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The Legacy, Importance, & Impact Of Lend: Evidence And Personal Stories, Emily Zalimeni, Emma Stone, Alexa Fortier, Leia Getchell, Nataliya Kloyzner, Asha Abdullahi, Elizabeth Barkoudah, Meghan Chapman, Meredith Close, Heather Engholm, Melissa Levin, Aanchal Sharma, Sarah Sparks, Patricia Rissmiller, Amy Szarkowski, Jason M. Fogler Jul 2026

The Legacy, Importance, & Impact Of Lend: Evidence And Personal Stories, Emily Zalimeni, Emma Stone, Alexa Fortier, Leia Getchell, Nataliya Kloyzner, Asha Abdullahi, Elizabeth Barkoudah, Meghan Chapman, Meredith Close, Heather Engholm, Melissa Levin, Aanchal Sharma, Sarah Sparks, Patricia Rissmiller, Amy Szarkowski, Jason M. Fogler

Developmental Disabilities Network Journal

Leadership Education in Neurodevelopmental and related Disabilities (LEND) programs offer an interdisciplinary/interprofessional training opportunity for medical and allied health professionals, and individuals impacted by disability, including family members and self-advocates. Toward the aim of advocating for the enduring need of LEND and similar training programs, this article centers the voices of a subset of our alumni who have advanced the rights and improved the lives of persons with intellectual and developmental disabilities. These stories are intended to illustrate the key lessons and principles of LEND training, including attending to disability issues in education, growing skills within and between individuals working …


Study Summary: Exploring Safe & Effective Interpreter Output Ofyoga Concepts In Asl, Dixie Schexnaildre Dhsc Mar 2026

Study Summary: Exploring Safe & Effective Interpreter Output Ofyoga Concepts In Asl, Dixie Schexnaildre Dhsc

JADARA

Yoga can support mental health, recovery, and provide positive coping strategies. Where language inequities impede access for Deaf individuals, interpreters are thought to facilitate communication. However, the percentage of interpreters trained in safe, effective, or non-triggering yoga interpretation is unknown. Using background and frequency data, this précis of a lengthy descriptive project highlights barriers to yoga programming for the Deaf community. A central finding is only 33% (n = 7) of interpreters had training to ensure emotional and physical safety to yoga participants. While results are assessed cautiously, lack of interpreter training may add to health and recovery programming inequities.


Educating The Educators: Increased Sexuality Training For Counselor Educators, Joshua C. Taylor May 2025

Educating The Educators: Increased Sexuality Training For Counselor Educators, Joshua C. Taylor

Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education

A robust body of literature has identified the need for counselors-in-training (CITs) to receive additional training in sexuality counseling. Growing efforts to identify efficacious training strategies have also been well-documented in the literature. These suggested updates have implicitly increased the counselor educator's role in delivering strategies to promote sexual counseling competence for CITs. Unfortunately, there is a dearth of literature regarding the adequate preparation of counselor educators in providing sexuality education. This article will underscore the counselor educator’s role in facilitating competence in sexuality counseling for CITs and provide a model for infusing sexuality counseling into doctoral curriculum.


Telehealth Training And Education For Allied Health Professionals: A Scoping Review, Krithika Anil, Adam Bird, Kate Bridgman, Shane Erickson, Jenny Freeman, Carol Mckinstry, Christie Robinson, Sally Abey Mar 2025

Telehealth Training And Education For Allied Health Professionals: A Scoping Review, Krithika Anil, Adam Bird, Kate Bridgman, Shane Erickson, Jenny Freeman, Carol Mckinstry, Christie Robinson, Sally Abey

School of Health Professions

Background: With the growing adoption of telehealth in allied health disciplines, establishing clear training and education standards is crucial. This review aims to map the current training and education that has been delivered to support development of telehealth competencies in allied health professionals. This scoping review extends our previous review with an updated search. Methods: The Population Concept Context framework was used, and the following databases were searched: MEDLINE, CINAHL, PsychInfo, Cochrane, EMBASE, Web of Science, PEDro, United Kingdom Health Forum, WHO, Health Education England, and all U.K. and Australian Allied Health Profession (AHP) professional bodies. Results: Out of 1,05,980 …


Exploring The Factor Structure Of The Experiences Of Teaching And Learning Questionnaire, William Merchant, Yael Haskowitz Jan 2025

Exploring The Factor Structure Of The Experiences Of Teaching And Learning Questionnaire, William Merchant, Yael Haskowitz

Journal of Educational Research and Innovation

Objective: This study sought to explore the optimum factor structure among the three subsections of The Experience of Teaching and Learning Questioner (ETLQ). Method: Exploratory factor analysis was employed to compare four competing exploratory models within the Approaches to Learning and Studying, Perceptions of the Teaching-Learning Environment and Demands Made by Unit sections of the ETLQ. Results: A four-factor solution was found to be the best fit for the Approaches to Learning and Studying subsection which included some overlap with the original ETLQ factors. The Perceptions of the Teaching-Learning Environment yielded a nine-factor solution with little to no overlap with …


Open-Access Publishing In Special Education And Related Fields, Esther R. Lindström, Jesse I. Fleming, Danika Pfeiffer, Tamara Kalandadze, Bryan G. Cook Jan 2024

Open-Access Publishing In Special Education And Related Fields, Esther R. Lindström, Jesse I. Fleming, Danika Pfeiffer, Tamara Kalandadze, Bryan G. Cook

Speech-Language Pathology Faculty Publications

Open access to research findings, syntheses of research, and papers providing guidance on implementing research-based practices is critical for informing policy and practice in special education and related fields. Yet most published articles are behind paywalls and cannot be accessed freely by many practitioners, policymakers, individuals with disabilities and their families, and other interested parties. In this article, we describe the benefits of open-access publishing for researchers and research consumers, as well as different types of open-access publishing–with a particular focus on self-archiving or green open-access publishing. Self-archiving makes papers freely available, with little time burden and no monetary cost …


Outpatient Fall Prevention In Ambulatory Adults 65 Years Old And Over, Dorothy L. Osborne-White Jan 2024

Outpatient Fall Prevention In Ambulatory Adults 65 Years Old And Over, Dorothy L. Osborne-White

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: In the United States (U.S.), falls are the leading cause of injury among adults 65 and over, resulting in 36 million falls yearly (Moreland et al., 2020). According to the Centers for Disease Control and Prevention (CDC, 2023), one in four older adults experiences a fall each year. Falls are the world's second most prominent cause of accidental deaths (World Health Organization [WHO], 2021). Falls are the leading cause of both fatal and non-fatal injuries among older adults (Moreland et al., 2020).

Methods: A quality improvement project that included a fall bundle was implemented in a primary clinic. A …


Toward Equal Access: A Model For Lay Advocacy Programs Serving People Who Are Deaf Or Hard Of Hearing, Melissa Bell Jan 2024

Toward Equal Access: A Model For Lay Advocacy Programs Serving People Who Are Deaf Or Hard Of Hearing, Melissa Bell

JADARA

Advocacy programs are prevalent among state government agencies that specialize in serving persons who are deaf or hard of hearing around the United States. The work is crucial to ensuring equal access and equal opportunity, yet the lay advocacy profession is not yet formalized with certification, ethical standards, or training programs for advocates serving this population. Research was conducted to advance efforts to maximize these programs’ effectiveness by compiling components of an ideal model for lay advocacy programs. Directors from state agencies that specialize in serving this population around the country refined the model and described the structure of their …


History Doesn’T Repeat Itself, But Often Rhymes: An Analysis And Extension Of Models Influencing Special Education, Rebecca Owens May 2023

History Doesn’T Repeat Itself, But Often Rhymes: An Analysis And Extension Of Models Influencing Special Education, Rebecca Owens

Undergraduate Theses and Capstone Projects

The American special education system is largely hailed as a beacon for inclusion and support of students with disabilities, but was developed on the back of a deep, complicated history of isolation, fear, and ignorance. This historical analysis examines special education in the context of parallel-developing models of how those with disabilities are perceived and treated in the United States. Rather than juxtaposing the widely-discussed models of disability (moral, medical, and social) with the development of special education, I argue that they are consistent with a wave pattern, initially proposed by disability scholar and advocate Wolfensberger (1969), that traces the …


Human Sexuality Education For Counseling Students, An Ethical Imperative: A Special Commentary, Meagan S. Mcbride Feb 2023

Human Sexuality Education For Counseling Students, An Ethical Imperative: A Special Commentary, Meagan S. Mcbride

Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education

Human sexuality is a profound and multifaceted component of the human condition that is universally experienced. As such, it is an inevitability that issues related to human sexuality will come up in counseling settings; however, there is a lack of medically accurate sex education in K-12 schools. Additionally, there is no requirement, except for in three states, for students in mental health counseling programs to complete a course on human sexuality. While human sexuality is not a specific competency outlined by CACREP or ACA, it is universally experienced by all clients and counselors. This special commentary highlights the ethical need …


Exploring The Impact Educational Interventions Have On Nursing And Medical Students’ Attitudes And Empathy Levels Towards People With Disability: A Systematic Review, William Evans, Dominika Lisiecka, Dawn Farrell Feb 2023

Exploring The Impact Educational Interventions Have On Nursing And Medical Students’ Attitudes And Empathy Levels Towards People With Disability: A Systematic Review, William Evans, Dominika Lisiecka, Dawn Farrell

Publications

This systematic review aimed to explore the impact educational interventions have on undergraduate nursing and medical students' attitudes and empathy levels towards people with disability. There are over one billion people with some form of disability currently. A growing body of research reveals that nurses and doctors display negative attitudes including decreased empathy towards people with disability. A systematic review using narrative synthesis of chosen randomized controlled trials was employed. A comprehensive search was completed in June 2021 on six databases (CINAHL, Medline, Science Direct, Health Research Premium - PROQUEST, Scopus. Cochrane Library). The search strategy yielded 21,616 studies and …


How Does Exposure To Pelvic Health Content In Entry Level Physical Therapy Curricula Impact Students’ Comfort Level Discussing Sexual Health With Future Patients?, Elizabeth Levay Nov 2022

How Does Exposure To Pelvic Health Content In Entry Level Physical Therapy Curricula Impact Students’ Comfort Level Discussing Sexual Health With Future Patients?, Elizabeth Levay

Graduate Theses, Dissertations, and Capstones

The purpose of this quantitative study was to investigate the relationship between exposure to pelvic health content in physical therapy school curricula and Doctor of Physical Therapy (DPT) students’ comfort levels discussing sexual health issues with future patients. As holistic, autonomous health care providers, physical therapists must be confident in addressing all aspects of health with patients, including sexual health. Lack of attention to patients’ sexual issues may result in aspects of health going unaddressed, leading to poor patient care. The research hypothesis was that increased exposure to pelvic health topics within entry level physical therapy education will improve students’ …


Educational Level As A Moderator Between Stress And Suicidal Ideation Among Law Enforcement Officers, Sittipong Permsookjit Jan 2022

Educational Level As A Moderator Between Stress And Suicidal Ideation Among Law Enforcement Officers, Sittipong Permsookjit

Walden Dissertations and Doctoral Studies

Law enforcement officers are exposed to occupation-related stress at a level greater than any other occupation, save war combatants, such stress can lead to suicidal ideation. There is a growing trend of suicidal ideation among law enforcement officers. This trend will threaten the stability of society if it is allowed to continue. Educational level has been shown to improve quality of life and is considered a quantitative resource. Using the theoretical framework of appraisal theory, this study’s purpose was to examine the moderating effects of educational level on stress and suicidal ideation among law enforcement officers. A total of 72 …


The Issue Of Unemployment Among People With Disabilities, Angelina C. Pagano Apr 2021

The Issue Of Unemployment Among People With Disabilities, Angelina C. Pagano

English Department: Research for Change - Wicked Problems in Our World

The rate of unemployment for people with disabilities continues to rise greatly above that of people without disabilities. The issue seems to be exacerbated by employer biases and concerns which are not supported in the face of evidence. A lack of employer education on disability related subjects causes this misconception among both employers and the public as a whole. To resolve the underlying problem of miseducation, an increase in the self-identification of people with disabilities is necessary to provide researchers with data to assist in the formation of a revised curriculum.


Sexuality Within Occupational Therapy Education: Assessing Faculty And Student Perceived Competence, Reba R. Duran, Kristin A. Valdes Jan 2021

Sexuality Within Occupational Therapy Education: Assessing Faculty And Student Perceived Competence, Reba R. Duran, Kristin A. Valdes

Journal of Occupational Therapy Education

Sexuality is a valuable activity of daily living that contributes to an individual’s quality of life. Although sexuality can be addressed in occupational therapy practice, it is often overlooked due to a lack of time, comfort, and knowledge. For sexuality content to be fully incorporated into practice, it has been suggested that education will facilitate the inclusion of sexuality topics into occupational therapy practice. The purpose of this survey study was to assess occupational therapy faculty and students’ perceived competence with addressing sexuality, to determine the methods of sexuality education, and the time spent on the topic in occupational therapy …


An Education Program For Novice Nurses To Increase Case Management Knowledge, Emily Trefethen Dec 2020

An Education Program For Novice Nurses To Increase Case Management Knowledge, Emily Trefethen

Doctor of Nursing Practice (DNP) Projects

Problem: Heart failure (HF) is a chronic disease where the heart cannot deliver an adequate amount of blood that the body requires. HF is one of the costliest cardiovascular diseases plaguing public health in the United States (Go et al., 2014). HF is the main reason for hospitalizations in adults and a leading contributor to the rise in healthcare costs. Approximately 25% of Medicare patients are readmitted within 30-days of discharge (Go et al., 2013). To address excessive hospital readmissions, the Centers for Medicare and Medicaid Services (2019) initiated the Hospital Readmissions Reduction Program in October 2012 to reduce Medicare …


Post-Secondary Employment And Education Outcomes Of Young Adults Reporting Both Vision And Hearing Impairments In The High School Longitudinal Study Of 2009, Emily M. Lund Aug 2020

Post-Secondary Employment And Education Outcomes Of Young Adults Reporting Both Vision And Hearing Impairments In The High School Longitudinal Study Of 2009, Emily M. Lund

JADARA

This article reports the post-secondary education and work activities of 43 young adults who reported a history of both hearing and vision disabilities (i.e., deafblindness [DB] in Wave 4 of the High School Longitudinal Study of 2009. Most of the sample reported having worked, attended post-secondary education, or both since completing secondary education. Approximately half of the sample still lived with their parents, and most reported receiving financial support from their parents. Thus, although engagement in work and education was relatively high, most participants had not achieved financial independence.


Satisfaction With Life Scale In American Sign Language: Validation And Normative Data, Josephine F. Wilson, Jared Embree, Deb Guthmann, Steven R. Sligar, Janet C. Titus, Kathryn C. Taylor Aug 2020

Satisfaction With Life Scale In American Sign Language: Validation And Normative Data, Josephine F. Wilson, Jared Embree, Deb Guthmann, Steven R. Sligar, Janet C. Titus, Kathryn C. Taylor

JADARA

The Satisfaction With Life Scale (SWLS) is a brief instrument that assesses a person’s global life satisfaction. Using state-of-the-science techniques, the SWLS was translated into American Sign Language (ASL). A national sample of 350 deaf and hard of hearing individuals who preferentially use ASL completed the ASL version of the SWLS (SWLS-ASL) online. The individuals in this sample had a mean SWLS score of 23.4, well within the range of mean scores reported for samples from general populations of hearing individuals. No significant differences were identified in SWLS-ASL scores due to gender, cultural identification (identified as culturally Deaf or not), …


What Drives Engagement In Professional Associations? A National Survey Of Occupational Therapy Students, Suzanne E. Holm, Patricia Stutz-Tanenbaum, David Greene Jan 2020

What Drives Engagement In Professional Associations? A National Survey Of Occupational Therapy Students, Suzanne E. Holm, Patricia Stutz-Tanenbaum, David Greene

Journal of Occupational Therapy Education

Exploring the factors that influence occupational therapy (OT) and occupational therapy assistant (OTA) students to join and participate in professional associations is critical to determine how to extend engagement after graduation. Previous research on health care student participation in professional associations has not included OT or OTA students. The researchers conducted an online quantitative national pilot survey to explore the perceptions of OT/OTA students and to identify supports and challenges for membership. The purposive sampling of currently enrolled students took place over three months in 2017, resulting in 251 responses representing all geographic regions in the United States. The researcher-developed …


Development Of Social Learning Program For Students In Undergraduate Deaf Rehabilitation Program, Sandra Hansmann, Shawn P. Saladin, Sonia Quintero Nov 2019

Development Of Social Learning Program For Students In Undergraduate Deaf Rehabilitation Program, Sandra Hansmann, Shawn P. Saladin, Sonia Quintero

JADARA

Service-learning models have long since provided students the opportunities to connect with the community they will serve upon graduation. Valley-ICAN (Independent, Confident, Activities, Network) was developed to supplement a capstone practicum requirement for an undergraduate rehabilitation program with a concentration in services to individuals who are deaf or hard of hearing and to help reinforce the curriculum, by connecting the students to the deaf community and the service providers. This article describes the program and its benefits to the students and the community.


Complex Trauma: Counselors' Self-Efficacy And Treatment, Breeze Valenska Rueda May 2019

Complex Trauma: Counselors' Self-Efficacy And Treatment, Breeze Valenska Rueda

Theses and Dissertations

The purpose of this descriptive and exploratory mixed-method study was twofold: to explore counselors’ perceptions and knowledge regarding complex trauma and, assess counselors’ perceptions regarding their level of confidence when working with this population. The study determined what relevant factors were related to counselors’ perceived self-efficacy concerning complex trauma. Although complex trauma is emerging as an important issue, there is limited research regarding counselors’ experiences with complex trauma. The current study explored participants’ perceptions when providing services to individuals with prolonged and cumulative trauma and provided a greater understanding of counselors’ recognition and selfefficacy when working with this population. A …


Evaluating Educational Training Impact On Pre-Service Students’ Attitudes Towards Human-Animal Relationships, Yuleinys A. Castillo, Denise Silcox, Lynn K. Fisher Apr 2019

Evaluating Educational Training Impact On Pre-Service Students’ Attitudes Towards Human-Animal Relationships, Yuleinys A. Castillo, Denise Silcox, Lynn K. Fisher

School of Rehabilitation Services & Counseling Faculty Publications

Experts suggest that human-animal relationships can bring benefits to households, work environments, and training facilities. Animals can also have a positive impact on humans’ psychological well-being, interpersonal relationships, and interaction with human services providers. Even though human services providers need to understand clients’ holistic experiences, animals are often excluded from treatment and services. Therefore, human services students, who have exposure to the human animal bond, can be more effective providers and understand the role of animals in society. This study evaluated the impact of information about the human-animal bond on attitudes towards animals among pre-service human services students. In addition, …


Vocational Rehabilitation Counselors' Experiences, Perceptions, And Readiness Related To Self-Employment Of People With Disabilities, Deborah Ashley Dec 2018

Vocational Rehabilitation Counselors' Experiences, Perceptions, And Readiness Related To Self-Employment Of People With Disabilities, Deborah Ashley

Theses and Dissertations

The purpose of this dissertation study was to explore the experiences, perceptions, and readiness (EPR) of vocational rehabilitation counselors (VRCs) supporting people with disabilities (PWD) in self-employment. While PWD are twice as likely to be self-employed than the general population, self-employment case closure rates within vocational rehabilitation remain historically low around 2%.

Descriptive, inferential, and correlational statistical analysis were used to investigate the EPR of 205 Certified Rehabilitation Counselors across the nation via an online survey, the Vocational Rehabilitation Counselor Self-Employment Process Survey (VRC-SEPS). The VRC-SEPS consists of demographic items, two Likert-type scales examining experiences and readiness, and a set …


A Study Of Counselor Trainees' Self-Perceived Competency In Social Justice Advocacy, Mary Ann Rocha Dec 2018

A Study Of Counselor Trainees' Self-Perceived Competency In Social Justice Advocacy, Mary Ann Rocha

Theses and Dissertations

The purpose of the study is to examine the social justice advocacy competencies of rehabilitation counselor trainees. The study aims to explore rehabilitation counselor trainees’ self-perceived social justice advocacy competencies. More specifically, counselor trainees’ demographic and training variables will be examined to understand the process of social justice advocacy competency. Also, the study will explore the correlation between social justice advocacy competency and ethical awareness. A convenience sample of counselor trainees who are in a master’s-level or doctoral level rehabilitation counseling program or related counseling program was utilized for this study. In total, 132 counselors in training completed the online …


Factors Contributing To Successful Employment Outcomes For Individuals Who Are Hard-Of-Hearing, Sergio Cuevas Dec 2018

Factors Contributing To Successful Employment Outcomes For Individuals Who Are Hard-Of-Hearing, Sergio Cuevas

Theses and Dissertations

This study examined the relationship between demographic variables (gender, race and ethnicity, age, level of education, and secondary disability), state-federal vocational rehabilitation (VR) services, and VR employment outcomes among individuals who are hard-of-hearing. This study also explored what VR services contribute to employment outcomes for individuals who are hard-of-hearing. Data from The U.S. Department of Education Rehabilitation Service Administration Case Service Report (RSA-911) FY 2014 was used to focus on individuals who are hard-of-hearing. Logistic regression, Chi-square, and Chi-square Automatic Interaction Detector (CHAID) analyses were used to analyze the RSA-911 dataset.


An Exploratory Factor Analysis: Factors That Influence Employers Disposition To Hire And Retain Persons With Disabilities, Javier Nazario Rodriguez Jul 2018

An Exploratory Factor Analysis: Factors That Influence Employers Disposition To Hire And Retain Persons With Disabilities, Javier Nazario Rodriguez

Theses and Dissertations

Despite the laws that are in place to ensure equal employment opportunities for persons with disabilities, there continues to be a disparity in employment rates for persons with disabilities when compared to persons without disabilities. Understanding factors that influence employers disposition to hire and retain persons with disabilities is the first step towards developing a guide for professionals that provide direct job placement services to this population in developing an educational intervention plan that is conducive to employers being more receptive to hiring persons with disabilities.

Currently there are many studies that focus on employers’ attitudes towards hiring and retaining …


Multicultural Counselor Supervision And Perceived Differences On Client Outcome, Andrew Perez May 2018

Multicultural Counselor Supervision And Perceived Differences On Client Outcome, Andrew Perez

Theses and Dissertations

The purpose of this study is to examine the differences between counselor supervisors’ and supervisees’ perceptions of the impact of multicultural supervision on client outcome. Counselor supervisors and supervisees may have differences in how much they believe multicultural factors affect client outcome and this study aims to determine what differences exist. These differences are important in understanding how supervisors might better serve supervisees and in turn clients. There were 61 participants in the study that consisted of faculty, counselor supervisors, counselors, and graduate students in counseling-related fields. The current study found that multicultural supervision/competence alone predicted supervisor client outcome. The …


Predictors Of Post-Secondary Employment And Education Among Kentucky Transition-Aged Youth With Traumatic Brain Injury, Lebogang Tiro Jan 2018

Predictors Of Post-Secondary Employment And Education Among Kentucky Transition-Aged Youth With Traumatic Brain Injury, Lebogang Tiro

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

The State of Kentucky has a high and increasing number of reported cases of traumatic brain injury (TBI), mostly attributed to motor vehicle crashes, falls, and being struck by or against an object. Young adults are among those most at-risk for experiencing a TBI through motor vehicle crashes. Using existing data from the Kentucky Post-School Outcomes Center (KyPSO), 90 youth with TBI were identified within a period of 6-years of the longitudinal study (2012-2017). The majority were males and White. Descriptive statistics, chi square, and logistic regression were used to examine the post-secondary outcomes for youth with TBI, using four …


Variables Relevant To Self-Efficacy: Mexican-American High School Students With Specific Learning Disabilities, Matilde Barrera Alaniz Dec 2017

Variables Relevant To Self-Efficacy: Mexican-American High School Students With Specific Learning Disabilities, Matilde Barrera Alaniz

Theses and Dissertations

The purpose of this study is to ascertain if a relationship exists between self-efficacy and grade point average (GPA), age, gender, language proficiency, socioeconomic status, and failed grade levels during school career among Mexican-American high school students with specific learning disabilities (SLD) residing along the southwestern state of the Mexican border. Moreover, to learn if a relationship exists between motivation and the above variables. This study also observed if a relationship between motivation as measured by the Academic Self-Regulation Questionnaire (SRQ-A) (i.e., external regulation, introjected regulation, identified regulation, and intrinsic motivation) and GPA existed; it also observed the correlation between …


Letter From The Editor May 2017

Letter From The Editor

JADARA

A note from your new Senior Editor, Caroline M. Kobek Pezzarossi, Ph.D and Denise Thew Hackett, Ph.D., MSCI, CRC.