Digital Commons Network^™

Chatgpt Use In A Mental Health Context: Associations With Mental Health Literacy, Stigma, Help-Seeking Intentions, And Perceived Effectiveness Among Undergraduate Students And Community Members, Scott Hannah

Theses : Honours

As the mental health treatment gap widens and artificial intelligence (AI) gains global popularity, individuals are increasingly using the AI chatbot, ChatGPT, to seek conversational support for their personal mental health difficulties. This study investigated the use of ChatGPT for these purposes in an Australian context. A cross-sectional quasi-experimental group design investigated the association between self-reported mental health literacy (MHL), mental health stigma, and help-seeking intentions by adults who used ChatGPT for their mental health difficulties (User-Group) versus those who did not use ChatGPT for this purpose (Non-User Group). Mediation analyses investigated the potential associations between ChatGPT use, MHL, stigma, …

Outer-Context Determinants On The Implementation Of School-Based Interventions For Lgbtq+ Adolescents, Daniel Shattuck, Cathleen E Willging, Jeffery Peterson, Mary M Ramos

Pediatrics Research and Scholarship

BACKGROUND: Schools are critical venues for supporting LGBTQ+ youth well-being. Implementing LGBTQ-supportive practices can decrease experiences of stigmatization, discrimination, and victimization that lead to adverse mental health outcomes like anxiety, depression, and suicidality. However, schools are also subject to a wide range of outer-context pressures that may influence their priorities and implementation of LGBTQ-supportive practices. We assessed the role of emergent outer-context determinants in the context of a 5-year cluster randomized controlled trial to study the implementation of LGBTQ-supportive evidence-informed practices (EIPs) in New Mexico high schools.

METHOD: Using an iterative coding approach, we analyzed qualitative data from annual interviews …

Telemedicine And Physical Visits: A Dynamic Duo In Obesity Management Among Adolescents, Egypt, Enas Sayed Abbas, Safaa Al Hussein Tawfik, Gehan Fouad Ahmad, Lamiaa Ibrahim Haroon, Taghreed K. M. Elhady, Amira Said Nassar

Journal of Medicine in Scientific Research

Childhood obesity, a serious global issue, leads to various health problems like diabetes, high blood pressure, high cholesterol, and psychological issues. In Egypt, inconsistent data shows a significant prevalence of obesity among adolescents, influenced by factors like gender, age, and lifestyle. The study aims to explore the effectiveness of telemedicine, in conjunction with physical visits, for managing obesity among adolescents in Egypt. Telemedicine, a cost-effective and engaging alternative to in-person visits, can help patients lose weight and provide a safe, remote alternative, expanding treatment access to hard-to-reach populations. The study is a controlled clinical trial on overweight or obese adolescents …

Conservative Approach Compared To Cesarean Hysterectomy In Mangement Of Placenta Accreta Spectrum At Tanta University Hospitals, Muhammad Abdelrahim Abdelgwaad, Ayman Shehata Dawod, Hesham Mohammad Elsaid Borg, Heba Rady Elbassiouny

Journal of Medicine in Scientific Research

Placenta accreta spectrum (PAS) poses a significant issue for obstetricians, primarily attributed to the rising incidence of pregnant women presented by this condition. This research aimed to evaluate management options of placenta accreta spectrum (PAS) at Tanta University Hospitals and to assess safety and efficacy of Shehata's procedure compared to cesarean hysterectomy. Patients & Methods: This observational study was carried out prospectively involving 70 pregnant women presented with PAS to the Emergency Room and Outpatient Clinic of the Obstetrics Department at Tanta University Hospitals, spanning from July 2023 to July 2024. Comprehensive demographic and surgical data were collected and documented. …

Why Leadership Needs History, Paul W. Sanders, Martin Gutmann

Interdisciplinary Journal of Leadership Studies

What contribution can a leadership focus make to arbitrating the catch-22s and wicked problems of the ongoing polycrisis? Not much, if you were to turn for advice to mainstream leadership studies (LS), a field of enquiry that continues to see itself, above all, as a tool for optimizing corporate performance and effectiveness. One way in which LS can escape its current tunnel vision and lack of relevancy is to return to its own roots and rehabilitate the historical approach. Historical LS can add value in several areas: it has the ability to deliver insightful case studies that provide useful analogies, …

Drug Dealing And The Internal Morality Of Medicine, Matt Lamkin

Articles, Chapters in Books and Other Contributions to Scholarly Works

Which practices qualify as “medical” in nature? This question has important legal implications. Every state has laws prohibiting the “unauthorized practice of medicine.” Health insurance policies generally limit coverage to procedures that are “medically necessary.” And physicians can be prosecuted as drug traffickers if they prescribe controlled substances without a “legitimate medical purpose.” Each of these questions—and many others—hinge on how medicine is defined.

As with many common terms, we all have a general understanding of what medicine is and this heuristic suffices to carry us through our daily lives without complication. Yet when called on to produce a precise …

An Unprecedented Verdict: Expanding Parental Liability For Children’S Violent Crimes, Jolie Bodner Zangari

Scholarly Works

No abstract provided.

Requesting To Rely Nci & External Irbs, Carissa Minder

Human Research Protection Program (HRPP) Education

No abstract provided.

Mental Health In Prison: The Unintended But Catastrophic Effects Of Deinstitutionalization, Felicia Mulholland

Touro Law Review

Prisons and jails are not adequately equipped to manage the ever-growing population of mentally ill inmates. Despite deinstitutionalization efforts, prisons have steadily become the new psychiatric hospitals and unfortunately, because of the lack of treatment and the ability to properly supervise this population of inmates, these individuals are dying by their own hands at an alarming rate. This Note argues that the lack of proper care for mentally ill inmates is a violation of their constitutional right, despite their incarcerated status. The Department of Corrections and Community Supervision (DOCCS) should incorporate more concrete and universal rules and regulations for the …

A Multidisciplinary Approach To Managing Financial Toxicity In Oncology Patients, Katelin Muse

Walden Dissertations and Doctoral Studies

Patients with a cancer diagnosis are counseled at length about the standard of care treatment options, which may include surgery, radiation, anticancer medications, and chemo/immunotherapy through an informed consent process. Unfortunately, the potential economic burden and the accompanying psychological burden is seldom discussed up front. There is a significant need for routine screening and a multidisciplinary approach to the prevention of financial toxicity for the oncology patient. The purpose of this doctoral project was to lead an interprofessional team in the development of a clinical practice guideline for routine financial screening using the Comprehensive Score for Financial Toxicity (COST) tool …

Front Matter

Michigan Law Review

Front Matter for Volume 123, Issue 2 of Michigan Law Review

The Early Prevention Of Diabetic Foot Ulcers, Aruodo Ukpai

Doctor of Nursing Practice Projects

Frequent and proper foot exams and foot care are fundamental in decreasing the incidence and morbidity of diabetic foot ulcers, yet many patients are still not screened at appointments or educated on the importance of foot exams. This research planned to address the lack of foot care education and foot assessments amongst patients with Type 2 diabetes. Past research done on this focused on providing education to diabetic patients either at home or in a setting where patients can come and receive the education. To our knowledge, no research has been done on the use of video teaching to provide …

Improving Parental Communication With Adolescents About Sex, Amanda Blanton

Doctor of Nursing Practice Projects

In 2018, 68 million people in the United States were infected with a sexually transmitted infection. Of those 68 million, 26 million cases were newly diagnosed, and of that 26 million, half were youth aged 15-24 (Centers for Disease Control and Prevention [CDC], 2022a). The approaches to educating our youth about sexual health are inconsistent, leading to misconceptions about the dangers associated with risky sexual behavior. However, parents have the upper hand in discussing sexual health information with their children by being the child’s first contact and source of information. Teens who report talking with their parents about sex are …

Determining The Need For 23-Hour Observation Following Transforaminal Lumbar Interbody Fusions: A Patient Perspective On Recovery At Home, Lacey Irias

Doctor of Nursing Practice Projects

Minimally invasive surgery (MIS) for transforaminal lumbar interbody fusion (TLIF) is becoming more frequently performed in ambulatory surgery centers (ASCs). Subsequently, patients are scheduled for an option to undergo a 23-hour observation which requires staff preparation. The preparation increases costs and creates a shortage during a standard daytime shift which can reflect negatively on patient care. Most patients elect to be discharged the same day, on account of experiencing minimal pain and seeking the comfort of their own home. The goal of this DNP project was to assess the necessity of scheduling a patient 23 hours for observation following a …

Increasing Organ Donation In A University Setting, Zachary Hatton

Doctor of Nursing Practice Projects

The literature shows a strong correlation between education on organ donation and increased organ donation registration. Society has depicted a description of organ donation that is hostile and untrue. Increasing organ donation registration with knowledge sets the foundation of a grassroots movement to increase understanding and change society’s viewpoint(s) on organ donation. An education session on organ donation was developed and presented to the targeted population of 18–24-year-old students at a university in the foothills of the Appalachian Mountains. The focal point of the presentation was to dispel myths, educate on facts, and create a better understanding of organ donation …

Introducing Mental Health Resources To Nurse Practitioner Residents, Tiffanie Bailey

Doctor of Nursing Practice Projects

This DNP Project identified the increased need for mental health resources after the COVID-19 pandemic. Studies showed the rate of anxiety, depression, and substance use has also been on the rise since the beginning of the pandemic. As the impact of the COVID-19 pandemic began to devastate the country mentally and physically, it became quickly apparent that additional resources to provide support for those suffering from mental illness were essential. This project aimed to introduce a Mental Health First Aid course within the Residency Program at the Center for Family Guidance. Participants were asked to complete a pre-test indicating their …

Bridging The Gap: Strategies To Enrich The Clinical Experience Of Undergraduate Nursing Students To Improve Clinical Judgment Skills, Gabrielle Hope

Doctor of Nursing Practice Projects

Introduction: The lack of competent clinical judgement among new graduate nurses contributes to poor patient outcomes, negatively impacting patient satisfaction scores, and subsequently raising the cost of healthcare for consumers. This project explores how reflective journaling and cooperative learning activities contribute to the development of critical thinking of nursing students during their Nursing Fundamentals clinical practicum.

Methods: Seventeen students enrolled in a private university nursing program were selected as the sample. The students were introduced to the recommended learning strategies and invited to anonymously participate in a pre-survey and post-survey. The surveys were identical in content and consisted …

A Review Of The Effects Of Different Types Of Stigmas On The Retention Rates Of Patients In Medication-Assisted Treatment And How To Combat The Problem, Pamela Cox

Doctor of Nursing Practice Projects

It is difficult to turn on the news without hearing about the opioid epidemic or a recent opioid overdose. There is hope because there is a treatment to help prevent this epidemic. That treatment is known as medication-assisted therapy (MAT), where patients can present and, if they meet the criteria, can be given a prescription for buprenorphine/naloxone combination medication. Treatment with buprenorphine/naloxone has been shown to be highly effective treatment for substance use disorder (SUD). Even though it has been proven that this combination works, less than 20% of patients diagnosed with SUD present for treatment. This study focused on …

Spaces Of Citizenship: Negotiating Belonging Through Cold War Literature And Culture, Daria Goncharova

Theses and Dissertations--English

At the height of Cold War containment culture, when fears of Communism and nuclear warfare overlapped with anxieties about homosexuality, gender inversion, miscegenation, and juvenile delinquency, formal citizenship—narrowly defined as one’s legal status—did not provide all American citizens with a sense of belonging, equal access to civil liberties, and a reasonable degree of safety. Instead, spatialized identity, rather than civic responsibilities and legal rights, came to define the boundaries of proper citizenship. In this context, highly exclusionary suburbs, which sprang up outside major metropolitan areas in the late 1940s-1950s, emerged as a cornerstone of the cultural narratives defining American citizenship. …

Trust And Knowing In Nineteenth-Century American Literature: Fictional Genres And Metacognitive Disruptions, Jessica Marie Van Gilder

Theses and Dissertations--English

This dissertation investigates how constructions of trust can be undermined or reinforced by examining trust’s entanglement with our compulsive and subjective desire to know in nineteenth-century American literature. Specifically, I analyze how different fictional genres – satire, historical romance, fantastic, and gothic – respond to our desire to know through the types of trust fictional texts feature and construct with the reader. In doing so, I demonstrate how genres of fiction in nineteenth-century America function as dynamic social contracts that amplify and undermine the reader’s trust in larger sociopolitical systems (e.g., national identity) and the epistemologies that underpin those systems …

Washington University Magazine, December 2024

Washington University Magazine

No abstract provided.

Increased Concern Of Suicide Behaviors In The Adolescent Population, Jaime Shareen-Porter Earle

Doctor of Nursing Practice Projects

This quality improvement project focused on addressing the concern for the increase of depression, anxiety, and self-harm behaviors among adolescents, which can lead to suicidal ideation and attempts. Suicide behaviors have increased among adolescents, and research revealed that suicide is the second leading cause of death in this population. An educational PowerPoint was presented to members of the community on suicide behaviors, how to identify the behaviors, and where to get support and resources in the community. Pre- and post-surveys were used to assess the participants' knowledge and confidence levels before and after project implementation. The surveys contained the same …

Mental Health And The Black Church: Decreasing The Division In Divinity, Latonya Gray

Doctor of Nursing Practice Projects

Racial disparities in mental health care persist for Black Americans, with only one in three who need treatment receiving it. The care they do receive is often of a poorer quality than that of other groups. Faith communities serving Black members could help address this gap by partnering with mental health professionals to meet congregants' needs. With mental health now at the forefront of public discourse, considering the specific needs of the Black community is critical. Black Americans face disproportionate mental health burdens but are more likely to seek counsel from clergy due to cultural stigma. Educating clergy on mental …

Community Educational Session On Identifying The Signs Of Depression And Resources Available, Desiree Young

Doctor of Nursing Practice Projects

The DNP Project was designed to educate the community on identifying the signs of depression and the community resources available to them. The intent of the project was to improve the community’s knowledge of depression symptoms and the community resources available that offer assistance to those dealing with these symptoms. There is a great need for education on depression signs, as many in various communities suffer from untreated depression, which often leads to negative outcomes. The impact of the project implementation was measured by using pre- and post-survey data evaluating the participants' overall knowledge of the signs of depression, stigma …

Take My Perspective, Please: Perspective Taking’S Impact On Insecure Attachment And Phubbing, Connor Brown

Murray State Theses and Dissertations

Phubbing is defined as the act of ignoring another individual (e.g., significant others, friends) by devoting attention to one's phone (Chotpitayasunondh & Douglas, 2018). Previous literature indicates that insecurely attached (anxious and avoidant) individuals are more likely to phub than others (Sun & Miller, 2023a). This study examined correlations between attachment styles and phubbing, finding that avoidant attachment was not significantly correlated with phubbing, while anxious attachment was. As well as examining the correlation between phubbing and perspective taking, results indicate that there was not a significant correlation. The primary interest of this study sought to investigate perspective taking as …

Examining The Role That Agricultural Education Programs Play In Student Choice Of Production Agriculture Careers, Wesley Estes

Murray State Theses and Dissertations

This dissertation explores the influence that Agriculture Education programs, at all levels, have on student choice of careers in production agriculture. The average age of a farmer in the United States is increasing, and the shortage of young people returning to family farming operations (or beginning operations of their own) becomes more apparent each year. This study utilizes focus groups of professionals to gather information about the factors that influence student choice in agriculture careers, and the ability of agriculture education programs to either enhance or mitigate those factors. For the purposes of this study, Agriculture Education programs of all …

Lgbtq+ Clothing Habits In Appalachia, Kirstyn Korte

Graduate Theses, Dissertations, and Problem Reports (ETD)

This study investigated clothing preferences among cisgender queer women within Appalachia and whether they used these preferences to identify their own peers. It also further investigated whether they use clothing as a tool to conceal or reveal their own LGBTQ+ identity. Participants were invited for two interviews each. Between interviews, there was a one-week rumination period for each woman. The women reported themes of using clothing to blend in with their hetero-normative surroundings as they grew up and now lean into a more alternative style and less narrow-minded view of clothing. Perspectives gained from interviewees lined up with current knowledge …

Testing A Conceptual Model Of Age, Gender, Perceived Discrimination And Well-Being, Kelly Smith

Graduate Theses, Dissertations, and Problem Reports (ETD)

Both age and gender are personal characteristics that are at least in part outwardly visible and act as a category for social judgments (Cuddy & Fiske, 2002). The current study examined associations among individuals’ views on their aging, their gender typicality, well-being, and perceived discrimination. Research Question 1 asked whether views on aging and gender typicality interact to influence perceptions of discrimination; Research Question 2 explored the same potential interactions’ influence on well-being. Research Question 3 explored whether any interaction between views on aging and gender typicality and well-being was mediated by perceptions of discrimination. Participants represented the adult life …

Demonstrating The Need For Intergenerational Trauma-Specific Substance Use Treatment For Mothers Receiving Substance Use Treatment And Their Children, Brittany Ti-Esha Smith

Graduate Theses, Dissertations, and Problem Reports (ETD)

For decades the United States has faced substance use epidemics that have devastating public health consequences, with the most recent epidemic being the opioid epidemic. While the substance that is the center of the epidemic’s changes over time, one factor that has been found to be positively related to substance use has remained consistent, that preventable risk factor is adverse childhood experiences (ACEs). Those who experience ACEs are at elevated risk for developing SUD. If the trauma that is a result of experiencing ACE is not treated it can complicate recovery and impact the individuals’ families. The children of individuals …

Extracting Meaning: Museums, Power, And Shaping The Story Of Coal, Danielle Marie Petrak

Graduate Theses, Dissertations, and Problem Reports (ETD)

Organized into four case studies, this dissertation investigates how longstanding power relationships in the Central Appalachian coalfields have shaped the preservation and presentation of mining history at museums and historic sites. It contributes to scholarship in the fields of public history and Appalachian history by exploring how apolitical, noncritical, and biased narratives at mining history sites have obstructed the public’s acknowledgement of larger forces and systems that govern Appalachian society and often bring harm and misinformation to coalfield residents. To present more exhaustive, nuanced, and innovative interpretations of bituminous coal mining’s past and present, museums and historic sites must redirect …