Medicine and Health Sciences Commons^™

Is Sublingual Buprenorphine Treatment Effective And Efficient When Compared To Traditional Neonatal Opium Solution (Morphine) In Treating Newborns With Neonatal Abstinence Syndrome?, Abigail G. Stefanides

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this selective EBM review is to determine whether sublingual buprenorphine treatment is effective and efficient when compared to traditional neonatal opium solution (morphine) in treating newborns with neonatal abstinence syndrome (NAS).

Study Design: Review of one randomized active-control clinical trial, one randomized doubleblind, double-dummy clinical trial, and one retrospective cohort analysis.

Data Sources: All articles were published in English between the years of 2011 and 2017. Articles were obtained from peer-reviewed journals and databases using PubMed and Embase.

Outcomes: Outcomes measured were length of stay using the neonates birth date and hospital discharge date as well …

The Effects Of A 40-Minute Bout Of Aerobic Exercise On State Anxiety In College Age Individuals, Rachael Dozier

Online Theses and Dissertations

The purpose of this study was to determine if a forty-minute bout of aerobic exercise would decrease the state anxiety and heart rate of college aged individuals. This study was prompted due to the higher levels of anxiety in college aged individuals found in literature (Silva & Tucci, 2018). Specifically, college students need healthy alternatives to cope with their anxiety instead of turning to alcohol. Heightened levels of anxiety in this age range have been shown to increase negative coping habits, such as drinking, drugs, and eating disorders. These negative habits not only affect the individual physically, but also can …

How Coping Process Relates To Eating Behaviors Among Military Veterans With Posttraumatic Stress Disorder, Debra Kimberlin

Graduate Research Theses & Dissertations

Posttraumatic stress disorder (PTSD) is a mental health condition faced by many veterans, and veterans with PTSD have higher rates of poor health and obesity than civilians. Evidence suggests mental health issues such as PTSD may be associated with disordered eating behaviors. In addition, veterans with PTSD may select a variety of coping behaviors to manage stress and emotions, some of which may negatively impact their health. This study explored the relationships between coping process, emotion- and stress-related eating, and eating disorder risk among a sample of veterans with PTSD (n = 239) who were recruited through veteran service organizations …

Polysubstance Opioid Use In A Justice-Involved Population: An Analysis Of Patterns And Reentry Outcomes, Amanda Marie Bunting

Theses and Dissertations--Sociology

The public health crisis surrounding opioid use is pronounced among justice-involved populations, who face high rates of overdose mortality as well as HIV, and hepatitis C due to injection drug use. The majority of opioid-related overdoses are due to polysubstance use (PSU), and a better understanding of the prevalence and patterns of PSU are necessary in order to inform interventions. This dissertation project has three aims: (1) understand the patterns of opioid PSU among a justice-involved population, (2) identify PSU patterns most at-risk for post-release relapse, and (3) examine engagement in post-release health service utilization. Post-release aims are guided by …

Associations Between Ethnic-Racial Identity, Family Factors And Alcohol Problems Among Diverse Emerging Adults, Chloe Walker

Theses and Dissertations

The current study examined how multiple dimensions of ethnic-racial identity (ERI) were associated with alcohol use and alcohol use disorder (AUD) symptoms and how these relations varied by individuals’ ethnic-racial group among 1850 diverse emerging adults (M = 18.46, SD = .38). Further, measurement invariance of the Ethnic Identity Scale-Brief (EIS-B) was tested across Latinx, White, Black, Asian, and Multiracial students. Additionally, alternative models were examined that tested whether family factors (i.e., parent education and family history of alcohol problems) moderated the relations between ERI and alcohol problems to further examine nuances in these relations. Results indicated that the …

Modified Eye Movement Desensitization Therapy Protocol Treating Substance Abuse Disorders, Elise Von Tersch

Walden Dissertations and Doctoral Studies

Quality substance abuse treatment is needed to help fight the battle against drug addiction. This qualitative study was designed to explore some of the approaches to eye movement desensitization (EMDR) therapy that therapists trained in Parnell's adapted EMDR model use in conjunction with treatment for addictions. The purpose of this narrative inquiry was to investigate the experience of therapists who incorporate substance abuse treatment with Parnell's adapted EMDR model when treating trauma and substance use disorders. The population studied comprised licensed mental health therapists who had completed Parnell's EMDR training and implemented Parnell's modified EMDR protocol in their professional practice. …

Prescreening Recommendations For Patients On Medical Cannabis, Wen Chieh Hu

Walden Dissertations and Doctoral Studies

Marijuana is the most frequently used illegal substance in the United States and is most widely used among young people aged 12 to 21 years. Accurate screening and monitored issuance of medical cannabis recommendations have been shown to decrease abuse rates of the substance, create fewer deaths from opiates, reduce crime rates, reduce marijuana use in youths, decrease car crash deaths, and lessen prevalence of suicide in young men. The purpose of this project was to explore whether multiple screening methods for depression and anxiety in patients who seek medical cannabis referrals for anxiety and depression would improve screening and …

Military Sexual Trauma Survivors' Experiences And Perceptions Of Cognitive Processing Therapy, Sally A. Mead

Walden Dissertations and Doctoral Studies

Military sexual trauma (MST) has been associated with poor emotional and psychological well-being, less overall life satisfaction, and poorer health in general as well as higher rates of posttraumatic stress disorder (PTSD). The Department of Veterans Affairs provides treatment for veterans who experienced MST and recommends cognitive processing therapy (CPT) as a preferred treatment modality. Quantitative studies have shown that CPT can decrease symptoms of PTSD; however, a neglected area of study concerns the experiences of veterans who receive CPT for MST-related PTSD. In this generic qualitative study, the perceptions and experiences of female veterans who were survivors of MST …

Emergency Responders' Perceptions Of Mental Health Patients While Providing Care In Rural Areas, Cindy Perkinson Costilla

Walden Dissertations and Doctoral Studies

Prior research has shown a correlation between public stigma and emergency responders' perceptions of mental health patients while providing care. However, research examining public stigma and emergency responders' perceptions of mental health patients is limited in rural areas. The purpose of this study was to explore possible relationships between the dependent variable, public stigma, and the independent variables: social distance, blameworthiness, and fear of unpredictable behavior. Link's modified labeling theory was the theoretical framework for this study. A sample of 92 emergency responders obtained from Facebook completed a questionnaire that consisted of three Likert scales. A multiple regression showed little …

Emerging Strategies For Engaging Young People In Systems Of Care, Research And Training Center For Pathways To Positive Futures, Portland State University

School of Social Work Faculty Publications and Presentations

Systems of care are increasingly serving older youth and young adults up to age 24, and in our research and training work with providers, we hear about the challenges of engaging young people in typical services. Many providers are responding to the unique developmental needs of this population by adapting the design and delivery of their services to better engage and retain young people in system of care supports. Overall, strategies include expansion of drop-in center programming, adaptations to practice models like Wraparound, and new outreach efforts using social media and other technologies. Our purpose here is to share some …

An Assessment Of Attitudes And Perceptions Of College Students Toward A Suicide Program On A College Campus: A Descriptive Study, Rachel Tolliver

DNP Research Projects

OBJECTIVE: A baseline assessment examines the status of attitudes and perceptions about the suicide prevention program of a small, private, southeastern, Christian university. Gaps in the literature include the lack of baseline evaluations at universities before evidenced-based practice (EBP) interventions.

PARTICIPANTS: A purposive sample of sixty-nine sophomores classified as first-year students for the 2016-2017 school year. The study sample lived on campus both semesters of the 2016-2017 school year.

METHODS: Participants completed the retired Suicide Prevention Exposure, Awareness and Knowledge Survey (SPEAKS) – SV (Student Version) by the Substance Abuse & Mental Health Services Administration (SAMHSA) for the Garrett …

The Effect Of Narrative Medicine Combined With Medication Assisted Treatment On Decreasing The Desire To Use Intravenous Substances In Hospitalized Patients With Infective Endocarditis, Paula Works

DNP Projects

Substance abuse is a significant problem that spans the nation. Of particular concern is the growing population of patients at UK HealthCare who have endocarditis as a complication from IV substance abuse.

PURPOSE: The aims of this study were

1. To assess the effect of narrative medicine combined with MAT, compared to MAT alone, on desire to use in hospitalized patients with a history of IV substance use
2. To examine the changes in quality of life before and after the introduction of narrative medicine in hospitalized patients with a history of IV substance abuse using The Quality of Life Scale (QOLS). …

The Effects Of Compassion Fatigue On Burnout Among Inpatient Psychiatric And Intensive Care Unit Nurses, Amita Madan Neidlinger

DNP Projects

PURPOSE: This DNP project is relevant to nurses of the psychiatric and Intensive Care Unit (ICU) setting, as high stress environments may produce higher rates of compassion fatigue and burnout. Investigation of these areas may help illuminate unnecessary healthcare costs that are associated with these phenomena. This DNP project is important to the University of Kentucky’s healthcare system, its patients, and nurses. Increased absenteeism and increased medication errors are positively associated with the prevalence of compassion fatigue and burnout in nurses. Outcomes from this project will allow identification of unnecessary healthcare costs and encourage administrators to focus on reducing nurse …

ความตั้งใจมีบุตร และความเกี่ยวข้องกับบุคลิกภาพและการเผชิญปัญหาในผู้ที่มาจดทะเบียนสมรสใหม่ ณ สำนักงานเขตบางรัก กรุงเทพมหานคร, พิชญา วัฒนวิทูกูร

Chulalongkorn University Theses and Dissertations (Chula ETD)

การวิจัยครั้งนี้เป็นการวิจัยเชิงพรรณนา ณ จุดเวลาใดเวลาหนึ่ง เพื่อศึกษาความชุกของความตั้งใจไม่มีบุตร และความเกี่ยวข้องกับบุคลิกภาพและการเผชิญปัญหา ในผู้ที่มาจดทะเบียนสมรสใหม่ ณ สำนักงานเขตบางรัก กรุงเทพมหานคร เก็บรวบรวมข้อมูลจากผู้มาจดทะเบียนสมรสเพศชายและหญิงจำนวน 380 คน โดยใช้แบบสอบถามแบบตอบด้วยตนเอง ซึ่งประกอบด้วยแบบสอบถามข้อมูลพื้นฐานทั่วไป แบบทดสอบบุคลิกภาพ MPI (The Maudsley Personality Inventory) และแบบวัดการเผชิญปัญหา ใช้ Univariate analysis (ได้แก่ T-Test และ Chi-Square) เพื่อทดสอบปัจจัยที่มีความสัมพันธ์กับความตั้งใจไม่มีบุตร และใช้ Multivariate Analysis เพื่อหาปัจจัยทำนายของความตั้งใจไม่มีบุตรในผู้มาจดทะเบียนสมรสกลุ่มนี้ ผลการศึกษาพบว่าความชุกของความตั้งใจไม่มีบุตรในผู้มาจดทะเบียนสมรสมีอัตราร้อยละ 13.7 เมื่อทดสอบความสัมพันธ์พบว่าบุคลิกภาพ มิติที่ 1 ด้านพฤติกรรม (Scale E – extraversion) มีความสัมพันธ์กับความตั้งใจไม่มีบุตรอย่างมีนัยสำคัญ โดยกลุ่มตัวอย่างที่มีบุคลิกภาพแบบเก็บตัว (Introvert) มีความตั้งใจไม่มีบุตรสูงกว่ากลุ่มตัวอย่างที่มีลักษณะบุคลิกภาพแบบแสดงตัว (Extravert) นอกจากนี้ยังพบว่าการใช้กลวิธีการเผชิญปัญหาแบบมุ่งจัดการปัญหา (1.8 - การแสวงหาการเป็นส่วนหนึ่งของกลุ่ม) มีความสัมพันธ์เชิงลบกับความตั้งใจไม่มีบุตรอย่างมีนัยสำคัญ และการใช้กลวิธีการเผชิญปัญหาแบบหลีกหนี การใช้กลวิธีการเผชิญปัญหาแบบหลีกหนี (3.4 - การเก็บความรู้สึกไว้คนเดียว) และการใช้กลวิธีการเผชิญปัญหาแบบหลีกหนี (3.2 - การไม่แสดงออกทางพฤติกรรม) มีความสัมพันธ์เชิงบวกกับความตั้งใจไม่มีบุตรในผู้มาจดทะเบียนสมรสอย่างมีนัยสำคัญ

Daily Factors Driving Daily Substance Use And Chronic Pain Among Older Adults With Hiv: A Study Using Ecological Momentary Assessment, Alexis Kuerbis, M. Carrington Reid, Jordan Lake, Suzanne Glasner-Edwards, Jessica Jenkins, Diana Liao, Jury Candelario, Alison A. Moore

Publications and Research

Background: Adults 50 and older make up approximately 50% of persons living with HIV. Multiple co-morbidities are common among this group, including chronic pain and substance abuse, yet little is known about the daily factors that either enhance or inhibit these experiences or behaviors. This study explored daily drivers of substance use, pain, and relief from pain among older adults living with HIV utilizing ecological momentary assessment (EMA). Method: Participants (N=55), ages 49–71, completed seven consecutive days of daily EMA online surveys prior to treatment initiation within a randomized controlled trial. Multilevel modeling tested predictors of pain, substance use, and …

The Risk For Developing Eating Disorders Among Indivdiuals With Diabetes, Nicole Havlik

Graduate Research Theses & Dissertations

Objective: The objective and purpose of this research was to determine if individuals with type 1 and type 2 diabetes are at risk for developing eating disorders. Currently, there is a gap in literature on the topic of eating disorders and diabetes. Further, there is little research on those with type 2 diabetes and their risk for eating disorder development. Management of diabetes and eating disorder treatment contradict each other. Therefore, there is a need to understand the risk involved in the treatment of diabetes in order to prevent eating disorder development.

Methods: The current study used a Likert-type scale …

Increasing Low-Income Residents’ Access To Fresh Produce Through A Local Mobile Pantry, Laura E. Wasson, L. Lanier Nalley, Mechelle Bailey, Laura Hill

Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences

Seeds that Feed (STF) is a mobile food pantry located in Fayetteville, Arkansas. STF receives produce from local farmers to distribute to residents in low-income housing sites throughout Northwest Arkansas. According to Feeding America, food insecurity affected 14.3% Washington County, Arkansas’ population in 2016. The purpose of this study was to determine if STF’s model is an effective way to increase individuals’ access to fresh fruits and vegetables and increase their potential to meet the United States Department of Agriculture’s Food Patterns (USDA-FP) for to fruit and vegetable consumption. Twenty-three participants from three sites completed the study. A survey was …

Pokemon Go And Mental Health, Nathaniel Ed

Masters Theses

Pokémon GO is a new type of game that emphasizes physical activity and social interaction. In the literature, both physical activity and social interactions have been shown to be positively correlated with mental health. Much research has been conducted on the effects of gaming on mental health, but to date no research has been done on the possible correlations of the game Pokémon GO and mental health. The present study was conducted to determine whether Pokémon GO players scored significantly lower than a control group of traditional garners on scales of depression, anxiety, and pathological gaming, and if they reported …

Teachers' Perception Of Mental Health In The School System, Nicholas Caldwell

Masters Theses

The study examined teachers' perceptions of their school's mental health system. Specifically, teachers were asked about their role in the identification process, how effective their school's system is at identifying and treating mental health problems, and their suggestions for improvement. Mental health problems affect a significant portion of today's youth (Merikangas et al., 2010). Mental health problems can negatively impact an adolescent's academic achievement, social relationships, and behavioral functioning (Woodward & Fergusson, 2001). Six teachers from a southeastern, rural Illinois high school participated in the study. Each teacher participated in a single interview and discussed their perceptions of the school's …

Mapping Addiction: A Digital Psychogeographic Approach To America's Addiction Epidemic, Clayton Benjamin

Electronic Theses and Dissertations

Focusing on policy consultation, my dissertation consults on the current US addiction epidemic and aims to answer, "What is our disposition to addiction?" Borrowing and clarifying Ulmer's MEmorial method, as established in his text Electronic Monuments, the dissertation combines the ancient Greek practice of theoria, Deleuzian theory, and psychogeographic counter-mapping methods to trace ways in which ideological apparatuses construct addiction. The aim of the dissertation is to reveal an abject value by constructing MEmorials which provide space for individuals to mourn loss and see their relation to that loss. Through mourning, individuals strengthen their ties to other community members and …

Wellness In Asexual-Identified Individuals: The Impact Of Social Support And Microaggressions, Elisa Marie Woodruff

Graduate Research Theses & Dissertations

One hundred sixty asexual identified individuals living in the United States were recruited from asexual online communities. The participants completed a comprehensive survey consisting of Zimet et al.’s 1988 Multidimensional Scale of Social Support, Foster’s 2017 Asexual Microaggression Scale, and the Five Factor Wellness Inventory Adult Version Revised (FFWEL-A2) developed by Myers and Sweeney in 2014, as well as 15-item demographic items. Regression models were used to assess relationships among the factors.

Social support was found to have a significant positive impact on participant wellness, supporting previous social science research. Microaggressions were not found to have a negative impact on …

Construct Validity Of The Teate Depression Inventory (Tdi) With A Middle Eastern/Arab American Sample, Dalia Bunni

Masters Theses

The purpose of the study was to examine the construct validity of a newer test used to measure depressive symptoms, the Teate Depression Inventory (TDI). The primary focus of the study was on Middle Eastern/Arab Americans (ME/AA). Previous research has demonstrated that ethnic minority groups may experience and present internalizing disorders, such as depression and anxiety differently than the majority ethnic group, White/Caucasian (W/C) individuals. Further, research suggests that there is a disparity in mental health care among ethnic minority groups, starting with detecting and diagnosing mental health disorders. Inaccurate detection and diagnoses informs inaccurate treatment, further creating a disparity. …

Outpatients' And Treatment Providers’ Cultural Model(S) Of Mental Illness In Northern Illinois, Emily Jean Stephen

Graduate Research Theses & Dissertations

For this thesis, I interviewed outpatients and clinicians from mental health treatment providers from the DeKalb, Illinois area to investigate the cultural models of mental illness held by both groups. I employed ethnographic methods of semi-structured interviews, and with cognitive tasks (free-listing, and pile sorting) to research similarities and differences between the outpatients’ and mental health treatment providers’ cultural models of ‘mental illness.’ Both mental health clinicians and outpatients have experience with disorders commonly termed ‘mental illness.’ I found differences of experience and identity seemed to more strongly influence one’s cultural model of mental illness than one’s level or type …

Program Review Of Naloxone Training Within The Wisconsin Department Of Corrections’ Community Corrections Division, Chelsea Calhoon

All Graduate Theses, Dissertations, and Other Capstone Projects

One of the fastest growing drug problems in the United States is the abuse of opioids (United States Department of Health & Human Services, 2018). With the rising overdose rates, the criminal justice system may offer a pivotal role in the decrease of overdose deaths through opioid overdose recognition and naloxone administration training (World Health Organization, 2014). Training evaluation based on the Effectiveness Theory find significant predictors of training effectiveness and retention to be correlated with the training program, age, and employment tenure (Cowman & McCarthy, 2016). This thesis’ research question is, “Do demographics correlate to training retention for opioid …

Randomised Study Demonstrates Sustained Benefits Of A Pre-School Intervention Designed To Improve Nutrition And Physical Activity Practices, Diewerke De Zwarte, John Kearney, Clare A. Corish, Corina Glennon, Lorraine Maher, Charlotte Johnston Molloy

Articles

Background: Health-promoting programmes must demonstrate sustained efficacy in order to make a true impact on public health. This study aimed to determine the effect of the Healthy Incentive for Pre-schools project on health-promoting practices in full-day-care pre-schools 18 months after a training intervention.

Methods: Thirty-seven pre-schools completed the initial study and were included in this follow-up study. The intervention consisted of one training session with either the pre-school 'manager-only' or 'manager and staff' using a specifically developed needs-based training resource pack comprised of written educational material and a validated health-promoting practice evaluation tool. Direct observation data of health-promoting practices were …

Efficacy Of A Va Residential Treatment Program For Co-Occurring Disorders, Kathrin Hohenstern

Walden Dissertations and Doctoral Studies

The problem of co-occurring substance abuse and mental health disorders among the veteran population can impact numerous aspects of a veteran's life, including self-esteem, relationships, employment, and legal issues. The Mental Health Residential Rehabilitation Treatment Program (MH RRTP) at the Saint Cloud, Minnesota VA Healthcare System is a program that provides residential treatment for this population. Identifying practical and beneficial treatment methods promotes better coping mechanisms for veterans and impacts social change by providing timely and cost-efficient care for veterans, while also leading the way for overall changes and improvements in other VA residential treatment programs. This study identified how …

Social Health And A Healthy Social Life Based On Wisdom And Intellectuality, Alireza Atarodi, Meisam Dastani, Ahmadreza Atarodi

Library Philosophy and Practice (e-journal)

Introduction:

Human kinds are social animals, and are pleased living together pleasantly and positively in mental and physical forms. Without positive living and to live in challenges and clashes is bad and catastrophic, but what’s the way out? One of the way that seems not so costly, with no war and seems that can direct and put the world in peace or in a good running order will be wisdom and intellectuality transfused by many scientific centers and the wise men, then we intended to survey the social health and a healthy social life based on wisdom and intellectual …

The Effects Of Mindfulness Practice With Music Listening On Working Memory, Emily Irene Messick

University of the Pacific Theses and Dissertations

The purpose of this experimental study was to investigate mindfulness strategies and their influence on working memory. The potential role of music in facilitating mindfulness practice is explored. Various listening exercises were investigated along with their influence on working memory (i.e. attention control). Thirty-four individuals were randomly assigned to participate in one of four listening groups: 1) mindfulness with music, 2) mindfulness without music, 3) music only, and 4) silence. Thirty-four participants engaged in a computerized digit-span task before and after the listening exercise to assess pre- and post-test working memory performance. Thirty participants were included in data-analysis due to …

Female Veterans' Combat Experience And Ptsd On Male Partners' Psychological Distress And Relationship Quality, Theresa Denise Abraham

Walden Dissertations and Doctoral Studies

Female veterans' combat exposure to trauma places them at risk for developing posttraumatic stress disorder (PTSD), which has consequences for healthful reintegration to family and civilian life. Previous research found that wives who provide continuous care to male veterans with PTSD experience symptoms of psychological distress; however, little research has been conducted on the influence of female veterans' PTSD on their intimate male partners' (IMPs) psychological well-being. A multivariate correlational design was used to examine the influence of female veteran PTSD on psychological distress and relationship quality in IMPs. The couples' adaption to traumatic stress model was used as the …

Psychologically Satisfying: Exploring Client Experiences With Dynamics Of Shared Decision-Making In Care From Prescribing Psychologists, Ashley Graboski-Bauer

Open Access Theses & Dissertations

The purpose of this study was to explore the field of prescribing psychology as it is practiced by providers and experienced by clients in New Mexico. Prescribing psychology is an emerging field of hybrid mental healthcare in which psychologists with special post-doctoral training can obtain prescriptive authority in certain jurisdictions. The study sought to take a client-centered approach to investigating the type and quality of care provided to clients by prescribing psychologists (RxPs). This study included a provider survey of knowledge, attitudes, and practices regarding health literacy and shared decision-making, and a client survey of satisfaction and experiences with care …