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Old Dominion University

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Full-Text Articles in Education

A Reflection Of Experiences Of Adults With Type 1 Diabetes In Integrated Physical Education Classes, Kalleigh West Oct 2023

A Reflection Of Experiences Of Adults With Type 1 Diabetes In Integrated Physical Education Classes, Kalleigh West

Human Movement Sciences Theses & Dissertations

The purpose of this study was to gain an understanding of the experiences of type 1 diabetics in integrated physical education classes. In this study, we interviewed young type 1 diabetic adults and asked them to reflect on their school-based physical education experiences. An interpretative phenomenological analysis (IPA) approach was adopted to guide data collection, analysis, and interpretation for this retrospective study. Eight participants (ages 19 to 32) were enrolled in this study, and semi-structured interviews focused on their physical education experiences acted as the primary data. Transcribed interview data were analyzed using an IPA approach. Three interrelated themes emerged …


Dental Care Utilization Among U.S. Children Participating In Early Head Start Programs, Ahlam Ibraheem Joufi Aug 2023

Dental Care Utilization Among U.S. Children Participating In Early Head Start Programs, Ahlam Ibraheem Joufi

Health Services Research Dissertations

Early childhood caries (ECC) remains one of the most common preventable diseases among children under the age of 6 years. Several national stakeholders recommend establishing a continuous collaboration of individuals involved with receiving oral health services (dental home) and routine dental care for the child by 12 months. Despite this recommendation, disparities exist among young, low-income children in preventive dental service utilization. The Early Head Start (EHS) program serves low-income children aged 0-3 years and their families and promotes oral health practices and service utilization within the program. This study aims to examine predictors of dental care utilization among children …


Exploring Methods To Reduce Stress In College Students: Dog-Assisted Therapy, Ashley A. Green Aug 2023

Exploring Methods To Reduce Stress In College Students: Dog-Assisted Therapy, Ashley A. Green

Psychology Theses & Dissertations

Many young adults find their college years to be highly stressful. The American College Health Association (2021) found 48% of college students reported moderate to severe levels of psychological stress. Research has found that chronic stress, commonly found in the college population, can adversely affect the health and academic performance of college students (Campbell & Svenson, 1992). Universities have begun experimenting with and adopting a variety of strategies to help students manage stressors associated with college attendance. These initiatives have included relatively well-researched procedures such as meditation and yoga as well as emerging practices. Recently, some colleges have begun testing …


Teaching Social Determinants Of Health In Physical Therapist Professional Education Programs: Exploring Curricular Approaches And Examining An Assessment Tool, Emily Jordan Hawkins Aug 2023

Teaching Social Determinants Of Health In Physical Therapist Professional Education Programs: Exploring Curricular Approaches And Examining An Assessment Tool, Emily Jordan Hawkins

Rehabilitation Sciences Theses & Dissertations

There is a growing emphasis and need for physical therapists (PTs) to serve not only as clinicians but also as advocates to pursue health equity. Clinical practice for preventing and rehabilitating injuries and promoting physical activity will not eliminate health disparities resulting from the social determinants of health (SDH). Leaders in the field of physical therapy have charged physical therapist professional education programs to teach future PTs to address SDH, however, as of August 2023, the Standards and Required Elements for Accreditation of Physical Therapist Education Programs does not specifically require curricular content regarding SDH. The purposes of this dissertation …


Evaluating The Effectiveness Of Recent Educational Foundations Requirements By The Commission On Accreditation In Physical Therapy Education For Program Directors Of Physical Therapist Assistant Programs, Sharan Dawn Zirges Aug 2023

Evaluating The Effectiveness Of Recent Educational Foundations Requirements By The Commission On Accreditation In Physical Therapy Education For Program Directors Of Physical Therapist Assistant Programs, Sharan Dawn Zirges

Educational Foundations & Leadership Theses & Dissertations

On November 2015, the Commission on Accreditation of Physical Therapy Education (CAPTE) published position papers for the 2016 changes to the CAPTE standards. One of these position papers discussed the changes in the 2016 standards related to the qualifications for the position of a program director (PD) for a physical therapist assistant. A specific qualification requirement was added stating “experience in educational theory and methodology, instructional design, student evaluation and outcome assessment, including the equivalent of nine academic (semester) credits of coursework in educational foundations.” The effectiveness of this additional requirement has to date not been assessed. The purpose of …


Providing Family Centered Care Within Pediatric Integrated Care Settings, Emily D. Bebber Jun 2023

Providing Family Centered Care Within Pediatric Integrated Care Settings, Emily D. Bebber

Counseling & Human Services Theses & Dissertations

Parent engagement remains critical to pediatric care. Both pediatric medical and mental health care remains dependent upon parent/guardian engagement to support successful outcomes for children and adolescents. Efforts to enhance Family Centered Care (FCC) has been spotlighted within pediatric care since the 1950s and the inclusion of counselors within integrated behavior health (IBH) teams ushers a need for an evolved understanding of the implementation of FCC, including parent/guardian engagement across professional roles. Using an explanatory mixed-method design, I examined team implementation of Family Centered Care (FCC) among different provider types (e.g., physicians, nurses, licensed mental health providers, social workers, technicians) …


An Investigation Of Healthcare Professionals’ Perspectives On The Tasks Of Mental Health Counselors In Hospital Settings, Suelle Micallef Marmara Aug 2022

An Investigation Of Healthcare Professionals’ Perspectives On The Tasks Of Mental Health Counselors In Hospital Settings, Suelle Micallef Marmara

Counseling & Human Services Theses & Dissertations

With the global mental health implications reported by the spread of COVID 19 (Javed et al., 2020) and the amplified mental health illnesses reported by the State of Mental Health in America (Reinert et al., 2021), there is an increased need to address psychological and emotional health along with physical health. Mental Health Counselors (MHCs) can be the next professional body to support the multidisciplinary teams within hospital settings to complement holistic care focusing on physical and emotional well-being. Researchers have demonstrated addressing the psychological needs of patients from their first admissions to the hospital has significant positive implications on …


Faculty Perceptions Of Teaching Clinical Reasoning At The Patient Bedside, Rebecca Gale White May 2022

Faculty Perceptions Of Teaching Clinical Reasoning At The Patient Bedside, Rebecca Gale White

Educational Foundations & Leadership Theses & Dissertations

Nurse educators meet frequently in conference settings and peer groups seeking an answer to “How do you do clinical?”. The purpose of this qualitative, phenomenological study was to explore faculty perceptions of clinical teaching experiences at the patient bedside at a level one or two associate’s degree nursing program by faculty within the Virginia Community College System (VCCS) that teach a rural student population.

Rural students struggle with work-life barriers that complicate their educational journey. This was compounded by the COVID-19 pandemic that presented new challenges to the way nursing education could be delivered creating a need for on line …


Examining The Use Of Immersive Clinical Experiences In Athletic Training Education, Bailey Christine Jones Jul 2021

Examining The Use Of Immersive Clinical Experiences In Athletic Training Education, Bailey Christine Jones

Health Services Research Dissertations

Clinical experiences are an essential aspect of athletic training education that offer students opportunities to practice their skills and engage in a variety of settings. The Commission on Accreditation of Athletic Training Education (CAATE) sets accreditation standards for athletic training programs to meet, including clinical education standards. In fall 2020, new standards took effect that include a few additions to the standards surrounding clinical education; these additions require programs to afford students opportunities to engage in immersive clinical experiences (ICEs), implement behaviors associated with core competencies, and identify strategies that account for patients’ social determinants of health. Educators believe ICEs …


Use Of An Innovative Simulated-Virtual Training To Improve Dental Hygiene Students’ Self-Reported Knowledge, Attitudes, And Confidence In Providing Care To Child Patients With Autism Spectrum Disorder, Kimberly Frances Cenzon Jul 2021

Use Of An Innovative Simulated-Virtual Training To Improve Dental Hygiene Students’ Self-Reported Knowledge, Attitudes, And Confidence In Providing Care To Child Patients With Autism Spectrum Disorder, Kimberly Frances Cenzon

Dental Hygiene Theses & Dissertations

Problem: As the diagnosis prevalence of Autism Spectrum Disorder (ASD) increases, it is important for dental hygiene students to be knowledgeable and comfortable in providing care to children with ASD. However, limited clinical experiences can result in decreased confidence in the ability to interact with children diagnosed with ASD in a clinical setting. Methodology: A convenience sample of 34, second-year dental hygiene students were recruited from a 4-year entry-level Dental Hygiene program. A simulated-virtual training (SVT) module was developed as an interactive approach for educating dental hygiene students on providing care to a child patient with ASD in a clinical …


The Role Of Athletic Identity In General Mental Health And Alcohol-Related Help-Seeking Intentions Of College Students, Michael Grant Young Jul 2021

The Role Of Athletic Identity In General Mental Health And Alcohol-Related Help-Seeking Intentions Of College Students, Michael Grant Young

Psychology Theses & Dissertations

Young adults are vulnerable to a range of mental health concerns and tend to drink in high quantities and tend to not seek help for these concerns. Specifically, college students involved in athletics tend to have low help-seeking rates—though help-seeking research for this population is relatively limited. Athletic identity (i.e., identification with the athlete role) is a relevant construct for examining this population, however little is known about its association with help-seeking beliefs and ideas. This study examines: (1) the association between athletic identity and help-seeking intentions for both mental health and alcohol use concerns, (2) the association between …


Patient-Perspective Task Performance: Creating Contextually Relevant Student Clinical Training Through The Use Of Patient Experience, Candice L. Freeman Jul 2021

Patient-Perspective Task Performance: Creating Contextually Relevant Student Clinical Training Through The Use Of Patient Experience, Candice L. Freeman

STEMPS Theses & Dissertations

Patient-centered and patient-focused care purports that patients are at the center of all clinical decisions made for optimal medical outcomes. Optimal medical outcomes originate from accurately and reliably executed task performance by healthcare professionals trained to administer highly specific care for each patient condition. Many of these executed tasks are performed in the presence of the patient; this is defined as direct patient care. However, there are equally important tasks executed that are not performed in the presence of the patient; the performance of diagnostic laboratory testing is an example of such tasks.

Clinical training of healthcare laboratory professionals begins …


Body Dissatisfaction And Disordered Eating Among College Women’S Social Networks: An Investigation Of Perceived Changes Following A Dissonance-Based Body Image Intervention, Rachel I. Macintyre Jul 2021

Body Dissatisfaction And Disordered Eating Among College Women’S Social Networks: An Investigation Of Perceived Changes Following A Dissonance-Based Body Image Intervention, Rachel I. Macintyre

Psychology Theses & Dissertations

Body dissatisfaction is associated with numerous health consequences and is pervasive among college women. Effective interventions exist that reduce body dissatisfaction in college women by helping them resist sociocultural pressures to conform to the appearance ideal, such as the Body Project. Yet research is limited on whether social and behavioral processes help participants reduce their engagement in sociocultural appearance-ideal messages and contribute to the intervention’s effectiveness. The primary purpose of the present study was to examine these social and behavioral processes, including the changes in college women’s social networks associated with their participation in the Body Project. Undergraduate and graduate …


Burnout, Self-Efficacy, And Coping Strategies Among College Faculty, Jordan M. Ball Apr 2021

Burnout, Self-Efficacy, And Coping Strategies Among College Faculty, Jordan M. Ball

Psychology Theses & Dissertations

Due to the changing college environment, university faculty are faced with a serious burden to support their university. University faculty are expected to satisfy numerous job demands, and these demands in turn lead to burnout, a chronic response to job stressors. Burnout is an essential component of occupational research as it relates to other negative outcomes, such as turnover and decreased performance. Because of this, it behooves both faculty and universities to employ methods that decrease burnout. Research concerning other populations indicates that certain personal resources can decrease burnout. Therefore, the current study seeks to determine if coping strategies and …


Initial Development Of The Escala De Fortaleza En Jóvenes Para Padres, David Moran Apr 2021

Initial Development Of The Escala De Fortaleza En Jóvenes Para Padres, David Moran

Counseling & Human Services Theses & Dissertations

National statistics indicate substantial mental health and academic challenges experienced by a sizable proportion of Hispanic children and adolescents in American school settings. School counselors can provide culturally responsive supports to this population and would benefit from contextually grounded, ecologically valid assessments that focus on the positive development of Hispanic children and adolescents. To address this instrumentation gap, this study sought to develop initial items for the Escala de Fortaleza en Jóvenes para Padres in both English and Spanish. A qualitative approach was implemented to explore the perceptions of Hispanic parents/caregivers of their child or adolescent’s resiliency. Eight Hispanic parents …


A Meta-Analysis Of Group Treatment Outcomes For Veterans With Substance Use Disorders, Robert “Tony” Dice Dec 2020

A Meta-Analysis Of Group Treatment Outcomes For Veterans With Substance Use Disorders, Robert “Tony” Dice

Counseling & Human Services Theses & Dissertations

Group therapy is commonly used in the treatment of substance use disorders (SUD). Many studies exist related to the efficacy of group interventions for veterans with SUDs. A meta-analysis and systematic review of the literature addressing the use of group therapy, specifically psychoeducational groups, cognitive behavioral therapy (CBT) groups and support groups, in the treatment of SUDs with veterans was conducted. The following questions guided the research: What are viable treatment outcomes for psychoeducational, CBT, and support groups of veterans with SUDs? and What are the measures that capture outcomes related to psychoeducational, CBT, and support groups of veterans with …


Mindfulness And Its Impact On Adaptive Coping And Psychological Well-Being: An Intervention For Undergraduate Students, Charles Bradley Freligh Aug 2020

Mindfulness And Its Impact On Adaptive Coping And Psychological Well-Being: An Intervention For Undergraduate Students, Charles Bradley Freligh

Psychology Theses & Dissertations

The concept of mindfulness has been shown to positively impact psychological well-being, and one application of mindfulness-based interventions has been the development and implementation of courses specifically for college students, a population that has been shown to be particularly vulnerable to the negative impacts of stress. While these interventions have displayed beneficial outcomes, the mechanisms of how mindfulness exerts its impact remain unclear. One potential mechanism of mindfulness’ enhancement of well-being may be through its cultivation of an adaptive coping style in which an individual becomes more likely to approach and investigate stressors rather than avoid them. In this study, …


Investigating The Impact Of The Fava Well-Being Protocol On Perceived Stress And Psychological Well-Being With At-Promise High School Students, Renee L. Fensom Aug 2020

Investigating The Impact Of The Fava Well-Being Protocol On Perceived Stress And Psychological Well-Being With At-Promise High School Students, Renee L. Fensom

Counseling & Human Services Theses & Dissertations

An elevation in stress levels can be caused by many contributing factors, which can ultimately interfere with the learning of young people. Fortunately, an increase in well being can help promote resilience, creating a buffer to stress. Therefore, the current study investigated the influence of a positive psychology intervention aimed at lowering perceived stress and increasing well-being among at-promise students. The theoretical framework for this study was based on Ryff’s Model of Psychological Well-Being (PWB). The specific intervention used was the Well-being Therapy School Protocol developed by Fava and associates, based off of Carol Ryff’s Model of PWB (Fava, 2016). …


Comparison Of Motor-Enhanced And Visual-Enhanced Interventions For Grammar In Young Children With Developmental Language Disorder, Alisha P. Springle Apr 2020

Comparison Of Motor-Enhanced And Visual-Enhanced Interventions For Grammar In Young Children With Developmental Language Disorder, Alisha P. Springle

Communication Disorders & Special Education Theses & Dissertations

Up to 7.6% of children demonstrate a developmental language disorder (DLD), which can persist through adulthood, causing difficulty with academic achievement, social relationships, and financial stability. Grammar development, as a hallmark of DLD, is an important area of need for these children. Existing grammar interventions do not clearly distinguish the sensory input techniques that meet these children’s neurobiological instructional needs. This adapted alternating treatment design study implemented intervention using systematic paired visual and verbal and systematic paired motor, i.e. standardized gestures, and verbal sensory input techniques. A moderate-strong functional relation between intervention techniques using motor supports on grammatical outcomes in …


Examine Predictors Of Bmi Classification And Perception Of Overweght Status Of Caregivers Of Preschool Children, Beth H. Chopp Oct 2019

Examine Predictors Of Bmi Classification And Perception Of Overweght Status Of Caregivers Of Preschool Children, Beth H. Chopp

Health Services Research Dissertations

Since the 1970’s the rate of childhood obesity in the United States has tripled and now one in five school-aged children is obese (Ogden et al., 2016). The childhood obesity epidemic will have medical, social, economic implications for future generations. Risk factors for childhood obesity include genetics, food intake, and physical activity, maternal health during pregnancy, parental weight, maternal employment and sociodemographic influences. This study examined the relationship between caregiver misperception of their preschoolers’ overweight/obese weight status and possible predictors that may assist in future interventions. The study evaluated NHANES data of 1245 caregivers with a child under age five …


Medical Specialty Camps: A Holistic Approach To Assist In The Management Of Diabetes, Takeyra Monique Collins Oct 2019

Medical Specialty Camps: A Holistic Approach To Assist In The Management Of Diabetes, Takeyra Monique Collins

Human Movement Sciences Theses & Dissertations

From toddlers to adolescents, poor medical regimen and adherence occurs as youth face adversities caused by type 1 diabetes mellitus (T1DM). This inquiry-based research sought to explore the process of promoting resilience to attain personal diabetes management through outcome-focused programming. This dissertation was structured in a three-paper format to highlight three sectors of a medical specialty camp to identify the significance of building resilience among youth with T1DM, incorporating family support, and providing service-learning opportunities for students. The purpose of this study was to examine the impacts associated with campers’ resilience from pre- to post-camp based on their participation in …


Sexual Violence Victimization, Mental Health, And University-Based Health Service Use Among College Females, Julie E. Stoner Jul 2018

Sexual Violence Victimization, Mental Health, And University-Based Health Service Use Among College Females, Julie E. Stoner

Health Services Research Dissertations

Females between the ages of 18 and 24 consistently experience higher rates of sexual violence compared to females in any other age group (Sinozich & Langton, 2014). Approximately one in five college women experience sexual violence victimization (SVV; Krebs, Lindquist, Berzofsky, Shook-Sa & Peterson, 2016) during the academic year. Among undergraduate female students, 23.1% are victims of sexual violence due to physical force, violence or incapacitation (Cantor et al., 2015). Sexual victimization has been associated with several short- and long-term psychological health consequences, accounting for enhanced symptoms of depression, anxiety, PTSD, and suicide risk (Basile, Smith, Breiding, Black & Mahendra, …


Exploring The Variant Experiences Through Which Racial/Ethnic Minorities Select Art Therapy As A Career, Mary Ritchie Roberts Jul 2018

Exploring The Variant Experiences Through Which Racial/Ethnic Minorities Select Art Therapy As A Career, Mary Ritchie Roberts

Counseling & Human Services Theses & Dissertations

This study implemented a phenomenological approach to the inquiry of the career decisions of racial/ethnic minorities leading to selection of art therapy as a career. Gottfredson’s Career Theory was used to design interview questions to elicit the perspectives of ten racial/ethnic minority members about their career choice of art therapy. This study used post-intentional phenomenological qualitative coding of data to understand the decisions and contributing factors to racial/ethnic minorities selecting a career in art therapy. The findings suggest factors including: personal characteristics, interests, personal and professional beliefs, cultural beliefs, influential people, social contexts, experiences, and encounters contributed to racial/ethnic minority …


The Effect Of The Behavioral Analysis Feedback Model On Improving Performance Of Nursing Students During Clinical Rotations, Melanie Elizabeth Ross Apr 2018

The Effect Of The Behavioral Analysis Feedback Model On Improving Performance Of Nursing Students During Clinical Rotations, Melanie Elizabeth Ross

STEMPS Theses & Dissertations

This study explored the effects the Behavioral Analysis Feedback (BAF) Model had on improving nursing student’s performance. Research studies surrounding feedback primarily centered on frameworks designed as models for delivering feedback as well as the timing for delivering feedback. In addition, past research has also focused on individual elements that affect performance with little regard to environmental elements. The BAF Model was conceptualized based on the importance of providing feedback to nursing students while emphasizing three individual and three environmental elements that have the potential to influence behavior.

This multiple measure, single-case study utilized a quasi-experimental pre-post intervention study design. …


Predicting Speech-Language Pathology Graduate Student Success: Executive Functions And Standardized Admission Tests, Jane E. Roitsch Jan 2018

Predicting Speech-Language Pathology Graduate Student Success: Executive Functions And Standardized Admission Tests, Jane E. Roitsch

Communication Disorders & Special Education Theses & Dissertations

Within the next three years, the number of available speech-language pathology (SLP) jobs is projected to increase by 18% (Bureau of Labor Statistics, 2018). The most logical response to the escalating market demand would be to increase the number of students admitted into SLP graduate programs. However, this may not be as simple as it sounds.

Successful training of graduate SLP clinicians requires the professional, emotional, financial, and time commitments of the program’s clinical and academic faculty. The accreditation status of graduate SLP programs is based in part on graduation completion rates and students passing the national examination in SLP, …


Predictors Of Medical Students’ Attitudes Towards Abortion And Their Changes Overtime, Rebecca Elizabeth Morales Jan 2018

Predictors Of Medical Students’ Attitudes Towards Abortion And Their Changes Overtime, Rebecca Elizabeth Morales

Sociology & Criminal Justice Theses & Dissertations

As new legislation is regularly being introduced to minimize Roe v. Wade’s protection of women’s right to choose in a medical setting, it is imperative to study what predictors may have an impact on abortion attitudes within the demographic of medical students, as well as how these predictors impact one’s willingness to provide the service in the future. The current study then, uses data collected in 2000 and 2015 from a medical school located in Virginia, and in collaboration with a research university in the state to examine what factors are associated with a willingness to provide an abortion, as …


A Single Campus Study Of The Green Dot Bystander Intervention Program, Brittany F. Hollis Jan 2018

A Single Campus Study Of The Green Dot Bystander Intervention Program, Brittany F. Hollis

Psychology Theses & Dissertations

Sexual assault is a serious public health issue that is especially problematic on college campuses. To combat sexual violence on college campuses prevention programs have been instituted by many universities. One such prevention program, the Green Dot program, works to teach students what constitutes sexual violence and how to prevent it by increasing bystander intervention. The current study examined the effectiveness of Green Dot at a large southeastern university. The Theory of Planned Behavior (TPB) was used as the theoretical framework. TPB examines how efficacy, attitudes, and norms influence behavior. Students were recruited to participate in the Green Dot program …


Effects Of A Unilateral Strength And Plyometric Training Program For Division I Soccer Players, Eric Potter Oct 2017

Effects Of A Unilateral Strength And Plyometric Training Program For Division I Soccer Players, Eric Potter

Human Movement Sciences Theses & Dissertations

The current thesis examined the effects of a unilateral strength and plyometric program on power (bilateral and unilateral vertical jumps), speed (20 meter sprint), and agility (Agility T- Test) in collegiate soccer players compared to a traditional bilateral-based training program. Due to the fact that a majority of the research on performance variables in athletes is done using bilateral lifting and plyometric programs, yet most movements in field sports such as sprinting and changing direction are unilateral-based, this specific topic could have value for enhanced performance for athletic populations. The participants included 34 male and female Division-I soccer players who …


Using Constant Time Delay And Ecoaching To Teach Employment Skills To Young Adults With Autism Spectrum Disorder And Intellectual Disability In A Community Work Environment, Annemarie L. Horn Jul 2017

Using Constant Time Delay And Ecoaching To Teach Employment Skills To Young Adults With Autism Spectrum Disorder And Intellectual Disability In A Community Work Environment, Annemarie L. Horn

Communication Disorders & Special Education Theses & Dissertations

The goal of secondary education is to prepare students for greater levels of independence, especially in the areas of continued education and community employment. However, despite underlying potential, young adults with autism spectrum disorder (ASD) and comorbid intellectual disability (ID) are vastly underrepresented in the area of post secondary employment. This could be attributed to the unique characteristics and learning needs of these students, or it may be a function of the lack of effective, evidence-based teaching practices, implemented with fidelity.

The purpose of this study was to examine the effectiveness and participant perceptions of implementing the constant time delay …


Breaking The Silence: A Phenomenological Exploration Of Secondary Traumatic Stress In U.S. College Student Affairs Professionals, Robert Jason Lynch Jul 2017

Breaking The Silence: A Phenomenological Exploration Of Secondary Traumatic Stress In U.S. College Student Affairs Professionals, Robert Jason Lynch

Educational Foundations & Leadership Theses & Dissertations

Breaking the Silence: A Phenomenological Exploration of Secondary Traumatic Stress in U.S. College Student Affairs Professionals is a qualitative-intensive mixed methods study using phenomenology and art-based research techniques to uncover the essence of secondary traumatic stress in U.S. college student affairs professionals. Researchers in the fields of psychology, counseling, social work and other helping professions suggest that repeated exposure to individuals experiencing trauma, or hearing repeated details of an individual’s trauma, have negative outcomes on professional helpers. Coined secondary traumatic stress, this phenomenon may be defined as “the stress resulting from helping or wanting to help a traumatized or suffering …