Previous research using predominantly adult populations has found that social support is positively correlated with an individual’s quality of overall health and wellbeing. Given the limited research investigating social support among children, especially children with special needs, the present study explored the social support networks of children with intellectual and developmental disabilities (IDD). Nine children enrolled in an after-school program were observed interacting with others and were interviewed in group discussions about the sources of support they tend to rely on in their daily activities. Preliminary findings suggest that children relied on each other’s for help during the regular after-school …

Children With Asthma: What About The Quality Of Life Of Their Parents?, Anna Trzcieniecka-Green, Kamilla Bargiel-Matusiewicz, Agnieszka Wilczyńska, Hatim A. Omar

Pediatrics Faculty Publications

An increased frequency of asthma in children has been lately observed. The course of asthma depends not only on treatment. but also on the actions taken by the parents of a sick child. Design: A non-experimental cross-sectional design. Methods: In this study the Pediatric Asthma Quality of Life Questionnaire (PACQLQ) and Satisfaction with Life Scale (SWLS) were administered to 60 parents of children with :asthma. Two groups of parents were compared. The first group consisted of parents of children who had been diagnosed with asthma less than three months before the beginning of the study. The second group consisted of …

Demographic Disparities In Children With Behavioral Or Conduct Disorders, Caitlin Dunworth

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

This study examines the demographic disparities in children with externalizing behavior disorders, such as oppositional defiant disorder and conduct disorder, utilizing secondary data from the 2011/2012 National Survey of Children’s Health (NSCH). Current literature suggests that children with externalizing behavior disorders are more likely to be male, live in a low-­‐income family, receive lower grades in school, and to develop later conditions such as depression. Chi square tests and logistic regression were used to examine the associations of presence of a current behavioral or conduct problems with age group, race/ethnicity, sex, household income level, and insurance type. Additionally, associations were …

Farm To School Programs And Children's Dietary Behaviors, Kathleen Evers

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

There is an increasing promotion of the importance of fruit and vegetable consumption through prevention efforts, specifically in school systems, to control and prevent childhood obesity. Farm to School (FTS) programs offer interactive hands on experiences involving fruits and vegetables. This study examines a specific FTS program including a farmer interaction, and a broccoli taste testing experience for kindergarten and fourth grade students in a rural Kentucky county. By using a digital still photography method of plate waste, the decisions of approximately 115 students to take/not take broccoli and percentage of students’ consumption of broccoli was analyzed. Using chi-square and …

Professional Counseling For Children With Sensory Processing Disorder, Emily Goodman-Scott, Simone F. Lambert

Counseling & Human Services Faculty Publications

Sensory processing disorder is a complex neurological disorder affecting approximately 5–17% of the population, yet professional counselors often misunderstand and misdiagnose this disorder. A child’s academic, emotional and social functioning can be substantially impacted by sensory processing disorder; early diagnosis and treatment is crucial. In this article, the authors describe the disorder, discuss its impact on children and their families, and provide recommendations and resources for both mental health counselors and school counselors to utilize when serving this unique population with special needs. A case study is included, in addition to suggestions for treatment collaboration and advocacy on behalf of …

Working Memory And Symptoms Of Attention Deficit Hyperactivity Disorder In Children, Alison Margaret Colbert

Master's Theses and Doctoral Dissertations

Attention Deficit Hyperactivity Disorder (ADHD) is a disorder mainly characterized by high levels of inattention, hyperactivity, and impulsiveness. Although ADHD is a topic of great interest in multiple domains, much remains to be explored before a thorough understanding will be possible. Recently, working memory (WM) has gained attention as a potential core deficit of ADHD. Therefore, theories of ADHD and WM may provide guidance for increased understanding of ADHD, and continued research on ADHD, guided by WM theory, will maximize the effectiveness of assessment and treatment for this disorder. The current study utilized a model integrating WM measurement and symptoms …

The Implementation And Acceptance Of Yoga Techniques For Children With Complex Trauma Among Practicing Clinicians, Danielle S. Martineau

Theses, Dissertations, and Projects

This mixed-method study was undertaken to determine acceptance and utilization rates of yoga techniques in treatment with children ages 5-17, with complex trauma among practicing-clinicians. Secondly, it was to explore beliefs of effectiveness and barriers of implementation of yoga in a therapeutic milieu. An online survey was sent through mass emails of local agencies, online social media sites through groups associated with trauma and mental health to determine practicing therapists' interests, utilization, beliefs of effectiveness, and barriers of implementation of yoga techniques in therapeutic practice with children with complex trauma. To qualify to participate in this study, one had to …

Exploration Into Pre-Clinicians' Views Of The Use Of Role-Play Games In Group Therapy With Adolescents, Sarah H. Flashman

Theses, Dissertations, and Projects

This qualitative study examines pre-clinicians' beliefs and experiences with adolescent group therapy and role-play games (RPGs) as therapeutic group treatment. Twelve pre-clinicians in a community mental health agency were asked about their thoughts and experiences of group therapy and the use of RPGs in adolescent group therapy. The larger themes found in this study were participants' experiences with group therapy, use of group therapy, and RPGs in adolescent group therapy. These results indicate that pre-clinicians rely heavily on experience, rather than research, when making clinical decisions. Furthermore, this study shows that pre-clinicians have little knowledge about RPGs, but view them …

Settled Debate Or Second Wave? : Clinical Social Workers' Roles In Treatment With Youth Who Take Adhd Drugs, Rachel B. Reed

Theses, Dissertations, and Projects

The purpose of this exploratory study was to gain a deeper understanding of social workers' roles in treating children who take attention-deficit hyperactivity disorder (ADHD) drugs. The study used semi-structured in-person and telephone interviews with twelve licensed clinical social workers to gather qualitative data about their experiences with children and families of children diagnosed with ADHD and their reflections on their roles in treatment, in particular those regarding medication prescribed to mitigate the child's ADHD symptoms. The findings suggested that social workers experienced difficulty teasing out ADHD from issues known to commonly co-occur as well as from a history of …

“The Autism Adventures Of Watson & Holmes”: Puppet Theatre To Improve Elementary Students’ Knowledge Of And Attitudes Toward Autism Spectrum Disorder, Sarah N. Simon

Departmental Honors Projects

The prevalence of autism spectrum disorder (ASD) is a growing concern in schools across the nation. More students with high functioning autism are being mainstreamed, and students on and off the spectrum are being exposed to a wider variety of behaviors and new opportunities for friendship in school. Many students who fall on the autism spectrum suffer from the stigmatizing attitudes of their peers, and this stigmatization often stems from a lack of early education about mental health. Puppetry has been proven to captivate young audiences while teaching important messages in an entertaining and relatable way. The purpose of this …

Beverage Selections And Presence Affect Healthy Eating Index Scores In Lunches Of Elementary Age Children, Whether From Home Or School, Mary K. Barbee

All Master's Theses

Objectives: Examined differences in school lunch meals (served and consumed) brought from home (LBFH) versus National School Lunch Program (NSLP) using Healthy Eating Index 2010 scores for assessment of Meal Quality by component food groups. Influence of beverage selections on HEI-2010 scores were examined for each meal origin. Methods: Digital plate waste estimations were analyzed for 509 NSLP meals and 524 LBFH from 2nd-5th-grade students in four elementary schools during the 2011-2012 academic year. Nutrient Data Software for Research (NDSR) determined food groups and nutrients for calculations. Independent t-tests compared NSLP and LBFH meal components. Two one-way ANOVA tests compared …

The Kids Feel (More Than) All Right : A Study Exploring The Subjective Experiences And Perceptions Of Adult-Male Children Raised In Planned Lesbian Families As Relates To Their Gender Development, Naomi D. Drexler

Theses, Dissertations, and Projects

The purpose of this study was to explore the subjective experiences and perceptions of adult-male children of planned lesbian families as relates to their gender development. Furthermore, this study sought to explore if/how adult-male children of planned lesbian families perceive their family form to have impacted their constructions and expressions of masculinity and male identity. No study to date has exclusively, nor deeply, explored the subjective experiences and perceptions of this particular population as relates specifically to their gender development. This qualitative study relied on intensive interviewing as its data collection method. Interviews were semi-structured and conducted in person or …

Therapeutic Animal Camp For Children Affected By Cancer, Katie Fleck

Williams Honors College, Honors Research Projects

This research project looks at the therapeutic benefits of an animal camp for children touched by cancer. Animal assisted therapy techniques were used for children to connect with animals during a week long summer camp. The benefits of working with animals are discussed, as well as research on many therapeutic activities including reiki, labyrinth walking, zentangle drawing, yoga, and drumming. Past camp attendees were recorded and interviewed about their personal experiences at camp. Caregivers of campers were also interviewed, who shared about the positive impact camp had on their family. Multiple benefits were found for this type of camp in …

Caregiver Perceptions Of Healthcare Providers And Environments Related To Children With Autism Spectrum Disorder, Deanna Klettlinger, Lynn Wirfel, Brittany Bielak

Williams Honors College, Honors Research Projects

The healthcare setting can be intimidating for any child. For children with autism spectrum disorder (ASD), in particular, this setting can cause anxiety and elicit disruptive behavior. The reactions of children with ASD to healthcare settings have not been widely studied. This study explores the lived experience of caregivers of children with ASD related to healthcare providers and environments. A qualitative phenomenological approach and methods guide the study. Purposive sampling was utilized at a resource center to identify and recruit participants fulfilling inclusion criteria. Sample size consisted of four female and two male adults. Semi-structured interviews were performed and voice …

Predictors Of Use Of Hydroxyurea And Its Impact On Clinical And Economic Outcomes Among Children With Sickle Cell Disease, Manasi Datar

Electronic Theses and Dissertations

Objective: The objective of this study was to assess the prevalence and predictors of use of hydroxyurea (HU) and its impact on clinical and economic outcomes in pediatric patients with sickle cell disease (SCD) enrolled in Medicaid. Methods: A cohort of patients with SCD was identified in 2006 using ICD-9-CM codes from Medicaid claims from 40 US states. Patients who filled three prescriptions of HU in within 6 months in 2007 were identified as HU users. HU users were then matched with non-users and the impact of HU use on the presence of crises and economic outcomes including presence of …

Examining Therapists' Perceptions Of Barriers To Treatment With Youth And Their Families : A Mixed Methods Study, Gimel Rogers

Theses and Dissertations

The present study identified and quantified five main barriers to treatment categories, deducted first from the qualitative dataset, then consolidated with the results of the quantitative dataset. Clinicians (N=36) that worked with youth and their families participated. The main findings suggested five parent themes (practical obstacles, poor alliance with the therapist, therapist's perceptions, socioemotional, and cultural) and seven concept groups (transportation, financial, logistical, attendance, therapeutic relationship, lack of communication, and lack of engagement). Implications provide strategies to ratify some of these barriers, such as gathering data on youth clients and their families. For the purposes of this study, the terms …

Processes And Mechanisms Of Change In Integrative Behavioral Couple Therapy: A Case Study Of One Couple With Distress Over Child Rearing, Jessica S. Schachter

Theses and Dissertations

Marital distress is common and can have a tremendous influence on an entire family. Spousal conflict related to children is known to have a particularly negative impact on both the parenting and marital relationship. A number of evidence-based therapies exist to support couples in need including integrative behavioral couple therapy (IBCT; Jacobson & Christensen, 1998), which focuses on emotional acceptance and behavior change as mechanisms that improve marital satisfaction. While IBCT is well documented as an effective treatment with lasting outcomes (Christensen, et al., 2004), how and why IBCT works remains less clear. The current study used qualitative methodology to …

“Where Did I Learn That?” Exploring The Similarity Effect And Children’S Use Of Memory Cues For Source Monitoring, Leanne E. Bird

Theses and Dissertations (Comprehensive)

An individual’s ability to accurately monitor source (attribute known or remembered information to its particular source or origin) develops gradually throughout childhood. Along with task difficulty (i.e., delay between encoding and retrieval), source similarity is among the utmost hindrance to individuals’ ability to accurately monitor source; specifically, the greater the similarity between sources the more difficult source monitoring judgments have been found to be, and the smaller similarity between sources (i.e., the greater number of differences between sources) the more accurate source monitoring judgments have been found to be. The similarity effect has been said to apply to all age …

Good Cop -- Bad Cop: Police Violence And The Child’S Mind, Andrea L. Dennis

Scholarly Works

Police violence against citizens lately has gripped the nation’s attention because of recent cases in Ferguson, Missouri; Staten Island, New York; Cleveland, Ohio; Baltimore, Maryland; and elsewhere. Children in those communities and nationwide have been directly and indirectly exposed to these well-publicized incidences of police killings and the aftermath of those killings.

Exposure to police violence may cause children physical, cognitive, emotional, and social trauma. Moreover, the exposure may negatively influence children’s mindsets regarding the criminal justice system and police.

Undoubtedly, these events of late are not the first and only instances in which children have been exposed to physically …

Using Social Writing Instruction As A Means Of Building Community Among Diverse Gifted Students In A Transient, Pull-Out Program, Kimberly S. Lester

Theses and Dissertations

In this era of high-stakes testing and teacher accountability, teachers complain of a lack of time for authentic writing experiences that lead to deeper community development. Yet numerous researchers, including Vygotsky, argue the value of community development as a means of creating safe places where students feel valued, allowing them to make more relevant connections for life-long learning.

The purpose of this mixed-methods study was to explore how writing builds community among diverse students in a short term, transient gifted program. The study incorporated ethnographic research techniques combined with basic descriptive and inferential statistical analyses. The study focused on three …

Autism Spectrum Disorder And Using Yoga As An Intervention: A Critical Review Of The Literature, Jessica Garcia

Theses and Dissertations

The present study is a critical analysis of literature regarding the utilization of yoga with children with Autism Spectrum Disorders (ASD). This dissertation will provide an overview and critically analyze the existing relevant literature on the utilization of yoga as an intervention for treating mental health conditions. Special attention will also be paid to the implementation of yoga in schools and classroom settings. Based on the existing literature, strengths as well as limitations will be discussed, and suggestions will be made for future research in this area. This dissertation will conclude with recommendations based on the existing literature, as well …

Food Policy And Cognitive Bias, Paul F. Campos

Publications

No abstract provided.

Examination Of Adhd Symptoms In Children Of Traveling Armed Services Members, Giovanda Dewette Norman

Walden Dissertations and Doctoral Studies

Research has captured a notable increase in the diagnosis of attention deficit hyperactivity disorder (ADHD) in the United States. This increase in ADHD diagnosis is also seen in children in military communities. A gap in the literature exists regarding how military deployment affects the presentation of ADHD symptoms of children aged 3 to 15 in military families. The study examined the effect of military deployment status on children aged 3 to 15 with symptoms of ADHD. Participants were 164 military families, representative of the diversity of the military, from military bases around Southern California. Each participant responded to 2 questionnaires: …

Talk Don’T Touch? Considerations For Children’S Attorneys On The Physical Touch Of Clients, Andrea L. Dennis

Scholarly Works

Researchers focused on the representation of children and attorneys for children have taken great pains to explore issues surrounding the attorney-child client relationship and recommend strategies and policies supporting positive development of the relationship. Notwithstanding the breadth of available information, almost no attention has been aimed at whether attorneys should physically touch their clients. This article fills that gap.

This Article consists of three parts. Part I describes the literature commanding attorneys for children to develop quality relationships with their clients. These works recognize that young clients seek good relationships with their attorneys, but that barriers to creating quality relationships …

A Critique Of Stephane Savanah’S “Mirror Self-Recognition And Symbol-Mindedness”, Robert Mitchell

EKU Faculty and Staff Scholarship

Stephane Savanah (Savanah Biol Philos 28:657–673, 2013) provides a critique of theories of self-recognition that largely mirrors my own critique (though without recognizing it) that I began publishing two decades ago. In addition, he both misconstrues my kinesthetic-visual matching model of mirror self-recognition (MSR) in multiple ways (though he appears to agree with the actual model), and misconstrues the evidence in the scientific literature on MSR. I describe points of agreement in our thinking about self-recognition, and criticize and rectify inaccuracies.

Stakeholder Views On Behavioral Health Care In The Pediatric Primary Care Setting: A Qualitative Approach Towards Integration Of Care, Alexis Quinoy

Theses and Dissertations

The pediatric primary care setting has been discussed as playing a central role for the identification and treatment of behavioral and mental health disorders in youth. Although this setting is in a unique position to provide these services, there are many barriers to the integration of mental health care and pediatric primary care. The aim of this study is to examine perspectives of multiple stakeholders (i.e., patient, parent, nurse, resident, faculty, clinic director) in a pediatric primary care setting to explore barriers, behavioral and mental health needs, and facilitators to the integration and provision of mental health care for children …

Using Structural Equation Modeling To Understand The Role Of The Family In Pediatric Asthma Contexts, Nour Al Ghriwati

Theses and Dissertations

Family factors have long been associated with the psychosocial adjustment of children with chronic illnesses, such as asthma (Minuchin, 1975; Rapee, 1997). Research indicates that negative family factors may also contribute to child disease severity, via bio-behavioral mechanisms of effect (Wood et al., 2006); however, these pathways have yet to be examined with a comprehensive focus on more positive family factors. This study sought to examine whether factors such as family cohesion, problem solving abilities, and communication influence asthma symptom severity in children via their effects on child depression and anxiety symptoms. Using structural equation modeling, we identified significant indirect …