Medicine and Health Sciences Commons^™

Occupational Therapy Transition Services, Olivia G. Cooper

Occupational Therapy Capstones

Transition services include training in daily living, social, cognitive, and vocational skills that align with occupational therapy’s (OT’s) scope of practice. However, occupational therapy (OT) is minimally represented in transition services. This doctoral capstone project (DCP) aims to contribute to the development and expansion of an outpatient, hospital-based transition program for adolescents and young adults with intellectual and developmental disabilities (IDD). Group programming in this setting is a unique and feasible environment to provide services for skill-building opportunities that also emphasize caregiver involvement. This program offers a solution to the gap in OT services for adolescents and young adults with …

Oral Health Inequalities In Adolescents And Young Adults In Ontario, Maria Rahman

Electronic Thesis and Dissertation Repository

Oral health is consistently linked to physiological, psychological, and social aspects of well-being in adolescents and young adults. In this thesis, I aimed to examine the social determinants of oral health and dental care utilization. First, I conducted a scoping review of the literature, demonstrated the multifaceted nature of oral health and its connections to broader social and economic factors. Then, I conducted a cross-sectional analysis of the Canadian Community Health Survey which showed a social gradient in oral health and dental care utilization among adolescents and young adults in Ontario. When stratified by age, there was a protective association …

Effects Of A Preventive Mental Health Curriculum Embedded Into A Scholarly Gaming Course On Adolescent Self-Esteem: Prospective Matched Pairs Experiment., Christopher Jenson, Sharon Fitzgerald Wolff, Libby Milkovich

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Positive self-esteem predicts happiness and well-being and serves as a protective factor for favorable mental health. Scholarly gaming within the school setting may serve as a channel to deliver a mental health curriculum designed to improve self-esteem.

OBJECTIVE: This study aims to evaluate the impact of a scholarly gaming curriculum with and without an embedded preventive mental health curriculum, Mental Health Moments (MHM), on adolescents' self-esteem.

METHODS: The scholarly gaming curriculum and MHM were developed by 3 educators and a school-based health intervention expert. The scholarly gaming curriculum aligned with academic guidelines from the International Society for Technology Education, …

From Vapor To Vice: Unraveling The Links Between Vaping And Traditional Substance Abuse Among Youth, Ayana Powell

Capstone Experience

ABSTRACT:

Objective: To evaluate whether vaping or using e-cigarettes is associated with the use of traditional substances, such as cigarettes, alcohol, and marijuana.

Methods: Using data from the Monitoring the Future surveys, a multivariable logistic regression model was performed, and prevalent odds ratio were calculated to evaluate the association between vaping and traditional substances.

Results: Vaping use among U.S. adolescents and teenagers was found to be an associated with use of traditional substances (cigarette use [OR]= 6.36 [CI]= 4.84, 8.38; alcohol use [OR]=5.80 [CI]= 5.28, 6.38; and marijuana use [OR]= 7.77 [CI]= 6.95, 8.70).

Conclusion: This study will assist …

Traditional And Emerging Modifiable Lifestyle Risk Behaviors For Non-Communicable Diseases In A Sample Of Hispanic/Latino American Adolescents Living In The U.S.-Mexico Border Region, Silvia Salinas Lopez

Open Access Theses & Dissertations

Background: Non-communicable diseases (NCDs) pose a significant global health threat, with modifiable lifestyle risk behaviors (mLRBs) contributing substantially to their onset. This study examined traditional and emerging mLRBs and their distribution on cross-sectional health outcomes among Hispanic/Latino in-school adolescents living on the U.S.-Mexico border. Methods: This secondary data analysis used information from the cross-sectional 2019 El Paso YHBS obtained through online surveys. The secondary data analyzed the prevalence, clustering, and co-occurrence of mLRBs of 539 Hispanic/Latino high school students. Results were compared to mLRBs findings corresponding to Hispanic/Latino adolescents who participated in the national and state 2019 CDC YRBSS. An …

Parapapillary Βbm And Γ Zones Played Different Roles In Axial Elongation Among Young Adolescents Using Optical Coherence Tomography, Yin Guo, Jiayan Li, Feifei Tian, Rui Hou, Lijuan Liu, Jiali Duan, Ang Ji, Youxin Wang, Xiuhua Guo, Deqiang Zheng, Wei Wang, Lijuan Wu

Research outputs 2022 to 2026

Purpose: To evaluate the influencing factors of parapapillary BM and zones incidence in young adolescents and to explore their associations with axial length progression. Methods: In this prospective cohort study, 976 seventh-grade students from nine secondary schools in Beijing, China, were enrolled and followed up 1 year later. Parapapillary BM zone was defined as retinal pigment epithelium loss while Bruch's membrane was present. Parapapillary zone was defined as the absence of retinal pigment epithelium and Bruch's membrane. Logistic regression model was used to analyze the influencing factors of BM and zone incidence. A linear mixed model was used to analyze …

Suicide Rates Among Adolescents And Young Adults In The Mountain West, Isabelle G. Graham, Caitlin J. Saladino, William E. Brown Jr.

Health

This fact sheet shows data on suicide death rates among adolescents aged 10 to 24 years in the Mountain West:Nevada, New Mexico, Arizona, Colorado, and Utah. This fact sheet includes data from a report published by the Center for Disease Control in the National Vital Statistics Report which examines adolescent suicide in the U.S.

Enhancing Athletic Participation: Continuous Glucose Monitoring For Pediatric Type 1 Diabetes Athletes, Danielle Santiago

Nursing | Student Research Posters

Background: Type 1 diabetes mellitus (T1DM) is a lifelong autoimmune condition requiring exogenous insulin, daily insulin management, and blood glucose monitoring (Kahanovitz et al., 2018). Diagnosis, often in childhood, brings overwhelming challenges for children and parents. While no cure exists, advances in monitoring and insulin delivery enhance blood sugar control and quality of life (Mayo Clinic, 2023)

Problem Statement: It is suspected that children with T1DM develop a fear of hypoglycemia (FOH) that deters exercise. Cockroft et al. (2023) found that 70% of youth with T1DM do not meet the recommended amount of exercise (Cockcroft et al., 2023). Physical education …

The Knowledge And Attitude Regarding Pubertal Changes Among Adolescent Males In Urban Karachi, Pakistan, Sabah Muhammad Nazim

Theses & Dissertations

Background: Adolescence (the period between childhood and adulthood) is characterised by significant changes in bodily functions, along with psychological and cognitive growth. The unanticipated changes in that phase (especially related to sexuality) can cause adolescents embarrassment and distress, thus impacting their well-being and development.
Purpose: The study aimed to evaluate the level of knowledge and attitudes among male adolescents residing in urban Karachi, Pakistan, specifically concerning pubertal changes and health. The primary focus was to gather information about how well these adolescents understand the physical and emotional transformations associated with puberty and their overall awareness and attitude towards pubertal health …

Impacts Of Creatine Supplementation On Running Anaerobic Sprint Performance Test (Rast) Power And Velocity In Youth Soccer Players, Nia Howard, Citlaly Jauregui, Heitor P N Amorim, Sullen B. Sant'ana, Juan Mielgo Ayuso, Dailson Paulucio, Marco Machado, Steven B. Machek

International Journal of Exercise Science: Conference Proceedings

Creatine supplementation commonly enhances short-term, high-intensity effort performance such the soccer-specific ability to perform repeated sprints. Research in this regard is both generally sparse but specifically more so in youth athletes. PURPOSE: to determine the effect of 28 days of creatine monohydrate supplementation on running anaerobic sprint performance (RAST) power and velocity in youth soccer players. METHODS: Sixteen male youth soccer players were randomized in double-blinded, parallel-group fashion to either 28 days of creatine supplementation (CRE; 15.9±0.35y) or an equivalently-dosed dextrose (PLA; 15.5±0.54y; 0.3g/kg/d loading dose for the first seven days, followed by 0.03g/kg/d for the remaining period), whereby they …

Impacts Of Creatine Supplementation On Body Weight And Running Anaerobic Sprint Performance Test (Rast) Time Performance In Youth Soccer Players, Citlaly Jauregui, Heitor Pn Amorim, Suellen B. Sant'ana, Juan Mielgo Ayuso, Dailson Paulucio, Steven B. Machek, Marco Machado

International Journal of Exercise Science: Conference Proceedings

Creatine supplementation commonly increases intracellular water and/or lean mass-associated weight gain and concomitantly improved short-term, high-intensity effort performance such as repeated sprint ability. Research in this regard is both generally sparse but specifically more so in younger soccer athletes. PURPOSE: to determine the effect of 28 days of creatine monohydrate supplementation on body weight and running anaerobic sprint performance (RAST) time in youth soccer players. METHODS: Sixteen male youth soccer players were randomized in double-blinded fashion to either 28 days of creatine supplementation (CRE; 15.9±0.35y) or an equivalently-dosed dextrose (PLA; 15.5±0.54y; 0.3g/kg/d for the first 7 days, followed by 0.03g/kg/d …

Comparison Of Physical Activity Levels Among School-Age Adolescents In The Rural And Urban Areas Of District Swat Kpk, Pakistan- An Analytical Cross-Sectional Study, Imran Uddin

Theses & Dissertations

Background: Obesity and overweight represent significant global public health concerns. Young adolescents are in particular increasingly experiencing obesity and overweight due to their sedentary lifestyles, excessive electronic media use, and lack of physical activity (PA). This trend is linked to the development of non-communicable diseases in later life. Moreover, data regarding the lack of PA is available in Pakistan, but a gap exists in the comparative analysis of physical activity levels between rural and urban adolescents. Rural and urban areas exhibit distinctions in both geographical settings and technological advancements, potentially influencing the PA levels of their respective inhabitants.
Purpose: The …

Social Supports For Adolescent And Young Adult Polycystic Ovary Syndrome Patients: A Scoping Review, Caitlin E. Mungall

Western Libraries Undergraduate Research Awards (WLURAs)

Polycystic ovary syndrome (PCOS) is a chronic disorder with negative health consequences for millions of women. The paucity of research regarding interventions targeting the psychosocial symptoms of PCOS for adolescents and young adults (AYAs), susceptible to low self-esteem and depression, warranted this review. This paper provides an overview of research on the social supports currently available for AYAs and identifies areas where further research is required to elucidate their support needs. A scoping review methodology identified 15 studies that met inclusion criteria. Findings revealed that this is an emerging field of research and most included studies originated in North America. …

Parent-Reported Provider Recommendation Of Hpv Vaccination Among Minority Adolescents Before And During The Covid-19 Pandemic: Findings From The National Immunization Survey-Teen, 2019-2021, Chinenye Lynette Ejezie, Paula Cuccaro, Casey Durand, Lara Savas, Ross Shegog

Journal Articles

Provider recommendation of human papillomavirus (HPV) vaccination among adolescents has steadily improved over the years, however, limited research has been conducted to examine if the COVID-19 pandemic disrupted this positive trend in parent-reported provider recommendation among minority adolescents. Therefore, we conducted the present study to determine if there is an association between the pandemic and parent-reported provider recommendation of HPV vaccine among non-Hispanic black and Hispanic adolescents. We also examined whether any changes in parent-reported provider recommendation in the years 2019, 2020, and 2021 differed by race or ethnicity. Using a cross-sectional design to examine data from the National Immunization …

Vitamin D Deficiency Among Children And Adolescents Living In Sunny South Texas, Yoscelina E. Martinez-Lopez, Margarita Faz, Beatriz Tapia, Juan C. Lopez-Alvarenga, Francisco J. Cervantes

Research Symposium

Background: Exposure to sunlight is essential to produce Vitamin D (ViD). Recent studies suggest obesity is associated with low ViD concentration. Living in South Texas with 220 sunny days a year should be enough to maintain adequate ViD levels. We aimed to analyze ViD levels and obesity in children and adolescents.

Methods: We included 1239 pediatric (1.5 to 18.8 years old) participants (primary care clinic from Laredo) with registered CDC percentiles of BMI (pBMI) and serum concentrations of ViD (Atellica™). Data are described as median (p25, p75), Loess correlation between pBMI and ViD, ANCOVA to adjust by age, sex, and …

Adolescent Hope And Optimism: A Scoping Review Of Measures And Their Psychometric Properties, Esther Chongwo, Ezra Too, Adam Mabrouk, Amina Abubakar

Institute for Human Development

There is much research examining adolescent hope and optimism, but there is limited information on the available measures, particularly the most frequently used measures and their psychometric properties. We conducted a scoping review to: (1) identify measures of hope and optimism for use among adolescents; (2) determine the most frequently used measures of adolescent hope and optimism; (3) document the psychometric properties of the identified measures. We searched five bibliographic databases and Open Grey for relevant articles published from database inception to 03 May 2023. The search included the key terms ‘adolescents’, ‘optimism’, ‘hope’ and ‘measures’. We targeted adolescents aged …

How Did That Get There? A Case Series Of Adolescent Foreign Bodies, Justin Ian Hanson, Paul Bomar, Sarah Kleist, Denver Rogalla, Lori Crihfield, Scott Gutovitz

HCA Healthcare Journal of Medicine

Introduction

Pediatric foreign bodies (FBs) come in many shapes and sizes, and the method by which they enter the body can greatly impact the level of acuity at presentation. Most FBs in children are found in those younger than 5 years old, but the following 3 cases were found in adolescent patients.

Case Presentation

We report on 3 adolescent patients who presented to a single community-based emergency department with the chief complaint of abdominal pain and were found to have complications of abdominal FBs. If undiagnosed, the initial indolent courses of FBs can lead to serious complications, as shown in …

(2017) Educating Counselors-In-Training To Work With Parents Of Minors, Krystal M. Vaughn, Erin M. Dugan, Kellie G. Camelford

Louisiana Journal of Counseling

Counselor education programs offer numerous opportunities for students to receive the necessary knowledge, skills, and experiences to become professional counselors. However, due to limited time, there are areas in the program that are not covered in-depth for various reasons. One such area where students may lack educational or clinical training is in the preparation of working with minors, and more specifically, the treatment of minors surrounding parental consultation practice patterns. The purpose of this article is to define parent consultation, review ethical and legal considerations when working with minors, and to provide counselor educators considerations to utilize when preparing counselors-in-training …

(2019) A Silent Epidemic: Prevalence Of Suicide Among Asian American Adolescents, Kacie Blalock, Ashton Nance, Anna-Katrina Keco, Britney Cubley

Louisiana Journal of Counseling

The suicide rate among Asian American adolescents has sharply increased in recent years. This article examines the factors which influence suicidal ideation, predictors of suicide, and treatment approaches for Asian American adolescents. It is imperative that mental health professionals understand the risk factors which may predict suicidal ideation. Predictors of suicide for Asian American adolescents include mental health issues, family dynamics, and academic and societal expectations and perceived pressures. Asian American adolescents report higher levels of depression and anxiety than their European American counterparts. The risk of suicide is likely to decrease when Asian American adolescents have supportive families. In …

The Effects On Occupations And Quality Of Life After A Sports Injury In Adolescents: Emphasis On Psychosocial Factors, Mikaela Hajjar, Lindsey Williams, Monica Watford

Summer 2023 Virtual OTD Capstone Symposium

The capstone project was designed to develop educational handouts for adolescents who experience psychosocial factors after an injury, using the PEOP and Biopsychosocial models. The project addressed the need for more resources to target this population's psychosocial aspects of injuries. The handouts supported existing literature on recommended coping strategies, techniques, leisure exploration activities, and additional resources for OT treatment. The project aimed to provide accessible education to OTs, coaches, parents, and athletes on the role of OT in treatment and the importance of addressing psychosocial factors. The project successfully provided background information, analyzed methodology, summarized handout development, and highlighted the …

The Effects Of Covid-19 On Cognition In The Pediatric Population, Mia Ramirez, Hope Mccarroll, Lisa Griggs-Stapleton

Summer 2023 Virtual OTD Capstone Symposium

Coronavirus disease or COVID-19, is an infectious disease caused by the SARS-CoV-2 virus. COVID-19 can affect adults and children by causing long-term symptoms such as difficulty concentrating, anxiety, depression, long-term breathing problems, and even heart complications. Children represent about 19% of all reported COVID-19 cases since the pandemic first began. Children also can have trouble concentrating, which can impact their ability to attend school and do their daily activities that require concentration, such as dressing, showering, and social participation. Cognitive deficits due to COVID-19 can impact the pediatric population as they may have decreased occupational performance in desired occupations, such …

Evaluation Of Sensory Room Education To Promote Usage In An Inpatient Psychiatric Setting: A Quality Improvement Project., Breanna M. Coulardot

Doctor of Nursing Practice Papers

Seclusion and restraints are intended to be used as a last resort intervention if a patient presents as harmful to themself or others. However, the use of seclusion and restraints in mental health practice has been questioned for several decades. A 26-year study that researched restraint-related fatalities among children and adolescents in the United States from 1993 to 2018 disclosed 79 deaths (Nunno et al., 2022). Seclusion and restraints also restrict autonomy which can cause retraumatization if a patient was previously neglected or abused (Hammer et al., 2011). Many patients presenting to the project site are survivors of neglect and …

Identification Of Structural Brain Alterations In Adolescents With Depressive Symptomatology, J. Bashford‑Largo, R. James R. Blair, Karina S. Blair, Matthew Dobbertin, Ahria Dominguez, Melissa Hatch, Sahil Bajaj

Center for Brain, Biology, and Behavior: Faculty and Staff Publications

Introduction: Depressive symptoms can emerge as early as childhood and may lead to adverse situations in adulthood. Studies have examined structural brain alternations in individuals with depressive symptoms, but findings remain inconclusive. Furthermore, previous studies have focused on adults or used a categorical approach to assess depression. The current study looks to identify grey matter volumes (GMV) that predict depressive symptomatology across a clinically concerning sample of adolescents.

Methods: Structural MRI data were collected from 338 clinically concerning adolescents (mean age = 15.30 SD=2.07; mean IQ = 101.01 SD=12.43; 132 F). Depression symptoms were indexed via the Mood …

The Prevalence Of Diabetes In Juveniles, Tatyana Johnson

Graduate Student Dissertations, Theses, Capstones, and Portfolios

Diabetes mellitus, simply known as diabetes, is a metabolic disorder that impacts how the body makes use of glucose or blood sugar. Glucose is the primary supply of energy for the body’s cells, which is controlled by insulin, a pancreatic hormone. Diabetes results in high blood glucose levels (hyperglycemia), which are caused by either insufficient insulin production by the pancreas or ineffective insulin utilization by the body (Dean & McEntyre, 2004). Although there are several types of diabetes, the two main types are type 1 and type 2. Type 1, also known as juvenile diabetes, is an inflammatory condition in …

Effectiveness Of An Evidenced-Based Cognitive Behavioral Therapy Intervention For Adolescents In A School Setting, Sarah Ellen Gray, Kimberly Michaela Carter, Amanda Harper

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

Abstract

The adolescent years are a formative time when rapid hormonal and physical changes stimulate the developing mind. Exposure to poverty, abuse, violence, and lack of peer and social support causes an increase in vulnerability to the development of mental health problems. The COVID-19 pandemic has also exacerbated symptoms of depression and anxiety. Regardless of the risk factors, anxiety and depression continue to be significant health problems, affecting thousands of adolescents yearly in the United States. The first-line treatment recommendation for managing anxiety and depression symptoms is cognitive behavioral therapy (CBT). However, access to a provider for CBT treatment is …

Improving Informed Decision Making To Reduce The Health Risks Of Vaping Among Adolescents: A Quality Improvement Project, Lizzie A. Diaz

Nicole Wertheim College of Nursing Student Projects

Background: Smoking continues to be a concerning topic among healthcare providers as it is a common risk factor among all major diseases. A new variant, in the form of electronic nicotine delivery systems (ENDS) have arrived at this mix. E-cigarettes, or vapes, have become the most often used tobacco product among young people since 2014 (Sharma et al., 2021). Statistics from the CDC show that in 2022, over 2.5 million youth, including 14.1%‡ of US middle and high schooler kids are not just experimenting with e-cigarettes, but are using them frequently, leading to an addiction that is difficult to …

Evaluation Of A Substance Abuse Screening Tool In The Pediatric Emergency Room, Jody Sims

Dissertations

Abstract

Background: Substance abuse among adolescents is one of the most serious social health problems in the United States. The prevalence of alcohol use in adolescents is as high as 80%, while opioid overdose deaths among adolescents have risen by greater than 50% in the last 10 years. Alcohol, tobacco, and other substance use has also increased among youth and is not being properly evaluated in the pediatric hospital setting. The purpose of this project was to evaluate the use of a substance abuse screening tool with SBIRT trained staff in the pediatric emergency room setting.

Methods: The CRAFFT substance …

Potential Biomarker Of Brain Response To Opioid Antagonism In Adolescents With Eating Disorders: A Pilot Study., Stephani L. Stancil, Hung-Wen Yeh, Morgan G. Brucks, Amanda S. Bruce, Michaela Voss, Susan Abdel-Rahman, William M. Brooks, Laura E. Martin

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Eating Disorders (ED) affect up to 5% of youth and are associated with reward system alterations and compulsive behaviors. Naltrexone, an opioid antagonist, is used to treat ED behaviors such as binge eating and/or purging. The presumed mechanism of action is blockade of reward activation; however, not all patients respond, and the optimal dose is unknown. Developing a tool to detect objective drug response in the brain will facilitate drug development and therapeutic optimization. This pilot study evaluated neuroimaging as a pharmacodynamic biomarker of opioid antagonism in adolescents with ED.

METHODS: Youth aged 13-21 with binge/purge ED completed functional …

Understanding Cultural Perceptions Of Health In Middle School Females For Obesity Prevention: A Case Study, Tien Vo, Egenia Dorsan, J. Mitchell Vaterlaus, Lori A. Spruance

Journal of Social, Behavioral, and Health Sciences

The purpose of this study was to understand acculturation and race/ethnicity influences in the home and school environment that affect physical activity and nutrition in female adolescents attending middle school. A convenience sample of eight female adolescents (n = 2 Asian American, n = 2 Black, n =2 Latinx/Hispanic, and n = 2 White) was interviewed individually via Zoom. Responses regarding acculturation, physical activity, and nutrition in the home and school environment were analyzed using qualitative case study analysis. Three themes were identified: 1) experiences related to home, health, and culture, 2) the intersection between school meals and personal …

Identity And Body Image: How Bicultural Influences Affect The Development Of Negative Body Image And Disordered Eating In Korean American Adolescents, Abigail G. Brown

Honors Projects

The objective of this research project is to examine the existing literature related to culture, body image, and disordered eating in Korea and the United States as they are related to the identity and body image formation of Korean American adolescents in the United States. Because there is not much existing literature specifically investigating the experience of Korean American adolescents, this paper aims to synthesize the current research regarding Korean and United States culture to create a summary of factors that contribute to the development of negative body image and/or disordered eating in this population. In addition, these factors will …