Digital Commons Network^™

Breaking Barriers: Bridging Gaps In Mental Health Literacy Through Digital Innovation, Adraine Racquel Chapman

Doctoral Dissertations and Projects

This study addressed the development and implementation of digital innovations aimed at bridging gaps in mental health knowledge, promoting awareness, reducing stigma, and enhancing support networks for children and adolescent families. Recognizing the critical need for accessible mental health education, this research reviewed methods in which digital tools were used to create engaging and informative resources. The study investigated the effectiveness of these digital innovations in increasing mental health literacy, fostering open communication, and building supportive communities. By integrating theoretical frameworks and empirical data, the dissertation highlighted the potential of digital platforms to revolutionize health education. The findings spotlighted and …

Re-Imagining Tomorrow: A Technology, Innovation Law, And Ethics Symposium On Addictive Technology And Children, Margaret Chon

Seattle University Law Review

In this Foreword, Professor Margaret Chon introduces Seattle University's Technology, Innovation Law, and Ethics (TILE) program, the 2024 TILE Symposium, and Dr. Gaia Bernstein’s Unwired: Gaining Control Over Addictive Technologies.

Water Orientation Skills And Basic Safety And Swimming Skills Of Children With Autism Spectrum Disorder, Kelle L. Murphy, Min Liu

International Journal of Aquatic Research and Education

Drowning is the leading cause of death among individuals with autism spectrum disorder (ASD). The current study examined water orientation (i.e., comfort level), water safety, and beginning swimming skills of individuals with ASD of ages ranging from 3 to 13 years using the Aquatic Orientation Checklist (AOC) (Kilian et al., 1984). Data were collected during consecutive Fall and Spring semesters. A total of 23 children (n = 15 boys; n = 8 girls) volunteered for the study. Lessons were conducted twice a week for 10 weeks continuously and each lesson was 45 minutes in length. Overall, the swimming program had …

Experiences Of Caregivers Of Children With Covid-19 In Isolation Rooms: A Qualitative Study Conducted At Queen Sirikit National Institute Of Child Health In Bangkok, Thailand, Kidjapan Pinchai, Surasak Treenai, Chollada Jongsomjitt

Journal of Health Research

Background: Children were significantly impacted during COVID-19 surges, especially with highly transmissible variants like Delta. This study explored caregivers' experiences of children with COVID-19 in hospital isolation rooms, focusing on psychological and practical challenges.

Methods: Qualitative methods were used to describe the experiences of caregivers of children with COVID-19. Data were collected through in-depth interviews and from field and observation notes to capture reflections, ideas, and meanings. Content analysis was used to generate themes until saturation was reached with seven participants. The study was conducted at the Queen Sirikit National Institute of Child Health (QSNICH) in Bangkok, Thailand.

Results: The …

Using Cognitive Interviewing To Develop Rating Scales Of Suicide Thoughts And Behaviors In Preadolescent Children, Jeremy W. Pettit, Carlos E. Yeguez, Rotem S. Budagzad-Jacobson, Taylar A. Clark, Yasmin Rey, Carla E. Marin, Eli R. Lebowitz, James Jaccard, Wendy K. Silverman

Journal of Applied Research on Children: Informing Policy for Children at Risk

Despite the alarming rise of suicidal thoughts and behaviors (STBs), in preadolescent children over the last two decades, no scales have been developed and validated to assess these troubling tendencies in this population. We describe how we developed English and Spanish language versions of a new scale to assess STBs in children, the Suicide Risk and Ideation Scale for Kids - Child and Parent versions (S-RISK-C/P), using cognitive interviewing. Method. After creating item pools in English and Spanish, we elicited feedback from three clinician content experts and conducted cognitive interviews with 8 children (4 girls; Mage = 10.37 years; …

Children Suspected For Developmental Coordination Disorder In Hong Kong And Associated Health-Related Functioning: A Survey Study, Kathlynne F. Eguia, Sum Kwing Cheung, Kevin K.H. Chung, Catherine M. Capio

Health Sciences Faculty Publications

Children with developmental coordination disorder (DCD) have motor difficulties that interfere with their daily functions. The extent to which DCD affects children in Hong Kong has not been established. In this study, we aimed to estimate the prevalence of children suspected of DCD (sDCD) in Hong Kong and to examine the relationship between motor performance difficulties and health-related functioning. We conducted a cross-sectional survey of parents of children aged 5 to 12 years across Hong Kong (N = 656). The survey consisted of the Developmental Coordination Disorder Questionnaire (DCDQ) and short forms on global health, physical activity, positive affect, and …

A Review Of The Ripple Effect Of Parental Incarceration: Suggestions For System Improvement From Neonatal Development Through Adolescence, Karen Thew, April Terry

International Journal of Undergraduate Research and Creative Activities

Parental incarceration has the potential to drastically affect the social, behavioral, and physical lives of children. Such negative impacts include prenatal and chronic health conditions, behavioral and mental health issues, developmental delays, juvenile and criminal legal system involvement, and overall declines in well-being. These damaging outcomes occur for babies delivered during their mothers’ incarceration with negative lingering effects seen throughout the lifespan. Due to the stigmatization of incarceration, these children may experience bullying, engage in isolating behaviors, and struggle within the school, which may lead to the school-to-prison pipeline. While prevention and intervention services directed at these youth could not …

Experiences Among Parents Caring For Children With Juvenile Idiopathic Arthritis At A Tertiary Referral Hospital In Kenya, Hassan Silim, Susan Wamithi, Roselyter Riang’A, Angela Migowa

Paediatrics and Child Health, East Africa

Background: Juvenile idiopathic arthritis (JIA) is the most common rheumatic disease in childhood. Despite the availability of effective treatment strategies such as disease-modifying antirheumatic drugs (DMARDs), JIA is reported to have a negative impact on the quality of life of the patients and their caregivers. Ascertaining the perceptions of the parents will help facilitate more effective management strategies and improve outcomes for these patients. This study aimed to ascertain parental experiences and perceptions of caring for children with juvenile idiopathic arthritis (JIA).

Methods: This was a single-center facility-based qualitative study. An in-depth interview guide was used to collect …

Ethiopia Humanitarian Violence Against Children And Youth Survey, 2024: Summary Report, Yohannes Dibaba Wado, Yadeta Dessie, Francis Obare, George Odwe, Dagim Habteyesus, Bonnie Wandera, Peter Kisaakye, Stephen Kizito, Stella Muthuri, Gloria Seruwagi, Et Al., Chi-Chi Undie

Humanitarian Task Force

Violence Against Children (VAC) refers to all forms of abuse or maltreatment of people under the age of 18 years. The Violence Against Children and Youth Surveys (VACS), led by national governments with technical assistance from the U.S. Centers for Disease Control and Prevention (CDC) as part of the Together for Girls partnership, have documented the magnitude and prevalence of physical, emotional, and sexual violence against children in more than 20 low- and middle-income countries, with a view to informing national prevention and response programs. Despite the precedent for understanding the extent of VAC from the perspectives of adolescents and …

Sex Differences In Grip Strength From Birth To Age 16: A Meta-Analysis, James L. Nuzzo

Research outputs 2022 to 2026

In 1985, Thomas and French published results of a meta-analysis that examined sex differences in grip strength in children 5 years of age and older. Their analysis included results from only four studies, and no update has been published. The purpose of the current study was to use meta-analysis to examine sex differences in grip strength from birth to age 16. The analysis included 808 effects from 169 studies conducted in 45 countries between 1961 and 2023. The total sample was 353,676 (178,588 boys, 175,088 girls). From birth to 16 years of age, grip strength was consistently greater in boys …

Poder Familiar: A Culturally Tailored Health Intervention For Latino Families Of Children With Intellectual And Developmental Disabilities, Amy Pei-Lung Yu, Yolanda Suarez-Balcazar, Vanessa L. Errisuriz, Deborah Parra-Medina, Mansha Mirza, Minyu Zhang, Pei-Chiang Lee, Weiwen Zeng, Jasmine P. Brown-Hollie, Nazanin M. Heydarian

School of Social Work Faculty Publications

Background: This two-site pilot study examined the feasibility, acceptability and preliminary outcomes of PODER Familiar, a culturally tailored intervention to promote the health and well-being of Latina family caregivers and their children with intellectual and developmental disabilities.

Method: Using the Promotora de Salud model and mixed-methods design, we co-developed PODER Familiar with Latina caregivers of children with intellectual and developmental disabilities and community stakeholders. Thirty Latina caregivers and their children with disabilities were recruited to participate in the intervention, which included 10 individual sessions and 3 group sessions.

Results: Twenty-six Latina caregivers completed all 10 individual sessions, with high intervention …

Post-Traumatic Growth And Influencing Factors Of Parents With Children With Duchenne Muscular Dystrophy: A Cross-Sectional Survey Study, Li Xu, Meili Liu, Yuewei Chen, Liwen Wu, Siyi Gan, Jianhui Xie, Jos M. Latour

School of Nursing and Midwifery

Background: The aim of the study was to identify the post-traumatic growth status and influencing factors of parents with children with Duchenne muscular dystrophy (DMD). Methods: We adopted a cross-section survey study. Between February and December 2022, 181 parents responded to the survey including a participants’ characteristics section, post-traumatic growth assessment scale, caregiver burden scale, and social support assessment scale. Multiple linear regression analysis was used to investigate influencing factors of post-traumatic growth. Results: The mean score of post-traumatic growth of parents was 56.66 (SD ± 18.67). Post-traumatic growth was positively correlated with social support (r = 0.452, P < 0.01) and negatively correlated with care burden (r = -0.207, P < 0.01). Multiple linear regression showed that the child’s age, course of disease, self-care ability, parent’s working condition, residence, education, number of children, and health status were the main influencing factors for the post-traumatic growth of parents (P < 0.001). Conclusion: The post-traumatic growth of parents with children with DMD was at a moderate level. Healthcare professionals should pay attention to the psychological state of parents with children with this rare disease and promote post-traumatic growth through psychological mindfulness interventions, strengthening family and social support, and providing care knowledge and skills.

Characteristics Of The Home Environment In Children With Developmental Concerns And Delays: Insights From A Cross-Sectional Study In Türkiye, Emel Ömerci̇oğlu, Ebru Ci̇han Çam, Ömer Nazim Gülçek, Eli̇f N. Özmert

Turkish Journal of Medical Sciences

Background/aim: A stimulating home environment in early childhood plays a crucial role in fostering child development. This study aimed to evaluate the home environment of children who were referred due to developmental delays or concerns and had not received any intervention at the child or family level.Materials and methods: The study comprised of 50 atypically developing preschool children monitored at the Developmental Pediatrics Department of *** and 70 typically developing preschool children from the General Pediatrics Department at ***. Physicians and experienced child development professionals employed the Ages and Stages Questionnaire (ASQ) to perform developmental assessments on each child. The …

School Counselors’ Experiences With Transitioning Military-Dependent Students, Diane K. Jackson

Doctoral Dissertations and Projects

This phenomenological study examined Asia-Pacific military school counselors’ lived social-emotional experiences. The study aimed to provide a qualitative transcendental phenomenological perspective of Asia-Pacific school counselors. Furthermore, this study focused on the counselors’ reported lived experiences with military-dependent students newly transitioned from the United States to Asia-Pacific. This study investigated a phenomenon to understand human experience and how the events are perceived and experienced by school counselors in the phenomena. The theoretical framework was informed by the invitational theory, Bronfenbrenner’s theory, and the contextual model of family stress. Three research questions were answered: (a) What are the lived experiences of Asia-Pacific …

Parental Emotional, Social And Transitional Health In The First 6 Months After Childhood Critical Illness: A Longitudinal Qualitative Study, Pei Fen Poh, Matthew C. Carey, Joseph C. Manning, Jan Hau Lee, Jos M. Latour

School of Nursing and Midwifery

Aim: To explore the experiences and support needs of parents in the first 6 months after paediatric critical care. Design: Longitudinal qualitative design. Methods: Sequential semi-structured qualitative interviews were conducted with a sample of 28 parents in succession at 1 month and at 6 months (n = 22) after their child's discharge from paediatric critical care using purposive sampling. Data were analysed using the adapted five-stage framework analysis. Results: Data were developed into eight synthesized themes, three domains and an overarching theme: Regaining Normalcy. Families of children requiring medical treatment at 6 months showed signs of adaption to daily care …

Development Of 'Me And You' Model For Emotional And Behavioral Disorders In Children: A Joyful Approach, Siti Nuraini Purnamawati, Hartini Nara, Rohmah Ageng Mursita, Lintang Al Mar’Atus Sholihah

Journal of ICSAR

This research focuses on the development of the "Me and You" learning model for children with emotional and behavioral disorders (EBD), especially those from socioeconomically disadvantaged environments, such as the Rusunawa Jatinegara Kaum area in East Jakarta. Using the ADDIE model (Analysis, Design, Development, Implementation, Evaluation), the study employed a systematic, evidence-based approach to create and refine an effective educational intervention. The model, organized around five core themes addressing self-awareness, emotional regulation, and social interaction, aims to reduce misunderstandings and foster positive peer relationships. The intervention was tested in a community setting, and expert validation was conducted. Findings suggest that …

Bone And Growth Status In Children With Epilepsy: A Hospital Bases Study, Mokhtar Yousef, Nebal Saadi, Eman Alobeidy

Iraqi Postgraduate Medical Journal

Background: Children with epilepsy have a high burden of physical comorbidity, and they experience poor long-term medical outcomes even after remission of their epilepsy. Little is known about types of these comorbidities and their occurrence in children epilepsy in Iraq.Objectives: the aim of this study to assess bone and growth status in children with epilepsy.Patients and methods: a cross sectional case-control study was conducted in Children Welfare Teaching Hospital, in the period from November 2018 to October 2019. The study included 40 children diagnosed with epilepsy and another 40 healthy children, age- and sex-matched. The following parameters were measured in …

An Inclusive Learning Metaverse: A Virtual Reality Approach To Supporting Dyslexic Children, Reem Salem Mohammed Salem

Theses

Dyslexia is one of the most common learning difficulties worldwide, often requiring tailored interventions targeting phonological awareness, reading comprehension, and cognitive support. This study explores the design and evaluation of a metaverse-based virtual reality (VR) application to support dyslexic children in the UAE. Using a usercentered, explanatory sequential mixed-methods approach, the research involved three phases: a stakeholder survey with therapists, educators, and parents (N = 151), development of a multi-featured VR prototype, and evaluation by six dyslexia experts. The survey identified key priorities such as progress tracking, adaptive learning, accessibility, working memory, and attention, along with concerns about VR unfamiliarity, …

Intersection Between Individual, Household, Environmental And System Level Factors In Defining Risk And Resilience For Children In Kenya’S Asal: A Qualitative Study, Esther Chongwo, Barack Aoko, Martha Kaniala, Moses Wesala, Phillis Magoma, Eunice Njoroge, Susan Nyamanya, Joyce Marangu, Anil Khamis, Amina Abubakar

Institute for Human Development, East Africa

Introduction: Children growing up in arid and semi-arid regions of Sub-Saharan Africa (SSA) face heightened risks, often resulting in poor developmental outcomes. In Kenya, the arid and semi-arid lands (ASAL) exhibit the lowest health and developmental indicators among children. Despite these risks, some children grow up successfully and overcome the challenges. However, there is limited comprehensive data on sources of risks and resilience in these children, particularly research that incorporates community perspectives and indigenous knowledge. Systematic documentation of factors influencing child outcomes is crucial for understanding the overall burden, informing policy and implementing targeted interventions. This study aimed at …

Co-Parents With Benefits, Jessica Feinberg

Faculty Publications

The relationshipbetween individuals who share a common child merits significant legal and societal attention. An increasingly high percentageofchildren are being raisedby parents who are not married to each other, and modern social science research demonstrates that the quality of the relationship between co-parents has serious implications for children's well-being. When co-parentage is unaccompanied by marriage, however, the law historically has attachedfew, if any, rights and obligations to the relationship. This historical disregard for the relationship between non-marital co- parents fails to promote children's best interests. Children whose parents are not marriedto each other should not be excludedfrom the benefits that …

National Training Manual For Para Social Workers, Ministry Of Gender Labour And Social Development, Republic Of Uganda

Humanitarian Task Force

Para social workers have become an integral part of Uganda’s social support system. Operating at the grassroots level, often in remote and underserved communities, these individuals provide critical services to vulnerable children, youth, families, and communities in need of support. In the face of limited professional human resources in the social welfare sector, Para Social Workers fill a vital gap, extending the reach of formal systems and ensuring that no one is left behind. This revised edition of the manual reflects the evolving nature of community and social work practice in Uganda. It incorporates new practical tools, and evidence-based approaches …

Academic Proficiency In Ugandan Children With Sickle Cell Anemia: A Cross-Sectional Study, Robert Opoka, Shubaya Kasule Naggayi, Paul Bangirana, Simple Ouma, Betty Nyangoma, Annet Birabwa, Grace Nambatya, Maxencia Kabatabaazi, Ann Jacqueline Nakitende, Dennis Kalibbala

Paediatrics and Child Health, East Africa

Introduction: Academic proficiency is crucial for advancing learning goals, school advancement, and future economic security. Children with sickle cell anemia (SCA) in sub-Saharan Africa (SSA) may be at risk of disease-associated learning difficulties. Limited data exist on this topic among school-age children in the region. We aimed to assess academic proficiency in a sample of children with SCA in Uganda compared with unaffected controls.

Methods: This cross-sectional study was conducted in Kampala, Uganda. Participants were school-going children with SCA, aged 6–12 years, attending Mulago Hospital SCA Clinic, and age-matched sibling controls without SCA. Academic proficiency was assessed by the Wide …

The Impact Of Parental Presence On Pediatric Recovery Outcomes Following Invasive Procedures Or Surgery, Jaymie Riza Torres, Franchesca Isabelle Andaya Lazaro

Nursing | Senior Theses

Background: Pediatric patients are severely affected by preoperative anxiety which can lead to postoperative complications and delayed recovery. This could be attributed to their developmental stage which determines their response to stress and fear. Purpose: The purpose of this paper is to evaluate postoperative recovery outcomes in pediatric patients following the implementation of parental presence at the induction of anesthesia and upon first waking up. Method: This proposed research utilizes a mixed-method approach, combining qualitative and quantitative methods through a quasi-experimental study. The target population consists of pediatric patients between the ages of three and eight years …

Gamified Mhealth System For Evaluating Upper Limb Motor Performance In Children: Cross-Sectional Feasibility Study, Md Raihan Mia, Sheikh Iqbal Ahamed, Samuel Nemanich

Computer Science Faculty Research and Publications

Background: Approximately 17% of children in the United States have been diagnosed with a developmental or neurological disorder that affects upper limb (UL) movements needed for completing activities of daily living. Gold-standard laboratory assessments of the UL are objective and precise but may not be portable, while clinical assessments can be time-intensive. We developed MoEvGame, a mobile health (mHealth) gamification software system for the iPad, as a potential advanced technology to assess UL motor functions.

Objective: This feasibility study examines whether MoEvGame can assess children’s whole-limb movement, fine motor skills, manual dexterity, and bimanual coordination. The specific aims were to …

A Systematic Review Of The Outcomes And Efficacy Of Complementary And Alternative Non-Pharmacological Interventions In Youth With Attention Deficit Hyperactivity Disorder, Kelly M. Kohler

Theses and Dissertations

A number of behavioral and pharmacological treatments have been widely accepted as evidenced-based approaches to treating symptoms of attention-deficit hyperactivity disorder (ADHD) in children and adolescents. While pharmacological approaches are safe and effective at managing symptoms, a large subset of caregivers do not have access to medication, refuse it, or find it ineffective, necessitating the need for non-pharmacological treatments. Such behavioral interventions are also generally effective approaches to symptom management and reducing the functional impairment of ADHD and may even demonstrate better parent satisfaction than medication alone. However, these interventions are often difficult to access and burdensome to implement, especially …

Moral Panic Or Public Health Crisis? Lessons From Drugs And Gambling For “Addictive” Design, Matthew B. Lawrence, Haomin (Kevin) Yan

Faculty Articles

In her important book, Unwired: Gaining Control Over Addictive Technologies, Gaia Bernstein illustrates the value of a comparative approach, drawing lessons from fights around the regulation of tobacco and ultra-processed food for the regulation of social media. Building on Bernstein’s work, this symposium contribution aims to draw additional insight from experience with drug and gambling regulation for the regulation of social media, video games, AI, and other potentially-addictive technologies.

Specifically, after introducing Bernstein’s book and the foundation it lays, we draw six lessons from the study of psychoactive drugs and gambling. As we elaborate below: Lesson one is that …

Budget Recommendations Fy2025-26, Tennessee. Commission On Children And Youth.

Annual Report

No abstract provided.

The Functional Characterization Of Venous Thromboembolic Disease (Fuvid) Study: Rationale, Design, And Methods Of A Prospective, Observational, Multicenter Study To Evaluate Mechanisms Of Exercise Intolerance And Dyspnea Following Pediatric Pulmonary Embolism., Ayesha Zia, Michael D. Nelson, Jimin Ren, Song Zhang, Robert F. Mattrey, Brian L. Han, Tarique Hussain, Joshua S. Greer, Manal Al-Qahtani, Kendra Malone, Sonja E. Stutzman, Deseray V. Sida, Sharon Primeaux, Marcela D. Torres, Clay T. Cohen, Shelley Crary, Jonathan Bernstein, Hilary B. Whitworth, Riten Kumar, Kisha A. Beg, Osman Khan, Madhvi Rajpurkar, Kerry Hege, Beverly A. Schaefer, Gary M. Woods, Lauren Amos Md, Marisol Betensky, Rukhmi V. Bhat, Sarah O' Brien, Julie Jaffray, Rohit Jesudas, Martha M. Pacheco, Cristina Tarango, Angela C. Weyand, Hope P. Wilson, Jessica Garcia, Mary P. Dang, Ruchika Sharma, Neil A. Goldenberg, Frederikus A. Klok, Christoph Male, Benjamin Levine, Bryce N. Balmain, Tony G. Babb, Fuvid Investigators

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: To date, the focus of investigation in pediatric pulmonary embolism (PE) has been on PE recurrence and anticoagulant-related bleeding. While highly relevant, these outcomes do not fully capture functional limitations and the psychological impact that comprises post-PE syndrome.

OBJECTIVES: The primary objective of the Functional Characterization of Venous Thromboembolic Disease (FUVID) study was to investigate mechanisms of post-PE syndrome in children.

METHODS: The ongoing FUVID study will prospectively enroll and systematically follow, over 12 months and with standardized pulmonary, cardiac, and muscle testing, a multicenter prospective cohort of 80 pediatric patients with first-episode PE without comorbidities. FUVID has 2 …

Autism And The Delay Of Diagnosis In African American Communities, Kiara Loud

Theses and Dissertations

Autism Spectrum Disorder (ASD) is a developmental disability accompanied by a wide range of neurodevelopmental disorders. ASD can affect anyone regardless of race, socioeconomic status, or ethnicity (CDC, 2025). Individuals with ASD tend to have issues with various challenges and strengths regarding how they learn, think, and solve problems. Some children with ASD have repetitive patterns of behavior, restricted interest in activities, and difficulty in communication and social interaction.

According to the World Health Organization, the global prevalence of ASD 1 in 100 children diagnosed with Autism. Additional data supplied by the CDC states that the number of children with …

Evaluating The Credibility Of Online Websites: A Digital Information Literacy Program, Emily C. Wood, Kim P. Roberts

Theses and Dissertations (Comprehensive)

The plethora of information currently available via the internet is greater than ever before. Given this, finding credible information is an exceedingly complex task for any information consumer, but especially so for children. Research shows that children have difficulty evaluating the credibility of online information and are more susceptible to believing misinformation compared to adolescents. While a growing body of research addresses children’s internet use, most research focuses on technology safety rather than the evaluation of online information. Several studies have found digital information literacy (DIL) interventions to be successful at increasing critical thinking and awareness of the criteria to …