Digital Commons Network^™

Air Quality And Mental Health: Evidence, Challenges And Future Directions, Kamaldeep Bhui, Joanne B. Newbury, Rachel M. Latham, Marcella Ucci, Zaheer A. Nasir, Briony Turner, Catherine O'Leary, Helen L. Fisher, Emma Marczylo, Philippa Douglas, Stephen Stansfeld, Simon K. Jackson, Sean Tyrrel, Andrey Rzhetsky, Rob Kinnersley, Prashant Kumar, Caroline Duchaine, Frederic Coulon

School of Biomedical Sciences

Background Poor air quality is associated with poor health. Little attention is given to the complex array of environmental exposures and air pollutants that affect mental health during the life course. Aims We gather interdisciplinary expertise and knowledge across the air pollution and mental health fields. We seek to propose future research priorities and how to address them. Method Through a rapid narrative review, we summarise the key scientific findings, knowledge gaps and methodological challenges. Results There is emerging evidence of associations between poor air quality, both indoors and outdoors, and poor mental health more generally, as well as specific …

An Intentional Wholeness Focus And The Association With Burnout In Graduate Students, Stacey B. Cunningham, Susanne B. Montgomery, Brian J. Distelberg, Qais Alemi

Journal of Occupational Therapy Education

Rates of stress, anxiety, depression, and burnout for university students are concerning. As in other competitive professional fields, graduate students in occupational therapy, physical therapy, and speech language pathology face many performance pressures. Creating supportive learning and wholeness climates along with individual grit, resilience, and healthy spirituality have the potential to positively impact these pressures. The study’s purpose was to examine factors related to burnout within an institution committed to creating supportive learning and wholeness environments. Three hundred and fifty-three graduate students from occupational therapy, physical therapy, and speech language pathology graduate programs were recruited to participate in a cross-sectional …

Effects Of Mental Health First Aid Course: Knowledge, Confidence, And Stigma Among Occupational Therapy Students, Jennifer L. Ostrowski, Sarah Sampson, Erin Mcgoldrick, Courtney Karabin, Kyra Shields

Journal of Occupational Therapy Education

In the United States, one in five adults are impacted by some form of mental illness in any given year, but only about 40% of individuals seek professional mental health support. While occupational therapists (OT) may work with individuals with mental illness to improve social skills, activities of daily living (ADLs), instrumental ADLs, and neurocognitive interventions, research suggests there is not enough emphasis on this content in professional OT education. Mental Health First Aid (MHFA) training is designed to educate individuals on mental illness, including how to recognize signs and symptoms and how to support individuals experiencing a concern or …

A Podcast’S Effect On Empathy And Client-Centeredness In Occupational Therapy Students, Stephanie Lancaster, Anne H. Zachry

Journal of Occupational Therapy Education

There is mixed evidence on the effectiveness of educational approaches that address empathy and client-centeredness in occupational therapy (OT) education. The purpose of this study was to investigate the effect of listening to a personal narrative-account podcast on empathy and client-centeredness in OT students. An experimental, posttest-only control group design was used. Master’s degree level OT students were stratified by year of study and were randomly assigned to either an intervention group or control group. Following a 5-week educational intervention, levels of empathy and client-centeredness were measured and compared using the Kiersma-Chen Empathy Scale and the Patient-Practitioner Orientation Scale via …

Using A Flipped Classroom To Teach Evidence-Based Practice To Entry-Level Occupational Therapy Students, April C. Cowan, Karen Ratcliff, Chih-Ying Li

Journal of Occupational Therapy Education

Constructivist teaching approaches rely on students to be active participants in their learning. A flipped classroom is a constructivist approach that requires the students to complete pre-learning activities outside of class. Thus, in class the students can practice and engage in team-based discussions and teacher guided learning. We delivered evidence-based practice (EBP) concepts to entry level occupational therapy (OT) students in a doctoral program using a constructivist approach, that included a flipped classroom model and reliance on team-based strategies. We used the Evidence Based Practice Confidence (EPIC) Scale to assess the change in students’ confidence in EBP. Students demonstrated statistically …

Level I Fieldwork: Could Simulation Be The Answer? A Descriptive Study, Darla Coss, Stephanie De Sam Lazaro, Katelyn Brady

Journal of Occupational Therapy Education

This article describes the creation and outcomes of simulation as Level I Fieldwork for entry level graduate occupational therapy students. The simulations were created by a team of interprofessional educators following the International Nursing Association for Clinical Simulation and Learning best practices. Additionally, the simulations were designed to meet the student learning outcomes of Level I Fieldwork. Students participated in eight high-fidelity simulations and were evaluated with self-ratings, peer ratings, and faculty ratings. Each student completed a student evaluation of the fieldwork experience, with rating scales and open-ended questions to understand student perceptions of the experience. The vast majority of …

Understanding Occupational Therapy Admissions Decisions Related To Diversity, Bridget J. Hahn, Hillary Napier, June Park, Abigail Woollacott, Rachel Lee, Linda M. Olson

Journal of Occupational Therapy Education

The vast majority of occupational therapy (OT) practitioners are white, leaving gaps between the representation of our profession and those we serve. Admission practices determine the future of the profession. This cross-sectional study aimed to understand how admission requirements, particularly the Graduate Record Examination (GRE) and interview, influenced OT graduate students' application decisions, specifically those who identified as a first-generation college student (FGCS), underrepresented minority, English as a second language, or receiving public assistance. Methods included an online survey distributed to current OT graduate students. The survey consisted of background information, closed-ended questions on influence of application requirements, open-ended questions …

Neuronal Primary Cilia In Postnatal Brains & Alzheimer’S Disease Mice Eeg Patterns Under Fear Conditioning, Sierra Rose Mae Walsh

Honors Theses and Capstones

Alzheimer’s Disease (AD) is a neurodegenerative condition caused by the abnormal accumulation of amyloid β plaque. While small amounts of amyloid β plaque is to be expected with increased age, AD presents amyloid precursor protein (APP), a gene promoting inappropriate plaque formation, causing early neuronal death and tissue depreciation. APP23 transgenic mouse models contain the human mutation in the neocortical and hippocampal positions, areas revealing of plaque accumulation and memory loss. Within the hippocampal cortices, the primary cilia, which regulate higher cognition and neurodevelopment can be studied along with burst suppressions, or moments of high focal activity, to target potential …

Primary Grade Students’ Achievement Given Differentiated Process Writing Instruction In A Summer Learning Program, Kathleen F. Clark, Karen S. Evans, Christine M. Reinders, Kathleen A. O'Dell

College of Education Faculty Research and Publications

Struggling writers often need more instructional support than is present in commercially available process writing curricula. In this study, we employed a one-group, pretest–posttest design to evaluate whether 41 struggling primary grade writers who attended a university-based summer learning program would increase in writing ability, given a commercially available process writing unit differentiated to provide more support. A Teachers College Reading and Writing Project (TCRWP) unit was modified for use in the program: The content was streamlined, the volume of writing was reduced, the instructional explicitness was strengthened, increased feedback and student product goals were integrated, and the instruction was …

Client Perspectives On Psychotherapy Failure, Sarah Knox, Craig Miller, Graham Knowlton

College of Education Faculty Research and Publications

Objective:

This study qualitatively examined client’s definition and experiences of failed psychotherapy.

Method:

Thirteen clients were interviewed by phone regarding their experience of failed psychotherapy. Data were analyzed using consensual qualitative research (CQR).

Results:

Participants defined failed psychotherapy as negatively affecting clients, involving problems in the psychotherapy relationship, and not meeting clients’ goals. When describing specific experiences of failed psychotherapy, participants gradually recognized the failure themselves, but the recognition was sometimes facilitated by others. Pre-termination, the failed psychotherapy yielded negative effects (worsened symptoms/functioning, deteriorating relationship, not addressing clients’ concerns). Participants perceived therapists’ contributions as involving action (insensitive/inappropriate responses to participants’ …

Patient Perspectives On Working With Preferences In Psychotherapy: A Consensual Qualitative Research Study, Mick Cooper, Gina Di Malta, Sarah Knox, Hanne Oddli, Joshua K. Swift

College of Education Faculty Research and Publications

Objective

Assessing and accommodating patient preferences is integral to evidence-based practice. This qualitative study sought to explore patient perspectives and experiences of preference work in psychotherapy.

Methods

Participants were 13 UK-based patients who had completed up to 24 sessions of a collaborative–integrative psychotherapy. Ten participants identified as female and three as male. Interviews were conducted at endpoint and analyzed using a team-based, consensual qualitative research approach.

Results

Three superordinate domains were developed: Preferences Themselves, Process of Working with Preferences in Psychotherapy, and Effect of Preference Work (or its Absence). Patients typically wanted leadership, challenge, and input from their psychotherapist, and …

Sickle Cell Disease And Adolescents’ Perspectives On Self-Care Management Resources, Dora L. Clayton-Jones, Jill B. Hamilton, Kristin Haglund, Lee Za Ong, Kalen C. Kennedy, Sylvia Peña, Coretta Jenerette

College of Education Faculty Research and Publications

Background

Adolescents with sickle cell disease (SCD) face unique challenges, especially during the critical health care transition from pediatric to adult care. The purpose of this study was to gather the perspectives of adolescents living with SCD and to describe their self-care management experiences prior to their move into the adult health care system.

Methods

Guided by the Theory of Self-Care Management for Sickle Cell Disease, this qualitative descriptive study used semi-structured interviews with 11 adolescents with SCD (M = 16.63 years, SD = 1.15). In addition to a demographic survey, adolescents answered interview questions about their perceptions of their …

Affirmation/Validation, Self-Disclosure, Immediacy, And Rupture Repairs, Barry A. Farber, Clara E. Hill, Sarah Knox, Catherine F. Eubanks, J. Christopher Muran, John C. Norcross

College of Education Faculty Research and Publications

This chapter reviews the research evidence for the immediate, intermediate, and distal outcomes of four therapist behaviors originally included in the Norcross and Lambert book, Psychotherapy Relationships That Work, published in 2019: affirmation/validation, self-disclosure, immediacy, and rupture repairs. Affirmation/validation was judged to be demonstrably effective in terms of distal outcomes but as having no evidence for immediate and intermediate outcomes; self-disclosure and immediacy were judged as having insufficient evidence for immediate outcomes but no evidence for intermediate and distal outcomes; and rupture repair was judged as probably effective in terms of distal outcomes but as having insufficient evidence for …

An Imperial History Of Race-Religion In International Law, Rabiat Akande

All Papers

More than half a century after the United Nations General Assembly’s adoption of the International Convention on the Prohibition of All Forms of Racial Discrimination (ICERD), efforts are underway to formulate a protocol to the landmark convention. Much of the momentum for that endeavor comes from sustained local and global advocacy against racism. An integral part of contemporary anti-racism efforts is a push for legal recognition of the intersectional dimensions of racial domination and subjugation to address the unique precarity of persons inhabiting marginalized axes of identities and experiences. United Nations (UN) debates over repowering the ICERD have therefore featured …

Individual Behavioral And Neurobiological Markers Associated With Vulnerable To Ethanol Use Phenotype, Hannah Elizabeth Manning

Honors Theses and Capstones

Alcohol use disorder is a chronic, relapsing brain condition that affects 29.5 million Americans. The disease is characterized by loss of control over drinking, continued use of alcohol in the face of negative consequences, and the experience of withdrawal symptoms. While there are several forms of treatment available for alcohol use disorder, 95% of patients experience at least one relapse during recovery. Currently, the high tendency to relapse remains the major challenge standing in the way of successful treatment for alcohol use disorder. Research is continuing to be conducted into the behavioral and neural mechanisms underlying relapse into alcohol use, …

Behavioral Markers And Endophenotypes Underlying Individual Differences In Ethanol Use, Haily R. Knapp

Honors Theses and Capstones

The main concern of this study is to evaluate the neurobiology of ethanol self-administration and cue-induced reinstatement in rats and its implications for Alcohol Use Disorder (AUD) prevention and treatment. The purpose of this study is to use a pre-clinical model of ethanol use to understand the individual effects at the neurobiological level. The study utilized economic demand and negative consequence testing to evaluate the rats' motivation to consume ethanol and their ability to relapse after periods of abstinence. The results showed individual and sex differences in ethanol consumption, with rats who placed a higher value on ethanol being more …

Effect Of An Acute Bout Of Low-, Moderate, And High-Intensity Aerobic Exercise On Immediate And Delayed Fractionated Response Time, Danielle R. Martineau, Ronald V. Croce, Wayne Smith

Honors Theses and Capstones

In the present investigation, we investigated the role of three intensities of aerobic exercise (Low Intensity [LI], Moderate Intensity [MI], High Intensity [HI]) on IPC using a unique method to fractionate RPT into three components: (1) RT, which is the interval between the onset of the stimulus signal and the onset of muscle activity in the responding muscle (cognitive-decision making component), (2) movement time (MT), which is the time interval between the onset of muscle activation and completion of the required motor response, and (3) RPT, which encompasses both RT and MT. Movement time reflects more the muscular components of …

Assessing Parental Conversational Overlap In A Museum Setting And Its Correlation With Child Language Skills, Madison Gould

Honors Theses and Capstones

Research has identified the importance of quality interactions with parents, caregivers, and peers in the promotion of language acquisition. We question how certain aspects of parental language, primarily repetition, expansion, and extension, correlate with child language skills. There is limited research available regarding the impact of conversational overlap on a child’s language development at a singular time point, with most studies being longitudinal, especially when assessing conversations between children and their caregivers in different settings, such as a museum exhibit. Our findings suggest that children need less parental recasting as they age and as their language skills are bolstered.

Understanding Castration Anxiety Through Contemporary Art And Feminism, Ember J. Nevins

Honors Theses and Capstones

No abstract provided.

Household Recycling Behaviour In Metropolitan Australia: A Social Practice Theory Perspective, Susann Noe

Theses

Australians generate almost 545kg of annual kerbside waste per capita, one of the highest amounts compared to other OECD countries (Blue Environment, 2022). Although kerbside systems in Australian metropolitan areas are well-developed and the recycling practice is considered a social norm, residents' inaccurate handling of recyclable items send as much as 35% of valuable recyclable materials to landfill, contributing to environmental harm (Cleanaway Waste Management Limited, 2021). Furthermore, newly established recycling schemes in Australian jurisdictions are not used to their full potential.

In the context of both issues, the current thesis aims to understand the underperforming nature of recycling practices …

The Perceptions Of Year 5 And 6 Students, Their Teachers And The School Principal Of Their Australian Identity And The School's Role In Developing Students' Australian Identity., Renae Nahajski

Theses

The aim of this qualitative research was to investigate the perceptions of Year 5 and 6 students, their teachers and the school principal of their Australian identity and the school’s role in the development of Australian identity. The study explores participants’ perceptions of their own identity and investigates where and when students feel they are taught about Australian identity.

The research also investigates where and when the principal and teachers feel the school develops students’ Australian identity. The review of the literature highlighted three areas that formed the conceptual framework for the study. The three areas were national identity; curriculum; …

The Experiences Of Parents Diagnosed With Cancer Whilst Parenting Minor-Aged Children, George Prince

Theses

The incidence of cancer in Australia for people in the parenting age range is significant, and as the fertility rate of women aged 35 years and over continues to rise, many cancer patients may be parenting minor-aged children. The aim of this research was therefore to explore the lived experience of parents diagnosed with cancer whilst parenting minor-aged children, and to gain knowledge and understanding as to how parents and their families respond to a parent’s cancer illness. Utilising a qualitative research design, eight participants, receiving treatment for cancer in a private hospital cancer treatment service, and parenting at least …

Wellbeing In The Outdoors: Exploring The Impact Of An Outdoor Adventure Education Program For The Social And Emotional Wellbeing Of Western Australian Adolescents From Selected Independent Schools, Michael Down

Theses

Outdoor adventure education (OAE) programs encompass practical outdoor activities, such as hiking or canoeing, and activities promoting interpersonal and intrapersonal development. Participants are challenged in a manner that appeals to typical risk-taking behaviours common in adolescents, resulting in benefits such as resilience development, personal growth, individual empowerment, and self-efficacy. OAE is commonly used to support positive physical, emotional, and psychological changes among adolescents.

This research aimed to determine the most impactful OAE activities for adolescent wellbeing. A sequential mixed-methods research design using a pragmatic approach was undertaken to identify the most impactful OAE elements for participant wellbeing. This research involved …

Contralateral Acl Rupture Is More Common Than Acl Graft Rupture In Australian Netballers After Acl Reconstruction, Conor Honeywill

Theses

Background: Netball is a popular sport worldwide, particularly in females. The nature of the sport makes it high-risk for anterior cruciate ligament (ACL) injury.

Purpose: The primary outcome was to determine the prevalence of ACL graft rupture and contralateral ACL (CACL) rupture in Australian female netballers following ACL Reconstruction (ACLR). Additionally, this study aimed to determine the rate of return to sport and psychological readiness.

Study Design: Cross-Sectional Study

Methods: From a prospective database, 332 consecutive ACLR with hamstring autograft conducted between the years 2007-2015 performed by 2 surgeons in female netball players were identified. Patients were retrospectively surveyed at …

Improving Care In End-Stage Dementia With The End Of Life Care Assessment Tool For Advanced Dementia: A Multi Method Study, Carolyn Heather Bourke

Theses

Introduction

Often people living with advanced dementia do not receive person-centred palliative care until they are terminal. Two common barriers preventing provision of person-centred palliative care is staff’s uncertainty of dementia severity/stage and insufficient staff training in dementia symptom assessment. Evidence suggests that residential aged care nurses would benefit from gaining access to a measure that can build essential knowledge and skills in identifying advanced dementia symptoms, to ensure that planned care and support is responsive to the needs of the individual. The aims of this project were to develop and validate an advanced dementia symptom measure for use in …

At The Heart Of Leviathan: A Hobbesian Reading Of Joseph Conrad's Heart Of Darkness, Bethany Lilleyman

Theses

This thesis demonstrates how a historical-philosophical reading of Joseph Conrad’s Heart of Darkness (1899) through the lens of Thomas Hobbes’ thought can provide new understandings of Conrad’s critique of empire, by extending existing literature on the novella’s historical and politico-philosophical ideas. As Conrad’s use of a literary-impressionistic style has often left readers debating the text’s meaning, the once-canonical novella has come under the intense scrutiny of both readers and scholars alike. This scrutiny intensified with the rise of postcolonialism in the late 1970s, which focused on the novella’s controversial representations of race and imperialism. Tensions surrounding the text have also …

Vegetarianism And Social Change: Alternate Diets As Activism?, Jasper Lloyd

Theses

Research into vegetarian and vegan (vegist) diets has previously found animal rights to be the primary/most significant motivator. Such studies, however, were largely conducted prior to the mass mobilisation of young people - instigated by the global School Strike for Climate in 2018 - in environmental activism. This project, which included 110 surveys and 9 interviews with vegist students (18-25) at an Australian University in 2019 and 2020, examines a) the motivations for vegism in a young cohort, and b) explores the experience, tactics, and goals of young vegists through a social movement theory lens. The project found that a …

Deciphering The Salivary Microbiome In Crohn’S Disease Patients With Different Factors Contributing To Dysbiosis, Hala Elzayat

Theses

Crohn’s Disease (CD) is a chronic Inflammatory Bowel Disease (IBD), common in the UAE. Microbiota is necessary to maintain a balanced gut environment which is essential for good health. Dysbiosis can predispose to many diseases including CD. The oral cavity has the second largest and most diverse microbiota after the gut harboring over 700 species of bacteria. This study aims to investigate the alterations in the salivary microbiome in patients with CD compared to Healthy controls (HC). It also aims to compare CD patients for salivary microbiome complexity and diversity according to different factors that can contribute to dysbiosis, including …

Biting The Hand That Feeds: A Status-Based Model Of When And Why Receiving Help Motivates Social Undermining, Kenneth Tai, Katrina Jia Lin, Catherice K. Lam, Wu Liu

Research Collection Lee Kong Chian School Of Business

Social exchange theory suggests that after receiving help, people reciprocate by helping the original helpgiver. However, we propose that help recipients may respond negatively and harm the help giver when they perceive helping as a status threat and experience envy. Integrating the helping as status relations framework and the social functional perspective of envy, we examine when and why receiving help may prompt help recipients to undermine help givers. Across four studies, we find progressive support for our results, which show that when individuals receive task-related help from help givers who are perceived to be more, rather than less, competent …

Techno-Economic Evaluation And Environmental Benefit Of Pv-Based Electric Vehicle Charging Station On University Campus, Rania Rushdy Moussa

Architectural Engineering

Smart utilities comprise an important aspect of modern smart cities. The aim of this work is to present a case study for implementing a solar- energy-based electric vehicle charging station (for the first time on a campus in Egypt) at the British University in Egypt. The total amount of energy needed for charging each electric vehicle (EV) was estimated to be 13.3—16.2 kWh. The EV is operated by 12 batteries. The station was designed to provide energy sufficient for charging up to two vehicles daily during summer. Thus, the station sizing was based on the provision of 16.2 KW and …