Medicine and Health Sciences Commons^™

A Child's Experience Working Through Grief: A Booklet For School Aged Children Navigating Their Grief Journeys, Alyssa Johnson

Senior Honors Projects

The term grief describes the feelings you experience in response to the death of a person in your life, while the term mourning represents the period in which you feel or express signs of grief or sorrow. A child’s grief experience after the death of a significant person in their life is an often overlooked and understudied topic. The importance of being open and honest with children as they navigate their grief journey is at the forefront of this project. Using research regarding how children process, express, and understand grief, I created, “A Person In My Life Has Died, What …

Assessment Of The University Of Rhode Island's Dining Halls And Student Perceptions Of On-Campus Dining, Maria Cherry

Senior Honors Projects

University dining halls are understudied food environments that affect student diet quality. This study (1) assessed dining hall offerings at the University of Rhode Island (URI) using the Partnership for a Healthier America’s Healthier Campus Initiative (PAHA) criteria for healthier campus food environments and (2) evaluated student perceptions of the dining hall through a campus-wide survey (n=165). We evaluated breakfast, lunch, and dinner using spring cycle menus (16 weeks in 2019 and 4 in 2021) from two full-service dining halls totaling 29 meals in 2019, and 84 meals in 2021 to determine adherence with PAHA criteria for availability of: 1) …

Social Justice Attitudes And Health: A Cross Sectional Study, Edward Donovan

Senior Honors Projects

Background: Increasingly, social justice is being considered as a key factor associated with health outcome. In addition, there is growing interest in exploring perception of discrimination in healthcare settings. This study explored perceptions of social justice, health care discrimination, health care status and utilization of healthcare resources. The investigators predict a significant association between the level of social justice awareness and healthcare utilization based on the hypothesis that those who are cognizant of social inequities are more likely to be informed self-advocates in healthcare settings.

Methods: First, a survey was created based on a review of existing literature. The …

Project Title: Home Birthing: Analyzing The Value Of Home Births To American Mothers, Julia Santini

Senior Honors Projects

There were about 3.7 million births in the United States in 2018, and a maternal mortality rate of 17.4 deaths per 100,000 live births (37.3 for non-Hispanic black women). The US also has high rates of birth interventions such as episiotomy and instrumental vaginal births, and increasing rates of cesarean sections, and while these interventions can be life saving, they do not always result in better birth outcomes. When the high US maternal mortality rates are compared to those of peer countries such as Canada and the UK, the data suggests that there is much room for improvement in how …

Examination Of The Effects Of Speech Disorders On Juvenile Delinquency And The Potential Benefits Of Speech Therapy For Offenders, Katie Paparelli

Senior Honors Projects

In the United States, there are currently over 50,000 juveniles housed in youth confinement facilities for delinquent acts ranging from truancy to murder. To decrease that number, it is pertinent to identify possible risk factors of juvenile delinquency, but also to establish impactful preventative strategies as well as reactive solutions. Speech disorders and speech differences have been identified as potential risk factors for juvenile delinquency. Having a speech disorder/difference has an undeniable impact on a child’s life, with potentially negative impacts ranging from poor engagement with school and bullying—both risk factors in themselves for juvenile delinquency. Unsurprisingly, researchers have found …

Health Communication Support In Baseline Health Literacy Research, Owen Manahan

Senior Honors Projects

Health literacy refers to the ability to obtain, understand, and use health information to make good health decisions. Improving health outcomes in Rhode Island requires removing health literacy barriers.

In the spring of 2019, researchers at the University of Rhode Island and Rhode Island College received funding from the Rhode Island Executive Office of Health and Human Services to assess health literacy in Medicaid beneficiary outpatient health centers. Such research has never before been conducted in Rhode Island. Researchers administered a modified health literacy assessment to collect self-reported data on patient health status, measure patient confidence in accessing health information, …

The Association Between Type-2 Diabetes Pathophysiology & Exercise Adherence, Sydney Raymond

Senior Honors Projects

According to the American Diabetes Association, 1 in 3 Americans will be diagnosed with diabetes. While some of these individuals will be prescribed medications as part of their treatment, most will also be advised to begin an exercise program to assist with blood glucose control. Additionally, while regular exercise is associated with lower HbA1C and decreased insulin/medication dependence, it is estimated that only about half of those diagnosed with diabetes will adhere to their exercise plans. Social, psychological, and physiological factors all play roles in affecting ones ability to adhere to an exercise regiment, and individuals with Type 2 Diabetes …

The World On Pause: A Children's Book About Living During A Pandemic, Amanda Desmarais

Senior Honors Projects

Life as we now know it has drastically changed since March 2020. Over 60 million people throughout the world have been infected with COVID-19. Unfortunately, over a million have died from the virus in a short period of time. The last pandemic occurred in 1918, many years before most of us were born. Since the pandemic is a health crisis most generations have never experienced, adults and children alike are learning to cope simultaneously. It is difficult to teach children coping mechanisms during these chaotic and unfamiliar times. Family members can’t set positive examples if their coping techniques are inconsistent. …

The Impact Of Stress On Diet, Sleep, And Exercise Amongst College Students, Jessica Rizzo

Senior Honors Projects

Stress is something that everyone faces in their lifetime and has an everlasting impact on their health. College students face high levels of stress throughout the semester, but how is that impacting their behavior? I conducted a survey alongside Dr. Melanson, a professor in the Department of Nutrition and Food Sciences, to see just how college students are reacting to stress. The survey was circulated to different departments and classes to achieve a widespread collection of data. The survey remained completely anonymous and posed questions about eating, exercise, and sleep habits, along with questions on demographics and stress levels. Our …

Locked Up And Locked Out: True Stories Of Individuals Who Experienced The Intersection Between Homelessness And The Criminal Justice System, Jean Johnson

Senior Honors Projects

JEAN JOHNSON (Criminology & Criminal Justice)

Locked Up and Locked Out: True Stories of the Interlocking Cycle of

Homelessness and the Criminal Justice System

Sponsor: Jill Doerner (Criminology & Criminal Justice, Sociology & Anthropology), Heather Johnson (Writing & Rhetoric)

Key locks work when a key made with teeth is placed into a cylinder with a series of pins and tumblers. If you don’t insert the right key one or more of the pins will remain in the way, preventing the key from turning and the lock will remain closed. According to the United States Interagency Council on Homelessness, tens of …

Late Preterm Infants Progression Of Adaptive Functioning Skills From Age 8 To 23, Kimberly L'Etoile

Senior Honors Projects

Background: Late preterm infants (LPT) are born 34^0/7 to 36^6/7 weeks gestation, comprising 71% of preterm infants in the United States. Despite being of similar size and weight to full term (FT) infants, LPT infants exhibit poorer long-term outcomes. Using data from a longitudinal Rhode Island cohort of former preterm infants, this study investigated adaptive functioning skills of LPT infants as compared to FT infants at 8 and 23 years.

Methods: The sample included 30 LPT infants born 33-36 weeks gestational age (GA) and 40 FT infants. The Child Behavior Checklist (CBCL) at 8 years and Adult Self …

Social Media's Affect On Self Image And Daily Life, Sarah Falkowski

Senior Honors Projects

In the US alone over 244 million people use social media daily. Social media has become a huge part of the world today, helping people stay connected, share, influence, and interact. Though social media has many constructive aspects, it can affect its users in many negative ways. This research looks deeper into the way people use social media, how it’s content can be damaging, and the emphasis people place on their social media image. The study conducted looks further into how social media’s effects vary between age groups and genders. Results show that females between 16-20 are most negatively affected …

Fostering Meaning Making In Grieving Adults With Intellectual And Developmental Disabilities, Teresa Graziano

Senior Honors Projects

No abstract provided.

Non-Pharmacological Approaches To Stress Reduction And The Treatment Of Migraines, Megan O'Connell

Senior Honors Projects

Migraines are a disabling neurological medical condition that affects about 12% of the population. Traditionally, migraines are managed with medication however many patients still experience migraines even while on medication. Stress reduction methods such as meditation, deep breathing, reiki, yoga and hypnosis can help with the treatment of a variety of diseases. This study examines the effects of these non-pharmacological treatments on migraines. First, a systematic literature review was completed to explore the effectiveness of alternative treatment approaches. Twenty-four studies were included in the review and the literature concluded patients with migraines can benefit from psychological interventions. Second, a qualitative …

Lending A Hand: Healthcare Cost And Treatment Impact Of Peer Recovery Services, A Review Of The Literature, Nicholas J. Bush

Senior Honors Projects

Background: In the United States, the need for mental health and substance misuse treatment has been on the rise leading to an increase in healthcare costs and a reduction in barriers to care. Recently, there has been a growing interest in implementing peer support services (PSS) to increase access to care, improve treatment outcomes, and reduce healthcare related costs, such as emergency room visits, psychiatric hospitalization, and crisis stabilization.

Aims: This Honors project reports on a systematic review of the literature on treatment outcomes associated with PSS in mental health and/or substance misuse populations. It reviews the evidence that PSS …

Ethnographic Insight Into The Developmentally Diverse Worlds Of Twins: “L & J”, Allison Gallant

Senior Honors Projects

According to the National Institute of Deafness and Other Communication Disorders (2016), approximately 3 of every 1000 infants are born with a detectable level of hearing loss in one or both ears: with 90% of these infants being born to hearing parents. Immediately following the birth of a deaf child, parents are often bombarded with decisions regarding interventions to “fix” their child’s “disability”. This decision can impact how their child will experience the world and others. The situation is a very different stressor when a hearing child is born to deaf parents. Embracing one’s deaf identity and engaging in “deaf …

Opioid Use In Rhode Island - Review And Suggestions, Vanessa S. Kolb

Senior Honors Projects

It is estimated that over two million Americans have an opioid-related substance abuse disorder. Nationally, 91 people die every day from an opioid overdose, and 60% of drug overdoses involve an opioid. Rhode Island has enacted some of the strictest opioid-prescribing guidelines in the country, but since 2011 the number of overdose deaths within the state that involve illicit opioids has increased by 250%. In 2015, Governor Gina Raimondo established a special task force whose goal is to reduce the number of opioid-related overdose deaths in Rhode Island by one-third by 2018.

In this project, I analyze and compare best …

Bleeding Ink: Creativity In Grief For Resilience, Gabriel E. Sayre

Senior Honors Projects

A venomous void pierces the present.

Emanating from the past, echoing to the future.

Seething sensations burrowing beneath the bone.

Seek a road, to not corrode.

Scribe or scribble, Scavenge salvation.

Settle cement of a new foundation.

Faceless fears fading,

weakening woes waning,

mending mentality.

Internally Inspired.

Transformation Transpired.

Grief After Death, Allison Mccormick

Senior Honors Projects

Child grief and bereavement are widely misunderstood and under addressed, frequently disenfranchising children and teens. Child and family bereavement centers are a crucial resource. I wanted to know how these non-profit organizations benefit young grievers from their own perspective.

To strengthen my understanding, I volunteered at FRIENDS WAY in Warwick, Rhode Island for six months to learn more about bereaved children and families and to assess how it serves this client group. A program evaluation was then conducted. Survey questions asked the participants about the value of their experiences, and which specific activities they find most helpful and most enjoyable. …

Mental Health 101: Teaching Students And Campus Leaders How To Help Those In Crisis, Megan B. Kuhnly

Senior Honors Projects

One in four Americans ages 18 and older live with a diagnosable mental health disorder. Due to this high prevalence it is very likely that everyone will encounter someone dealing with a mental health crisis in his or her lifetime. Many college students will experience a crisis during their four years of study due to the high levels of stress and psychological triggers. However, we are often not taught how to help these individuals and the resources available are not well advertised. This lack of education and awareness leads to many students being forced to suffer alone and their mental …

The Complicated Process Of Disenfranchised Grief While In College, Daniella Markowski

Senior Honors Projects

In order to demonstrate the importance of understanding and recognizing grief, this research project explores the capacity for young adults within the college setting to experience two negative grief processes: disenfranchised and complicated grieving. In broad terms, disenfranchised grief occurs when society does not recognize the grief a bereaved person is experiencing; complicated grief occurs when the bereaved continues to grieve for a prolonged period of time in which they are unable to adapt to their life. While it can be difficult to define a specific population who is at risk for experiencing these types of grief, society often fails …

Associations Between Family Functioning And Adolescent Health Behaviors, Megan S. Fleming

Senior Honors Projects

Background: The obesity epidemic has been a concern across the globe, affecting about 20% of adolescents in the U.S. Physical activity and nutrition-related behaviors that develop during adolescence carry through into adulthood. Adolescents’ perceptions of how their family functions may be associated with health behaviors, including physical activity and diet.

Objective: To determine whether there is an association between perceived family functioning and adolescent health behaviors among a national sample of adolescents aged 11 to 16 who participated in the 2009-2010 Health Behaviors of School-Aged Children survey.

Methods: Participants reported on demographics and measures of family function, which included …

Improving Rhode Island’S Health Care System: Lessons From The Cuban Model, Sarah R. Moffitt

Senior Honors Projects

Improving Rhode Island’s health care system: lessons from the Cuban model

Cuba is world renowned for its health care system. In regards to international health crises, Cuba is a leader in sending workers abroad and training doctors from all over the world. Within its own borders, the Cuban model provides free access to all citizens in which every individual has a primary care provider. Cuba boasts high vaccination rates, a long life expectancy, low infant mortality rate, and a population that is one of the healthiest in the western hemisphere.

The purpose of this research project is to evaluate the …

Global Malnutrition: Challenges Associated With Current Intervention Strategies And Prevention Initiatives, Duncan Stiller

Senior Honors Projects

Few, if any, tribulations in the field of public health have managed to transcend the epidemiological transition from acute to chronic disease as malnutrition has. Officially, malnutrition is a category of diseases that includes micronutrient deficiency, under-nutrition (calories/protein), as well as excessive nutrition. The World Food Program estimates that 842 million people worldwide do not have access to enough food, approximately 146 million of which are children. The most serious types of hunger are known as Severe Acute Malnutrition (SAM) and Moderate Acute Malnutrition (MAM), with 20 million and 35 million respective cases each year occurring in children less than …

A College Study On Grief, Depression, And Anxiety, Briana Alexandre Paulo

Senior Honors Projects

Trauma and stress have been commonly studied with the occurrence of anxiety disorders. However, less research has been conducted on the relationship between the experience of loss, the centrality of the loss to a person’s identity and the experience and severity of symptoms of depression and anxiety. Current research has examined the relationship between a significant stressful event and symptoms of post-traumatic stress disorder (PTSD). Symptoms of anxiety and depression are experienced by people during various points in their life, although higher levels of these disorders may be exhibited after having experienced a loss or stressful life event.

Grief can …

One For All: Employing People With Disabilities, Krista M. Simeone

Senior Honors Projects

One for All: Employing People with Disabilities

Krista Simeone

Faculty Sponsor: Susan Roush, Physical Therapy

The creators of our constitution believed that all men are endowed with certain unalienable rights, one of which being the Pursuit of Happiness. We all measure happiness in our own lives differently, and many of us find happiness in what we do each day. President Theodore Roosevelt once said “Far and away the best prize that life offers is the chance to work hard at work worth doing.” Everyone should have the privilege of serving a purpose within their society, however, people with …

Understanding Autism, Kaileigh J. Sweeney

Senior Honors Projects

Understanding Autism

Kaileigh Sweeney

Faculty Sponsor: Carolyn Hames

Autism spectrum disorders are greatly misunderstood in today’s society. In the United States, it is estimated that 1 in 110 children are diagnosed with an autism spectrum disorder. Despite this high prevalence, a great deal of the population is under the impression that a diagnosis of autism is straight forward and indicative of one set of devastating signs and symptoms. However, the severity of this disorder can range from mild to severe. According to the National Institute of Health, an autism spectrum disorder (ASD) is a range of complex neurodevelopment disorders characterized …

A Medical Mission: Healing Wounds, Improving Health, And Discovering Hope In Honduras, Michaela Maynard

Senior Honors Projects

According to the United Nations, less than one-sixth of the world’s population is made up of the industrialized world. In contrast, the developing world, consisting of approximately 125 low and middle-income countries, is home to about 5.1 billion people. It is in these developing counties that there is an insatiable need for improved public health. In January of 2007, I spent a week working in a medical clinic in Guaimaca, Honduras. I witnessed first hand the suffering, poverty, and injustice of one small town. Yet, what struck me the most was that despite the hardships and the lack of basic …

Psychological Response To Injury, Recovery, And Social Support: A Survey Of Athletes At An Ncaa Division I University, Courtney A. Klenk

Senior Honors Projects

According to the National Athletic Trainers’ Association, “In the last 10 years, college sports have flourished, with athletes required to train and compete year-round rather than seasonally . . .At the same time, athletes are getting bigger, stronger and more physical – which leads to a greater risk of injury.” Sports injury can be traumatic for many athletes because it is an important component of their self-identity. In addition to the physical pain of an injury, athletes struggle psychologically, however little is known about their emotional response, recovery, and need for social support. The Emotional Response of Athletes to Injury …