Digital Commons Network^™

The Implications Of Adverse Childhood Experiences On Adult Health Perceptions, Angela Cleshette Revis

Doctoral Dissertations and Projects

Adverse Childhood Experiences (ACEs) are traumatic incidents or circumstances children face before age 18 that often manifest as physical and mental health illnesses in adulthood, disproportionately affecting survivors from lower socioeconomic classes, specifically communities of color. This study examines the prevalence and type of illnesses stemming from ACEs in adult patients sampled from a North Carolina public health center, where patients are of lower socioeconomic classes, including those from communities of color. Semi structured interviews among 14 participants were conducted using the Zoom meetings platform to obtain responses from the participants. The results show significant mental health consequences, including early …

The Many Ways Of Wakanda: Viewpoint Diversity In Black Panther And Its Implications For Civics Education, Justin Frank Martin

Dialogue: The Interdisciplinary Journal of Popular Culture and Pedagogy

Like many of its superhero film predecessors, Black Panther (2018) achieved widespread popularity both domestically and internationally. Although the film examines the focal character T’Challa’s (Black Panther) attempt to balance his dual responsibilities as king and protector of Wakanda, the viewpoint diversity displayed by its citizens suggests that the film’s central character is Wakandan society. Drawing on events and themes from the film, the essay argues that social domain theory (SDT)—a theory that attempts to explain the development of sociomoral concepts across the lifespan—provides a useful lens to examine Wakandans’ viewpoint diversity as portrayed in the film, specifically with regards …

Leveraging The Power Of Storytelling To Encourage And Empower Children Towards Strong Passwords, Rizu Paudel, Mahdi Nasrullah Al-Ameen

Computer Science Student Research

With the increasing use of computer and smartphones by children, their online safety has been of major concern due to their limited security knowledge and skills. User authentication is pivotal for their security protection, where a body of work focused on children’s password practices. The insights from these studies highlight children’s lack of awareness and skills in creating a strong password. However, there is a dearth in existing literature to understand the scopes of designs for encouraging and empowering children towards strong passwords. As we begin to address this gap, we leveraged the power of storytelling to foster user attachment, …

Digital Health Intervention For Children With Adhd To Improve Mental Health Intervention, Patient Experiences, And Outcomes: A Study Protocol, Nancy Herrera, Franceli L. Cibrian, Lucas M. Silva, Jesus Armando Beltran, Sabrina E. B. Schuck, Gillian R. Hayes, Kimberley D. Lakes

Engineering Faculty Articles and Research

Background

Attention Deficit Hyperactivity Disorder (ADHD) is the most prevalent childhood psychiatric condition with profound public health, personal, and family consequences. ADHD requires comprehensive treatment; however, lack of communication and integration across multiple points of care is a substantial barrier to progress. Given the chronic and pervasive challenges associated with ADHD, innovative approaches are crucial. We developed the digital health intervention (DHI)—CoolTaCo [Cool Technology Assisting Co-regulation] to address these critical barriers. CoolTaCo uses Patient-Centered Digital Healthcare Technologies (PC-DHT) to promote co-regulation (child/parent), capture patient data, support efficient healthcare delivery, enhance patient engagement, and facilitate shared decision-making, thereby improving access to …

The Three-Dimensional Chess For Parents Facing A Child Protective Services Investigation: Navigating The Child Welfare Exception To The Constitution, Gregory M. Varner

Pace Law Review

This article examines the intricate dynamics faced by parents dur-

ing a child protective services (CPS) investigation, highlighting the complexities of navigating the child welfare system within the framework of constitutional exceptions. It outlines the unique challenges parents en- counter, including legal rights, procedural requirements, and the emotional toll of being under investigation. By analyzing relevant legal standards and the roles of various stakeholders, the article provides essential guidance for parents on how to effectively engage with CPS while protecting their family’s interests. Emphasizing the importance of in- formed advocacy, the article aims to equip parents with the knowledge and …

Obesity In Children: Systematic Review Over A 6-Year Period, Including The Covid-19 Pandemic, Cecilia Curis, Valeriu Ardeleanu, Lavinia Alexandra Moroianu, Corina Manole, Roxana Adriana Stoica, Florentina Gherghiceanu, Anca Pantea Stoian

Journal of Mind and Medical Sciences

Although obesity is a frequently formulated diagnosis at all ages, due to the long-term projection of the consequences of this condition in children it is a real public health problem. The etiology of obesity is multiple and its complexity requires a multidisciplinary medical approach from which the psychological component cannot be omitted. Thus, diseases such as diabetes, dyslipidemias, cardiovascular diseases, sleep apnea syndrome, non-alcoholic fatty liver or neoplasia are encountered with a higher incidence in this category of individuals. During the COVID-19 pandemic, the isolation and, consequently, the reduction of access to ways of performing physical exercise increased the balance …

Intimate Partner Violence And Failure To Thrive In Children: A Literature Review, Pamela C. Kimeto

Leadership Connection

Session presented on Friday, September 26, 2014:

Failure to thrive is best described as inadequate growth or the inability to maintain growth, usually in early childhood. It is a sign of under nutrition (Gahagen, 2006; Levy, A., Levy, A., & Zangeten, 2009). In the United States, FTT is seen in 5-10% in primary care settings and in 3-5% in hospital settings (Cole & Lanham, 2011; Daniel, Kleis & Cemeroglu, 2008). Traditionally, the causes of FTT were subdivided into organic (medical) and nonorganic (social or environmental). There is increasing recognition that in many children the cause is multifactorial and includes biologic, …

Improving Intimate Partner Violence Screening In The Emergency Department Setting, Laura M. Karnitschnig

Group: Northern Arizona University School of Nursing, DNP Doctoral Papers

Intimate partner violence (IPV) is a significant public health issue. Global rates of IPV range between 15% and 71%. Approximately three million U.S. women are affected during their lifetimes; and approximately 15.5 million children in the U.S. are exposed to violence in the home annually. To provide resources and decrease health consequences of exposure to violence, violence screening in healthcare settings has been recommended by both medical and nursing organizations. The objectives of this study were to improve RNs' ability to screen for IPV, increase identification of individuals and families exposed to IPV and ensure provision of appropriate resources, and …

Blending Family-Centered Care And The Neuman Systems Model In Caring For Children Experiencing Traumatic Stress., Betsy Mickey Mcdowell

Group: King International Nursing Group

Child traumatic stress disorders occur when children are exposed to (i.e.experience, witness, confronted by) traumatic events or situations that overwhelm their ability to cope. This exposure can be acute or chronic. At least a quarter of a million children are admitted to an ICU each year in the United states and it is thought that as many as on third of these children ultimately will develop symptoms of acute stress disorder(ASD)or of post-traumatic stress disorder (PTSD). Therefore it is imperative that nurses be on the alert for risk factors and clinical manifestations of ASD/PTSD plus actively prevent the development of …

Consumption Of Energy Drinks And Their Impact On Children’S Health, Vlora Rama Demiri, Ornela Zhuniqi, Dua Kabashi, Leonita Thaqi, Neila Kadrija, Syhejla Myftiu, Venera Salihu

UBT International Conference

A new trend that has included children is the consumption of energy drinks. However, there is not much data on how much they and their parents are in-formed about the impact of energy drinks on their health. This study investi-gates the consumption of energy drinks and their impact on children's health through a comprehensive survey targeting parents. The research aims to assess parental awareness and knowledge regarding the prevalence and effects of energy drink consumption among children. The survey encompasses questions related to frequency of consumption, perceived health impacts, and parental attitudes towards energy drinks. Preliminary findings indicate a significant …

Habeas Corpus—A Better Remedy In Visitation Denial Cases, James A. Albert, Gregory A. Brodek

Maine Law Review

Most family law statistics are sobering. For example, in 1986, there were 2,400,000 marriages in the United States and 1,159,000 divorces. In 1985, there were 2,425,000 marriages and 1,187,000 divorces. Millions of children are affected by these divorces each year as courts decide which parent should be awarded their custody. In 1986, there were approximately 63,000,000 American children and 6,139,000 of these children came from broken homes. According to official census statistics, twenty-one percent of America's children live only with their mother while less than three percent live only with their father. In most divorce cases, Mom gets custody and …

Identifying Adolescent Depression In The Public School System, Laura Lee Griffith

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Twenty percent of United States adolescents experience major depression at some point. Elevated school dropout rates, substance abuse, chronic disease, mortality and morbidity rates, and impaired growth remain because 60 % of adolescents with unidentified depression do not receive treatment. Purpose: This evidence-based project identified adolescents aged 16-19 in a South Carolina high school who had symptoms of depression. Counseling and resource information were provided for students with scores of 10 or greater, or thoughts of self-harm on the PHQ-9. Method: Students were screened using the PHQ-9. Data was organized in Excel and analyzed using the T-tests and …

Challenges And Coping Strategies Among Caregivers Of Children With Cancer Receiving Care At A National Referral Hospital In Kenya, Doris Machaki, Albanus Kyalo Mutisya, Jostine Mutinda, Sherry Oluchina, Samwel Maina Gatimu

School of Nursing & Midwifery, East Africa

Background: The number of children diagnosed with cancer is expected to increase by 2050. The caring aspect of these children is usually left to members of the family, more so the mothers. Caregivers are usually faced with various challenges, such as financial issues, social stigma, and emotional and psychological issues. Caregivers use various coping strategies to manage the challenges they experience in the caring process, which can be positive or negative coping strategies.

Objective: To explore the challenges and coping strategies of caregivers of children with cancer receiving care at a national referral hospital in Kenya.

Methods: This study employed …

Effectiveness Of Interventions In The Scope Of Occupational Therapy For Mental Health In Children And Adolescents: A Systematized Review, Shawn Macdonald, Jaden Siegle, Cheyney Loper, Simone Regnier, Danielle Westmark, Stacy Smallfield, Molly Whitlow

Student Systematized Reviews: Occupational Therapy

Importance: 1 in 5 children in the US have a mental health disorder (Larson et al., 2017) which affects health across the lifespan, including engagement in school and play (Rizvi et al., 2024).

Objective: This systemized review explored literature about the effectiveness of mental health interventions for children and adolescents within the occupational therapy (OT) scope of practice.

Data Sources: A medical librarian searched articles from 2019-2024 that were retrieved from PubMed, CINAHL, and PsycINFO.

Study Selection and Data Collection: Studies were included if the outcome measures addressed mental health, interventions were within the scope of OT, participants were children …

Do Parents Know Best: The Impact Of Parental Sleep Knowledge And Related Factors On Sleep In Children With Neurodevelopmental Disorders, Rachel Nicole Chavez

Theses and Dissertations

Sleep problems are a common concern reported by parents of children with neurodevelopmental disorders (NDD). The prevalence of sleep disorders in those with NDD have been reported as high as 86% compared to 25% of typically developing children (Horwood et al., 2019, Robin-Shelton, 2016). These sleep problems can have detrimental effects on cognition, development, behavior, emotion regulation, and physical health. Existing research demonstrates a significant relationship between a child’s sleep disturbances and their parents’ sleep quality and level of parenting stress. This study aimed to identify the gaps in parental sleep knowledge and examined how parent sleep quality and parental …

Systemic Inflammation And Neurocognitive Deficits In School-Age Children With Sickle Cell Disease., Elizabeth A. Gillooly

Theses and Dissertations

Sickle cell disease (SCD) causes inflammation that contributes to poor clinical outcomes, including cerebrovascular disease (CVD). CVD can take several forms in SCD, including neurocognitive deficits without visible cerebral infarction. The role of chronic inflammation in cognitive development in SCD has received little attention to-date. We aimed to study novel markers of systemic inflammation: neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and the systemic inflammation index (SII) to describe developmental trends and relationships to cognitive outcomes in SCD at early elementary school-age. Sixty-one children with SCD and no history of stroke were identified who completed an early elementary school age cognitive …

The Relationship Between Adverse Childhood Experiences, Symptom Severity, Negative Thinking, Comorbidity, And Treatment Response In Youth With Obsessive-Compulsive Disorder, Mariana Vazquez, Amanda Palo, Mckenzie Schuyler, Brent J Small, Joseph F Mcguire, Sabine Wilhelm, Wayne K Goodman, Daniel Geller, Eric A Storch

Faculty, Staff and Students Publications

Although youth and adults with obsessive-compulsive disorder (OCD) endorse elevated incidence of exposure to traumatic life events during childhood, the existing literature on adverse childhood experiences (ACEs) and OCD is mixed and studies focusing on pediatric OCD are limited. The present study examines the relationship between ACEs and OCD onset, symptom severity, negative cognitive patterns, comorbidity, and cognitive-behavioral therapy (CBT) response in 142 children and adolescents with OCD. ACEs were ascertained from parent reports. Most parents reported child exposure to ACEs. Out of the parents who reported ACEs, 50% reported ACE exposure prior to OCD diagnosis and 50% reported ACE …

Nutrition Management In Children Less Than 5 Years Of Age With Glycogen Storage Disease Type I: Survey Results, Mary Sowa, Monica Boyer, Jessica Green, Surekha Pendyal, Heather Saavedra

Faculty, Staff and Student Publications

Background: Nutrition management for GSD Type I (GSDI; OMIM #232200, 232220) is complex, with the goal being to maintain euglycemia while minimizing metabolic derangements. Management guidelines were published in 2002 and 2014. However, there is limited information on the nuances of nutrition management and the unique feeding challenges of children.

Methods: A REDCap survey focusing on staffing and current practices in the nutrition management of children with GSD I who were < 5 years of age was sent to the metabolic dietitian's listserv and GMDI membership in 8/2023.

Results: There were 21 North American respondents. In 17/21 clinics (81%), Prosobee® was the primary choice for infant formula. Dietitians used different methods to determine hourly glucose needs. Fasting …

Predictors Of Transition From Child And Adolescent Bipolar Not Otherwise Specified To Bipolar I Disorder, A Longitudinal 3.9-Year Study., María Ribeiro-Fernández, Azucena Díez-Suárez, Kiki D Chang, Cesar A Soutullo

Faculty, Staff and Student Publications

Background: Children and adolescents with subthreshold manic symptoms not meeting full DSM criteria for bipolar I or II disorder (BP-I or BP-II) are classified as unspecified bipolar disorder (formerly bipolar not otherwise specified: BP-NOS). Factors associated with transition from BP-II or NOS to BP-I may predict the progression of the disorder. Our objective is to analyze factors associated with transition to BP-I in a Spanish sample of youth with BP-NOS or BP-II.

Methods: We included all youth diagnosed with BP before 18 years of age presenting to our clinic (October 1999-December 2014). We assessed clinical factors that may predict transition …

Leading The Families Of First Baptist Church Of Long Beach, Ca, To Support The Foster Care And Adoption Community, David B. Delaney

Doctoral Dissertations and Projects

The PLACED project is a faith-driven initiative to equip First Baptist Church to support the foster care community through practical care, education, and community engagement.

Examining The Adjustment And Coping Trajectories In Healthy Siblings Of Children With Life-Threatening Conditions, Joanne Tay

Dissertations

Siblings of children with life-threatening conditions are often referred to as "forgotten" mourners as focus tends to be on the ill child and parents. With limited knowledge about siblings' experience, it is challenging to provide appropriate supports.

The purpose of this dissertation was to examine and expand current evidence about siblings' experiences to guide research and clinical practice.

‘Release Them Into The Wild, But How Far Can They Go?’ Improving Social And Emotional Mental Health Through Teaching Bushcraft Skills To Children With Special Educational Needs And Disability: A Preliminary Case Series Evaluation Study, James Tonks, Ian Frampton, Ben Edwards, Kai Tonks, Harriet Dismore

School of Law, Humanities and Social Sciences

Previous research indicates that outdoor activity and learning programmes are a beneficial educational approach, but studies have neglected to consider how well this approach may address the social, emotional and mental health needs of children with Special Educational Needs and Disability (SEND). In this study, seven Key-Stage 3 children with SEND (aged 11 to 14) from a special educational needs provision within a mainstream school attended a five-week ‘bushcraft’ programme. Standardised psychometric measures of self-concept were completed by children before and after the intervention, and teachers rated pupils’ stress levels before and after. Results indicate that the programme was associated …

The Family Story Project: Narrative, Ethics, And Community Collaboration Between Ronald Mcdonald House Of Durham Families And Pre-Health Undergraduates, Denise K. Comer

Journal of Community Engagement and Higher Education

The Family Story Project (FSP) brought together families at the Ronald McDonald House of Durham (RMHD) and pre-health undergraduates to co-construct narratives and visual portraits about family experiences. FSP shows that narratives can be rewarding for families and offer formative, skill-building experiences for pre-health undergraduates. FSP also demonstrates the ethical complexities surrounding community-university partnerships in health contexts, particularly with vulnerable populations such as children.

Risk And Protective Factors For Psychopathology During The Developmental Period 0-25 Years, Pamela Cotton

Master of Arts in Human Services

Research has shown that mental health disorders can have their onset in the period of

childhood and adolescence. This is a relatively recent discovery, as most of history

has studied mental health conditions only in adults. Today it is known that the global

onset of first mental health disorder occurs before age 14 in one third of the cases and

before the age of 18 in almost half of cases across the world (Solmi et al., 2022;

Dragioti et al., 2022). Research has uncovered risk and protective factors for

psychopathology in certain mental health conditions, such as Autism Spectrum

Disorder …

Occupational Impact Of Urinary Incontinence, Hannah Case, Karen Park

Summer 2024 OTD Capstone Symposium

The purpose of this capstone project was to conduct a research study to identify if children with UI encountered occupational impacts due to their condition, as well as their caregivers. Twelve caregivers participated in an online survey investigating the occupational impact (supports, barriers, and limitations) of being a caregiver to a child who encounters UI. The survey addressed how their child’s UI affects various occupations. The findings indicate a significant impact on leisure participation and home management. The qualitative data was acquired through unobtrusive methods, including narratives, blogs, and lived experiences, to provide the perspective of how UI affects children. …

Evaluating Gender Bias In An Early Reading Screener Of Word Identification Abilities, Donna Perazzo

Theses and Dissertations

Children who have difficulty learning to read, particularly those with a specific learning disorder in reading (SLD-R) are at risk for an array of adverse outcomes. However, children who are identified and receive reading interventions early perform better on social, emotional, academic, and behavioral outcomes relative to those who do not receive early identification and intervention. In response to the growing body of research that has developed on the importance of the early identification of children have difficulty reading, many states have mandated the screening of all children for reading difficulties, specifically dyslexia. However, with the development of new reading …

Manualized Occupational Therapy Intervention For Children And Adolescents With Post-Traumatic Stress Disorder, Adam Mcmahon

Student Capstone Papers

Post-traumatic stress disorder (PTSD) in children can cause physiological and psychological reactions that can lead to impaired executive functioning and self-regulation skills that interfere with occupational engagement. Occupational Therapy (OT) utilizes an occupational perspective to treat children with PTSD. However, there is an absence of a manualized OT intervention in the literature that incorporates an occupation-based approach, utilizes graded occupation as the primary intervention, and tracks treatment progress and outcomes. The purpose of this capstone project was to create a manualized OT intervention protocol for OT practitioners to treat children with PTSD guided by the model of human occupation and …

Manualized Occupational Therapy Intervention For Children And Adolescents With Post-Traumatic Stress Disorder, Adam J. Mcmahon, Steven M. Gerardi

Summer 2024 OTD Capstone Symposium

The capstone poster demonstrates the purpose for a manualized occupational therapy (OT) intervention for OT practitioners to treat children with post-traumatic stress disorder. The intervention uses an occupation-based approach informed by behavioral activation therapy and the model of human occupation principles. The manual includes two parts. Part one demonstrates the foundational principles for OT practitioners to obtain knowledge, skills, and tools before implementing the intervention. Part two outlines the treatment process beginning with evaluation, introducing manualized OT intervention to the child and the family member(s) and/or caregiver(s), treatment application, progress note, and discharge. The manualized OT intervention will allow OT …

A Machine Learning Model For Risk Stratification Of Postdiagnosis Diabetic Ketoacidosis Hospitalization In Pediatric Type 1 Diabetes: Retrospective Study, Devika Subramanian, Rona Sonabend, Ila Singh

Faculty, Staff and Students Publications

BACKGROUND: Diabetic ketoacidosis (DKA) is the leading cause of morbidity and mortality in pediatric type 1 diabetes (T1D), occurring in approximately 20% of patients, with an economic cost of $5.1 billion/year in the United States. Despite multiple risk factors for postdiagnosis DKA, there is still a need for explainable, clinic-ready models that accurately predict DKA hospitalization in established patients with pediatric T1D.

OBJECTIVE: We aimed to develop an interpretable machine learning model to predict the risk of postdiagnosis DKA hospitalization in children with T1D using routinely collected time-series of electronic health record (EHR) data.

METHODS: We conducted a retrospective case-control …

Intellectual Humility And The Role Of Feedback On Children’S Intellectual Humility Expression, Christina M. Barnes

Graduate Theses and Dissertations

Intellectual Humility (IH) is the ability to recognize, acknowledge, and act, on the fallibility of one’s own knowledge (Porter et al., 2021). IH is associated with many positive outcomes including intellectual curiosity, tenacity, open-mindedness, and mastery behaviors (Leary, 2018; Porter & Schuman, 2017, Porter et al., 2020) leading some to believe IH is the promotion of IH as the next great educational virtue. Some scholars argue however, that too much IH can lead to Intellectual Servility which is associated with negative outcomes such as maladaptive perfectionism, need for cognitive closure, and less willingness to change a belief when presented with …