Digital Commons Network^™

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 …

Violence Against Children And Youth In Humanitarian Settings: Findings From A 2022 Survey Of All Refugee Settlements In Uganda, Office Of The Prime Minister, Department Of Refugees, Unhcr Regional Bureau For The East And Horn Of Africa And Great Lakes, Baobab Research Programme Consortium, Together For Girls

Humanitarian Task Force

Conducted in 2022, the Uganda Humanitarian Violence Against Children Survey (VACS) is a representative household survey of 13- to 24-year-old females and males drawn from all 13 refugee settlements in the country. This is the first ever VACS to take place exclusively in a humanitarian setting. The Uganda HVACS reveals that children across refugee settlements in Uganda experience high levels of emotional, physical, and sexual violence, which have a major impact on their wellbeing. About 50% of 18–24-year-old females and males experienced at least one of these forms of violence before age 18. About a third (32%) of females and …

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 …

Alternative Therapies Of The Banjar People For Children With Fevers, Esme Anggeriyane, Hamzah Hamzah, Nurhikmah Nurhikmah

Jurnal Keperawatan Indonesia

Fevers often occur in children under five years of age due to the immature formation of their immune systems. Such fevers signify that something unusual is happening in the body, often due to illness. Parents conduct various management techniques, such as medical or traditional treatments, based on their beliefs. Banjar society has a health culture known as bapidara, which is used to treat children with fevers presumably attributable to supernatural disturbances. This exploratory research aimed to discover what alternative therapies the Banjar people use to treat children with fevers. This qualitative study used a transcendental phenomenological design. Data collection was …

Examining Social Anxiety, Generalized Anxiety, And Major Depression’S Symptom Comorbidity In Children And Adolescents: A Longintudinal Test Of The Multiple Pathway Model, Paige Picou

LSU Doctoral Dissertations

Anxiety and depressive disorders are highly prevalent in and impairing for children and adolescents and are highly comorbid. Many theories have been proposed to explain this co- occurrence, with recent models postulating multiple pathways in which specific anxiety disorders and depression may co-occur both concurrently and over time. Unfortunately, little research has evaluated these pathways longitudinally across development in a community sample. The current study tested the multiple pathway model in a sample of 9 to 12-year-old youth (Mage = 9.48, SD= 0.51) at baseline and at two-year follow-up using a subsample of the Adolescent Brain Cognitive Development …

Effectiveness Of An Occupational Therapy-Led Social Skills Group Using Parent Training: A Pilot Study, Sheryl Eckberg Zylstra, Yvonne L. Swinth, Aimee Sidhu, Julie Anderson

The Open Journal of Occupational Therapy

Background: Social skills support the development of a positive self-concept and engagement in a variety of life roles, habits, and routines. The Occupational Therapy Practice Framework clearly defines the occupational therapist’s role in working with children with difficulties in social skills; however, little research exists examining the effectiveness of occupational therapy-led group interventions to support social skills development. Incorporating parent training into social skill development can improve overall outcomes and reinforce skill development across contexts.

Objective: The purpose of this pilot study was to determine whether an occupational therapy-led social skill group, combined with parent training, was effective …

Parent-Child Interaction And Developing Resilience In Young Children, Seungok Yum

Theses and Dissertations

Early childhood is an especially important period to develop resilience due to social, academic, and emotional benefits for later development. Previous studies pointed out the importance of parent-child interactions, by showing that parental warmth and support can enhance resilience in children by increasing children’s self-esteem and self-regulation. In contrast, hostile parent-child interactions were revealed as risk factors to hinder developing resilience by increasing children’s internalizing symptoms and behavioral difficulties. This study included 85 young children aged 4 to 5 years and 85 parents recruited from the community. Parents completed the Parent Behavior Inventory (PBI) to provide details about two parent-child …

Urban-Rural Disparities In Food Insecurity And Weight Status Among Children In The United States, Jayna M Dave, Tzuan A Chen, Alexandra N Castro, Mamie A White, Elizabeth A Onugha, Sloane Zimmerman, Debbe Thompson

Children’s Nutrition Research Center Staff Publications

Place of residence (urban versus rural) is a contextual determinant of health that has received less attention in the food insecurity literature. The purpose of this study was to assess the urban–rural disparity in the prevalence of food insecurity and weight status among US children. Using data from the National Health and Nutrition Examination Survey (NHANES) 2013–2016 with three age groups of children (2–5, 6–11, and 12–17 years old), the associations of weight status and child and household food security status by urban–rural residence were examined using Rao–Scott Chi-square tests. Statistical significance was set at p < 0.05. Children living in urban areas were significantly more likely to experience household food insecurity (29.15%) compared to their rural counterparts (19.10%), among those aged 6–11 years. The associations between children’s weight status and child and household food security status were significant for children living in urban areas overall and different age groups but not for children living in rural areas. These trends were more pronounced in older age groups. Given the link between food insecurity and higher obesity rates, particularly among urban children, this study highlights the importance of incorporating food security interventions into future obesity prevention programs.

The Children Are Our Future (Not Our Future Criminals): Protecting South Carolina's Youngest Citizens By Setting A Minimum Age Of Juvenile Court Jurisdiction, Peggy D. Nicholson

South Carolina Law Review

No abstract provided.

Children And Young People's Self-Reported Experiences Of Asthma And Self-Management Nursing Strategies: An Integrative Review, H. Kemble, Mandie Foster, J. Blamires, R. Mowat

Research outputs 2022 to 2026

Aim: To explore children and young people's (CYP) (5–24 years of age) self-reported experiences of asthma self-management strategies (ASMS) with nursing involvement across various settings. Background: Childhood asthma is an increasingly significant health issue, highlighting the importance of acquiring self-management skills to optimise future health outcomes. Registered nurses play a pivotal role in delivering appropriate, personalized self-management support. Methods: This integrative review searched four electronic databases: Cumulated Index to Nursing and Allied Health Literature via Elton B. Stephens Company, Medical Literature Analysis and Retrieval System Online (MEDLINE), Object, View and Interactive Design (OVID), and PubMed, that followed the Preferred Reporting …

Unlimbited Wellness©: Peer Support For Psychosocial Wellness In Limb-Different Families, Kara Fhon

OTD DEx Reports - College of Pharmacy and Health Sciences

"Parents of children with upper limb difference (ULD) face many secondary conditions to their limb difference. Some secondary conditions include depression and anxiety, and these psychosocial aspects can alter self-image, body image and the ability to feel comfortable in society as a person with limb difference. There is nominal research on the psychosocial components for this population and limited resources and peer support networks available to them. Occupational therapists (OT) can provide tools for parents of children with ULD to support their mental health concerns. The unique lens of OTs can supply different resources to improve the quality of life …

Associations Between Neurological Correlates Of Reading And Learning Disability Profiles Among Children, Jessica Luedke

Theses and Dissertations

Early reading skills are vital for child development. Children with specific reading learning disabilities (SLD-R) display persistent difficulties acquiring reading skills. They are at an increased risk for adverse life outcomes, including mental health concerns, low educational attainment, and low academic motivation. Progress in neurobiological research provides opportunities to enhance the assessment and identification of learning disabilities by revealing distinct neurological patterns of learning. However, the integration of this progress with school psychology research is rare. The purpose of the current study was to evaluate brain network connectivity as a biomarker of reading using resting-state quantitative electroencephalography (QEEG) coherence. Fronto-central …

There Is A Future If There Is Truth: It’S Not A Lesser Evil, Comisión De La Verdad, Angela D. Nichols ,Translator, Andrés Ramírez , Translator, Brooke Zimmerman , Translator, Lina Sofía Vásquez , Translator, Salomé Díaz Gómez , Translator, Isa Marin , Translator, Aura Cuasquer Ordonez , Translator, Sofía Blanco , Translator, Laura Sofia Gallo , Translator, Gabriella Maya , Translator, Maria Gabriela Escobar Valencia , Translator, Juliana Ramírez Restrepo , Translator

Research Books

The volume "It's Not a Lesser Evil: Children and Adolescents in the Armed Conflict" addresses the impacts of the war and the violence directed against the population under eighteen years of age as revealed by the Truth Commission's hearings. The testimonies highlight the experiences of loss and orphanhood, and the attacks on schools and their surroundings, as the most invisible experiences suffered by Colombian children and adolescents, while forced displacement was the most frequent and widespread form of violence.  It also delves into the recruitment of children and adolescents by armed groups as an intentional and systematic phenomenon of the …

Obsessive-Compulsive Disorder In Children And Adolescents, Jordan T Stiede, Samuel D Spencer, Ogechi Onyeka, Katie H Mangen, Molly J Church, Wayne K Goodman, Eric A Storch

Faculty, Staff and Students Publications

Obsessive-compulsive disorder (OCD) in children and adolescents is a neurobehavioral condition that can lead to functional impairment in multiple domains and decreased quality of life. We review the clinical presentation, diagnostic considerations, and common comorbidities of pediatric OCD. An overview of the biological and psychological models of OCD is provided along with a discussion of developmental considerations in youth. We also describe evidence-based treatments for OCD in childhood and adolescence, including cognitive behavioral therapy (CBT) with exposure and response prevention (ERP) and pharmacotherapy. Finally, research evaluating the delivery of CBT in different formats and modalities is discussed, and we conclude …

Relationship Between School Type And Quality Of Neighborhood With Children’S Social Vulnerability, Maryam Majd

Doctoral Dissertations and Projects

The purpose of this quantitative research was to explore the relationship between two potential risk factors, children’s type of school (e.g., public, private, charter, or magnet) and quality of neighborhood, with social vulnerability. Data were collected through an online survey from January through March 2024. Hierarchical multiple linear regression conducted in SPSS demonstrated that four out of seven quality of neighborhood attributes were significant predictors of social vulnerability (p < .05); as the neighborhood conditions of vehicular traffic, teenagers present in the street, graffiti, and vandalism increased, levels of social vulnerability also increased. Factor analysis confirmed the strong reliability and internal structure of the instrument used to collect the data. No significance was found for children’s type of school, but more studies are needed to determine if research on this variable can help inform decisions about school-choice policies. This study addressed the need for knowledge about contextual environmental factors and children’s well-being. This is imperative, as social vulnerability is an emerging psychological construct in developmental research that is correlated with all aspects of social interactions, as it negatively interferes with the process of forming social bonds with others. Building alignment between the goals of schools, government agencies, and communities is essential, so that parents have access to the support and resources needed to promote healthy development in children. Thus, the empirical findings from this study will help promote awareness of social vulnerability and help children receive the empathy, dignity, and respect that they deserve.

Children's Understanding Of The Internet As A Moderator For Age-Related Trust Tendencies, Travis Hicks

Theses and Dissertations

Children take many factors into consideration when deciding to trust an informant, several of which are applicable to the internet as well. No research has been dedicated to studying whether children’s understanding of the internet’s social complexity (capacity to affect society in both good and bad ways) affects the amount of trust they place in the internet. Child participants (N = 97) ages 5 to 11 years were recruited to examine the relationship between age, time spent online, internet use, and trust in the internet, as well as the influence of social complexity understanding on the relationship between age and …

Children's Self-Report And Caregivers' Perception Of Chemotherapy Symptoms In Children Receiving Chemotherapy For Cancer Treatment, Lita Sherdsang, Sudaporn Payakkaraung, Wanlaya Thampanichawat

Journal of Health Research

Background: Chemotherapy is the common cancer treatment in childhood. During chemotherapy, symptoms may vary in severity each day. This study aimed to compare children's self-reports and caregivers' perceptions of symptoms of children with cancer on their first day and the third day of chemotherapy.

Methods: This study was a comparative descriptive study. The convenience sampling method was used to recruit 51 children with cancer, aged 8 to 15 years old, who received chemotherapy at a super-tertiary hospital in Bangkok, Thailand, and their caregivers. Data were collected using the Thai version of the Symptom Screening in Pediatrics Tool (SSPedi) for …

Making Room, Rachel Strompf

Masters Theses

Massachusetts is the only state in the United States with a right-to-shelter law which guarantees shelter for families with children and pregnant women.¹ As of February 2024, 3,500 homeless families with children are being sheltered in a motel or hotel with an average length of stay of 14 months, because traditional family shelters have reached capacity.^2,3 While these families are provided temporary shelter, these shelters do not allow for the development of a true sense of “home.” While a motel meets the needs of rudimentary shelter, motels were never designed as long-term accommodations and certainly not with a …

Advancing Objective Mobile Device Use Measurement Inchildren Ages 6–11 Through Built-In Device Sensors: A Proof-Of-Concept Study, Olivia L. Finnegan, Robert Glenn Weaver Med, Phd, Hongpeng Yang, James W. White, Srihari Nelakuditi, Zifei Zhong, Rahul Ghosal Ph.D., Yan Tong, Aliye B. Cepni, Elizabeth L. Adams, Sarah Burkart Mph, Ph.D., Michael W. Beets Med, Mph, Phd, Bridget Armstrong Ph.D.

Faculty Publications

Mobile devices (e.g., tablets and smartphones) have been rapidly integrated into the lives of children and have impacted howchildren engage with digital media. The portability of these devices allows for sporadic, on-demand interaction, reducing theaccuracy of self-report estimates of mobile device use. Passive sensing applications objectively monitor time spent on a givendevice but are unable to identify who is using the device, a significant limitation in child screen time research. Behavioralbiometric authentication, using embedded mobile device sensors to continuously authenticate users, could be applied toaddress this limitation. This study examined the preliminary accuracy of machine learning models trained on iPad …

Experiences Affecting Military Children's Performance In School: A Hermeneutic Phenomenology, Christopher Lee Pruitt Casely

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenological study was to understand how attachment and loss associated with deployment affect children’s academic performance at Joint Base Lewis McChord. More specifically, the research was centered around a child's attachment to their parent and whether deployment affects that attachment or their academic success. The theory guiding this study was John Bowlby and Mary Ainsworth's attachment theory, as it provided a unique framework to examine how the child is affected by the deployment of their parents. The foundational question that drove this study was: What are the experiences of military families, specifically their children’s academic …

Educator Motivation For Acquiring Expertise To Support Students With Dyslexia: A Phenomenological Study, Maria T. Casale

Doctoral Dissertations and Projects

The purpose of this phenomenological study is to describe the invested motivation for acquiring expertise to support students with dyslexia for elementary school teachers at a charter school in a northeastern state. Teachers employed at Oakdale-Mission Charter School are uniquely positioned to receive in-service teacher training support regarding teaching those with dyslexia. The lack of Orton Gillingham-certified teachers to provide for those with dyslexia prevents these students from adequately receiving access and equity in a school district in a large metropolitan city in a northeastern state. Therefore, Oakdale-Mission Charter School was explored as a unique and innovative solution for those …

Exploring Silence In Music Therapy With Autistic Children: A Qualitative Study, Shannon Harper-Bison

Expressive Therapies Capstone Theses

Silence is essential for human connection, communication, and expression. This paper presents an inquiry into the experience of measurable moments of silences within music therapy with children on the autism spectrum: what happens directly after moments of silence preceded by sound, what might that indicate about the function of silences, and how they can be used therapeutically? Literature about silences within psychotherapy and music therapy suggests that silence can have multiple functions within therapy. Using both a specifically designed data sheet and anecdotal summaries, I documented silences within individual music therapy sessions with children ages 3-14 diagnosed with Autism Spectrum …

Dyadic Expressive Arts Therapy For Parent-Child Attunement In Children’S Attachment-Based Trauma Treatment: A Literature Review, Mia Ballard

Expressive Therapies Capstone Theses

This literature review explores current research about the use of expressive therapy methods in parent-child dyadic treatment, with a focus on attachment-based healing for children’s trauma treatment. I aim to answer the following question: how can expressive arts therapy be used to enhance nonverbal communication, foster attunement, and deepen connection between parent and child as an integral part of a child’s attachment-based trauma treatment? Children have an inherent need for an intimate emotional bond with a primary caregiver during the first few years of life and this early attachment relationship sets a foundation for mental, emotional, and physical health throughout …

Utilizing Dance/Movement Therapy For Children With Attention-Deficit/Hyperactivity Disorder: Development Of A Method, Jayda Pearson

Expressive Therapies Capstone Theses

While there is limited research on the use of dance/movement therapy (DMT) with attention-deficit/hyperactivity disorder. This thesis introduces an intervention focused on utilizing (DMT) to assist children with ADHD in self-regulation during periods of dysregulation associated with the disorder. The research is backed by literature reviews covering various topics related to ADHD symptoms such as dysregulation, impulsivity, and attention difficulties. Furthermore, the thesis delves into the background of dance/movement therapy and explores how DMT can be integrated with other modalities such as play therapy for a comprehensive therapeutic approach.