Medicine and Health Sciences Commons^™

Adapting Medical Guidelines To Be Patient-Centered Using A Patient-Driven Process For Individuals With Sickle Cell Disease And Their Caregivers, Robert M. Cronin, Tilicia Mayo-Gamble, Sarah-Jo Stimpson, Sherif M. Badawy, Lori E. Crosby, Jeannie Byrd, Emmanuel J. Volanakis, Adetola A. Kassim, Jean L. Raphael, Velma Mcbride Murry, Michael Debaun

Health Policy & Community Health: Faculty Publications

Background: Evidence-based guidelines for sickle cell disease (SCD) health maintenance and management have been developed for primary health care providers, but not for individuals with SCD. To improve the quality of care delivered to individuals with SCD and their caregivers, the main purposes of this study were to: (1) understand the desire for patient-centered guidelines among the SCD community; and (2) adapt guideline material to be patient-centered using community-engagement strategies involving health care providers, community -based organizations, and individuals with the disease.

Methods: From May–December 2016, a volunteer sample of 107 individuals with SCD and their caregivers gave …

Multinational Comparative Cross-Sectional Survey Of Views Of Medical Students About Acceptable Terminology And Subgroups In Schizophrenia, Shanaya Rathod, Muhammad Irfan, Rachna Bhargava, Narsimha Pinninti, Joseph Scott, Haifa Mohammad Algahtani, Zhihua Guo, Rishab Gupta, Pallavi Nadkarni, Farooq Naeem, Fleur Howells, Katherine Sorsdahi, Kerensa Thorne, Victoria Osman-Hicks, Sasee Pallikadavath, Peter Phiri, Hannah Carr, Lizi Graves, David Kingdon

Rowan-Virtua School of Osteopathic Medicine Departmental Research

AIM: The aim of this study was to inform thinking around the terminology for 'schizophrenia' in different countries.

OBJECTIVES: The objective of this study was to investigate: (1) whether medical students view alternative terminology (psychosis subgroups), derived from vulnerability-stress models of schizophrenia, as acceptable and less stigmatising than the term schizophrenia; (2) if there are differences in attitudes to the different terminology across countries with different cultures and (3) whether clinical training has an impact in reducing stigma.

DESIGN: This is a cross-sectional survey that examined the attitudes of medical students towards schizophrenia and the alternative subgroups.

SETTING: The study …

Life Satisfaction Among Elderly Patients In Nepal: Associations With Nutritional And Mental Well-Being. Health And Quality Of Life Outcomes, Saruna Ghimire, Binaya Kurmar Baral, Isha Karmacharya, Karen E. Callahan, Shiva Raj Mishra

School of Public Health Faculty Research

Nepal’s demography is aging rapidly, yet few studies to date have examined how this has affected the health and well-being of the elderly, defined as those above 60 years in Nepal’s Senior Citizen Act (2006). Our study, abbreviated NepEldQOLII, aims to assess perceived life satisfaction, and evaluate its relationship with nutritional health and mental well-being among the burgeoning Nepalese elderly population...(See full text for complete abstract)

Agreement Between Clinician-Rated Versus Patient-Reported Outcomes In Huntington Disease, Noelle E Carlozzi, Nicholas R Boileau, Joel S Perlmutter, Kelvin L Chou, Julie C Stout, Jane S Paulsen, Michael K Mccormack, David Cella, Martha A Nance, Jin-Shei Lai, Praveen Dayalu

Rowan-Virtua School of Osteopathic Medicine Departmental Research

BACKGROUND: Clinician-rated measures of functioning are often used as primary endpoints in clinical trials and other behavioral research in Huntington disease. As study costs for clinician-rated assessments are not always feasible, there is a question of whether patient self-report of commonly used clinician-rated measures may serve as acceptable alternatives in low risk behavioral trials.

AIM: The purpose of this paper was to determine the level of agreement between self-report and clinician-ratings of commonly used functional assessment measures in Huntington disease.

DESIGN: 486 participants with premanifest or manifest Huntington disease were examined. Total Functional Capacity, Functional Assessment, and Independence Scale assessments …

Crossroads Of Music And Medicine, Annie Heiderscheit

Crossroads of Music and Medicine

The author proposes reuniting the disciplines of music and medicine in the service of alleviating the impact of pain, addiction, and trauma on human life. Music listening can reduce symptomology, reduce the use of medicine, and reduce costs. In the author's work conducting the Bonny Method of Guided Imagery and Music (GIM) with adults in treatment for a chronic addiction, she found that after a series of GIM sessions, patients began talking about letting go, moving on, and finding empowerment and transformation.

Virtual Mentorship Network To Address The Rural Shortage Of Mental Health Providers, Heidi Keeler, Tara Sjuts, Kosuke Niitsu, Shinobu Watanabe-Galloway, Paul Force-Emery Mackie, Howard Liu

Social Work Department Publications

Introduction: The process of identifying effective responses to the challenges of placing and retaining a rural behavioral health workforce remains elusive. The Virtual Mentorship Network was developed to test the feasibility of using distance technology to connect rural students interested in mental health careers with mentors.

Methods: In Year 1, college and high school students were virtually mentored using a near-peer approach both live and asynchronously as a cohort over 7 months. In Year 2, college students only were virtually intensely mentored live over 1 month. High school students were asynchronously provided with informational videos produced by mentors. Program benefits …

Use Of A Unique Farmers’ Market Program Targeting Lower-Income Community Members, Brittany Lawrence, Anna E. Greer, Anne Marie Zimeri, Daphne C. Hernandez, Sangnam Ahn, Shaakira Jones, Matthew Lee Smith

Public Health Faculty Publications

We examined use of a farmers’ market that leverages community partnerships to provide free produce to lower-income persons. Participants (n = 422) were asked to complete a questionnaire and given an ID number, which was used to track market use from 2014 to 2015. Chi square tests were used to examine associations between 2014/2015 market use and reasons for market use, financial support received, and how attendees had learned about the market. Ordinal regression was used to identify household characteristics associated with increased market attendance. Although the proportion of lower-income attendees declined over the study period, a substantial proportion of …

An Analysis Of Self-Reported Suicide Attempts And Ideation In A National Sample Of Incarcerated Sex Offenders, Kseniya Katsman

Student Theses

Suicide is the leading cause of preventable death in US jails and prisons, with rates three to nine times higher than those of the general population. Although suicide in correctional settings has been recognized as a serious problem, the research on suicide among incarcerated individuals remains limited. While the majority of suicide risk factors may be common across all offender types, sex offenders may be at a particularly elevated risk. Specifically, sex offenders have been found to report high rates of hopelessness and depressive mood, which are known predictors of suicidal behavior, and approximately 14% of incarcerated sex offenders have …

Exploratory Study Of The Use Of Community Treatment Orders With Clients Of An Ontario Act Team, Magnus Mfoafo-M'Carthy, Cara Grosset, Carol A. Stalker, Irene Dullaart, Linda Mccoll Dr.

Lyle S. Hallman Social Work Faculty Publications

Community Treatment Orders (CTOs) have raised questions about coercion, lack of autonomy, and effectiveness in reducing hospitalizations and improving service users’ quality of life. This study examined the experiences of clients and clinicians when CTOs are used in combination with Assertive Community Treatment (ACT) in a recovery oriented approach. Eleven clients who were or had previously been on a CTO and eight ACT clinicians were interviewed. Although most clients had negative feelings about CTOs, some acknowledged their lives had improved. Clinicians reported that the decision to employ a CTO is sometimes debated within the team but they agreed that combining …

Ptsd Among Working Women In A Developing Country, Lung-Chang Chien, Taylor J. Fitch, Xiao Yu, Mohammad Monjural Karim, Hasanat Alamgir

Research Briefs

No abstract provided.

Drug Story Theater: Where The Treatment Of One Becomes The Prevention Of Many, Joseph Shrand

Crossroads of Music and Medicine

Drug Story Theater takes teenagers in the early stages of recovery, teaches them improvisational theater, then uses psychodrama to help them create their own scripted shows about the seduction of, addiction to and recovery from drugs and alcohol. They perform these shows for middle schools and high schools so the treatment of one becomes the prevention of many. In between each scene, the cast members come out of character and use power-point presentations to teach the audience about the neuroscience of the adolescent brain. Through the DST program, teens in recovery experience the rewards of positive feedback, personal value, getting …

Music Therapy For Infants With Neonatal Abstinence Syndrome, Jasmine Edwards, Susan Bakouros

Crossroads of Music and Medicine

Over a quarter of a million infants each year are born with neonatal abstinence syndrome (NAS). There is a trend for treatment of NAS to move away from pharmaceutical to non-pharmaceutical interventions to manage symptoms. This paper describes the treatment model called Rhythm, Breath, Lullaby: First Sounds (RBL).

African Americans Navigating Through Relationships Towards Marriage: A Grounded Theory Study, Moosgar Yrveens Borieux

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to explore if and how early parent-participant relationships affect subsequent intimate relationships among African American couples. Given the clear gap between African Americans’ attitudes about marriage and the data that show them to be the least likely to be married among other racial or ethnic groups in the United States of America, a unique conceptualization [Life Course Developmental framework, Object Relations theory, Symbolic Interactionism perspective] was used to explore the role that early key figure-child social interactions potentially have in influencing young African Americans interactions with their significant others. To carry out the research …

Resilience And Complicated Grief, Les Bishop

Loma Linda University Electronic Theses, Dissertations & Projects

This study surveyed 155 family members or caregivers of patients who had died between twelve and thirty months prior to this study. These patients had been on hospice at the time of their death. The purpose of the study was to assess the prevalence of hospice defined risk factors for complicated grief. Medical records provided patient demographics information and a verbal (telephone) survey was used to measure the following risk factors: lack of social support, lack of expression of faith, lack of adequate coping skills, multiple losses, substance use, and relationship to the person who died. Descriptive statistics were used …

Therapist Behaviors That Predict The Therapeutic Alliance In Couple Therapy, Bryan C. Kubricht

Theses and Dissertations

Couple therapy is successful in treating relationship distress. However, couple therapy does not benefit everyone. Consequently, it is important to study factors that predict therapeutic success. One such factor is what predicts the development of the therapeutic alliance in couple therapy. The purpose of this study was to code therapist behaviors, therapist warmth, empathy, presence, validation, collaboration, and technique factors (systemically-based techniques and session structure), in the first session of couple therapy to examine their ability to predict two aspects of the therapeutic alliance, between- and within-alliance, after the session for males and females. The hypotheses were tested utilizing multiple …

The Impact Of Mental Health Issues On Academic Achievement In High School Students, Patricia Lea Sutherland

Electronic Theses, Projects, and Dissertations

An adolescent’s time in school is not merely academic; they are developing socially, physically, and emotionally. Prior research has demonstrated a correlation between a student’s poor academic performance and his/her need for emotional and mental health support. This research project sought to answer the following research questions: 1) Do mental health services in a high school setting help facilitate students’ academic achievement? and 2) Does a focus on mental health issues improve overall health and well-being in high school students? Participants for this study are 10 staff members (including teachers, administrators, counselors, and others) of a high school in San …

An Examination Of The Impact Traumatic Events Has On Psychosocial Impairment In Eating Disorder Patients, Jennifer Parker Hackett

Electronic Theses, Projects, and Dissertations

Research suggests that trauma has an impact on eating disorders. While prior research has demonstrated that the trauma from abuse has a significant impact on eating disorders, research has failed to explore other types of trauma. In addition, previous studies have stopped short of examining the impact trauma has on functioning among individuals with an eating disorder. This study aimed to address that gap in the literature. The purpose of this study is to examine whether traumatic life events impact psychosocial functioning among individuals living with an eating disorder. Furthermore, this study aimed to identify which traumas are shown to …

Examining The Effect Of Parental Attachment, Emotional Maturity, Spiritual Maturity, And View Of Suffering On Sense Of Coherence, Alyssa M. Gavulic

Doctoral Dissertations and Projects

Suffering and loss are inevitable parts of the human experience. Nonetheless, the ability to find meaning in various forms of suffering has been shown to impact individual responses to diverse experiences of pain, distress, and loss. Despite the ubiquitous nature of human suffering, perceptions of the cause, purpose, impact, and outcome of experiences of suffering can vary greatly among individuals. Consequently, this inquiry-oriented, descriptive dissertation research examines how emotional maturity, spiritual maturity, and views of suffering mediate the relationship between parental attachment and sense of coherence. This study employs a correlational research design that examines the scores on a variety …

Rates Of Developmental And Behavioral Screening Of Young Children: Implications For Health Care Policy And Practice, Shirley Berger

Dissertations and Theses

Background: The skills and capacities developed during early childhood are the foundation for a child’s future academic functioning, economic productivity, and lifelong health and mental health. When young children have developmental delays or disabilities, early identification and intervention lead to better outcomes; however, only a minority are identified before school entry. Primary care is an important setting for identification of developmental and behavioral conditions as most young children attend well-child visits regularly and parents expect developmental guidance from pediatricians. Two key pediatric preventive services are recommended: developmental monitoring/surveillance at every well-child visit and developmental screening at 9 months, 18 months, …

Stop, Meditate, And Listen: A Treatment Modality For Iraqi Refugees With Depression, Katherine Goehring

Doctor of Nursing Practice Final Manuscripts

Purposes: To implement a mindfulness meditation program with Arabic speaking clients as an adjunctive treatment of depression

Background: Depression rates among Iraqi refugees are between 28.3 and 75% compared to 8.6% in the general population (Slewa-Younan, Guajardo, Heriseanu, & Hasan, 2015). Treatment options are limited at Neighborhood Healthcare in El Cajon due to budget limitations, cultural beliefs and language barriers, among other reasons. Individual therapy is intended to be a brief intervention due to limited staffing. Many middle eastern refugees decline group therapy due to stigma surrounding mental health treatment and concerns about privacy. Even though traditional treatment …

The Effect Of Mantram Repetition On Qol In Low-Income, Urban Dwelling Older Adults, Marissa Katerina Mackiewicz

Dissertations

Background: Quality of life is an important concept of increasing significance for the healthcare in the United States, especially when taken in perspective of the aging population. Low-income, urban dwelling older adults are challenged in a number of ways that may negatively impact their QOL. This unique group is prone to report lower QOL, therefore, interventions targeted to improve QOL are timely. The purpose of this study was to describe the effect of mantram repetition (MR) on QOL in a sample of low-income, urban dwelling older adults.

Methods: A quasi-experimental pre-posttest study was conducted using a sample population of low-income …

Metabolic Syndrome Screening Among Inpatient Psychiatric Patients, Susan Magorno

Doctor of Nursing Practice Final Manuscripts

Background: More than 50% of patients with severe mental illness carry undiagnosed Metabolic Syndrome (MetS) comorbidities of hypertension, hyperlipidemia, or diabetes. These patients are three times more likely to die of cardiovascular-related causes; however, this population is not routinely assessed for MetS and frequently lack appropriate treatment.

Objective: The objective is to implement a screening tool designed to identify risk for MetS and trigger appropriate treatment.

Design: The screening tool triggers the provider to address positive criteria through interventions such as further evaluation, medical and/or diabetes educator consultation.

Results: Although overall rates of screening improved significantly, follow-up interventions were …

Exploring The Association Of Victimization And Alcohol And Marijuana Use Among American Indian Youth Living On Or Near Reservations: A Mixed Methods Study, Lindsay Nicole Merritt

Dissertations and Theses

Adolescent substance use research has yet to consider victimization as a potential risk factor contributing to alcohol and marijuana use among American Indian youth living on or near reservations, despite the presence of traumatic experiences, childhood adverse events, racism, and discrimination. Contribution to this lack of attention may be due to little being known about American Indian youth victimization. Even less is known about its association with alcohol and marijuana use in general and for those youth living on or near reservations in particular.

This study utilizes mixed methods with a nationally representative sample of American Indian youth living on …

Prison Rehabilitation: The Sociological, Physiological, And Psychological Effects Of Animal-Assisted Interventions, Daisy Corleto

Themis: Research Journal of Justice Studies and Forensic Science

This paper examines animal-assisted interventions as a new form of rehabilitation in the prison setting. It focuses specifically on the multiple benefits that this form of therapy/intervention can bring to inmates, such as the reduction in recidivism and the acquirement of new skills. Additionally, this paper considers the reasons for which rehabilitation in general is necessary in order to truly transform an individual. The first section provides a brief history of AAI in the prison environment and its effects on the prisoners. The paper then transitions to an account of analyzing the sociological, physiological, and psychological effects of AAI on …

Therapeutic Theatre With Adolescents At-Risk Of School Dropout, Dan Summer

Expressive Therapies Dissertations

The aim of this study was to assess the effects of therapeutic theatre, a method of drama therapy, on resilience among adolescents at risk of high school dropout. A mixed method approach was employed to qualitatively examine participant perspectives on resilience and quantitatively measure change in resilience. Participants engaged in weekly after-school drama therapy groups to collaborate on developing themes and a script for a performance to be witnessed by an audience of family and community members. Qualitative and quantitative findings were triangulated and embedded to examine relationships. The Behavioral Assessment System for Children Second Edition (BASC-2) and Resilience Scale …

Imagination Station: Activating Creativity In Children With Disabilities, Allison Dukes

Expressive Therapies Capstone Theses

Play is a major topic of conversation when discussing childhood development is associated with creativity and imagination. Although there has been some research involving the creative process amongst children, little has been explored in regards to expressive arts as a technique to further current studies on play. This paper presents a combined method of intermodal expressive arts therapies and play therapy techniques to aid in the fostering of creativity within children with disabilities by utilized the theoretical framework provided by the Expressive Therapies Continuum (ETC). A current review of literature on the ETC, cognitive functions, and expressive arts modalities is …

How Can The Attunement Needs Of Children With Disorganized Attachment Styles Be Supported Through Expressive Arts Therapy?, Jayne Paley

Expressive Therapies Capstone Theses

Treatment strategies for school age children with disorganized attachment are not well established. This population exhibits a range of difficulties in social relationships and self-regulation. Additionally, children with disorganized attachment generally rely on defense mechanisms and present with other comorbid conditions, adding to the complexity of treatment. This paper explores current research and theories about disorganized attachment and then, on the basis of evidence provided throughout this paper, proposes the concept of attunement needs in relation to working with children with disorganized attachment. The attunement needs described in this paper, derived from the literature, include safety/security, control/power, consistency, affective release, …

Exploring Self-Injury: An Art-Based Approach To Cultivating Empathy And Understanding In Mental Health Professionals, Dana Wyss

Expressive Therapies Dissertations

Self-injury greatly affects individuals, their families, and the mental health professionals who provide their care. This art-based research investigates the impact of clients’ self-injury on mental health professionals. It addresses four research questions and applies a methodology that integrates body art, photography, poetry, and dialogue. Six participants (including the researcher) participated in three meetings wherein they artistically responded with temporary body art to two questions, sorted through their photographs, reviewed poetry created about their work, and discussed the study experience. The researcher navigated being a witness-researcher by personally and creatively engaging in the study.

The results present raw, distilled narratives, …

Art Therapy And The Person-Centered Approach: A Method For Breaking Down Creative Resistance With Dementia Patients, Kimberly Nelson

Expressive Therapies Capstone Theses

This Capstone explores the use of art therapy with a geriatric population on a psychiatric unit of a small, rural southern hospital. Most of the patients experience symptoms of dementia and are over the age of 55. Many patients presented with resistance to creative pursuits and this researcher utilized the person-centered approach to counter this “creative resistance”. In other words, the patients were met where they were at and accepted unconditionally, through empathy and congruence. The materials that were offered to this population were explored through the creative resistance as well, and a simple number two pencil produced successful results …

A Dance/Movement Therapy Method For Improving Mood States Of Adolescent Girls In A Residential Treatment Center, Selena Coburn

Expressive Therapies Capstone Theses

The purpose of this study is to examine dance/ movement therapy (DMT) sessions as a method of intervention, through observing with Laban Movement Analysis (LMA) and Kestenberg Movement Profile (KMP) and recording shifting mood states in participants living in a residential treatment center. The participants are adolescent female clients age 13-17 years old. They have co-morbid diagnoses including depression, eating disorders, ADHD, histories of abuse and neglect, and oppositional defiant disorder. Laban Movement Analysis (LMA) and verbal check-ins are used to determine mood states before, during, and after a DMT session. Data is collected via observations made using a designated …