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The Development And Content Validity Of An Assessment Instrument In Simulation For Advanced Practice Provider Fellowship Programs: An Exploratory Study, Olivia Nicastro Aug 2024

The Development And Content Validity Of An Assessment Instrument In Simulation For Advanced Practice Provider Fellowship Programs: An Exploratory Study, Olivia Nicastro

Dissertations

Advanced practice provider (APP) fellowship programs are comprehensive programs designed for physician assistants (PAs) and nurse practitioners (NPs) to acquire the necessary knowledge and skills to deliver safe, high-quality care in their specialized areas of practice (Advanced Practice Provider Fellowship Accreditation TM, 2023). An APP fellowship program’s mission is to guide the APP fellow to an expected level of confidence in meeting core competencies within a specific specialty (Klimpl et al., 2019; Reville & Foxwell, 2021). The assessment of competence is often a complex process. Simulation has become a learning modality across the globe in medical, nursing, and pharmacy in …


The Reallocation Effects Of Domestic Outsourcing, Mayara Felix, Michael B. Wong Aug 2024

The Reallocation Effects Of Domestic Outsourcing, Mayara Felix, Michael B. Wong

Cowles Foundation Discussion Papers

This paper estimates the wage, employment, and reallocation effects of non-core activity outsourcing using Brazil’s unexpected 1993 court-ordered outsourcing legalization. We leverage North-South variation in pre-legalization court permissiveness and compare security guards to less affected occupations. We find that older incumbent security guards were adversely impacted through occupational layoffs, loss of firm-level wage premia, and exit from the occupation. At the same time, increased numbers of younger workers entered the formal sector and became employed at contract firms. On net, legalization increased guard employment by 5%, led by a 50% increase in employment for guards aged 18-24, and had no …


Msw Portfolio, Tailor L. Schlotzhauer Aug 2024

Msw Portfolio, Tailor L. Schlotzhauer

Graduate Student Portfolios, Professional Papers, and Capstone Projects

No abstract provided.


Msw Portfolio: A Growth Mindset Approach, Katherine D. Bettcher Aug 2024

Msw Portfolio: A Growth Mindset Approach, Katherine D. Bettcher

Graduate Student Portfolios, Professional Papers, and Capstone Projects

A growth mindset approach to Advanced Integrated Practice in Social Work.


The Role Of 5-Ht6 Receptor Activation In Learning Consolidation, Jasmine Alyssa Robinson Aug 2024

The Role Of 5-Ht6 Receptor Activation In Learning Consolidation, Jasmine Alyssa Robinson

Electronic Theses, Projects, and Dissertations

The focus on serotonergic dysfunction as a contributor to cognitive deficits in disorders such as autism spectrum disorder, Alzheimer's disease, and schizophrenia drives researchers to investigate the functional impact of specific serotonin receptor types on executive functioning. By discerning the potential enhancement or impairment effects, this endeavor seeks to unravel the complex interplay between serotonin receptors and cognitive abilities. Specifically, within the three domains of learning, acquisition, consolidation, and retrieval, we find serotonergic modulation to be pivotal. Recent studies have highlighted the 5-HT6 receptor as a novel target for cognitive enhancement. However, the majority of the research investigates the effects …


Ai-Driven Cybersecurity Threats And Organizational Consequences, Apeksha Kale Aug 2024

Ai-Driven Cybersecurity Threats And Organizational Consequences, Apeksha Kale

Electronic Theses, Projects, and Dissertations

ABSTRACT

This project used a case study research strategy to investigate the impact of AI-driven cybersecurity threats on organizations. The research questions are: Q1: How can different types of organizations improve their defenses against AI-driven cybersecurity attacks? Q2: How will future hackers most likely access AI tools, and what AI tools will they use? Q3: What strategies can organizations implement to enhance resilience against phishing emails? Three Case Studies were selected and analyzed to answer the three research questions. The findings are Q1: AI-driven cyberattacks pose significant risks, but organizations can improve defenses by investing in AI technologies like Vectra …


Raising Awareness Of Empathy And Its Role In Teacher-Student Relationships, Jessica Coles-Black Aug 2024

Raising Awareness Of Empathy And Its Role In Teacher-Student Relationships, Jessica Coles-Black

Electronic Theses, Projects, and Dissertations

This study navigates through the theory of emotional intelligence, which is premised on self-regulation, emotion regulation, and drilling down to the core skills of empathy. These constructs significantly impact teacher-student relationships, which, in turn, influences academics, socio-emotional learning, behavior and the educational trajectory . This mixed methods study examined the importance of teacher awareness of the subconstructs of empathy and how this influences their relationships with students. Investigating the impact of the subconstructs of empathy as outlined by Decety and Jackson (2016) and their correlation to the subconstructs of teacher-student relationships (Pianta, 1992), the study demonstrated important findings for cultivating …


Examining The Impact Of Transformational Leadership On Employee Development And Performance: The Role Of Inspiration And Trust, Kayla Pham Aug 2024

Examining The Impact Of Transformational Leadership On Employee Development And Performance: The Role Of Inspiration And Trust, Kayla Pham

Electronic Theses, Projects, and Dissertations

Transformational leaders are known to encourage, motivate, and engage followers in ways that enhance organizational outcomes. Researchers like Bernard Bass expanded on transformational leadership after James V. Downton introduced the idea. Bernard Bass was critical since he found ways to measure the success of transformational leadership (Givens, 2008). The four major principles of the transformational leadership theory are idealized influence, inspirational motivation, intellectual stimulation, and individualized consideration (Bass, 1985). This study aims to determine whether transformational leaders increase employee development and performance through their ability to inspire and trust in their followers. Variables such as performance, employee development, inspiration, and …


First-Year Experiences Of Lgbtq+ Students: Belongingness, Resilience, And Utilization Of Resources On Campus, Sarina Sauceda Aug 2024

First-Year Experiences Of Lgbtq+ Students: Belongingness, Resilience, And Utilization Of Resources On Campus, Sarina Sauceda

Electronic Theses, Projects, and Dissertations

Entering college brings independence; however, it also presents new challenges. Navigating young adulthood, with academic/social pressures, makes the first-year increasingly difficult (Alessi et al., 2017). LGBTQ+ students are at heightened risk of negative mental health outcomes (e.g., increased depression/anxiety levels; Alessi et al., 2017; Thacker Darrow et al., 2022). For LGBTQ+ students, the first-year of college poses additional issues, such as discrimination or lack of belonging (Thacker Darrow et al., 2022; Hood et al., 2018). Overall, there is little research of this population, and less is known about specifically the first-year. It is important to understand those experiences, so that …


Classification Model For Discovering The Type Of Crop To Plant Using Ensemble Techniques, Uma Mahesh Addanki Aug 2024

Classification Model For Discovering The Type Of Crop To Plant Using Ensemble Techniques, Uma Mahesh Addanki

Electronic Theses, Projects, and Dissertations

Farming plays a role in ensuring survival, especially with the growing need for increased agricultural output. It is vital for farmers to efficiently choose the crops to cultivate. By using crop recommendation systems farmers can make decisions on what crops to plant leading to yields and improved resource management. The success of crop production depends on maintaining the balance of soil nutrients and favorable weather conditions. In this research project, we created a crop recommendation system utilizing learning methods to predict the appropriate crops based on essential soil nutrients and weather patterns. We worked with a dataset sourced from Kaggle, …


Task Management Application, Dhaval Chaturbhai Hirpara Aug 2024

Task Management Application, Dhaval Chaturbhai Hirpara

Electronic Theses, Projects, and Dissertations

The Task Management Application is a web-based platform designed to facilitate efficient task and project management, similar to other Project Management Tools like Jira, Trello, ClickUp, Wrike, Zoho Projects, and Asana. The application features three distinct roles: Administrator, Project Manager, and Employee, each with specific functionalities and permissions to streamline workflow.

Administrator: This role encompasses comprehensive project oversight, including adding, viewing, and managing project managers, supervising ongoing projects, and viewing employee details.

Project Manager: Project Managers can manage employees, assign tasks, and oversee project progress effortlessly.

Employee: Employees have dedicated functionalities to view and manage tasks assigned …


Constructive Instability And Operation Unified Protector: The Destruction Of The United States-Led World-System, Devin Bryant Gillen Aug 2024

Constructive Instability And Operation Unified Protector: The Destruction Of The United States-Led World-System, Devin Bryant Gillen

Electronic Theses, Projects, and Dissertations

In 2011, NATO ended the 42-year-long rule of Libya’s Muammar Gaddafi, and plunged the country into over a decade of unending strife, while an arc of crisis emanating from Libya struck much of the region. This study examines the United States' geostrategic approach in the Libyan intervention to illustrate the dialectic intersectional relationships between processes of globalization, American hegemony over the world-system, and American foreign policy in the post-Cold War period (1992-2024) with consideration to world-systems analysis to characterize the United States post-Iraq warfighting strategy in Libya as an adaptation of the purposeful destabilization of Afghanistan and cultivation of an …


Msw Portfolio, Elizabeth E. Robledo Aug 2024

Msw Portfolio, Elizabeth E. Robledo

Graduate Student Portfolios, Professional Papers, and Capstone Projects

The portfolio I constructed discusses how I have met the ten competencies and five elements of advanced integrated practices of social work practice.


Stigma Reduction And Resiliency Training For First Responders (Srrt-Fr): A Feasibility And Initial Efficacy Evaluation, Thalia P. Nicholson Aug 2024

Stigma Reduction And Resiliency Training For First Responders (Srrt-Fr): A Feasibility And Initial Efficacy Evaluation, Thalia P. Nicholson

Electronic Theses and Dissertations

First responders, especially law enforcement, frequently encounter individuals experiencing substance use concerns. Previous research has documented that a greater understanding of substance use disorders promotes a decrease in stigmatizing perspectives. We present a novel approach to training law enforcement officers to improve their interactions with community members exhibiting substance use disorders, while also promoting their professional well-being. The present study sought to evaluate the feasibility and acceptability of the Stigma Reduction and Resiliency Training for First Responders (SRRT-FR) in a sample of law enforcement officers, as well as its efficacy in decreasing stigmatizing perspectives towards substance use disorders and increasing …


An Application Of An In-Depth Advanced Statistical Analysis In Exploring The Dynamics Of Depression, Sleep Deprivation, And Self-Esteem, Muslihat Gaffari Aug 2024

An Application Of An In-Depth Advanced Statistical Analysis In Exploring The Dynamics Of Depression, Sleep Deprivation, And Self-Esteem, Muslihat Gaffari

Electronic Theses and Dissertations

Depression, intertwined with sleep deprivation and self-esteem, presents a significant challenge to mental health worldwide. The research shown in this paper employs advanced statistical methodologies to unravel the complex interactions among these factors. Through log-linear homogeneous association, multinomial logistic regression, and generalized linear models, the study scrutinizes large datasets to uncover nuanced patterns and relationships. By elucidating how depression, sleep disturbances, and self-esteem intersect, the research aims to deepen understanding of mental health phenomena. The study clarifies the relationship between these variables and explores reasons for prioritizing depression research. It evaluates how statistical models, such as log-linear, multinomial logistic regression, …


Enhancing Ethical Competency: A Review Of Ethical Instruction For Law Enforcement, Alexis Turner Aug 2024

Enhancing Ethical Competency: A Review Of Ethical Instruction For Law Enforcement, Alexis Turner

Electronic Theses and Dissertations

As public confidence in policing has dropped, demand for ethical behavior from law enforcement officers has grown, and correspondingly, a better understanding of ethics training and ethical acquisition processes has become paramount. Though much literature exists on related topics, understanding of the ethics training for law enforcement officers as it currently exists, has remained murky. This research aimed to gain a better understanding of ethics training for law enforcement in the United States, and as such, to fill the aforementioned gap in the literature. Four research questions were explored in this study including the understanding of current pre-service and in-service …


Increased Risk Of Cutaneous T-Cell Lymphoma Development After Dupilumab Use For Atopic Dermatitis, Jenna Mandel, Jaanvi Mehta, Ramsay Hafer, Mahaa Ayub, Faria Nusrat, Henry Yang, Pierluigi Porcu, Neda Nikbakht Aug 2024

Increased Risk Of Cutaneous T-Cell Lymphoma Development After Dupilumab Use For Atopic Dermatitis, Jenna Mandel, Jaanvi Mehta, Ramsay Hafer, Mahaa Ayub, Faria Nusrat, Henry Yang, Pierluigi Porcu, Neda Nikbakht

Department of Dermatology and Cutaneous Biology Faculty Papers

There have been several reports of dupilumab use and the development of CTCL; however, the risk of CTCL development has not been adequately evaluated at the population level. The objective of this study is to determine whether dupilumab administration for AD is associated with an increased risk of developing CTCL and to identify at-risk populations within this group. This retrospective cohort study used TriNetX, a deidentified medical record database including over 107 million patients, to identify eligible patients. Treatment and control groups were evaluated for the development of CTCL. Patients of any age with a documented diagnosis of AD were …


High Prevalence Of Artifacts In Optical Coherence Tomography With Adequate Signal Strength, Wei-Chun Lin, Aaron Coyner, Charles Amankwa, Abigail Lucero, Gadi Wollstein, Joel Schuman, Hiroshi Ishikawa Aug 2024

High Prevalence Of Artifacts In Optical Coherence Tomography With Adequate Signal Strength, Wei-Chun Lin, Aaron Coyner, Charles Amankwa, Abigail Lucero, Gadi Wollstein, Joel Schuman, Hiroshi Ishikawa

Wills Eye Hospital Papers

PURPOSE: This study aims to investigate the prevalence of artifacts in optical coherence tomography (OCT) images with acceptable signal strength and evaluate the performance of supervised deep learning models in improving OCT image quality assessment.

METHODS: We conducted a retrospective study on 4555 OCT images from 546 patients, with each image having an acceptable signal strength (≥6). A comprehensive analysis of prevalent OCT artifacts was performed, and five pretrained convolutional neural network models were trained and tested to infer images based on quality.

RESULTS: Our results showed a high prevalence of artifacts in OCT images with acceptable signal strength. Approximately …


The Effect Of Injectable Platelet-Rich Fibrin In Combination With Autogenous Bone Grafts On Bone Healing In An Ovariectomized Osteoporotic Rat Model With Critical-Sized Defects, Mustafa C. Durmuşlar, Elif A. Gülşen, Kemal A. Bayburt, Umut Ballı, Mert Ocak, Ayşegül Fırat, Elham B. Zırh, Hakan H. Çelik Aug 2024

The Effect Of Injectable Platelet-Rich Fibrin In Combination With Autogenous Bone Grafts On Bone Healing In An Ovariectomized Osteoporotic Rat Model With Critical-Sized Defects, Mustafa C. Durmuşlar, Elif A. Gülşen, Kemal A. Bayburt, Umut Ballı, Mert Ocak, Ayşegül Fırat, Elham B. Zırh, Hakan H. Çelik

Saudi Medical Journal

Objectives: To assess the impact of autogenous graft materials, including autogenous bone graft (ABG) and injectable platelet-rich fibrin (I-PRF) clots, on bone defect regeneration in ovariectomized osteoporotic rats. Methods: Wistar rats (6-8 weeks old) were ovariectomized, and surgery began after 8 weeks. A 5-mm defect was created bilaterally in the parietal bones of 16 rats, which were divided into 4 groups. Group A (blank) had untreated defects; group B had defects filled with 0.1 ml of I-PRF, group C had defects filled with 0.1 ml of ABG, and group D had defects filled with a combination of 0.1 ml each …


Deep Representation Learning For Time Series Forecasting, Gerald Woo Aug 2024

Deep Representation Learning For Time Series Forecasting, Gerald Woo

Dissertations and Theses Collection (Open Access)

Time series forecasting has critical applications across business and scien- tific domains, such as demand forecasting, capacity planning and management, and anomaly detection. Being able to predict the future yields immense value, allowing us to make downstream decisions with more confidence. Deep learning for time series forecasting is a burgeoning area of research, moving away from simple linear models found in classical time series analysis literature, towards more expressive, data hungry neural network architectures.

In this thesis, we develop methods leveraging deep representation learning for time series forecasting, from exploring neural network architecture designs which encode inductive biases specific to …


Checklist For Reproducibility Of Deep Learning In Medical Imaging, Mana Moassefi, Yashbir Singh, Gian Marco Conte, Bardia Khosravi, Pouria Rouzrokh, Sanaz Vahdati, Nabile Safdar, Linda Moy, Felipe Kitamura, Amilcare Gentili, Paras Lakhani, Nina Kottler, Safwan Halabi, Joseph Yacoub, Yuankai Hou, Khaled Younis, Bradley Erickson, Elizabeth Krupinski, Shahriar Faghani Aug 2024

Checklist For Reproducibility Of Deep Learning In Medical Imaging, Mana Moassefi, Yashbir Singh, Gian Marco Conte, Bardia Khosravi, Pouria Rouzrokh, Sanaz Vahdati, Nabile Safdar, Linda Moy, Felipe Kitamura, Amilcare Gentili, Paras Lakhani, Nina Kottler, Safwan Halabi, Joseph Yacoub, Yuankai Hou, Khaled Younis, Bradley Erickson, Elizabeth Krupinski, Shahriar Faghani

Department of Radiology Faculty Papers

The application of deep learning (DL) in medicine introduces transformative tools with the potential to enhance prognosis, diagnosis, and treatment planning. However, ensuring transparent documentation is essential for researchers to enhance reproducibility and refine techniques. Our study addresses the unique challenges presented by DL in medical imaging by developing a comprehensive checklist using the Delphi method to enhance reproducibility and reliability in this dynamic field. We compiled a preliminary checklist based on a comprehensive review of existing checklists and relevant literature. A panel of 11 experts in medical imaging and DL assessed these items using Likert scales, with two survey …


"Doing Their Own Thing": The Impact Of Second-Wave Feminism At The University Of Southern Mississippi, Sarah Drivon Aug 2024

"Doing Their Own Thing": The Impact Of Second-Wave Feminism At The University Of Southern Mississippi, Sarah Drivon

Master's Theses

Second-Wave Feminism was largely responsible for transforming American society’s beliefs about gender roles. However, there is very little attention given to the impact that feminism had on cultural transformations in the South. Much of the historiography of feminism and women’s liberation only covers the most radical events and leaders of the 1970s, and it neglects to point out the smaller forms of resistance that ultimately made the movement successful. During this period, the South, and specifically southern campuses, had the reputation of being against women’s liberation because there was not much evidence of resistance comparable to that of northern campuses. …


Promoting Greater Granularity In Climate Research: A Case Study Analyzing Perceptions Of Anthropogenic Climate Change Among Students, Faculty, And Staff At The University Of Southern Mississippi, Kelly Wegmann Aug 2024

Promoting Greater Granularity In Climate Research: A Case Study Analyzing Perceptions Of Anthropogenic Climate Change Among Students, Faculty, And Staff At The University Of Southern Mississippi, Kelly Wegmann

Master's Theses

Anthropogenic climate change is a global concern that has the possibility to become the next world-altering event. While there is a substantial amount of scientific evidence proving its existence and harmful repercussions, there is still a lack of belief in its occurrence within the United States. This research uses survey data obtained from the University of Southern Mississippi to provide an understanding at a local scale of how both physical and psychological aspects bridge a gap in perception research.

With the use of previous research done by the Yale Program on Climate Change Communication (YPCCC) and George Mason University Center …


On An Unshakeable Foundation: An Archaeological Investigation Of The Postemancipation Black Community Of Bass Street, The Church They Built, And The Lasting Identity They Formed In Nashville, Tennessee, Clélie Elizabeth Cottle Peacock Aug 2024

On An Unshakeable Foundation: An Archaeological Investigation Of The Postemancipation Black Community Of Bass Street, The Church They Built, And The Lasting Identity They Formed In Nashville, Tennessee, Clélie Elizabeth Cottle Peacock

Master's Theses

The Bass Street Community lived along the northern base of St. Cloud Hill in Nashville, just below the Civil War-era Union fortification, Fort Negley. The fort was built and defended by conscripted free, enslaved, and self-emancipated Black/African Americans and soldiers from the U.S. Colored Troops; some of whom stayed, built residences, founded a church, and established a shared community identity. The objects they left behind reflect a time of transition in the postemancipation urban South.

The former Bass Street Community enclave is a subset of the Fort Negley archaeological site (40DV189). My thesis examines artifacts from the Bass Street Baptist …


Female Criminal Agency In Early Fourteenth-Century Norfolk, Anna K. Davis Aug 2024

Female Criminal Agency In Early Fourteenth-Century Norfolk, Anna K. Davis

Masters Theses

Medieval women who were on the wrong side of the law expressed agency in a specific and unusual manner. Criminal agency, as it were, was a way for them to express their wants and desires in a way that is no less valid a subject of study than actions that were legally permissible. However, this agency was constrained by medieval notions of women’s capability. This thesis examines women and their crimes found in an early fourteenth-century Norfolk gaol delivery roll to further understand how the men who ran gaol delivery “allowed” women to be criminal. As gaol delivery rolls were …


Vengeance As Piety: The Heroic And Elegiac Devil Of Genesis B, Alisa Heskin Aug 2024

Vengeance As Piety: The Heroic And Elegiac Devil Of Genesis B, Alisa Heskin

Masters Theses

In Christian theology, the fall of Lucifer and his fellow rebel angels details the origins of angelic sin and prefigures the fall of humanity. The narrative had a strong literary tradition in early medieval England, appearing frequently in both poetry and prose. The Junius manuscript, one of four codices preserving the majority of Old English poetry, contains three accounts of the fall of the angels, with the most extensive versions being found in the poems known by scholars as Genesis B and Christ and Satan. Much of the scholarly attention Genesis B receives pertains to its interpolation into the longer …


Promoting Preschool Teachers’ Maintenance And Generalization Of Behavior-Specific Praise Through Multitiered Consultation, Claudia Abril Ochoa Aug 2024

Promoting Preschool Teachers’ Maintenance And Generalization Of Behavior-Specific Praise Through Multitiered Consultation, Claudia Abril Ochoa

Master's Theses

Teachers struggle to provide behavior-specific praise (BSP), which is associated with appropriate classroom management and decreases in student’s problem behavior. The current study used a multiple-baseline design across three Head Start teachers to test the effectiveness of the multitiered consultation model in increasing teachers’ BSP. The Head Start center provided a universal training in classroom management strategies, including BSP. Three teachers who were not implementing this strategy consistently (i.e., less than five instances in a 10-min observation) received Tier 2 supports including goal setting paired with a simple prompt. Data about teachers’ use of BSP was collected class-wide at a …


Effects Of Increasing Cycling Cadence On Post-Cycling Gait Velocity: An Experimental Study, Nitu Lama Aug 2024

Effects Of Increasing Cycling Cadence On Post-Cycling Gait Velocity: An Experimental Study, Nitu Lama

Master's Theses

Previous research has shown that increasing cycling cadence, rather than the workrate, can result in improved post-cycling gait velocity. However, the specific threshold of cycling cadence required to bring about clinically meaningful changes in gait velocity remains unknown. To address this knowledge gap, our study aimed to determine the minimum incremental increase in cycling cadence that would lead to a significant improvement in post-cycling gait velocity. A total of 42 young adults participated in our study and were randomly assigned to one of three groups: TEN, TWENTY, and THIRTY. Each group was assigned to cycle at a cadence at the …


An Examination Of The Strong Start Intervention To Support The Pro-Social Behaviors In At-Risk Head Start Students, Merrick Mcevoy Aug 2024

An Examination Of The Strong Start Intervention To Support The Pro-Social Behaviors In At-Risk Head Start Students, Merrick Mcevoy

Master's Theses

Children from lower-income and diverse families are at a higher risk for social-emotional and academic difficulties. Implementation of early childhood interventions plays a crucial role in the healthy development of children’s social-emotional development. Merrell’s Strong Kids (Merrell et al., 2009), a commonly used SEL class-wide intervention, facilitates learning of the five core SEL components through weekly lessons and has been shown to have long-term improvements on children’s internalizing symptoms, social and emotional knowledge, student-teacher relationships, prosocial behaviors, and is well received by teachers. The current study examined the efficacy of Strong Kids implemented as a one-on-one intervention, rather than a …


The Relationship Between Overparenting, Psychological Needs Satisfaction, And Alcohol Use On Risky Sexual Behavior, Melanie Prater Aug 2024

The Relationship Between Overparenting, Psychological Needs Satisfaction, And Alcohol Use On Risky Sexual Behavior, Melanie Prater

Master's Theses

Studies have shown college students to be vulnerable to negative outcomes, including engaging in risky alcohol use (Lewis et al., 2014; Kilwein & Looby, 2018; Cui et al., 2019) and risky sexual behavior (Dir et al, 2014; Trub & Stark, 2017; Kilwien & Looby, 2018). Understanding predictors and mediating variables associated with risky sexual behavior is one important means of improving prevention strategies. Parenting may be one variable associated with risky sex. Overparenting, a parenting style characterized by parental overinvolvement, has received recent attention due to its association with poor outcomes for adolescents and emerging adults, including an increased risk …