Medicine and Health Sciences Commons^™

An Evaluation Of Distributed And Accumulated Reinforcer Arrangements On Skill Acquisition And Preference, Natalie R. Mandel

USF Tampa Graduate Theses and Dissertations

Discrete trial training (DTT), an evidence-based instructional procedure (Wong et al., 2015), is often used to teach skills to individuals with autism. Manipulations to the reinforcement component of DTT have increased its instructional efficiency, resulting in acquisition of skills in less time (e.g., Cividini-Motta & Ahearn, 2013). Results of previous studies (e.g., DeLeon et al., 2014) indicate that some individuals prefer to complete larger work requirements that result in a larger amount of a reinforcer (i.e., accumulated arrangement), rather than receiving access to small amounts of a reinforcer dispersed throughout the work requirement (i.e., distributed arrangement). In addition, accumulated reinforcer …

An Investigation Of The Hot Docs Guide For Weekly Early Intervention Sessions: A Multiple Baseline Design, Cashea Holyfield

USF Tampa Graduate Theses and Dissertations

Many parents of young children across the United States are increasingly impacted by their children’s display of early childhood challenging behavior. Common examples of these behaviors include feeding difficulties, tantrums, whining, crying, and noncompliance (Barbarian, 2007; Hemmeter et al., 2014; Spencer & Coe, 2003). Though the relationship between early childhood behavior problems and future outcomes may not be causal, researchers have consistently concluded that if left unaddressed, children who demonstrate early challenging behavior are likely to experience some difficulties in academic achievement, sociability, school readiness, and mental health (American Academy of Pediatrics, 2002; Turney & McLanahan, 2015). Behavioral parent training …

The Relationship Of Hope To Goals And Psychological Outcomes In Patients With Advanced Lung Cancer: A Test Of Hope Theory, Kelly A. Hyland

USF Tampa Graduate Theses and Dissertations

Background. Hope is an important positive psychological construct that may help to explain how individuals cope in the context of life-threatening illness. Snyder’s hope theory states that humans are goal-oriented, and that goals link hope to psychological outcomes. The purpose of the current study was to investigate the relationship of hope to emotional well-being, meaning and purpose in life, and positive and negative affect in a sample of patients with advanced stage lung cancer. The study also sought to identify how hope relates to patients’ goals and to explore whether goal characteristics and progress in achieving goals mediated the relationship …

Reference-Dependent Choice On Digital Platforms, Joshua K. Kaisen

USF Tampa Graduate Theses and Dissertations

Throughout this dissertation I explore a significant departure from the standard model of rationality known as reference-dependence. The theory reference-dependence asserts that an individual’s choice is dependent on their frame of reference established through factors divorced from their rational cost and benefit. This behavior is inefficient as individuals fail to rationally optimize their payoffs. This behavior is understudied in natural settings where isolating specific stimuli which may establish a reference is challenging. However, digital platforms contain limited stimuli which are fully observable to researchers and present an ideal setting to study the theory of reference-dependence. Thus, I introduce three new …

An Examination Of Covid-19 Health Behaviors And Public Health Messaging Using The Health Belief Model And Organization-Public Relationship Quality, Aaron L. Nichols

USF Tampa Graduate Theses and Dissertations

In the context of the most severe pandemic in over 100 years, this study examined public health behavior and public health messaging using the health belief model (HBM) and organization-public relationships (OPR) as frameworks. The study employed a cross-sectional survey of students (N = 288) and employees (N = 203) at a large public university in the southeastern United States. First, the study empirically tested the components of the HBM as determinants of engaging in public health behaviors meant to slow or prevent the spread of COVID-19 and found all components of the model to be significantly related to engaging …

Directing Attention In Second Language Phonological Contrast Learning, Laura Conover

USF Tampa Graduate Theses and Dissertations

Why are some people better at learning new languages than others? There is a rich body of research examining this issue from multiple perspectives and at all levels of language. This study attempts to add to that knowledge at the most fundamental level of language by examining potential influences on the learning of novel phoneme contrasts. The purpose of this study was to explore whether individual differences in attentional capabilities would help adults learn a non-native phonological contrast, and whether providing explicit directions that would guide the learners’ attention could help boost their performance. VCV recordings of the Thai /p/ …

How Race Is Made In Everyday Life: Food, Eating, And Dietary Acculturation Among Black And White Migrants In Florida, U.S., Laura Kihlstrom

USF Tampa Graduate Theses and Dissertations

This dissertation explores how race impacts everyday food decisions and experiences among Black and White migrants in Florida, United States. The study is rooted in scholarship on food and immigration, which asserts that dietary acculturation or the “Americanization” of diets adversely affects the overall health status of migrant populations in the U.S. To date, the majority of this literature has focused on the experiences of Latinx migrants and has not centered race in its analysis. Building on participant observation and semi-structured interviews (n=49) completed over a period of 13 months in the Tampa and Miami Metropolitan areas among Ethiopian and …

Aspiring To “Make It Work”: Defining Resilience And Agency Amongst Hispanic Youth Living In Low-Income Neighborhoods, Sara Arias-Steele

USF Tampa Graduate Theses and Dissertations

This study explored how Hispanic youth (ages 13-21 years) living in low-income neighborhoods of Florida defined resiliency and expressed agency navigating personal challenges and neighborhood adversity in pursuit of success. From the standpoint of the participants, this study focused on how youths: 1) judge the quality of life in their neighborhoods and the opportunities available for them, 2) identify personal aspirations for themselves and 3) identify what resilient factors allowed them to face the challenges and barriers of their daily lives to pursue this aspiration. This study takes into account the structural barriers that create inequities to examine how personal …

Of Body And Mind: Bioarchaeological Analysis Of Nineteenth And Early Twentieth Century Anatomization And Institutionalization In Siena, Italy, Jacqueline M. Berger

USF Tampa Graduate Theses and Dissertations

Institutional bioarchaeology is a growing sub-field within bioarchaeology, particularly social bioarchaeology as informed by the biocultural approach. However, the majority of studies in this vein have primarily addressed English-speaking contexts, to include analyses of institutional assemblages preserved archaeologically, and anatomical collections. The present study examines of the Siena Craniological Collection (SCC) - located in Siena, Italy. The collection was assembled between 1862-1931, and originally contained remains of 1,122 patients from both the general and mental hospitals in operation in Siena during this period (Brasili-Gualandi & Gualdi-Russo, 1989a). In addition to demographic analysis of the Siena Craniological Collection as a whole, …

Impact Of Health It On Practice Of Medicine, Deepti Singh

USF Tampa Graduate Theses and Dissertations

This dissertation focuses on three key facets of health IT impact on the practice of medicine: (1) Clinical impact on practitioner outcomes through malpractice claims, (2) Socio-economic impact on patient outcomes through the clinical treatment of social determinants of health (SDOH), and (3) Organizational impact on Long-Term Post-Acute Care (LTPAC) Facilities. The first dissertation essay (Chapter 1) investigates the impact of Health IT on the nature and severity of malpractice claims reported in Florida from 2009-2016. The essay empirically examines the treatment effect of federal initiatives, specifically the Meaningful Use program, on medical practitioners enrolled in the Medicare program and …

Political Ideologies, Political Party Affiliation, And Treatment Decisions Of Clinical Mental Health Counselors, Aaron L. Norton

USF Tampa Graduate Theses and Dissertations

Literature in the counseling profession has emphasized the importance of recognition of the potential impact of counselor bias on clinical care for decades. A large body of research has been developed on the potential for the personal, social, and religious beliefs of clinical mental health counselors (CMHCs) to impact their work with clients, but comparatively little research has been conducted on the potential impact of the political beliefs of CMHCs and their clinical practice, creating a gap in the professional literature. The present study sought to bridge the gap in CMHC literature by examining the relationship between the political ideologies, …

Making Change In The Nickel City: Food Banking And Food Insecurity In Buffalo, Ny During The Covid-19 Pandemic, Sarah E. Bradley

USF Tampa Graduate Theses and Dissertations

In March 2020, the coronavirus 2019 (COVID-19) pandemic began to spread across the United States. The pandemic disrupted the food system in an unprecedented fashion, exacerbating existing inequalities and contributing to increased rates of food insecurity and charitable food use. This research project considers the food system of Buffalo, New York and seeks to capture the way in which both food insecure households and the food pantries that serve them adapted to the pandemic. Using data from 75 client surveys, 52 qualitative semi-structured interviews with food pantry staff and clients, and 15 participatory GIS mapping interviews, this mixed-methods project describes …

Case Studies In Applied Behavior Analysis: Self-Management Package To Increase Walking Behavior And Class Pass Intervention To Decrease Off-Task Behavior, Michelle Wood

USF Tampa Graduate Theses and Dissertations

Case Study 1: Sedentary lifestyles are part of an increasing problem of social significance in the United States. Behavioral interventions can be used to effect change in this area and the target behavior of increase can be physical activity. Multiple behavioral change techniques used within an umbrella of a self-management intervention package were utilized to increase physical activity, more specifically walking behavior, for one participant. The study results showed that the self-management intervention package was effective in increasing walking behavior for the participant, and future research is discussed.

• Applying behavioral interventions to the area of physical activity can assist clinicians …

Assessing Prompting And Prompt-Fading Strategies In Individuals With Autism Spectrum Disorder, Ashley L. Frankenfield

USF Tampa Graduate Theses and Dissertations

Autism spectrum disorder (ASD) is characterized by restricted interests, repetitive behaviors, and deficits in social and communication skills. In order to help a person with ASD improve their communication skills, behavior analysts should place emphasis on teaching intraverbal skills. Each person has a unique learner history, meaning that different prompts and prompt-fading techniques will result in the most accurate and efficient mastery of intraverbal skills for different people. Assessments were used to identify each participant’s most efficient combination of prompt and prompt-fading procedures in order to maximize one’s potential for learning new skills. Participants’ most efficient prompt/prompt-fading combinations resulted in …

Eating And Body Image Disorders In The Time Of Covid19: An Anthropological Inquiry Into The Pandemic’S Effects On The Bodies, Theresa A. Stoddard

USF Tampa Graduate Theses and Dissertations

This thesis examines how the COVID-19 pandemic and its associated lifestyle changes are impacting the experiences of self-identifying women and females with body image disorders (BIDs) and/or eating disorders (EDs), focusing on the mental, physical, and emotional health of participants. Using surveys, person-centered semi-structured interviews, and autoethnography, I collected qualitative and quantitative data regarding the challenges, triumphs, hopes, and fears of participants regarding their EDs/BIDs during the pandemic and situated their experiences within their sociocultural context. Drawing on anthropological and psychological theory, I examine the data through the lenses of Scheper-Hughes’s and Lock’s “The Three Bodies” (the body politic, body …

Physician Self-Efficacy And Risk-Taking Attitudes As Determinants Of Upcoding And Downcoding Errors: An Empirical Investigation, Samantha J. Champagnie

USF Tampa Graduate Theses and Dissertations

Physicians across the United States are burdened with the pressure of accurate coding while trying to maintain quality patient care. Despite the economic importance of coding accuracy, investigators have not reached consensus on the factors that contribute to coding errors. This study fills this gap by investigating physician characteristics that explain the variation in physician coding accuracy, specifically evaluation and management upcoding and downcoding errors. An electronic survey was distributed to 325 physicians that measured physicians’ attitudes towards risk and coding self-efficacy. Regression analysis found physicians with low self-efficacy had more conservative coding behaviors, resulting in higher incidences of downcoding. …

On The Importance Of Context: Examining The Applicability Of Infertility Insurance Mandates In The United States Using A Mixed-Methods Study Design, Nathanael B. Stanley

USF Tampa Graduate Theses and Dissertations

Accessibility of infertility services is disproportionately experienced in the United States. Although there exist state-based health insurance mandates for infertility services, these mandates contain language that disqualify people from using them. In order to better understand why these mandates are not able to reduce the financial burden and bridge the income disparity for using infertility services, the purpose of this study is to add context to the applicability of these insurance mandates through qualitative and quantitative inquiry. Using the Glass and McAtee model of risk regulators as an operational paradigm, this research explores the role of environmental context, or “place”, …

Temporal Discounting And The Assessment And Treatment Of Academic Procrastination, Anthony Concepcion

USF Tampa Graduate Theses and Dissertations

Many individuals engage in procrastination at some point in their lifetime. Although procrastination is usually not detrimental, for college students, academic procrastination is correlated with adverse health effects (e.g., anxiety, depression, sleep hygiene) and poor academic performance (Akinsola, et al., 2007; Ferrari, et al., 1995). Furthermore, the prevalence of academic procrastination is high with reports of up to 95% of college students engaging in detrimental amounts of procrastination (Hussain & Sultan, 2010). Notably, students enrolled in online courses are likely to be at greater risk to experience adverse consequences associated with procrastination (Elvers, et al, 2003). Previous studies have focused …

Evaluating Public Posting, Goal Setting, And Rewards To Increase Physical Activity In Children, Bryon G. Miller

USF Tampa Graduate Theses and Dissertations

In Experiments 1 and 2 we evaluated a pedometer-based intervention consisting of public posting between two teams of students, with additional self-monitoring, goal setting, and reinforcement components, to increase physical activity during school recess. In the absence of self-monitoring, performance feedback alone did not increase physical activity levels above those observed during baseline. Additionally, higher levels of physical activity were observed when goal-setting was introduced, with the highest levels of activity observed when raffle tickets could be earned for exceeding a specified step-total goal. In Experiment 3 we removed the team component and evaluated similar intervention components across an entire …

Aligning Voice And Communication With Identity – A Survey On Transgender And Gender Diverse Populations, Rachel T. Chalom

USF Tampa Graduate Theses and Dissertations

Purpose: This research has two goals. The first goal is to examine transgender (TG) and gender diverse (GD) voice and communication functioning and the impact of voice on their everyday lives. The second goal is to examine the knowledge, attitudes, and beliefs speech-language pathologists (SLP) have about the TG and GD community and to investigate the relationship between self- and listener-perception and its correspondence to quality of life (QoL).

Methods: A total of 59 participants took part in this research. The research was separated into two parts, the first included 24 TG and GD individuals who participated in a Qualtrics …

The Role Of Threat And Efficacy In Anti-Vaping Ads: A Test Of The Extended Parallel Process Model, Ryan Noone

USF Tampa Graduate Theses and Dissertations

Often thought of as a safer alternative to traditional cigarettes, electronic cigarette use among youth and young adults has steadily increased over the past 10 years. With over 34 percent of high school students and over 7.8 percent of young adults using electronic cigarettes, organizations like the CDC and the FDA have created campaigns and advertisements to combat the epidemic (Truth Initiative). This study uses a 2x2 between subject factoral experiment to gain insights into how varying levels of anti-vaping advertisements’ threat and efficacy elements effect college age students’ perceptions and behaviors towards e-cigarettes. While several of the study’s hypotheses …

Nurses And Needlesticks: Perceptions Of Stigma And Hiv Risk, Bethany Sharon Moore

USF Tampa Graduate Theses and Dissertations

Health-care providers (HCPs) are vulnerable to occupational health hazards, including dirty needle-stick injuries (DNSIs), which increase the risk for infection with HIV and other blood-borne pathogens. This study examines the perceptions of nurses and nurse practitioners who work in various health care settings regarding HIV-risk and DNSIs, in order to ascertain how these perceptions inform their decision-making regarding their health and nursing practice. I utilize a phenomenological approach to analyze the lived reality and embodiment of the DNSI experience by HCPs. The study explores the personal and institutional level factors that may influence the timely reporting and treatment of DNSIs, …

‘It’S Been A Huge Stress’: An In-Depth, Exploratory Study Of Vaccine Hesitant Parents In Southern California, Mika Kadono

USF Tampa Graduate Theses and Dissertations

In 2015, the US experienced a widespread measles outbreak that originated at Disneyland, California and spread to six other states, Mexico, and Canada. That year, California passed Senate Bill 277 (SB 277), which eliminated the personal belief exemption for vaccinations required for school entry; California became the third state in the country to eliminate nonmedical exemptions. In 2019, Washington, Maine, and New York followed suit eliminating all nonmedical exemptions amid the largest measles outbreak in the US in 25 years. Many countries, including the US, are experiencing a rise in vaccine preventable diseases due, in part, to increasing vaccine hesitancy, …

Social Exclusion Of Older Mossi Women Accused Of Witchcraft In Burkina Faso, West Africa, Clarisse Barbier

USF Tampa Graduate Theses and Dissertations

Among the most marginalized populations in the world, one group of women has been persistently ignored, silenced, and forgotten. In Burkina Faso, West Africa, older women in rural villages are often the target of witchcraft accusations; the consequences of these accusations are alarming because these women undergo violent attacks, face exclusion from their villages, and become the most vulnerable and marginalized segment of the Burkinabe population. Between August 2017 and November 2018, I conducted an ethnographic study of Burkinabe women accused of witchcraft living in two shelters in the capital city of Ouagadougou and examined women’s experiences of accusation, trauma, …

“They Will Think We Are The Cancer Family”: Studying Patterns Of Cancer Disclosure And Communication Among Indian Immigrants In The United States, Kanan Mehta

USF Tampa Graduate Theses and Dissertations

Studies of Indian immigrants in Western countries show that the rates of cancer increase significantly within a generation in the host country. The negative social perceptions associated with health outcomes of cancer often perpetuate limited disclosure regarding the diagnosis of cancer among patients and families. This can result in disrupted communication in clinical settings, while causing increased stress among patients and caregivers. These findings demonstrate the need for studying lived experiences of cancer-related illness and its impacts on social relationships in the domestic and public sphere.

This study explored cancer disclosure and communication among Indian immigrants in the United States …

Governmentality, Biopower, And Sexual Citizenship: A Feminist Examination Of Sexual And Reproductive Healthcare Experiences Of 18-24 Year-Olds In The U.S. Southeast, Melina K. Taylor

USF Tampa Graduate Theses and Dissertations

Sexual and reproductive healthcare in the U.S. is a contentious and often stigmatized topic. Conservative politics and Christian religious ideology guide laws and policies that inform narratives of sexual citizenship that promote white, heterosexual, procreative, cis-gendered relationships as the ideal. For young people, exposure to sexuality education greatly influences their self-identity as sexual citizens and guides how they form intimate relationships. While sexual and reproductive healthcare has been included marginally in the discipline of anthropology, almost no research has focused on young people’s sexual and reproductive healthcare within the U.S.

This dissertation examines the viewpoints and experiences of 18-24 year-old …

A Comparison Of Verbal Feedback And Video Feedback To Improve Dance Skills, Shreeya Sudhir Deshmukh

USF Tampa Graduate Theses and Dissertations

Research has shown that video feedback and verbal feedback can improve a variety of skills related to several sports. The purpose of this study was to compare the effectiveness of these two forms of feedback for improving dance skills. In this study, the dance skills of three participants were assessed. Verbal feedback and video feedback were implemented using a multiple baseline across participants with an embedded alternating treatments design to allow for a direct comparison of the interventions. The results indicated that verbal feedback was more effective for one participant and video feedback was more effective for one participant. More …

Essays On The Disposition Effect, Matthew Henriksson

USF Tampa Graduate Theses and Dissertations

This dissertation contains two essays that shed new light on the disposition effect – that is, the tendency for investors to be especially eager to realize gains over losses. The first essay combines county-level natural disaster data with individual investor transactions to document an increased disposition effect for investors impacted by a natural disaster. This effect is increasing in disaster severity and decreasing in the length of time following the event, suggesting that extreme natural disasters can significantly influence investor behavior, especially in the short term. These findings are not explained by liquidity needs, tax incentives, or informed trading. The …

The Role Of Financial Insecurity And Expectations On Perspectives Of Mental Health Services Among Refugees, Jacqueline M. Siven

USF Tampa Graduate Theses and Dissertations

This dissertation examines how perspectives of mental health among refugees are situated within the realities of the refugee resettlement system, a population for which information on this issue is quite limited. Through in-depth interviews and participant observation with Congolese refugees and non-Congolese refugee-serving professionals in a major Florida city, this dissertation examines how perceptions of mental health and mental health services among refugees were affected by financial insecurity and disparities in expectations. Local Congolese refugees expected the American Dream; they believed that once they arrived they would find prosperity through hard work. Instead they experienced frustration and distress because the …

Exploration Of Factors Associated With Perceptions Of Community Safety Among Youth In Hillsborough County, Florida: A Convergent Parallel Mixed-Methods Approach, Yingwei Yang

USF Tampa Graduate Theses and Dissertations

Introduction: Youth perceived safety is not only linked to crime and violence in a neighborhood but is also associated with health risk behaviors and certain neighborhood characteristics. The purpose of this mixed-methods study was to measure the co-occurring effects of individual and community risk factors by conducting a secondary data analysis using structural equation modeling (SEM) and to explore reasons for youth feeling safe/unsafe in their community using photovoice methodology.

Methods: Syndemic theory/model served as the theoretical framework to guide this mixed-methods study with a convergent parallel design. The quantitative strand (first manuscript) utilized an existing dataset collected from middle …