Digital Commons Network^™

Caregiving Burdens Of Task Time And Task Difficulty Among Paid And Unpaid Caregivers Of Persons Living With Dementia, Matthew Lee Smith, Jodi L. Southerland, Malinee Neelamegam, Gang Han, Shinduk Lee, Chung Lin Kew, Juanita Dawne R. Bacsu, Elyse Couch, Steffi M. Kim, Monique J. Brown Ph.D., Mph, Ayse Malatyali, Lucas Wilson, Zahra Rahemi, Jeremy Holloway, Marcia G. Ory

Faculty Publications

Background: Demands of caregivers of persons living with dementia (PLWD) are often influenced by the context of their caregiving situation. This study examines common and unique factors associated with caregiving burden in terms of task time and task difficulty among paid and unpaid caregivers of PLWD. Methods: Cross-sectional baseline survey data were analyzed from 107 paid and unpaid caregivers of PLWD participating in a larger NIH-funded study assessing the feasibility of using a novel in-situ sensor system. Oberst Caregiving Burden Scale constructs of task time and task difficulty served as dependent variables. Two least squares regression models were fitted, controlling …

Beyond Basic Needs : Exploring The Antecedents And Outcomes Of Seafarers’ Well-Being, Chian Liou, Cheng Kuo Sung, Kimberly Hsiu-Chin Lee, Jiunn Liang Guo

Journal of Marine Science and Technology–Taiwan

Given the importance of seafarers’ mental health and the limited literature on this topic, this study aims to explore the causes and consequences of seafarers’ well-being. A questionnaire survey was conducted, and the data were analyzed using structural equation modeling and hierarchical regression analysis. Consistent with the predictions of the happy and productive worker thesis, this study found that the more satisfied the seafarers are with the shipping company’s seafarer policy, the higher their well-being tends to be, leading to a more positive work attitude. Interestingly, the study found that a company effect is significantly present in this correlation; that …

Outdoor Adventure Education For Adolescent Social And Emotional Wellbeing: A Systematic Review And Meta-Analysis, Michael J.A. Down, D. Picknoll, T. Edwards, F. Farringdon, G. Hoyne, B. Piggott, M. C. Murphy

Research outputs 2022 to 2026

This study examines the effects of OAE on adolescent social and emotional wellbeing and their contributors. Intervention studies (single or multi-arm) assessing the effects of OAE on wellbeing were included. Meta-analysis was conducted on outcomes of interest, and the Cochrane Risk of Bias (RoB) Tool assessed RoB in multi-arm studies. Four studies assessed within-group change (n = 368), and six assessed between-group change (n = 1,143). Findings indicate significant between-group improvements in resilience, self-esteem and social belonging when OAE was compared to no intervention, but no self-efficacy and overall wellbeing changes were observed. Studies were at high risk of bias, …

Simulating A Multi-Tier Intervention For Refugee Mental Health Using Agent-Based Modeling, Bishan Huang

Electronic Theses & Dissertations (2024 - present)

Increasing numbers of people are fleeing political violence and becoming refugees who resettle all around the world.Compared to the general population in the countries where they resettle, refugees disproportionately suffer from depression and higher trauma-related mental health symptoms including post-traumatic stress disorder (PTSD) due to the experiences that led to their refugee status, as well as post-migration stressors, disadvantages in multiple social determinants of health, and lack of social support. New York City has received refugees from over 50 countries and may require policy and infrastructure changes to meet refugee mental health needs, especially in face of the recent surge …

Exploring Identity And Belonging Through Housing Pathways: Resettlement Experiences Of Female Ukrainian Refugees, Stephanie M. Duncan

Electronic Theses & Dissertations (2024 - present)

Background: This dissertation examines the resettlement experiences of female Ukrainian refugees in Germany following the escalation of the Russia-Ukraine conflict in 2022, which displaced over 8.5 million Ukrainians, including 1.2 million to Germany by April 2024. Focusing on Munich, the study explores the interplay of housing pathways, identity, and belonging, emphasizing gendered challenges faced by women, particularly single mothers and caregivers, navigating trauma, systemic barriers, and cultural adaptation. Organized into three articles, this work employs a social justice lens to address structural barriers, such as discriminatory housing markets, economic exclusion, and limited access to resources, which disproportionately impact marginalized women, …

The Cultural Mechanisms Of Mental Health Stigma In Asian Americans, Vaishnavi Suren

UNF Graduate Theses and Dissertations

Asian Americans show hesitation seeking professional mental health services, as well as stigmatized attitudes towards help-seeking for mental health treatment in general. While the link between this stigma and lack of help-seeking is clear in past studies, there is a gap in the literature in looking at how various cultural mechanisms important to traditional Asian cultures interact with one another to contribute to mental health stigma. The goal of the current study was to examine intergenerational conflict, saving face, and temporal orientation to predict mental health stigma among Asian Americans. Participants (N = 208) were all second-generation Asian American …

Pathways To Disclosure And Treatment Among Individuals With An Attraction To Minors, Theodore Jackson

Electronic Theses & Dissertations (2024 - present)

Child sexual abuse prevention is a significant social concern in the United States and internationally. While there have been some successful efforts to reduce recidivism risk among individuals who have committed sexual offenses, we fall short when preventing first time offenses. Therefore, looking at ways to provide treatment to those who are more at-risk for a first offense seems like a potential solution to this problem. One such relevant risk-factor is attraction to minors. This study is a qualitative examination using Interpretive Phenomenological Analysis of how people who are attracted to minors make the decision to disclose their attraction, seek …

Australian Fathers’ Experiences Of Caring For Their Preterm Infants, Esther Adama, Eric Adua, Evalotte Mörelius, Annie Chang, Ravisha Srinivasjois, Sara Bayes

Research outputs 2022 to 2026

Fathers and/or non-birthing partners are now actively involved in child-rearing globally; however some experience emotional difficulties during the perinatal period. With the birth of a preterm infant, parents experience additional stress beyond that normally engendered by having a baby, which can impact on parent-infant relationship and infant development. In Australia, there is limited evidence on fathers’ experiences of preterm birth. Thus, this study aimed to explore the experiences of Australian fathers of preterm infants including their emotional and physical wellbeing when they have a preterm infant. Narrative inquiry guided the study; 13 fathers whose preterm infant was admitted to Australian …

Exploring The Barriers To Mental Health Help-Seeking Among African Migrants In Australia: A Qualitative Study, Nnaemeka Meribe, Obed Adonteng-Kissi, Kathomi Gatwiri, Lillian Mwanri, Frank Darkwa Baffour, Agness Tembo, Edith N. Botchway-Commey, David Chisanga, Ahmed A. Moustafa, Kerrie E. Doyle, Uchechukwu Levi Osuagwu

Research outputs 2022 to 2026

Background: The health of African migrants in Australia is a largely under-researched topic despite the steadily increasing size of the population and its uniqueness. In particular, few studies have explored the mental health of African migrants in Australia or their utilization of mental health services.

Aims: This study explored the barriers to mental health help-seeking among first-generation African migrants in Australia.

Methods: In this qualitative study conducted using the hermeneutical phenomenological research approach, the purposive sampling method was used to recruit participants. In-depth interviews with participants were undertaken online via Zoom, Teams, and WhatsApp calls. Interviews were recorded and transcribed …

Investigating Protective And Risk Factors And Predictive Insights For Aboriginal Perinatal Mental Health: Explainable Artificial Intelligence Approach, Guanjin Wang, Hachem Bennamoun, Wai Hang Kwok, Jenny Paola Ortega Quimbayo, Bridgette Kelly, Trish Ratajczak, Rhonda Marriott, Roz Walker, Jayne Kotz

Research outputs 2022 to 2026

Background: Perinatal depression and anxiety significantly impact maternal and infant health, potentially leading to severe outcomes like preterm birth and suicide. Aboriginal women, despite their resilience, face elevated risks due to the long-term effects of colonization and cultural disruption. The Baby Coming You Ready (BCYR) model of care, centered on a digitized, holistic, strengths-based assessment, was co-designed to address these challenges. The successful BCYR pilot demonstrated its ability to replace traditional risk-based screens. However, some health professionals still overrely on psychological risk scores, often overlooking the contextual circumstances of Aboriginal mothers, their cultural strengths, and mitigating protective factors. This highlights …

Good Arts, Good Mental Health®: The Effectiveness Of An Australian Health Promotion Media Campaign In Promoting Community Mental Wellbeing Via The Arts, Christina R. Davies, Melanie T. Pescud, Rhonda Clifford, Richard Mcgrath, Annie Thomson, Mia Jeffrey, Melissa Stoneham, Terri Pikora, Peter Wright, Sonya Girdler, Loretta Baldassar, Stephen Clift

Research outputs 2022 to 2026

Introduction: This study describes and evaluates Good Arts, Good Mental Health^® (GAGMH), a groundbreaking, population-level, arts-mental health promotion media campaign. The objectives of the campaign (Wave 1) were to increase brand awareness, comprehension, and agreement with the tagline Good Arts, Good Mental Health^® and empower the general population to form an intention to engage in the Arts for their mental wellbeing. Methods: The campaign ran from August to September 2024 (4 weeks), cost AUD$198,965 (23% creative and 77% media/advertising distribution), and targeted the Western Australian (WA) general population aged 18–65 years, all genders, in both metropolitan and regional …

Mental Health Support Workers Perspectives On Barriers To And Facilitators Of The Effective Delivery Of Their Roles: A Systematic Review And Meta-Aggregation, Martha Njuguna, Irene Ngune, Yvonne Middlewick

Research outputs 2022 to 2026

Mental health support workers (MHSWs) are an important workforce within the mental health care system. Research shows that support services delivered by MHSWs are effective at improving the outcomes of individuals with mental illness. However, there is also literature suggesting that this group of workers are facing many challenges in their roles. This qualitative systematic review sought to explore, analyze and synthesize available primary research literature on the experiences of MHSWs with the aim of identifying the barriers to and facilitators of effective delivery of their roles. An electronic search of Medline, CINAHL, PsycINFO, and Web of Science was conducted …

Supporting People Bereaved By Suicide In The South West Region Of Western Australia: Report, Colleen M. Carlon

Research outputs 2022 to 2026

This paper reports on the practices of service providers in working with people and communities bereaved by suicide in regional contexts. For people bereaved by suicide experiences of grief, trauma and stigma and the questioning of why someone has died create a complex mix of need and emotion that can leave people vulnerable to complicated grief and poor physical and mental health. These effects may also be exacerbated by stigma in social and communal contexts. As such experiences of suicide grief are different to other forms of grief and loss, effectively supporting people and communities bereaved by suicide requires knowledge …

The Relationship Between The Mental Health Of Refugee Parents And Their Children: An Investigation Of Australian Longitudinal Data, Katie Tills, Justine Dandy

Research outputs 2022 to 2026

We investigated the relationship between parent and child mental health, including parents’ general psychological distress, among refugees resettled in Australia. We utilised longitudinal data from a sample (N = 602 children and 377 parents) of recently settled refugees from the Building a New Life in Australia Survey). Parent psychological distress and post-traumatic stress symptoms (PTSS) were measured by the Kessler 6 and PTSD-8, respectively. Harsh and Warm parenting behaviours were also measured to explore the mechanisms underlying the parent-child mental health relationship. Child mental health was measured using the SDQ. Using path analysis, we found that increases in parent psychological …

The Changes In Health-Related Quality Of Life After Attending Cardiac Rehabilitation: A Qualitative Systematic Review Of The Perspective Of Patients Living With Heart Disease, Amineh Rashidi, Lisa Whitehead, Helena Halton, Lisa Munro, Ian Jones, Lisa Newson

Research outputs 2022 to 2026

Background Although the benefits of engaging in cardiac rehabilitation are well established, patient perceptions of the changes in their health-related quality of life are poorly documented. This systematic review synthesized qualitative studies on patients’ perspectives of change in their health-related quality of life after attending cardiac rehabilitation. Objective To identify and synthesize the best available evidence on the perspective of patients living with heart disease about the changes in their health-related quality of life after attending cardiac rehabilitation. Methods Eight databases were used to identify relevant papers published in English and peer-reviewed, and no date restrictions were considered for the …

Best Practices For Supporting Homeless Youth Achieve Academic Success, Abeni Elizabeth Carr

Theses and Dissertations

California has amassed a vast and growing population of homeless people. There exists a need to discuss the more significant generational impact that homelessness presents for students in secondary schools and to develop strategic planning to dismantle cyclical homelessness. Currently, there is an alarming trend in the number of youths who are experiencing homelessness. While much research in the past observed families experiencing housing instability, there are also burgeoning patterns of youth who are enrolled in high school, yet are becoming homeless due to running away from home. Both nationally and in California, youth are running away from their families …

The Effects Of Exposure To War & Attachment Disruption On Children Of War Leading To Negative Mental Health Outcomes, Chantal Daley

Theses and Dissertations

Children of war tend to endure abuse, witness deaths, killings, and sexual violence, and are also often coerced into committing violent acts. They are subjected to exposure to war-related traumas and as a result often become displaced from their primary caregiver and attachment figure and this relationship is disrupted. The primary aim of this systematic review was to explore the negative mental health outcomes in children of war into adulthood following attachment disruption and exposure to war. It also aimed to examine what protective factors mitigated these negative mental health outcomes and whether outcomes and protective factors varied according to …

Accessible Mental Health Chicago, Guadalupe Cuevas

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement: My prevention-focused goal statement for Accessible Mental Health Chicago is to create a program that focuses on providing mental health resources for all in all areas of Chicago. This is by having community based low-cost or no-cost mental health services throughout the city, in the local languages that are of that community.

Significant Findings: While there are some limited resources in the areas with the highest calls for mental health crisis, they are not accessible for most of the city. While there are mental health centers throughout the city there aren’t many low or no cost resources. This …

Inadequate Healthcare For Women In The United States, Grace Loveless

Ballard Brief

Barriers to adequate healthcare for women stem from a lack of research on their specific health needs, gender-based biases in healthcare, and harmful societal norms. One key aspect highlighting these disparities is the menstrual cycle—a topic unique to women. Menstrual health, defined as a state of complete physical, mental, and social well-being, illustrates the urgent need for greater focus on reproductive health. Despite its significance, the dialogue and knowledge about reproductive health remain limited, exacerbated by societal attitudes of secrecy and shame. These attitudes create barriers that hinder many women in the United States from accessing adequate healthcare. As a …

Changing Climate, Changing Health: Perspectives From General Population In Mysuru, Lekhashree A, Manirsha P V, Paranthaman Chinnasamy, Srishti Arya, Sunil Kumar D

Digital Journal of Clinical Medicine

Background: Climate change has emerged as a major public health concern, contributing to rising morbidity and mortality worldwide. In India, increasing heat waves, unpredictable rainfall, and deteriorating air quality have intensified climate-sensitive health conditions. This study aims to assess the health impacts of climate change among the general population of Mysuru.

Methodology: A community-based cross-sectional study was conducted among 400 residents of Mysuru (April–June 2024). Participants were recruited through simple random sampling. Data were collected using a pre-tested semi-structured questionnaire via Google Forms. Analysis was performed using SPSS v26, with descriptive and inferential statistics.

Results: Among 400 participants, …

A Mixed Methods Study: High School Teachers’ Perspectives On Incorporating Mindful Artmaking In Their Classroom As A Mental Health Resource, Sherry A. Bosarge

Theses and Dissertations

Mental health concerns and the need for mental health resources for high school students continue to rise in Virginia. Some of the reported benefits to the current mental health services and resources offered in Virginia schools are increased academic outcomes, attendance, and positive behaviors. The reported barriers to current mental health services and resources are lack of participation, lack of training, time constraints, funding, and resources. This explanatory sequential mixed methods study examined high school teachers’ perspectives on the benefits and barriers to incorporating mindful artmaking in their classrooms as a mental health resource at a local high school. This …

Yoga As A Self-Care Practice For Mental Health Counselors Who Treat Trauma, Kari Michelle Fitzgerald

Graduate Research Theses & Dissertations

Given the high rates of burnout and compassion fatigue among trauma-exposed counselors, understanding effective self-care practices is critical for sustaining clinical effectiveness and well-being. Utilizing Interpretative Phenomenological Analysis (IPA), exploration of the lived experiences of licensed mental health counselors who treat trauma and use yoga as a self-care practice was conducted. Eight participants who were regular yoga practitioners each participated in one semi-structured interview and submitted one pre- and one post-interview reflective journal entry. Thematic analysis was used to identify six major themes; 1) emotional impact and sacred responsibility of clinical work, 2) yoga as a regulating and restorative practice, …

Evolving Perceptions Of Self And Others: The Effects Of Communing With Nature While Thru Hiking The Florida National Scenic Trail, Stella P. Arbeláez Tascón

Graduate Thesis and Dissertation post-2024

This body of artwork comprises a thesis that documents and exposes the artist’s inner workings as she regained balance after experiencing deep emotional trauma. This individual’s healing transformation was prompted by her immersion in nature while walking the Florida National Scenic Trail in its entirety, 1,130 miles (or 1,818 km), from the Everglades to the panhandle, in three and a half months. The artistic research conducted, and autobiographical body of work created from it, aims to help others reconnect with their own strengths and to seek wellness in the restorative properties of Nature, while advocating for an empathetic approach to …

Confirming The Factor Structure Of The Police Officer Stigma Scale, Daniel R. Horning

Graduate Thesis and Dissertation post-2024

First responders routinely face exposure to critical incidents within the line of duty, resulting in higher prevalence of psychopathological conditions compared to the general population. However, a growing body of research identified a severe underutilization of mental health-related services among this population, with stigma towards mental illness being the most cited barrier to seeking care. Stigma as a construct is being actively measured, but the factor structure of stigma towards mental health remains contested in literature. Optimal model fit for Stuart’s Police Officer Stigma Scale is an example of these empirical debates, as both single-factor and two-factor models are offered …

Knowledge And Education Of Minnesota High School Coaches Regarding The Signs And Symptoms Of Eating Disorders In High School Athletes, Mikaela Whiteford

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this study was to assess the level of education and knowledge among Minnesota high school coaches regarding the signs and symptoms of eating disorders in high school athletes. Data were collected through a researcher-developed survey, adapted from three existing instruments. The survey was administered through Qualtrics and distributed to participants through email. The findings indicate that while Minnesota high school coaches possess some knowledge of eating disorder signs and symptoms, their formal training and education on the topic are limited. Most of the education or training received by coaches was obtained for reasons unrelated to their responsibilities …

Studying Associations Among Mental Health And Psycap In Persons With Stuttering, Jasmine Lydia Selvaraj, James R. Spears, Priscilla Rose Prasath, Gayathri Purushothaman

Counseling Faculty Publications and Presentations

This cross-sectional, psychometric validation and comparative analysis study investigates the associations between mental health and Psychological Capital (PsyCap) in persons with stuttering (PWS; n = 60) and fluent speakers (FS; n = 60), while validating the Tamil translations of the Mental Health Continuum-Short Form (MHC-SF) and Psychological Capital Questionnaire (PCQ). Exploratory Factor Analyses, Cronbach’s alphas, and item-total correlations were used to evaluate the scales with a sample size of 120 participants. The conducted factor analyses demonstrated that the translated MHC-SF aligns structurally with prior studies, as compared to the PCQ, which diverged in factor loadings. The study also applied Independent …

To Be Soft Again: A Phenomenological Study Of Uncertainty And Resilience In Childbearing During The Covid-19 Pandemic, Marcianna Nosek

Nursing and Health Professions Faculty Research and Publications

Background:

During the COVID-19 pandemic, uncertainty was exacerbated in experiences of pregnancy and childbirth as people navigated through uncharted territory. Building resilience may be one effective way to cope. However, for those who carry a heavier burden in upholding others, a societal expectation of “toughness” and the ability to endure may lead to an appearance of resilience, while on the inside, well-being may be compromised.

Objectives:

This study is part of a larger phenomenological study that explored the broad research question: What is the lived experience of childbearing during the COVID-19 pandemic? Specific themes of uncertainty and resilience are reported …

A Comparison Of Floating Catchment Area Parameters With Applications To A Dataset Of Clinics Enrolled In A Statewide Child And Adolescent Psychiatric Consultation Program, Jocelyn Hunyadi, Lara S Savas, Kehe Zhang, Jeanette E Deason, Ryan Ramphul, Melissa F Peskin, Erica L Frost, Cici Bauer

Faculty, Staff and Student Publications

INTRODUCTION: Healthcare resources are often crucial but limited, requiring careful consideration and informed allocation based on population needs and potential healthcare access. In resource allocation settings, availability and accessibility of resources should be examined simultaneously. The two-step floating catchment area (2SFCA) method has been previously used to evaluate spatial accessibility to healthcare resources and services, and to address health-related disparities. The 2SFCA methods have regained significant popularity during the COVID-19 pandemic, as their application proved crucial in addressing priority public health data analysis, modeling, and accessibility challenges. However, comprehensive comparisons of the 2SFCA method input parameters in the context of …

Évolution Des Troubles Mentaux Liés Au Travail Au Québec Entre 2012 Et 2021, Jaunathan Bilodeau, Martin Lebeau, Marc-Antoine Busque, Alain Marchand

Études primaires

Introduction : Plusieurs pays ont connu une augmentation du nombre de troubles mentaux acceptés au cours des dernières années, mais les variations possibles de cette évolution dans la main-d’œuvre demeurent à explorer.

But de l’étude : Cette étude examine la distribution dans le temps des troubles mentaux acceptés selon la profession, le secteur industriel, le sexe et l’âge au Québec.

Résultats : Les taux d’incidence des troubles mentaux et leur évolution varient selon la profession et le secteur industriel. Alors que le taux est généralement plus élevé dans les professions mixtes et le secteur tertiaire, l’augmentation de ces taux s’observe …

Is The Defendant Mad Or Bad? The Association Between Mental Health, Race And Sex In Sentencing In Federal Courts, Tracy Sohoni, Sylwia Piatkowska, Briana Paige

Sociology & Criminal Justice Faculty Publications

Although US courts regularly sentence individuals with mental health problems, to date, there has been little research on whether mental health indicators are related to sentencing decisions. The focal concerns perspective suggests that sentencing decisions reflect perceptions of the blameworthiness of the defendant, concerns about protecting the community, and practical considerations. Potentially, mental health issues could serve as a mitigating factor in sentencing decisions by making defendants seem less culpable for their actions and more deserving of assistance rather than punishment, and/or due to concerns about practical considerations related to higher costs of incarceration or of exacerbating current mental health …