Medicine and Health Sciences Commons^™

Photovoice: Engaging School Communities In Wellness Efforts, Hilary J. Overby

Electronic Theses and Dissertations

Introduction: Currently there are no interactive tools that allow school communities to assess their school wellness needs and foster interest in wellness efforts. PhotoVoice is a participatory action research methodology commonly used in public health that utilizes photography to document and showcase community strengths and weaknesses in order to promote change. Purpose: The purpose of this study was to gather perceptions of a school community after using PhotoVoice to document school wellness efforts 1. Participants: High school students (n=103) and school community members (i.e., residents of community, school faculty) (n=188) were recruited across three school districts. Methods: High school students …

An Assessment Of The Health Needs Of The Transgender Community In Montana, Karishma Chainani

Graduate Student Theses, Dissertations, & Professional Papers

Transgender individuals face a unique set of challenges in their day to day lives. While issues regarding stigma and discrimination are well documented in the literature, most of the information about transgender people has been gathered in urban settings. The purpose of this study, therefore, was to explore factors that influence quality of life and risk of infection with Human Immunodeficiency Virus (HIV), Hepatitis C (HCV), Sexually Transmitted Diseases (STD’s) among transgender people living in Montana. A questionnaire was developed after a thorough review of the literature as well as a review of existing assessments. The questionnaire was reviewed by …

The Growing Crisis In Maine: Neonatal Abstinence Syndrome, Olivia Avidan

Honors Theses

Neonatal Abstinence Syndrome (NAS) is a Maine epidemic. In addition to having medical repercussions, NAS is intrinsically linked to social, political and economic factors. NAS is a conglomeration of symptoms, short-term and long-term, that affect a child that has been exposed to opioids in utero. These factors that impact NAS are interdependent. The past decade is characterized by a dramatic rise in NAS cases in Maine. This paper explores the social, political and economic landscape surrounding NAS in an effort to describe fully the syndrome’s effect on both individuals and the community as a whole.

The Validity Of The Obsessive-Compulsive Syndromes As Emotional Disorders, Doty Jennings

Masters Theses

Recent changes to the Diagnostic and Statistical Manual of Mental Disorders have grouped together syndromes which are referred to as the obsessive-compulsive spectrum (OCS). The grouping of these syndromes is disputed because of lack of empirical verification for an organization purportedly based on research that supports similarity of observed symptoms. The taxonomy of emotional disorders was tested as an alternative model. Consistent with the model of the emotional disorders, this empirical research tested two proposed characteristics. The first was whether three OCS syndromes (hoarding syndrome, body dysmorphic syndrome, and obsessive compulsive syndromes) shared the broad factor of neuroticism or negative …

Examining College Faculty And Staff's Levels Of Confidence And Preparedness In Recognizing And Responding To Distressed Students, Rachel L. Chlebanowski

Masters Theses

Mental health on college campuses is a large focus, as students attending college with diagnosed mental illnesses are becoming more prevalent (Hunt & Eisenberg, 2010). While college campuses should be a safe and supportive environment for students, many faculty and staff do not know the resources available to students, nor are faculty and staff able to identify when students are suffering from a mental illness (Bateman, 1997). This study was designed to identify staff and faculty's ability to work with students with mental illness, including identifying warning signs, as well as recognizes campus resources. The study took place at a …

Facebook Addiction And Impulsive Decision-Making, Daniel Delaney

Masters Theses

This study examined the relationship between Facebook "addiction" and impulsive decision-making. Impulsive decision-making as measured by the delay discounting task is associated with a number of addictions and other problem behaviors. We gave 152 students a paper-based packet including the Bergen Facebook Addiction Scale to measure problematic Facebook use and a delay discounting task to assess impulsivity. 16 Facebook "addicted" participants were matched to 16 control participants on demographic data to compare differences in impulsivity. Likewise, we explored whether a correlational relationship between Facebook addiction scores and impulsivity existed. We found that Facebook "addicts" discounted delayed rewards more quickly than …

The Retrospective Diagnosis Of Attention-Deficit/Hyperactivity Disorder In Adolescents: Family Physicians' Challenges, Adam M. Pechmann

Masters Theses

The primary purpose of the study was to identify current retrospective practices used by family physicians in the diagnosis of Attention-Deficit-Hyperactivity Disorder (ADHD) in adolescents and young adults. In other words, do physicians adhere to best practices and examine information from childhood in order to diagnose ADHD in adolescents and young adults? In addition, this study aimed to examine the information physicians request for ADHD diagnosis, types of treatments they recommend, the type of information they use to assess treatment outcomes, and professional attitudes regarding the nature of ADHD. Participants completed a questionnaire designed to answer the research questions. Participants …

The Impact Of Performance-Based Assessment On University Esl Learners' Motivation, Kadidja Koné

All Graduate Theses, Dissertations, and Other Capstone Projects

This thesis examines the impact of performance-based assessment on university ESL learners' motivation. To reach this aim, data were collected from 21 international ESL students taking an intensive oracy course for non-native speakers. Online motivation questionnaires were used in order to find out how these learners responded emotionally and motivationally to performance-based assessment, specifically an oral presentation project both before and after the project. The results revealed that the students responded positively to this type of project. However, their motivational and emotional states varied across time depending on their experience with the oral presentation, their performance, and the cohesion of …

Impact And Prevention Of Psychiatric Polypharmacy In The Elderly, Rose Cordelia E Onyekwe

Walden Dissertations and Doctoral Studies

Adequate medication management is a focus of effective care that is often overlooked in caring for adults with comorbid psychiatric and physical conditions, especially in patients who are treated by multiple care providers and have a variety of health issues at the same time. The purpose of this project was to develop evidence-based policies and practice guidelines to reduce polypharmacy in elderly patients in a rural outpatient psychiatric clinic. Bandura's self-efficacy theory was used to inform the project for its value in assessing motivation, capacity for self-regulation, and perceptions of individual ability. An interdisciplinary team of stakeholders explored best practices …

Implementing Animal Therapy Into Current Medicinal Practices, Jenna Schiefelbein

Physician Assistant Scholarly Project Posters

• The purpose of this study was to explore an unconventional intervention of medicine; specifically the integration of animals into current healthcare practices.

• The review of literature evaluated the implementation of animal therapy in medicine, both in the past and present.

• It was demonstrated that incorporating animal-assistance therapy into modern day medicine had a positive correlation with overall patient health, pain control, and disposition.

Pediatric Autoimmune Neuropsychiatric Disorders Associated With Streptococcal Infection Antibiotic Prophylaxis Treatment Compared With Alternative Treatment Options, Heather Watkins

Physician Assistant Scholarly Project Posters

• Pediatric Autoimmune Neuropsychiatric Disorders associated with Streptococcal Infection, known as PANDAS, is a clinical diagnosis made after a child develops Obsessive Compulsive Disorder and/or ticks after a Streptococcal Pharyngitis. Pediatric Autoimmune Neuropsychiatric Disorders associated with Streptococcal Infection is diagnosed in children 3 years of age until 14 years of age. The purpose of this study is to determine if antibiotics versus selective serotonin reuptake inhibitor with cognitive behavior therapy versus prophylaxis with antibiotics should be used in the treatment of children who develops PANDAS. The review of literature will explore studies that compare current treatment options with new research …

Accidental Opioid Overdose Fatalities In Western Australia, 2008-2012: A Case For More Targeted Intervention, Natalie J. Castalanelli

Theses : Honours

While there are current opioid overdose prevention strategies in Western Australia, these strategies are targeted at illicit opioid users and rely on bystander presence to intervene. The aim of the current study was to identify disparities between current overdose prevention strategies and the actual circumstances surrounding opioid related fatalities, to inform the development of best-practice opioid overdose prevention strategies for Western Australia. To do this, coronial files were drawn from the National Coronial Information System for accidental illicit opioid related fatalities (N = 329) and accidental prescription opioid related fatalities (N = 126) for the years 2008 to 2012. Each …

Factors Influencing Depression In Men: A Qualitative Investigation, Lori A. Mutiso

Theses and Dissertations--Nursing

The purpose of this qualitative descriptive study is to describe men’s experiences of depression in order to provide direction for future research of the screening, diagnosing, and treatment of men's depression. Previous research indicates that men experience different depressive symptoms than women, and there is a possibility that men's depression is not being adequately captured by current screening standards, which would theoretically lead to a large number of men with unrecognized, undiagnosed, and untreated depression. If this is the case, this may explain the disproportionately low number of men diagnosed with depression compared to women, in contrast to the disproportionately …

The Contribution Of Mindfulness Meditation And Values Clarification To The Treatment Of Anxiety : An Experience Sampling Study, Christopher Robert Berghoff

Legacy Theses & Dissertations (2009 - 2024)

Anxiety disorders are the most prevalent mental health concern in the United States. Yet, many who suffer from anxiety do not receive treatment or fail to respond to well-established cognitive and behavioral interventions. Mindfulness- and values-based strategies are possible alternatives for these individuals. However, values-based approaches have not been adequately studied in anxious populations and it is unclear how they may interact with mindfulness-based approaches. Moreover, little is understood about the mechanisms of action underlying behavioral changes resulting from mindfulness meditation (MM) practices. Acceptance and Commitment Therapy (ACT) is one approach that employs values clarification (VC) and mindfulness to bring …

Joint Attention Intervention With Assisting Parent­ Mediated Techniques To Increase A Toddler With Autism Spectrum Disorders' Use Of Joint Attention: A Single Case Study, Rebecca Schulz

All Graduate Theses, Dissertations, and Other Capstone Projects

Attention Intervention (JAI) conducted by graduate researcher, parent, and caregiver, would change the use of joint attention (JA) by a three-year-old suspected of having Autism Spectrum Disorder (ASD). The participant was a three-­year-­old child suspected of having ASD. Intervention was conducted twice per week for 30-45 minute duration by the student graduate researcher at a university clinic under the supervisor of Dr. Bonnie Berg, CCC­SLP. The parent and child's caregiver were trained in JAI and implemented the intervention daily in the home environment. The author's research question was, "Will the use of a JAI parent­mediated intervention model increase the JA …

Should Educators Be ‘Wrapping School Playgrounds In Cotton Wool’ To Encourage Physical Activity? Exploring Primary And Secondary Students’ Voices From The School Playground, Brendon P. Hyndman, Amanda Telford

Australian Journal of Teacher Education

Physical activity in school playgrounds has changed considerably over recent decades to reflect a climate of ‘surplus safety’. A growing culture of surplus safety can be attributed to a desire of parents and teachers responsible for children to protect school students from danger. The aim of this research was to examine students’ perceptions of playground safety influences on physical activity during school breaks from the perspectives of the ‘users’ of school playgrounds. Data collection consisted of seven focus groups (4 primary school & 3 secondary school) conducted across four schools (2 primary & 2 secondary). During this study, the focus …

Mental Illness, Poverty And Stigma In India: A Case–Control Study, Jean-Francois Trani, Parul Bakhshi, Jill Kuhlberg, Sreelatha S. Narayanan, Hemalatha Venkataraman, Nagendra N. Mishra, Nora E. Groce, Sushrut Jadhav, Smita Deshpande

Brown School Faculty Publications

Objective: To assess the effect of experienced stigma on depth of multidimensional poverty of persons with severe mental illness (PSMI) in Delhi, India, controlling for gender, age and caste.Design: Matching case (hospital)–control (population) study.Setting: University Hospital (cases) and National Capital Region (controls), India.Participants: A case–control study was conducted from November 2011 to June 2012. 647 cases diagnosed with schizophrenia or affective disorders were recruited and 647 individuals of same age, sex and location of residence were matched as controls at a ratio of 1:2:1. Individuals who refused consent or provided incomplete interview were excluded.Main outcome measures: Higher risk of poverty …

Time-Limited Case Management For Homeless Mothers With Mental Health Problems: Effects On Caregiver Mental Health., Judith Samuels, Patrick J. Fowler, Andrea Ault-Brutus, Dein-In Tang, Katherine Marcal

Brown School Faculty Publications

Objective: In this study we test the effect of a time-limited case management model targeting homeless mothers who are experiencing mental health problems. Adapted from an empirically informed intervention to prevent recurrent homelessness among individuals, the Family Critical Time Intervention (FCTI) supports mothers with children for a 9-month period as they move from homeless shelters into affordable housing. The case management team uses a structured intervention to encourage mothers to create and maintain necessary connections in the community for key family supports. Method: We use a longitudinal randomized controlled trial (N = 210) to test whether homeless mothers referred to …

Health Information Exchanges And Patient Portals In Behavioral Health, Christine Peterson

Applied Research Projects

We live in an electronic world. Technology is everywhere, including in our healthcare system. With the advent on the electronic health record and the push to meet Meaningful Use, many healthcare organizations have already started using patient portals and sharing information among providers via health information exchanges. There have been roadblocks to successful implantation of patient portals and health information exchanges, one of which is how to handle behavioral health information and would these new technologies be accepted by patients with mental health diagnoses

Health And Stress Symptoms In University Professors And Their Relationship With The Process Of Obtaining A Permanent Position, Irene Concepcion Carrillo-Saucedo

Open Access Theses & Dissertations

This research study used a quantitative, correlational method to examine health and stress symptoms in university professors and their relationship with the process of obtaining a permanent position and participation in a merit pay program. The Stress Profile Inventory (PEN) was used to measure professors’ health habits, social support network, Type A behavior, cognitive hardiness, coping styles and psychological well-being. An original measure with a Likert-type scale was used to measure health status. The questionnaires were distributed to 104 professors from the Universidad Autónoma de Ciudad Juárez (UACJ) who provided voluntary participation. Based on the results of the study, certain …

Effective Youth Suicide Prevention: Evidence From Kentucky, Dessi Slavova, Hatim A. Omar

Pediatrics Faculty Publications

In 2013, Suicide was the second leading cause of death among U.S. young adolescents (15-19 years of age), accounting for 18.4% of all deaths in this age group. According to a nationally representative study on the lifetime prevalence of adolescent suicidal behaviors, 12.1% of U.S. adolescents experience suicidal ideation, 4.0% develop a plan, and 4.1% attempt suicide. The same study estimated that approximately 60% of young people with a suicide plan will attempt suicide, and most of the adolescents who subsequently make an attempt do so within the first year after the onset of ideation.

These findings support the importance …

Starting Off, Hatim A. Omar

Pediatrics Faculty Publications

This book is really a reflection of the past 15 years of work with teens and suicide prevention in the state of Kentucky. The work to establish the "Stop Youth Suicide Campaign (SYS)" has resulted in contact with many young adults and we have found that the most important thing for all of them, was finding a caring person they trust and can talk to. Because of the constant need, the SYS went from a goal of one year awareness campaign to a major community resource, to work with the state and local governments and state legislators to add as …

Disability And Suicide, Divya Nagraj, Hatim A. Omar

Pediatrics Faculty Publications

We provide a systematic review of suicide among adolescents with physical disabilities, intellectual disability and learning disability. A search was performed of English articles published prior to December 2014 in the PubMed database for studies examining suicide, suicidal behavior and suicidal ideation among adolescents with and without varied disabilities. Nine studies were retrieved, of which two studies examined adolescent populations with physical disabilities, three looked at suicide in adolescents with intellectual disability and four studies examined adolescents with learning disabilities. There were consistent results to prove that these adolescents with special needs had an increased tendency to commit suicide and …

Self-Cutting And Suicide In Adolescents, Donald E. Greydanus, Hatim A. Omar

Pediatrics Faculty Publications

Deliberate self-harm (DSH) is a common and typically secret phenomenon in adolescents, especially females that involves two main features—self-derogation and negative emotionality. Causes of non-suicidal self-injury include attempts to get help from professionals, express disgust or self-anger, resist suicidal thoughts, and correct episodes of dissociation. DSH is associated with eating disorders and alcohol abuse, as well as other illict drug abuse. Fortunately, most self-cutters are not at high risk for eventual suicide; however, all those with DSH histories should be carefully assessed for suicide as well as offered comprehensive management. Programs for prevention of suicide should be implemented for adolescents …

Law And Ethics Of Experiments On Social Media Users, James Grimmelmann

Cornell Law Faculty Publications

If you were on Facebook in January 2012, there is a chance that it tried to make you sad. If you were on OkCupid, there is a chance that it tried to match you up with someone incompatible. These were social psychology experiments: Facebook and OkCupid systematically manipulated people's environments to test their reactions. Academics doing similar experiments in a university setting would typically need to obtain informed consent from participants and approval from an Institutional Review Board (IRB). But Facebook and OkCupid, and the academics working with Facebook, had neither. This, I believe, is a problem.

These experiments offer …

Developing Executive Functions Through Mindfulness Training In School-Aged Children, Ashley Black Adams

PCOM Psychology Dissertations

Well-developed executive functions are necessary for successful classroom functioning. Students with executive function deficits can fall behind academically as well as socially and emotionally, relative to their same-aged peers. Effective interventions for developing executive functions within the school environment are essential for addressing this issue. This study examines changes in students’ executive functions as a result of their participation in a mindfulness training intervention. Participants included four ten-year old elementary school boys who took part in a ten-week mindfulness training intervention. The data were generated through pre and post assessments with an executive function teacher rating scale and a Goal-Attainment …

Impacts Of Objective And Subjective Social Inclusion On The Quality Of Life Of Individuals With Schizophrenia Spectrum Disorders And Major Depressive Disorder, Katie A. Johanning-Gray

PCOM Psychology Dissertations

Increased social inclusion and enhanced quality of life for individuals with severe mental illnesses (SMIs) are goals of the recovery movement. The present study examined the differences in reported subjective social inclusion (SubSI) and objective social inclusion (ObjSI) between individuals diagnosed with schizophrenia spectrum disorders (SSDs) and those diagnosed with Major Depressive Disorder (MDD). Furthermore, the amount of variance in quality of life (QOL) which can be predicted by type of diagnosis, SSDs or MDD, symptom severity, and SubSI and ObjSi was determined. An archival data set was used. Participants were 337 individuals whose primary diagnosis was an SSD or …

Effects Of Particulate Matter And Antioxidant Dietary Intake On Blood Pressure, Amy J. Schulz, J. Tomothy Dvonch, Angela G. Reyes, Betty T. Izumi

Community Health Faculty Publications and Presentations

Objectives—We assessed 2 pathways through which dietary antioxidants may counter adverse effects of exposure to particulate matter less than 2.5 micrometers in diameter (PM2.5) on blood pressure (BP): main (compensatory) and modifying (protective) models. Methods—We used 2002 to 2003 data from the Detroit Healthy Environments Partnership community survey conducted with a multiethnic sample of adults (n = 347) in low- to moderate-income, predominantly Hispanic and non-Hispanic Black neighborhoods in Detroit, Michigan. We used generalized estimating equations to test the effects of ambient exposure to PM2.5 and dietary antioxidant intake on BP, with adjustment for multiple confounders. Results—Dietary antioxidant intake was …

Keeping The Peace: Playback Theatre With Adolescents, Timothy J. Reagan

Expressive Therapies Dissertations

The purpose of this research was to understand the experience of a Playback Theatre (Playback) program for adolescents addressing themes of bullying perpetration and victimization. The guiding question for the study was: What was the phenomenological experience for homeless youth participating in Keep the Peace Leadership Program, a Playback program at Manhattanville College in Purchase, NY? The sample consisted of 11 youth residing at the Coachman Family Center in White Plains, NY, 11 Manhattanville students, and four adults from Big Apple Playback Theatre in NY. Participants completed the forms of bullying scale (FBS) so the researcher could measure bullying climates …

Rocky Mountain Alba Emoting Training For Creative Arts Therapists, Brant P. Wadsworth

Expressive Therapies Dissertations

This dissertation research explored what experiences and influences Rocky Mountain Alba Emoting (RMAE) training generated for creative arts therapists in both their personal and professional lives. RMAE builds upon the effector patterns of Alba EmotingTM which uses innate physiological processes to induce, experience, and cease six genuine basic emotions. RMAE uses the process of learning these patterns as a means of enhancing emotional expression, awareness, and balance. With emotions and emotional regulation playing an increasing role in psychotherapy, a therapist’s emotional life and ability to work with emotions have become more important. RMAE shares some characteristics with the practices of …