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Post-Divorce Lgbtq-Parent Families: Navigating Loyalty Conflicts And Stepfamily Closeting, Caroline Sanner, Abbie E. Goldberg, Katherine R. Allen Jan 2026

Post-Divorce Lgbtq-Parent Families: Navigating Loyalty Conflicts And Stepfamily Closeting, Caroline Sanner, Abbie E. Goldberg, Katherine R. Allen

Psychology

Objective: The purpose of this study was to investigate underexplored dynamics of post-divorce LGBTQ-parent families.

Background: In LGBTQ-parent families in which children were conceived in the context of a prior different-gender partnership, children experience the coinciding events of parental separation and a parent's coming out as LGBTQ. In recent decades, research on LGBTQ-parent families formed following different-gender divorce has stalled, perhaps due to the increasing emphasis on planned LGBTQ-parent families, or families formed after parents have come out.

Method: Twenty-four adults who were born to different-gender married parents (i.e., mother/father families) who divorced when one parent came out as LGBTQ …


Experiences With Discrimination And Microaggressions Among Sexual And Gender Minority And Intersectional College Students, Hans Saint-Eloi Cadely, Susan D. Mueller, Melissa A. Sutherland Jan 2026

Experiences With Discrimination And Microaggressions Among Sexual And Gender Minority And Intersectional College Students, Hans Saint-Eloi Cadely, Susan D. Mueller, Melissa A. Sutherland

Human Development and Family Science Faculty Publications

This study examined experiences with discrimination and microaggressions among sexual and gender minority (SGM) and college students with multiple intersectional identities. Participants included 49,967 college students derived from the 2022 American College Health Association National College Health Assessment III Survey. Findings from logistic regression modeling showed that SGM students were more likely to experience discrimination and microaggression. SGM students were also more likely to experience distress and poor academic performance secondary to experiences of discrimination and microaggression. Results of this study emphasize the need for support and resources towards minoritized groups within college settings.


Dysfunctional Leadership As A Dynamic And Relational Process, Rory E. Kuhn, S. Burak Ozkum Jan 2026

Dysfunctional Leadership As A Dynamic And Relational Process, Rory E. Kuhn, S. Burak Ozkum

Faculty Publications – Psychology

First paragraph in lieu of abstract:

The focal article by Ducheyne and De Fruyt (2026) calls for a clear conceptual distinction between toxic and incompetent leadership, proposing that these categories can guide research and practice by reducing ambiguity. Although we agree that this differentiation offers useful conceptual clarity, we contend that it becomes unstable in its application. Dysfunctional leadership unfolds through both temporal fluctuation in leader behavior and relational variation in follower appraisal. These intertwined processes suggest that the same leader may appear toxic in one moment and merely incompetent in another, depending on shifting behavioral cues and the relational …


Fitness To Work Evaluation In A Combined Physical And Office Working Activity With Piriformis Syndrome: A Case Report, Arif Prasetya, Nuri Purwito Adi Jan 2026

Fitness To Work Evaluation In A Combined Physical And Office Working Activity With Piriformis Syndrome: A Case Report, Arif Prasetya, Nuri Purwito Adi

Occupational and Environmental Medicine Journal of Indonesia

Background Piriformis syndrome (PS) is a neuromuscular disorder with significant impact on workforce productivity. This case report presents a comprehensive evaluation of fitness for work and job modification strategies for a patient with PS in a combined physical and sedentary working environment. A 44-year-old male medical facility supervisor presented with left buttock pain, radiating to the left leg, diagnosed with left gluteal piriformis syndrome. Despite undergoing multiple conservative therapies by Physical Medicine and Rehabilitation Specialist, the patient showed minimal improvement.

Methods A seven-step fitness for work assessment approach was implemented following Indonesian Association of Occupational Medicine Specialists guidelines. The evaluation …


Factors Associated With The Atherogenic Index Of Plasma Among Workers At A National Respiratory Hospital In Jakarta, Muhammad Abror Rizani Fahmi, Herqutanto Herqutanto, Iqbal Mochtar, Dewi Yunia Fitriani, Marsen Isbayuputra, Resultanti Resultanti, Ariningsih Ariningsih Jan 2026

Factors Associated With The Atherogenic Index Of Plasma Among Workers At A National Respiratory Hospital In Jakarta, Muhammad Abror Rizani Fahmi, Herqutanto Herqutanto, Iqbal Mochtar, Dewi Yunia Fitriani, Marsen Isbayuputra, Resultanti Resultanti, Ariningsih Ariningsih

Occupational and Environmental Medicine Journal of Indonesia

Background Cardiovascular diseases (CVD) represent the primary cause of mortality globally. The atherogenic index of plasma (AIP) can predict the risk of CVD more accurately than other indices. Hospital workers are at risk of developing CVD. There are several factors that can influence the AIP. No studies have specifically investigated these associations in Indonesia, particularly regarding the AIP in hospital workers. This study aims to determine factors associated with the AIP among workers at a national respiratory hospital in Jakarta.

Methods This cross-sectional study collects data from the medical check-up records of workers at Persahabatan Hospital in 2024, who met …


Women’S Exposure To Incel Content, Perceived Safety, And Gender-Based Violence Risk In The United States, Deja Bledsoe Jan 2026

Women’S Exposure To Incel Content, Perceived Safety, And Gender-Based Violence Risk In The United States, Deja Bledsoe

Criminology & Criminal Justice Theses

The rapid proliferation of incel-related content across digital platforms has raised concerns about online misogyny and its potential impact on women’s perceived safety. However, less is known about how exposure to such content shapes women’s perceptions of risk and emotional responses in everyday digital environments. This study examines the relationship between exposure to incel-related content and women’s perceived risk of gender-based violence and safety-related anxiety. Guided by strain theory, social control theory, hegemonic masculinity, and intersectionality, the study employs an anonymous cross-sectional online survey of women aged 18 and older. Quantitative analyses were conducted to assess whether exposure to incel-related …


Teacher Perceptions Of Administrative Support, Student Behavior, And Work Environment: Effects On Morale, Commitment, And Retention Of High School Teachers In A Mid-Sized School District In North Carolina, Joseph M. Serviss Jan 2026

Teacher Perceptions Of Administrative Support, Student Behavior, And Work Environment: Effects On Morale, Commitment, And Retention Of High School Teachers In A Mid-Sized School District In North Carolina, Joseph M. Serviss

Doctor of Education Dissertations

Teacher attrition remains an ongoing challenge in secondary education, often linked to declining motivation or commitment. This mixed-methods sequential explanatory study aimed to explore high school teachers’ perceptions of administrative support, student behavior, and work environment factors, and how these elements impact job satisfaction and retention. Quantitative data were collected through an internal Teacher Working Conditions Survey distributed to high school teachers within a single public school district. For qualitative insights, semi-structured interviews were conducted with 14 high school teachers, and inductive thematic analysis was used to interpret the survey findings. Quantitative results showed mostly positive views regarding administrative support, …


Does One Size Fit All? Well-Being Environmental Assessment Criteria In Low- And Middle-Income Aging Communities In Thailand, Sujitra Jiravanichkul, Sarin Pinich, Atch Sreshthaputra, Trirat Jarutach Jan 2026

Does One Size Fit All? Well-Being Environmental Assessment Criteria In Low- And Middle-Income Aging Communities In Thailand, Sujitra Jiravanichkul, Sarin Pinich, Atch Sreshthaputra, Trirat Jarutach

NAKHARA (Journal of Environmental Design and Planning)

The effectiveness of well-being environment assessment criteria for aging communities in diverse contexts, particularly in developing countries, remains underexplored. This study aimed to fill this gap by employing Thailand Well-Being Environment and Age-Friendly Communities criteria to assess the living environment of 15 low- and middle-income aging communities in Thailand and determine their well-being status. The results of the overall quantitative assessment showed an average score of 60.78/100. Findings indicated high scores in categories such as healthy food environment, community open space, community asset, and street lighting, indicating a strong foundation for the well-being of low- and middle-income communities. Medium-scoring categories …


The First Home : A Pedagogical Exploration Of Architecture’S Mythical Origins, Witinan Watanasap, Chittawadi Chitrabongs Jan 2026

The First Home : A Pedagogical Exploration Of Architecture’S Mythical Origins, Witinan Watanasap, Chittawadi Chitrabongs

NAKHARA (Journal of Environmental Design and Planning)

This research article proposes the idea of the "First Home" as a pedagogical model for architectural design studios in Thailand. The objective is to foster a more humanistic approach to the foundation of architecture education by integrating histories and theories of architecture, architectural representation, and architectural design studio courses. The "First Home" investigates the mythical origins of architecture—the cave, post-and-lintel structure, and tent—as well as the roles of language and art, framed as the processes of “remembering” and “forgetting.” The literature review for this study is based on architectural texts and diagrams focusing on spatial composition, written by architects who …


Inclusive Education In Thailand : Exploring Gaps And Opportunities Across Urban And Rural Contexts Through Topic Modeling Analysis And Systematic Review, Chanisa Tantixalerm, Piyawan Visessuvanapoom, Chanakida Thummanond, Siripreeya Chaiboonma, Sayamol Charoenratana, Ruttiya Bhula-Or, Kanessha Sirisak Jan 2026

Inclusive Education In Thailand : Exploring Gaps And Opportunities Across Urban And Rural Contexts Through Topic Modeling Analysis And Systematic Review, Chanisa Tantixalerm, Piyawan Visessuvanapoom, Chanakida Thummanond, Siripreeya Chaiboonma, Sayamol Charoenratana, Ruttiya Bhula-Or, Kanessha Sirisak

NAKHARA (Journal of Environmental Design and Planning)

This study addressed knowledge gaps in Thai inclusive education research and proposed strategies for improvement, with three key objectives: (1) synthesize and compare research on inclusive education across urban and rural universities; (2) analyze the topic trends in international inclusive education research; and (3) propose strategic guidelines for promoting inclusive education in Thailand. Employing a mixed-methods approach, the study was conducted in two phases. Phase one involved a systematic review of Thai university theses, guided by the framework and PRISMA 2020 protocol, alongside topic modeling analysis of global studies (2020–2024). Phase two utilized focus group discussions with 13 experts to …


"Let The Little Children Come To Me:" Examining The Importance Of At-Home Discipleship And Spiritual Formation For Children Ages Zero To Three Years Old, Kamilah Kay Edwards Jan 2026

"Let The Little Children Come To Me:" Examining The Importance Of At-Home Discipleship And Spiritual Formation For Children Ages Zero To Three Years Old, Kamilah Kay Edwards

Doctor of Ministry

The narratives of children in the Bible links the Old and New Testaments, continually shaping our understanding from past to present. Likewise, children hold a significant place in Christian churches and homes as the legacy of the lived Christian experience. Considering 21st century research findings highlighting the perceptions of children in the American Christian church, American Christianity is seeing a departure of youth. This departure is more than an exodus, it is an identity crisis that calls into question contemporary discipleship and spiritual formation practices at home and in the faith community. The importance of discipling children from the earliest …


The Flow Of Holiness: A Theology Of Grace And Differentiation For Congregational Formation, Paul David Bravard Jan 2026

The Flow Of Holiness: A Theology Of Grace And Differentiation For Congregational Formation, Paul David Bravard

Doctor of Ministry

This dissertation addresses a problem in contemporary Christianity, particularly among Evangelical Friends: many hold an incomplete and fragmented understanding of holiness. Holiness has become either a private glow, a legalistic burden, or a vague aspiration. In a culture marked by relativism, anxiety, and institutional fatigue, many believers lack a clear, communal way of speaking about and living out holiness as “the good life through Christ,” shared within a meeting rather than confined to individual hearts.

This dissertation proposes that holiness can be recovered as a distinctive Friends’ witness when it is reframed as a grace-shaped, communal, faithful presence. By bringing …


Body Wonder: Helping Women Discover The Wonder Of God In Their Female Forms, Kristin Marie Antil Jan 2026

Body Wonder: Helping Women Discover The Wonder Of God In Their Female Forms, Kristin Marie Antil

Doctor of Ministry

This project works to address the following need/problem/opportunity (NPO): Christian women in my contexts are hindered from having a positive relationship with their bodies which undermines potential and diminishes self-worth. I observed this problem in the students I counsel in my work as a mental health therapist at Bethel University, but I also noticed a tendency for women in my church and community settings to disregard, disdain, or despise their bodies as well. The research over these three years has helped me see the complexities of the factors that contribute to the negative postures that women hold towards their bodies …


Audacious Saints: A Spiritual Formation Journey Toward Freedom And Flourishing, Carroll Lane Parsons Jan 2026

Audacious Saints: A Spiritual Formation Journey Toward Freedom And Flourishing, Carroll Lane Parsons

Doctor of Ministry

This doctoral project addresses a common challenge for many Christian women. In spiritual direction, they often express emotional, spiritual, and psychological pain because their voice, vision, and power are limited in their faith communities. Even though these women are deeply devoted to God and their beliefs, this pain can often make it difficult to experience spiritual confidence, discover their calling, and trust their own discernment. The project explores how engaging with the lives of female saints, alongside contemplative and embodied practices, can offer a healing way forward.

Audacious Saints is a twelve-module spiritual formation program that integrates sacred stories, group …


Renewed: A Journey Toward Resilient And Relational Leadership, Molly Bradley Lacroix Jan 2026

Renewed: A Journey Toward Resilient And Relational Leadership, Molly Bradley Lacroix

Doctor of Ministry

Adverse religious experiences cause spiritual, emotional, and relational wounds. Research on spiritual harm locates its origins in the misuse of power. High-control religious environments are preoccupied with authority, submission, silencing dissent, and shaming those who question or doubt. Clearly, the nature of leadership is key in addressing and preventing harm. Spiritually safe leaders empower people, lead with humility, seek feedback, and take accountability for mistakes. Research on the role of clergy reveals complex roles, relentless demands, burnout, and the impact of secondary trauma on clergy well-being. Additionally, clergy are often expected to operate beyond their areas of competence and report …


Empowering Pre-Service Ecse Teachers Through Ai Simulation: Strengthening Family-Centered Iep Facilitation, Jody L. Shong Jan 2026

Empowering Pre-Service Ecse Teachers Through Ai Simulation: Strengthening Family-Centered Iep Facilitation, Jody L. Shong

Essays in Education

Artificial intelligence (AI) is increasingly shaping instructional practice across educational contexts, yet its role in preparing early childhood special education (ECSE) teachers for complex relational work remains underexplored. Facilitating Individualized Education Program (IEP) meetings requires educators to integrate legal knowledge, developmental data, interdisciplinary collaboration, and family priorities within emotionally nuanced conversations. Many pre-service teachers enter the profession without structured opportunities to rehearse these responsibilities.

This article argues that AI-supported simulation represents a practical and equity-oriented approach to strengthening teacher preparation. Grounded in family–professional partnership theory, anti-bias education, and practice-based pedagogy, this manuscript examines how simulation can support relational competence while …


Moral Distress Of The Professional Adn Gatekeeper During Early Covid-19: An Interpretivist Qualitative Study, Kimberly Triche Jan 2026

Moral Distress Of The Professional Adn Gatekeeper During Early Covid-19: An Interpretivist Qualitative Study, Kimberly Triche

Dissertations of Practice

MORAL DISTRESS OF THE PROFESSIONAL ADN GATEKEEPER DURING EARLY COVID-19: AN INTERPRETIVIST QUALITATIVE STUDY

This interpretivist qualitative study examines the experiences of Associate Degree Nursing (ADN) faculty at two-year institutions in Illinois navigating the “Regulatory Pincer,” the intersection of state-mandated lockdowns and rigid licensure requirements, during the COVID-19 pandemic. This research illustrates how the sudden transition to online modality and the abrupt dismantling of the traditional “gatekeeper” model forced faculty to navigate high stress environments with negligible preparation. The findings reveal that the necessity of maintaining instructional continuity while stripped of tactile verification tools created a profound state of “moral …


“Don’T Let Your Disability Be Your Weakness, Let It Be Your Greatest Strength”: A Phenomenological Study Of Nursing Students Who Are Deaf Or Hard Of Hearing, Randa Melms Jan 2026

“Don’T Let Your Disability Be Your Weakness, Let It Be Your Greatest Strength”: A Phenomenological Study Of Nursing Students Who Are Deaf Or Hard Of Hearing, Randa Melms

Dissertations of Practice

This phenomenological study examined the lived experiences of nursing students who are deaf or hard of hearing (D/HH) as they navigated nursing education and the clinical learning environment. Using critical disability theory (CDT) as a guiding framework, the study explored how participants understood, negotiated, and redefined their identities within a profession historically shaped by hearing norms. Four essential themes emerged: reframing disability as expertise, navigating institutional supports and structural barriers, negotiating clinical spaces designed around hearing bodies, and drawing strength from relational networks. These findings can inform more inclusive practices among higher education professionals and clinical educators, helping reduce disparities …


Fiscal Illusion And Property Tax Porportionality, Cathy Lynn Johnson Jan 2026

Fiscal Illusion And Property Tax Porportionality, Cathy Lynn Johnson

Dissertations of Practice

Tax Increment Financing (TIF) has become a widely utilized economic development tool, allowing municipalities to capture future increases in property tax revenue within designated redevelopment areas.

The study’s purpose was to examine how TIF districts in Illinois affect the proportional distribution of property tax burdens and the allocation of property tax revenues to public school districts. Guided by Resource Allocation Theory, Public Choice Theory, and Fiscal Illusion, the study investigated how the exclusion of incremental EAV alters tax rate calculations and redistributes tax responsibility among taxpayers both within and outside of TIF boundaries. A quantitative analytical framework was developed and …


Grades And Grading Practices And Their Associations To Student Motivation, Rob Tesmond Iii Jan 2026

Grades And Grading Practices And Their Associations To Student Motivation, Rob Tesmond Iii

Dissertations of Practice

This study’s purposes are to understand how students perceive grades and their impact on their motivation to learn, how students perceive different grading practices, and how students who typically experience academic success respond compared to how students who typically do not experience academic success respond. Utilizing qualitative research methods, two rounds of focus groups were conducted. The first round consisted of five focus group sessions made up of a total of nineteen students who typically experience high academic success, including an overwhelming representation of students who take honors and AP classes. The second round consisted of three focus group sessions …


Beyond Discipline: Creating Academic Structural Systems To Foster Success For Students With Emotional And Behavioral Disorders, Richard Jasch Jan 2026

Beyond Discipline: Creating Academic Structural Systems To Foster Success For Students With Emotional And Behavioral Disorders, Richard Jasch

Dissertations of Practice

Students diagnosed with emotional and behavioral disorders (EBD) face profound challenges in traditional educational environments, often exhibiting significant underdevelopment in critical social and emotional learning skills. To support this vulnerable population, many school districts rely on specialized programs, such as the “affective learning center” (ALC), designed to stabilize behavior and foster growth. This qualitative dissertation of practice examines the ALC within a mid-sized K–12 district in the Rocky Mountain region to define its core characteristics and evaluate educators' perceptions of its effectiveness. Furthermore, the study investigates the alignment or misalignment between stakeholder perceptions, daily classroom practices, and overarching district policies. …


Exploring The Gender Gap In Trump Supporters: Why “Real Women Vote For Trump”, Emma Kudelka Jan 2026

Exploring The Gender Gap In Trump Supporters: Why “Real Women Vote For Trump”, Emma Kudelka

Res Publica - Journal of Undergraduate Research

This paper examines the types of women who support Donald Trump and explores the reasons behind their alignment with him, despite his seemingly contradictory policies toward women. It begins by analyzing the persistent and modest gender gap across the last three election cycles in which Trump was a candidate. The paper then outlines the demographic and attitudinal profile of female Trump supporters—predominantly white, non-college-educated women who often hold traditional views, including sexist or racist attitudes. These views are frequently rooted in their demographic backgrounds and upbringing, particularly the effects of gendered political socialization, which may shape their attitudes toward political …


Conflict Analysis With Chatgpt, Yeju Choi Jan 2026

Conflict Analysis With Chatgpt, Yeju Choi

Open Educational Resources

This assignment asks students to apply the conflict mapping method to a conflict of their choice and evaluate appropriate resolution processes and strategies. Students use ChatGPT as a structured “peer” to generate alternative perspectives, then compare AI-generated recommendations with their own analysis grounded in course concepts. By designing intentional prompts and critically assessing areas of agreement and disagreement, students evaluate the usefulness and limitations of AI in conflict analysis while reinforcing analytical, evaluative, and reflective skills central to conflict resolution practice.


Annotated Bibliography Assignment, Daryl Wout Jan 2026

Annotated Bibliography Assignment, Daryl Wout

Open Educational Resources

This assignment engages students in comparing AI-generated and human-generated annotated bibliographies. Students first read a psychology research article and create their own annotated bibliography summarizing the study’s purpose, literature, hypotheses, design, findings, and implications. They then use ChatGPT to generate an AI-based bibliography and critically compare it to their own work, evaluating accuracy, completeness, and usability. The exercise emphasizes critical reflection on the capabilities and limitations of AI for research tasks, while encouraging students to integrate effective AI strategies into their scholarly practices without compromising independent analysis.


Do Sleep And Age Concurrently And Longitudinally Predict Children's Frustration Tolerance?, Mavery P. Allen Jan 2026

Do Sleep And Age Concurrently And Longitudinally Predict Children's Frustration Tolerance?, Mavery P. Allen

Senior Honors Theses and Projects

Frustration is experienced when there is interference with one’s goal or progress towards one’s goal. This study sought to examine how age and sleep affect child frustration through the observation of 2 experimental tasks, each a year apart. This study included data from 100 children (boys = 54) ages 3 to 5 years (M = 3.86) at Wave 1. There are 2 waves, occurring a year apart. The first task in Wave 1 consisted of giving a child keys to a locked, clear box with intriguing toys, but unbeknownst to them, the keys did not work. The second task consisted …


Theory Of Mind: Effects Of Ecological Syntactic Training In Children With And Without Autism, Jill De Villiers, Stephanie Durrleman Jan 2026

Theory Of Mind: Effects Of Ecological Syntactic Training In Children With And Without Autism, Jill De Villiers, Stephanie Durrleman

Linguistics: Faculty Publications

Complement clauses, such as Mary says that Santa exists, are complex linguistic structures that have been argued to help children grasp others’ beliefs when those beliefs do not align with reality. Children with Autism Spectrum Disorder (ASD) tend to have difficulties with Theory of Mind (ToM), which might be helped by enhancing understanding of complements. The study investigates whether an ecological approach to training, using children's books containing false complement clauses, can improve false belief reasoning in children with ASD and typically developing (TD) children. The goal is to assess if structured dialogic reading at home, led by parents, …


Why We Stayed, Why We Left: A Hermeneutic Phenomenological Study Of Hispanic/Latino Child Welfare Professionals’ Experiences Of Organizational And Safety Culture, Cynthia Franco Jan 2026

Why We Stayed, Why We Left: A Hermeneutic Phenomenological Study Of Hispanic/Latino Child Welfare Professionals’ Experiences Of Organizational And Safety Culture, Cynthia Franco

Theses and Dissertations

This hermeneutic phenomenological study examines the lived experiences of Hispanic/Latino child welfare professionals who were formerly employed at a large urban public child welfare agency. Despite the growing representation of Hispanic/Latino children and families in child welfare systems and the strong vocational commitment of Hispanic/Latino professionals, this group remains underrepresented in the workforce and experiences notable patterns of early attrition. Grounded in safety science and psychological safety frameworks, this study explores how organizational culture, leadership practices, and identity-related dynamics shape professional meaning-making, well-being, and decisions to remain in or leave the field.

Data were collected through in-depth, semi-structured interviews and …


Ashley Hanson '82-Carolyn Buxton '71, Ashley Hanson, Carolyn Buxton Jan 2026

Ashley Hanson '82-Carolyn Buxton '71, Ashley Hanson, Carolyn Buxton

Alumni Oral History Project

No abstract provided.


Literature In Us School Psychology: Who Gets In?, Finn Drennan, Carmin Jones, Kitzia Martinez, Ethan Jones Jan 2026

Literature In Us School Psychology: Who Gets In?, Finn Drennan, Carmin Jones, Kitzia Martinez, Ethan Jones

CURE Proceedings

Past research has established that biases in psychological research favor authors and participants in the United States and other Western countries (Henrich et al., 2010; Arnett, 2008). However, the extent of this bias in the field of school psychology is not well understood. School psychologists support students from diverse cultural backgrounds, so understanding biases in the empirical literature is important for understanding how well that literature describes all students. The goal of the present study is to apply bibliometric and scientometric techniques to describe who participates in school psychology research. Bibliometric data will be collected from empirical articles published in …


Behavioral And Psychological Financial Hardship Among Caregivers Of Pediatric Cancer Patients, Josiane Kabayundo, Cheng Zheng, Edward S. Peters, Don W. Coulter, Shinobu Watanabe-Galloway Jan 2026

Behavioral And Psychological Financial Hardship Among Caregivers Of Pediatric Cancer Patients, Josiane Kabayundo, Cheng Zheng, Edward S. Peters, Don W. Coulter, Shinobu Watanabe-Galloway

Journal Articles: Epidemiology

BACKGROUND: Financial hardship encompasses material, behavioral, and psychological domains; however, most research among caregivers of pediatric cancer patients has focused on material hardship. This study examined factors associated with behavioral and psychological financial hardship among caregivers of pediatric cancer patients in Nebraska.

METHODS: We conducted a cross-sectional survey of caregivers of children diagnosed within the past 5 years and treated at two pediatric oncology specialty clinics. Behavioral hardship was defined as delaying medical or mental healthcare due to cost, while psychological hardship was measured by worry about ability to pay medical bills. Descriptive statistics and poisson regression with robust variance …