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Full-Text Articles in Medicine and Health Sciences

Impact Of Traditional (Non-Affirming) Black Church Affiliation On Exploration Of Sexual Identity For Black Assigned Female At Birth Lgbq+ Individuals And The Associated Mental Health Risk, Aurielle J. Sutton Aug 2027

Impact Of Traditional (Non-Affirming) Black Church Affiliation On Exploration Of Sexual Identity For Black Assigned Female At Birth Lgbq+ Individuals And The Associated Mental Health Risk, Aurielle J. Sutton

Doctoral Dissertations

This dissertation explored the impact of Black traditional church upbringing on the sexual and religious identity development, including the subsequent mental health risk, for Black assigned female at birth (AFAB) LGBQ+ individuals. Studies conducted on Black AFAB LGBQ+ individuals are limited, especially in terms of  assessing their experiences in sexual identity development based on religious upbringings. Studies have overlooked the experience of LGBQ+ Black AFAB individuals navigating sexual orientation development and religious and racial identities. Studies have greatly favored Black gay men and supported health risks such as HIV. In the present study, twelve Black AFAB Queer individuals participated in …


Sanctuary: Counter-Oppressive Relationships With Farmed Animals As An Ecopsychological Imperative, Kelsey Bomboy Apr 2027

Sanctuary: Counter-Oppressive Relationships With Farmed Animals As An Ecopsychological Imperative, Kelsey Bomboy

The International Journal of Ecopsychology (IJE)

Consumers are intentionally shielded from and often misled about the process of breeding, raising, and slaughtering animals for consumption. By confining most farmed animals to warehouses in rural areas while the majority of humans are sequestered in urban areas, we have effectively created a world where humans do not have to contend with the sense of interconnectedness that arises when witnessing and being witnessed by a farmed animal. Within industrial slaughterhouses, the physical act of killing is minimized to just a fraction of the workers, so that even those who are responsible for rendering a once living being will never …


Shadow Garments: Costume Creation For Integrating Alienated Parts Of The Self, Mega M. Galvin Jan 2027

Shadow Garments: Costume Creation For Integrating Alienated Parts Of The Self, Mega M. Galvin

Art Therapy | Master's Theses

This study explores costume creation as a narrative-based intervention for integrating "shadow" parts, or aspects of the self that are repressed or alienated due to shame, trauma, or social pressure. Grounded in Jungian analytic psychology, narrative therapy, and expressive arts theory, the research addresses the limitations of traditional talk therapy in accessing somatic memory and proposes costume making as a pathway for externalization and re-authorship. Using a qualitative, participatory study inspired by Pat B. Allen’s Open Studio Process, four adult participants engaged in a three-session workshop to design, construct, and wear costumes representing their identified shadow aspects. Data was collected …


Nourishing Births: A Program Evaluation Proposal For Community-Based Nutrition Education, Food Access, And Garden Engagement Among Black Birthing People, Naa Deedei-Vera Hammond Dec 2026

Nourishing Births: A Program Evaluation Proposal For Community-Based Nutrition Education, Food Access, And Garden Engagement Among Black Birthing People, Naa Deedei-Vera Hammond

Master's Projects and Capstones

Black birthing people in the United States continue to experience unequal maternal health outcomes, shaped in part by racism and barriers to nutritious food, culturally relevant health education, and supportive community spaces. While prenatal nutrition education and food assistance programs can provide important resources, information alone cannot address the challenges many people face when trying to access healthy and affordable food during pregnancy. The Nourishing Births Initiative is a proposed community-based maternal health program designed to respond to these needs by bringing together prenatal nutrition education, help connecting to food resources, community gardening, and peer support for Black birthing people …


Exploring Burnout Among Ncaa Collegiate Athletes: The Impact Of Gender, Sport, Seasonal Demands, And Other Contributing Factors, Anneliese Wong Dec 2026

Exploring Burnout Among Ncaa Collegiate Athletes: The Impact Of Gender, Sport, Seasonal Demands, And Other Contributing Factors, Anneliese Wong

Undergraduate Honors Theses

The purpose of this study was to examine burnout among NCAA Division I student-athletes at one mid-sized University in the Rocky Mountains region of the United States and determine whether differences existed based on gender, sport type, competitive season stage, and burnout dimension. A quantitative, cross-sectional survey design was used and data was collected from 76 student-athletes across 11 varsity sports. Burnout was assessed using items adapted from the Athlete Burnout Questionnaire (ABQ; Raedeke & Smith, 2001), along with additional items assessing fatigue and seasonal experiences.

Descriptive results showed the student-athletes reported the highest mean level of physical burnout, followed …


Correctional Officer Suicide: A Theory-Driven Investigation Of Acquired Capability And Suicide Behavior, Abigail R. Andersen Dec 2026

Correctional Officer Suicide: A Theory-Driven Investigation Of Acquired Capability And Suicide Behavior, Abigail R. Andersen

All-Inclusive List of Electronic Theses and Dissertations

A growing body of research suggests that correctional officers (COs) die by suicide at a significantly higher rate compared to the general population and some other public safety personnel. Despite what is known about this phenomenon, an understanding of the risk factors driving the high rate of suicide among this population remains unclear. Specifically, little attention has been paid to specific risk factors for suicide among this population and there is an overall absence of theory-driven research investigating CO suicide. The present study sought to address the gap in this area of research by investigating potential risk factors for suicide …


Evaluating The Pulse Of Exercise Programs: Developing And Validating The Intervention Usability Scale For Exercise (Iuse) To Enhance Implementation And Adherence, Anne Inger Mørtvedt, Eva Ageberg, Steven Elmer, Kevin Trewartha, Erich Petushek Dec 2026

Evaluating The Pulse Of Exercise Programs: Developing And Validating The Intervention Usability Scale For Exercise (Iuse) To Enhance Implementation And Adherence, Anne Inger Mørtvedt, Eva Ageberg, Steven Elmer, Kevin Trewartha, Erich Petushek

Michigan Tech Publications

Background: Adherence to exercise interventions is often suboptimal, despite numerous studies documenting barriers and facilitators. Usability may be a critical yet underexplored determinant of adherence. This study aimed to develop and assess the psychometric properties of the Intervention Usability Scale for Exercise (IUSE). Methods: Item generation and content validation involved cognitive interviews and feedback from eight exercise intervention stakeholders and ten target users from the general public. Subsequently, 526 target users from University, Qualtrics and Prolific participant panels assessed exercise programs through an online survey. Dimensionality was assessed using Principal Component Analysis (PCA), Exploratory Factor Analysis (EFA), and bifactor models. …


Beyond Symptoms: Examining Perinatal Mental Health Care Among Black, Indigenous And People Of Color With Polyendocrine Metabolic Ovarian Syndrome, Vinaya Thomas Dec 2026

Beyond Symptoms: Examining Perinatal Mental Health Care Among Black, Indigenous And People Of Color With Polyendocrine Metabolic Ovarian Syndrome, Vinaya Thomas

Electronic Theses and Dissertations

Perinatal mood and anxiety disorders (PMADs) are as a public health concern in the United States. Individuals from minoritized racial/ethnic groups face a significantly elevated risk of maternal morbidity, mortality, mental health disorders, and associated adverse outcomes. Emerging studies also reveal a higher likelihood of experiencing perinatal mental health concerns in individuals with polycystic ovarian syndrome (PCOS), currently known as polyendocrine metabolic ovarian syndrome (PMOS). People who identify as Black, Indigenous, or a person of color (BIPOC) face unique healthcare challenges given the added structural and social burdens. This online survey study aimed to 1) understand the relationship between PMOS …


Tmc Library Newsletter: From Its Past To Present, Alice Sherwood Nov 2026

Tmc Library Newsletter: From Its Past To Present, Alice Sherwood

Library Staff Publications

This presentation describes the early beginnings of our library newsletter, and the progress of its technology changes over time. "The TMC Library Newsletter" started out in 1998 as a quarterly print newsletter, "Library Lines", and evolved into a web-based one, "The Insider," published 6 and then 12 times a year through 2013. Since 2015, its name changed to what it is today and is also available on Digital Commons, an open journal available for the community and beyond. As an open journal using Digital Commons as its platform since April 2025, the items in this journal has grown to more …


Stress In Educational Context, Sarah Matthews Nov 2026

Stress In Educational Context, Sarah Matthews

Spark! Innovations in Early Childhood Education: A Research-to-Practice Journal for Educators

This paper examines stress within educational contexts as a complex, relational, and systemic experience rather than solely a negative condition. Drawing on research related to stress perception, coping, leadership, trauma, and resource access, the paper highlights how stress affects educators, students, and families across early childhood and special education settings. Key themes include the role of perception in shaping stress responses, the impact of resource availability and socioeconomic factors, the transfer of stress within classroom environments, and the influence of leadership and organizational stability on teacher and student well-being. Using an ecological framework, the paper emphasizes that stress operates across …


The Role Of Social Media Influencers In Shaping Food Awareness And Dietary Behavior Among The Emirati Audience: A Field Study On Citizens Of Al Ain City, Laila Alkaabi, Huda Alremeithi, Reem Alnuaimi, Shamsa Almheiri, Amer Khaled Ahmad, Maram Manajrah Nov 2026

The Role Of Social Media Influencers In Shaping Food Awareness And Dietary Behavior Among The Emirati Audience: A Field Study On Citizens Of Al Ain City, Laila Alkaabi, Huda Alremeithi, Reem Alnuaimi, Shamsa Almheiri, Amer Khaled Ahmad, Maram Manajrah

Middle East Journal of Communication Studies

This study aims to investigate the role of social media influencers in shaping food awareness and dietary behavior among the Emirati audience, drawing on media dependence theory and employing a public survey methodology through the administration of a questionnaire to a purposive sample of Emirati citizens in Al Ain City who follow influencers to obtain information on healthy nutrition. The findings revealed that more than (79.3%) of the sample members rely on social media influencers to obtain information on healthy nutrition at a moderate-to-high degree, with "the ease of rapid access to food-related information" emerging as the leading reason for …


Beyond The Screen: Dimensions Of Ecophilia In Snow White And The Seven Dwarfs (1937) And Children’S Awareness Of Them, Reham Refaat Mohammad Abdelaal Prof Nov 2026

Beyond The Screen: Dimensions Of Ecophilia In Snow White And The Seven Dwarfs (1937) And Children’S Awareness Of Them, Reham Refaat Mohammad Abdelaal Prof

Middle East Journal of Communication Studies

This study aimed to explore the dimensions of Ecophilia in the film Snow White and the Seven Dwarfs and examine the extent to which children perceive these dimensions of love for nature and the environment. The study focused specifically on Biophilia (love of living beings) and Topophilia (love of a particular place or environment) from the perspective of ecocriticism, employing an interdisciplinary approach that integrates ecology, environmental animation, cinema, media studies, and environmental education.

The research was conducted on a sample of 100 boys and girls aged between 6 and 12 years, as children within this age group possess the …


Project Inspire, Daphney R. Portis Nov 2026

Project Inspire, Daphney R. Portis

Inspire Brochures

Project Inspire is USA Health’s semester-long injury prevention program that offers education, exposure and mentorship to justice-involved youth. Since 2017, this collaboration between USA Health and James T. Strickland Youth Center has engaged justice-involved teens with the five-pillar curriculum, which includes: traumainformed care training and confidence building, educational and professional development, financial literacy, entrepreneurship, and intensive mentorship. The goal is to reduce the rates of violence by equipping and empowering youth to overcome obstacles and barriers they may face in order to build a brighter future. There are currently three sites with more opening across several states.


How Should Sincerity Be Measured? A Rasch-Based Validation Of The Adolescent Sincerity Scale, Cicca Kusumawardani, Wahyu Nanda Eka Saputra, Rohmatus Naini, Agus Ria Kumara, Agus Supriyanto Nov 2026

How Should Sincerity Be Measured? A Rasch-Based Validation Of The Adolescent Sincerity Scale, Cicca Kusumawardani, Wahyu Nanda Eka Saputra, Rohmatus Naini, Agus Ria Kumara, Agus Supriyanto

Buletin Konseling Inovatif

Although various instruments for measuring sincerity have been developed, limitations remain regarding comprehensive construct validity, sample diversity, and the application of Rasch analysis in psychometric evaluation among student populations in Indonesia. Sincerity is a multidimensional spiritual value that contributes to personal integrity, psychological well-being, and positive social relationships. This study aims to develop a sincerity instrument with adequate psychometric characteristics using the Rasch Analysis approach. The study employed an instrument development method involving 759 high school and vocational high school students in Yogyakarta, selected through stratified random sampling. The analysis results showed a person measure of 1.18 logits, indicating that …


A Correlational Study Of Work Stress And Marital Stability Among Married Female Police Personnel In Kwara State, Nigeria, Haruna Ibrahim Nov 2026

A Correlational Study Of Work Stress And Marital Stability Among Married Female Police Personnel In Kwara State, Nigeria, Haruna Ibrahim

Buletin Konseling Inovatif

This study investigated the relationship between job stress and marital stability among married female police personnel in Kwara State, Nigeria. A Descriptive Research Design of correlational type was adopted. The sample size (Target Population) of the study comprised all the 112 married female police personnel in Kwara State, Nigeria. Based on the relatively small sample size, population census (Total enumeration) was adopted for this study, where all the married female police personnel were sampled. The Operational Police Stress Questionnaire and Dyadic Adjustment Scale were used for data collection. Findings revealed a significant correlation between the independent variables and the dependent …


Analysis Of The Dental Emergency Visits At Fqhcs In Michigan And Recommendations For Change, Xuesi Hua, Martha Mccomas, Elizabeth Hatfield Nov 2026

Analysis Of The Dental Emergency Visits At Fqhcs In Michigan And Recommendations For Change, Xuesi Hua, Martha Mccomas, Elizabeth Hatfield

The Journal of the Michigan Dental Association

This mixed-methods study evaluates emergency dental operations across Michigan's Federally Qualified Health Centers (FQHCs). Utilizing clinician interviews, surveys, and state usage data, the authors examine care delivery models, identify clinician and patient barriers to access, and analyze reasons why patients utilize hospital emergency departments rather than community health centers. System-level recommendations are proposed to optimize emergency triage, expand capacity, and improve outcomes for underserved populations.


Nov. 2026 The Back Page - Life Membership Status Awarded To 70 Members, Mda Membership Department Staff Nov 2026

Nov. 2026 The Back Page - Life Membership Status Awarded To 70 Members, Mda Membership Department Staff

The Journal of the Michigan Dental Association

The Back Page celebrates seventy Michigan Dental Association members who achieved Life Membership status in 2026. Organized by local dental districts (including Central, Cloverland, Detroit, Jackson, Kalamazoo Valley, Lakeland Valley, Oakland County, and West Michigan), the feature honors their decades of clinical practice, dedicated service, and sustained support for organized dentistry across Michigan.


The Influence Of Childhood Experiential History On Elon Musk’S Personality, Amelia Brower, Aubrey Immelman Nov 2026

The Influence Of Childhood Experiential History On Elon Musk’S Personality, Amelia Brower, Aubrey Immelman

Psychology Faculty Publications

This paper presents the results of a developmental causal analysis of the adult personality of innovative entrepreneur and business leader Elon Musk, from the conceptual perspective of personologist Theodore Millon.

Psychodiagnostically relevant data relating to Musk’s personality were collected from biographical sources and media reports and synthesized into a personality profile using the Millon Inventory of Diagnostic Criteria (MIDC), which yields 34 normal and maladaptive personality classifications congruent with DSM-III-R, DSM-IV, and DSM-5-TR.

The findings of the personality assessment were previously reported in a separate paper. Musk’s primary personality patterns were found to be Ambitious/self-serving and Dominant/controlling, …


A Word From The Writing Team (November 2026), Pam Walter, Mfa, Laura Deloretta, Phd Nov 2026

A Word From The Writing Team (November 2026), Pam Walter, Mfa, Laura Deloretta, Phd

A Word From the Writing Team (Newsletter)

No abstract provided.


Participatory Research With People With Aphasia: Frameworks, Examples, And Implementation Guidance, Jacqueline J. Hinckley, Katie A. Strong, Brent Archer, Lauren Bislick, Suma R. Devanga, Amy E. R. Engelhoven, Anthony Pak-Hin Kong Oct 2026

Participatory Research With People With Aphasia: Frameworks, Examples, And Implementation Guidance, Jacqueline J. Hinckley, Katie A. Strong, Brent Archer, Lauren Bislick, Suma R. Devanga, Amy E. R. Engelhoven, Anthony Pak-Hin Kong

The Qualitative Report

Participatory research (PR) improves the meaningfulness and efficiency of research and reduces the research-to-practice gap, because it includes the lived experience of those who are affected by the research in the planning, execution, and dissemination of the research. Communication disabilities, like aphasia due to stroke, or communication differences impact the way in which meaningful research collaborations can take place. The purpose of this paper is to describe the ethics, challenges, and opportunities for involving people with aphasia as collaborators in research. We highlight specific examples of PR projects undertaken by community member teams composed of researchers, clinicians, people with aphasia, …


A Heuristic Tool To Enable Root Cause Analysis Of Safety Events, William D. Porter, Kianca Joseph, Demitria Stafford, Kurt Larson, John Mier, Michelle Butler-Jackson, Musaddiq Waheed Oct 2026

A Heuristic Tool To Enable Root Cause Analysis Of Safety Events, William D. Porter, Kianca Joseph, Demitria Stafford, Kurt Larson, John Mier, Michelle Butler-Jackson, Musaddiq Waheed

HCA Healthcare Journal of Medicine

Background

Hospitals routinely collect wide-ranging data related to quality, efficiency, and clinical practice. As part of these efforts, patient safety event data are collected, compiled, and analyzed to drive process improvement.

Methods

We present a novel adaptation and application of the Department of Defense Human Factors Analysis and Classification System (HFACS) as a heuristic tool to improve the conduct of root cause analysis (RCA) sessions that follow serious patient safety events. To assess individual knowledge improvement after reviewing the heuristic tool, a 1-page summary (including a graphical image of the tool) was developed and provided to a convenience sample of …


The Effects Of Pediatric Asthma On Daily Activities And Family Life In Cache Valley, Utah: Exploring Parental Perceptions Of Air Quality, Saeed Ahmad, Mehmet Soyer, Landon Lloyd, Mayu Mecham Oct 2026

The Effects Of Pediatric Asthma On Daily Activities And Family Life In Cache Valley, Utah: Exploring Parental Perceptions Of Air Quality, Saeed Ahmad, Mehmet Soyer, Landon Lloyd, Mayu Mecham

Transforming Communities

Asthma is one of the main chronic health conditions affecting children living in Cache Valley, Utah particularly due to poor air quality during the winter season. It is very important to understand how families manage asthma both within and outside the household. Therefore, this research brief highlights how parents are managing pediatric asthma, and how asthma influences daily activities and family life. It is based on a qualitative study that extracted the data from 20 in-depth interviews with parents of asthmatic children. Participants were recruited through purposive snowball sampling. Data were collected through an interview guide that included some basic …


Juvenile Delinquency In Alaska, 2019 And 2023, Gabriel Garcia Oct 2026

Juvenile Delinquency In Alaska, 2019 And 2023, Gabriel Garcia

AJiC Fact Sheets

This fact sheet examines juvenile delinquency in Alaska, documenting changes in substance use and weapon-carrying among high school students and identifying associated risk and protective factors using weighted data from the 2019 and 2023 Alaska Youth Risk Behavior Survey (YRBS).


Youth Experience Of Violence In Alaska, 2019 And 2023, Gabriel Garcia Oct 2026

Youth Experience Of Violence In Alaska, 2019 And 2023, Gabriel Garcia

AJiC Fact Sheets

This fact sheet examines youth experiences of dating violence and sexual violence in Alaska, identifying patterns and factors associated with victimization among high school students. Using weighted data from the 2019 and 2023 Alaska Youth Risk Behavior Survey (YRBS), it compares the prevalence of physical dating violence, sexual dating violence, sexual violence by anyone, and forced sexual intercourse.


Best Integrated Writing Fall 2026 - Complete Edition, Wright State University School Of Humanities And Cultural Studies, Kristie Mckiernan Oct 2026

Best Integrated Writing Fall 2026 - Complete Edition, Wright State University School Of Humanities And Cultural Studies, Kristie Mckiernan

Best Integrated Writing

Best Integrated Writing includes excellent student writing from Integrated Writing courses taught at Wright State University.


The Whole Patient: What Fascia Reveals About Pain, Adaptation, And The Case For Treating Together, Kelly Davis Pt, Dpt, Faaompt, Mt Oct 2026

The Whole Patient: What Fascia Reveals About Pain, Adaptation, And The Case For Treating Together, Kelly Davis Pt, Dpt, Faaompt, Mt

New Orleans Dental Association News

The final piece in this series looks at fascia and the autonomic nervous system — the connective tissue and nerve pathways linking the jaw, neck, and airway into one continuous system — and why both matter to dentistry. Dr. Davis draws on current fascia and pain science research, including work from the 2025 International Fascia Research Congress in New Orleans, to explain how a misaligned bite can travel through this tissue and surface as headaches, how tongue posture and breathwork affect jaw stability, and why complex, chronic cases so often need more than one discipline to make headway. Told partly …


Did Statewide School Smoking Bans Reduce Smoking Rates?, Rachana Bhatt, Peter Hinrichs Oct 2026

Did Statewide School Smoking Bans Reduce Smoking Rates?, Rachana Bhatt, Peter Hinrichs

Employment Research Newsletter

No abstract provided.


“It Feels Like Your Life Hinges On Me”: Lived Experience Of Being Next Of Kin To Someone Who Self-Harms, Kenneth Haugjord, John-Kåre Vederhus, Tore Dag Bøe, Kristine Dahl Oct 2026

“It Feels Like Your Life Hinges On Me”: Lived Experience Of Being Next Of Kin To Someone Who Self-Harms, Kenneth Haugjord, John-Kåre Vederhus, Tore Dag Bøe, Kristine Dahl

The Qualitative Report

Through previous research, attention has been drawn to the burden experienced by next of kin to someone struggling with self-harm, yet less attention has been given to how they experience and make sense of the relational and existential complexity of this role in their everyday lives. We asked how next of kin experienced and made sense of caring for a loved one who self-harmed. We conducted in-depth interviews with fourteen next of kin, including parents, partners, and siblings, and analyzed the data through reflexive thematic analysis within an interpretive qualitative framework. Our analysis generated an overarching theme, "It Feels Like …


Interpretative Repertoires Of Resilience Among Beginning Teachers In Chile, Paula Villalobos-Vergara, Diego Palacios, Joel Alvarez Ruf, Rodrigo Vergara Ortuzar Oct 2026

Interpretative Repertoires Of Resilience Among Beginning Teachers In Chile, Paula Villalobos-Vergara, Diego Palacios, Joel Alvarez Ruf, Rodrigo Vergara Ortuzar

The Qualitative Report

In this study, we analyze how beginning teachers in Chile construct meanings around resilience during their first year of professional induction, within a context of intensified teachers’ work and limited institutional support. Drawing on a socioecological perspective and Critical Discursive Psychology, we developed a qualitative design focused on interpretative repertoires. Ten beginning teachers from various subject areas, educational levels, and regions participated, with each being interviewed at two time points, six months apart. Through an abductive analysis, we identified three affective–discursive repertoires. The first construct enters the profession as a generational tension, in which innovation is associated with youth, while, …


Calm, Connection, Or Just Compensation: A Qualitative Investigation Of Subjective Adolescent Experiences With Behavioral Health Interventions Within A Clinical Trial, Talia Thompson, Katherine Thompson, Sarah Perzow, Holly Spinner, Bentley Porterfield-Finn, Lauren D. Gulley, Rachel G. Lucas-Thompson, Isabel Thorstad, Laura Pyle, Molly Basch, Megan J. Moran, Marian Tanofsky-Kraff, Megan M. Kelsey, Eleanor R. Mackey, Lauren B. Shomaker Oct 2026

Calm, Connection, Or Just Compensation: A Qualitative Investigation Of Subjective Adolescent Experiences With Behavioral Health Interventions Within A Clinical Trial, Talia Thompson, Katherine Thompson, Sarah Perzow, Holly Spinner, Bentley Porterfield-Finn, Lauren D. Gulley, Rachel G. Lucas-Thompson, Isabel Thorstad, Laura Pyle, Molly Basch, Megan J. Moran, Marian Tanofsky-Kraff, Megan M. Kelsey, Eleanor R. Mackey, Lauren B. Shomaker

The Qualitative Report

Adolescent mental health and cardiometabolic concerns are at an all-time high, necessitating the development of acceptable, feasible, and effective interventions. Investigations of behavioral health interventions with teenagers must incorporate a means of understanding how adolescents perceive and engage with an intervention, and the relevance and meaning they ascribe to its therapeutic goals, as these potentially modifiable factors may ultimately influence future uptake, sustainability, and effectiveness of the interventions. Qualitative research methods provide well-established, rigorous frameworks for addressing these questions, but are underutilized in pediatric research. This qualitative study is part of a multisite, pilot, and feasibility randomized controlled trial of …