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Articles 14461 - 14490 of 791941
Full-Text Articles in Entire DC Network
Learners’ Use And Perceptions Of The First Language Across Writing Stages: A Mixed-Methods Study In A Saudi Efl Context, Abdulrahman Ali Alqahtani
Learners’ Use And Perceptions Of The First Language Across Writing Stages: A Mixed-Methods Study In A Saudi Efl Context, Abdulrahman Ali Alqahtani
UB Journal for Humanities
The role of the first language (L1) in second-language (L2) writing has been widely debated; however, empirical research examining learners’ perceptions of L1 use across different stages of the writing process remains limited in the Saudi EFL context. Addressing this gap, this mixed-methods study investigates how EFL undergraduate students at the University of Bisha use their first language (Arabic) during the English writing process (pre-writing, drafting, and post-writing) and how they perceive its impact on their writing development. Participants were 36 undergraduate EFL learners with advanced English proficiency who completed a Likert-scale questionnaire measuring the frequency and the purposes of …
The Effect Of Transcranial Near-Infrared Laser Therapy On Chronic Ischemic Stroke Patients: A Randomized, Single-Blind, Sham-Controlled Trial, Merna Hassan, Osama Al Balah, Ahmed Hegazy, El Sayed Satour
The Effect Of Transcranial Near-Infrared Laser Therapy On Chronic Ischemic Stroke Patients: A Randomized, Single-Blind, Sham-Controlled Trial, Merna Hassan, Osama Al Balah, Ahmed Hegazy, El Sayed Satour
Journal of the Saudi Heart Association
Background: Transcranial photobiomodulation (TPBM) using near-infrared (NIR) light is a novel, non-invasive neuromodulation strategy with potential to enhance neurorecovery. While preclinical studies are promising, clinical evidence in chronic stroke remains limited and inconsistent.
Objective: To evaluate the efficacy and safety of 980 nm transcranial NIR laser therapy as an adjunct to standard rehabilitation in improving neurological function in patients with chronic ischemic stroke.
Methods: In this randomized, single-blind, sham-controlled trial, 40 chronic ischemic stroke patients (>6 months post-onset, NIHSS 7-22) were allocated to active treatment (n=20) or sham control (n=20). The active group received 980 nm laser therapy (6W, …
Python Hunting: How Laws That Protect The Everglades From The Invasive Burmese Python, Including Eradication Programs, Can Inform The Regulation Of Objects Controlled By Artificial Intelligence, Kerri Lynn Stone, Joshua Stone
Python Hunting: How Laws That Protect The Everglades From The Invasive Burmese Python, Including Eradication Programs, Can Inform The Regulation Of Objects Controlled By Artificial Intelligence, Kerri Lynn Stone, Joshua Stone
Journal of Technology Law & Policy
This Article explores the surprisingly apt analogy between the Burmese python problem in the Florida Everglades and abandoned objects that are controlled by artificial intelligence (AI). With few natural predators, the invasive Burmese python, which was likely introduced to the Everglades through abandonment by pet owners, has threatened native species with extinction. Objects controlled by AI, which we will likely increasingly share our environment with, such as autonomous taxis and food delivery robots, as well as a variety of objects that are used by the military, may be abandoned by their owners and continue to operate. Over time, these objects …
Preimplantation Genetic Testing For Adult Onet Conditions And The Mismatched Wrongful Birth Claim: Creating An Appropriate Negligence Cause Of Action, Evelyn M. Tenenbaum
Preimplantation Genetic Testing For Adult Onet Conditions And The Mismatched Wrongful Birth Claim: Creating An Appropriate Negligence Cause Of Action, Evelyn M. Tenenbaum
Journal of Technology Law & Policy
Today, parents can choose to have the embryos they create using in vitro fertilization (IVF) tested for harmful genetic mutations they want to avoid passing along to their children. Through a process called preimplantation genetic testing (PGT), hundreds of genetic mutations can now be detected, allowing parents to select embryos for implantation without the tested-for mutation. But if, due to a healthcare provider’s negligence, the resulting child is born with a harmful mutation causing an adult-onset condition, neither the parents nor the child can recover damages. This conundrum arose because the wrongful birth cause of action was created to deal …
The Effectiveness Of Wordwall-Integrated Game-Based Learning On Elementary School Students' Science And Social Studies (Ipas) Learning Outcomes, Maryanah Maryanah, Aynin Mashfufah, Riska Pristiani
The Effectiveness Of Wordwall-Integrated Game-Based Learning On Elementary School Students' Science And Social Studies (Ipas) Learning Outcomes, Maryanah Maryanah, Aynin Mashfufah, Riska Pristiani
Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan
The implementation of IPAS learning at the elementary school level is still dominated by one-way learning strategies with limited media support. This condition has an impact on the low level of student activity, resulting in suboptimal conceptual understanding, especially for abstract material such as food chains. This study aims to examine the effect of applying digital game-based learning integrated with Wordwall on the IPAS learning outcomes of fifth-grade elementary school students. The research used a quantitative approach with a quasi-experimental design, involving a treatment group and a comparison group with equivalent initial abilities. Data collection was carried out using a …
Multimodal Construction Of Ideational Meaning On Opening Pages Of English Textbooks In China, Yudie Wei, Uti Aryanti
Multimodal Construction Of Ideational Meaning On Opening Pages Of English Textbooks In China, Yudie Wei, Uti Aryanti
Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan
This study aims to examine how ideational meaning is multimodally constructed on 31 opening pages through the interaction of theme images and Look and Share questions in four newly published junior high school English textbooks by People’s Education Press. Adopting the multimodal discourse analytic approach, the study analyzed representational processes in 32 images using Visual Grammar and ideational processes in 97 verbal interrogatives through transitivity patterns. The findings show that opening page images are predominantly narrative, frequently foregrounding action and reactional processes. The verbal questions, in contrast, show a strong tendency toward mental processes, while material and relational processes also …
Internal Family Systems Therapy For Trauma Recovery And Addiction In Sexual And Gender Minorities, Walter Saunders
Internal Family Systems Therapy For Trauma Recovery And Addiction In Sexual And Gender Minorities, Walter Saunders
Walden Dissertations and Doctoral Studies
Sexual and gender minorities (SGM) experience disproportionately high rates of substance use disorders linked to trauma exposure, minority stress, and barriers to affirming behavioral health care. Although trauma-informed approaches have expanded, little is known about how SGM individuals experience and make meaning of their engagement in internal family systems (IFS) therapy for trauma and addiction. Guided by Schwartz’s theory of the multiplicity of the mind and minority stress theory, the purpose of this qualitative phenomenological study was to explore how SGM individuals describe and interpret their engagement in IFS therapy within the context of trauma and addiction. Interpretative phenomenological analysis …
Child Protection Workers’ Perceptions Of Burnout And Work Dissatisfaction, Ashley-Camille Jackson
Child Protection Workers’ Perceptions Of Burnout And Work Dissatisfaction, Ashley-Camille Jackson
Walden Dissertations and Doctoral Studies
Child protection workers work in a stressful and demanding occupation, subject to high staff turnover and inexperienced staff. This situation has created problems for child protection workers in doing their jobs effectively—for example, handling their daily tasks and caseload—leading to potential burnout and work dissatisfaction. Existing literature has explained how burnout begins to develop as a response to chronic exposure to job-related stressors, to a point of emotional exhaustion and reduced personal accomplishment. Researchers have found that work-related conditions have contributed to the development of burnout, especially when attempting to define how one could be overworked and how much labor …
The Good Samaritan In Australian Catholic Schools: Rethinking The Meaning Of The Parable For Catholic Identity, Maurice Ryan
The Good Samaritan In Australian Catholic Schools: Rethinking The Meaning Of The Parable For Catholic Identity, Maurice Ryan
eJournal of Catholic Education in Australasia
The parable of the Good Samaritan (Luke 10:25-37) has been influential in defining and directing the identity of Australian Catholic schools. Traditional interpretations of the parable focus on themes that stress love of enemies, care for those in need, and consideration of all humans as neighbour. A sub-text in understanding the parable has been the priority accorded to Christian conceptions of compassion over and against perceptions of Jewish adherence to legal requirements to observe purity prescriptions. This article seeks to challenge these traditional ideas about the meaning of the parable. A refreshed understanding of the parable offers Catholic schools more …
Conference Proceedings Of The 2025 Lec Teaching And Learning Conference, Martha Snyder
Conference Proceedings Of The 2025 Lec Teaching And Learning Conference, Martha Snyder
LEC Conference Proceedings
No abstract provided.
Social Network Determinants Of Cigarette Forgoing And Quit-Related Conversations In A 15-Day Ecological Momentary Assessment Study In Mexico And The Us, Lizeth Cruz-Jiménez, Kevin A. Carson, Jim Thrasher Ph.D., Ma, Ms, Katia Gallegos-Carrillo, Dèsirée Vidaña-Pérez, Diego F. Leal
Social Network Determinants Of Cigarette Forgoing And Quit-Related Conversations In A 15-Day Ecological Momentary Assessment Study In Mexico And The Us, Lizeth Cruz-Jiménez, Kevin A. Carson, Jim Thrasher Ph.D., Ma, Ms, Katia Gallegos-Carrillo, Dèsirée Vidaña-Pérez, Diego F. Leal
Faculty Publications
Introduction
It is unclear why people of Mexican ancestry who smoke report relatively high rates of discussing quitting-related topics, which predicts cessation attempts.Methods
Using Ecological Momentary Assessment (EMA), adults from Mexico (n=40) and with Mexican heritage living in the US (n=52) who smoked daily were sent texts/emails each morning with cessation tips and cessation benefits over 15 days. At baseline, participants reported their personal network characteristics across up to eight different alters. Each evening of the 15 days, participants reported forgoing any cigarettes they normally would smoke (yes/no) and having had any quitting-related conversations (yes/no). Multilevel logistic models were …Montana Kaimin, March 12, 2026, Students Of The University Of Montana, Missoula
Montana Kaimin, March 12, 2026, Students Of The University Of Montana, Missoula
Montana Kaimin, 1898-present
Student newspaper of the University of Montana, Missoula.
Board Of Directors Quarterly Meeting - Open Session Book 03/12/2026, Uc Law Sf
Board Of Directors Quarterly Meeting - Open Session Book 03/12/2026, Uc Law Sf
2026 Board of Directors Agenda and Materials
No abstract provided.
Associational Inference With Many Potential Covariates: Bayesian Information Criterion Elastic Net, Farideh Bagherzadeh Khiabani, I-Chan Huang, Jose Miguel Martinez Martinez, Shizue Izumi, Sedigheh Mirzaei, Tiange Zheng, Irina Dinu, Yutaka Yasui
Associational Inference With Many Potential Covariates: Bayesian Information Criterion Elastic Net, Farideh Bagherzadeh Khiabani, I-Chan Huang, Jose Miguel Martinez Martinez, Shizue Izumi, Sedigheh Mirzaei, Tiange Zheng, Irina Dinu, Yutaka Yasui
COBRA Preprint Series
Background: An emerging feature in modern biomedical research is collecting and analyzing numerous variables. In the presence of many potential covariates, inference becomes challenging requiring both distinguishing a set of covariates truly associated with an outcome and estimating their corresponding regression coefficients consistently. Traditional statistical inference typically focuses on estimating coefficients assuming a pre-specified set of covariates. Further, advanced machine/statistical learning methods performing both selection and estimation predominantly focus on outcome prediction rather than association inference.
Methods: Motivated by our epidemiological research on long-term childhood cancer survivors, where we aimed to investigate associations between a large pool of longitudinal symptom …
Reared In Disaster: The Long-Run Harm From Childhood Storm Exposure, Lucas Kaplan
Reared In Disaster: The Long-Run Harm From Childhood Storm Exposure, Lucas Kaplan
Center for Policy Research
I estimate how exposure to natural disasters in childhood shapes earnings and schooling later in life, using newly assembled county-date disaster records dating back to 1951 linked to residential histories in the NLSY79. I compare adult outcomes for children who are born in the same county but due to disaster timing experience different amounts of exposure, finding that severe and repeat disasters reduce earnings. I show that school-age disaster exposure drives long-run harm: exposure between ages 5 and 10 reduces educational attainment, while exposure between ages 10 and 15 reduces adult earnings. Finally, Black individuals suffer larger earnings losses than …
Calling Rural Parents: Impact Of Information And Communication Technology On Parental Involvement, Rachel M.H. Robertson
Calling Rural Parents: Impact Of Information And Communication Technology On Parental Involvement, Rachel M.H. Robertson
College of Education
Rural, Title I schools in West Alabama faced socioeconomic and geographic barriers that limited equitable access to education. A key factor affecting student achievement in these contexts was parental involvement, which research has shown was lower in rural areas. The purpose of this mixed-methods study was to examine the relationship between communication and parental involvement in these two schools. Guided by Epstein’s framework of overlapping spheres of influence, Hoover-Dempsey and Sandler’s parental involvement model, and Rogers and Wright’s (2008) research on the role of communication in cultivating effective school-to-home partnerships, the researcher investigated the relationship between information and communication technologies …
The Grizzly, March 12, 2026, Renee Washart, Alex Zelaya, Nico Yanzaguano, Claudia Tracy, Andrew Mihniak, Sophia Kumar, Hadley Whitman, Erin Ewing
The Grizzly, March 12, 2026, Renee Washart, Alex Zelaya, Nico Yanzaguano, Claudia Tracy, Andrew Mihniak, Sophia Kumar, Hadley Whitman, Erin Ewing
Ursinus College Grizzly Newspaper, 1978 to Present
We Didn't Start the Fire (in New Hall) • Disability Day of Mourning at Ursinus College • Alumni Graduate Student Panel: Health Sciences • All-Recovery: What Does it Mean to Get Sober in College? • New Spades Club Shares, Teaches, and Tournaments! • Snow Days: Are They Only Fun for Students? • Bears Basketball Finishes Up Successful Season • Women's Lacrosse Winning Big to Start the Season
Optimising Human–Ai Decision Performance: A Trust And Capability Framework For Knowledge Management, Eduardo Carlos Dittmar, Martin Sposato
Optimising Human–Ai Decision Performance: A Trust And Capability Framework For Knowledge Management, Eduardo Carlos Dittmar, Martin Sposato
All Works
Organisations struggle to optimise human–AI collaboration in knowledge-intensive decision-making. This paper proposes the Trust–Complementarity Model of Collective Intelligence (TCM-CI), explaining how calibrated trust and complementary capability utilisation drive superior organisational performance. Through systematic synthesis of human–AI interaction and knowledge management research, we identify three core mechanisms: (1) calibrated trust maximises collective intelligence by balancing appropriate reliance with necessary oversight, (2) complementarity–trust interaction determines optimal performance when high capability utilisation combines with appropriate trust levels and (3) dynamic feedback loops create reinforcing organisational learning cycles. The framework provides practical guidance for executives designing human–AI teams, developing trust calibration training, and establishing …
Household Expenditure And Insurance Adoption As Determinants Of Financial Risk In Urban Companion Animal Healthcare, Hong Yun Wu, Chee Vui Wong, Changh Hao Han
Household Expenditure And Insurance Adoption As Determinants Of Financial Risk In Urban Companion Animal Healthcare, Hong Yun Wu, Chee Vui Wong, Changh Hao Han
Jesselton Journal of Educators and Scholars
Urban households increasingly face financial exposure associated with companion animal healthcare in market-based systems where costs are largely borne out of pocket. This study examines how household expenditure and insurance adoption shape financial risk in urban companion animal healthcare. Using survey data from 500 urban households, the analysis investigates expenditure patterns, predictors of pet insurance adoption, and spatial variation in healthcare spending across urban districts. Regression results show that household income, number of pets owned, educational attainment, and age are significantly associated with variation in annual healthcare expenditure. Logistic regression findings indicate that insurance adoption is driven more by socioeconomic …
No Effect In Plasma Corticosterone Levels After Observation Of Diseased Conspecifics, B. M. Hardy, M. Chang, S. Mccallum, S. Santangelo, Patricia C. Lopes
No Effect In Plasma Corticosterone Levels After Observation Of Diseased Conspecifics, B. M. Hardy, M. Chang, S. Mccallum, S. Santangelo, Patricia C. Lopes
Biology, Chemistry, and Environmental Sciences Faculty Articles and Research
Organisms commonly respond to stressors in their environment by increasing the secretion of corticosterone (CORT). While increased CORT is acknowledged as a response to predation risk by organisms inhabiting a landscape of fear, new research raises the potential for changes in CORT as a response to the risk of infection by organisms in their environment. An increase in CORT of a healthy, uninfected individual in response to their perception of the risk of infection in their environment could change their susceptibility to infection, highlighting a significant role for CORT to alter host–pathogen dynamics. To investigate the effects of infection risk …
Executive And Managerial Insights Into Developing, Launching And Operating An Expansion Sport Franchise, Cole G. Armstrong, Timothy Kellison
Executive And Managerial Insights Into Developing, Launching And Operating An Expansion Sport Franchise, Cole G. Armstrong, Timothy Kellison
Faculty Research, Scholarly, and Creative Activity
Purpose – The purpose of this paper was to investigate the organisational development processes used by the National Hockey League’s most recent expansion club, the Seattle Kraken, during their launch and early operational phases. This paper specifically focuses on the organisational development processes used by upstart sport franchises during periods of environmental turbulence. Design/methodology/approach – The authors conducted semi-structured interviews with seven Seattle Kraken executives and managers involved in the organisation’s development, launch and subsequent operations during the franchise’s first several seasons. Participants included individuals from various functional areas. The empirical material was analysed using reflexive thematic analysis to identify …
Database-Driven Revelations In Epilepsy: Patient Reporting Accuracy And The Circadian Timing Of Seizures, Ithay Biton
Database-Driven Revelations In Epilepsy: Patient Reporting Accuracy And The Circadian Timing Of Seizures, Ithay Biton
Theses and Dissertations
For over thirty years, patients have been visiting the Arkansas Epilepsy Program for diagnosis and treatment for seizures and seizure-like episodes. As part of their clinical evaluation, patients often undergo ambulatory EEG (electroencephalogram) monitoring. This routine process produces valuable data for treating the patient. In this study, over 2000 ambulatory EEG reports from 1998 to 2016 were reviewed. A large database of seizures was created from the reports, with information on 407 patients, 1611 EEG-confirmed seizures, and 1726 patient-reported seizures (IRB Protocol #17-093). The database was used to address two important issues in epilepsy. The first topic of the study …
Hardwiring Best Practice: Leveraging Teamwork And Technology For Clinical Transformation, Jenifer Ash, Cheryl Ficara, Anna-Rae Montano, Laura Bailey, Laura Dzurec
Hardwiring Best Practice: Leveraging Teamwork And Technology For Clinical Transformation, Jenifer Ash, Cheryl Ficara, Anna-Rae Montano, Laura Bailey, Laura Dzurec
Creating Healthy Work Environments (CHWE)
In the absence of appropriate tools, efficient teamwork, and clinician skills, cardiac monitoring has no therapeutic value (New South Wales Agency for Clinical Innovation, 2022). This initially shocking notion speaks to vital aspects of cardiac monitoring—underlying clinical necessity, early recognition and intervention in response to clinical changes, and alarm mitigation to avoid alarm fatigue. As healthcare context and technology become increasingly complex, reliance on the skill of individual clinicians is inadequate and unreliable for maximizing patient safety and well-being and for achieving optimal outcomes (McLaney et al., 2022). This presentation describes how one hospital group leveraged teamwork excellence and cutting-edge …
Social Determinants Of Health And Quality Of Life Among Korean Americans With Chronic Hepatitis B, Cindy Xin Fang, Yoonjin Nam, Ann C. Klassen, Hee-Soon Juon
Social Determinants Of Health And Quality Of Life Among Korean Americans With Chronic Hepatitis B, Cindy Xin Fang, Yoonjin Nam, Ann C. Klassen, Hee-Soon Juon
Department of Medical Oncology Faculty Papers
BACKGROUND: Hepatitis B virus (HBV) infection disproportionately affects Korean Americans, who often experience persistent social and structural challenges that may influence quality of life. Recent community studies showed most Korean Americans with chronic hepatitis B (CHB) were disengaged from clinical care, emphasizing the need to better understand factors affecting their well-being. This study examined associations between social determinants of health (SDOH) and physical and mental health related quality of life (HRQoL) among Korean Americans with CHB.
METHODS: A total of 365 CHB patients completed the enrollment survey. SF-12 was used to measure quality of life, calculating physical and mental components …
Measuring What Matters:: Co-Creating A Human-Centred, Evidence-Informed Assessment Framework For Rehabilitation, Katie Mcbride, Zoë James, Caroline Watson
Measuring What Matters:: Co-Creating A Human-Centred, Evidence-Informed Assessment Framework For Rehabilitation, Katie Mcbride, Zoë James, Caroline Watson
School of Law, Humanities and Social Sciences
Zoë James, Katie McBride & Caroline Watson highlight how academic expertise, practitioner knowledge, and service user experience combined has developed a rehabilitation assessment tool that is able to measure meaningful, person-centred change beyond recidivism.
From Protocol To Action: Critical Perspectives On Earthquake Preparedness In Mexico, Sandra Vaiciulyte, David A. Novelo-Casanova, Thalia Anagnos, Gerardo Suárez
From Protocol To Action: Critical Perspectives On Earthquake Preparedness In Mexico, Sandra Vaiciulyte, David A. Novelo-Casanova, Thalia Anagnos, Gerardo Suárez
Faculty Research, Scholarly, and Creative Activity
Purpose – This study explores perceptions and reactions to earthquake preparedness education, earthquake early warning (EEW) systems and earthquake drill protocols in Mexico, as well as potential strategies to make these earthquake preparedness tools more effective and meaningful. Design/methodology/approach – Eleven Focus Groups were conducted with 109 students from diverse academic and social backgrounds of the two largest public universities in Mexico. The findings were validated on a broader participant group using questionnaires, focused solely on the drill, administered to two populations at two distinct institutions following the 2025 National Earthquake Drill in Mexico City. Findings – Focus group findings …
Remotely Training Applied Behavior Analysis Practitioners To Conduct A Repeated Latency Functional Analysis, W. Daniel Oliver-Wong
Remotely Training Applied Behavior Analysis Practitioners To Conduct A Repeated Latency Functional Analysis, W. Daniel Oliver-Wong
USF Tampa Graduate Theses and Dissertations
Previous research has established functional analyses (Iwata et al., 1982/1994) as valuable tools for ABA practitioners. Despite previous findings, behavior analysts often default to other methods when identifying the maintaining variables of problem behavior. Several studies have examined training methods and variations of traditional functional analyses to increase clinical applications. The Repeated Latency Functional Analysis (RLFA) is a newly developed adaptation to the functional analysis (Han et. al., 2023). This study used video modeling to train three ABA practitioners in RLFA procedures through online role-play scenarios. The findings suggested that online video modeling is a promising training modality for ABA …
The Role Of Teacher-Student Identity-Matching In Multi-Informant Universal Screening For Social, Academic, And Emotional Behavior Risk Among Middle School Students, Melissa L. Brown
USF Tampa Graduate Theses and Dissertations
Multi-informant universal screening tools leverage insights from multiple perspectives to paint a comprehensive picture of student risk across a variety of domains. However, many barriers exist to the appropriate and effective implementation of multi-informant universal screening within the school. When such screening tools are utilized without intentional consideration of students’ unique backgrounds and lived experiences, harmful outcomes may disproportionally impact marginalized and minoritized students. To address this, context-sensitive, identity-conscious approaches may improve the accuracy and equity of identifying students in need of support. This study investigated the role of identity concordance (i.e., alignment of teacher and student gender and race/ethnicity) …
Genetic Testing Motivations Among Men With A History Of Prostate Cancer: A Judgment-Based Analysis, Maximilian Junge
Genetic Testing Motivations Among Men With A History Of Prostate Cancer: A Judgment-Based Analysis, Maximilian Junge
USF Tampa Graduate Theses and Dissertations
Identifying individuals at increased hereditary cancer risk through genetic testing can improve early detection, inform treatment decisions, and enhance outcomes for patients and their families. While prior research has largely focused on women, less is known about factors that motivate men with prostate cancer to pursue genetic testing. This study examined components of visual messaging that may influence motivation to undergo genetic testing among men with a self-reported history of prostate cancer. Participants completed a survey in which they viewed eight visual messages that systematically varied across three components: image type (family-focused vs. individualized treatment-focused), written content (familial risk-focused vs. …
Assessing Capability, Opportunity, And Motivation In Relation To Guideline Adherence For Inherited Cancer Risk, Cecilia L. Delisanti
Assessing Capability, Opportunity, And Motivation In Relation To Guideline Adherence For Inherited Cancer Risk, Cecilia L. Delisanti
USF Tampa Graduate Theses and Dissertations
Introduction: Although National Comprehensive Cancer Network (NCCN) guidelines provide cancer screening or risk reduction recommendations for individuals with germline pathogenic and likely pathogenic variants (GPVs) in actionable hereditary cancer genes, guideline adherence remains inconsistent, and the behavioral contributors to this gap remain understudied. To identify behavioral factors related to adherence across inherited cancer risk genes, this study used the COM-B model, which posits that capability, opportunity, and motivation shape health behaviors.
Methods: IMPACT study participants, all with GPVs in a variety of actionable genes, completed surveys (N=575). Minimal adherence was based on gene-specific NCCN guidelines. COM-B constructs (capability, opportunity, motivation) …