Medicine and Health Sciences Commons^™

Integrating Students Into Interdisciplinary Health And Health Disparities Research Teams, Tanya M. Coakley, Allyson Kelley, Robin Bartlett, Terri Shelton, Schenita D. Randolph, Debra C. Wallace

Journal of Health Disparities Research and Practice

Major initiatives by the U.S. Department of Health and Human Services as well as the World Health Organization have produced a large and compelling body of evidence on how to reduce health disparities, which entails having a clear understanding of how social factors shape health and healthcare outcomes. Specifically, there is a need for healthcare professionals to understand social determinants of health (e.g., low socioeconomic status, lack of health insurance, and poor education) and how these lead to disparities in health for people of minority racial and ethnic groups. Little is known about how students are developed as health disparities …

Situating Food Insecurity In A Historic Albuquerque Community: The Whorled Relationship Between Food Insecurity And Place, Janet Page-Reeves, Maurice Moffett, Molly Bleecker, Katharine Linder, Jeannie Romero, Carol Krause

Journal of Health Disparities Research and Practice

This article examines conceptualizations of the relationship between food insecurity and place. We use an ethnographically inspired and community-engaged approach to situate our analysis of fluid dynamics at work in a community with high levels of food insecurity. We propose that the relationship between place and people’s experience of food insecurity is recursive, dialectical, and “whorled.” This relationship reflects complex, interconnected, and multidimensional processes with consequences for the health of residents. Our research demonstrates the key nature of the health-place nexus by exploring how food insecurity articulates with place in unexpected ways that go beyond discussions of food, …

Perceptions Of Chronic Disease Among Older African Americans: A Qualitative Analysis, Karon Phillips, Charles Rogers, Adrienne Morgan

Journal of Health Disparities Research and Practice

Research has documented that African Americans suffer disproportionately from chronic diseases when compared to the general population. Yet, limited research examines older African Americans’ perceptions about having chronic diseases. Accordingly, the first aim of the study provided insight into this disparity with the intent of revealing how older African Americans feel about their overall health, and how much they understand about their individual chronic disease(s). The second aim was to gather information about strategies and coping mechanisms older African Americans use to manage their chronic diseases. The purpose of this aim was to determine if any of the strategies they …

Calidad De Vida: An Exploratory Investigation Of Latino Breast Cancer Survivors And Intimate Partners, Sejal Barden, Daniel Gutierrez, Jessica Gonzalez, Shainna Ali

Journal of Health Disparities Research and Practice

Advances in addressing psychosocial issues related to cancer treatment and prevention are not reaching all survivors equally. Latina breast cancer survivors and intimate partners are underrepresented in psychosocial interventions, and there is a scarcity of research on the influence of cancer on Latino couples’ quality of life. The purpose of this manuscript is to present findings from a trans-linguistic, dyadic qualitative research study aimed at exploring the influence of cancer on quality of life for Latina breast cancer survivors and their intimate partners. Results highlight several areas that are helpful and hindering to supporting survivorship.

Adult Day Service Providers: Untapped Potential For Care Coordination, Nicole Ruggiano, Ellen L. Brown, Karen L. Fortuna

Nursing & Health Sciences Research Journal

Adult Day Services (ADS) have become increasingly available for community-dwelling older adults who are often experiencing multiple chronic conditions and/or dementia. ADS providers spend a significant amount of time with their clients and offer the opportunity for a wealth of clinical information that can be used by primary care providers and specialists for decision-making about patient care. There are also opportunities for hospitals to coordinate care transitions with ADS providers by involving them with discharge planning with appropriate patients who require post-hospital care. However, ADS providers are often viewed as social service providers, and there is little known about the …

Exploring Perceptions Of Workplace Bullying In Nursing, Eve Butler, Andrea Prentiss, Flora Benamor

Nursing & Health Sciences Research Journal

Introduction: Bullying is experienced by all levels of nurses and in all practice settings. The impact of bullying in the workplace environment can have significant negative effects on morale and may lead to increased turnover. As a result of a referral to the Nursing Quality Council for bullying, the Nursing Quality and Caring Council set forth to explore bullying in the workplace. The purpose of this study was to identify registered nurse/clinical partner perceptions of the frequency and prevalence of bullying in the workplace and to assess registered nurses’ (RNs) experiences of bullying by physicians, coworkers, patients and direct supervisors. …

Supporting Medicaid In Virginia, Scott Burns

Exigence

This report analyzes Medicaid in Virginia, the needs-based social health insurance program providing health coverage to children, pregnant women, working parents, the disabled, and elderly who cannot afford health costs on their own. It supports the value of the Medicaid program to these beneficiaries’ long term health, the healthcare sector, cost control and Virginia’s economy. Additionally, it analyzes healthcare policy looking at what effects the Affordable Care Act has had in improving healthcare access and what effects healthcare reform under president-elect Donald Trump’s administration and the Republican controlled 115^th United States Congress might have targeting healthcare cost. Ultimately this …

Courtesy: The Space Between Souls, Erica Vaiser

Counseling and Family Therapy Scholarship Review

This paper presents an illustrative dissection of the virtuous power of courtesy. The content, herein, examines the mutual space between individual souls created through courtesy, utilizing Robert Sardello’s (2003) definition of “courtesy” as a virtue. True acts of courtesy surpass commonly understood actions and niceties, in which the purpose is to invite one’s soul into a mutual space of acknowledgment with the soul of another. It is only out of this recognition that the soul remembers its common and worldly origin. Ego processing dictates so much of our daily interactions that the presence of soul connection is most certainly never …

Wounded Healer: A Spiritual Autobiography, Soo M. Pak

Counseling and Family Therapy Scholarship Review

The underworld of human life is undeniably painful, messy, dark, and overwhelming. The sight of it can be disfigured and horrendous; thus, extreme measures are taken to deny, ignore, cover up, and run away from it. However, the darkness of human life is an important ingredient that gives birth to understanding, humility, compassion, and beauty. The key is to look at our wounds with compassion, honesty, and vulnerability. There is great worth in being vulnerable with our wounds. It takes courage to sit with, feel, and examine our wound because it pains us in the most sacred place of our …

Unplugged, Lea Powell

Counseling and Family Therapy Scholarship Review

This article serves as an explorative piece attempting to investigate social networking norms and their contribution towards increased levels of disengagement and disconnection. After recognizing superficial online trends of interaction within her own social network, the author discloses experiencing feelings of hopelessness. In attempt to explore these feelings and unmask the factors underlying these trends, elements of motivation, privacy, and an individual’s relationship with control are discussed. Themes of expectant accessibility and communication within the realm of technology are explored and compared to real life interactions and experiences, with emphasis on an observed dissonance occurring between them. Notions of social …

Transgender Resiliency: A Comparison Of Transgender And Cisgender Therapy Clients’ Family Functioning And Psychological Symptomology, Deborah Coolhart , Ph.D., Lmft, Anibal Torres Bernal , Ph.D., Kimdy Le , Ph.D.

Counseling and Family Therapy Scholarship Review

Existing literature often suggests transgender people face increased vulnerabilities in comparison to cisgender people and poorer mental and physical health outcomes. However, studies are increasingly exploring resilience of transgender people and factors contributing to positive coping. The current study compared transgender to cisgender clients at a University-based couple and family therapy center on self-reported psychological symptomology and family functioning. Transgender individuals did not differ significantly from cisgender individuals on family functioning, however transgender individuals reported significantly fewer symptoms on all twelve subscales of psychological symptomology, despite lower income and lower levels of education. Results suggest transgender individuals may develop unique …

The Phenomenon Of Belonging, Martin R. Baker

Counseling and Family Therapy Scholarship Review

A central problem facing humanity is that we have forgotten our sense of belonging. We no longer feel like we belong to ourselves, each other, and the world in deep and meaningful ways. Modern culture has uprooted the heart felt bonds of authentic connection and replaced them with false experiences of belonging through the addictive qualities of materialism, narcissism, and rationalism. As a result we suffer from our lost experiences of soul, spirit, and the aliveness of the world. In this article, we will explore belonging as the process of growth, forever pushing away the old and pulling towards new …

Putting The Patient Back In Patient Care: Health Decision-Making From The Patient’S Perspective, Bill R. Garris, Amy J. Weber

The Qualitative Report

This research explored health decision-making processes among people recently diagnosed with type 2 diabetes. Our analysis suggested that diagnosis with type 2 was followed by a period of intense emotional and cognitive disequilibrium. Subsequently, the informants were observed to proceed to health decision-making which was affected by three separate and interrelated factors: knowledge, self-efficacy, and purpose. Knowledge included cognitive or factual components and emotional elements. Knowledge influenced the degree of upset or disequilibrium the patient experienced, and affected a second category, agency: the informants’ confidence in their ability to enact lifestyle changes. The third factor, purpose, summarized the personal and …

#Metoo Must Include Prostitution, Melissa Farley

Dignity: A Journal of Analysis of Exploitation and Violence

No abstract provided.

Direct And Indirect Influences Of Defendant Mental Illness On Jury Decision Making, Marie Sabbagh

The Pegasus Review: UCF Undergraduate Research Journal

It is a common misconception that individuals with schizophrenia are significantly more dangerous and violent than individuals free of mental illness. This stigmatization may lead to harsher sentences when people with schizophrenia are involved in criminal activities and sentenced by a jury. This study presented four conditions to which participants were randomly assigned, alone or in a group of three, and were asked to sentence a defendant, either with or without schizophrenia. It was hypothesized that group deliberations would result in more lenient sentences for defendants with schizophrenia as compared to individual deliberations. Furthermore, it was predicted that both group …

Inductive And Deductive: Ambiguous Labels In Qualitative Content Analysis, Mohammad Reza Armat, Abdolghader Assarroudi, Mostafa Rad, Hassan Sharifi, Abbas Heydari

The Qualitative Report

The propounded dualism in Content Analysis as quantitative and qualitative approaches is widely supported and justified in nursing literature. Nevertheless, another sort of dualism is proposed for Qualitative Content Analysis, suggesting the adoption of "inductive" and/or "deductive" approaches in the process of qualitative data analysis. These approaches have been referred and labelled as "inductive" or "conventional"; and "deductive" or "directed" content analysis in the literature. Authors argue that these labels could be fallacious, and may lead to ambiguity; as in effect, both approaches are employed with different dominancy during the process of any Qualitative Content Analysis. Thus, authors suggest more …

Data Saturation: The Mysterious Step In Grounded Theory Method, Khaldoun M. Aldiabat, Carole-Lynne Le Navenec

The Qualitative Report

The aim of this paper is to provide a discussion that is broad in both depth and breadth, about the concept of data saturation in Grounded Theory. It is expected that this knowledge will provide a helpful resource for (a) the novice researcher using a Grounded Theory approach, or for (b) graduate students currently enrolled in a qualitative research course, and for (c) instructors who teach or supervise qualitative research projects. The following topics are discussed in this paper: (1) definition of data saturation in Grounded Theory (GT); (2) factors pertaining to data saturation; (3) factors that hinder data saturation; …

Physiological And Cognitive Factors Related To Human Performance During The Grand Canyon Rim-To-Rim Hike, Kristin Divis, Clifford Anderson-Bergman, Robert Abbott, Victoria Newton, Glory Emmanuel-Aviña

Journal of Human Performance in Extreme Environments

Exposure to extreme environments is both mentally and physically taxing, leading to suboptimal performance and even life-threatening emergencies. Physiological and cognitive monitoring could provide the earliest indicator of performance decline and inform appropriate therapeutic intervention, yet little research has explored the relationship between these markers in strenuous settings. The Rim-to-Rim Wearables at the Canyon for Health (R2RWATCH) study is a research project at Sandia National Laboratories funded by the Defense Threat Reduction Agency to identify which physiological and cognitive phenomena collected by non-invasive wearable devices are the most related to performance in extreme environments. In a pilot study, data were …

Patient Perspectives On Adherence To The New Hepatitis C Antiviral Medications: ‘A New Lease On Life’, Nicole M. Giordano, Anthony J. Brinn, Guadalupe Garcia-Tsao, Steve Martino

The Qualitative Report

This study explored patients’ perspectives about taking the new direct-acting antivirals (DAAs) for the treatment of Hepatitis C (i.e., sofosbuvir, simeprevir, ledipasvir/sofosbuvir, ombitasvir/paritraprevir/ritonavir and dasabuvir) to identify facilitators of medication adherence. The project was conducted using semi-structured interviews with 12 Veterans who successfully completed a treatment course on the new DAAs. The Veterans were recruited using purposive sampling. The data collected from the semi-structured interviews was analyzed using an adapted open coding method outlined by Auerbach and Silverstein (2003), with identification of relevant text sub-grouped into repeating ideas, and then creation of overarching themes and constructs. Results obtained provide insight …

An Exploration Of The Perceived Usefulness Of The Introductory Statistics Course And Students’ Intentions To Further Engage In Statistics, Rossi A. Hassad

Numeracy

Students’ attitude, including perceived usefulness, is generally associated with academic success. The related research in statistics education has focused almost exclusively on the role of attitude in explaining and predicting academic learning outcomes, hence there is a paucity of research evidence on how attitude (particularly perceived usefulness) impacts students’ intentions to use and stay engaged in statistics beyond the introductory course. This study explored the relationship between college students’ perception of the usefulness of an introductory statistics course, their beliefs about where statistics will be most useful, and their intentions to take another statistics course. A cross-sectional study of 106 …

Family-Centered Approach To Teen-Driving Program: Program Evaluation Of Parental Behavioral Outcomes, Karen K. Melton, Beth Lanning, Naomi Abel

Journal of Adolescent and Family Health

This article presents the evaluation of parental monitoring and controlling of teen-drivers after attending a family-centered program focused on teen risky-driving behaviors. The program design was guided by the Social-Ecological Model and Health Belief Model. Fifteen parents attending the driving program completed measures of parent control and parent monitoring. Overall, effect sizes at the two-month follow-up indicate the program was moderately effective. There was a statistically significant increase to parental discussions of driving rules. Altogether, this article contributes to the growing literature on the effectiveness of family-centered programs.

Two Case Examples Of Reaching The Hard-To-Reach: Low Income Minority And Lgbt Individuals, Tricia K. Gatlin, Michael J. Johnson

Journal of Health Disparities Research and Practice

‘Hard-to-reach’ is a term primarily used by researchers to describe groups of people who have been historically difficult to find or contact. It is important for the public interest to include hard-to-reach groups in research because excluding certain sub-populations diminishes the ability to identify groups that potentially have the highest burden of illness and to develop an understanding of why group differences exist. Thus, the purposes of this paper are to: 1) describe the challenges in recruiting hard-to-reach population in two separate research studies; 2) discuss the strategies that were used to overcome those challenges; and 3) provide recommendations for …

An Ambivalent Embrace: Service Needs And Gaps For Asian Immigrants In New Destinations, John J. Chin

Journal of Health Disparities Research and Practice

Asian immigrants to the U.S. are settling in "new destinations," but there has been little research on their health care and social service needs. Our analysis of Census data to identify cities with the fastest Asian immigrant population growth (1990-2000) yielded 33 smaller cities in 13 states. The cities ranged in population from 7,677 to 86,660; were spread across 13 states in the Northeast, South, and Midwest regions of the US; and varied widely demographically. Pilot surveys conducted in 2009 indicated that, although many residents had positive attitudes towards immigrants, many were also concerned about job competition and dilution of …

Discovering Perspectives On Health And Well-Being From Parents And Teachers Of Preschool- Aged Children, Divya Sood, Delawnia Comer-Hagans, Dirk Anderson, Diana Basmajian, Ashley Bohlen, Michelle Grome, Irada Imanova, Kimberly Martin

The Open Journal of Occupational Therapy

Background: This study explores the concept of health and well-being as perceived by teachers and parents of preschool-aged children in the specific context of a child day care facility. The study also identifies the barriers parents and teachers encounter and the supports they require in promoting the health and well-being of preschool-aged children.

Method: A qualitative phenomenological research design combined with a projective technique of Photovoice was used for data collection. A total of eight participants, four teachers and four parents of preschool-aged children from a child day care facility, participated in the study.

Results: Several themes were identified related …

Using Person-Centered Scheduling With Geriatric Patients To Reduce Anxiety With Telepsychiatry, Jody G. Long, Patricia A. Wilkerson, Evi Taylor, John H. Hall, Christopher Peters

Contemporary Rural Social Work Journal

ABSTRACT

Objective: This study explored using person-centered scheduling with telepsychiatry for rural community geriatric patients. Quantitative research approaches were used to determine the level of satisfaction participants experienced with person-centered scheduling and geriatric telepsychiatry. Method: Quantitative data were collected by using the Zung Self-Rating Anxiety Scale (SAS) before scheduling the first appointment and to assess the intervention’s effectiveness after the telepsychiatry session. Results: Person-centered telepsychiatry scheduling decreased geriatric patients’ anxiety as evidenced by Zung SAS scores. Conclusion: Older adult patients saw telepsychiatry as a viable means of treatment. Future research with geriatrics from different regions is needed.

Implications and future …

Tasseography From Jung's Perspective, Avetisian, Elizabeth

CONSCIOUSNESS: Ideas and Research for the Twenty-First Century

Approaching from Jung’s perspective this paper aims to understand how the unconscious communicates through symbolism that may be the basis for synchronicity arising from mantic procedures. A particular ritual of divination called tasseography will be studied whereby the seer interprets patterns in coffee grounds intuitively and by following a standard system of symbolism to foretell the seeker’s future life events or provide answers to seeker’s pressing life questions. The paper will examine various processes involved in the experience of tasseography and its ritual that enable the reader to predict the seeker’s future or bring light to the present or past …

Journal Acknowledgments And Editorial Board, Academy Editors

Journal of the Arkansas Academy of Science

No abstract provided.

Social Media And Negative Aspects Of Well-Being: Does Fomo Play A Role?, Casey J. Mcandrew

Bridges: A Journal of Student Research

Fear of missing out (FOMO) is a relatively new concept, however researchers have found that FOMO and social media use cause negative aspects of well-being, such as depression, anxiety, stress (Alabi, 2013; Alavi, 2011) and lack of academic motivation (Jacobsen and Forste, 2011). When using a correlational design, the current study examined the associations between social media engagement and negative aspects of well-being, while also examining the mediating role of FOMO between these variables. Participants (198 college students, M = 19 years old, 86 percent female, 74 percent Caucasian) completed online surveys, where participants reported on their levels of social …

Determinants Of Health Disparities Among African And Caucasian Americans With Chronic Kidney Disease, Renal Cell Carcinoma, And End-Stage Renal Disease, Kathleen Cosgrove

The Graduate Review

Many studies have confirmed the disparity that black patients have an increased prevalence of severely impaired kidney function compared to whites. Without dialysis, or a kidney transplant, chronic kidney disease will progress to a fatal prognosis of end-stage kidney failure. The most common type of kidney cancer, renal cell carcinoma, occurs most often in adult males, age 50-70. Diabetes and hypertension are two of the most determinant factors of end-stage renal disease (ESRD) in the United States, which most often develops following a chronic kidney disease (CKD) diagnosis. The poor are most susceptible to disease due to high risk community …

The Inherently Flawed Relationship Between Physicians And Pharmaceutical Companies’ Gifts: Tanstaafl*, David P. Paul Iii

Atlantic Marketing Journal

Pharmaceutical companies frequently give practicing physicians and physicians-in-training an assortment of free “gifts,” ranging from pens to stethoscopes to continuing medical education. In an ideal world, these gifts would not compromise, or even seem to compromise, physicians’ decision-making. Unfortunately, as we live in a non-perfect world, this paper examines how physicians have been shown to perceive such gifts, the pharmaceutical companies’ position regarding these gifts, what the theory of gift-giving and gift-receiving tells us about this behavior, and what the future may hold as healthcare becomes more transparent.