The Covid-19 Lockdown And Diabetes Self-Management In Esan Northeast Area Of Edo State, Esther Ehivbaun Rapu

Walden Dissertations and Doctoral Studies

The COVID-19 lockdown impacted chronic diseases care globally, but there is limited research on how individuals in rural Nigerian communities managed diabetes during this period. This qualitative phenomenological study explored the lived experiences of self-management with diabetes during the COVID-19 lockdown among adults in Esan Northeast. The socioecological model (SEM) served as the guiding conceptual framework, allowing for the exploration of the impact of individual, interpersonal, community, and institutional factors on self-care behaviors. The research explored how cultural, social and economic factors impacted how adults with diabetes in Esan Northeast managed their condition during the COVID-19 lockdown. Semi-structured interviews via …

“The Technology We’Ve Been Forced To Use”: Impact Of Online Service Delivery For Kinship Families During The Covid-19 Pandemic, Angela Tobin, Amanda Klein-Cox, Ramona Denby

Social Work Faculty Research

Purpose: The COVID-19 pandemic rapidly changed the service landscape for both professionals and families. Kinship families, who often navigate multiple systems concurrently with higher service needs, were among the most vulnerable. This study explores kinship caregivers’ and child welfare professionals’ perceptions of changes in service delivery during the pandemic, specifically the sudden shift to virtual platforms.

Materials and Methods: To understand participants’ experiences, focus groups with protocols shaped by initial Delphi Rounds were implemented with 25 kinship caregivers and 34 child welfare professionals from a national sample.

Results: Caregiver and professionals shared themes related to how COVID-19 precautions impacted service …

Understanding Dissonance Between Clinical Theory And Christian Principles In Counseling: Equipping Clinically Trained Professional Counselors To Counsel Through A Christian Worldview, Herbert Douglas Geiger

Doctoral Dissertations and Projects

This action project focuses on addressing the need for a research-based activity to understand the operational worldviews related to the counseling practices of the counselors at the Abundant Life Counseling Center. With the increasing demand for clinically and theologically informed counseling, the study explored how a counselor's worldview affects faith integration into a clinically based, therapeutic approach. The goal is to equip counselors to provide wisdom through theologically grounded and clinically informed training within a Christian philosophical framework, improve their Christian counseling skills, and reduce dissonance caused by the lack of integration skills in Christian-principled counseling (Prov 29:18). Every Christian-principled …

The Effect Of An Educational Intervention On Pre-Licensure Nursing Students Using The Theory Of Cultural Humility, Margaret Curry

Doctoral Dissertations and Projects

The American population has become more racially and ethnically diverse. Pre-licensure nursing students must have the knowledge, skill, and attitude to meet the needs of this diverse patient population. The purpose of this study was to educate pre-licensure nursing students on the concept of cultural humility using standardized patients from diverse cultural backgrounds in simulation experiences. The 27 students in this study were enrolled in a traditional nursing program in the southern U.S. This one-group quasi-experimental pretest–posttest design used Foronda’s Cultural Humility Scale. These students completed this scale (pretest), participated in simulation experiences with standardized patients from diverse cultural backgrounds, …

Empowering Residents Through Relational Ministry: Implementing The Missional Resident Program At Creekside Community Village, Megan E. Yingst-Coats

Doctoral Dissertations and Projects

Individuals who are homeless have a reason beyond the stereotypes that might be assigned to them. Homelessness can be caused by mental illness, disability, loss of income, addiction, and many other reasons, but implementing a long-term program where homeless individuals can move in and be rehabilitated will decrease the number of homeless individuals that are in our country (Swenson, Miller, Herzberg & Ray, 2011). The purpose of the missional program at Creekside Community Village is to provide individualized care for residents and create a permanent solution for those experiencing chronic homelessness. The missional program will equip missional residents to walk …

Superintendent Stress And Mental Health: The Case Of African American Female Superintendents In The United States, Kamika Lynette Bell

Doctoral Dissertations and Projects

This study investigated the challenges faced by African American female K–12 school superintendents in the United States, with a particular focus on work-related stress and mental health. The unique challenges encountered by African American women in leadership positions include work stressors, racial and societal barriers, and gender discrimination. The purpose of this qualitative phenomenological study was to gain a deeper understanding of the work-related stress and mental health experiences of African American female superintendents in K–12 schools. The study was a means to elicit new information from the experiences of African American women regarding experiences of gendered racism and its …

Rethinking Ohio Mandated Reporting For Child Neglect, Stephanie L. Ash

Et Cetera

This article briefly outlines the history and harm of family separation, reviews applicable federal and Ohio laws concerning child neglect and screening guidelines for investigation, and examines the social justice implications of rethinking mandated reporting requirements and implementing alternatives to protect children from systemic oppression and violence from the family policing system.

Does Lady Justice Need A Sword? Indictment: The Criminal Justice System On Trial By Benjamin Perrin, Noel Semple

Osgoode Hall Law Journal

LADY JUSTICE CAN OFTEN BE FOUND, in statue form, in or near courthouses. This symbol of the Western justice system is blindfolded to show neutrality. She carries a scale to weigh facts and arguments fairly. Sometimes, she also holds an olive leaf to symbolize mercy and healing. A sword is the other accessory that Lady Justice invariably carries. The sword is a ubiquitous part of this symbol because most people believe that justice in general, and criminal justice in particular, necessarily involves inflicting pain upon wrongdoers.

Kenyan Perspectives Of Trauma: A Hermeneutic Phenomenological Study On The Lived Experiences Of Helping Professionals, Megan Flinn

Walden Dissertations and Doctoral Studies

This research addresses the critical gap in counseling literature regarding multicultural and trauma-informed training, particularly relevant given Kenya’s documented trauma and limited mental health resources, highlighting the need for incorporating lived experiences into research to equip counselors for increasingly globalized practice. The present hermeneutic phenomenological study aims to fill a gap in the literature by exploring the lived experiences of Kenyan helping professionals as they care for survivors of trauma in their country of origin. A previous data set was used, consisting of interviews from four Kenyan helping professionals in 2019, all whom worked actively with survivors of trauma at …

Black Men And Health Literacy: Strategies For Improvement In A Digital Age Through The Adaptation Of A Chronic Disease Self-Management Program, Evelina Weidman Sterling, Laura Stevens, Vanessa Robinson-Dooley, Tyler Collette

Faculty Articles

Health literacy is a critical determinant of health outcomes, yet it is often overlooked, particularly among marginalized groups. This paper explores the significance of health literacy, with a particular focus on low-income African American and Black (AA/B) men, a population that faces unique challenges due to intersecting factors such as race, gender, socioeconomic status, and educational disparities. We examine how these factors contribute to health literacy gaps, highlighting adverse effects on health outcomes for AA/B men compared to the general population. Additionally, we stress the growing importance of digital literacy in an increasingly technology-driven world. Not actively addressing digital health …

Trusted Professional Multi-Agency Transitions For Young People Facing Multiple Disadvantage – Learning From Co-Production By A Third Sector Partner In The Plymouth Alliance, Uk, Gemma Doyle, Sean Mitchell, Sue Hawley, Katy Krysiak, Felix Gradinger

Peninsula Medical School

Introduction: This case study provides practice-based reflections on challenges and potential solutions for young people with multiple disadvantages across housing, substance misuse, mental health, criminal justice, and domestic abuse systems, informed by 4 local principles: trauma informed, learning based, an alliance commissioning ethos, and workforce development.Description: To improve the current experiences of 17–25-year-olds in service transition iterative insights drew from networking staff across sectors, clinical audit and following live cases, and appreciative enquiries with young people. This was conducted by a practitioner researcher in a local Young Person’s charity and was supported by peer researchers with lived experience and embedded …

Varieties And Domains: A Syncretic Synthesis Of Law And Justice In India ( Including A Special Emphasis On Alternate Dispute Resolution), Amrith Bhargav B

Theses and Dissertations

From the abstract idea of Dharma that enabled the practice and sustenance of local custom and usage, law was defined without verbiage but in meanings and understandings. In the colonial age, law was constantly being defined and codified not just textually, but through projects of economies of politics, knowledge and power in a way that their transactional metrics produced social and cultural genres that changed India forever. In that state of play, lawyers and their associated players contributed to the emerging culture of power and dominance with their tool of making the law through cases and mainstreamed the colonial legal …

Beyond Translating Cultures: Organizational Cultural Brokering And Latin@/E/X Community Resilience After The "Mobile Home Parks" Fire, Christine Atalie Da Rosa

Dissertations and Theses

As wildfires increase in frequency and severity in rural communities, disaster management agencies are seeking to collaborate with community-based organizations (CBOs) working with rural, low-income Latin@/e/x communities to build wildfire resilience. This qualitative case study examines the critical role of CBOs rooted in their local, predominately low-income Latin@/e/x communities as cultural brokers in supporting Latin@/e/x wildfire survivors following the 2020 "Mobile Home Parks" Fire in a rural county in Oregon. Drawing from 23 semi-structured interviews, three focus groups, a review of relevant documents, and participant observations, the research investigates how Latin@/e/x CBOs navigated the complex cultural landscape between wildfire survivors …

Prenatal Psychosocial Distress Screening For Individuals Experiencing Pregnancies Complicated By Fetal Anomalies., Kara Hansen, Lisa Mische Lawson, Abigail Wilpers

Manuscripts, Articles, Book Chapters and Other Papers

Pregnant individuals who receive a fetal anomaly diagnosis experience significantly elevated rates of depression, anxiety, and traumatic stress-up to four to six times higher than those for individuals with low-risk pregnancies. In low-risk pregnancies, perinatal mental health conditions are the leading cause of maternal mortality and are associated with adverse birth outcomes, including preterm birth and low birth weight. These risks are likely compounded in pregnancies involving fetal anomalies due to the intersecting psychological and social burdens that complicate maternal well-being and access to care. However, there is a critical gap in understanding how these mental health symptoms translate into …

The Flash Technique As An Effective Low-Intensity Intervention For Migrants At The U.S. Point Of Entry, Selma D. Yznaga, Sik-Lam Wong, Suzanne Maniss

Counseling Faculty Publications

Migrants often face severe trauma before and during their journey, leading to mental health challenges such as post-traumatic stress disorder and acute stress. This study explores the Flash Technique (FT) as a one-time intervention for newly arrived migrants. Twelve healthcare professionals and 11 student interns trained in FT provided interventions to 55 migrants, who showed substantial improvements in subjective units of distress scores. The findings highlight the efficacy of a low-intensity intervention in a humanitarian context, which can serve to mitigate the long-term psychological impact of trauma.

Stimulated Cytokine Production, Attachment, And Emotional Well-Being In Dementia Spousal Caregivers, Daniel L. Argueta, Sarah Roberts, Kelly N. Brice, E Lydia Wu-Chung, Vincent D. Lai, Jensine Paoletti-Hatcher, Bryan T. Denny, Charles Green, Samantha Henry, Multiple Additional Authors

Psychology Faculty Publications and Presentations

Proinflammatory cytokine production may be related to poor emotional adjustment in dementia spousal caregivers. People who display attachment insecurity may be at increased risk for adverse caregiving experiences and poor psychosocial outcomes.

Implementation Of An Evidence-Based Postpartum Depression Screening Tool In A Level Iv Neonatal Intensive Care Unit, Morgan A. Takacs

Dissertations

Problem: Postpartum depression (PPD) affects up to 40% of mothers with infants admitted to the Neonatal Intensive Care Unit (NICU), yet many remain undiagnosed due to the absence of standardized screening protocols. Early identification and referral to Perinatal Behavioral Health Services (PBHS) is critical to support maternal well-being and improve neonatal outcomes.

Methods: This evidence-based quality improvement project utilized a descriptive and correlational design to evaluate the impact of implementing the Patient Health Questionnaire-8 (PHQ-8) for PPD screening among mothers of infants born ≤ 32 weeks’ gestation in a Level IV NICU. A convenience sample of 29 mothers received the …

Palliative Care Beyond Cancer: The Use Of The P-Cares Tool, Breslin E. Meyer

Dissertations

Emergency Departments (EDs) often lack the necessary resources and protocols to provide comprehensive palliative care, resulting in inadequate pain and symptom management (Stoltenberg et al., 2022). This study investigates the potential transformative impact of a palliative care consultation on patients with advanced disease who screen positive using the validated P-CaRES tool. The PICOT questions: Will patients with end-stage COPD, CHF, and or other chronic conditions benefit from P-CaRES screening in the emergency department over nine weeks and receive more palliative care consultations from their primary care providers?

This project was conducted over 9 weeks, utilizing convenience sampling to select 20 …

Public Sector Employment In Mountain West Cities, 2019, Olivia K. Cheche, William E. Brown Jr.

Economic Development & Workforce

This fact sheet presents data on public sector employment in 16 cities within the Mountain West states of Arizona, Colorado, Nevada, and New Mexico. The Urban Institute’s “Public Sector Employment and Its Role in Local Economic Development” report provides data on publicly driven jobs in the 100 largest U.S. cities as of 2019. This fact sheet focuses on city-level data from the largest cities in the Mountain West.

Correctional Psychology And Training Implications: A Mixed Analysis Of Trainee Knowledge And Application Of Ethical Dilemmas In Corrections, And A Closer Look At The Experience Of Support From Generalist Training, Alyssa A. Hoyt

Electronic Theses and Dissertations Archive

Correctional psychology, a subfield of psychology, has long been comprised of its own distinct purpose, focus, and competencies. Yet correctional psychology remains unrecognized today as a formal American Psychology Association (APA) specialization. Unlike forensic psychology, without an APA specialization, and subsequent structured training standards, scholars have argued that correctional mental health professionals may be ill-prepared to navigate unique ethical dilemmas inherent to the correctional environment. The present mixed analysis study aimed to contribute to this discussion by assessing psychology trainees’ ability to respond to hypothetical ethical dilemmas in a manner consistent with correctional environments, and whether prior correctional experience/ exposure …

Shining In Times Of Crisis: How Refugee Women Display Leadership And Transform Hardship, Laura Iorg

Capstone Collection

Abstract

There are currently approximately 122.6 million people displaced globally (UNHCR, 2024). This figure includes 43.7 million refugees (UNHCR, 2024). Nearly half of them are women. This qualitative study examined the following questions: How do women manifest leadership and agency in refugee situations? Subquestion: How do women contribute to peace, transformation, and healing through that leadership and agency? Five different individuals who had worked with women refugees for at least two years were recruited for the study. Two data collection instruments were employed: a preliminary survey and a structured interview. The study focused on the lived experiences of refugee women …

Assessing The Lgbtq+ Beliefs, Behaviors, And Competency Of Nutrition Professionals: A Mixed-Methods Study, Anthony Dissen, Christina Riccardo, Liam Oliver Lair

Journal of Dietetic Education

Lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) individuals often experience disproportionate levels of physical and mental health issues including nutrition-specific issues such as eating disorders, body dysmorphia, and food insecurity related to psychological distress from discrimination and stigmatization. This study sought to understand nutrition professionals’ LGBTQ+ competence, beliefs, and behaviors. Researchers distributed 2 data collection tools to registered dietitian nutritionists (RDNs): the Gay Affirmative Practice Scale (GAP-Scale) and the LGBT Competency Assessment Tool (LGBT-CAT). Data from the GAP-Scale were numerically scored using a 5-point Likert scale, and data from LGBT-CAT were scored on a scale of 0 to 3 points. …

Following Painting's Quiet Call To Adventure, Kelly Allen

The Open Journal of Occupational Therapy

Yael Goverover, OTR/L, Ph.D., professor and post-professional program director of occupational therapy at New York University at Steinhardt (NYU), provided the cover art for the summer issue of the Open Journal of Occupational Therapy. This oil painting on canvas, titled, Still Life, 2024, features an arrangement of everyday objects with vibrant tones of gold, yellow, orange, and green found in the vase, and a coffeepot, fruits, and botanicals set against a backdrop of scarlet and striped patterned fabrics. She created this piece while on sabbatical in Israel as she studied under the tutelage of a seasoned oil …

The Psychological Impact Of Parenting Child Victims Of Trauma, Stephanie Faulkingham

Dissertations

Abstract

Research indicates that non-offending caregivers of traumatized children (NOC) is a population with an elevated risk for increased levels of depression and anxiety and are an underserved population for mental health services. The purpose of this quality improvement project was to determine if screening caregivers of traumatized children using the Patient Health Questionnaire (PHQ-8) and Generalized Anxiety Disorder (GAD-7) improves identification of depression and anxiety. Participants of this investigation were individuals enrolled in the Children’s Advocacy Services of Greater St. Louis’ 12-week parenting group, TASK (Trauma, Assessment, Skills, and Knowledge). Each participant was asked to complete the PHQ-8 and …

Depression Screening In The Adult Inpatient Oncology Population, Erica Bizub

Dissertations

Routinely screening oncology patients for depression is recommended due to the higher rates of depression in this population as well as the negative impact of untreated depression. The goal of this QI project is to implement a standard depression screening protocol for patients admitted to this hospital, where there is currently no standard screening protocol. There were 110 patients included in this study, and 67 (60.91%) of patients received a PHQ-9 screening. Of the patients who completed the PHQ-9, 21 (19.09%) had a positive screening, which was a score of seven or higher. While there were high rates of provider …

Patients Journey To Hemodialysis Centers: Multi-Center Study, Ali Al Saedi, Dalia Ali, Anas Aljboori, Anas Mansour, Zahraa Mahdi

Iraqi National Journal of Medicine

Background: Hemodialysis is used to restore electrolyte balance (sodium levels, potassium in the body, bicarbonate, chloride, as well as magnesium, calcium, and phosphate) and filters the waste products and excess fluid. Unfortunately, developing nations continue to have a severe shortage of resources, which makes it difficult to provide highly technical and costly care like dialysis. Aim: The study's objective is to reveal and trace the journey of patients with end stage kidney disease who are on regular hemodialysis program and how they reach to dialysis centers. Methods: the study was to be conducted in many dialysis centers in different regions …

Identity Development, Attraction, And Behavior Of Heterosexual-Identified Men Who Have Sex With Men: A Scoping Review, Andrew D. Eaton, Travis R. Scheadler, Melanie Mcdonald, Oliver Beer, Lauren B. Mcinroy, Erin Beckwell, Adam Busch, Cara Bradley, Paul A. Shuper

School of Health Professions

Introduction: Heterosexual-identified men who have sex with men (H-MSM) experience sexual identity and behavior discordance. H-MSM may comprise 0.5–3.5% of adult heterosexual men. Understanding and accepting H-MSM as they self-identify may be necessary to implement effective public health and psychosocial interventions. This scoping review synthesizes research on H-MSM’s identity development, attraction, and behavior. Methods: Thirteen databases were searched and, using Covidence software, two independent reviewers screened 3617 titles and abstracts and 269 full texts to arrive at 124 articles meeting entry criteria. Ten independent reviewers then conducted thematic content analysis. Results:H-MSM either expressed sexual identity uncertainty or justified maintaining heterosexual …

Mental Health Counselors’ Perceptions Of Professional Identity As Correctional Counselors In An Integrated Behavioral Healthcare Setting, Jeanel L. Franklin, Kevin C. Snow, Edward S. Neukrug

Journal of Human Services Scholarship and Interprofessional Collaboration

This interpretive phenomenological study of four individuals examined clinical mental health counselors (MHCs) in a correctional integrated behavioral healthcare (IBH) setting to the purpose of examining how the unique experiences and roles of MHCs employed as correctional counselors in an IBH setting impacted the perceptions of their professional identity/development as counselors. Findings indicated how environment, work relationships, and multiple foci of mental health roles contributed to professional growth and identity development. Participants experienced an adaptive transitional process when applying counseling styles to the setting and population as well as integrating experiences as correctional counselors into pre-existing professional identities. Practical implications …

From Rehearsal To Stage: 50 Years Of Gospel, Srijita Chattopadhyay

University of Mississippi News

OXFORD, Miss. – As the crisp February evening rolls around after a busy second week of school, more than 40 current and former University of Mississippi students gather at the Gertrude C. Ford Ole Miss Student Union – not to study, but to practice.

Depressive Disorders, Bad Mental Health Days, And Diabetes Management Behaviors Among Non-Hispanic American Indian/Alaska Native Adults: Findings From The Behavioral Risk Factor Surveillance System, Kaipeng Wang, Luohua Jiang, Jie Zhu, Spero M. Manson

Graduate School of Social Work: Faculty Scholarship

Objective

This study examined the association between diagnosis of depressive disorder, the number of bad mental health days per month, and diabetes management behaviors among American Indian/Alaska Native (AI/AN) adults with diabetes.

Research design and methods

Data were drawn from the Behavioral Risk Factor Surveillance System (2018–2021), including 2,272 self-identified non-Hispanic AI/AN adults diagnosed with non-gestational diabetes. Key variables included a self-reported prior diagnosis of depressive disorder and the number of bad mental health days in the past month. Outcome variables were seven diabetes management behaviors, such as taking a diabetes management class and performing daily foot checks. Statistical analyses …